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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-----------------------