feJtaiiaara Form IS^o. 1058a 
Form approved by 
Comptroller General U. S. 
August 24, 1928 
(2595) 
Z S f 6 
BiU to. 
GOVERNMENT BILL 
OF LADING 
United States of America 
Bill to TJ-S. National %8etua 
(Department or Establishment and Bureau or Service) 
DlTlslon bT 'CoFraspo"7^W®Bauo'^fp^^‘^^ 
10 S .B ry ant’ ^hTe?' of 
(Name and title of issuing officer) 
from . 
(Date issued) ^ 
,j ■ 
memorandum COPY V 
(Consignor) 
by the — SA the public property hereinafter described, 
(Name of transportation con:|)any) 
in apparent gopd-^^^der and condition (contends and value imknown), to be forwarded subject to conditions stated on the reverse hereof, 
from 
(Shipping point) 
by the said company and connecting lines, there to be delivered in like good order and condition to 
(Consignee) 

Via 
MARKS 
#1 of 10 
#2,3 of 10 
#4,5 of 10 
#6 of 10 
#7,8 of 10 
#9 of 10 
10 of 10 
(Route journey only v/hen some substantial interest of the Government is subserved thereby) 
NUMBERS ON 
PACKAGES 
NUMBER AND 
KIND OF 
PACKAGES 
DESCRIPTION OF ARTICLES 
(Observe strictly carrier’s freight classification. Avoid trade or 
technical names) 
1 Igs cage 
2 boxee 
2 cuiests 
1 ciiesfc 
2 cliosts 
1 ciiost 
1 oiiest 
(iji e^laijs 
geax as’id spec. 
It 
II 
35« X 51« X 17'» Coll. 
24'* X 24'* X 18" " '* " 
25" X 17" X 16" 
" " " Bootes 
2?" X 16g X 18" Site Oe in tvuilcs & gl: 
27" X 18 X 18" " " 
10 ’ X 14*' X 11" Sxuoaod fiirss in t 
WEIGHTS 
/O 
ms 
f 
■2ik 
Size car ordered ft. Size car furnished ft. Date furnished Initials Car No.. 
TARIFF AUTHORITY 
(To be filled in by general office rendering account) 
AUTHORITY FOR SHIPMENT 
% 
(Name m 
(Name m transportatio^h company) 
/•" " - 
/ 
19^. Per 
(Date) 
CERTIFICATE OF ISSUING OFFICER 
(To be filled out when this bill of lading is issued for use by contractor in making shipment) 
Contract No. , or Purchase Order No. , dated , 19 
(F. O. B. point named in contract) (Issuing officer) 
(CARIilBEif^'S RBGI^TS TO SMmPmQ Ci*iAilOES i^OT APFECTE© BY FACTS SET OOT m THIS CERTiFSCATE) 
MEMORANDUM COPY 
a, 8. aoVURKUKNT FUlNTINa OPVIOn; l»2a 
10—1879 
