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[[preprinted]] ^[[ [[encircled]] 8 [[/encircled]] ]] [[boxed]] [[vertical left]] CONSIGNEE'S RECEIPT [[/vertical left]] Form 694 8-17 ^[[ [[stamped]] 2229357-501 Hayward, Cal. [[/stamped ]] Office, State of ^[[ [[stamped]] AUG 12 1918 [[/stamped]] ]] 191 M ^[[Dr. Alex Wetmore]] TO Wells Fargo Co Express Dr. Account Shipment of ^[[Bx auxiliary shells]] Advanced Charges From ^[[Wash]] State of ^[[D C.]] } This Co's Charges ^[[1.50]] W/B No. Date ^[[Over]] Weight ^[[11 lbs.]] } War Tax - - } Amount of C.O.D. Shipper ^[[Bureau Biological Survey]] Total, $ ^[[1.50]] Received Payment, ^[[A. E. Fischer]] For Wells Fargo & Co Express [[/boxed]] [[/preprinted]]
Transcription Notes:
This is a consignment form - mostly printed with some handwritten details inserted
Edited: formatted for printed form