WAR DEPARTMENT 
Q. M. C. Form No. 434 
Revised June 30, 1942 
SHIPPING TICKET 
CONSIGNOR: 3. f ban Jose 
* § 887. 
Date Shipped or Delivered ... 
SHIP TO— 
Dr • Alexa "icier Setraore 
ban Jose Island 
Pro le t 
29 February 1944 
~ AUTHORITY OR REQ. Na 
TRANSPORTATION COST OF $ 
QUANTITY 
STOCK NO. 
ORDERED 
SHIPPED 
m 
P/A NO. 
ARTICLE 
6 
4 
I 
I ipodc lenta 
CHARGEABLE TO 
UNIT 
crates 
UNIT 
COST 
TOTAL COST 
boxes; 
deceived 
ARTICLES LISTED IN COLUMN “ORDERED” HAVE BEEN RECEIVED UNLESS OTHERWISE NOTED IN 
COLUMN “SHIPPED.” 
(NAME) (RANK) (ORGANIZATION) 
CONSIGNOR’S VOU. NO. __r,_ aT 
CONSIGNEE’S VOU. No._ 
Number of Sheets_ 
U. S. GOVERNMENT PRINTING OFFICE : 1942 O - 493502 
16-29529-1 
