26 BULLETIN 236, U. S. DEPARTMENT OF AGRICULTURE. 
No. 
WAREHOUSE SCALE TICKET. 
Office of Markets and Rural Organization, Grain System Form Xo. 11. 
Co. 
At 
, 191 
This ticket is not a storage ticket and is not negotiable. Is must be exchanged on 
day of issue for a lawful storage ticket or cash check. 
Owner 
Driver 
On 
. Off 
Load of 
Grade 
Dockage Lbs 
Signed . ... 
Exchanged 
for Check Xo ... 
, Storage Ticket No. . 
1 
Bushels. 
Gross. Tare. 
Xet. 
Gross. Dockage. ' Xet. 
i 
