RAILwAyY EXPRESS AGENCY

INCORPORATED

TO

INVESTIGATION BLANK

District Accountant District

*S°M_AWRENC E, KANS

683
5-35
(Printed in U.S.A.)

Dist. Acct.
Agent or

* Claim Agent

t.
+36

16 ve

File Reference or Claim Number

oot
Octobe

Amount of Claim

Accountant
At___ New York, N.Y.

Please. furnish records checked:
REPLY DIRECT TO PATRON
Delivery Record
(OD. Returns

(if there is not a clear record of shipment reply should be made to
the representative of this Company making the inquiry.)

tt

At

Date

 

 

RETURN FORM TO ME gat
Delivery Record

C.O. D. Returns

Return to Shipper Record
Copy of Out Billing
Certified Copy of Receipt
Copy of Vehicleman’s Tally

49
go!

$

 

Inquiry made by Claimant

Forest Allen

 

 

 

Nature of Complaint or Claim:
ConSignee advised shipper not received.

 

Agent or Claim Agent will fill in available data—District Accountant will complete the Waybill and Delivery Sheet information.

 

Enter Date Shipped

October 8,1937 os
COLLECT PREPAID

le
ee.

Total

a

C.0.D. Servi

To Destination Office

New York

The Delivery
Record shows
the shipment
originated with

NeYe

 

 

ie MeGraw Hill

Street Address or NoneAgency Destination

 

Woybill Number

jl) 2

Declared Vaiue

$100.00

Weight

Express Company

 

Name of Forwarding Office Value Ch Value Charges

Lawrence, Kansase

Article

 

 

Piece-g; Description, ‘ Express Charges

 

Delivery was
made on
(Check One)

[J Original

[_] Substitute

CL] Over

Delivery Sheet

Pa 64

 

Shipper Receipt or Identitication No, Paidin Part

Forest Allen

Shipper’s Address

 

 

 

 

Scale.or Rate | Verified hy C.0.D. Service Chgs,

 

 

 

 

Received from RAILWAY EXPRESS AGENCY, Ine., shipment described hereon, Date Delivered

ie ae oti)
2H Ob ugoe wo LL 5S Ix

Delivered by

Oh Mace Mecstage

VA Deliveryman’s Number 2

PES

aa S SIGNATURE
te. So pretest

a3 © UlesP Ys

 

 

-

 

 

 

 

 

f

“WAS PAID BY DRAFT No 193

(OL 22.

DATED

 

AMOUNT $

 

Dist. Acct.
Agent
Claim Agent