Bi-181 
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File No._:i2_'__ 
UNITED STATES DEPARTMENT OF AGRICULTURE 
BUREAU OF BIOLOGICAL SURVEY 
PROPERTY PURCHASED. 
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Quantity. 
Articles purchased. 
(Describe fully for purpose of identification.) 
Cost. 
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I certify that the above articles have been received by me in good condition. 
Prepare in duplicate. 
See instructions on 
reverse side. 
( Signature ) 
(Title) 
