PD-i90 OFFICE OF PRODUCTION MANAGEMENT 42-18-41 Date Nie’ Tatar Wes Te Yep. PRIORITIES DIVISION cuced only in the same size, SOCIAL SECURITY BUILDING xormat, phraseology, and ee ee color. PURCHASER’S APPLICATION ORDER FOR CHLORINE FOR DELIVERY DURING MONTH OF Forward 3 copies of this form to your supplier with each order placed for chlorine. Retain one copy for your file. These forms are required in accordance with General Preference Order M—19, Amendment No. 1. Suppliers’ monthly delivery schedules are limited to orders placed on or before the 10th day (the 5th day if the supplier is a distributor) of the month preceding the month of delivery. Pe a eran Pigs z Ce Se eens Mee Sader a. ee ee ae i SUPPLIER: {Name io URE, CO Address .......- IfOC South Jecone.3t.-ssis-LOULS,MissoURi. If-supplier-is not-regular source of supply; state reasons for change? eee Bre eee et er a ee a a 2. Quarterly consumption of chlorine for year ending, June 1941: Quarter Tons Quarter Tons duly—-September 1940.3. 2 January—-erare) 1981 October-December 1910. PS i ees 3. Lens Of Ch Gime. on Mand lel Gay of previous Inonth:. = ee tons. ety Or Gee ce re er eree Gitine ton. re tons. Oe a Tk ee eee ee tons. Estimated duration of this quantity____...._.....-....- Me es et sie rr days. Do you have on hand more than a 30-day supply of any finished products which you have manufactured with or by the use ol. chiorinetYes-2-— = Ne If so, list below with estimated number of days’ supply. 4. Have you filed this application form with any other supplier? Yes -__------ ree it eG, DOW many. os, 5. Do applications filed by you with other suppliers duplicate any portion of the chlorine herein requested? Yes -----. | ee Tt so, for What quantity? tons. 6. Quantity of ¢hlorine requested 2 tons, Type of delivery (check) : Hie ee ee Cylinders.3:4eue corousga wdt Tank car. Be) Multiunit car. sitcc 2-2 F Ipedine: (eas) . * . DeLivery SCHEDULE DesireD.—If you desire more than one delivery during month indicate the amounts and dates desired. DATE— Quantity (tons) (OVER) 1i—-25554" 4 REPRODUCED BY MownSANTO CHEMICAL COMPANY