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We are qualified by the Indiana Grain Buyers (State of Indiana)

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U.S.A. forms for State of Indiana

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Licensees:
We are qualified by the Indiana Grain Buyers and Warehouse Licensing Agency to print
Warehouse Receipts for licensed warehouses in Indiana.
These Receipts will be printed in books of 50 sets per book.
Make your check or money order Payable to Ewing Printing Co., Inc. and mail with
the attached order form to the Director of the Indiana Grain Buyers and
Warehouse Licensing Agency and they will forward your order to us.
Thank you,
Ewing Printing Co., Inc.
Please tear off and mail with your check to:
Indiana Grain Buyers and Warehouse Licensing Agency One North Capitol Ave Suite 600 Indianapolis, IN 46204
EWING PRINTING CO., INC. P.O. BOX 537 VINCENNES, IN 47591
WAREHOUSE RECEIPTS ORDER FORM
(
)
1
Book
( 1 Book @ $46.00 each)……………………………..
$
(
)
Books
( 2-4 Books @ $38.00 each)……………………..........
$
(
)
5
Books
( 5 Books @ $25.00 each)……………………..........
$
(
)
10
Books
( 10 Books @ $23.00 each)……………………..........
$
(
)
20
Books
( 20 Books @ $18.00 each)……………………..........
$
(
)
40
Books
( 40 Books @ $15.00 each)……………………..........
$
Plus Indiana Sales Tax (7%)………………………………………………………………..
$
Plus Shipping & Handling (1-4 $9.95 5-$12.00 10-$16.00 20-$24.50 40-$34.50)…...
$
TOTAL……………………………………………………….
$
Licensee
Address
State
Zip
Location No.
CCC Whse. Code No.
Date of Order
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We are qualified by the Indiana Grain Buyers (State of Indiana)

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Completed 13 August 2020

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