81

No. 1408 Form 1040

Fort Worth Station Sept 13 1904
Hawley City Engr
TO CHICAGO, ROCK ISLAND & MEXICO RY. CO., DR.
Texas Seating Co.

	FOR TRANSPORTATION AND CHARGES ON	WEIGHT	RATE	FREIGHT	ADVANCES	TOTAL
From[Brak?]
Date Sept 6	School Furn		7.3
W. B. S14		33600		24.53
Car	31455		9.4	248.64	46.03
Initials PM			13.7
Trans. from			273.17
Initials

[stamp: COPY
NOT TO BE USED IN FILING CLAIMS
FOR OVERCHARGES]

Consigner	RECEIVED PAYMENT FOR THE COMPANY	319.20
Pere Marquette	___________________________ , Agent
Original Point of Shipment	Per __________________
________________________	_____________	1300

[stamp: C.R. I. & C. R. Y.
FILED SEP 13 1904
FILE [HP ??]
PER _____________ Cashier]
CHARGES PAYABLE ON DELIVERY. SUBJECT TO STORAGE AFTER 48 HOURS.