RKBP-803

Form ----------------------hr-------------------- Station ----------------AP--------------3------ 1860

--J--Kentiall------------------------------ Desplains Ills

To Chicagoz, Burlington & Quincy R. R. Co. Dr.

For Freight From--------------Sand----

------------------------------------------------------------------------------------------------------------------------------Date of No of NO. CAR WHOSE DESCRIPTION OF ARTICLES. WEIGHT BACK Way Bill Way Bill 568 1 Box Shnutteny 210 CHARGES 2 3 Chgo guarantued Dothum OUR CHARGES 40 25 65 ----------------------------------------------------------------------------------------------------------------------------- Total $---------------------------------------- ---------------------------------------Received Payment-----CH. BULIS---------------------------

CONSIGNOR--D--Matteson-----------------------