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00001
YOUR COMPANY NAME Address / Phone
0-0000
Warehouse Receipt ORIGINAL - Negotiable
Grain Deposited_____________ Receipt Issued_____________
Scale Tkt. No.
GROSS
TARE
NET
Dkg. %
M/D/Y
DATE: Rec'd Of
_________________________________________________
M/D/Y
LOCATION & COUNTY DELIVERED TO
(Name)
(Address)
Write Out In Full___________________________________________________________________________________________ Net Bushels KIND OF GRAIN GRADE/CLASS TEST WT. DOCK % MOIST. % T.D. PROTEIN
Kind of Grain Test Wt.
GROSS POUNDS
OTHER QUALITY FACTORS
100s
BU.
Dock. Per Bu.
Grade
DOCK. NET ➲
E L
GROSS BUSHELS (100ths)
RECEIVED BY TRUCK RAIL BARGE
NET POUNDS
STORAGE RATES
Per Bu. Per Day @
Net Price Amt. Pd. $
Amount of Indebtedness______________________________________
By_________________________________________________________ Agent
YOUR COMPANY NAME Address / Phone
0-0000
NET
Dkg. %
Warehouse Receipt
DATE: Rec'd Of
(Name)
A S Test Wt.
BU.
GROSS DOCK.
NET ➲
Date Purch. Net Price Amt. Pd. $
000,000 • Victor Lundeen Co., Printers, Fergus Falls, MN • 800-346-4870
GROSS
TARE
NET
Dkg. %
00002
_________________________________________________
M/D/Y
LOCATION & COUNTY DELIVERED TO
(Address)
Write Out In Full___________________________________________________________________________________________ Net Bushels KIND OF GRAIN GRADE/CLASS TEST WT. DOCK % MOIST. % T.D. PROTEIN
Kind of Grain
Scale Tkt. No.
M/D/Y
COPY - Not-Negotiable
SCALE TICKET Rec'd in Store for___________________________________________________________________________________________________ NUMBERS
Address:
Form 2232 - ND
CENTS
$
Storage Deductions $
ORIGINAL - Negotiable
Grain Deposited_____________ Receipt Issued_____________
TARE
DOLLARS
Amount
THIS GRAIN In Full Payment of the Grain Represented by this Warehouse Receipt. Net Amt. RECEIVED SUBJECT $ To Pay TO CONDITIONS ON Signed_______________________________________________________ Owner NET BACK HEREOF I hereby certify that I am the owner of the grain for which this receipt was issued, and that there are not liens, chattel mortgages, or other claims against the grain represented by this receipt. Form 2232 - ND 000,000 • Victor Lundeen Co., Printers, Fergus Falls, MN • 800-346-4870
00002
GROSS
PRICE PER BU.
GROSS
____________________________________________________________ Dollars STORAGE
P M
000,000 • Victor Lundeen Co., Printers, Fergus Falls, MN • 800-346-4870
For Redelivery @
Nature of Indebtedness______________________________________________________
Date:__________________ Check No._____________ For $__________________
Ck. No. Stor. Chgs. $
For Receiving @
Date Storage Pre-Paid Through (M/D/Y)_________________________
SETTLEMENT RECORD Rec'd From_________________________________________________________
Date Purch.
NET BUSHELS (100ths)
Amount of advances made and liabilities incurred for which the warehouseman claims a lien on the above described grain. (Show nature of indebtedness.)*
GROSS
Scale Tkt. No.
00001
SCALE TICKET Rec'd in Store for___________________________________________________________________________________________________ NUMBERS
Address:
Form 2232 - ND
COPY - Not-Negotiable
GROSS POUNDS
OTHER QUALITY FACTORS
100s
Dock. Per Bu.
GROSS BUSHELS (100ths)
RECEIVED BY TRUCK RAIL BARGE
NET POUNDS
STORAGE RATES
Per Bu. Per Day @
For Receiving @
For Redelivery @
Amount of advances made and liabilities incurred for which the warehouseman claims a lien on the above described grain. (Show nature of indebtedness.)*
Grade
Date Storage Pre-Paid Through (M/D/Y)_________________________
Nature of Indebtedness______________________________________________________
Amount of Indebtedness______________________________________
By_________________________________________________________ Agent
SETTLEMENT RECORD Rec'd From_________________________________________________________ Date:__________________ Check No._____________ For $__________________
Ck. No. Stor. Chgs. $
NET BUSHELS (100ths)
PRICE PER BU.
DOLLARS Amount
GROSS
CENTS
$
Storage Deductions $
____________________________________________________________ Dollars STORAGE
THIS GRAIN In Full Payment of the Grain Represented by this Warehouse Receipt. Net Amt. RECEIVED SUBJECT $ To Pay TO CONDITIONS ON Signed_______________________________________________________ Owner NET BACK HEREOF I hereby certify that I am the owner of the grain for which this receipt was issued, and that there are not liens, chattel mortgages, or other claims against the grain represented by this receipt. Form 2232 - ND 000,000 • Victor Lundeen Co., Printers, Fergus Falls, MN • 800-346-4870
00003
YOUR COMPANY NAME Address / Phone
0-0000
Warehouse Receipt ORIGINAL - Negotiable
Grain Deposited_____________ Receipt Issued_____________
M/D/Y
COPY - Not-Negotiable
00003
_________________________________________________
M/D/Y
LOCATION & COUNTY DELIVERED TO
SCALE TICKET Rec'd in Store for___________________________________________________________________________________________________ NUMBERS
DATE: Rec'd Of
(Name)
(Address)
Write Out In Full___________________________________________________________________________________________ Net Bushels KIND OF GRAIN GRADE/CLASS TEST WT. DOCK % MOIST. % T.D. PROTEIN
Address:
Kind of Grain Test Wt.
BU.
OTHER QUALITY FACTORS
100s
Dock. Per Bu.
GROSS
Grade
DOCK.
NET ➲
Form 2232 - ND
000,000 • Victor Lundeen Co., Printers, Fergus Falls, MN • 800-346-4870
GROSS BUSHELS (100ths) RECEIVED BY TRUCK RAIL BARGE
NET POUNDS
Ck. No. Stor. Chgs. $
NET BUSHELS (100ths)
STORAGE RATES Per Bu. Per Day @
For Receiving @
For Redelivery @
Amount of advances made and liabilities incurred for which the warehouseman claims a lien on the above described grain. (Show nature of indebtedness.)*
Date Storage Pre-Paid Through (M/D/Y)_________________________
Nature of Indebtedness______________________________________________________
Amount of Indebtedness______________________________________
By_________________________________________________________ Agent
SETTLEMENT RECORD Rec'd From_________________________________________________________
Date Purch. Net Price Amt. Pd. $
GROSS POUNDS
Date:__________________ Check No._____________ For $__________________
PRICE PER BU. GROSS
____________________________________________________________ Dollars STORAGE
DOLLARS Amount
CENTS
$
Storage Deductions $
THIS GRAIN In Full Payment of the Grain Represented by this Warehouse Receipt. Net Amt. RECEIVED SUBJECT $ To Pay TO CONDITIONS ON Signed_______________________________________________________ Owner NET BACK HEREOF I hereby certify that I am the owner of the grain for which this receipt was issued, and that there are not liens, chattel mortgages, or other claims against the grain represented by this receipt. Form 2232 - ND 000,000 • Victor Lundeen Co., Printers, Fergus Falls, MN • 800-346-4870
“All storage contracts on grain in store at public grain warehouses terminate on June thirtieth, as identified in the publication required by section 60-02-17. If storage charges and warehouseman’s advances remain unpaid at the time of termination, the warehouseman may sell a sufficient amount of grain to pay the charges and advances. The receiptholder shall surrender the receipt to the issuing warehouseman for settlement."
“This grain is received, insured, and stored subject to the laws and rules of the state of North Dakota, the terms of this contract, and the charges and conditions stated herein and as filed with the North Dakota public service commission. Upon surrender of this receipt and payment or tender of all applicable charges, the amount, kind, and grade of grain identified in this receipt will be delivered to the person named above or the person’s order as rapidly as due diligence, care, and prudence will permit. At the option of the holder of this receipt, the amount, kind, and grade of grain for which this receipt is issued, upon demand, must be delivered back to the holder at any terminal point customarily shipped to, or at the place where received, upon the payment of any charges for receiving, handling, storage, and insurance and in case of terminal delivery, the payment in addition to the above of the regular freight charges on the gross amount called for by this ticket or in lieu thereof, a receipt issued by a bonded warehouse or elevator company doing business at the terminal point. Nothing in this receipt requires the delivery of the identical grain specified herein, but an equal amount of grain of the same kind and grade must be delivered.” (SEC.60-02-17, Amend. - ND Century Code)
All grain remaining on storage after termination of this contract will be stored by the warehouseman subject to the storage rates and policies in effect on the date following termination.
“All storage contracts on grain in store at public grain warehouses terminate on June thirtieth, as identified in the publication required by section 60-02-17. If storage charges and warehouseman’s advances remain unpaid at the time of termination, the warehouseman may sell a sufficient amount of grain to pay the charges and advances. The receiptholder shall surrender the receipt to the issuing warehouseman for settlement."
“This grain is received, insured, and stored subject to the laws and rules of the state of North Dakota, the terms of this contract, and the charges and conditions stated herein and as filed with the North Dakota public service commission. Upon surrender of this receipt and payment or tender of all applicable charges, the amount, kind, and grade of grain identified in this receipt will be delivered to the person named above or the person’s order as rapidly as due diligence, care, and prudence will permit. At the option of the holder of this receipt, the amount, kind, and grade of grain for which this receipt is issued, upon demand, must be delivered back to the holder at any terminal point customarily shipped to, or at the place where received, upon the payment of any charges for receiving, handling, storage, and insurance and in case of terminal delivery, the payment in addition to the above of the regular freight charges on the gross amount called for by this ticket or in lieu thereof, a receipt issued by a bonded warehouse or elevator company doing business at the terminal point. Nothing in this receipt requires the delivery of the identical grain specified herein, but an equal amount of grain of the same kind and grade must be delivered.” (SEC.60-02-17, Amend. - ND Century Code)
All grain remaining on storage after termination of this contract will be stored by the warehouseman subject to the storage rates and policies in effect on the date following termination.
“All storage contracts on grain in store at public grain warehouses terminate on June thirtieth, as identified in the publication required by section 60-02-17. If storage charges and warehouseman’s advances remain unpaid at the time of termination, the warehouseman may sell a sufficient amount of grain to pay the charges and advances. The receiptholder shall surrender the receipt to the issuing warehouseman for settlement."
“This grain is received, insured, and stored subject to the laws and rules of the state of North Dakota, the terms of this contract, and the charges and conditions stated herein and as filed with the North Dakota public service commission. Upon surrender of this receipt and payment or tender of all applicable charges, the amount, kind, and grade of grain identified in this receipt will be delivered to the person named above or the person’s order as rapidly as due diligence, care, and prudence will permit. At the option of the holder of this receipt, the amount, kind, and grade of grain for which this receipt is issued, upon demand, must be delivered back to the holder at any terminal point customarily shipped to, or at the place where received, upon the payment of any charges for receiving, handling, storage, and insurance and in case of terminal delivery, the payment in addition to the above of the regular freight charges on the gross amount called for by this ticket or in lieu thereof, a receipt issued by a bonded warehouse or elevator company doing business at the terminal point. Nothing in this receipt requires the delivery of the identical grain specified herein, but an equal amount of grain of the same kind and grade must be delivered.” (SEC.60-02-17, Amend. - ND Century Code)
Charges may be waived per the elevator’s fee schedule in effect on the date of this receipt.
Charges may be waived per the elevator’s fee schedule in effect on the date of this receipt.
If any of the grain embraced in this receipt shall prove to be covered by a chattel mortgage or other lien, or the partial or absolute title shall prove to be in someone other than the person to whom this receipt was issued, the same, if discovered before the delivery of the grain, shall be sufficient reason for the refusal to deliver to the holder of the receipt, or if discovered after the delivery of the grain, such delivery shall be deemed an over delivery for which said holder of this receipt, to whom such delivery is made, shall be accountable. NDCC 60-02-18
The Undersigned hereby indorses this receipt and certifies that on the date stated he is the owner of the grain covered by this receipt and, other than the warehouse operator's lien shown on the face of this receipt, there are no liens, mortgages, or other encumbrances on said grain, as except as stated hereon.
DEPOSITOR'S ENDORSEMENT AND STATEMENT OF OWNERSHIP AND ENCUMBRANCES
_________________________________________________________
The Undersigned hereby indorses this receipt and certifies that on the date stated he is the owner of the grain covered by this receipt and, other than the warehouse operator's lien shown on the face of this receipt, there are no liens, mortgages, or other encumbrances on said grain, as except as stated hereon.
DEPOSITOR'S ENDORSEMENT AND STATEMENT OF OWNERSHIP AND ENCUMBRANCES
_________________________________________________________
_________________________________________________________
The Undersigned hereby indorses this receipt and certifies that on the date stated he is the owner of the grain covered by this receipt and, other than the warehouse operator's lien shown on the face of this receipt, there are no liens, mortgages, or other encumbrances on said grain, as except as stated hereon.
DEPOSITOR'S ENDORSEMENT AND STATEMENT OF OWNERSHIP AND ENCUMBRANCES
2232-ND Backer (Rev. 10/13) • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870
_________________________________________________________
_________________________________________________________
Subsequent Endorsements
Signed:___________________________________________________
(month, Day, Year)
_________________________________________________________
Subsequent Endorsements
Signed:___________________________________________________
(month, Day, Year)
_________________________________________________________
Subsequent Endorsements
Signed:___________________________________________________
(month, Day, Year)
_________________________________________________________
2232-ND Backer (Rev. 10/13) • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870
If any of the grain embraced in this receipt shall prove to be covered by a chattel mortgage or other lien, or the partial or absolute title shall prove to be in someone other than the person to whom this receipt was issued, the same, if discovered before the delivery of the grain, shall be sufficient reason for the refusal to deliver to the holder of the receipt, or if discovered after the delivery of the grain, such delivery shall be deemed an over delivery for which said holder of this receipt, to whom such delivery is made, shall be accountable. NDCC 60-02-18
If any of the grain embraced in this receipt shall prove to be covered by a chattel mortgage or other lien, or the partial or absolute title shall prove to be in someone other than the person to whom this receipt was issued, the same, if discovered before the delivery of the grain, shall be sufficient reason for the refusal to deliver to the holder of the receipt, or if discovered after the delivery of the grain, such delivery shall be deemed an over delivery for which said holder of this receipt, to whom such delivery is made, shall be accountable. NDCC 60-02-18
A S
_________________________________________________________
2232-ND Backer (Rev. 10/13) • Victor Lundeen Co., Printers • Fergus Falls, MN • 1-800-346-4870
Charges may be waived per the elevator’s fee schedule in effect on the date of this receipt.
All grain remaining on storage after termination of this contract will be stored by the warehouseman subject to the storage rates and policies in effect on the date following termination.
P M
E L