Form with title: Please supply as under and debit the a/c. of the above named establishment.
Field for signature and date.
Table with columns for Commodity, Quantity, Price, Date supplied, and the prices.
Row 1: NATIONAL DRIED MILK Full Cream, tins, 1/2.
Row 2: FULL CREAM half cream, tins 1/2.
Row 3: COD LIVER OIL, bots, 10d.
Row 4: COD LIVER OIL (BULK SUPPLIES), gals, 17/6.
Row 5: ORANGE JUICE, bots, 5d.
Row 6: ORANGE JUICE JELLY, cases, 22/9
None of the columns have date supplied or prices filled in.
Two fields for account rendered and total.
Second form extract with title:
I declare that I am entitled to receive the value of the certificates detailed hereon and I request that the amount due may be repaid:-
Instruction to fill in (A) or (B).
(A) in case to me at, blank field, POST OFFICE, (see note 1 at back).
(B) by warrant payable through a bank to:, blank field, (see note 2 at back).
Third form extract:
Dear Sir/Madam.
You have been granted assistance of £, blank field.
as a first payment and at the weekly rate of £, blank field, thereafter subject
to any change in your circumstances. I enclose a postal draft for the first
payment which will be made at the Post Office named.
Further payment (if required) will be made
* (a) in cash on your attendance at this office at, blank field, o’clock
on, blank field.
* (b) by postal draft, following the receipt from you of the enclosed
Form 0.7, completed, not later than, blank field.
* (c) blank field
The amount payable may be reviewed at any time if your circumstances change.
If you are dissatisfied with the assistance granted you should let me (extract ends).