1 20 14 https://omeka.lib.jmu.edu/erp/files/original/a1940922bb928641a5ce6d6e9166ee91.pdf d84d1fb6fe6543bdeafc10684543acdd PDF Text Text DEL I VERY FORM 60 ADAMS EXPRESS COMP ANY SPECIAL LIQUOR RECORD Received~ ,!_.!_~~ ~~~~~~-4 --J,.£.(L,~ :....:•oate I 2, / I ~ 1 -=-.::........:c.=...-."-L..-c...c..'c'l-..---,--------:;:------,----'"'mou nt ~~~-----• ate_~.,_ --+---=-- '_ 191 -6_ Affidavit No. - /-- - I _ _ 191-b Ad vances to Collect ~JVt:. From _ _ _ __ _ _ __ _ _ PREPAID '· RECORD OF NOTICES To Consigne e To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE. (OVEI<) Add Undercharg e �--- ------ ---- ~--- ---- ---- ---- ---- -=-- ---- -------AFFIDA VIT FOR ARDENT SPIRITS FOR PERSON AL USE I, --+-=---'------"-__._,._,,,'-=.<........,c.=ffC- - - - - - - - , being duly sworn, depose and say that I am the consigne e of o. cer t ain shipme of ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company , from <?., J ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent.sp irits of any kind whatsoev er, from any per son or from any place whatsoever, in excess of the quantity allowed by the provision s of the Act of the General Assembl y of Virginia , approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Y UJ Sworn to and subscrib ed before me, this~ day of__::,,,,,,,,=-:.-=-.:_ , 191JQ A g en t f or Adams Expre ss Company . Consignee~ �ADAMS EXPRESS COMPANY DBLIVERY F O RM 60 T o _ --1.!::~~-\c-- -irl.:.:5>----'---"'=-=--~~--<t,A ,------Shi pper -------c,t------'"--:-"----,.,:--=-..c:r'.iY,U-4o--'-,,---"-----="--:-RE C O R D OF NOTI C ES T o Consig nee To Shipper AFFIDAV I T FOR ARDENT SPIRITS FO R PERSONAL USE. ( OVER ) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE I, _ ___,__._ _...,___,.-- --,p,,~.,........_-+-__.,___._---'---+--',,,_-, being duly sworn , depos e and say that I am t he consig nee of a certai n sli ment of arden t spirits , as specif ied op fc)ther side of this form, this day delive red to me by the Adam s Expre ss Comp any, from_ _,-...~ _,___~ '-+'CJ.-...............-'-'--,,-,;, that I am not a stude nt or minor, and, if a femal e, I am the head of a f amily ; that the rdent spirit s so receiv ed by me were broug ht info the State on my writte n order, an,d that I have not, within the thirty days previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any person or from any place whats oever, in excess of the quant ity allowe d by t he provis ions of the Act of the Gener al Assem bly of Virgin ia, appro ved March 10, 1916, or contra ry t o law, and that the ar dent spirit s so received by me are for oy own use, at my own home, and that t he said arden t spirits will not ~ olatio n of law. - Consi1rDee. �ADAMS EXPRESS COMPANY DIEL IVERY F ORM 6 0 A d vances to Collect RECORD OF NOTI CE S :T o Con sign ee _ _ __ _______ _ _ _ _ __ To Ship per AFFIDAVIT FOR ARDENT SPI R ITS FOR PERSONAL USE . ( OVER ) A dd Under charge �AFFIDA VIT FOR ARDENT SPIRITS FOR PERSON AL USE STA.TE OF VI~ ,11'!1A, -~ ~ e{.... COUNTY OF._J'..S ~ _f__£~ ~ ~,rri I am ( (. l: ti , being duly sworn, depose and say that ""'1° • I, form, this day, this t>f e other'sid on specified as spirits, ardent of t shipmen certain n of the consigne e I ; that I am not a 1 delivered t me by the Adams Express Company , fro received by me so spirits ardent the that family; student or minor, and, if a f emale, I am the head of a days previous thirty the within not, have I that d an, order, written my on State the were brought into place whatsoany from or person any from ver, hereto, received any ardent spirits of any kind whatsoe y of Virginia , Assembl General the of Act the of s provision he t by allowed quantity ever, in excess of the me are for by received so spirits ardent the that approved March 10, 1916, or contrary to Jaw, and violation of law. in used be not will spirits rdent sai the that and home, own my oy own use, at • I. Sw= :7ore to m =d day of thi (P me, , 191 . �- - -- --- - --- - - - -- -- ------------------ --------~-----ADAMS Dl!LIVERY F O R M 60 EXPRESS COMP ANY To -----,;:i----~-n-4--'-'-----;;~ =v"'--'--,,___,L'-"-¼--;-=-----"~ Shi pper ~ ~ ~..,2;~~~tbt,~':____J'_~c:..__ RECO RD O F NOTICES To Consig nee · T o Sh i ppe r . A FFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVE R ) ----~- · �' AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I. -----'-~ - -~......._-"-_____,.....,..._..__~---''---, t he consignee of o. being duly sworn, depose and say that I am certain shipment of ardent spirits, as specified on other side of t his form, this day delivered to me by the Adams Express Company, fro -' ; that I am not a student or minor, and, if a female, I am the head of a family; that th ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever; from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for • y own use, at my own home, and that the said ardent spirits will not be used in violation of law. ~ •/ • . { q I ·' {!)1-- , Consignee. this_ __ day of.=~=__._-, 191__ {: A g ent for Adams Express Comoany. �DE L t VER Y FORM ADAMS 60 EXPRESS COMPANY Affidavit To ..J.L.L4-~-l -~~".:-!o"~~"-~""Shipper - --l---'--""''-f----j~.r=..,,4-- Ad vances to Collect P REPAID No.L Add Unde rcharge -11~'-------- RECORD OF NOTICES To Consignee _ _ _ ________ _____ To Shipper _ _ _ _ _ _ _ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVEll) �AFFIDAVIT FOR ARDENT SPiRITS FOR PERSONAL USE = ~- , STATE O F : a _ I A ~ ~~ COUNTY OF-,o,,---"-~'~.....,.~ - - 1, being duly sworn, depose and say that I am the consignee of n certain shipment of ardent spirits, as 8JfJc1fj~he r/J~his form, this day delivered to me by the Adams Express Company, from C.:::.. ~ h a t I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any persor or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for .my own use, at my own home, and that the said ardent spirits w·µ not be used in vi ation of law. . V f" A g ent for Adams Express Company. �ADAMS. EXPRESS' . COMPANY DELI VERY FORM 60 ,, SPECIAL LIQUOR RECORD _______ 191 - Affidavit No, _____ ~_,,. I 191 Advances to Collect I F rom - ~. ,t. EXPRESS CHARGE. PREPAID COLLECT I .1 ,) ! j Add Undercharge I RECORD Of" NOTICES To Consignee_ _ _______________ To Shipper _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVEK) �AFFIDAVIT FOR ARDENT • SPIRITS FOR PERSONAL USE STA.TE OF COUNTY OF---,~ -- ----;~-..,..,- 1. - -~ .,.----.----~----- ---'-----, being duly sworn, depose and say that I am the consignee of o. certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company, from __________ __ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any per son or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act'of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for • y own use, at my own home, and that the said ardent spirits will not be used in violation of law. Consignee. Sworn to and subscn"bed before me, I • this _ __ day of , I , 191- I Agent for Adams Express Company. �----- -~--- ------ --··-------DIKL I V E RY FORM 60 ADAMS EXPRESS COMPANY I A d vances to Collect To Sh i pper .· · ,r .L. AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE . . (OVEK) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE delivered to me b the Adams Express Company, from _ _ _ _ _ _ _.......--:.;=.._; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not, within the.thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of t he Act of tqe General Assembly of Virginia, approved March 10, 1916, or contrary to -law, and that the ardent spirits so received by me are for • y own use, at my own home, and that the saicl,. ardent spirits will I)_Ot be used in violation of law. G i..:.tA-__;,.....:;; , . =-------=----~______:____:__:_ . _ Consignee. Sworn to and subscribed before me, :.2.. this_2_day of.~ _ _ _ _, A gent f or Adams Express Comoany. �D • LIVERY F OR M 6 0 ADAMS EXPRESS COMP ANY RECORD ,OF N OTICES T o Consignee _ _ __ __ _~ - - - - - - - - - T o Shippe r _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVE R ) �AFFID AVIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STA.TE OF VIRGI NIA, COUNT Y OF_(- r--'\- - ------'-- J, - ---"'-- ~'----+ ---..,....- - - - - - ~- --, being duly sworn, depose and s ay that I am t he consign ee of n certain shipme nt of a r dent spirits, as specifie d on other side of this form, this day delivered t o me by t he Adams E xpr ess Compa ny, from _ _ _ _ _ _ _ _ _ _ _ ; tha t I am not a studen t or minor , and, if a female , I a m t he head of a family ; that the ardent spirits s o r eceived by me were brough t into the Stat e on my w ritten order, and that I have not, within the thirty days previou s hereto, r eceived any ardent spirits of any k ind w hatsoev er, from any per son or from any place whatso ever, in excess of t he quantit y allowed by the provisions of the Act of the Genera l Assemb ly of Virgini a, approv ed March 10, 1916, or contrar y t o law, and that the ar dent spirits so re ceived by m e ar e for • y own u se, at my own home, and t hat the s aid ent spirits w ill not b used in viola tion of law. ~ Consigne e. this A g e nt for Adams Express Compa ny . �/ ADAMS EXPRESS COMPANY 0BLIVERY FORM 60 SPE/ L LIQUOR RECORD Received;~-'---'=--...._----==-=-"'-=-..c,....,c_,.,,,__--=-=-'.-'--Date.acc=--:J'----------1,;;;Z.----191 _ Affidavit No.~ - - - Consignee _1=,--t--v-~ Yi!';.---,~+-.,-'...,_.'---i:':--'~ - - - - - - - - = - ~ ; 1 - •- - - - - - ~ - -,- -----..~~_c....-----':-"----1-~Amount ----+----".._.,.~ ;- -'"'--'--F-.,_-L_ __ __ To _ _,...__---:-- ,:;;;i'.....,--:::--+-r.~----<-:r ~ - - Shipper Jlfij ,f 191 v .;om--t-.:=a<~e"'-1c-"'-,,.....,~P'-'i'-c-F- Advances to Collect - - - + - - \...-'~--- RECORD OF NOTICES To Consignee To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, - - -~..---'--+-....._~~-_.___ ___,~-'---, being duly sworn, depose and say that I am tbe consignee of o. certain sl:iipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company, from ( , t ; that I am not a student or minor, and, if a female, I am the head of a family; that th; ardent spirits so r eceived by me w ere brought int o the State on my written order, an.d that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of t he quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits .so recew d by me are for • y own use, at my own home, and that the said ardent spiri ~ be I'- • violation of law. Sworn to and subscribed before me, this3 - _day of ...A, ,191_• A gent for Adams E xpr ess Co,nvany. �ADAMS EXPRESS COMPANY 0aLIVIERY FORM 60 SPECIAL LIQUOR RECORD Reoeived,-_ _ _ _ __ _ _ __ _ _ __ _ _______ 191 -'- Affidavit No·- - Consignee _ _ __ _ _--=~~-~--=:........c_..,,,____ _______~ - - - - - - - - -- - Advances to Collect PREPAID COLLECT RECORD Of' NOTICES To Consignee_ __ _ __________ __ T o Sh ip per _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE, (OVEll ) = --- Add Under ch arge �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STA.TE OF VIRGINIA, CoUNTY o~ =-~ ' ~ - - - - '::.__---=+-'-- ~ I, - c+---+-'----+--+----+-.....,..........--+--+~--'----- -, being duly sworn, depose and say that I am t:le consignee f ;_ cert ain shipment f ardent spirits, as specified on other side of this form, this day ~ delivered to me by the Adams Express Company, frorn (! • :/ ! /, ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, a,,d that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for o.y own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before me, this_l::__day of_ _ __ _, 19J.L..._ A g ent for Adams Express Comvany. �ADAMS DEL I V E RY FORM 60 EXPRESS COMPANY SPECIAL LIQUOR RECORD _. I Add Undercharge RECORD OF NOTICES To Consignee ___ _ _________ _ __ To Sh ipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, - -~'--~ -_.e.---'------- --'----'------ ,' being duly sworn, depose and say that I am the consigp.ee of a certain shipment of ardent spirits, as specified on ot,her side of this form, this day ,delivered~ me by the Adams Express Company, froJ ., , ,. ; that I am not a student or minor, a nd, if a female, I am the head of a family; that the ardent spirits so received by m e · we re brought into the State on my written order, and that I have not, within the thir ty days previous h ereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever , in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contra ry t o law, and that the ardent spirits so r eceived by me are for my own use, a t my own borne, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before me, this_ __ day of._ _ _ _ _ , 191__ .,, A g ent for Adams E x pre ss Company. Consignee. �oaLrvERY P'ORII 60 ADAMS EXPRF.5S COMPANY To_-t----..r-'"-rtA-fl''-\r.-'<C>C ·.fF..:.±-=-....c.---..;,-~ PREPAID Ship To Consignee _ _ ______ ___ _ _ _ _ __ To Shipper _ _ _ _ _ _ _ _ _ _ _ _ __ _ AFFIDAVl"J; FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER ) �AFFIDAV.IT FOR ARDENT SPIRITS FOR PERSONAL USE STA.TE OF CoUNTY OF-,1,--JI-'---'' -'----'--',-- - - I, - --,E----;,........,.--~ -'----"'-.....,.__--.--_.....,_--'--it"--.--, being duly sworn, depose and say that I am the consign of o. certain shipment of ardent spirits, as specified on' other side of this form, this day delivered t /, me by the Adams Express Company, from ..._~----..,.L-1'--'-...i;......,...:;'"""'-=-- -; that I am not a student or minor, and, if a female, I am the head of a family ; that th ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to -law, and that the ardent spirits so r eceived b,1 me are for • y own use; at my own home, and that the said ·ardent spirits will not be used in violation of law. ) . ' 4Y? , ( Consignee. Agent for Adams Express Company. �- ----------------~-·- -------------~----------------D•LIVERY FORM 60 ADAMS EXPRESS COMPANY SPECIAL LIQUOR RECORD Received, _,,__ _.._,,__:_::::._=::..:.c-:.=-=----'' _ _ ::__Date / - / )f' 2 191 _ Affidavit No. _ _ __ Advances to Collect To Consignee_ ____________ _ _ __ Add Undercharge To Shipper ___ _ __ _ _ _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVEK) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY or,,_- 1 < J - I, ---,,+---,,------~; -----c---,,..~ - - - ; . - - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of a:rdent spirits, as specified on other ide of this form, t_his day delivered to me by the Adams Expre s Company, from - - ---ic,--<:...........,......::;.:...:.a::....::..-; that I am not a student or minor, and, if a femal e, I am the head of a family; that the ardent spirits so received by me . were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by t he provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary t o -law, and that the ardent spirits so r eceived by me are for o y own use, at my own home, and that the said ardent spirits will not be used in iolation of law. , I I Sworn to and subscribed before me, 191 A gent for Adams Express Companya /I rJ �ADAMS EXPRESS COMPANY D•LtvERY FO RM 60 • SPECIAL LIQUOR RECORD I ~ - - - - - - -191 _ Affidavit No. _ _ _ __ Advances to Collect . COLLECT RECOR D OF NOTICES To Consignee To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE, (OVER) Add Undercharg e �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, . , being duly sworn, depose and say that I am the consignee of a. certain shiprilentof ardent spirits, as specified_.qn her side of this form, this day (j"' v/4 .(; ; delivered to me by the Adams Express Company, from I~ thaj; I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, an.d that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for ny own use, at my own home, and that the sai rdimt sri its will not be used in violation of law. '' A Sworn to and subsc · this_May o -~ - ~- Agent for Adams Express Company. Consignee. �DBLIVERY FORM 6 0 ~DAMS EXPRESS COMPANY Affidavit No/ _____ To Sh i ppe r _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ A FFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER ) �AF FIDAVIT FO R ARDENT SPIRITS FOR PERSONAL USE I'• ; that I am not a delivered to me by the Adams E xpr ess Company, from student or minor, and, if a female, I am the head of a f amily; th at the ardent spirits so r eceived by me were brought into t he Stat e on my written order, and tha t I have not, within the thirty days previous hereto, received any ardent spirits of any k ind whatsoever, from any per son or from any place whatsoever, in excess of t he quantity allowed by the provisions of the Act of t he General Assembly of Virginia. approved Mar ch 10, 1916, or contrary t o law, a nd that the a rdent spirits so r eceived by me a re for o y own use, at my own home, and that the said ardent spirits wiH not be used in violation of law. ' ~ I A g ent f or Adams E x pre ss Company. Consignee. �OSLIVERY FORM 6 0 ADAMS EXPRESS COMPANY Advances to Collect PREPAID I R E COR D To Consignee __________~ - - -- - - To S hi ppe r _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( O VER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIR,GI~L\. ~? /)_ COUNTY OF -+~~~ -- -,I ~ \- ~- I , I, _:___:_ _--,.--iiiiiJl.~'L~++'-'-4'4'!'.~~L -, being duly sworn, depose and say that I am t'.le consi~ee of n certain shipment of ardent spirits, as specified o i;i delivered o me by t he Adams Express Company, from.~~~-,-!tf....;'-J~~~~~ ; that I am not a student or minor, and, if a f emale, I am the bead of a family ; that the ardent spirits so received by me w ere brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or f rom any place whatsoever, in excess of the quan~ity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary t o law, and that the ardent spirits so received by me are for • y own use, at my own .home, and that the said ardent spirits will not be used .in violation of law. /, tl 0 ct' I lrJ ) 1,,, Coneilrnee. �----- -- - --- --- -- -- - ------------------ ----~---------- --- ---~ ADAMS EXPRESS D•LIVERY FORM 60 COMPANY SPECIAL LIQUOR RECORD ...._,,.;>£--"""'.,_.._=-,;=--....-"-"-'"--""---=~::c....='--' --'--Date To---;---- - --"'----~_,__~,.,_,c.....c-----"'----""'e...._-- / /'" ( Advances to Collect i 191 Affidavit No, _ __ __ PREPAID I Ship RECORD OF NOTICES To Consignee ______,._____________ To Shipper _______________ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE O F VI COUNTY OF:1,4,,..-1,,'-L-- '--=-=~ :..:...::~ I, - ------1e-----:---'-'-- - -- -<-- --.,.--+-=---'c....==--- - - , being duly sworn, depose and say that I am the consignee of u certain shipment of ardent s pirits, as specified on o't her side of t his form, this day delivered to me by the Adams E xpress Company, from ~ -------'~ ---="""-.; that I am not a s tudent or minor, and, if a f emale, I am the head of a family ;·that t he ardent s pirits so r eceived by m e were brought into t he St ate on my writt en order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of t he quant ity allowed by the provisions of the Act of the General Assembly of Virginia, approved Mar ch ·JO, 1916, or contrary t o law, and t hat t he ardent spirits so received by me ar e for o y own use, at my own home, and that the said ardent spirits not be used in violation of law. S I will Sworn to and subscribed before me, thia day of_ ~~ - Consignee. �- ------ -·- -~~-------~---------- --·------------- ~----~ ~- . DIKLIVl!:RY F ORM 60 ADAMS EXPRESS COMPANY I/ AL LIQUOR RECORD '' --=--"-~~ ::--"-==- -=-~Date Q ~r.6.C.}6~~~~6 / ~ ~ - -___Amount '--"'--1-+-'---'--- --· 191: z Affidavit No. _ _ _ _ /9 / _ 191=7 From Weigh ,"c---'l"'---l bs. ?{_,/J ) Advances to Collect \.... A dd Under cha r ge R ~ CORD Of" NOTICES To Consignee_ _______ ______ __ _ T o Sh i pper ______ ______ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STA.TE OF· COUNTY V~ Nu.,.P ? OF.,._,.,.._,/=J-r.-_ C'A __ ~ ~ -------1 ) ---'......,.,___~-~-~---c-"-"'---- - - - - - - • I, the consignee of being duly sworn, depose and say that I am ert ain shipment of ardent spirits, as SP.ecified on other side of thie form, this day delivered to me by t he Adams E xpress Company, from _ _ _ _ _ _ _ _ _ _ _ ; that I am not a student or minor, and, if a f emale, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, an.d that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of t he quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved Mar ch 10, 1916, or contrary t o law, and that the ardent spirits so received by me ~re for o y own use, at my own home, and that the said ardent s iri not be used in violation of law. ' Sworn to and subf.ribed before me, thisj;i__day o ,f,AC , 19!7 . rr A g ent f or Adams Exp ress Company. t �---- -- - - - ~ - ---- -- -- -------- -------- --· O a LtvERY F O R M ADAMS EXPRESS COMPANY 60 Affidavit No._/_ __ _ To_~ ------=-'--~. Advances to Collect RECORD OF NOTI CE S T o Consignee PREPAID I Shi p To S hi p per AFFIDAVIT FOR ARDENT SPI R ITS FOR PERSONAL USE . ( OVER ) �-------~---,AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, - --,:-....._.,.,____.F--=----'-......_-'---r---------, being duly sworn, depose and say that I am foe consi t of ardent spirits, as,specified otre si ' of this form, this day delivered to me by the Adams Express Company, from L~-..,.;.~df--,~~~~~::=:::...; that I am not a student or minor, and, if a female, I am the head of a family; that e ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me are for cy own use, at my own home, and that the said ardent spirits will no be used ·n violation of law. Sworn to and subsc ibed before me, this / L/,. day oL~ - -/ 191 G ,JJ<,/1,; Agent for Adams Express Company. �-----------~---- ---------- ~---- ----, - -- - -------------- ADAMS EXPRESS COMP~ OllLIVERY FORM 60 SPECIAL LIQUOR RECORD/ lb L--'.._'-=---"-';..c;-=.:....:::c::=~ ===---=----'---' Date 1912 Affidavit No.__,/_ _ _ Consignee------t-r --.-rF-------='--r---t--,.,,-·--"--<r-"---r-:---------/--- -:---=----,fr'~-------.~---_.,,,_'----JC--="'-----'------'A mou nt _ _ +1 _ _ _ _ _ Weight~ _ __ Ibs.. -~'"'+-~,__..___ _ __ Advances to Collect REC OR D OF N O TI CES To Consig nee._ __ __________ ___ 191,z_ Frpm---~ - - --~-,-EXPRESS CH ARGE . PREPAID Add Undercharge To S hi p pe r _ _ _ _ _ _ _ _ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, , , , being duly sworn, depose and say that I am foe consignee of ~ certain shipment of ardent spirits, as specified on other. ide of this form, this day tleJivered to me by the Adams Express Company, from _ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or ·contrary to law, and that the ardent spirits so received by me are for • y own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before me, thi/ k _day of , 191Z Agent for Adams Express Comoany. Consignee. �08LIVERY FORM 60 ADAMS EXPRESS COMPAN Y 191. L Affidavit No. _-=:::::c......._ To___,,_,__ =--,..,-1-'--------'-=a!!!e....,~----v--- - -Shipper ---'""'""--f'L -- A d van ces to Collect #' RECORD OF NOTICES To Consigne e To Shipp er AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE. ( OVER ) Add Unde rcha r g e �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, _,z:._+ e...:_-".-~ ---=-----'-'=-...::_- - + - - - - - - , being duly sworn, depose and say that I am r-s·de of this form, this day · tae consignee of o. certain shipment of ar ent spirits, as s eci delivered to me by the Adams Express ompany, from 6,;,...(~~rLJI~~~~~~~; t hat I am not a student or minor, and, if a femal e, I am the head of a family ; t ha the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any per son or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrar y to law, and that the ardent spirits so received by me are for II not be used in violation of law. o y own use, at my own home, and that the said arde t spi~ Consignee. A gent f or Adams Expre ss Company. �0Kl:,IVll:R Y FORM 60 ADAM S EXPRE SS COMP ANY ... Reoeived~..--,,1__, . _,{ __,___,~ ____,__~ ....e..."'-'-''-"'--"'-- -__,___~'Consig nee '} '.J-.: / (. :,,,( H ,- . r 1· Kind of Ardel)t S pirits~- '-r---4- ----,"1'-.;=r.- t.-=i-; ---Amo u nt- ~,~ - - - -'Way-Bill No, -.rJ---...~ ...-,.......-- To +-- 1 To Consig nee ., I 1 -r'.-.-l -~_,___ _ __ 191 _ From_,_• _ ..,.....~r1::: ::;t--+-:,_ ___'--f- / A dvances to Collect T o Shi pper AFFIDA VIT FOR ARDEN T SPIRIT S FOR" PERSO NAL USE, ( OVE R ) - �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VqiGINIA, COUNTY OF_,_✓_,__;._~c-"-"-"-'--'---,'---j'"---- "'":+-5,,--,L-it - ----i,f-bJC,C::~-F-=:,.,?-- - - - - , being duly sworn, of a. certain shlpment of ardent spirits, as specified on other depose and say that I am side of this form, this day • I I delivered to me by the Adams Express Company, from ---'..__-f-\:=-i,,.:..L-"""-+''-""'"--~; that I am not a student or minor, and, if a female, I am the head of a family; th;t the ardent spirits so r eceived by me were b rought into the State on my written order, and that I have not, w ithin the thirty days previous hereto, r eceived any ardent s pirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that t he ardent spirits 'so received by me are for r::iy own use, at my own home, and that the said ardent spirits w ill not be used in violation of law. ✓ Sworn to and subscribed before me, this ~ --=:::-'"-- • 191_. ..,.,, I.. Agent for Adams Express Company. I ' Conai8Dee. �DEL I VERY FO RM 60 ADAMS EXPRESS COMP ANY Wa To-,~-:l'-Y' --l---"----l""-C, ---:-- -7"r-- To Consignee PREPAID To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) �__________________ _ , AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE I, --£--.,,,,e:._:::;_,-=---....::;--,'-'"-----,,""'-' -- - - - - - - , being duly sworn, depose and say that I am 'the consi e of n certa· shipm ntof ardent spirits, as specified o ther id this form, this day delivered me by the Adams Express Company, from "'?J. ; that I am not a student9r minor, and, if a female, I am the head of a family; tliat e ardent spirits so received by me were brought into the State on my writt en order, and that I have-not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, .approved March 10, 1916, or contrary to -law, anp. that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent s pirits will not be used in violation of law. ✓~ Consignee. �D•LtvERY FORM 60 ADAMS EXPRESS To_~ --~ ~ ~ -~~~.... ,...,.,-.,.-"--- ,,----- COMP ANY Advances to Collect 'EXPRESS CHARGE. PREPAID COLLECT I Shi pper - ----'"'---.RECORD OF NOTICES To Consignee _ _____ ______ _____ Add U nde rcharge J To Sh i p per _ _ _ _ __ _ _ _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVE R ) �AFFIDA VIT FOR ARDENT SPIRITS FOR PERSON AL USE _ -9..,__------,+.=::.-',,.,_-#-.c._-#-....t,:-- '1£1LJc:_..J\.._ _ _ _ , being duly sworn, depose and say that I am certain shipmen t of ardent spirits, as s cifi' his form, this day delivered to me y the Adams Express Company , from · ;-"tha I am not a student or minor, and, if a f emale, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous h ereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provision s of the Act of the General Assembl y of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for oy own use, at my own home, and that the said ardent spirits will not be used in violation of law. �~---------------- ------------·- ------ - - --------------ADAMS EXPRESS COMPANY O • L tV E RY F OR M 60 T o C onsig nee._ _ __ _ __ _ T o Ship pe r AFFIDAV I T FOR ARDENT SPI R ITS FOR PERSONAL USE . ( OVE R ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, ...-,,;..,:1-+--,--4--- =---A- :-e,..:..,~ - = - - - - - , being duly sworn, depose and say that I am foe consi e of o. certain shii/ment of ardent spirits, as specified on other side of this form, this day me by the Adams Express Company, from~---l-..--1 .-~~.o::~; that I am not a student or minor, and, if a female, I am the h ead of a family; that the ardent spirits so received by me w ere brought into the State on my written order, and that I have not, within the thirty days previou.'3 hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for o y own use, at my own home, and that the said' rdent spi its iWill n t e use in violation of law. "" �DELIVERY FO R M 60 ~DAMS EXPRES S COMP ANY Adva nces to Collect PREPAID I To Consig nee.____ ____ ,_ __ _ _ __ _ I To Shippe r _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ AFFIDAV IT FOR ARDENT , SPIRITS FOR PERSON AL USE . (OVER ) �AFFIDAV IT FOR ARDENT SPIRITS FOR PERSONAL USE COUNTYOFOF_,__ --,_~ _ ........_ _..L..,_ ~ _ , STATE j.J.i....t<'NIA ~ I, ~ / , being duly sworn, depose and say that I am Cle consignee of n certain~ ~ rdent spirits, as SP, cifie on tl\ers· e of is form, this day delivered to me by the Adams Ei press Company, from , tliat I am not a student or minor, and, if a female, I am the h ead of a family ; t hat tlie ardent spirit s so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ar dent spir its of any kind whatsoever, from'any person or from any place whatsoever, in excess of the quantity allowed by°the provisions of the A ct of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and t hat the ardent spirits so received by me are for o y own use, at my own home, and that the said ardent spirits will not be used in violation of law. I Consianee. �DRLIVERY FORM 60 To ADAMS EXPRESS COMPANY Consignee _ _ _____ _____ ____ _ To Shipper AF'FIDAVIT FOR ARDENT SPIRITS F'OR PERSONA L USE. ( OVER ) �AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE STA.TE OF COUNTY OF --f~_.,_~ ~-'-.,,.___ _ _,_ delivered to me by the Adams Express Company, from • hat-I am not a student or minor, and, if a female, I am the head of a f amily; that the ardent spirits so received by me were brought into the State on my written order, an.d that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10,, 1916, or contrary to law, and that the ardent spirits so received by me are for • y own use, at my own home, and that the said ardent spirits will no be used in violation of law. ~ Consignee. A g ent for Adams Express Companya �ADAMS OEL ?VE RY FORM 60 EXPRESS COMPANY ---'-"--=.....c._+ - f ~f----=--'"' mo u nt e=---=~IJ----jf}-- m ---""'q__+"~....+----- 191~ rnm=-~..,:,.,::_--,:-----lL..1--j,,,tE--.S.- EX PRESS PREPAID COLLECT Add Undercharge To Shipper _ _ _ _ _ _ _ _ _ _ _ _ __ __ AFFIDAVIT FOR ARDENT- SPIRITS FOR PERSONAL USE. (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSON.AL USE I, ---\::'----"'--il;L-~.L--=--=-...,;s'---'-------,!'-------, being duly sworn, depose and say that I am the consignee of a certain shipment of argent spirits, as s ecifi d• of ~h delivered to me by the Adams Express Company, from . VA ; that I am not a student or minor, and, if a female, I am the head of a family; that he ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, .approved March 10, 19H\, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits wil o be used in violation of law. C.OnErignee. �- ~--- - -~----- -------------~-- ----- - ----- ----- ---- ----- ---O&LIVERY FO R M 60 ADAMS EXPRESS COMP ANY Affidavit No.-=- - - PREPAID REC OR D I O F N OTI CES To Con signee_ _ _ _ _______ _ _ _ __ T o Shipper _ _ _ _ _ _ __ _ _ __ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS F OR PERSONAL USE. ( OVE R ) / �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF V,#ilpINI , COUNTY OF r u cf £' t n • ;# , being duly sworn, depose and say that I am 1 I, the consignee of n cer am shipment of ardent spirits, as specified on otpe side of this form, this day delivered to me by t he Adams Express Company, from_;;__ _ _ _=---'-'---'-...,.-"--• that I am not a student or minor, and, if a female, I am t he head of a family ; that the ardent spirits so received by me were brought int o t he State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary t o .Jaw, and that the ardent spirits so r eceived by me are for • y own use, at my own home, and t hat the said ard~ t sp· ·ts · not e used in violation of law. l A g ent for Adams E x pres s Comoany. Consignee. �D•LIVERY FORM 60 ADAMS EXPRESS COMPANY To --,F-+.Har--~~r~"±t...-.i"w..,_,.,_..'+--:..;.:"--Shi To Consignee ___________ ______ T o S hipper _ _ _ _ _ _ __ _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, ---'f"--__!.--¥---I-F--~::.....,Hf;p.-r--'!----it:.::..i;::_--\::=-- - • being duly sworn, depose and say that I am r 1de • this form, this day t he consigpee of o. certain shipmen o'f ardent spirits, as specified o at I am not a tlelivered to me by t he Adams E xpress Company, from+-=--1::::::,-1,.,1-,,#---w-q,qbi"_,. student or minor, and, if a f emale, I am t he h ead of a family ; that e ardent spirits so received by me w ere .brought in to t he State on my written order, an.d t hat I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, fro m any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Ass~mbly of Virg inia, approved March 10, 1916, or cont rary to Jaw, and that the ardent spirits so received by me are for • y own use, at my own home, and that the said"arde t spirits wil ot be used in viola.'tion of law. r Consignee. Sworn to and subscrioed b efore me, A gent for Ada ms E xpress Comvanya �- - --- -----~----- --------- --- - - -- ADAMS EXPRESS DBL IVERY F ORM 6 0 COMP ANY PREPAID R ECOR D I OF N OTI CES To C onsignee To Shipper AFFIDAVIT FOR ARDENT SP IRI T S FGI R PERSONAL USE . ( OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF COUNTY OP -4---\..'b;,!'l.;:-.........,:~ ~'a_L I, _ J,!;~'....,,..~"/---l-Y~~~~~L-- - - - - - , being duly sworn, depose and say that I am the consignee of o. certain shipment ardent spirits, as specifie on ther siile of tbjs form, this day delivered to me by the Adams Express Company, from '\:!!.----'--=-'=--,,-~;,.:,,,,..!:=c:,.,; that I am not a student or minor, and, if a f emale, I a m t he head of a family ; tha t the ardent spirits so r eceived by me were brought into the Sta te on my written or der , an.d that I ha ve not, within the thirty days previous hereto, received any ardent spirits of any kind what soever, from any person or from any place wha tsoever, in excess of the quantity allowed by the pr ovisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, a nd tha t the ardent spirits so received by me are for • y own u se, at my own home, and tha t the said rd nt spirits will be used in violation of law. Consignee• .. �------ -----·---- -- ---- ---- ---- ---- --- ----.... DRLIVERY FORM 60 ADAMS EXPRESS COMPAN Y RECORD OF NOTICES To Consignee · To Shippe r AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE. (OVEII. ) �AFFIDA VIT FOR ARDE NT SPIRITS FOR PERSON AL USE A\J~...JLJ~~~:,.___ _(___,~~ ~~~~ ~~-, being duly sworn, depose and say that I am t of ardent spiz:its, as s pecified~ n ~ er si · e of this form, this day delivered to me by t he Adams Express Company , from--- '----',,- ~-"'-'"+-~ s tudent or minor, and, if a f emale, I am the head of a family; that t ardent spirits so received by me were brought into the Stat e on my written or der, an.d that I have not, within the thirty days previous hereto, received any ardent spirits of any k ind what soever, from any person or from any place whatsoever, in excess of the quantity allowed by the provision s of the Act of t he General Assembl y of Virg inia, approved March 10, 1916, or contr ary to law, and that the ardent spirits so r eceived by m e are for n y own use, at my own home, and that t he s aid ardent spirits will not be · used in violation of law. '),ti Sworn to and subscrib ed b efore me, ~;-;;;.,:::;: :er;,-~,, 1917-- eontgnee. �ADAMS EXPRESS COMPANY DIELIVERY FORM 60 Add Unqercharge RECOR D O F' NOTI C E S To C onsignee,_ _ ____________ _~ . To S hi pper _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ AF'FIDAV I T FOR ARDENT SPI R ITS FOR PERSONAL USE. (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, + - ---1-F=--=#-----"::..._~-=__._----"=--=-- - - - , being duly sworn, depose and say that I am t l:J.e consi ee of ::i cert ain shipment of ar dent spirits, as s~ cified Off other side of this for~, this day delivered to me by the Adams E xpress Company, from ( / _ ; tjiat I am not a student or minor, and, if a female, I am t he h ead of a family; that the ardent spirits so r eceived by me w ere brought into t he S t ate on my w ritten order, and that I have not, within the thirty days previous h ereto, received any ardent spirits of any k ind whatsoever, from any per son or from any place whatsoever, in excess of t he quantity allowed by t he pr ovisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contr ary t o law, and that t he ardent spirits so received by me are for n y own use, at my own home, and that the said ardent spirits will not be used in violation of law. Consi1r11ee. . .·"' _ �------ ------ ~--- ----------------------, OIELIVERY FORM 60 ADAMS EXPRESS COMP ANY Affidavit No•--'--- To_~ ~ -:,,;,.--=~::...,,:c,...;~--"'---------'__,~'-----\..-----Shipper ~....._,.__ _ _ RECORD OF NOTICES To Consignee To Shi ppe r AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE delivered to me by the Adams Express Company, from · that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for • y own use, at my own home, and that the said ardent spirits will not be used in violation of law. &:.L ~CUJ Consignee. Sworn to and subscribed before me, this_s__day of-;'.;;:::;;;;:;:~:;- �ADAMS EXPRESS COMPANY DRLIVERY FORM 60 PECIAL LIQUOR RE f ORD Received-----l~ ~~+!l~ ~~Y-l~~ ~c.....J, ~ Date 'f)f ?J 191 7 Affidavit No._____::,,,_.. .__ Way- T o --'....,_- - .~ - ~ ..,__=• ~"t---f"'- - - - - PREPAID -i- RECO RD OF' N OTICE S To Consignee _ _____ _____ _____ _ To Shipper _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE . ( OVER ) �AFFIDAVIT FOR ARD ENT SPiRiTS FOR PERSONAL USE I, t he consignee of , being duly sworn, depose and say that I am cert ain shipment of ardent spirits, as s ~ delivered t o me by t he Adams E xpr ess Company, from-==-----..+.....;,~..q,4,. +4"""'1,.1;-,A.::t at I am not a student or m inor, a nd, if a female, I a m the head of a family ; that e ardent spirits so rece ived by me were brought into the State on my writt en order, a nd tha t I have not, within the thirty days previous her eto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in ex cess of t he quant ity al19wed by t he provisions of the Ac~ of the General Assembly of Virginia, approved March 10, 1916, or cont rary t o -l aw, a nd t h at the ardent spirits so received by me are for • y own use, a t my own home, and tha t the s aid ardent spirits will no be used in violation of law. Consignee. ' A g e n t for A dam s Express Company. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 01 Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Bridgewater in Rockingham County Virginia for personal use. Subject The topic of the resource affidavits ardent spirits personal use Bridgewater Virginia Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Date A point or period of time associated with an event in the lifecycle of the resource 1916 1917 Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (<a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a>) Identifier An unambiguous reference to the resource within a given context RcPr-box10-037 Format The file format, physical medium, or dimensions of the resource PDF Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Spatial Coverage Spatial characteristics of the resource. Bridgewater, Virginia https://omeka.lib.jmu.edu/erp/files/original/017c224e92ca6c6d7a0476649b5317e1.pdf 50058498ccc54c10e4b4818e440335f1 PDF Text Text SOUTHERN EXPRESS COMPANY FORM 370•VA . ( I ncorpo rated) SPECIAL LIQUOR RECORD Way-Bill No..,,._.--- ~ -i---- Oate, _ _ _ _~ ~~ -- - - 191 _ ' / . ., ,.:........;._ _ _...,._ _E_X_'P_R_E_S_S_C_H_A_R_G_E_S_ _ _ _ _ _ _ _ __, To Advaurea to Col lect COLLECT RECORD OF NOTICES To Consign ee _______________ ___ To Shipper _ _ __ ____ ___ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVICR} �AFFIDAVI T FOR ARDENT S~IRITS FOR STATE OF' VIRGINI A1 = J C OUNTY· OF ("t: PERSONA L USE / <:'- /~..,,.--,~' I 1 { ~---· 1 ·-'• , ,<" being duly sworn, uepose and say th at I am the cou~iguee of a cert ain shipment of I r<lelt' spirits~ as \ pecified on olher side of thi s form , this day l,;i} ~ ~ ~ C.,,.✓ delivered to me by the Southern Express Company, from l• ,; hat I am not a student or minor, and, if a female, I am the head of a family ; that the ardent s pirits so received by me were brought into the State on my written order, ana ihat I have not / ' ithin the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any pers n or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for m y own use , at my own home, and that the said ardent spirits will not be used in violation of law. S worn to and subsc ribed before me, thi s -.l-:fday of~ -'=--=--- ~~-_r1=,r.~ -;--~ -::"-----: ---=---- .x 1·es::s Company. �SOUTHERN EXPRESS COMPANY FORM 370•VA (lucorpornt ed) RECORD Arlvnt1f'C8 to Collect COLLECT RECORD OF NOTICES To Consignee _ _ _ _ _ __ __ __ _ To Shipper_ _ _ _____ ___ __ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE: . • (OVl<R) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE Ob' VIRGINIA, CoUN'J'Y m' - - -- - -- - - - ~ 1, =--~------ -, being duly sworn, depose and say that I am the consignee of a certain s hipm Jnt of ardent spirits, as s pecified op oth er side of tbis form , this day • , ;' . 1. delivered to me by t he Southern Express Company, from _ _ ___._ _.......,..-~::..c.......;.:.._=f.- ; that I a m not a student or minor, and, if a femal e , I am the head of a family; rd ent spi ri so received by me were brought into the State on my written order, and that I have{ not, ithin th thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any IJer on or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law , and that the ardent spirits so received by me are for m y own use, at · my own hom e, and th at the said a rdent spirits will not be nsed in violation of law , Sworn to and subsc ribed before me, thi ~ _ day of ~/i / ( "':'~ f , 191_. \;uu s i2uee. �FORM 370•VA SOUTH ERN EXPRES S COMPA NY (lucorporate d) SPECIA L LIQUOf \ RECOR D Received at--~- -- - - -- - -- - ~ - -Date_ ~ - - - ~- - 19"1 Mlidavit No. _ _ __ _ _ I Consign ee - - - - - - -- - ~ - - - - - - - -- - - - - -- - --...,.-- - -- - -- - -- -Kind of-Ard ent Spirits_ _ _ _ - ~ - ~ - - -- - - -Amoun ~ ____ ____ __ Weioht~- ~ -- lbs. Way-Bill No._ ,.____ _ __ _ __ /, :/ J If. I To - - - ~=:::.o: =:.==:::_: _ _---1._ _ _ _ __ Advonres to Coll ect E XPRESS CHARGES PREPAID COL L ECT :A~d Oudercharge RECORD OF NOTICES To Con signee ____ ____ _____ _ _ _ __ To Shipper _ _ _ __ _ ____ __ _ _ _ __ _ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. (OVER) �AF'F'I DAVIT F'OR ARDE NT SPIR ITS F'OR PERS ONA L USE STATE 0~' VIRGJ NI,I, COUN'. l'Y OP--- ~---- '-------'='---"''-"C :--- 1, / , being duly s worn, d epo~e a nd say that I am th e consig uee of a certai u s hipm ent of a rdent spirjts , as s pecifi ed on ot he r side of thi s form , t his day delive red to me by the South ern Expre ss Com pany, from _ ~ ~,--- - ~ · - - - - - - - ; that I a m not a studen t or minor , and , if a femal e, I am the head of a fa~ily ; th at the ard ent spi rits so 1·eceive d by m e were broug ht into the Stat e on my writte n order, and that I have not, within th e thirty days previo us hereto , receiv ed an y ardent ~pi rits of any kind what soever , from any person or from a ny place whats oever, in excess of t he quant ity allowe d by the provis ions of the Act of t he Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or cont rary to law, and that t he ardent spirits so receiv ed by me are for m y own u se, at my own home, and t hat t he said ardent spirits will not be nsed in violati on of law. ~worn t o and subscr ibed be fore me , thi s ___ d ay of___ ___ , 191 ;\~t:, 11t for Southe rn F,x11r e~s Compan y. / (.;uu sj e u~e. �r SOUTHERN EXPRESS COMPANY FORM 370•VA ( lucorpor atcd) LIQUOR, RECORD --~ ) ~,_ _ 191_l I Affidavit No. ___.__.,.,,cc.J~--==---,-...--------.--Am oun~ - - ~/_ _ """'-_ _ __ ,, Advauces to Co llect COLLECT Add Undercha rge RECORD OF NOTICES To Consign ee _ _ _ _ _ _ _ _ _ _ _ __ _ To Shipper_ _ _ _____ __ __ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FDR P f; RSONAL USE. (OVER) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NA L USE S TATE 0~' V rn GJNIA , C OU NTY m·----,--- ~ -1.- ~ -h~(,.-,1-'------.-,'-,-·'-~,___ 4 , I, 1v being duly s worn, uepose and say that I am the consi gnee of a certain s hi p ment of arde ut spi r its, as s pecifi ed on other side of thi s form , t his day delivere d to me by t he Southe rn Expres s Compan y, from th at I a m not a titudent or minor, and , if a fem a le, I am th e head of a famil y; th at the rd ent s pi rits so r eceived by me were brough t into the State on m y written order, and t hat I have not , within th e thirty days previou s heret o, receive d any ard ent spirits of any kind what soever, from any person or from an y pl ace what soever, in excess of the qua nt ity allowed by the p rov isions of the Act of t he Genera l Assemb ly of Virgini a, approv ed March 10, 1916, or cont rary to law, and t hat t he ardent spiri t s so receive d by me are fo r m y own use; at my own hom e , and that th e sa id ardent spirits will not be n sed in v iol ati on of la w. L ~ worn to and subscri bed be for e me, I thi s-d:,_ d ay o ~ -- - ~- , 191_ , .-\i.:-e 11t for S outhern ExJ}rei=-8 Co n11,rm y. , '- ; �------------------------ - - - - ----- ------- ------ ---~-- -----FORM 370•VA Way-Bill No. _ ~ ~ - - ~- -To Advnures t o Collec t EXPRESS CHARGES COLLECT Add Oude rc ha rge RECORD OF NOTICES To Consign ee _ __ _ _______ ________ To Shipper _ _ _ __ _ _ _ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVE R) �AFFIDA V IT FOR ARDEN T SPIRIT S FOR PERSO NA L USE l, , being duly s woru, <lepose a nd say that I am th e cons ign ee of a cert ain s hi p ment o( nnlent spirits, as s ecifi ed on othe r side of th is form , this day I I t delivere d to me by the Souther n Express Compan y, from V - - -~ - - - i that I am not a student or minor, and, if a femal e, I am the head of a family; that the ard ent spirits so 1·eceived by me were brought into the State on my written order, and that I have not, within th e th irty days previous heret o, received any ardent spirits of any kind whatsoe ve r, fro m any person or from an y pl ace whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of t he Genera l Assemb ly of Virginia , approve d :March 10, 1916, or contrary t o la w, and t hat t he ardent spirits so r eceived by me a re fo r m y own u se, at my own home , and th at the sa id ardent s pirit s will not be nsed in violation of law. · Swo rn to and subsc ribed befo re me , C), it 1 I ----<..: v u si gu~e. �F ORM 370•VA, SOUT HERN EXPR ESS COMP ANY (I u co rporate d ) Sh ipper _ _ _ _ _ _ _ __ _ _ __ __ _ _ _ RECOR D OF NOTIC ES To Consignee ___ ___ ___ ____ _ _ _ __ To Shipper _ _ _ _ _ _ ____ _ _ _ __ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAi USE . (OVJCR) �AFFID AVIT FOR ARDJ; NT SPIRI TS FOR PERSO NAL USE STATE OF VI COUNTY OF NA, f ' Ift I, ,/ . ; .,,,, ;,.,,} J · "-,1..-;.. I .- rel /,/ ( L. · · ~ , being duly sworn, depose and say that I am the con~ign ee of a certain s h ~ t of ardei'i sp.i rits, as specifie d on other side of this form, this day ~1 'r; r.r. ,I - -. deliver ed to me by the Southe rn Expres s Compan y, from ✓ t "~ •· ~ that I am not a student or minor, and, if a female, I am the head of a family; that the ardent srits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that ~he ardent spirits so receive d by me are for my own use, at my own home, and that the said ardent spirit., will not be used in violatio n of law. J / ~· -;li' /11 Consi(lne e. Aatent for Southern Express Company . �SOUTHER N EXPRESS COMPANY FORM 370-VA (In corporated) SPECIAL LIQUO~ ::\ Kind of Ard ent Spirits _ _ Way-Bill No. "-J _ Date_ To - -~ - ~ ' RECORD " _ _ _ Am ount,___..,__ , - - - ~ - 131 _ Arlvaures t o Co ller t ---'--- Weig ht. EXl'RESB CHARG ES PRE PAIi) RECORD Of" NOTICES _ To Shipper_ Af"f"tDAVIT FOR ARDENT SPIRITS FOR PERSONAL (OHR ) A~d Upcte r <'hn.ri::e Shipper __ _ To Consign ee _lbs. From, _ __.,__ _ _ _ _ _ ___,___.., use . �A°~F'IDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I STA.TE OF VIRGIJUA, COUNTY OF_....,...._ _ _ _ __::_::___ c_ ., l, / , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as spe ified on other side of this form, this day delivered to me by the Southern Express Company, from _ __ ~ - - -- - - - - - - ; that I am not a smdent or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and ihat the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will noi be used in violation of Jaw. /" (~ .) Sworn to and subscribed before me, this ___ day of-.,-_ _ _ _ , 191_, J\eent for Southern Express Company. Consienee. ��' ... -- �FORM 370-VA , SOUT HERN EXPR ESS COMP ANY (Iu co rporo.te d) SPEC IAL LIQUO ,~~ RECO RD Received at Date Consignee _ ...i....:r.:c...:1c..:::_-'----'----'-"---'--· ---'- - -/-,,-/ ; i:, U ~l~i~l~•=""=;-.~,-~·~·~~ - - - - -l'. Kind of Ardent Spints,___ Way-Bill No._~ ' -.:..,... >-"---:- -''-'-- --Date , , / ;,· ; J 191 / - AmountL_ _,___=->..._ ,, ' i Advnn ce a to 1 I l ~-----W 191 , eich ~-✓•_ _ ;; _,. /. EXPRES S CHARG E S Coll ect lbs. .Add Unde r charge RECOR D Of' NOTIC ES To Consignee ___ ____ _ _ ___ ___ __ _ To Shipper ___ ___ ___ ____ _ _ __ _ Af'f'IDA VIT f'OR ARDEN T SPIRIT S f'OR PERSO NAi USE. (OVIIR) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR /' STATE OF VIRG~~\k, COUNTY OF I the co~igne e ~.1 ..:+ / ., ,.,. . ,~ , i ' f. ' / ~ - PERSO NAL USE ~ •t ·f, .i,_'). --1 V 1certain shipment or' ardent spirits, as , being duly sworn, depose and say that I am specified -on other sip.e of this form, this day 1 I ., .. l 1 1 delivered to me· by the Southern Express Company , from ~ ' '# • f ; that I am not a student or minor, and, if a female, I am the head of a fam ily; that the ardent s#its s9 received by me were brought into the State on my written order, and that I have not, within the t~y days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from anyllace whatsoev er, in excess of the quantity allowed by th e provision .! of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in vio lation of law. Sworn to and subscribe d before me, A1tent for Soutbe<fi' Express Company. �FORM 370•VA SOUT HERN EXPR ESS COMP ANY ( lnc orpo r otc d) J Advnu re a t o Co llec t COLL ECT RECOR D OF NOTIC ES To Consionee ___ ____ · - - - - ___ __ To Shipper_ _ _ ___ __ ___ _ _ _ _ __ --- --- --- --- --- -- AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL (OVER } us e. �FOR ARDEN T SPIRIT S FOR PERSO NAL USE STA TE OP C OUNTY OF'- -::a:a:::- -L-=i"""'- ,~ Cf-'-~ l, -~--..cY --_.,,_.::::-J,-..,,'----f>,._.-"i·_,,_...c;;=11..,11....,.,_:w.._ _ _ _ , being duly swom, uepose and say th at I am 1ipment of aru e ut spirits, a:; ,Peci6ed on oth er side o tu is fo1·m , this day delivere d to me by the Souther n Express Compan y , from {,,,1,A,J .{ --~~ ~-,,~ ; at I am not a student or minor, and, if a female, I am the head of a family ; that the ard ent spirits so r eceived by m e were brought into the State on my written order, and that I have not, within th e thi rty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quant ity allowed by the provi sions of the Act of the Gener al Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that t he ardent spiri ts so r eceived by me a1·e fo r my own use, at my own hom e, and th at the said ard ent spirits wi not be sed i 1 vi olation of law . the consigu ee of a certai v �---- -- ~- ---- ---- ---~---------------- ---- ---- -.. FORM 370•VA SOUTH ERN ·EXPRE SS COMPA NY ( Incorpo rate d) LIQUOR RECOR D Affidavit No. Way-Bill N To Fro ._________ __ _ l EXPRE SS C H ARGES A d vn 11 re e t o .; C ol lec t PRE PA ID COLL ECT Aad Uude rfh a rge RECORD OF NOTICES To Consignee _ ___ _ _ To Sh ipper _ ____ ___ _ ____ ____ _ ' AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . (OVER ) �f \ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE S T A TE 0~' Vrn G INIA , C OU NTY O~' - - - -- - --~-- l , - - - - -- - -- - - - ~ - - - ~ - - , - - - - -, IJeing duly sworu, depose and say th at I am the consig 11ee of a cert ain shipment of ard ent spirits, as specified on other side of thi s form, this day delivered to me by the Sout hern Express Company , from . ; t hat I am not a student or ·minor, and, if a femal e, I am t he head of a famil y ; that the ardent spirits so r eceived by me were broug,ht into the State on my written order, and that I have not, within the thirty days previou s heret o, received any ardent spirits of any kind what soever, from any person or from any place what soever , in excess of t he quantity allowed by the provisions of the Act of the General Assembly of Virginia, app roved March 10, 1916, or contrary to law, and t hat the ardent spirits so r eceived by me a re for m y own u s e , at my own hom e, and th at the said ardent spirits will not be used in violation of Ja w. :-;worn to and subsc ribed befo re me , thi ~ _ day o~ - - - - - , 191_ , _1\ !.{e11 t f ur S outhe rn F.xpre:--s Comp:u1 .r . �FORM 370•VA SOU THER N EXPR ESS COM PAN Y ( Iucorpo rated) SPEC IAL LIQU OR RECO RD PREPA ID COLLECT ,) RECO RD OF NOTIC ES To Consign ee ___ ___ __ _ _ - ~ __ To Shipp er _ _ _ _ ___ _ ___ _ _ _ _ __ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE. (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR STATE 0~' YIRG } Nl COUNT Y OF l , =<'l..,(ig • '/'C,-6 U 9 , [, &'~ PERSONAL USE /; , being duly swor,j, depose and say that I am the con~ignee of a cert ain shipm ent o[ ardei,t\ pirits, Rti specified o ot)rnr side of thi s form, thi s day t ~ Ci, ; delivered to me by the Southern Express Company, from / l that I"nm net n titudent or minor, and, if a female, I am th e head of a famil y; that the arden spirits so r eceived by me were brought into the State on my written order, and that I have not, withl):i the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allo~ed by the provisions of the Act of the General Assembly of Virginia, approved March 10_, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that th e said ardent spirits will not be nsed i u violation· of law . �FORM 370•VA SOUT HERN EXPR ESS COMP ANY ( Incorpo rated} 7 "),, (. Affidavit No. _ _ __c_/_ RECOR D OF NOTIC ES To Consignee _ _ _ _ _ __ _ _ _ To Shipper_ _ _ __ _ _ _ __ _ _ _ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . (OV ER} �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL llSE being duly swo rn , ilepose a nd say th at I am spirits , as spec' fl ed 01¼ ol her side of ~hi s form , this day & · · that I a m not a delivered to me by the Southern Express Company, from student or minor, and, if a femal e , I am the head of a family; that the rd ent spi rits r eceived by me were brought into the State on my written order, and that I have t , ;vithin th e thi1·ty days previou s hereto, received any ardent spirits of any kind whatsoever, from any person or from uny place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia , approved March 10, 1916, or contrary to la w, and that the ardent s pirits so received by me al'e fo r m y own use, at my own home , and th at the said ardent spirits will not be ed in violation oE l!!'L S worn to and subscribed before me , th is ___c,L~d ,y of J' ( r , 19L.;2 . .A~e 11 t fu r Su uthei-11 F.xpress Comp:u1 y. v~ f ~, �FORM 370•VA SOUTH ERN EXPRE SS COMP ANY (I ncorporate d) SPECI AL LIQUO R RECO RD Received at. _ __:::....:=---~ -=:::..--'c- - - - - , - - - - Date. _ _ _ __ _ _ 191 _ Affidavit No. _ / __c_),_ ~___,U ..,t:J =-- /_~-1'___ :J __ Weioh~ '---'---'----'--..:_...:=:::...,....- -- -Amoun L__ _... '- -----"'-------'==---=----~ -~'-L,'__ 191_ Advnuf'ea to Collect _ _ Jbs. From _ _ __ _ _ _ _ _ __ EXPRESS CHARGE S PR EPA ID COLLECT A~d Undercha rge RECOR D OF NOTICE S To Consign ee _ _ _ _ ____,_ _ _ _ _ _ _ To Shipper _ _ _ _ __ ____ __ _ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. (ov,rn) �AFFIDAVI T FOR ARDENT SPIRITS FOR STATE Ob' VIR GINIA' C OU NTY OF _ __ _ _ _ __ _ _ _ ,_ ' PERSONA L U SE l, ~ <----'-----~- - - - -, being duly sworn, ue pose and say that I am \h e consignee of a cer.l;ain shipment of ardent spirits , as_ specified on other side Qf thi s form , this day delivered to me by the Southern Express Company, from _ _ _____ _____.c.c__ ; that I am not a student or minor, and , if a fema le, I am the head of a family; th at the ard ent spi rits so r eceived by m e were brought into the State on my written order, and that I have not, within the thirty days previous l1ereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of t he quant ity allowed by the provisions of t he Act of the General Assembly of Virginia, approved :March 10, 1916, or contrary to law, and that the ardent spi r its so received by me are fo r m y own nse, at my own home , and that t he sa id ard ent spirits will not be used in violation of law. ,t~ S woru to and subscribed before m e , th is _~_day o~-- - - -, 191_ . Kj,~ -- J\ie~ U ti for Sm1thern Rxpress Cmnpn n.r. �FORM 370-VA SOUTH ERN EXPRE SS COMPA NY (lucorporu t ed) ;; SPECIA L LIQUO R RECOR D Received at,___ f ~ J ~t--,,c,~~ ~- -r-=c-- --- -=- - Date 191 -2 Kind of Ardent Spirits, _ _ _ _ Am oun Affidavit No. I Weiaht "id'+ , ,, lbs. I Way-Bill No. _ _ _ _ _ __ __ 191_ To _ _ _ _...:..,=.."-".:....-"--'"-"-=--- -- - ~- - - Advnucee to Coll ec t I From EXPRESS CHARGES PREPA ID COLLECT -'.A dd Under charge RECORD OF NOTICE S . To Consig nee ____ ____ ____ ____ __ To Shipper____ ____ __ _ _ _ _ _ _ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . (OVXR) �AFFIDAVIT FOR ARDENT SPIRITS FOR = PERSONAL USE , l, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as sp citied on ot er side of this form , this day l .,_. C; uelivered to me by the Southern Express Company, from 1. ,:, that I am not a student or minor, and, if a female, I am the head of a family; that the ardent ,spirits so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any perso or from ~y place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use , at my own home, and th at the said ardent spirits will not be used in violation of law. ul l S worn to and subscribed before m e, I thi s _,:Jt__day o ~ - -~ - C .ft~~ ~ ,( , 191_. :__ = .,\L,••er1t for Sontllern Exin·es. C om11nny . D rt~ 0 cfG �- - - ~----- - ~- --- - FORM 370-VA SOUTHERN EXPRESS COMPANY ( Incorporate d) LIQUOR RECORD Received at, __:.=_ _ -?--------''--- - - - - - - Date,_ __,"'-----~--- 191 _ Affidavit No'---"-------'---=---- Consion ee - - ~~--L-.::__ .:;...,--__:~~~~ :!.. /i..:__::_____,'-_ _ __:/_ _----,-------=_ _-,---·_ ....:...._ _ / I?.. Kind of Arde nt Spirits,~ - --F-- ~ ----+-~ - - - -- - Am oun ' - - -- - ' - - - - - - Way-Bill No, _ _ _ _...:...~-'--To •- - . C . . . . . C . - ~. ~--- -==-=-c_:_~'-""'-'- ---=----= ---- . . . . .::.. ---,1/_ -, Ad vonre s t o Co l lec t _ __ _ __ I ' --'--- lbs. 191-fEXPRE S S CHARG ES C OLLE CT Add Unde r charge RECORD Of' NOTICES To Consianee _ _ To Shipper _ _ _ _ ____ ___ _ _ _ __ _ _ Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONAL USE . (OVER ) �ARDENT SPIRITS FOR PERSONAL USE J, , , being duly swol'll, uepose and say that I am the consignee of a cert ain shipment of ar<leut spirits, as specified on other side of this form, this day f delivered tome bythe So uthern Express Company, from ' ~ -+~ ~ -~ ~ ; th at I am not a ~tud~nt or minor, and, if a female, I am th e head of a fami ly; th at the ardent spirits so received by me were brought into the State on my written order, and that I have not, within th e thi1·ty days previous hereto, received any ardent spirits of any kind what soever, from any person or from riny place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and th at the said ardent spirits will not. be used in violation of law , :-:iworu to and subscribed before me, thi s 1 __day o 1, , 191_, I' J\~eut fur Southern Ex J)re ss C<Hll l)a11y . �FORM 370•VA SOUT HERN EXPR ESS COMP ANY (l uco rpo rated) Affidavit No. Advour-es t o Collec t RECOR D OF' NOTIC ES EXl'RES S CHARGE S PREPAI D COLLEC T , To Consign ee ___ ___ ___ ___ To Shipper _ _ __ _ _ _ _ __ _ _ _ __ AF'F'ID AVIT F'OR ARDEN T SPIRIT S F'OR PERSO NAL USE: . (OVllR) �ARDEN T SPIRIT S FOR PERSO NAL USE r, - -- ~l\~:_.------,,l)_.t-~"".".:!(-Jltt,~~;;,....-- - - -, being duly SWOI' II, de pose and say that I a m the consig11e e of a certain s hipment of ardent spiri_~~ at1 specif i~n/ 6111er side of thi s fo ·m, this dayuelivere d to me by the Souther n Express Compan y, from f ; that I am not a 8tudent or minor, and, if a femal e , I am the head of a family; that the ar ~ t spi ri ts so received by me were brought into the State on m y written order, and that I have not, thin the thi1·ty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that t he ardent spirits so received by me are for m y own use , at my own home, and that the said ardent spirits will not be used in violation of law. v'f ~ I 0 �SOUTH ERN EXPRES S COMPA NY FORM 370•VA ( lucor poratc d ) LIQUO Received atr---4,~L-.:....:_:::_:..__!_=~~=='-""--=--r...:_..:___ Date V :,,( RECOR D l I 2. 191-1. I Consignee - - - ----=---__.__:,__:___J_-'-C---'--""""'""---'"""'"""""""""--- -- - - - - - - - - -- - - -- Advnure s t o Co ll ect PR EPA ID RECORD OF NOTICES To Consi gn ee _ __ _ _ _ __ _ _ _ _ _ _ _ __ To Shipper_ _ _ __ _ _ _ __ _ _ _ __ _ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ___,4-:......,.~:_..L,~[.J::;~•_J.~~~~~"'- "'L-- -, being duly sworn, .:le pose and say that I am specified on otper side of t is form, this day delivered to me by the Southern Express Company, from _ _,,_...,_---='-"---',c_"=------r'---=----'"--~ ; ht1t I am not a ~tudent or minor, and, if a female, I am the head of a family; that the arde t spirits so received by me were brought into the State on my written order, and that I have not, wi1!\!1n th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved M:arch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and th at the said ardent spirits will not be used in violation of law . .V~ ~- ~ :.:1.) ½ ~"::) l.;o u s i~ue•. �SOUTHERN EXPRESS COMPANY FORM 370•V A. (lnco rporat.ed) SPECIAL LIQUOR RECORD , _ _.....c.;.._ _ _, _ Way-Bill No._ _~_ _ _ ___ Date _ ____:c...,.:..::::...;_....t....c_ To ___-,c="'---'-C-----'-''-''-' --'--~~~"--- --- _ __ _ A,tvnu cee to Collect l91_ _ 191__2 Allid avit No. _ _ o_.,.k::.___ _ From,_ _ _________ _ EXPRESS CHARGES }'REPAID . A<ld Unde r cba rR e RECORD OF" NOTICES To Consign ee, ________ __ _ _ ______ To Shipper______ _ __ _ _ _ __ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER ) �AFFIDA VIT FOP ARDEN T SPIRIT S FOR PERSO NAL USE STATE OF Vrnopa i , . J COUNTY OF _ _~____,.__ _ _,4 :..;c_.::(===c - ✓ , I • __.,,_<1-----=-- --'-....:... :o.__ __, being I, duly sworn, depose and say that I am the consign ee of a certain shipmen t of ardent spirits, as specified on other side of this form, this day ) ( delivere d to me by the Sonther n Express Compan y, from r-.---.,- - - - ~ ; at I am not a student or minor, and, if a female, I am the h ead of a family; that the ardent spiriis so re eived by me 1 were brought into the State on my written order, and thai I have not, within the thirty days previous hereto, received any ardent spiriis of any kind whatsoe ver, from any person or from any place whaisoe ver, in excess of ihe qnantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that ihe ardent spiri1.s so received by me are for my own use, at my own home, and ihat the said ardent spirits will not be used in violation of law. \J Sworn to and subscrib ed before me, this-.- -day of _ _ _ _ _ , 19L. l . ( AK')n, for Southern Express Company . �~--- --- - -- --- ----- ----- ------ - ----- ----- -----S01.JTl-fER N EXPRESS COMPANY FORM 370•VA (Incorpo rated ) SPECIAL LIQUOR RECORD V __J-_ Affidavit No. _ _ _ Consign ee _ _ __:___-!!.__!_c'--__!!___~.!.__E':2'~~- - - - -- - -- ---c- -=~ __ _ _ __ _ __ __ Kind of Ard ent Spirits _ ___ - - -- --'----=:c.,:..~ __.__:::___ _ Amoun .__ _ _/ _ _~ ___;L__ ; _ __ Advnures to Coll ect EXPRESS CHARGES A ad 6 ude r c-barg e RECORD OF NOTICES To Consignee ______ ______ _ __ To Shipper_ _ _~ -- -- ___ __ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE: . (OV!tR) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STATE 0~' YIRGINIA , CouNTY m'-.,--..!,-- -...::....;::..:-__;..,,"'----='-'I. l, - -- ~ - - ~ ~-~-'- -'~~~ = - ~-"~ --, being dLdy ~worn , de pose and say that I am the consigne e of a certain s hipment of nnleut spirits, a~ spec ifi ed on othe r sid e of thi s form , this day delivered to me by the Southern Express Company , from _ _ ~ ~ ~- . ~ - - -- - - ; thllt I am not a ~,udent or mino1·, and, if a female, I am the head of a family; th at the ardent s p irits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoev er, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved }larch 10, 1916, or contrary to law, and that the ardent s pirits so received by me a re fo r m y own use , at my own home, and that the s aid ardent s pirits will not be nsed in violation of Jaw . ~Ad _ ~worn to and subscribe d be fore me, . tl11 s_ _ ) _ day o~ - - - - -, 191_, I ( , �- - -- - -~- --~- ---- ----- ---- - ---- ---- ~--- ---- --- FORM 370•VA SOUTH ERN EXPRES S COMPA NY (l u corpor alied) LIQUOR RECOR D Affidavit No._7_ _ __ _ . l Kind of Ard en t Spirits_ _ _ _~ -~ ~ - - --.--- - -Amoun ~ ' - - - " - - - - - ~ -- Weioht- ~ - -- lbs. Way-Bill No._l _ _~ ~C........'- --- - ~ - ~ -- - ~/_ _ _ 1!)1 _ From_......___ _ _ _ _i--""---T / ~ -A-d-,n-u-r e-,-to- ~ - -E-X-P~R~E~S-S~C~H-A~R~G-E-8- - ~ ~ ~ - - ~ O - - - ~c...c.:=:....:e:.==-==a-:- --'-- -- - - - Coll ect COLLECT RECORD Of" NOTICES To Con signee ____ ____ ____ ____ __ Af"f"IDAV IT f"OR ARDENT SPIRITS f"OR PERSON AL USE. (OVl! R) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE 0~' VIRGINIA, COUNTY O~'- - - -- ---"--=---_.,__--'--'----=~ l, - ~ - - - - - ' --===:.-~_ _,.,_~=-~ ~ the cousiguee of a certain s hipment of 11rde11t spirits, a8 being duly sworu, depose and say that I am ecified on other side of this form, this day delivered to me by the Southern Express Company, from ' ; that I am net a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thi1·ty days previous hereto, received any ardent spirits of any kind whatsoever, from any person oJ from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for m y own use, at my own home, and th at the said ardent spirits will not be used in violation of law . Sworn to and subsc1;ibed before me , ,, thi s-2 _ day of / , 191_ . .-\ i,CtS 11t for S outhern F; xpres s~Comp1u1y. �TO BE FILED WITH CLERK OF COURT now Sub? bed and sworn to before ,,u 1-11' I e this 191trfl,,1 ~ ' bi!' (Agent O Railway Company) NOTE-Uc _.i D,...aiats mul Superinteacle ata of Hoapitale m&J' receln arcleat IIPlnta u defined in circular of lnatnactiona. Licemed Superilltende nta of Chemical Lalioratariee ma)' onb- ncel,,e pure araln, ethJ'I or pure fruit alcohol order-• ��SOUTHERN EXPRESS COMPANY FORM 370•VA (Incorpo rated) SPECIAL LIQUOR RECORD/ Received at,--,,,,.__-1---=--=-,,.--'--"----::....:..c=---~- - - -- - Date 0 / (. t ( I (,, 191./ - ef___ WeiohtL_"_ __ lbs. Amoun, ~ ___/_ _('.. ___._ _ From, _____ _ ~-=--- -.1"-',_ RECORD OF NOTICES To Consignee _ __ _ To Shipper _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER ) �ARDENT SPIRITS FOR STATE 0~' VIR / PERSON AL USE / l'--0 1 "-l_fi'-'---'~"-""-~·-+tl"-.1._ _.. .t'"':-/c.:4,,. :..+-'="=-- , being duly sworn, depose and say that I am couN·rv o~'- ~--..-F- -u~ ~ <0~ l, ----'------- "'the consignee of a certain shipmen t of ante t spirits, as s ecified on °,lher side of this form , this day 1 delivered to me by the Southern Express Company, from ( that I am not a student or minor, and, if a femal e, I am the head of a family; that the arden / spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or fr 1m any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Ass embly of Virginia, approved ),larch 10, 1916, or contrary to law , and that the ardent spirits so received by me are for my own use, at my own home, and th at the said ardent spirits will not be used ii/violation of Jaw. t ; ~ (' v • ~worn to and subscribed before me, thi s C ~ 0 / _ day of_~I____ , 191_. ~ - I �FORM 370•V A SOU THE RN EXP RESS COM PAN Y ( Incorpo rate d) SPE CIAL LIQU OR ' REC ORD ' -!,'-""'--'--=-i.e...,~ -'--"-- ~--- ,'-------'--'- Date._ To _ ___;,,..=:.___::_...:..,:__,""""-==;£-+-----""-== ------=• Shipper·~ ~ ~ ~ ~ ~'----~ ~ - __,A '---'-_/,_1.. ,~ ..~ (J' AdC~l'i~~~ t o -.:!..~ ~~ {J z._v . _?_ - 191 _l Affidav it No. __ I PREPA ID A dd COLLE CT Oude r charge RECO RD OF NOTI CES To Consi onee ___ ___ __ To Shi pper _ _ _ _ _ _ _ _ __ _ AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE . . ... (OVER ) __ __ �FOR ARDEN T SPIRIT S FOR STATE PERSO NAL USE m' Vrn COUN'J'Y ol 1:, ~.J ---- ---- -, being duly ~worn, depose and say that I am the consign ee of a certain 11rdent spirits, as s~ fied on other s id e o.f this form, this day 1 delivere d to me by the Souther n Express Compan y, from ; that I am not r; :, student or minor, and, if a female, I am the head of a family; that the ardent spi ts SQ. received by me were brought into the State on my written order, and ilfat I have not, within e thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for m y own use, at my own home, and ·that the said ardent spirits will not be nsed in violation of law . W l Lt-/ l..~ •~ luwib J S worn to and subscrib ed be fore me, L 1 thi s):__d ay of,Zl': j ~ lk1 , 19L2 " f '' -l -- . ____:_ l_ - - - ' - - - ..\J;t:tmt for Sou th e rn Rxpros:s Company . ':frJJ, �- - '- - --- - ~-f'ORM 370•V A SOU THE RN EXP RESS COM PAN Y ( Incorpo rat ed ) Affidavit No. Advn u re e to Collect Add udc r c ha rge RECO RD OF NOTI CES To Consian ee _ ___ ___ ___ ___ ___ _ To Shi pper _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE. (OYIIR} �SPIRITS FOR PERSON AL US - - - - - ~ + " ' -~---"--'--' c!---b-'---= -'--'-,.._-"----'= "Y=-- , being duly sworn , depo~e and say that I am sp/ cJ fie~_ on t'her side of this form , thi s day delivered to me by the Southern Express Company, from ~ '£ « ; that I am not a titudent or minor, and, if a femal e , I am the head of a family; that the ard t spirits so r eceived by m e were brought into the State on my written order, and that I have not, w~hin the thii·ty days previous -)1ereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my o,~n use, at my•~ horn,, , nd that th, ,aid ,Nlant sp;,;t, wHI •c t;,, : •~:-- 'J'"' ;, \Jou sj(:u t:e. S worn to and subscr ibed before me , thi s _ day of~ ~ f , 191~ LJ'-i. . �SOUTHER N EXPRESS COMPANY FORM 370•VA ( lucorporat ed} ?-____ Affidavit No._ _ Way-Bill No.~A-L --'-+~=---To - - -V--:-'--'---:.._~+--J=---.;.. F-_,_---=---- - RECORD OF NOTICES To Consign ee _ _____ __ __ _ _ _ _ __ To Sh ipp er _ _ _ _ __ ______ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL US£. ,l (OVER) �AFFID AVIT FOR ARDE NT SPIR ITS FOR ,2· ¼ Q. • uJ. ; ~ ~ - PERS ONAL USE STATE Ob' VIRG N COUN TYm' ! , 1 being duly sworn , depose and say th at I am th e con~ig nee~ a certai nship: :e ; ; ; ~ir its, as specifi ed o ollic :r; hi s form, this day delivo ced to me by the South ern Expre ss Compa ny , from } {t . , ; that I am not a ijtuden t or minor , and, if a female , I am the head of a fam il y; that the a dent spirits so r eceive d by me were broug ht into the State on my writte n order, and 1ihat I h ave not, within th e thirty days previo us hereto , receiv ed any ardent spirits of any k ind whatso ever, from any person or from any place whats oever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law , and that the ardent spirits so receiv ed by me a.re fo r my own use, at ~ my• ~ hnm,, 7 end th,t th, ssid s,d••.•spi,its w~ • din.: st••: •~ t:vu s i1:n ee. 1,,/c.,...., �..------~~- FORM ~~- -- -- SOUTHERN EXPRESS COMPANY 370-VA (lu co rpornt ed) LIQUOR Received at_--'-~----'-=---c.--'----'-'------'--'-=~---- -- - t Date RECORD r ') Consionee _____ _=:~-'-=--=-_-_c=:= .:c...__=cc,------- - - - ~----,,--- - ~ ~ ~~ - -- - -- Way-Bill No.·-f---~"---'= ---~- To - ~ - - - - - -- - -- + Amount._~T~/--._ __,}__ __ -1 ___:/_ ~..c....c.=' - -_ __::___'----~=-= """=~---''--- -- - - - :S__/:___ Mfidavit No., ___ 191_ Advnnres to Collect 191 _ EXPRESS CHARGES PREPA ID RECORD Of" NOTICES To Consignee _______ __ _ To Shipper______ ________ __ _ _ Af"f"IDAVIT f"OR ARDENT SPIRITS f"OR PERSONA L USE . (OVER) �FOR ARDENT SPIRITS FOR PERSONA L USE . l, - - - - -- -----,...~- ~~~- -- - - - - -, being duly 8 WOl'JJ, depose and say th at lam the consignee of a certain shipm ent o[ nr<l eu t spirits, as s ecified on other side of thi s form, ibis day delivered to me by the Southern Express Company, from - - - ~ ~ ~ ~-~ -- - - ~~; that I am nei a student or minor, and, if a femal e , I am the head of a famil y ; th at the ard ent spirits so received by me were brought into the State on my written order, and that I have not, wit hin the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person o from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia , app roved lfarch 10, 1916, or contrary to law , and that the ardent spirits so r eceived by me are fo r m y own use, at my own hom e, and that the sa.id ardent spirits will n ot e used in violation of law. I I Sworn to and subscribed befor e me, thi s ____ d ny of~- ·- - -- , 191_ . .1\j:e 11 t fo r Southern F..xpr e ~s Comv:m y . I �SOUTHERN EXPRESS COMPANY FORM 370• VA (I ncor porated) LIQUOR RECORD Received at·- --''----'-"~ - -- - - - - - - - Oate I _,,,,.,.,. 2 6 191 _ 't,_ {J;~- - Affidavit No., __ Consignee - - - ~...:::...--'-'----"-------C---'-~-"-=cc.... .c=--"---(' - - - - - -- - - - - -- -- -- - - - /~ "'---"-"-''-'-c.. ....-- - - -- Am oun '--- - - -- - -- - -Weio h.__~ ~ -1bs. Way-Bill No.-1,1-----1--~--"'= - - To --J:.., /_ J__---,-,____:.:... ==~ _:.:_:_....,.LI-- --- Advn11res to Collect EXPRESS CHARGES Add Oude rc harge RECORD OF NOTICES To Consignee __ _ _ _ _ _ _ _ _ _ _ _ _ To Sh ipper _ _______ ___ _ _ _ _ __ AFFIDAVIT f'OR ARDENT SPIRITS FOR PERSONAL USE: . (OVXR ) �ARDENT SPIRITS FOR PERSONAL USE /_ -+--+"""...,.'-'-'= - - - -, being duly sworn, ue pose and say that I am s ·ec ified on ot her ide of tbi s QJ:m , tbis day ~ at I am net a .; {..,. I , . - / ( (: delivered to me by t he Sout hern Express Com pany, from by me received so rits spi nt arde the that ; y famil a of head he t am I , e femal st udent or minor, and , if a were brought into t he State on my written order, and t hat I have not, /~thin th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any pers&nor from any place whatsoever, in excess of t he qu ant ity allowed by the provisions of the Act of the Gener al Assembly of Virginia, approved March 10, 1016, or cont rary to law , and t hat t he ardent spirits so r eceived by me are fo r m y own use, at my own home , and tb at the sa id ardent spirits will not be nsed in violati on of Jaw. \ ' �----- . --- ----- -~-~ - - - ~ - SOUTHERN EXPRESS COMPANY FORM 370•VA (I n corpo rated) £) LIQUO ,., , R_,,E CO~D Received at,_ _,( :-+---,_,._...: Jtl l,...,.,t"'--;...•- ~·-'---- - - ' - -Consignee Date-¼-~ -"---'----- 191 _ Affidavit No . _ __,_-':"--_O=-,( ---- -"-(--'jCL.~"--"-.....-..:....c.----,--c,------'------ ---- ----- - - RECORD OF NOTICES To Consignee __~ - - - - - To Shipper_ _ _ __ ______ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVKR) �AFFIDAVI T FOR ARDENT, SPIRITS FOR PERSONA L USE - - - - - - - - - , being duly swom , uepose a1id say that I am of ardeut spirits, as s ec ifi ed on other s ide of thi s form, thi s day I .I I delivered to me by the Southern Express Company, from _ ~ - ~ - ~ - • ; that I am not a student or minor, and, if a female, I am the head of a family; that the ard ent spirits so received by me were brought into the State on my written order, and that I have not, wit in the thi1·ty days previous hereto, 1·eceived any ardent spirits of any kind whatsoever , from any person or from any place whatsoever, in excess of the quantity allowed by th e provisions of the Act of the GenE)ral Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for m y own use, at my own home, and th at th e said ardent spirits will not be used in violation of law . ~worn to and subscribed before me, f ' ~ ;\,:e11t fnr Ruutl,ern Rxpress Company. (.;ousia;cu1::e . �FORM 370-VA. SOUT HERN EXPRE SS COMP ANY (Incorpor at ed) RECOR D Of" NOTICE S To Consignee _ _ _ __ _ _ _ _ _ __ _ __ To Shipper _ _ _ _ __ _ _ _ _ _ __ _ _ Af"f"IDA VIT f"OR ARDEN T SPIRIT S f"OR PERSO NAL USE. (OVE R ) �AFFID AVIT FOP ARDE NT SPIRI TS FOR PERS ONAL USE STATE OF VIRGI COUNT Y OF-..- -t-~_. __--~- I, 1 , being duly sworn, depose and say that I am the consig nee of a ce1:tain shi ment of ardent spirits , as SP,ecified o , other side of this orm, this day deliver ed to me by the Southe rn Expres s Compa ny, from t., ;l t at I am not a studed or minor, and, if a female , I am the head of a family ; that the ard nt spirits so receive d by me were brough t into the Siate on my written order, and that I have not,~ · in the thirty days previo us hereto, receive d any ardent spirits of any kind whatso ever, from any perso from any place whatso ever, in excess of the quanii ty allowe d by the provisi ons of the Act of the Gener ssembl y of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that 1.he ardent spiriis so receive d by me are for my own use, at my own home, and that the said ardent spirits will nQt be used in violati on of law. Z6./IJ-., ( Sworn to and subscr ibed before me , this-1 .i._day of , /. , 19L;L. Consiainee. �FORM 370•VA. SOUT HERN EXPR ESS COMP ANY (lucorpor a,e d) /J.. Rece'.ved at Consignee SPEC IAL LIQUO R RECO RD , /, J ~L Kind of Ardent Spirits, _ _ _ _ To (I /'J,,.....,,,~, -fl:•~ Shipper ftv:/ (l ,-, Date t> '"'I lI 191 J 1 / I = t/l: _ _-~Y,,_-_:3~~-~''-'/ _ _ _ _ _ Amount _ ____,,~_ Q.._ 6. Weigh '----'= --") t ,.... ,_-_ / f Date_,_ __,,i«--.l-=--.,..__., , i., )..,___ _ -"----J-J_1 9 1L Frnm,_--',c..'i- •- -=----'--"-'-'"-'' - Way-Bill No. r\• ?B~ -: G ~ · ~ k :..;: :.; V.. ~ 1 Ad•an e".et to Collect , EXPRES S CHARGE S COLLEC T RECOR D OF NOTIC ES To Consignee ___ ___ ___ __ _ __ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAi USE. (OVER) �AFFI DAVI T FOR ARD ENT SPIR ITS FOR PERS ONA L USE . I, --~l .L-- ~~ .L-~ '11, ,,== -~~ ---- --, being duly sworn , depos e and say that the consig nee of I am as specip,ed on other s· e of his form, this day C::.(n delive red to me by the South ern Expre ss Comp / any, from _ _ _ _ __ ,-.... ___ .,_ _ _ ~_jV that I am not a stude nt or minor , and, if a femal e, I am the head of a family ; that the ar nt spiri ts;, receiv ed by me were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quant ity allow ed by the provis ions of the Act of the Gener al Assem bly of Virgi nia, appro ved March 10, 1916, or contra ry to law, and that the arden t spirit s so receiv ed by me are for my own use, at my own home , and that the said arden t spirit s will not be u sed in violat ion of law. ---- ,L A~nt for Southe rn Exvres s Compa ny. �ESS COM PANY SOUT HERN (lEXPR uco rporote d) FORM 370•VA LIQU OR ~ -¥-'="""- - - " -~ Kind of Ardent Spirits _ _ Way-Bill No. / ~~ ECOR D f_, L__ 191.i2 -,--- ---=- ---Date _ ~?_ _ '-_..,.7'-- Affidavit No. ------c__ _lbs . i lL_O V To ~ - . - - - ~ ~ Arl vnure s t o Cull e•·t EXPRE S S CHAR G ES PR E PAID COLLECT Shipper _ _ RECO RD OF NOTIC ES To Consign ee _ To Shipper _ FOR PERSO NAL USC. AFFID AVIT FOR ARDE NT SPIRI TS ( Q \ " F.R ) �A F FIDAVIT FOR ARDENT SPIRITS FOR PERSON AL USE ) STATE OF VIRGJNIA, COUNTY OF_p;~ .__:::.!_l l, ,, 1 ±~~~-/ l l the consignee of a certain , being duly 1sworn, depose and say that I am ardent spirits, as sp bified on other side of this form, t his day /1 ! ( delivered to me by the Southern Express Company, from 1 {; ; that I am net a student or minor, and, if a femal e, I am the head of a family ; that the ardent sp irits so received by me were brought into t he State on my written order, and that I have not , within/ the thirty days previous h er ~t o, received any ardent spirits of any kind whatsoeve r, from any person ov'lr m any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of t he Gen eral ~ sembly of V irginia , approved March 10, 1916, or cont rary t o law, and t hat t he ardent spirits so received by me are for my own u se , at my own home, and that the said ardent spirits will not be u sed in violation of law. Sworn to and subscribed before me , thi s & day of~ ~ = --..--- ;¼:eut fo r Southern Expres s Compa ny. Consi.:nee . �...;__......;.._ _ _ _ _ _ _ _ _ _ _ _ _ __ 1 uUPLI CATE ) the Prohibiti on Act of of Vir¥i!>ia to CONSIGNEES, 0TH ER THAN HOTELS, DRGUGISTS,SUPERINTENDENTSthe State HOSPITALS, OR CHEMICAL UBURATOR!ES AND MANUFACTURERS OF FLAVORING EXTRACTOF S, Etc, Both this duplicat e and the oriirinu1 hereof muat be aiirned by the comiirne e and thi• duplicat e ma• t be filed on or before the fifth day of the followin a mo,th with the clerk of the circuit ration court, with a clerk thereof in which delivery is made. court. or if there be a co,ia made a miade111~ ~r. See circu~r~ f ina~ctio ns aovernin Failure to file this dUPlicat e a. TO BE FILED WITH CLERK OF COURT / Railw ay Comp any NOTICE TO DELIVE RING AGENT S: Thia form isto be uaed when makinir deli••i•• of ardent apirita under · ·· ~ . ,,_, A .., ,J, A Y, ✓ .. irgini9 I depos e and say that I am the consi gnee of____ ___._L ,_ fi_;_(..;(,'--,\. _ of_ _=-..:~ , (Quantit y) ::..::;.__ _...:;-_ _ _ of which I now desire to take delive ry from - - - - -- =-"-'---- -- - - -- Railw ay Comp that I am a male (or if a femal e, that I am the head of a family ); any; that I am not a stude nt at a unive rsity, colleg e, or any other schoo l in this State, nor a mino r; that said shipm ent was order ed by me and broug ht into this State upon my writte n order ; that I have not receiv ed any arden t spirit s of any kind whate ver, includ ing said shipm ent as if alread y receiv ed, from any perso n or from any place whate ver in exces s of the quant ity allow ed by Act of Virgi nia of March 10, 1916, or other wise contr ary to said Act, withi n thirty days prec_eding the date of this affida vit; that the arden t spirit s conta ined in said shipm ent are for my own use at my own home and will not be used i iolatio n of sa'd Act. (Kind l h. J ~ ' (' , < (Si nature ~ ~o 19 17 _ ~ubsc ribed and sworn to before me thisLC .J1-~ -~~ ~ -day of LJ ', l, 191_ / . f .J "~.___ ��F'ORM 370•VA SOUTHE RN EXPRESS COMPAN Y (I ncorporated) SPECIAL LIQUOR RECORD Date 191_ .;) Affidavit No Am oun /,a Way-Bill No,, - - r - -- --'---~ To - - - -=-=---"''--.--'-'==·--,-,.--c,--=..-"' --cc--- .Advnuree to Col lect Weiah ---=-- lbs. 191_ Fro EXPRESS CHARGES PREPAID COL L ECT Add Undercha rge RECORD Of' NOTICES To Consig nee _ __ _ _ _ _ _ ,_ _ _ _ _ _ _ __ To Shipper _____ _____ _ _ _ _ _ _ __ Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONA L USE . (ov,rn) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE , l , ----~-~~- ---~- ~ -~_._----+-- -- , being duly s worn, Jepose and say th at I am the consignee of a cert ai 11 shipment of ardent spirits, as specified on other ide of thi s form , this day delivered to me by the Southern Express Company, from _ _ _ _____~ ~~ - -- i that I am not a student or minor, and, if a femal e, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and ihat I have not, within the th irty days previous hereto , received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and th at the said ardent spirits will not be u sed in violation of law, I I ~M _,.,.,_____.t=Wl~~I~t--+-C~~l-----...j,,__6~7~t~J S worn to and subscribed before me, thi s _ day of.____,}'------, 191 _, I I .,\~tmt l'o1· Son th ern F:xvress Comp:m ,r. ¥,. . �FORM 370•VA SOUTH ERN EXPRE SS COMP ANY (I ucor po r uted) SPECI AL LIQU0/4 RECO RD Received att_....i.!:~ ~ ~~~~: :'.!__-'-7"- - ----,-,c---=-.!:..- Date._' - - - - - -~- 191_ Affidavit No._.....:::='---'/L -_ y ¥--"'------'---='-----""~- =!.!_---"c::._- - Amoun L___ _ _ _ _ _ _ _ ;___Weio ht_ _ _ _ lbs. Way-Bill No. _____~._,_~ ~~From, ___1'-"/-'-,- /. --"--'"--~- .'._., __ I V E X PR E SS CHARGE S To - ---"------'~---'---- .-'-"--"""'i--;:_-- - ~ - -- - Advnur e e to Co l lect P REPA I D COLLECT Shipper_ __ __,__---.;.>~ ~::...>::___c::f" - - - - - - - - ... RECOR D OF NOTICE S To Consign ee _ _ _ _ _ _ __ To Shipper_ _ _ __ _ _____ _ _ _ _ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . ( OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL. ST~-~RGINIA, l C OUNTY us~ ~ - m ' - - -~ ----'----""'=-'-"....,_, :r, - - -~- - ~~- ~~-- -~.,..,~~---==- , being duly sworn, depose and say that I am the cousignee of snecified on other side of tbis form, this day l( delivered to me by the Southern Exprk C mpany,_bom C. , l. ; tbat I am net a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, with'n the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person o.lfrom any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General A::ssembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my m Mm,, ,nd th,t th, s,;d ,Nont ,pMt, y:::::;: ,;,E,n / :::i worn to and subscribed before me, this ,. ~ day of~- -- - -, 191_. .,\1-:,mt fnr S outhern Exvref..s :i:6, Co 111pn11y. U •-<-~=- t:ous it;:u~e. �SOUTHERN EXPRESS COMPANY (lucorpo ratcd ) SPECIAL LIQUOR RECORD Affidavit No. Way-Bill No,_~')- -~ - - - To - - - - -- - - ~ - - -- - - -- - - - Advnnrc a to Co ll ect E XPRESS C H ARGES PRE P AID CO LL EC T Add Unde r cha rge RECORD OF.' NOTICES To Consionee ____________ To Shipper_ ___________ __ _ __ _ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL US£ . (OVJIR ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STaTE OP VIRGINIA, COUNTY OF _ _ _ __A_ _~~=~- :r, ~ ~ - ---~ - -~- ______ ____ being duly sworn, depose and say that I am the consignee of a certain s hipment of ard ent spirits, as specified on other side of th is form, this day 1 delivered to me by t he Southern Express Company, from _ _ _~ - - - - - ~ ~ - -- ; that I am not a student or m ino1·, and, if a femal e, I am the head of a family; that the ardent spirits so r eceived by me were brought into t he Stat e on m y written order, and that I have not , within the thirty days previous hereto, received any ardent spirits of any k ind what soever, from any person or from any place whatsoever, in excess of t he quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved ).farch 10, 1916, or cont rary t o law, and that the ardent spiri t s so received by me are for my own use, at my own home, and th at the said ardent spirits will not be used in violation of law. ::;worn to and subscribed before me, th i~ --L-Lc_day of _ _____ , 191_. f .•\1!~11t for S ,mtJ1ern F.xpross Compnn y. �FORM 370•VA SOUT HERN EXPR ESS COMP ANY (luco r porat cd) SPEC IAL LIQUO R RECO RD Way-Bill No, _ ___,__~ ~~ - -- Oate. _ _ ~ ~ -~ - - -- - - 19 1_ To - -- - -~ ~ ~ ~ - ~-- - - - - - - - From '---- - ~ - - - - -- , - - - - - - , - - - -E-X-. P-R- E-"S_S_C_H _A _R _G _ ES Adc:~11~~~ to PREPAI D - . . . . . - - -A- d_d_ - - , COLLEC T Unde r cha rge RECOR D Of' NOTIC ES To Consign ee _ ___ ___ ___ ___ ___ ___ To Shipper _ ____ _ _ _ _ ___ ___ _ _ Af'f'IDA VIT f'OR ARDEN T SPIRIT S f'OR PERSO NAL USE . (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE S TATE Ob' VIRGINIA, C OUNTY O~'- - - - - --===::;= ), -------~~-----.0-~,;,....;,,,,....,_______ , being duly sworn, depose and say that I am the consignee of a certain sh ipment of ardent spirits, as specified on oth er s ide of thi s form , this day delivered tome by the SouthernExpress Company, from _ _ _-'-----,~-=-----,,---' - - ; that not a ~tudent or minor, and, if a female, I am th e head of a fami ly ; that the ard ent spirits so r eceived by m e · were brought into th e State on my written order, and that I have not, within the thirty days previou s hereto , received any ardent spirits of any kind what soever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gener a l Assembly of Virginia, approved }Iarch 10, 1916, or contrary to law , and that the ardent spiri ts so r eceived by me are for m y own use, at my own home, and th at the sa id ardent spirits will not be used in violation of la w. ~worn to and subscribed before me, thi s __ day o ~ - - - - - , 191_, \i.:e 11t for Sou thern Expre~s Vo 1111m.ny. .1 �SOUTHER N EXPRESS COMPANY FORM 370•VA , (l u co r porated) RECORD Shipp er _ _ __ _ __ _ _ _ _ _ _ _ _ __ RECORD OF NOTICES To Consionee _ __ _ _ _ __ ______ ____ To Shipper_ _ _ _ ____ ___ _ _ __ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . . ~(OVER) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE I STATE 01' VIRGIN IA, C OUNTY OF_- - = - - - -~---, ~--.. 1, the consign ee of a certain spirits, ati deliver ed to me by the Southe rn Expres s Compan y, from _ _ -"---'"-----',-,::---= .:::='4-4 4<r,.---''---"student or minor, and, if a femal e, I am the -.head of a family; were brough t into the State on my written order, and that I have not, hereto, receive d any ardent spirits of any kind whatsoe ver, from any perso r f om any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me al'e for my own use , at my own home, and th at the said ardent spirits will not be used in violatio n of law. Sworn to and subscri bed before me, ,, ({' ' ct· .){ thi s _ f -day o.._~ - - -, 1911_, .;\!:tHlt for So11tl1e rn F.x1woss Co111p1m,r. ..... Jfi ;Gr ::.•..~ �FORM 370•VA SOUTH ERN EXPRE SS COMP ANY (l ucor porated}.- - SPEC IAL LIQUO R RECO RD Kind of Ard ent Spirits,_ _ _ _ ~'--~~ ~'-----'-----''---- Way-Bill Am ou n~ - ~/ '---~----+- - -- No,_ l.,. -..+- --- -- To _.,;.:..._ _.:,.....,:=:::.....::==--;-==-'--- ~--''---=" - - - Advauce a to Coll ec t EXPRESS CHARGE S PREPA I D RECOR D OF' NOTICE S To Consign ee ___ ___ __ ,_ _ _ _ _ _ _ _'_ To Shipper _ _ _ _ __ _____ _ _ _ _ __ _ AF'F'IDA VIT F'OR ARDEN T SPIRIT S F'OR PERSO NAL US£ . ( OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR ------",--'--"-J..'__,,,LJ,l__ PERSONAL USE IJeing duly sworn, uepose anu say that I Rlll as specified on ot re r side of this form , this day _ ,__,,I'--~"'--.;-,~~ - - . , ;,, <--- , .,I,,, , . ,L ' . _ delivered to me by the Southern Express Company, from _ _ • /U4-., ; that I a m not a student or minor, and, if a female, I am the head of a family ; that the ard e/t spirits so received by me were brought into the State on my written order, and that I have not, w·/ in the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person orfrom any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved , March 10, 1916, or contrary to law , and that the ardent spirits so received by me a re for my own use , at my own home, and th at the sa id ardent spirits will not be used in violation of law. · ,._J4c S worn to and subscribed before me , thi s...L._.__ day o,Lf~ - - ~ ~ ,' 19Lf , l\~ent f,,r S ,H1ther n Express Co n1J.>.'l11y . �-~ - ---- FORM 370•V A ~ - 7 SOU THE RN EXP RESS COM PAN Y (lu co rpo m ted) SPE CIAL LIQU OR Receiv ed a,1L- -"-''-"-''-"'--".e.__-'-'-----'- =-- - - - - ate Way-Bill No·- - - ~ - ~ ~~ - / 0 •ate_ _--'---'-'::c:....- . _ _ _ _ _ 191_ To - .,_==---''---':..-:C-L-"--"'--'"'""'=-'--- c--=:----~ ,,--- - J REC ORD • A d vo u re e t o Co ll ec t 191_ Affidavit No._ _ __ _:__ From1~ :.L.1,µ~~.la !J;da ,L>eo ~A.~ PREPA ID RECO RD Of' NOTI CES To Consi gnee _ _ _ _ _ _ __ _ _ _ __ To Shippe r_ _ _ _ __ _ _ ____ _ _ _ __ _ AFFID AVIT f'OR ARDE NT SPIR ITS FOR PERS ONAL USE. (O VER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE l, - - - - ~- - -- -~ - - ~ - ~ - - - - - -, being duly sworu, d epose a nd say th at I am the consignee of a c~~ a in shipm ent of ardent spirits, as specifi ed on other side of thi s form , this day deliver ed to ;~,;y ,tlie"Soµthern Express Company, from _ _ _ _ _ __ -- -- ~ -- ; th at I am not :i student or minor, and, if a female , I am the head of a family; that the ard ent spirits so received by m e were brought into the State on my written order, and that I have not , within the thil'ty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spil'its so received by me are fo r m y own use, at my own hom e, and th at the said ard ent spirits will not be used in viol ation of law. Sworu to and subsc ribed be fo re m e, thi s/_.!. _ day of , J, , 191_, r ' l ~ (, .1\ ~ 11 t fn r Southern F.x pross Com1mn.r. �SOUTHE RN EXPRESS COMPAN Y (l uco rporated) _Shipper _ __ __ _ _ __ _ _~ - - - - - - ). RECORD Of" NOTICES To Consi gn ee _____ _____ __ _ _ _ __ To Shipper _ _____ ______ _ _ _ __ Af"f"IDAVIT f"OR ARDENT SPIRITS f"OR PERSONA L USE . (OVER) �SPIRITS FOR PERSONAL USE delivered tome by the Southern Express Company, from ~ ~~-----_,.,......_.,._-<=.---'-~ ; t h I am not a student or minor, and, if a femal e, I am th e head of a famil y; that the a ent spi its so r eceived by m e 11 were brought into the State on my written order, and that I h ave not, ithin th e thirty days previous hereto, received any ardent spirits of any kind whatsoever , from any perso or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gener al Assembly of Virginia, approved ) farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my owu u se, at my own hom e , and th at the said ardent spirits will not be used in violation of la w. V .., ,_~-- - - - ~.. ------ .i\~tmt for S ou ther n Ex1n·e~s Com pnn .r . �SOUTHERN EXPRESS COMPANY FO RM 370-V A. (I ncorpora t ed) SPECIAL Received at 0 0 ,L ·--+~~--+--...- 191--f- ~lti davit No. 7 7 f Co nsign ee ___ _ ____...,?:,-,.' --'------'-'-,--"-"--==---=----- - ---lb<---- - - -- - - -- - -- lbs. Way- Bill No. _________ To ----+--_.::;..;....:=='---"'-="-~~- ~"-'-',.,.__--L--- A tl v nn<'ea to Coll ec t 7 Ad d 1.rnd erch a r ge RECORD Of" NOTICES To Consignee ________ __ _ __ _ _ __ To Shipper ____ _ _ __ _ __ _ __ _ _ _ Af"f"IDAVIT f"OR ARDENT SPIRITS f"OR PERSONAL USE . (OV ER ) �AFFIDAVI T FOP ARDENT SPIRITS FOR PERSONA L USE l STATE OF VIRGI~ / , COUNTY OF b- I J· / / I, "r ( • , being duly sworn, depose and say that I am the consignee of a certain shipment of arden spirits , as pacified o~ other side of this form, this day delivered to me by the Southern Express Company, from Y lJ ; that I am not a student or minor, and, if a female, I am th e head of a family; that the rdent spid ts so received by m e were brought into the State on my written order, and that I have not within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any pers nor from any place whatsoever, in excess of the quantity allowed by the provisions of th e Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and t ~ e ardent spiriis so r e eived byr me; are for my own u se , at my own home , and th at the said ardent spmtl will not be sed in io tion o la . ,., , ' ~l / Sworn to and subscribed before me, t his....,........._da y of- .-1..,,..c.~-- 191__!, ( / I Ai:ent for Southern Express Company. - /, ✓,;:_ Couai2~lfe. �FORM 370•V A SOU THE RN EXP RESS COM PAN Y (l ucorpor at ed) LIQU OR REC ORD Receiv ed ate._...c..._----'----''-------'-------'--'------'-----·- + - - - - Date rn1L ) Affidavit No. _ -L/_ - - ~ - ~ -- -- -- Amoun .__ _ _ _ _ __ _ __ Way-Bill No., _~- ---- -'- - -- - ---'- ---'--~ - - - - - 19 1_ To - - - - '-='---'--==-=.c~:,,c.-- -L~--- Advau,..e s to Collect ..:,_--.:,, CJ e:_ L- ~ - - lbs. From,_...,f'-,-Z.-'--- ---" --'---"l"',"----'"' EXPRE SS CHARG ES PREPA ID COLLE CT . RECO RD OF NOTI CES To Consignee ___ ___ ___ ___ ___ ___ _ To Shipper _ _ _ ___ __ ___ _ _ _ _ _ __ AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE . (OVER ) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE STATE OF VIRGIN IA, C ouNTY m'- - - -- ----=--,,:;=:.===:.,-,·,_..,.,...'OA._ l, .(} 1 , being duly sworn, tlepo8e and say that I am the consign ee of a certain s hipm ent of art.lent spirits, a · specifie d Of! other side of thi s form , this day I A delivere d tome by the Southe rn Expres s Compan y, from~ - - - - - - - - - - - -~ i that I am not a student or minor, and, if a female, I am the head of a family; that the ard ent s pirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in excess of the qua1:tit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approv ed March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me are for m y own u se, at my own home, and that the said ardent spirits ~ ot be u sed in violatio n of Jaw ) / , r J; · 0_,c r,d 10 ~wo rn to and s ubscrib ed before me, this _ day OL.f---'-'--=-- , 191_ . .,\1.,~ 11t for Southe,·n F:xpro/o;s Company . IT/2L:. t_L d Uvnsi au~e. �FORM 370•V A SOU THE RN EXP RES S COM PAN Y (lucor porate d) REC ORD Way-Bill No,_ ___,~~ - - -To Adva n ces to Coll ect EXPR ESS CHAR GES PREP A I D COLL ECT Add Unde r cha r ge REC ORD Of' NOT ICES To Consignee __ __ __ __ __ __ __ __ ___ To Shipp er _ _ _ __ __ _ ___ _ _ _ _ __ _ Af'f'I DAVI T FOR ARD ENT SPIR ITS f'OR PERS ONA L USE . (OVllR ) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE S 'l'A'l'E OF V IRGl !- I A , COUNTY m' _ ___ _ __c....___:__::..,e::"""-= =1.f.,KA ..._... I, - - -+-r-'-'-- --1f-c-.>. ---'--~~-=~ -- -- -~ ~ -, being duly sworn , <l.epose and say th at I am the consigne e of a certain shipment of urdeut spirits, ai:1 specified on other side of thi s form , this day delivered to me by the Southern Express Company , from _ _ ____ ~ ~ - - - - ~ ~ ; that I am not a student or minor, and, if a female , I am the bead of a famil y; th at the ard ent spirits so received by m e were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place what soever, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia , approved ifarch 10, 1916, _or contrary to law, and that the ardent spirits so received by me are fo r my ow n use , at my own home , and th at the said ard ent spirits will not be used in violati on of Ja w . ::;worn to and subsc~ip ed oefor e m e, thi s ;\ge 11t for Simthern Ex J)re~s Com1)a 11 .r . �· SOUTHERN EXPRESS COMPANY FORM 370•VA ( luco rpo ra t cd) Y ~L.,,,L-1,~ ~ ~ ~ = -":.....:...~::___ Consignee. --'-~ LIQUO R1 RECORD Date , ;~_/4, . e} 191 "') Affidavit No. )__. Q % ~ =-=~~~..-F----V--"""'="""'-"""--""'""""'·----=-1-.,..---=-r~--- - - -- - - COLLECT Shipper_____ _ _ _H - - - - - - - - - - RECORD OF NOTICES To Consigne e ________ ________ __ To Shipper_ _ _ _____ ___ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVE R) �SPIRIT S FOR PERSO NAL USE delivere d to me by the Souther n Express Compan y, from _ _ _ __,,,"--'-"'- -"--"-+--r- '...i---'-\student or minor, and, if a female, I am the head of a famil y ; t spirits so received by me were brought into the State on my written order, and that I have not, wit in th e thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any perso ~ from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the Genera '.Assembl y of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so received by me nre for my ow use , at my homo, ond thot tho ssid anlent sphi~ ,,sod · • ,iolatioo of I •= l: ous ia;:uee . �SOUTHERN EXPRESS COMPANY FORM 370-V A. (Inco rporated) ) SPECIAL LIQUOR RECORD ~~.......---._,._.----- -,~--+--~/ _____---=___________ Consignee - - ---"'~ ..... Kind of Ardent - -----ICL......---'--- -"-·,.,,___::_-=,_ _ _ _ Amou nt _ Way-Bill No.,,.-j,--...,.;.- '--==,--- - To _ -1-/'---- ~~-'- - -Weigh.c__,___ lbs. From, _ -"/-'-- ---'---'-'- -- ~ · £1. A.ilvan(" C8 t o Collect EXPRESS CHARGES COLLECT .Arld Under charge Ship per ___..<---'"----'---"--'=--'+'--=-=-...._-=,__....._~,::... RECORD OF NOTICES To Consign ee _ _ _ _ _ _ __ _ _ _ _ __ __ _ To Shipper _ _ _ _ __ __ _ _~ - - - -- - AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OV ER ) �AFFIDA VIT FOP ARDEN T SPIRIT S FOR PERSO NAL USE STATE OF VIRGINI . , COUNTY OF-- - ~- -/ ---- I, - - - - -- ~ ~ ~ -- -- --~-- --~~~ ~-, being duly sworn, depose and say that I am the consign ee of a certain shipmen t of as s,pecified on ,other side of ~his form, this day 1 delivere d to me by the Souther n Express Compan y, from 1 ; , hat I am not a student or minor, and, if II female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, w:ithin the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quanUty allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spiri1s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violatio n of law. l Sworn to and subscrib ed before me , this- 2day of __ ,,_ __ " I CoDBie:nee. / 1 I ( Ait6nt for Southern press Company . �FORM 370•V A SOU THE RN EXP RES S COM PAN Y (I n cor po rate d) SPE CIA L LIQ UOR REC ORD Way-Bil l No. _ _ _ _ __ _ __ To --- "--" --'----''--'..=.,-.L.--=---'~C--- --~~-- Advnu re s to Coll ect A~d Onde r cha rge '/ REC ORD OF NOT ICES To Consionee _ __ EXPR ESS CHAR GES PREPA ID _ _ _ _ To Shipp er _ __ __ __ __ ___ _ _ AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . (OVlt R) _ __ _ �AFFID AVI T FOR ARDE NT SPIRI TS FOR PERS ONAL U SE 1, _ _ ,1 , bein€f duly sworu, depose and say that I am the cousig nee of a cert ain shipme nt of ardent spirits , as specifi ed on other side of this form, this day deliver ed to me by t he Southe rn Expres s Compa ny, from_ _ _ __ __ V bat I am not a studen t or minor, and, if a femal e , I am t he head of a family ; that the ard ent spirits so receive d by me were brough t into the State on my written order, and that I have npt, within the thirty days previo us hereto, receive d any ardent spirits of any kind whatso ever, from any pe'rs nor from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of t he Act of t he Genera l Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and t hat t he ardent spirits so receive d by me 11re for my own nse, at my own home, and that t he said ardent spirits will not be used in violati on of Jaw. Sworn to and subscr ibed before me, I thi s _ day o~ - -- -- , 191_ . ' , ~ ;\~e11t f1, r S•mther n Exprcfis Compn11y. �-- ---- ---~--FORM 370•VA - --- ------ --- ---~ - SOUTH ERN EXPRE SS COMP ANY (Incorpor ated) RECO RD 2_ <-_,/,~~ ,_ _ _ _ _ __ 191-7 Affi davit No., __ Consignee _____::e....:=c...::--=--::..::.-=-.:..;.----+--=----=-----:......=.__._,"----'-__ .__ _ _ _ __ _--,----= -- -1--- - - -- - - ----1'-----=~ ' -- c..:,.,c.-c__ ..:__ Am oun'--- - --'/- --"'-------'-- - - - _ Advnuree to Co·l lcct EXPRESS CHARGE S COLLE CT I RECOR D OF NOTICE S To Consignee _ ~ - - - - - - · - - - - - - - To Shi pper ___ ___ __ ___ _ _ _ _ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL use: . ' (OVER) I �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY OF _ _ _ _ _ __ _ _ __ l , ---.-~- ~~ ~c...c___ r-'----L...,'-----"--------'~-- , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as sp;jified on olher side of tb1 s form, this day l'. -0 , delivered tome by the Southern Express Company, from 1 t hat I am net a student or minor, and, if a female, I am the head of a fam ily ; that the a ent sp irits s received by me were brought into the State on my written order, and that I have not, ithin the th irty days previous hereto, received any ardent spirits of any kind whatsoever, from any p ;rsoq. or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Genera1 Assembly of Virginia, approved "March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my uwn home, and that the said ardent spirits will not be used in violation of Ja,Y . S worn to and subscribed befo1·e me, ✓ .,\i.:tmt for S outhern F.x1n·oss Com11any. (Jousieuee. �FORM 370•V A SOU THE RN EXP RES S COM PAN Y ( l aco rpo ruted } SPE CIAL LIQU OR Consign ee _ _ __ REC ORD -'.L- '--"= -~- ' - ~ - - - - - - - ___c______::._:_-= --=->,.; c... _ _ I - - - __ _ __ __ J,.,/. ~·-.,. ___ __ __ __ Amoun c___ __ __ __ __ Weigh t___,_ _ __ Ki nd of Ardent Spirits_ _ _ , _ _ lbs. Way-B ill No·-- --"- ----- To ---, --- -=~--"""--'-""""~......,-:-----~ ~- - - Arlvn 11 ree to Coll ect I RECO RD OF' NOTI CES To Consign ee _ _ _ _ _ __ _ _ EXPR ESS C HARG ES PRE PA ID COLL ECT I 1 1 A dd Uurlc rcb ur ge I To Shipper ___ ___ ___ ___ __ AF'F' IDAVI T F'OR ARDE NT SPIR ITS F'OR PERS ONAL USE . (OV!r.R ) -I _ __ �AFFIDAV I T FOR ARDENT SPIRITS FOR PERSONA L USE 8'l'A'n~ Ot' VIRµ INIA , C OUNTY O~' - - -- - - ~ ~ ~-,'-',- l, - -- - ~ --;.;~~.-----<1--..-~~= ~~- -- - - being duly s worn, Lle pose and say th at.I am the consigu ee of a certain s hipment of a nle ut spirits, as s pec ifi ed on oth e r side of thi s form , this day delivered to me by the South'ern Express Company, from ___~-~~·- - -- - - - ; th a t I am not a student or minor, and, if a femal e , I am the head of a fami ly; th at the ardent spirits so received by me were brought into the State on my written order, and that I h ave not , within th e thirty days previous hereto,•received any ardent spirits of any k ind what soever, from any person o r from any place whatsoever, fn excess of the quant ity allowed by the provisions of the Act of t he General Ass embly of Virginia, approved ) farch 10, 1916, or cont rary t o law, and t hat t he ardent spirits so rec eived by m e arn fo r m y own use , at my own hom e , and th at the sa id a rdent spirits will ·not be nsed in viol ation of la w . c;:7ki I I~.?. S worn to and subsc ribed befor e me , thi s _ _ day o ~ - -- -- , 191_ . ~.~ 1.:0,~'";",-,r.-•• .- �SOUTHERN EXPRESS COMPANY FORM 370•VA (lucorporated) . SPECIAL LIQUOR' )RECORD ,____,...,,;.c_-----'-=--------=-- '---"---~ . - - - - - - gate ~, /' ') J- 2. 191 + 7,, v CJ Affidavit No,, _ _ _ __ _ Consionee - ---='---"'-~:=--"+c" --'---"'.:.---.J.._~,-->(,,_,._._ -t"',1."'---"1,4'--""."'-•--'-,'--',._-·- -- - - - - -- -- -- -- - - - ---L/____,/, ____ ' -- - -----"'---__L= --~=-=-'--- - AmountL Advaur e s to Collect RECORD OF NOTICES To Consignee _ _ _ _ _ _ _ _ _ _ __ To Shipper _ _ _ _ _______ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE:, (OVl<R) �FOR ARDE NT SPIR ITS FOR S'l'A'l'E OP PERS ONAL U SE Vrn COUNT Y OF-"- =-=--= ---=--= =~,..' -'"-(• ---F-~==="1-~-Ji'---Y--.:'-✓-'~\-<--1.l.c::tLc:i.:t+--=...._,___ shipm ent of ~ nlent spiri~ , being duly sworn , uepotie and say that I am " sppi_f ed on other side of thi s form, this day 0 delive red to me by t he South ern Expre ss Comp any, from ~"\ that I am not a ~tuden t or minor , and, if a fema le, I am the head of a fami ly; that the arden t spirit receiv ed by me were broug ht into t he State on my writte n order, and that I have no (r ithin th thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any per on or from any place whatso ever, in excess of t he quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed ),!arch 10, 1916, or contra ry to Jaw, and that t he ardent spirit s so receiv ed by me a,·e for m y own use, at my own home, and that the said ardent spirits will not be nsed in violati on of law. S worn to and subscr ibed before m e, this _ _day of )L. & / '; '60 V"'~ ~~~·~ -l.L-, --l+-, ~--=- -=-.µ= _.~·,_ '.\JI , 191_ , 1\:,::e11t fo r Soutl1er n Expre~s Co 1111>n11.r. __,_- 1-L- (.;vn.sie-u~tl. �r FORM 370•VA SOUT HERN EXPR ESS COM PANY ( lnco rpornted ) SPEC IAL LIQU OR Received at•---,'--"--..c.__---'--'--"..c.__~~ - -,--- - ~ RECO RD Date._ __ _ _~_ _ 191 _ - ---- =--' -~--C .-"-- -f--- -- Am oun c___~ Way-Bill No , - - - ----''- ------' ~-To - - - -- - -~~ ~~ -- - - -- - - - I_ Affidavit No. / d J ___ _ _ _ _ Weioh c___.,_ __ lbs. From,_,_ , - - - - -- - - --=-- Advn ur oe to Coll ect EXPRES S CHARG ES PREPAI D COLLEC T Add Ouder charge u RECO RD OF NOTIC ES To Consignee To Shipper_ ___ __ _ _ ___ _ ___ __ _ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE: . (OVER) �SPIRITS FOR PERSONAL USE l, _ _ ______ being duly sworn, depose and say that I am the cousiguee of a certain shipm ent o[ ' arde ut spirits, as specified on other side of thi s form , this day delivered to me by the Southern Express Company, from 1 ; that 'r am not a student or minor, and, if a femal e, I am the head of a family; that the ard ent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any p'erson or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and th at the said ardent spirits will not be u sed in violation of Jaw. S worn to and subscribed befo1·e me , thi s _ _ day o~ - - - -- , 191_, .i\l,!'tmt fo r South e rn F.!i pre~ s (]() mJlany. l:on s ili:JU::e . �SOUTHERN EXPRESS COMPANY FORM 370•VA (lnco r~or a t ed) SPECIAL LIQUOR RECORD Received at _ _ _~_ _ _ _ _____ _ _ __ Oate~ - - - - -+-- 19J _)_ Consionee Affidavit No_ _ __ _ _ - - - -- -~-~--1' 1.-\.....- ---- -/----- ~---- - -- - -- - Ki.nd of Ard en t Spirits _ __ _L_t~~L~~·~.,,=---,,,_~~9/~--- -Am oun ~ ~ / - ~ - - ~ - - -- Weioh ~ '-'-,L _ _ lbs. Way-Bill No.~---"'-- --~--Date_ _ ~-,.'------ - ~"'- - - 1!llTo Advnures to Collect EXPRESS CHARGES PREPAI D COLLECT Add Ouile r cbnr~ e RECORD OF NOTICES To Consignee _ _ _ _~ - - _ _ To Shipper_ ______ _____ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE: . (OYER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I \,,._t.; ...._~---"-.c- - - - - - -, being duly sworn, depose a nd say that I am ardent spirits, as specified on other side of thi s form , this day W'• ,: , . \ ; that I am not a , delivered to me by the Southern Express Company, from 1 , student or minor, and, if a fema le, I am the head of a family; that th ardent s pirits so received by me were brought into the State on my written order, and that I have n t, within the thirty days previous heret o, received any ardent spirits of any kind whatsoever, from any pjirson or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved :lifarch 10, 1916, or contrary to law, and that the ardent spirits so received by me a re fo r my own use, at my own home, and that the said ardent spirit s will not be used in violation of Jaw . ~eou si,::u~e. ~worn to and s ubscribed before me , thi s _ _ day o.___.:._-==---- , 191_. I :,\1:e r1t f, 1r S untJ,ern Ex1>ross Compnn.r. �~--~-- --- --- ---~--- ---- -. FORM 370•VA SOUT HERN EXPR ESS COM PANY (l ucorpo ratcd) Affidavit No.,_ _ _.,:. Y__,o.,, u PREPAI D Shipper_ _ _ _ _ _ _ __ _---- "------ - .A d d Und er cha r ge RECO RD OF NOTIC ES To Consignee ___ ___ ___ ___ ___ __ _ To Shipper _ _ ___ ___ ____ _ __ __ _ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL ( O VER} use: . �r AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE delivered to me by the Southern Express Company, from_~ - ~ - - - - - -- ~ -- ; that I am not a student or minor, and, if a female, I am the head of a family; that the ard ent spirits so received by me were brought i nto the State on my written order, and that I have not, within th e thirty days previous hereto, reeeived any ardent spirits of any kind whatsoever, from any person or from a ny place whatsoever, fo excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirit s so received by me are for my own use, at my own home, and that the said ardent spirits wi11 not be used in violation of Jaw . . , S worn to and subscribed before m e, f thi s .A.:tm t for Sonthe t•n F:xpre~s Compnu.r. �SOUTH ERN EXPRES S COMPA NY FORM 370•VA (lucorpo rated) LIQUOR J • - -- -~ ~~~- ~ -- - - - -- Way-Bill No,, _ _ _ _ __,__;c___ RECOR D Amoun c_____ ____ __ Weigh c_---'-'=------ lbs. _ From, ____ ____ _---=..__,'- To - - - -""--"=---= -""=.!..-'-- -,--'--- =--- - Advnnr e a to Collect EXPRESS CHARGES PREPAID COLLECT Add Oude r c barge RECORD OF NOTICES To Consignee _____ _____ ___ _ ___ To Shipper _ _ _ ____ _ ___ _ _ _ _ __ _ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL (OVE R) use: . �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE S TATE OF YIR GLNI A , C OUNTY OF _________,- -- - ~ ~ ~ ~- l, ----= -~--~-~~ -- - --~~ - - - - -, being duly sworu , uepotie and say that I am the consign ee of a cert ai11 shipm ent o[ unle ut spirits, ati specifie d ou oth er side of thi s form , this day delivere d to me by t he Southe rn Expres s Compan y, from ___ ___~~~_ _ ___,__ ; that I a m not a student or minor, and, if a femal e , I am t he head of a famil y; that the ard ent spirits so r eceived by me were brough t into the State on my written order, and that I have not, within th e thirty days previou s hereto , receive d any ardent spirits of an y kind whatsoe ver, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisi ons of t he Act of t he Gener al Assemb ly of Virgini a , app roved )farch 10, 1916, or cont rary to law, and that the ardent spirits so receive d by me a re fo r m y own u se , at my own hom e, and th at t he said ardent spirits will not be used in viol ati on of law. f !:i worn to and subscri bed before me , th is~ day o~ - - - -- , 191_ J t:o u ::1 i(:u t=e . . .,\~"'U ll t fo r S out hern F. x 1n·e~ s Cmn pa11 .r. �FORM 370-VA . SOUT HERN EXPR ESS COM PANY {I u co rpo rate d ) Way- Bill No.2 To !\ll!!!!ll!l!!CIU,:s_J__(. ~~~. ..L.,~ !...-;~ """-- -"'¥.- -,~... _..--- - { RECO RD OF" NOTIC ES To Consig nee.___ ___ ___ __ _ _ __ _ _ To Shipper ___ ___ ___ ___ __ _ __ _ AF"F"IDAVIT F"OR ARDE NT SPIRI TS F"OR PERS ONAi USE . (OVll:R) �AJf lDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL ; USE . 8TA TEO FV7[ · A, ,,• ~ · COUN TY OF I. f • · cy • \ i . ,,. j)'. i\ t,t; , , I, , '• ,/'V being duly swor n, depo se and say that the cons ignee of a certa in 18~m ent I a~ of arj4Iit spi r its, as f~ec ified o ~ther sid~ of this f ~ this day deliv ered to me by the Sout hern Expr e;i Co~p any, from • that I am not a stud ent or mino r, and, if a fema le, r am t ~e head of a fami ly ; th at the araJ µ t spiri ts so recei ved by me :were brou ght into the State on my ~ tt e_JJ' orde r, and that I have t, with' in the thirt y days prev ious heret o, recei ved any arde nt spiri ts of anyk ind what soev er, from any perso n or 6-om any place what soev er, in exce ss of the quan tity allow ed by the prov ision s-of the Act of the Gene ra semb ly of Virg inia, appr·oved Marc h 10, 1916, or cont rary to law , and that the arde nt spiri ts so recei ved by me are for my own use, at my own home , and that the said arde nt spiri ts will not be used in viola ion of law. I/I } () L-✓ ., ~ A ; V 7L ( .<. /, Swor n to and subsc i;ibed befo re me, t h i s- ~day of / , ~ · 'rt(~ VY.. Y, I . 191~ . _J-l ,. A Z-. A2ent for South ern Exvre ss Comp any. �FORM 370•V A. SOUT HERN EXPR ESS COM PANY (I ncorpora ted ) Way-Bill No·- - - - ~~ - - To 1 AtlVllil(" C B Co ll ect to ]' REPAID . Ad d Unde r ch a rge RECO RD OF NOTIC ES To Consignee_ _ _ _ _ _ __ __ _ _ __ __ _ To Shipper _ _ _ __ _ _ _ _ _ _ __ _ __ _ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE. (OV II R ) �AFFI DAV IT FOP ARD ENT SPIR ITS FOR PER SON AL USE STAT E OF VIRG INIA, COUN TY OF-- :----;- -,,.._.-----i,"-e--'r.;__,,.:'-- rc:'r• ~ t \, I, • , being duly sworn , depos e and say that I am the consi gnee of a certa in shipm ent of arden t spirit s, as sye; ified on other side of this form, this day deliv ered to me by the South ern Expre ss Comp any, from ~ t } ; that I am not a stude nt or mino r, and, if a femal e, I am the head of a famil y; th! t the arden t spin ts so :i:eceived by me were broug ht into the Sbte on my writt en order , and that I have not, withi n the thir y days previ ous heret o, receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quan tity allow ed by the provi sions of the Act of the Gene ral Assem bly of Virgi nia, appro ved Marc h 10, 1916, or contr ary to law, and that the arden t spiri1.s so receiv ed by me are for my own use, at my own home , and that the said arden t spirit s will not be u sed in viola tion of law. ¥ ) Consie:nee .. Ai:ant for South ern Expre ss Compa ny. �SOUTHERN EXPRESS COMPANY FORM 370•VA (Inco rporat ed) SPECIAL LIQUOR RECORD Received a1IL--'-'"'----'--'--=-==-::=-- scc--- - - - - Date._ __,_/_ _ ~_ _ _ l 91 _ Affidavit No. Way-Bill No. _ _.__ _ __ _ __ To - - - - -----"----"'----'--"=--":....,-- - - - -- -- Advalll"'CS to Coll ect EXPRESS CHARGES PREPAID COLLECT .Md Oudercba r~e RECORD OF NOTICES To Consignee _ _ ______ _ ___ To Shipper______ ______ __ _ ___ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �AFF IDAV IT FOR ARD ENT SPIR ITS FOR STAT E m' PER SON AL USE VIRG INI. , C OUNT Y Of' l, ....__ , being duly swor n, depo se and say that I th e consi gnee of a certa ·n shipm ent am of arden t spirit s, as ' pacified on other side of this form , this day deliv ered to we by the Sout hern Expr ess Comp any, from _~_ cc_c=..-....,_cc... ..,___~ ~- - - i that I am not a stude nt or mino r, and, if a fema le , I am the head of a famil y; that the arden t spiri ts so recei ved by me were broug ht into the State on my writt en order , and that I have not, withi n the thirty days previ ous heret o, recei ved any arden t spirits of any kind what soeve r, fro m any perso n or from any place what soeve r, in exces s of the quantity allow ed by the provi sions of the Act of t he Gene ral Asse mbly of Virgi nia, appro ved Marc h 10, 1916, or contr ary t o law, and that the arden t spiri ts so recei ved by me a.re for my own use , at my own home , and th at the said arden t spiri ts will not be used in viola tion of law. ~ worn to and subsc ribed befor e me , thi s ;c _ da.y of~ -- - - - , 191 _, .,\~c11t f,,r South er n Rx-uro!-'.S Coin l)an y. l:ollsia:uee. �FORM 370•VA SOUT HERN EXPRE SS COMP ANY (I ncorporate d) SPECI AL LIQUO R RECO RD Date 191_ Affidavit No. J Am 0trnt Way-Bill No'- - - ----'~ ~ -- 191_ To _ _ __ .:..,._:="--- -1~~=.:. ...=--=-~ --=~ ~ ~- Advnurea to Collect I r· .( From EXPRESS CHARGE S PREPAID COLLE CT Add Uud 8(churge RECOR D OF NOTICE S To Consig nee ____ ____ _____ _ _ _ To Sh ipper _ _ _ _ __ _____ _ _ _ _ _ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. (OVER) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE S'l'ATE OP VIRGINI A, COUN'l'Y m'- - - - -- -~ ~ - - 1, - - ~ -- - ----'--------'-- -~ ~ + - - - - - - - - , being duly sworn, uepose and say that I am th e consign ee of a certam shipmen t o[ ardeut spirits , ati specified on otb er side of thi s form , this day delivere d to ·me by the Souther n Express Compan y, from -<-~- - - · - - - - - - - ; th at I am not a student or minor, and, if a femal e, I am the head of a family; that the ardent spi rits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so received by m e are for m y own use, at my own home, and th at the said, ardent spirits will not be used in violation of law. ::iworn to and subscrib ed before me , .,\g1:mt for Southe rn F.xpre~s Compauy . �l'ORM 370-VA. SOUT HERN EXPRE SS COMP ANY (I ncorpo rate d ) Affidavit No. RECOR D OF NOTICE S To Consigne e_ _ _ __ _ __ _ _ _ __ _ _ _ _ To Shipper _ _ _ __ _ __ _ _ _ _ __ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. ( OVltR ) �AFF IDA VIT FOP ARD ENT SPI RIT S FOR PER SON AL USE deliv ered to me by the Sou ther n Exp ress Com pany , from_.1,t.~~ ~ ~a,;~~~ 1,,!'-._....~ stud ent or mino r, and, if a fema I am not a le, I am the head of a fam ily; nt spir its so r ecei ved by m e were brou ght into the Siat e on my writ ten orde r, and that I have not, i in the thirt y days prev here to, r ecei ved any arde nt spir ious its of -a ny kind wha tsoe ver , from any person from any plac e wha exce ss of the quan tity allowed by tsoe ver, in the prov ision s of the Act of the Gen er al Asse mbly of Virg inia , appr Mar ch 10, 1916, or cont rary to oved law, and that the arde nt spiri1,s so rece ived by me are for my own my own hom e , and that the said use , at arde nt spir its will not be used in viol ation of law. Colllliltnee . ss Com pany . �FORM 370•VA SOUT HER N EXPR ESS COM PANY ( luco r poruted) SPEC IAL LIQU OR RECO RD Affidavit,,No. 7-- Io Way-Bill No. _ _ _ _ _..,_,___ _ To ___ ___:_-!.--:+------>"----'---"-"-~- - - - - - ' - -'- - Shi pper _ _ _ __ _ _ _ _ _~ /_ _ _ _ _ __ Arlvnur ea to C oll ec t • EXPRE SS CHARG ES PREPA ID COLLE CT RECO RD OF NOTIC ES To Consignee _ __ _ _ _ _ _ _ _ _ _ _ To Shipper _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ AFFID AVIT FOR ARDE NT SPIRI TS f'OR PERS ONAL USE: . (OVER) �AFFIDAVIT FOR ARDE-NT SPIRI T S FOR PERSONAL USE "7 - -~ - - -~=~-,..--+-_,.'---r-,-- - --'-~.-.._- , being duly s worn, ll epotie and say that I am a certain s hipmerit o[ a n leut s pirits, a~ s pec ified on oth e r side of thi s form, t his day del ivered tome by the Southern Express Compa ny , from - - ..;-~- ~~ - -- - ~ - - ; that I a m no t a student or minor, and, if a fema le , I am t he head of a fam ily ; th at the ard ent spirits so received by me were brought into t he State on my writt en order, and that I have not, within th e thirt y days previous hereto, received any ardent spirits of an y k ind whatsoever, fro m a ny p erson or from a ny place whatsoever, in excess of the quant ity all9wed by the provisions of the Act of the Gener al Assembly of Virginia, approved March 10, 1916, or cont r ary to Jaw, and that t he ardent spirits so rec eived by me are for m y own use, at my own hom e , and that the said ardent spirits will not be nsed in violation of law . A S worn t o and subsc ribed before me , f _ __ _..,..,_ , 191_ thi s -+tr--day oL . I' • ..\~tH 1t f,,r S1mthe.-n E x 1)re:o-;s C ou 11, a1 1y. t: vmd auee . �FORM 3TO•VA SOUT HERN EXPRE SS COMP ANY (luco rporated) ., SPECI AL LIQUO R RECO RD Consignee - - -------"---'---''--'-'-~-'-'-'::.c...- ---='----'-----''----- "----- - - - -,- - - ,L. - ~ - - - -- - - - Kind of Ardent Spirits, _ __ _ -l'--------_L__----"- -c-';..- -- -Amoun .___ _~ ~ - - - - - -Weigh .__-----''-- lbs. Way-Bill No ., __\ "---~ -_.,.,_ _ Date _ _ '--'-.....:::::....::....,'+---- - - - - 191_ From, ____ _ _ _c.,,_~ - - r To - - - -==~: .....::..:: .:_=· -- -- -=:.... ..-- ~-- --- --- --- --- --- --- ~ Advnure a to Co ll ect EXPRESS CHARGE S PREPA ID COLLECT Add Oudc r c b tirg e • RECOR D OF NOTICE S To Consignee _ _ _ _ _ _ _ _ _ _ _ _ __ ___ To Shipper _ ____ ____ __ _ _ __ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. (OVE R ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE 01,' VIR G IN!;\, C OUNTY OF- - - - r - - - - -- - - - - ' ~~ l, - - - - - - - -~-__._._,....,,.....,-;.-,--~""--~- - - -, being duly sworn, uepose and say th at I am the consignee of a certain shipment ti[ ardent spirits , as specifi ed o,n other side of thi s fo,rm , this day delivered to me by the Southern Express Company, from _ _ ____________ ; that r~am not a ~tudent or minor, and, if a femal e , I am the head of a famil y; that the ard ent spi rits so r eceived by m e were brought into the State on my written order, and that I have not, within th e th jrty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me nre fo r m y own use, at my own hom e, and th at the said ardent spirits will not be used in viol ati on of law. Sworn to and subscribed before me , th i s-" _ day o~ - - -- - , 191_ . .,\~"tmt for S outhe rn Rxpre~s C0 111p:m y . �FORM 370•VA SOUT HERN EXPR ESS COM PANY ( lucorpor ated} SPEC IAL LIQU OR RECO RD Date 191 _ \ Kind of Ardent Spirits, _ _~"'" Way-Bill No,_ _ _ _ _O _ ~_ Am ou n Oate, _ _ _c..,__.:____ _ _ _ _ __ To Advnure a to Coll ect Affidavit No. 'I 191_ Weight 1- I lbs. From EXPRE SS CHARG- ES PREPA I D COLLEC T Add Onder cb11q; e RECO RD OF NOTIC ES To Consig nee ___ ___ __ _ _ _ _ __ To Shipper_ _ _ _ __ __ _ ___ ___ __ _ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE. (ov1m) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE S TATE Ol,' VIRGIN IA, COUNT Y OF - - - -- - -=--=-- =--'-" l, - - -- - -- - ~ - - - - - -- ~ - - - - -, l.Jeing duly s woru, uepose and say that I am the consig nee of a certain s hipm ent of aruent spirits, as specifi ed on other side of thi s form , this day ueliver ed tome by t he Southe rn Expres s Compa ny, from _ _ _ _ _ ____ _ _ __ _ ; t hat I am net a studen t or minor, and, if a femal e, I am the head of a family ; that the ardent spirits so receive d by me were brough t into the State on my written order, and 1ihat I have not, within th e thii·ty days previo us hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any place what soever , in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed :\farch 10, 1916, or contra ry to law , and that the ardent spirits so receive d by m e are for m y own use, at my own home, and th at the sa id ardent spirits will not be u sed in violatio n of Ja,L :-;worn to and subscr ibed before me, this _ _day o ~ - -- -- , 191_ , .•\1:11:mt for ~1111tJiern F.xpre~s Co 1111-.a11 ,r , �FoRM 370•V A SOUT HERN EXPR ESS COMP ANY (Inco rpo rat ed) LIQUO R Received at--,,--"-:+c...:::....:,c.__,_c.==--c, _ __-:-;-~ --'-- - Date RECO RD I 191 _1_ I Kind of Ardent Spi rits------,--l-"- '---~- - - =c:.:..;:;:c___-c---,----Amoun Way-Bill No.__,_i~, _,__ / ~ \- -~ -- ( Affi davit No. I' Consignee - -~ - - ---J'-- -l.!'-'--"c_.;...........::..:.::....=;;;c:,------ -- / Date _ _ _,---r--- - -- - - 10 1_ Weigh Fro m ...------,---=-=EXPRES ==~S .,,,.,.= ,.,,,. -~-- ,---- , CHARGE S To Advau("ee to Coll ect PREPAJ D COLLEC T A~d Unde rch arge RECOR D OF NOTIC ES To Consignee _ _ _ _ _ _ __ _ ___ To Ship per_ _ _ _ _ __ ____ _ _ _ _ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . (OVER) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STATE OP YIRGINI A, COUN'J.'Y OP _ __..!._...:___~ ~::..:_: ~~~-]/ 1, - - - - ~ - - - ' - , - -- ..;,-.pc.~J ,-+---'- ----~-- - -, being duly sworu, depose and say that I am sp c i6 ed on other s ide of thi s form , this day the consigu ee of delivere d to me by the Souther n Express Compan y, from _ _ -'--"'-- --_._- --'-"-~ - · t hat I am net a titudent or minor, and, if a femal e, I am the head of a famil y; that the a1·dent spirits so received by me were brought into the State on my writt en order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent sp iri ts so received by me are for m y own use, at my own home, and th at the said ardent sp irits will not be u sed in viol ati on of law . Swo rn to and subscr ibed be fo re me , .~---, --- , l !Jl _ . 'r ' J\ge ut fnr Sou thern F.x1n·e~s Corn rmny. �FOAM 370•VA SOUT HERN EXPR ESS COMP ANY (lncorpo rntcd) RECO RD · - - -- -- ~ 191_ Affi davit No_...::2. _ ::...:_____:1/:_ I Advnure s to Collect RECOR D OF NOTIC ES To Con sign ee _ __ _ _ To Shipper _ _ _ _ __ ___ __ _ _ _ _ _ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE: . (ov1rn) �AFFI DAV IT FOR ARD ENT SPIR ITS FOR 11..-,,t., PER SON AL USE T, • I, being duly s worn, ,lepos e and say that I am the cousi gnee of a cert aiu s hipm1ent of ardeu t spirit s, _a s J pecifi ed on ot her s id e of thi s form , this day deliv ered to me by the Sout hern Expre ss Com pany, from ti.mt I a m not 11 s tuden t or mino r, and, if a fema le, I am the head of a famil y; that tl!e ;.den t spirit s so r eceiv ed by me were broug ht into the State on my writt en order , and that I have ot, ithin th e thirty days previ ous heret o, receiv ed any arden t spirit s of any kind what soeve r, from any perso or from any pl ace whats oever , in exces s of t he quant ity allow ed by the provi sions of the Act of t he Gene ral Assem bly of Virgi nia, appro ved Marc h 10, 1916, or contr ary to law, and t hat the arden t spirit s so receiv ed by m e are for m y own use , at my own home , and that t he said arden t spirit s will not be used in violat ion of law . ,{_ / , /A.[ 7: ~, 1 ::;worn to and subsc ribed befor e me , thi s day of.- '\l,,,,.,,)c.:•=== -- .1\J,.ruut fur Sou thern J.: xpro:-:s Co tup."\n _r. 0 ""' ; �FORM 370•VA SOUT HERN EXPR ESS COMP ANY (lucorpo rate d) SPEC IAL LIQUO R1/, RECO RD I r l Rece_ived at•--=--- -----''----"------' ~--- - -- Date _ _____,__ _ _ _~_ 191 _ Consion ee _ --4/~v..,.....__.,.J:. ._1---=i..._,__r.+-J..-~= =-=,, --,~- To / r, Shipper_ _ _ _ __ _ __ _ __ _ _ _ __ _1· / ..ce;=-.,;c - ~ - - - Amoun L__,__. Date_ ~ ~~-+-.-___,___-= / _ 1./ _ _ _ 1!) 1_ - - - -~=~~~= #~ - - - - - - - - - From, __ -=--- -'--- ---.---- ----. ----- ----- -----.--, --,-- --.1' A d vnu ccs to Collt,c t _ EXPRES S CHARGE S P REPAJD COLLEC T t Add Oude r chargt: RECOR D OF' NOTIC ES To Consign ee _ _ _ _ _ __ 7 - - - -'- - - - -/ -· - - -- -- - - -- Kind of Ard ent Spirits _ __ _ .,__..,_.LL..-----'-"'--'=c....c' ---""- - -Way-Bill No,, _ _/' -"'--'-- - _ _ , Affidavit No._ __..d,::__--=-- _ _ _ __ To Sh ipper_ _ _ _ __ _ _ ___ _ _ _ _ __ AF'F'ID AVIT F'OR ARDEN T SPIRIT S F'OR PERSO NAL USE: . (OV!t R) �AFFtD AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE STATE 0~' VIRGIN IA, COUNT Y m·- -\,,.-- -~~ ~........... lv' °f, , being duly swo rn, uepose and say th at I am the consig nee of a cert a in s hi pme'nt or nrueut spirits , a:s specifi ed on oth er side of thi s fo1·m,,. this day \ . delive red to me by the South ern Expre ss Compa ny• from l 1 1,, • . , ; th at I a m not a studen t or minor , and, if a female , I am the head of a family ; that the arden t spir its so receiv ed by me were broug ht into th e State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from any pl ace whatso ever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed )farch 10, 1916, or contra ry to law, and that the ardent spirits so r eceive d by me are for m y own use, at my own home, and th at the said ardent sp irits will not be used in violati on of law. Sworn to and subscr ibed before me , i thi s_~ __day of'---'- "= = ~, 191 1 ~f t:ous i"u~e . . .•\ :.:~ ut for Southe rn F.x1wc.-.: s Compan y . �FORM 370• V A. SOUTH ERN EXPRES S COMPA NY (Incorpo rated) LIQ.,M R~ CORD l J91 b1L Received at __~ ~~c-T- - •....,._,...-,-~---1-- - Da~ - U f • Consig nee - - ~ ~~ ~ __._- -,c.-1- ~L ,!"!'_"'_"_"-_~_i,_-r_,(J._____ ____ ___ Affidavit No._ _,,@"'--_--'/'--- ~ _____ ___ _ Advnnces t o Coll ec t RECORD Of" NOTICES To Consignee ____ ____ _ __ _ __ __ _ To Shipper _____ _ _ __ _ _ __ _ _ _ _ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . (O VJIR ) �AFF IDA VIT FOP ARD ENT SPI RIT S FOR PER SON AL USE ~:::;:,v'~ -; ;U; w ~~ , I, bein g duly swor n, depo se and say the cons igne e of a certa in ship men that I am t of arde nt spiri ts, as spec ified on othe r side form , this day deliv ered to me by the Sout hern Expr ess Com pany , from -JQJ~ - '.& ~~~ J,., ~"" -~~ stud ent or mino r, and, if a fema le, I am the head of a fami ly; dent spiri ts so rece ived by me were brou ght in1io the Stat e on my wri1iten orde r, and 1.hat I have n t, ithin the thirt y days prev here to, rece ived any arde nt spiri ts ious of any kind what soev er, from any per or from any plac e what soev er, in exce ss of the quan tity allow ed by the prov ision s of 1.he Act of the Gene ral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to law, and 1.hat the arde nt spiri is so rece ived by me are for my own nse, at my own hom e, and that the said arde nt spiri1is will not be used in viola tion of law. I Conai1:nee. xpres s Comp any, �F'ORM 370• V A. SOU THE RN EXP RES S CO MP ANY ( Incor porated) l _ _Rece ived at _ + - - - - - --- -., ____ , Affidavit No. 2 7<1 I Way-Bill No.,- - - - - ~ ~ - To __ j - ~.4~ ~.':" t!'e~ ~!!!' .J.-. -L__ ::,.__ _ REC ORD OF NOT ICE S To Consign ee,_ __ _ _ _ __ _ _ __ _ _ __ To Shipper _ _ _,__ _ _ __ _ _ __ __ AFF IDAV IT FOR ARD ENT SPI RIT S FOR PER SON AL USE . (OV l<R ) _ _ �AFFI DAVI T FOP ARD ENT SPIR ITS FOR PERS ONA L USE I, - - - -~ - - - - - - -.......-'--'-- '---- --'----- , being duly sworn , depos e and say that the consig nee of a ceriai n shipm ent of arden I am t spirits , as spycified on other side of thi orm, this day delive red to me by the South ern Expre ss Comp any, from hat I am not a stude nt or minor , and, if a femal e, I am the head of a famil y; that the arde t spirit s so receiv ed by me were broug ht into the Siate on my writte n order, and that I have not, ,itjiin the thirty days· previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso oJ from any place whats oever , in exces s of the quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, appro ved March 10, 1916, or contra ry to law, and that 1;he arden t spiril s so receiv ed by me are for my own use, at my own home , and 1.hat the said arden t spirit s will not be used in violat ion of law. ,if /t1 &o ./) ~ Sworn to and subsc ribed before me, I thi s ___ day of __~"- -~ AKtlnt for Southe rn Expres s Compa ny. (_ 1 I J/l - ~ , ; i r;... �FORM 370•V A SOU THE RN EXP RES S COM PAN Y (Incor por ate d) SPE CIA L LIQ UOR Consign ee - - - -- --'-'=--.:._ =----::..cc::=-;;c -,-= =--= =-= Kind of Ard e~ t Spirit s__--+---- --=~ -~--Way-Bill No·- - ~ - -~ - -To REC ORD ---- --- ---- ---: ;--; ---- -- - - - -- -- - - - -- - -- -Am oun ~ __ __ __ __ __ Weioht_ _ _ lbs, 'J - - ~;r,-~'------- - - - 1912Advnu ree to Coll ect EXPR ESS CHAl tGES PR E PAI D REC ORD OF NOT ICES To Consign ee __ __ __ __ To Shipp er _ _ _ _ __ _ _ _ __ _ _ _ _ __ AFFI DAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . (OVKR ) �FOR ARDENT SPIRITS FOR - - - - -- ~ ---'+~~... 1,__~_ __ ., PERSONA L U SE being duly s woru, de pose and .say th at I a m pacifi ed on other ·side of thi s form , this day ~ ~ - - - -, spirits, as f f , ·; :i delivered to me by the Southern Express Company, from 0 < , {hat I a m ne t student or minor, and, if a femal e, I am the head of a family ; that the ard'e nt spirits so received by m e were brought into the State on my written order, and that I have not, within th e thi1·ty days p r evious heret o, r eceived any ardent spirits of any kind whatsoever, from any person or from any pl ace whatsoever, in excess of t he quant ity allowed by the provisions of the Act of t he General Assembly of Virginia, approved March 10, 1916, or contrary to la w, and that the ardent s pirit s so r ec eived by me are fo r m y own use , at my own hom e, and th at th e said a rd ent spirit s will not be nsed in violation o f Ja.w . S woru to a nd subsc ribed be fo re me , thi ~ ~ d ay o ~ - -- - - , 191_ ~ . ---=--~=, -- ----==-- _;\~fmt fo r S •m the rn Rxp1·e ~s Co mpn11 ,r . �FORM 370•VA SOUTH ERN EXPRE SS COMP ANY (lucor po rated) Affidavit No. Amount,_ A dvrmres to Col lect ~ ___,/~~G"-\-""..A:~·• "' I 7.,.. <.../ 1~1-f 'I. From_-4---1,----'--=-'-_:_-'--- -','---- , PREPAID Aad g ndercharg e RECOR D OF NOTICE S To Consig nee _ _ _ _ To Shipper _ _ _ ___ __ ___ _ _ _ _ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. (OVXR) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE l, - - - - ~- ~~P.------ir-.._ _~~~~~==--,~ - , being duly sworn, depose and say that I am the consignee of ati specified on other · side of tbis form, this day /J a 0 , .. delivered to me by the Southern Express Company, from I t; that I am not ~ titudent or minor, and, if a female, I am the head of a family; that the ardent spiri ts so received by me were brought into the State on my written order, and that I have not, with"n th e thirty days previous hereto, received any ardent spirits of any kind whatsqever, from any person r from any place whatsoever, in excess-of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved :March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own us e, at my own home, and th at the said ardent spirits will not be used in violation of law. :-:iworn to and subscribed before me, ,7 , 1911 . I ;\~~11t f,,r Sin1tl1ern F.:x 1>re~ s Con11,an.r. <..:ouSi6ru ee . �SOUTHERN EXPRESS COMPANY FORM 370•VA ( lucorpo rat.ed) VD L RECORD OF NOTICES To Consign ee _ _ _ _ _ __ _ _ _ _ To Shipper _ _ _ _ __ _ _ __ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL (OVE R) use:. �AFFID AVIT FOR ARDE NT SPIRI T S FOR PERS ONAL USE l, -----,,1 -~_,," ---""-- --'-'=~=-11"'- -~"'-'-= -'-''-'--- -"'-•:• being duly sworn, uepose and say that I am the consig nee sp citied on tlrnr side of thi s~ t his day deliver ed to me by the Southe rn Expres s Compa ny, from _ _ _ _ _-='- ._::--" +---"--" "-"~ ; that I am not a studen t or minor, and, if a fema le, I am the head of a family ; that the ardent ~pirits so receive d by me were brough t into t he State on my writt en order, and t hat I have not, within the thirty days previo us hereto, receive d any ardent spirits of any kind whatso ever, fro m any person o 1 ~om any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of t he Act of the Genera l .A:ssem bly of Virgin ia, approv ed March 10, 1916, or cont rary to law, and that the ardent spirits so receive d by me are for my own use , at my own home, and th at the said ardent spirits will not be used in violati on of Jaw. ::;worn to and ,· u scribed before me, �.- - - - - --- - - - -~ --- --- --~---- --- ----- - ----- ---- ---- -~FORM 370•VA Advn u r e e t o Col lec t RECORD OF NOTICES To Consignee _ _ _ _ _ __ _ ~ ___ To Shipper _ _ _ _ _ _ _ _ __ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE . (OVER ) �FOR ARD ENT SPIR ITS FOR PER SON AL USE Vrn Co u NTY m' _ .;,,..:_..__JL-.....,,=--.c:e.......:=-----S T A TE OE' de livere d to me by the South ern Expre ss Comp any , from (• ,; t hat I am not a 8tude nt or mino r, and, if a fema le , I am the head of a famil y ; th at the arde nt spi rits so received by me were broug ht i nto the State on my writte n order , and that I have not, withi n the thirty days previ ous heret o, r eceiv ed any ardent spirits of any kind whats oever , from any persoffor from any place whatsoever , in exces s of t he quan tity allow ed by the provi sions of the Act of the Gene r I Assem bly of V irgini a , appro ved ) farch 10, 1916, or contr ary to law, and t hat the arden t spirit s so receiv ed by m e are fo r m y own use , at my own home , and th at the sa id arden t spirit s will n ot be nsed in vi olati on of Jaw. ~ S wom to snd so~ th isL7 -,day of . /~~----,/2<--.CV·.__.J..=~---'--,ry:{'~"-L~ il,o; ~ofm· , ms, 1 , 1911. r~ ✓ -C, ,, . ..._ _ _;\ i.:u 11 t ti ~r Ri,ntl1 e rn F.x pro~s <..::o m11an y. -=-'-Cuu oi g u e e. �FORM 370•VA SOUTHE RN EXPRESS COMPAN Y (l ucorporute d) LIQUOR RECORD .Advouree to Collec t EXPRESS CHARGES PREPA ID Aad Onrle rcbarge RECORD OF" NOTICES To Consignee _____ ___ ~ ~ _ To Shipper _ _ _ _ __ ______ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE. (OVER) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR 7 ~::::::~~-~-IR_G .,_/_N _iLA -,£L•- =.:......=== I "1 ,1 4l PERSO NAL USE i A.~,: C / , /:.J , being duly sworu, depose and say that I am a ce rt ·u s hipm entt f r u.eut sp irits, as speeified on other ~ide Q.f this form, this day delivere d tome by the Souther n Express Compan y, from _ _ _____,~__,(_"'-/_ _ __.,__-'-'---- r--'- i ' hat I am net a student or minor, and, if a female , I am the head of a family ; th at the ardent spiri ts so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind what soever, from any person or from any place whatsoe ver, in excess .of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d ) farch 10, 1916, or contrary to law , and that the ardent sp irits so received by me a.re for my own use , nt my own home, and that th e said a rdent spirits will not be used in viol ation of law. f //. ' thi s ,, I .-\~~11t for Southern Rx1n•oss CoulJ)a11.r . - /" t ·'.// I / ~ { ?l �SOUTHE RN EXPRESS COMPAN Y FORM 370•VA (Incorpo rated) SPECIAL LIQUOR _. RECORD RECORD OF NOTICES To Consign ee _ _ _ _ _ _ __ To Shipper _ _ _ __ _ _____ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE:. - (ovx a) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE l, --+----.--~+c-----+-----"="'--.c.;.-"--1.~ ~ - - -- - - -, being duly s worn , de pose and say th at I am the cons ignee of a certaiu shipment of ardent spirits , as specifi ed on oth e r s id e of thi s form, this day delivered to me by the Southern Express Company, from J ; \bat I am not a student or minor, and, if a female, I am the head of a famil y; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from a ny place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gene al Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use , at "'' own homo, on d " ' ' tho ..,. o,dont spirit. '"?::,,ll;iolotio: will S worn to and subscribed before me, thi s ~ day o ~ - - -- - , 191_, _;\~1:mt fo r So uthern F.x in·e:--: s Com1,m1 y. S'L t : L' ou ~jr:uee. �FORM 370•V A SOU THE RN EXP RES S COM PAN Y (Inco rporate d) LIQ uoi, ; REC O ~ D Received al---:c.____..cc'-- -=-- =---- --'= '--'---'-,j ,__-- Date (./!--l. - -- - --- - ~ -- - 191; ! Amoun _ __ _ __ _ __ _ _ Weigh _ _ _~ lbs. - ~--'- -,---- ~'-' --- --- 19 1_ A dvnu res to Coll ect RECO RD OF NOTI CES l/__f_ _•_ Aff: avit No. _ _ I Fro m_~ -~ --'' -'---~ '-'---' --+• EXPR ESS C H ARGE S PRE PAID , To Consig ne e_ _ _ _ _ _ __ ___ _ To Shipper _ _ _ __ ___ ___ _ _ _ _ __ _ AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONA L (OVER ) use. �AFFIDAV IT FOR ARDENT SPIRITS FOR PERSONAL U S E--. 1, ~,,__ _.....,,,.._~~~~-·+--"~~~- - - - - - - being duly sworn, ilepo,;e and say that I am the cousi arileut spirits, a:; specified on other side of thi: fo m , this day delivered to me by the Southern Express Company, from / / - -~ ~ -- - ; ~iiat am net a :;tudent or minor, and, if a female, I am t he head of a family; that the ardent spirits so r eceived by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, fro m any person or from any place whatsoever, in excess of t he quantity allowed by the provisions of the Act of t he General Assembly of -Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for m y own use, at my own home, and tb itt the said ardent spirits will not be used in violation of law . Oousieu~e. �FORM 370•V A SOU THE RN EXP RESS COM PAN Y (lucorp oratud) SPE CIAL Affidav it Advaur es to Coll ect No.,_ ~_ .:./ ---'-----_7__ EXPRE SS CHARG ES PREPA ID COL L ECT RECO RD OF NOTI CES To Con sign ee _ ___ ___ ___ _ _ To Shipper _ _ _ _ ___ _ __ __ __ _ __ AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE . (OVJIR ) _ �A RDE NT SPIR ITS FOR l, - - - PER SO NA L USE --L."-',.J'----~ --'--P --'-4' """' _.__, ,,,__- +_ _ _ , being duly swor n, depose and say that I am o arden t spi_ri\s, as speci fied on oth~r sicle f th is form , this day deliv ered to me by the Sout hern Expr ess Comp any, from { / ( that I am not a ~tude nt or mino r, and, if a fema le, I am the head of a famil y; that the ard ~nt spiri ts so recei ved by me were brou ght into the S_tate on my writt en order , and that I have not, withi n the thirty days previ ou s heret o, recei ved any arden t spiri ts of any kind what soeve r, from any perso n or from any place what soeve r, in exces s of t he quan tity allow ed by the provi sions of the Act of the Gene ral Asse mbly of Virgi nia, appro ved Marc h 10, 1916, or contr ary to law, and t hat the arden t spiri ts so recei ved by me a.re for m y own use, at my own home , and that the sa id arden t spiri ts will not be used in viola tion of law. the consi gnee of a certa in shipm L l,_, ;-;worn to and subsc ·ibed b efore me , ; I <..::vusieu ~e . �-- ----- - - FORM 370•V A SOU THE RN EXP RES S COM PAN Y (Incor porated ) 2----o ,.7 Affidavit No. _ _ __ _ _ Advtrn res to Collect P REPA I D COLLE CT A~d Uuderc bo rgc RECO RD OF NOTI CES To Consignee ___ ___ ___ To Shipp er_ _ _ __ __ _ ___ _ __ _ __ _ AFFI DAVI T FOR ARDE NT SPIR ITS FOR PERS ONAL USE . (OVKR ) �ARDE NT SPIRI TS FOR PERSO NAL USE 1, --~-~ ~-~-~ --.'-- -''-t~ =---- --,--- ~--, being duly sworn, uepose and say th at I am the consign ee of a certain shipme nt o ,udent spirits, as specifie d on other side of thi s form , this day delivere d to me by the Southe rn Expres s Compan y , from __,/:-,. .(_--= ----=- -----'- -- i that I a m not a student or minor, and , if a femal e , I am the head of a famil y; that the ardent sp irits so r eceived by me were brough t into the State on my written order, and that I have not, within th e thirty days previou s hereto, receive d any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that the ardent spirits so r eceived by me are for my ow n use , at my own home, and th at the said ardent spirits will not be nsed in viol ation of Jaw. ::i worn to and subscri bed before me , I J thi s _._l._d ay o ~ - - - -- , 191_. .,\:,:tH 1t t'1, r Southe rn R~ 1n·e~s Com pan y. �SOUTHERN EXPRESS COMPANY FORM 370•VA (l uco rpo rated) LIQUOR Received at.~---~ :...i..t!:U:......,~ .L.,;.L."""~ +-+-~ ~ RECORD Date~'l -.....c:;.-- - - 191 _ Affidavit No., _ _ V, "--'-/_C/ __ Kind of Ardent Spirits _ _ _ _ I • From, ________ ___ _ Way-Bill No,, _ ---'-- ~ --=---- Date _ -=="''---"--"'-~ ------,-- - - 19 1_ To 1 ·•.· t Shipper I I / EXPRESS C H ARG ES Advoul"' e 8 to Co ll ect PR E PAI D I I COLLEC T I .Arld Uudc r cha rge I RECORD OF NOTICES To Consignee _ __ _ _ _ To Shipper_ _ _ __ _ _____ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OV!tR) �AFFIDAVIT FOR ARDENT SPIRITS FOR STATE OF YIRGINL~, COUN'l'Y OF ~ A I . L(...-t.,~ PERSONAL USE I h l, ) (, , ~-~=..-- ---- - , being duly sworn, depose and say that I am the consignee of a cert aiu s hipm J n.f of nnlent spirits, as s pecified on other Hie of thi s form , this day UJ (; (t,,..,..., - delivered to me by the Southern Express Company, from .5'+ that I a m not a student or minor, and, if a femal e, I am th e head of a family; that the~,IJ,l' - nt spirits so received by me were brought into the State on my written order, and that I have not l w· bin the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any pers or from any place whatsoever, in excess of the qua ntity allowed by the provisions of the Act of th e General Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me are for my own use, at my own home, and th at the sa id ard ent spirits wil ot be nsed in violafon of law : J :-,worn to and subscribed before me, th is ~ _day of_~- - - - , 191 _;\:.:;e 11t for ~outhern Rxprcss Compnny. ' J' .J' . Cuusieuee . �FORM 370•VA SOUT HER N EXPR ESS COM PANY ( Incorpo rat ed) RECO RD '-+----=----.Y<---,_/_,0=--- 191.1_ / Affidavit No._..:.._____:_:_----=-=-- I Consign ee - - --f~ .,__---!....:.___ -e.:::,..,._ ____c__.,__ ,_,__ _::;__!!E_c::,'-"£'- ------'L -.-- - - -/- i- - - - - -- -- Way-Bill No,_ _ / f't ; -<-- ' --;:___ __ '~ ~ ~ - - ~ - 19 1_ To - - -- "'---'---L.'._'..~ == ------ ''----=-_.,,,_,___ Shipp er____ _ __ _ _ _ _ _ _ _ _ _ __ ~ro~ / lbs. ~ al ~ }k EXPRE SS CHARG ES PRE PA ID Weich Add Unde r c harg e RECO RD Of' NOTIC ES To Consign ee _ _ _ _ __ _ _ To Shipper _ _ __ __ __ ___ _ _ _ _ __ Af'f'ID AVIT f'OR ARDE NT SPIRI TS f'OR PERS ONAL (OVER) use. �AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE STAT E OP VIRG rNi A, COUN TY Ot'- ---#---.--_!___~ ~ ~ ~ ~ ~ I . l1,.,f u ( l . r, I -'! • ' being duly swor n, depo se and say that I am the consi gnee of a cert ain shipm ent oC arden t spirit s, as spz ified on other sid of thi s form , this day deliv ered to me by the Sout hern Expr ess Comp any, from _-+ -- - - ' • · that I am not a stude nt or mino r, and, if a fema le, I am the head of a famil y; that the arden t spiri ts so ·ecei ved by me were brou ght into the State on my writt en order , and i hat I have not, withi n th e thirty ays previ ous heret o, received any arden t spiri ts of any kind what soeve r, from any perso n or from any place what soeve r, in exces s of the quan tity allow ed by the provi sions of the Act of the Gene ral Asse mbly of Virgi nia, appro v ed lfarc h 10, 1916, or contr ary t o law, and that t he arden t spirit s so recei ved by me a.re for my own use, at my own home , and that the said ard ent spiri ts will noi be used in viola t ion of law. ~ worn to and subsc ribed befor e me, thi s -7'-_ _ RY of- <~l__.,.1__ , { _;\~1;,ut 191 _. I • f I J fnr South e rn F.xvre ~s Co mpa11y . �FORM 370•VA SOU THER N EXPR ESS COM PAN Y (lucorp o roted) SPEC IAL LIQU OR Kind of Ard en' t Spirits, __--=---:::.__.-,= - - -~ -- - - -- Arnoun ~ - - - - - - - - - - 1 Way-Bill No,- - - ~ -- - -To ~ -- .'._'.._.'...c::....,:_=--::____~ RECO RD '- ---"- '-- -- - -- - 1n1 _ _ ___,__ r:_ __ Advnur ea t o Colltict EXPRE SS CHARG ES P RE PAID COLLE CT eA~d Uudercb a rge RECO RD OF NOTIC ES To Consignee _ ___ ___ ____ ___ ___ __ To Shipper _ ___ __ _ _ ___ ___ ___ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE . (OV ER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OP VIRGINIA, COUNTY OF- - - - -- -~~-- T, - - -- - - - - - ~ - - - - -- - - - - - -, being duly sworn, t.lepose and say th at I am the consignee of a certain shipment of nr<lent tipiritti, ati specified on ot!Jer side of this form, this day delivered to me by the Southern Express Company, from _ ________ _____ ; tha I am not a titudent or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my writt en order, and t hat I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of t he General Assembly of Virginia, approved March 10, 1916, or contrary to law, and t hat the ardent spiri t s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. :-:iworu .to and subscribed before me, �FORM 370•V A SOU THE RN EXP RES S COM PAN Y ( luco rpornt ed) SPE CIA L LIQ UOR Received a,t._--'/ 4? --'--'-----"-'--'-C...-'-------""-- •- --+-- -Consi gnee - -..., .L-- - ' -='-'- --''--c _~-----=:... ? REC ORD Date. __ __ __ __ l 91_ I ::...__ _ _ _ _ _ _ _ _ __ Kind of Arden t Spirits _ __ 4 Affidavit No.,_ _____:....=__ _ _ _ _ _ _ _ _ _ _ __ /r.: ~-,~~, -==-- -.=..c:---=-'-- -- -Am oun c___ _ _ _J ---' Way-Bill No . ~ ~ -- --- '-'~ ~- To _ __ _ ____1:~~':'.::- -- ...: :;_ Shipp er _ _ __ _ _,... ~ -+__,;::;'~...;;-" --r . ~~--- , '----" ' - ---"- -'=-'- ---- I EXPR ESS CHAR GES Adva ure e to Collec t PREP AJD I I REC ORD OF NOT ICES To Consignee _ __ _ _ _ __ COLL E C T {\ ~ I To Shipp er__ __ __ __ ___ AFFI DAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . (OVER) _ __ ----· Weigh t_ _I _ _ lbs. Arld O~d e r c bn.rg~ I _ _ _ _ __ �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE STATE 0~' VIRGINIA, COUNTY Ot'- -- - , - - -----'--'---"'c.e.._ - l, - -- - - ---"-'-'s=~---'----'----- -'--'--~-----'"--- --- , ueing duly sworn, depose and say that I am th e eousignee of a eertain shipment of ardeut spirits, as speci6 ed on other side of this form, thi s day delivered to me by the Southern Express Company, from _ ~ - - - - - · - - - - - - ~ i that I am not a student or minor, and, if a fe mal e, I am the head of a fami ly; that the ardent spirits ~o received by me were brought into the State on my written order, and t hat I have not, within the ,thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law, S woru fo and subscribed before m e, this _ _ day of Jr , 191_. _.\~tmt for.- Sou thern F.xpross Co1111,a11 y . �f'ORM 370• VA SOU THE RN EXP RES S CO MP ANY ( luco rpo ratcd) SPE CIA L LIQ UO R REC OR D Kind of Ard ent Spirits _ _ _ Way-Bill No·- -- ~-'---- - - -Date·_ _ _~-'- ---- - -- - To - - - -- - ~- - - --- - - -- - - Shipp er _ __ _ __ _ __ _ _ _ _ _ __ _ _ Advu nces to Coll ect PREP .AID COLLECT A dd Ourlc r c barg e REC ORD OF NOT ICE S To Consignee __ __ __ __ __ __ __ __ __ To Shipp er _ __ _____ _ __ _ _ _ ___ _ AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . (ov n ) �AFFIDAV I T FOR ARDENT SPIRITS .FOR PERSONAL USE S T A TE OF VIRG INIA , Cou N·r v OF-~ -- - -- - -~ = r, ---,'----'~ = ~=--- - th e consign ee of being duly sworn , <l epose and say that I am ar<l eut spirits, as specified on other side of thi s form , this day +------'---------"'--~ , <l elivered to me by the Southern Express Company, from _ _ ~-'--"~-=-----=--"----''--"-_,_-"--_ ; that I am not a student or m inor, and, if a femal e, I am the head of a famil y; th at the ard ent spi rits so r eceived by m e were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the qu !;J,nt ity alloweii by the provisions of t he Act of the Gener al Assembly of Virginia, approved March 10, 1916, or contrary t o law, and t hat t he ardent spirits so r eceived by me :ne fo r my own use, at my own hom e , and th at the said a rdent spirits will not be nsed in violati on of law. ~wo rn to and subscribed before me , t his ~ _ day o~- -- -- , 191_ , .,.\~c11 t for Sonth e J' n F. x 11r e~s Conipn11 y . C..: ousie:uce. �SOUTH ERN EXPRES S COMPA NY ; ( 111 FORM 370•VA c o r po rntt!d ) SPECIA L LIQUOR "J RECOR D _ __ ____ Date v' I ___:_,.,,_ 19 1 Affidavit No. l ' -- - L - - - - - ' c . . . i . ._ _ _ _ ·-- ~ ~ - !~!Arlvn n res t o RECORD OF NOTICES To Consignee . I 1-1 7-. _ lbs. From-= C=----'---'-~-'-- - ~ ~~ EX P R E SS CHARGES - i -Co l lect Shipper WeiahL P im P AIi} I _ To Shipper_ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL Add U 1uten·btt ri,;c COLLE C T use. �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ) · STATE OF VIRGINI{ , COUNTY O F - - - - - - ' - - "- "---''----~ l, - - - -~ - -- -- - - -"---- - - - - -- , being duly sworn, depose and say that I am the consignee of a certain shipment of ardef t spirits, as specified on other side of this form, this day ·delivered to me by the Southern Express Company, from ' ; that I am net a student or minor, and, if a female, I am the head of a family; that the ardent spirits o received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any p~rson or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of Jaw. Sworn to and subscribed before me, ,- this _ __ day OLf---==---'-- - , 191_. I Aeeut for Southern Express Company. Consienee. �SOUTHERN EXPRESS COMPANY FORM 370•VA ( Incorporated) RECORD Affidavit No. _ _ _ _ Adveu re e to Co ll ec t EXPRESS CHARGES PREPAID COLLECT __c,/_ Add Oude r c bttrge RECORD OF NOTICES To Consignee _ _ _ _ _ _ __ ~- _ To Shipper_ _ _ __ ______ __ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . I (ovxa) �AFFI DAV IT FOR ARD ENT SPIR ITS FOR STAT E o~• PER SON AL USE VIRG INIA, COUN 'l'Y OF- - - - --'-- -'--'== .:.---r" v,_' -_ I, - - -~~ -~- -~-+ ~ - -- - - - - -, being duly sworn , t.lepos e and say that I am the consi gnee of a certa in s hipm ent of arden t_spirit :;, a:; specif ied on oth er side of this form , this day deliv ered tome by the South ern Expre ss Comp any, from _ _ _ _ _ __ ___ ___ __ ; that I am not a stude nt or mino r, and, if a femal e , I am the head of a famil y; that the arden t spirit s so r eceiv ed by me were broug ht into the State on my writt en order , and that I have not, withi n the thirty days previ ous heret o, receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quan tity allow ed by the provi sions of the Act of the Gene ral Assem bly of Virgi nia, appro ved :\'.[arch 10, 1916, or contr ary to law, and that the arden t s pirits so receiv ed by me are for my own use , at my own home , and th at the sa id arden t spirit s will not be used in violat ion of law. S worn to and subsc ribed befor e me , -=::---__,,........,__ __~ -~ -~ -- thi s ___ day o ~ - - - -- , 191_ . J\~t:lllt for Southe r n F.x1n-e~s Comr,: rny. - ---1. --::~ -~-fl l /' I ~vm:,ji=.uee . �FORM 370•VA SOUT HERN EXPRE SS COMP ANY (lnco rporuted) LiQUO R RECO RD ~ .tf? Received at._,/"'---=--='-'-'---'c...::c=--='--'-"--'---.,..L-----"----- Date Consionee - - -+--<f-- '-'----"--' '--+-"'--" "~~ ~ , c _ - ~ ~ ~-·_ I! 191 _ Affidavit No,, _ __,,-=------'----- _,_(_ _ _ (;/}_ _~ - - - - - - -- - -- Way-Bill No ., _ ~ ~ ~ ~--+ --To - - - ---'"'---"-c-'-i---"----'"'--'=-- - - - - - - - - Advourel!I to Collect EXPRESS CHARGE S COLLECT Add Undercha rge RECOR D OF NOTICE S To Consigne e ____ ____ ____ ____ __ To Shipper ___ ___ ___ ___ __ _ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. (OVER) ;- �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE S TA'l'E OE' YIR GINI.} , CouNTY m'_-~l~ l~ -~="" -'...-~' --V-'- - J, , - - - - - -.+-- ---, being duly sworn, depose and say that I am the consig11ee of a certain shipm ent of ardent spirits , as sp cified on other side of tbi s form , this day deliver ed to me by the Southe rn Expres s Compa ny, from V .. ; {hat I am not a studen t or minor, and, if a femal e , I am the head of a famil y ; th at the ardent spirits so r eceive d by me were brough t into the State on my written order, and that I h ave not, wi h in the thirty days previo us hereto, receive d any ardent spirits of any kind whatso ever, from any persoi r from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed )farch 10, 1916, or contra ry to law, and that the ardent spirits so receive d by me· are fo r m y own use , at my own hom e, and th at the said ardent spirits will not be used in violati on of law. ~ ,vo rn to and subscr ibed before me , this ) ~ 1 d s y oL~ , 191 <-t,. U om;i(,!ui:,e. �~~--~~------------,--r-- --r-- --- ---- --- - ·- - --- --- ------ -----FORM 370•VA SOUT HERN EXPR ESS COM PANY ( Incorpor ntcd) SPEC IAL LIQU OR Consign ee RECO RD - - - ---'~--'-o~ ~--'~- -~~ ~-= --~ ---- Kind of Arderit Spi rits- . & ~.,___ _ _ __ ---- ----- - - - - -- - -- _ __ Am oun .__ _ _ _ _ _ _ _ _-'-Weioh ~ - ~ - · lbs. Way-Bill No. -,,-,'-- ----"-/ _,_,' ---To - - ~ ---=c'- "'~--1,. '-'--"~= - ~ - r - ~ , - -- - .Advnur es to Collect PREPAI D Add Onrlc r cburgc RECO RD OF NOTIC ES To Consignee _ _ _ _ _ _ __ _ _ _ _ _ To Shipper_ _ _ _ __ _ _ ___ _ _ _ _ __ AFFID AVIT F'OR ARDE NT SPIRI TS F'OR PERSO NAL USE. (OVER) �.. ..,. ,. AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE STATE Ok' VIRGIN IA, COU N'l'Y QF _ _ _ _ _---=.-=-:=::..=......,:'--'l.,. r, - - - ---~~----"-,, , being duly s woru, t.lepose and say that I am the cousigu ee of a certa i u s hipm ent o( art.leut spirits, as s pecifi ed on otl\er s id e of thi s form , this day delivere d to me by the Southe rn Expres s Compan y, from _ _ _ _ _ _ _ _ _ _ _ _ _~ ; that I a m not a student or minor, and, if a femal e , I am the head of a fami ly; that the ardent s pirits so r eceived by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatsoe ver, from any person or from any pl ace whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approv ed 1farch 10, 1916, or contrar y to law, and that the ardent spiri ts so receive d by m e a re for my own u se, at my own home, and th at the s aid ardent spi rits will not be n sed in violatio n of la,c :-i worn to and subscri bed before m e, thi s ___ day of1___ _:::=-'- -, 191_ . .,\~e 11t for Southern Bx1wo!-;s Company . �/ 1_ [_ !. ��FORM 370•VA SOUTH ERN EXPRE SS COMP ANY ( Inco rporated} LIQUO R -1,<~:.....::.~-'--'--"'----.'...=.!:...._._;c...,,c...__~ - Date, _ _ RECO RD 4-/_ _ _ _ l 91_.l_ L_----"= --lbs. 4.. Advnures to Collec, RECOR D OF NOTICE S To Consignee ___ ___ __ ___ __ To Shipper _ _ _ _ ___ _ ___ _ _ _ _ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . (OVIIR) �AFF DAVIT FOR ARDENT SPIRITS FOR PERSON AL USE 1, J / , being duly sworn, depose and say that I am the consignee__of a certaiu shipm nt of ardent spirits, a:s? s ,ecified on other si of this form, this day ' { J ; delivered to me by the Southern Express Company, from ( ~ (,j _ t that, I am not a student or minor, and, if a female , I am the head of a fami ly; that the ara J nt spirits so received by me were brought into t he State on my written order, and that I have no , wi~in the thirty days previous hereto,.received any ardent spirits of any k ind whatsoeve r, from any person efr from any place whatsoeve r, in excess of t he quant ity allowed by the provisions of the Act of the General Assembly of Virginia, approved ~farch 10, 1916, or contrary to law, and that t he ardent spirits so received by me are for my own use, at my own home, and th at the said ardent spirits will not be n sed in violation of law. !::i worn to and subscri ed before m e, j c; thi s + day of ' I , , 191_ . 0 I .,\~fj1 1t f'1,r ~outher11 F.x 1n·e:-;s Cornvan.r. �SOUTHERN EXPRESS COMPANY FORM 370•VA (Inco rporate d) ___ J,o Affidavit No. ___ Consign ee - - - -VCLL--'--~~L__--,"=-+"¥"""-""--' '-='77'~---L_------.--- Kind of Ard ent Spirits _ __ _~~~~-~~-4- -- -Amount._ /_~(S). . .___~-+I----- 4 Advnu,es to Collec t RECORD OF NOTICES To Consignee ____________ _ __ _ To Shipper_ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVl<R) - -- - -- -- lbs. �A F- DAVIT FOR ARDENT SPIRITS FOR STATE PERSONAL us ~ - o~· Yrn COUNTY O~'-il_~'.':.!,~:Z,~ ~ ~ ~ / _ _..=L-J...Jc+;.-i----,1e>;a""°',.._.t-L = " + - ' - - - - - , being duly sworn, depose and say th at I am as specified on other side of thi s form , this day delivered to me by the Southern Express Jiompany, from _ _ __ _ __ ~ - - - - - - i that I am not a student or m inor, and, if a femal e , I a!rl1the head of a family; th at the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thi1·ty days previous hereto, received any ardent spirits of any kind what soever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved )farch 10, 1916, or contrary to law, and that t he ardent s pirits so received by me are for m y own use, at my own home, and that the said a rdent spirits will not be used in violatiop of law . ~A,v(,,_ Swo rn to and subscribed before me, th isl L/-day of ~ 1r~ 1/ , 191} , ' ,~ .. , '•" S ......... ~ ~OmM.. > ------;;;;::- �-- -- -- -- -- --- -- -------- -- -- -FORM 370• VA ---~ SOU THE RN EXP RES S CO MP ANY ( Incor porat ed) Received-at Consignee /{;J ~ -..-,--•" LIQ UO R REC OR D Date '/.r 191-lAmoun Way-Bill No'- '--' --~ -~ ~ -To I - -~ ~~ ~~ ~-_!~ ~- -__ :__ Advau r-ea to Colle ct / Affidavit No /I 191_'_ From (£_ PRE P A ID Weich 2....J J lbs. ~d Unde r charg e REC ORD O f' N OTI CES To Consio nee __ __ __ __ __ __ __ ___ To Ship per_ _ _ _ __ __ ___ _ _ _ _ __ _ Af'f' IDA VIT f'OR ARD ENT SPIR ITS f'OR PER SON AL USE . (OVE R) �AFFIDA V-I T FOR ARDENT SPIRITS FOR PERSON AL USE S T A TE OE' V IRGINIA, C OU NTY Ob'----'--- ----'--=-= =-..:-=__..=- l , - - - - -- ----'-- ------- '------ ---, being duly sworn, depose and say that I am the consignee of a certain shipment of a rdent tip irits, a~ s ~ecified on other side of th is form , this day delivered to me by the Southern Express Company, from ./ ' ; t hat I a m not a titudent or minor, and, if a fe male , I am the head of a fami ly ; that the ard ent spi r its so r eceived by me were brought into the State-on my written order, and th at I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoeve r, fro m any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of th e Gen eral Assembly of Virginia, approved )farch 10, 1916, or cont rary to law, and that the ardent spirits so r eceived by me are fo r m y own use, at my own hom e, and th at th e said ardent spirits will not be used in violat ion oflaw. ld:vi :::i worn to and subscribed befor e m e, th is __l.,_day of , 101--J-. dt Cv a:Az t· �~--~-~--------- ---------~-------- -~--SOUTHERN EXPRESS COMPANY FORM 370•VA (l uco r p o ru t ed} SPECIAL LIQUOR Received at-l.---1--=-=-'--'-'-_:_=--==c::_____ _L--_ _ _ Date \ RECORD ¥-., )_- 1 1 ? I 191 _2 Affidavit No. )/ J--- Consionee - - - -- +'----=c==-=---"-=c::----- - - ---+f- - --=-' --.- -- - -- - - -- - . - ,rJ j •- Kind of Ardent Spirits - -- - ~- -- -=---='-=-cc-- -- -Amoun - - ~ - -- - -- - Way-Bill No.~_-'--'~-~ - - -Date - - ~ ~ ~ r,--+--__,(~ ~r_ _ TQ 1_1_ I To -~,,_- -c--- - ~ ~ -----;r------@ =- Shipper _ _ -=---=--'--=-4-='---"--"'--- Advnuces to Collect ~ ~I - - lbs. From_--+t_,1bo---'----'-'-----'-I--L,('h--t~ ~•~ EXPRESS CHARGES PREPAID _,._-__.__,--,-c.,~ - - - - ' RECORD Or NOTICES To Consign ee _____________~ - - - - To Shipp er _ ___________ __ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �F"F"I DAVI T F"OR ARD ENT SPI RITS F"OR PER SON AL U S I;. - - ~+- ~-~- -~ ~-- ~-- ---- ~ - -, being duly swor n, depose and say that I am a certa in shipme 1t ·of nrdeu t spirit s, a:; speci fied on oth er side of t his fo1·m , this day 1 deliv ered to me by the South ern Expr ess Comp any, _from { f ; th at I a m not a stude nt or mino r, and, if a fema le , I am the head of a famil y ; t hat tlie arden spiri ts so recei ved by me were broug ht into the State on my writt en order , and that I have not, with ~ th e thi~·ty days p revio us heret o, recei ved any ardent spiri ts of any kind what soeve r, from any perso n ori''l'o m any place what soeve r, in exces s of t he quan t ity allow ed by the provi sions of the Act of the Gene ral Asse mbly of Virg inia, appro ved ?lfarch 10, 1916, or cont rary to law, and t hat t he arden t spiri ts so r eceiv ed by me are for my own use, at my own home , and th at the said ard ent spiri ts will not be nsed in violat ion of law. f ~wor n to and subsc ribed befor e me, .Uv usi ~uee. , t h i~_j __dR.y of_ _ _ _ _ , 191_ ' , _;\:.!~ li t fo r S 1111 tli e n1 Expl'e ss Co ml):Ul Y, �FORM 370•V A. SOUTH ERN EXPRE SS COMPA NY ( Inco rporated) SPECIA L LIQUO R Rece ived at -"---'--'--'-=__,,_.'---=--'---"-"-"CO..-,, . •1 Consignee ,71 Kind of Ard ent Spirits. _ _ _ _.c...::c._ Way-Bill To NnY / V tZ3'. S' .-'---,F---JL -~ - Date RECOR D I J-J / I. ..,__ _ _ __ _ __ _ __ {~ - - -- - - - - - - -- - __ __:_---i .~--- - - Am oun c__ _. !j'---J. -'-'-__;. '----Weigh c_.-...___ lbs. ---F----"'---"'-=-'.,__ _::...__t __ Advnncea t o Coll ect J91 _ 1 from -L/....:l:_'~ O__, '--L=---,-=-_., .,c_. ....:te0c_--=-- EXPRESS CHARGES l'UEPAID . Add _, Undercharg e RECORD OF NOTICE S To Consignee _ _ _ _ _ _ __ __ __ _ _ __ _ To Shipper _ _ _ _ __ __ _ _ _ _ __ _ _ _ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . (OVllR ) �V1T FOP ARD ENT SPIR ITS FOR j ,· PERS ONA L USE f (';I, - -= ~-"-+--"'---'"""'"""=,._-+----'' - - - - - - - - , being duly sworn , depos e and say that I am the consig nee of arden t spirits , as : ecified l ;~o-ther side of this form, this day delive red tome by the South ern Expre ss Comp any, from ~ --~ t,. • that I am not a stude nt or minor , and, if a femal e, I am the head of a family ; that the artlen t spirit s so receiv ed by me were broug ht into the Siate on my writte n order, and that I have n t, V11ithin the thirty days previo us hereto , receiv ed any arden1; spirit s of any kind whats oever , from any perso n r from any place whalisoever, in exces s of the quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, appro ved March 10, 1916, or contra ry to law, and 1;hat the arden t spirii s so receiv ed by me are for my own use, at my own home , and that the said arden t spirit s will not be used in violat ion of law. Con.ai2nee. A1:ent for Southe rn Expres s Compa ny. �F'OIIM 370-V A. Revise d -J une, 1918- SOU THE RN EXP RES S COM PAN Y ( I ncorpor ated) P. 0. Address RECO RD OF NOTIC ES To Consignee To Shipper (OVJ:B. . �. STATE o~ v iiwrnt+, , COUNTY OF ,, ,,. ;' r. _t d(.' &. {,. ~ ' (~,~ ·1} {J.. 1...J..+ v .;),:.._ , I, -,, f"-·~ being duly sworn, depo~e and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day --"J !• /i / t) "'el. .e,., to.. .&'?. delivered to me by the Southern Express Company, from ~ h, !{ that I am not a student or minor, and, if a female, I am the head of a fakily; that the ardent spin'\s so.received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used ' Q, { :'lt'~~ 4, by me (or J • . (,-•.,t ~ - )-.. purposes at my own home, and in con- (State wether for Scientific~SaeramenJi, Medicinal or Mechanical) formity with law. ' Itn. Con sicn le. Sworn to and subscribed before me, this4 day of cc-:f-.. ' 191ff. <' ~t-; kf . J Aeent for Southern Express Conu,aey. �J 7 •, . . 7 ALDHIZER & SON THE DOWN-TO-DATE DRUGGISTS BROADWAY, VIRGINIA Office Address _ Retistry No. ___ . t;-:_. __7- ' �... �F'ORM 370-VA . Revised June, 1917 SOUT HERN EXPR ESS COM PANY l 14 7 Advances to Collect COLL"ECT lJuderc harge To Shipper _ __ _ _ _ _ _ _ _ _ _ _ _ __ (ov1rn) �COUNTY 1, -~-'!!!:__~ ~~~~J __!___~L~ ~~~ ~ ~ ~~~f. being duly sworn, depose and say that I am irits, as specified on other side of this form, thi s day the consignee of delivered to me by the Southern Ezpress Company, from · ~ /~ " ' ; that I am not a student or minor, and, if a female , I am the head of a family; that thii~rdent spirits so received by m e were brought into th e S tate on my written order, and that I h ave no( within the thirty days previous hereto, rEceived any ardent spirits of any kind wh at soever, from any person or from any place what soever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia , approved March -10, 1916, or contrary to ..J.aw, and th at the ardent spirits so r eceived by me are to be used by me for- - ~- - - - - - ~ - ~ - - ~~ ~ - - - - - -- - Purposes . (S tate whether fo r S cientific , S acramenta l, ~ edicinal or Mecha nical) Co ns i2nee . 911-9 7 Agen t for South ern Ex i,ress Company. �G. S. H . H.ALDHIZ ER.,PH. G . ALDHIZER ALD HIZE H & SON THE-DOW N-TO-DA TE-DRUG GISTS Tlte 3l~ 2t Store BROAD" WAY, VA. March lst-191 7. St ate of Virgin ia, County of Roeking hamt o-wit: I, J . J. Pennyb acker, a notary pu blic in and f or the county of Rockingham,in the State of Virgin ia, do certify that H. H. A ldhize r of of the firm of AAdhiz er & Son,did this day person ally app ear before me and make affida vit that they had 191 Fluidou nces of Alcoho l o n hand on Feb. l at 1917 and that they receive d during Februa ry 1917 , 608 Fluidou nces of Alcoho l and that they used during Februa r y 267 Fl uidoun ces of Alcoho l ,leavin g 532 F1uidou nces of ilcoho l on hand March lst - 1917 . My commiss ion expires Nov. 28th• l920 . Given unde r my hand, this ls \ • • �,. • . • � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 02 Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Broadway in Rockingham County Virginia for personal use. Subject The topic of the resource affidavits ardent spirits personal use broadway virginia Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Date A point or period of time associated with an event in the lifecycle of the resource 1917 1918 Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (<a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a>) Identifier An unambiguous reference to the resource within a given context RcPr-box10-038 Format The file format, physical medium, or dimensions of the resource PDF Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Spatial Coverage Spatial characteristics of the resource. Broadway, Virginia https://omeka.lib.jmu.edu/erp/files/original/10db995b31212efc98d080570b8e6553.pdf 0f11a36bb8d59e04173488a512724e46 PDF Text Text DELIVERY FOR M 6 1 ADAMS EXPRESS To Consignee _ _ _ _ _ _ _ _ _ _ _ _ __ _ AFFIDAVIT FOR COMPANY ' To Shipper _ _ __ _ _ __ __ _ _ _ __ DRUGGIST AND HOTEL MANAGER ?·.!,.:J' :: .....,... .I ... �---- ------ --- ---- - --- -- ---- --- .-- --- --- -- --- -----AFFID AVIT FOR DRUG GIST AND HOTE L MANA GER '-. --,..--""-'-l'-"",._.....,.,£.-...,_--'-'i.,.J'- "'4~i. ,,,ll~l ,q-.--- • being duly sworn, depose , and say that I _ . . . _-:--"-....,"'-':;;;1-, ~..,_.,,,_e,e_; that I am am the consig nee of a certain shipm ent of rdent / of this form, this day receiv ed by me t ~ Virgin ia, throug h the Adams E xpress Compa ny, fro ( , _ _,-- ,.. ~ •the brandy : whiskey, wine or beer, pure fruit or grain or ethyl alcoho inclu in the said shipm ent is to be sold, dispen sed or used by me accord ing to the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916. Sworn to and subscr ibed ~efore me, this -/-ff-d ay of ·-,;;,. I. ~ , 191-zr,. -f- 1/: i ( ,r b~~-,_ r Adams Express Compan y. Consign ee. �DELIVERY FORM 60 ADAMS EXPRESS COMPAN Y AFFIDAV IT FOR ARDENT SPIRITS~ OR PERSON AL USE. -. . (pVER ) �.,. FOR PERSONAL USE I, ---r.,"---- ----------::r-"-- -- - - - - , being duly sworn, epose and say that I am ee of n certain shi~ nt of ardent spirits, as spe<tffi)ld_..o~ ~ ~ · of this form, this day the con ~- - - - - r ' - - - - - - - ; that I am not a delivered to me by the Adams Express Company, from_ student or minor, and, if a f emale, I am the head of a family ; that e ardent spirits so received t .:.,,me were brought into the State on my writt en order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev'er, from any person or from any place whatsoever, in excess of t he quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, and that the ·ardent spirits so received by me are for my own use, at my own home,- ar_id that the said arde~spirits will not be used in violation of law. . '), 11,~ ~ ' Sworn to and s u ~ e f o r e me, t hi~Lday of . rf7 , 191 " .._____. .:. . ::..-~----------='-------,. Consignee. �DEL I VERY FORM 60 EXPRESS COMPANY Received_ -.H-- -,,~h,..._-----:A-----l-- ~~'-- 'r'Y'...,-#-- +_,,,__ _ 1912 . .. :... .1 Affidavit-- ~-~'.: ~ , Add Undercharge , To Shippe r AFFIDAVl"l'. FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) '. �ARDENT SPIRITS FOR PERSON AL USE ,__ , ,,,,,,_..,... x·· _ _.,~ - - - - -- ~ - - - - - ~ - - - - - - , being duly sw rn, depose and say that I am ardent spirits, as s ifi d o ~her side_f ~"?rm , this day delivered to me by the Adams Express Company, fr._, ,._~--"" ------ -~;7h at I am not a student or minor, and, if a female, I am the head of a family; at the ardent spirits so received oy _ ,_ were brought into the State on my written order, and that ave not, within the thirty days prevfous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, ·or contrary to law, _a,nd that the arden spirits so received bY,-me are for my own use, at my own home, and that the id ill not )1e usea.in ion of law. Jf1.JPJ-spi · , -✓ y,r.., .,,. .... Sworn to and s u b s ~ o r e me, thisad ay of . , 1'1}-f-~- - /'-- /4 (' 11A~;,;t;-~ ~ / /"/ . -j ~ f . .,, I' ,,.. - -, I />;"" ,,- )( . �------ --ADAMS EXPRESS COMPANY DELIVERY FORM 60 Received~ ~ .,} Consignee ____ _____c_~~~;;:_:~~;..:.:';a.?iar.-~~- -----:,7,1Sl/ C-- -----;-- Adv3ncee to Collect :! To Consignee ________ ______-.~. -12.. Shipper ________ _______ _ AF.f!q~VIT FOR ARl)ENT. S ~ IRITS FOR PERSONAL USE: ..---- -- •_..,,-. - -... , I. _,,,., ... .___ -,;.'"- (OVER} "'"'. �AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE I, - - - -- - - - -- - - - - - - - - - - , being duly sworn, depose and say that I am the_.c onsignee of a certain shipment of ardent spirits, as ~e.c ~ other side of this form,, this day delivered to me by the Adams Express Company, from______ r v -_ · _- _ _ _ _ _ _ ;that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceive(i_.iy me were brought into the State on my written or,der, apd that I have not, within t he thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ar;~ir its so. received by me are for my own use, at my own home, and that the said a ~ ; ~ ~ t i o n of law. Consignee. gent for Adams Express Company. �DEL~V~RY FORM 60 Affidavit No. _J-:-{, 191 , Advances to Collect EXPRESS CHARGES To Consignee __________ ______ _ To Shipper ______ _______ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS fOR PERSONAL USE. - ----------...__ (_OVER ) �SwoJ thi,1 . ' and sub~d-hi,o.re ml-, ., day o f ~ l 9 1 " [ ~ -·, r··n.J.--<t.-V r Ada m s Expre ss Company. . , �DELtVi=:RY FORM 60 ADAMS EXPRESS COMPANY Affidavit No,£,_J_ P REPAID To S hipper AFFIDAVIT FOR ARO.ENT SPIRIT$ f:,OR PERSONAL USE. tyA4 ___ ( OVER ) ;;;:...,,,._ -~--~-------------~---~.- - �r ~ FFIDAVIT y STATE OF VrR ~ • ·., · , • (,, • • .,../'r ,.. ·""' ,. Cot.Jh"TY OF #i • ,Y, ' /{ / / , R .,fRDEN? • ' . . ,. ,J . , ; SPIRITS FOR PERSONAL USE .-ililf._.1~ ,i> ""'11:.~ , ~ • • • • /'-,.,-,.,- - ~ • /.,, r i ..,.,f✓, ' -4 - I, ,., , · , being duly sworn, depose an~ay_ that I am the consigni;{of a certain shipment of ardent spirits, as st>'fie~ on;t~~~ s'ide ~f t91~, this day f -delivered to me by the Adams Express Company, from ' ,,. ,,·. · ' '· .. ' · ; that am not a studen t or minor, and, if a female, I am the head of a family; that tpe ardent spirits so received by me were brought into the State on my written order, and that I have'not, within the thirty days Pv vious hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatso.ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to .Jaw, and that the ardent spirits so received by me are for my own us.e, at my own home, and that the said ;:;.;;;;;iri/111 3 ~ ~ ;ion of law. v Consignee. �DEL I VERY F O R M 60 ADAMS EXPRESS COMP ANY Received-- '-=:....it--:----.F --,.,...-- ---- -1'.Consignee ---=C,1-......_--'-...:_---'----"----- "---- - - --a=:o____.c.__ _.::== - - -~ ~~-b,-- - - - - --- COLLECT A dd U ndercharge To Consignee _ _____ ______ ______ T o S hippe r _ _ _ _ _ __ _ _ _ _ __ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVEK ) �FOR PERSONAL USE STATE OF VIR COUNTY gf•r·"'•-+.-----...,,...~--"'T • • . I . I, · r ·"' • , being duly sworn, t he consignee of n certain shipment of ardent spirits, as sp ·)fflw'&;?tt~l'-1delivered to me by the Adams Express Company, fro ' tthat I am not a student or minor, and, if a female, I am the head of a family; that e ardent spirits so recei-, A by me were brought into t he State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to .Jaw, and that the ardent spirits so received by me are for my own use, at my own home, and that the sai1 aro/nt s pirits willf;pt ~e(; u;i,i \1:!-,violation of law. . . (; L / i. (p , / ((_J.)LL. ✓L Consignee. Sworn to and subscribed Jfore me, tbis ~day of :t ~ ..,,,,,.. , 191~ ...... �' DEL t V E RY FORM 60 ADAMS EXPRESS COMPANY To Consignee _ _ _ __________ __ _ _ To Shipper AFFIDAVIT FOR- _ARDENT SPIRITS FOR PERSONAL USE . (OVEI< ) ,,. . �, AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I V ~.1/.%--: STATE OF ~- - -"'- - - - - - - COUNTY OF--, ,_;- · 1 . say that I am l'-f.>:-Y,, I , being duly sworn; depose~ • · • m, this day the consignee of a certain shipment of ardent sp · ts, a ~ stfi.w:l,.~ o~ ei;i_id~ o 1, ' -~-;•/.J~ ; that I am not a ,t". delivered to me by the Adams Express Compa y, fro me student or minor, and, if a female, I am the head of a family; thl],t the ardent spirits so received were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and th the ardent spirits so received by me are for ts irLts wfil 'not be use ·n violation of law. my own use, at my own home, and that the said ./ -· �D EL I V E R Y FO R M 60 A DAMS - - -- EXPRESS COMP ANY -,;,.__ __..,__.Amou nt~-----'-,--- - - - -',IF-- -- - - -191~ r=r'1' /11'", -l.l)Lai~ l j - ~bs. r EXPRESS CHARGES To S hi pp er AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( O VER ) .~ I • t~ �FOR PERSONAL USE Consignee. �DE L DV ERY FO RM 60 ADAMS Received, ____,,,,..,_--,;---'-=---.;Z'-,...____,- EXPRES S COMP ANY .,.,..__ Consign ee _ _.__."---- ---"--- ---7"._,..--; . ~- RECORD OF NOTICE S To Consign ee To Shipper _ _ _ _----'-- ----- - - -- AFFIDAV IT FOR ARDENT SPIRITS (OVER} �V 6 AFFIDAVIT,Of\ ARDENT llRITS FOR PERSONAL USE STATE OF COUNTY OF ~ (.!.., , ,_Vl-t!t✓ " , ~ - ~ ' ✓~ .., • :. ,· ;,,, \ (' ......,.1,1. I, ;r \ ' .. · , being duly sworn, ~pose and say that I am the consignee of a certain shipment of ardent spirits, as s · d p otlieJ:i side of t hisrc~ rz_p. ••thjs day ., • ,, , ~ ~?' delivered to me by the Adams Express Company, from.. • • ;~that 1~ m not a student or minor , and, if a female, I am the head of a family; tha tt.lie ardent spirits so received by,J')e were brought into the State on my w ritten order, and that I have not, within the thir ty days previous hereto, received any ardent spirits of any k ind whatsoever, from any person or from any place whatsoever , in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved Mar ch 10, 1916, or contrary to law, a nd that the ardent spirits so r eceived by me are fo r my own use, at my own home, and that the said ardent spiri~ wtll not ~b'rf1s!\d in violation of law. I' .:::.: 7('. e~~ Consignee. Sworn to _and subsc ibed t/fore me, 4 _..i_ ~his,-'day of .1£~;it.-r,. '-·-191.....l.. -..,. A g en t f or Adams Express Company. . ~- �' DEL fV E R Y FORM 60 ADAMS EXPRESS COMP ANY Affidavit No. 5-J • To Consignee_ _ _ __ ___ _________ ro Shipper 1__ AFFIDAVIT FOR ARDENT SPIRITS FOll PERSONAL USE. -- ( OVER. ) ( y �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE \ Consignee. Sworn to and subscribed before me, thh, _ _ _ day o _ _ _ _ __, 191_. Age nt for Ada'ms Expres s Company. �DEL I VER Y RECORD F OR M 60 ADAMS EXPRESS COMP ANY T o S hipper _ _ _ _ _ _ _ _ _ _ __ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE JFIE,j~....,.'H,-----,,-..--t~ll~~'7.h-;. ,.....;:.=,::.,,---, being duly sworn, depose and say, that I am t' spirits, as speci ed on otrr side of this form, this day ' ~at I am not a delivered to me by t he Adams Express Company, from student or minor, and, if a female, I am the h ead of afam ; that e ardeptspirits so\.eceived. by me were brought into the State on my written order, a1,d that I h a not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any p erson or from any place wha oever, in excess of the quantity allowed by t he provisions of the Act of the General Assembly ofVirgi.. a, approved March 10, 1916, or contrary t o law, and that the ardent spirits so received by me are for oy own use, at my own home, and that the saip ardent spirits will not be used in violation of law. 9f#~'I. CJ , ~ &,v6 ' Sworn to and subscribed before me, this--l--day of ~ 1--' 1 , , , 191--t. • r~ .f'A.gentJr . Adams Expr;,;~vany. c1,.i{ ~ .,~ee. �DEL ~VER'Y FORM 60, ADAMS EXPRESS COMPANY To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) �.... Sworn to and s ubscribed b efore me, ... ., 1 / II �I DEL ~VE;RY FORM 60 , ADAMS EXPRESS COMP ANY ...,,......, --✓·~ , -.,. Received_ '-~-"'- -c+-- ----,-,---- - - - ---Consi·g nee _ ----',- - - - - , P REPAID I To Shipper _ _ _ __ _ _ _ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR (OVEll.) �Sworn to and subscribed 1'efore me, l ':i f_.'j .i thig_L_+--day of / ~ \L , , 1917T. /' / ----... Consignee. �CORRESPONDEN CE FORM NO. 1 ADAM S EXPRE SS COMP ANY ~tt. ...........~ ....... ..... 191, ···········--A ~-·······--··-·-· /P"~- - �,• ., A �-------- -------- ---~ ---~----~-----------~-~ COMP ANY SOUTH ERN EXPRE SS O F'0RM 370-VA . R evised June. 1918 ~ ( hlcorporaM , ,;_; .,., . -. · - ·- ~- ~+-,.-•~ '~ ~ - --- - -'----,; '------~ --Ouantity _ ~ ¥ : ... # 191.+ , Ad-.ance • to Collect RECORD OF' NOTICES To Consignee ~- - - - - - - - -~ ~ From ,,;._;_· -'- =IWarT•~L- 'TD'T?~··~f""'T"' EXPBl!.88 CHARGES • To •Shipper ' ~I Add �STATE OF VIRGIN IA, - - , being duly sworn, depo~e _and say that I am 1, - - - - - -- -- - - - - -- - - - - ~ side of this form, this day , as specifi ed on other the consig nee of a certain shipme nt of ardent spirits from _ _ _ _ _ _ __ _ _ _ _ _ ; that I am not deliver ed to me by the Southe rn Expres s Compa ny, a family ; that the ardent spirits so receive d by me of head a studen t or minor, and, if a female , I am the us and that I have not, within the thirty days previo were brough t into the State on my written order, whatso place any from or person any from ever, whatso hereto , receive d any ardent spirits of any kind ons of the Act of the Genera l Assem bly of Virgin ia, ever, in excess of the quanti ty allowe d by the provisi the ardent spirits so receive d by me are to be used that and approv ed March 19, 1918, or contrar y to law, ___ __ purpos es at my own home, and in conby me for ___ ___ ___ __ ___ ___ ___ or Mechan ical) al (State whether for Scientifi c, Sacrame ntal, Medicin formit y with law. 0ons iguee. Sworn to and subscr ibed before me, ----- this ___ day of _ __.__ _ , 191- . Aee11& for Sonther n Express Compap y. �I American Railway Exp;ress-:_ c,- Adams Corresp. Form No. 1. �� Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 03 Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Dayton in Rockingham County Virginia for personal use. Subject The topic of the resource affidavits ardent spirits personal use dayton virginia Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Date A point or period of time associated with an event in the lifecycle of the resource 1917 1918 1919 Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (<a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a>) Identifier An unambiguous reference to the resource within a given context RcPr-box10-039 Format The file format, physical medium, or dimensions of the resource PDF Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Spatial Coverage Spatial characteristics of the resource. Dayton, Virginia https://omeka.lib.jmu.edu/erp/files/original/e8641ca47ab7f44f3f2bf2c6c56cd133.pdf 6dccbefe8e072d845df4082173e28825 PDF Text Text ---~-- --- --~--- -~ -~ --~ ~~- --- ---~-~--- --- --- --- - RECO RD Of" NOTIC ES To Consign ee ___ _ _ ______ ___ ___ __ To Shipper _ ___ ___ _ _ _ __ _ __ _ _ Af"f"ID AVIT f"OR ARDE NT SPIRI TS f"OR PERSO NAL USE. (ov,rn ) �SPIRITS FOR PERSONAL USE STATE OF VI COUNTY OF_ _~<.~ - - --,,--- -- i, ---,,----- -- -- - - - ---~~~ ---, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this forn,, this day delivered to me by the Southern Express Company, from _ _ _ _ _ _ _ _ _ _ _ _ _ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of a.ny kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own homn, ~d lhot lhn Mid rucdnnt opi<its wi!J? n usn i f' '?•tion nf low. . . / Consiauee. Swor to and subscribed before me, I M u ~· / A2ent for Southern Exvres s Company. �FORM 370•VA SOUT HER N EXPR ESS COM PANY (lncorpo rl!ted) ' ,· Shipper // #i I ( i /.., /,,,, EXPRE SS CHARG ES PREPA ID Add Unde rcharge ,..I RECO RD OF" NOTIC ES To Consignee _ _ _ _ _ _ _ __ _ _ _ __ _ __ To Shipper _ ___ ___ _ __ _ _ __ __ __ AF"F"I DAVIT F"OR ARDE NT SPIRI TS F"OR PERS ONAL USE . (OVER) �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE STATE OF VIRGINIA, COUNTY OF _ _ __ _ :...=____.:::_....:__-'-'c.......:... i, ------ -- - -- ----- ----- -, being duly sworn, depose and say 1ihat I am the consignee of a certain shipment of ardent spirits, as specified on other, side of 1ihis form, 1ihis day delivered to me by 1ihe Southern Express Company, from _____ _________ ; that I am no1i a student or minor, and, if a femal e , I am the head of a family; that the ardent spirits so received by me were brought into \he State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of ihe Act of 1ihe General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that ihe ardent spiriis so rec eived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . Sworn io and subscri,bed before m e , this ___day oL--. - -- - , 191 _ All8nt fo r Southern Express Company. Consicnee. �. ~ ,J -V.,.!' _ .,,,,,. Affi davit No. ,..-· _. RECORD OF NOTICES To Consign ee ____ __ __ ___________ To Sh ipp er_ _ _ _ __ __ ._ _ _ _ _ _ __ AFFIDAVIT FOR DRUGGISTS AND HOTEL MANAGERS (OVER) �AFFIDAVIT FOR DRUGG ISTS AND HOTEL MANAGERS that I am the consignee of a rtain shipmeni '?f ardent I I spirits, specified on other side of ihis form, this day received by me at - - - ' - - - - - ~ - - - - Virginia, ihrough ihe Souihem Express Company, fro,....._ _ _ __ _ _ _ _---'----"--.Ji that the brandy, whiskey, wine or beer, pure fruit or grain or ethyl alcohol included in ihe said shipmeni is to be sold, dispensed or used by me according to the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916. Swom io and subscribed before me, Aiient for Southern Express Company, Consi111ee. �• Affidavit No Add Unde rcha rge RECORD OF" NOTICES To Consignee To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . . (OV ER) . :...' �• AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STATE OF VIRGINI A, _____!'. .:.!._~~~ c--i, ---- --- - - - ----- ---- - --, being duly sworn, the consign COUNTY OF _ _ __ depose and say that I am ee of a certain shipmen t of ardent spi;its , as specified on other side of this form, this day delivere d to me by the Souther n Express Compan y, from ✓ ; that I am not a student or minor, and, if a femal e, I am the head of a family; that the ard ent spirits so received by m e were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from an y place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the Gener al Assembl y of V irginia , approve d March 10, 1916, or contrary to law, and that the ard ent spiri\s so r eceived by me are for my own use, at my own hom e , and that th e said ardent spirits will not be used in violation of law. Sworn C and subscrib ed before me, z . this ___day o Consi,:nee. - - -- , 191 _ ' Aeenti for Southern Express Compauy. �SOUTHERN EXPRESS COMPANY (Incor porated ) RECORD OF NOTICES To Consionee _ _______ _______ __ To Shipper ____ ____ ________ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVE R) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY OF _ _ _ _ _ ~_ _:___ _E==j";-· i, -------- ------- -------, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from ________ ____ __ ; that I am not a student or minor, and, if a femal e, I am the head of a family; that the ard ent spirits so received by m e were brought into the State. on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from a ny place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, and that the ardent spiriis so rec eived by m e are for my own use, at my own ho:.n e , and that the said ardent spirits will not be used in violation of law. Consianee. Sworn to and subscribed before me, , this ___day oL- - - -- , 191 _ Cla. .&••· Ae-eut for Southern Exvress Comvauy. �FORM 370•V A Received at Advon re a to Collect ; ' I / EXPRESS CHARGES Add Underchar ge 11 RECORD OF NOTICES To Consign ee ___ _ _ _ __ _______ __ To Shipper _ ________ _________ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �AFFIDAV IT FOR ARDENT SPIRITS FOR STATE m' PERSON AL USE VIRGINIA, COUNTY OF _ _ _ __ __ _ __ _ i, ----- ----- ----- ----- --, being duly sworn, depose and say 1;hat I am 1;he consignee of a certain shipment of ardent spirits, as specified on other side of this form, 1;his day delivered tome by the Southern Express Company, from _____ _____ __ __ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me ,:were brqught into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirit.a so received by me are for my own use, at my own home, and that the said ardent spirits will not 1, used in violation of Jaw. v Consi1:uee. Sworn to and subscribed before me, this _ _day oL-/ - - - - , 191 _ / Ai:ent for Southern Express Company. �SOUTHERN EXPRESS COMPANY (Incor porated) Arlvau, e e to Coll ec t RECORD OF NOTICES To Consignee _ __ _ _ _ ____ __ _ _ _ __ _ To Shippe r_ _ __ ______ _ __ __ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PE RSONAL USE . ( OVER) �SPIRITS FOR PERSONA L USE ---1-+~,.w=---'L..a'-----"'---'"---'~- =-':....i.--'-+ -lc,--'r,.....,,,q~, -being duly sworn, depose and say that I am spec"fied on other 11ide is form, this dsy delivered to me by the Southern Express Com a y, from ,,,- ......, '- (4hllt I am not a student or minor, and, if a femal e , I am the head of a family; were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Asse mbly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so rec eived by me are for my own use, at my owu hom e, and th at the said ardent spirits will not be used in violation of law. · Consii;: nee. - .. '"' A2ent for ·Southern Express Compau y. �Affidavit No,~ - - -- - Add Undercharge RECORD OF NOTICES To Consionee _ _______ _______ _ __ To Shipper _ _ __ _ ___ ___ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OV KR) �AFF IDA VIT FOR ARD ENT SPI RIT S FOR STA TE OF VIRG INIA , COU NTY OF _ _ __ _ __ _ _ __ PER SON AL USE ._ i, -- -- -- - - - -- -- -- --- --- , the cons igne e of a cert ain ship bein g duly swo rn, depo se and say that I am men t of arde nt spiri ts, as spec ified on othe r side of this form , this d ay deliv ered tom e by the Sou ther n Exp ress Com pany , from _ _ _ _ _ _ _ _ _ _ _ _ _ ; that I am not stud ent or mino r, and, if a fema a le, I am the head of a fami ly; that the arde nt spir its so rece were brou ght into the Stat e on ived by m e my writ ten orde r, and that I have not, with in the thirt y days prev here to, rece ived any arde nt spir ious its of any kind wha tsoe ver, from any pers on or from any plac e wha exce ss of the quan tity allow ed tsoe ver, in by the prov ision s of the Act of the Gen eral Asse mbly of Virg inia , Mar ch 10, 1916 , or cont rary to appr oved Jaw, and that the arde nt spir its so rece ived by me are for my own my own hom e, and that the said use, at arde nt spir its will not be used in viol ation of law. Swo rn to and subs crib ed befo re me , - this __ _d ay of.- - -- , 191 .:._ A2en t for South ern Expr ess Comp auy. Cous icnee . �SOUTHERN EXPRESS COMPANY (Incorporated) Arld Uude r c ba r,ie To Consionee___ _ _ _ __ _ _ _ __ __ __ To Shipper_ _ __ ______ _ _ _ _ _ _ __ Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONAL USE . (OVER ) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE STATE OF VIRGIN IA, COUNT Y m• ____ ___ ___ _ ~, ___ ___ _ _ _ __ ____ __ _ .:..__ _ _ _ , being duly sworn , depose and say that I am the consig nee of a certai n shipm ent of ardent spirits , as specifi ed on other side of this form, this day delive red to me by the Sou them Expre ss Comp any, from ___ ___ ___ ___ __ ; that I am not a studen t or minor , and, if a female , I am the head of a family ; that the arden t spirits so receiv ed by m e were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from any place whats oever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the arden t spiri1.s so receiv ed by me are for my own use, at my own home, and that the said ardent spirits will not be used in violati on of law . Sworn to and subscr ibed before me, this ___day oL. - -- , 191_ Ae-ent for Southe rn Exvres s Comr,ao.r. Cousii;:nee. �,,,,..., ,_,__,,.__,__-'--_ __ _ 191- / Advn.n , ce t o Coll ect 4" _,,l,L,..rJ - _ ,__ Affi davit No, _ ___::.:__..:cc___ Add.., PRE PA ID Und er ch a rge ..,/J- - - RECORD OF NOTICES To Consign ee ______ _____ _ _ _ _ __ To Sh ipper _ ______ ______ __ __ AFFIDAVIT FOR ARDENT SP I RITS F OR PERSONAL USE . (OV ER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINI A, COUNTY OF _ _ __ _ _ _ _ __ _ ~, - - - - - -- - -- - - - -- - -- -- - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, fro _; that l am not a student or minor, and, if a femal e, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Asse mbly of Virginia , approved March 10, 1916, or contrary to law, and that the ardent spirits so rec eived by m e a re for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before me, this ___day of... - - -- , 191 _ Consi&:nee. c ~- A2ent for Southern Exvress Company. d-- • �F"OAM 370-VA Affidavit No, _ A dvanre e t o Co ll ect PREPAID _.:..::::_-'/'--'!!...- Add Underc harge RECORD OF NOTICES To Consionee ___ _ _ _ ______ __ _ __ To Shipper _ _ __ ____ ___ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �AFFIDAVI T FOR ARQENT SPIRITS FOR 7 A PERSONA L USE I ~, , , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as sp c~fied on other side ,o this form, this day delivered to me by the Southern Express Company, from I ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever , in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . Sworn to and subscribed before me, tbis...---da y oL _ _ _ _ , 191 _ Consie-uee. 7 Aeent for Southern Exvress Comvauy. �SOUTH ERN EXPRES S .COMPA NY FORM 370•VA (Incorpora ted) Affidavit No. Advan re s to Collect PR E PAID I Add COLLECT Uudercharge RECORD OF NOTICES To Consign ee _ ____ ____ ____ _____ To Ship per _ ____ ___ __ _ _ _ _ _ _ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . ( OVllR) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE -,lr!,~Ll::::t,~- - .{.j.L..-~~~~~---,-__:_~~~~'r't1e i g duly sworn, depose and say that I am s SP,ecified on other ~ e of this form, this day :/:J, .ff delivered to me by the Southern Express Company, from C.. ~ that I am not a student or minor, and, if a fem ale , I am the head of a family; that the ard ent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by m e a re for my own use, at my own home, and that th e said ardent spirits will not be used in vi olat ion of law. f I Sworn to and subscribed before me, day ot ' this I j)' 1/ ..:l':tk , 191 I I . ,,A Aaient for Southern E:xvress Compauy. · Consh:nee. �SOUTHERN EXPRESS COMPANY FORM 370•VA (Incorpo rated} RECORD OF NOTICES To Consignee ___ _ _ _ _ _ _ _ _ _ _ _ _ __ To Shipper _ ______ ______ _____ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY OF _ _ _ __ __ _ _ _ _ _., - - - - - -- - - - - -- - - - - - - - - - , being duly sworn, depose and say ihat I am 1;he consignee of ~ certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, f r o m - - ~ - - - - - - - - - - ; that I m not a student or minor, and, if a female, I am the bead of a family; that the ardent spirits so received by--me were brought into the State on my written order, and that I have not, within the thirty· days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before me, hi~dayoL - -- - , 191 _ Aeent for Southern Express Compauy. �FORM 3TO•V A SOUTHERN EXPRES S COMPANY (Incorpor ated) Affidavit No Advau,ee to Collect RECORD OF NOTICES To Consign ee _ _ _ _ _ _ _ __ _ _ _ _ _ __ PREPAID To Sh ipper _ _ _ _ _ _ _ _ _ _ __ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( ov1rn) �AFFIDA VIT FOR Al:JDEN T SPIRIT S FOR i, - ~ - ~-~'- '-:---,'f--·~~- --=-- ------ --, of ardent spirits, as PERSO NAL USE being duly sworn, depose and say that I am ified _o n 'other of this QDII, this day delivere d to me by the Sout hern Express Compan y, from ~ - that I am n a student or minor, and, if a female, I am the head of a family; that the arde t spirits so received by me were brought into the State on my written order, and that I h ave not, in the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of t he Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my own home , and that the said ardent spirits will not be used in violatio n of law . A2ent for Southern E:xvress Compauy . �FOAM 370-VA rniJ- Affidavit No. 1 -~'(!__ __,.__ ' {,/ ~ Amount~- - ~ -<-? Adva n res to C oll ect - -¥- ~·,.___""_' . _ _ _ _ lbs. j/;1 PREl'A ID _ __ .A _· _\.;Q Shipper_ ~~ "'- A- .f RECORD OF' NOTICE S To Consignee _ __ __ ___ __ _ __ _ _ _ __ To Shipper ____ ____ __ ___ _ _ ___ AL USE . AF'F'IDA VIT F'OR ARDENT SPIRITS F'OR PERSON (OVE R ) • , �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE .._, ---"----''--'=------~--..---=---'--------- , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirit s, as s~ecified on other i of this form, this day delivered to me by the Southern Express Company, from I ; that I am not a student or minor, and, if a female, I am the head of a family; t'tiat the ardent spirits so received by me were brought into the State on my written order, and that I .have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used iu violation of law. I ( I? Consif?nee. Sworn to and subscribed before me, this __(_day oL-·'V"---"-"-'--- 191__:/ I A&"ent for Southern Exvress Comvany. �FORM 370-VA SOUTHERN EXPRESS COMPANY (lucorpo ratod ) RECORD OF' NOTICES Shipper_ ________ _________ To Consionee_________ _ ~ - - - - - - - - To AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE . ( OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~, - - - ~ -- -- -- - - -- - -- -- - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent. spirits, as specified on other side of this form, this day delivered to me by the Southern E xpress Company, froln:--- - - - -- - - - - - ; that I am not a student or minor, and, if a femal e, I am the head of a family; that the ardent spirits so received by m e · were brought into the State on my written order, and that I have not, within th e thirty days previous h ereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gener al Assembly of Vi rginia , approved March 10, 1916, or contrary to law, and that ·t he ardent spirit.a so r eceived by me are fo r my own use, at my own hom e, and that the said ardent spirits will not be used in violatio n of l aw . ,v, {_., ,___ Cous i~nee. A2ent fo~ Sontti~rn Exvress Compau y. �FORM 370•V A SOUTHERN EXPRESS COMPANY ( Inco rpo rated ) LIQUOR RECORD Z ... / 3 191'- Affidavit No. _ _____,,J"'--- Advonres to Colle ct Shipper_ _ __ _ _ _ _ _ __ _ __ __ _ _ RECORD OF NOTICES To Consianee ________ ______ _ _ __ To Sh ipper________ __ _ __ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVXR ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE i' --~-#"-~-~ -~~--~ - - ~ - - -- - - , being duly sworn, depose and say ihat I am as speeified on other side of this form, ihis day ,7 ' delivered to me by the Southern Express Company, from /j • ; that I am not a student or minor, and, if a female, I am the head of a family; tb,at the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so rec eived by me are for my own use, at my owo homo, ,od lh,t Ib o s,;d ""'••I sph;t, wm ~ •d ;, v;o1,1wn of I~ Sworn 1;o and subscribed before me, 'L - ~ ~ , 191 _ ' ) Ae-ent for Southern Exriress Compauy. ~~;& Consienee. �FORM 370•VA P RE PAID RECORD OF' NOTICES To Consig nee _ _ _ _ _ _ ____ ____ ___ To Shipper_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ USE . , AF'F'IDAV IT F'OR ARDENT SPIRITS F'OR PERSON AL ! . ( OV ER ) ' �,--- --------------------------~-------------------AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINI A, COUNTY OF _ _ _ _ _ _ _ _ __ _ , i, ------- --- ----------- -, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits , as specified on other side of this form, this day delivered to me by the. Southern Express Company, from _ _ _ _ _ _ _ _ _ _ __ __ ; that I am not a student or minor, and, if a female , I am the head of a family; thai; the ardent spirits so received by me were brought into the State on my written order, and that I have not, within th e thirty d ays previous hereto, received any ardent spirits of any kind whatsoever, from any person or from a n y place whatsoeve1·, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia , approved March 10, 1916, or contrary to law, and that the ardent spiras so received by me a re for my own use, at my own home, and that the said a rdent spirits will not b e used in violation of law. Consh:nee. Sworn to and subsel'i,bed before m e, thi s ___day o1- - - -- , 191 _ A1tent for S outhern Exvress Compauy. �SOUTHERN EXPRESS COMPANY FORM 370•V A ( Incorporated) • Affidavit No. Jj j . A d van re e t o Coll ect; RECORD OF NOTICES To Consionee _ _ _ _ _ _ _ _ _ _ __ __ __ To Shipper_ _ _ _ _ _ _ _ _ _ __ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OV ER ) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE _._, - - - - -- -- - - = - -- - - -- - - -- , being duly sworn, depose and say that I am the consig nee of a certain shipme nt of ardent spirits , as specifi ed on other ·s ide of this form, this day deliver ed to me by the Southe rn Expres s Compa ny, from ' • :_ ; t a( I am ot a studen t or minor, and, if a female , I am the head of a family ; ttiat the ard ent spirit1;1 so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previo us hereto , receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spirits so r eceived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violati on of Jaw. . Lu +- Consiau ee. / Apnt fo r Souther n Exvres s Comvau y. �SOUTHERN EXPRESS COMPANY FORM 370-V A (I ncorpo rated) LIQUOR RECORD ._~&lJ~~~~~~ i-=----- -= - - Amount,_ _ ---1--~ :__- ~ ~ +>, -- -- -~ -_/__L_] _ 19 1_ ~ __ From----=.._ _ Advamea to Collect ,_ J--- __,~_ lbs. ~~-=-=::___:, ·..._.,,. Arld Unde rchar,;:e RECORD OF NOTICES To Consignee _ _ _ _ _ _ _ _ _ __ _ _ __ _ __ To Shipp er __________ ________ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ....... (OV E R) �AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE i, - -'----"-- '-'-- - ----"'---"" -""'-'- '-- --'=---- ~- - -::::_-- - , being duly swor n, depo se and say Uiat I am the consi gnee of a certa in shipm ent of arden t spirit s, as speci fied on ot her side of this form , t his day· deliv ered tome by the Sout hern Expr ess Comp any, from ~ - - ~- - - - ~ - -..,_,_~ ; that I am not a stude nt or mino r, and, if a fema le, I am the head of a famil y; that the arden t spiri ts so recei ved by m e were brou ght into t he State on my writt en order , and that I have not, wi~h in the thirty days previ ous heret o, recei ved any arden t spiri ts of any kind what soeve r, from any perso n or from an y place what soeve r, in exces s of t he quan tity allow ed by the provi sions of the Act of the Gene r al Asse mbly of Virgi nia , appr oved Marc h 10, 1916, or contr ary to law, and that the J rdent spiri1.s so rec eived by me are for my own nse, at my own hom e, and that the said arden t spiri ts will not be used in viola tiou of la~ . Swor n t o and subsc ribed ~efor e me, ( A,ient it(,,So ntheru Expre ss Comv auy. �SOUTHERN EXPRESS COMPANY FORM 370•V A (I ncorpo rated) RECORD OF NOTICES To Consion ee _ _______ ___ _ _ __ _ _ To Shipper_ _ _ _ __ ________ ___ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVE R ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINI A, ✓ COUNTY OF _ __ _ __ __ __ _ -- ... , - - - - - -- - - - - - -- - - - -- - - -, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as speci! ed on other side of thjs form, this day delivered tome by the Southern Express Company, from_....,.._ _ _ _ _ _ _ __ __ ; ' ihat I am not a student or minor, and, if a female , I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and 1;hat I have noi, within the thirty days previous h ereto , received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of ihe quantity allowed by the provisions of ihe Act of 1;he General Assembly of Virginia, approved March 10, 1916, or conirary to law, and that the ardent spirits so r eceived by me are for my own use, at my own home , and that the said ardent spirits will ot be used in viol ation of law . / Cons icuee. Sworn t arid sub,s<Jibed before me , _ ___,_J , 191 _ Aeent for S outhern Exvress Com pany. �FORM 370•VA RECORD OF NOTICES To Consionee _ _ _ _ _ ___ __________ To Shipper ____ _ _ ______ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OV ER) �cs • s !Cl AFF I DAVIT FO R A RDENT SPIRITS FOR ™ LS? *- .c: z.__ PERSONAL USE ~, -"~-'--"=-=-...._..L-'.-==---'-4------'=---"--+-- -->,----, being duly sworn, depose and say t hat I am the consignee of a certain shipment of ardent spirits, as :zz;,ed on oth@c side of this form, this day . delivered tome by t he Southern Express Company, from_~___::-=--z+--"-"'---- --'=-<---" i that I am n ot a student or minor, and, if a female, I am the head of a family; t were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of t he quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, and that the ardent spirit.s so received by me are for my own use, at m y own home, and that the said ardent spirits will not be used in violation of Jaw. l Cons i,:nee. Sworn to and subscribed before me, t his ~ day o~,d 1'/a 'Ml , 1911- A~nt for Southern E-s:pres s Uompauy. �FORM 370-VA SOUTHER N EXPRESS COMPANY (lucorpo rated ) AdTanrea to Coll ect A~d Undercharge RECORD OF" NOTICES To Consign ee _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ To Shipper _ _ _ _ _ __ ______ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVl<R) �AFFID AVIT FO~ ARDE NT SPIRI TS FOR I shi~ PERS ONAL USE P.t'c?lLt being duly sworn, depose and say 1ihat I am ardent spirits , as 8j~1ifi ed on other side o this form, 1ihis day '/Ah · , , k 'T deliver ed to me by the Southe" Expres s Compa ny, from that I am no1i a studen t or minor, and, if a female , I am the head of a fam ily; that the ar9,, t spirits so receive d by me were brough t into ihe State on my written order, and that I have not, wt1:hin the thirty days previo us hereto , receive d any ardent spirits of any kind whatso e!er, from any person or from any place wh atsoev er, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spiriis so receive d by me are fo r my own use, at my own home, and that th e said ardent spirits will not be used in violati on of law . ; / Consienoe. Ai:ent for Souther n Ex1>ress Comvau y. �RECOR D OF' NOTICE S To Consi gn ee _ __ _ _ _ _ _ ._ _ _ _ _ _ _ __ To Sh ipper_·_ _ _ _ _ _ _ _ _ _ __ _ __ _ NAL USE . AF'F'IDA VIT F'OR ARDEN T SPIRIT S F'OR PERSO ' ( OVE R) . �AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE STA'l'E OF VrnalNIA _ 1 COUNTY m'--'-....;:__ ___'..~ ~ ~ ~ ~ , ~ - - i, -----,- ----- ----- ----- ---, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day 1; delivered to me by the Southern Express Company, from that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so rec~ived by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before me, Aeent for Souther~ Exvress Company. �SOUTHERN EXPRESS COMPANY FORM 3TO•VA ( Incorporated} Advaur e e to Collect RECORD OF NOTICES PREPAID 0 To Consig nee _ _ _ _ _ _ __ _ _ _ _ __ _ __ To Shipper _ _ __ __ __ __ __ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVllR) �AFFIDAVIT FOR ARDENT SPl"ITS FOR PERSONAL USE STATE OF VI COUNTY OF~--...-~ i - -- ~ ---=."""" 1 ----L-¥---1LL--=-L- ---"'.L~~~'?).~~~:.....:___ , being duly sworn, depose and say that I am "fled on other side of this form, th· day delivered to me by the Southern Express Company, from_' _,__~--___,_~_..,.__,__,_----'---=--=--~ ' -= =; th?:1'{_ am a student or minor, and, if a female, I am the head of a family; at the ardent spirits so received me were brought into the State on my written order, and that I have not, within the thirty days p evious hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. ftf-r~ \Rtrt ~ Ae-ent for Southern Express Compauy. /, c,...... �F"ORM 370-VA Affidavit No, _ _ _ __ _ Received at RECORD Or NOTICES To Consignee ___________ ________ To Shipper _ __________ ______ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( O V ER) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE COUNTY OF~rr ----'.r-- ----;-vt- -'-- ~, - =~= = ~ - -4 µ:c=--,,-..,='-----: :.-.....!..- ..!-:....,:::"--'/4 - , being duly sworn, depose and say that I am ardent spirits, as spec· ed on other side of this form, this day delivere d to me by the Souther n Express Compan y, from ;,;;-;: ,...._.,; that I am not a student or minor, and, if a female, I am the head ,of a family; at the ardent spirits so received by m e were brought into the State on my written order, and fast I ave not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violatio n of law. /211 .J.,r ~I Sworn to and subscrib ed before me , this 'Z,../ day o 1/- �Affidavit No_ _ _ __ _ Adv e.n ce a t o Collect RECORD OF NOTICES To Consionee _ ______ _ ______ _ _ __ To Shipper _ ______ ______ _____ AFFIDAVIT FOR ARDENT SPI RITS FOR PERSONAL USE . (OV ER) �delivered to me by the Southern Express Company, from , that I am not a student or minor, and, if a femal e, I am the head of a family; t the ardent spirits so received by me were brought into the State on my written order, and that I ve not, within the thirty days previous . hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in } •'· excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approve«t ,, · March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at',, my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subs th i s - . -day oL- A2ent for Southern Exvress Comvauy. �PRF. P AID RECORD Or NOTICES To Consign ee To Shipper _ _ __ _ _ _ _ _ _ _ _ _ _ __ Arf"IDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. ( OVER ) �FOR ARDEN T SPIRIT S FOR PERSO NAL USE ... , --- - -- ~ -- ~- - -- -- - - - -~ ~ - , being duly sworn, depose and say that I am the consigne e of a certain sh(pm ent of ardent spirits, as specified on other side of thi s form, this day delivered to me by the Southern Express Company , from · · ; that I am not a student or minor, and, if a fem ale , I am the h ead of a family; that ui'e ard ent spir its so received by me were brought into the State on my written order, and that I ha not, within th e thirty days previous h ereto, received any ardent spirits of any kin d whatsoev er , from any p erson or from an y place what soever, in excess of the quantity allowed by the provision s of the Act of the Gener al Assembl y of V.irginia, approved March 10, 1916, or contrary to law , and that the ardent spiri1.s so r eceived by m e are for my own use, at my own hom e , and that th e said ardent spirits will no be used in viol ation of law ' 0/ ~G , Con · nee. �------~------~~---~----~--SOUTHERN EXPRESS COMPANY FOAM 370•VA (Inco rporated) Received at Consignee Advnur e s to Collect Add s Undercharge RECORD Of' NOTICES To Consign ee ___ _ _ ___ __________ To Shipper_ _________________ Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONAL USE. (OVER) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE STATE OF VI !j !NIA, , COUNT Y OF-''C - ' - - -- -=---' --,1-:._ .,.,l. . ,, -----, '---- <fl'--- - -'-"\- - -=~--- --, being duly sworn , depose 1 and say ihat I am the consig nee of a certai n shipm ent of ardent spirits , as pecifie d on other side of this form, U;iis day delive red to me by ihe South ern Expre ss Comp t. any, from ., ; that I am not a studen t or minor , and, if a female , I am the head of a family · that the ardent spirits so receiv ed by m e were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from any place whats oever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spirit.s so receiv ed by me are for,,,my own use, at my own home, and that the said ardent spirits il, not be used in violati ou of law, .. , _ Sworn to and subscr ibed before me, this_L !.__da y oL- ~1---_ , 191.;z A~ent for Southe rn Exvres s Compau y. t/ Consicn ee. �l'OAM 3TO•V A SOU THE RN EXP RES S COM PAN Y (Incor porate d) ...... -?__ }: . . __:'-"- Affidavit No . _ _ Advan res to Co ll ec t PREP AID RECO RD OF NOT ICES To Consionee ____ __ _____ ___ ___ __ To Shipp er _ __ __ __ __ __ __ __ ___ AFFI DAVI T FOR ARD ENT SPIR ITS FOR PER SON AL USE . • (ov~R ) 1 �FOR ARDENT SPIRITS FOR PERSON AL USE ~ i, -'-d-----"---"-'-_._~_ _,,.....,,.,_ ~-~~--- ~~--, being duly sworn, depose and say that I am the oo~ign,e of , oerl,in ,hipm,nl of "'®' spidts, , ,>~ n othe, oide of lhi, form, thi• d•y delivered to me by the Southern Express Company, from . ; that I am no a student or minor, and, if a femal e, I am the head of a family; that he ardent spirits so received by m e were brought into the State on my written order, and that I ha/ not, within the thirty days previous here~ _received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in 1 excess o'f the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in iolation of law. r Sworn to and subscribed before me, th isL -day oL.. .p..;..;.:..:.;:::......_ , 19l! J r Aa-ent for Southern Exvress Compauy. Consianee. �FORM 3TO•VA SOUT HERN EXPR ESS COMP ANY (Inco rporated) RECOR D Or NOTIC ES To Consignee ___ ___ __ ___ ____ __ _ To Shipper_ _ ___ ___ __ _ ___ ___ _ ArrlDA VIT rOR ARDEN T SPIRIT S rOR PERSO NAL USE . ( OVER) �_____.___________......,......,_,,...,..~r-~~~=,.-,,,.-•+-.,c~-.. .-,. ,. .- ---....,-------....,.,--~---- -. Af;FIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE L1 being duly sworn, depose and say that I am sp c· ed on other side of this form, thi day --''-''-'-------'---'----"--~ c.___,,-,---,,--"---=--=--- - --==-, the consignee of a certain shipm~ t of V - - ,6~ delivered to me by the Southern Express Company, from 1--,,--,L--1 ; tliat I am ot a student or minor, and, if a female, I am the head of a family; t hat the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoeve1·, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of Jaw . .n Sworn to and subscribed before m e, this / ,t'da V ot. -/ t 1Z 1911 Ae-ent for Southern Exvress Company. C t Consiauee. �RECORD OF NOTICES To Consianee _ __________ _ __ __ _ To Shipper_ _ _ _ _ _ _ _ _ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OV &R) �AFFIDAVIT FOR ARDENT SPIRITS FOR STATE O}' PERSONAL USE V1 1;, ' 1 IA , COUNTY OF,. , /, __' - - -- =--c._--'c... ... , - - - - - -- - - -- - -- - -- - - - - -, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day 7'/' ; delivered to me by the Southern Express Company, from that I am not a student or minor, and, if a female; I am the head of a family; that the ard ent spirits so r eceived by m e were brought into the State on my written order, and that I have not, within th e thirty d ays previous hereto, r eceived any ardent spirits of any kind whatsoever, from any p erson or from an y place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gen eral Assembly of V irginia , approved March 10, 1916, or contrary to law , and that the ardent spirits so received by me ar e fo r my own use, at my own home, and that the said ardent spirits will not be used in violati on of law. Sworn to and subscribed before m e, th is ___day ok , 191_ / A£ent fo r S outhern Express Company. - Consianee. �,-OAM 3TO•VA. SOUTH ERN EXPRES S COMPA NY (Incorporate d) Received at.-== f '-flr._.e_:_p.~""---~- ,-----r---:.--- - Affidavit No Consianee,,.C:::L .li.-~~~..C Z....!!'.LL .!.£l...ila. ,.cf..,,11!!!1,,- -~ - -......f.--"'= - - - - - - - - - - - - • Kind of Ardent Spirits,_ ~~ ~a~'.::! !.::::;~1 .:~~ -----.-Way- ~i . J..-' 2,,,- / c.£ T o f/v b l, Date SM~~ ~ - - , . , . , ) RECORD OF' NOTICES To Consignee To Shipper AF'F'IDAV IT F'OR ARDENT SPIRITS F'OR PERSON Ai USE . �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE 8TA'l'I': OF VIRGINIA , COU NTY Ot' _ _ _ _ _ __ _ __ _ /, I, - - - - - - - - - - - - - - - - - - -- - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specifi ed on other _s ide of thi s form, this day delivered to me by the Southern Express Company , fro~- - -- _ _ _ _ __ _ ; that I am not a student or minor, and, if a female , I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and faat I have not, within th e thirty days previous hereto, received any ardent spirits of any kind what soever, from any person or from any place what soever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia , approved March 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are fo r my own use , at my own home, and that the said ardent spirits will no be used in viol ation of law. / Sworn to and subscribed before me, \his ___day O~-----, 191_ , Aaten1i for Soutiheru Ex.;,ress ()omvany . / Consi~nee. �SOUTHERN EXPRESS COMPANY (I ncorporated} RECORD ---------"'=---- 2.- "/_ _ Ad•nm e s t o Coll ect 1917- Affidavit No. EXPRESS CHARGES PREPAI D ~ Add Uuctercba rge RECORD OF' NOTICES To Consign ee _ _ _ _ ____ _____ _ __ __ To Shipper _ _____________ _ _ __ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE . (OV ER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE COUNTY OF-c.-.,,.=c"--- -=_.:_- --J:.__L_-= ... , ___,....,,...___~ - ---'--r-H"',,....ll -'ll.,.•"4.,- ~'---""----';"-----' .,-~'•"·_ _ __ , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, c· ed on ther side of this form, this day Ji) deHvered to me by the Southern Express Company, from • -; t1iat not a student or minor, and, if a female, I am the head of a family; were brought into the State on my written order, and that I have not, wi in the thirty days previous hereto, received any ardent spii-its of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly.of Virginia, approved March 10, 1916, or contrar·y to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, ~• fu•t tho ••id s,dont ,pid1' will ~ ~~ t'!ml IN { Cons ii;::uee. �SOUTHERN EXPRESS COMPANY FORM 370•VA (lncorpo raLed J 71 Affidavit No. , / Add Undercharge RECORD OF NOTICES To Consignee _ __ __ _ __ ~ - - - - - - - - To Shipper _ _ _ __ _ ___________ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVJCR) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE } STATE OF Vrn COUNTY OF _ _ __ _ _ _ _ _ __ i, - - - - - -- - - - - - -- - -------, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day / . delivered to me by the Southern Express Company, from _________ _ _ _ ___ ; th · I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirit so eceived by m e we.re brought into the State on my written order, and that I have not, within the j;hirty days previous hereto, received any ardent spirits of any kiud whatsoever, from any person or from a ny place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law , and that the ardent spirhs so rec eived by me are fo r my own use, at my own home, and that the said ardent spirits will not be used in violation of Jaw. Sworn o and subscri · ed before me, this _ _day oL. - -~-, 1911 Aeeut for Southern Express Company. Consicnee. �To Advau rea to Collect PREPAID Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR P E RSONAL US E . (OVER) �AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE STAT E OF VIRG INIA, COUN TY O F - - - -- ---~- ~, - - - - -- -- -- - - - -- - - - - - - , being duly swor n, depo se and say 1ihat I am the consi gnee of a certa in shipm ent of arden t spirit s, as speci fied on other side of this form , 1ihis day deliv ered tome by the Sout hern Expr ess Comp any, from ___ ___ ___ ___ __ ; that I am not a stude nt or mino r, and, if a fema le, I am the head of a famil y; that the arden t spiri ts so recei ved by me were brou ght into the State on my writt en order , and that I have not, withi n the thirty days previ ous heret o, recei ved any arden t spirit s of any kind what soeve r, from any perso n or from any place what soeve r, in exces s of the quan tity allow ed by the provi sions of the Act of the Gene ral Asse mbly of Virgi nia, appro ved Marc h 10, 1916, or contr ary to law, and that the arden t spiri ts so recei ved by me are for my own use, at my own home , and that the said arden t spiri ts will not be used in viola tion of law. Sworn to and subsc ribed befor e m e, // this ~da y oL. - - -- , 191 _ A11ent for South ern Expre ss Comp auy. Consi enee. �SOUTHERN EXPRESS COMPANY F'ORM 370•VA (lncorporatt1d) Affidavit No. :;J 1 '2.-. PREPAID RECORD ·OF NOTICES To Consignee___ _ _ _ _ _ ____ _ ____ _ To Shipper _ _________________ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ,,. {OV KR) �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE STATE OF VIR <J ~NIA, COUNTY OF_....f_,!~ = '-------"'-----,l"I-- .,. _..,-.....,,__ i, - - - - - --'--"---'--~ -=----=""- ---"--'-"-=~~ , 'l:ieing duly sworn, depose and say Uiat I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day 1/ 1,,,. ', ' "; that I am delivered to me by the Southern Express Company, from rJ,..I " · ! • , • not a student or minor, and, if a female, I am the head of a family; that the dent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. { Sworn to and subscribed before me, tbi s t c.L day -4- oJ -..,,,,/,-, , 191.!J' ) / /I / I /4 .# ,,, A~ent for Southern Exvress Compau)·. u J nsianee. �FORM 370•VA SOUTHERN EXPRESS COMPANY (Incorporated) Affidavit No ~l/0 { --1-f_ __ Amount,_ ,_;.:=....=--==-----=:. __:_- =---==-,.,,. _ I_..L.'-.,_,__ _ _ _ __ Weioh .__ _ _ 1bs. ____,__~I_J____ ____ 191 _:_ I To ~,.,....=,,___ __---.,L-=--"r---- - - - Advan, e e to Coll ect To Consignee _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ Fro ~ _L.,,,· ,,, ; EXPRESS CHARGES PREPAID '.J Add Unde r cha rge To Shipper _ _ _ _ __ __ __ _ __ _ _ _ __ AF'F'IOAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE . {OVER) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE STATE OF V IRGINI A, COUNT Y OF _ _ __ _ _ _ _ __ _ ... , - - - - -- - - -- - - -- -- - - -- - , being duly sworn , depose and say that I am the consig nee of a certai n shipm ent of ardent spirits , as specifi ed on other side of this form, this day delive red to me by l;he South ern Expre ss Comp any, from _ __ __ _ _ __ _ _ _ __ ; that I am nol; a sl;uden t or minor , and, if a fem ale , I am the head of a family ; that the ard ent spi r its so r eceive d by m e were broug ht into \he State on my writte n order, and thal; I have not, within t he thirty days previo us hereto , receiv ed any a rdent spirit s of any kind whatso ever , from any person or from a ny place whatso ever , in excess of the quanti ty allowe d by the provis ions of th e Act of the Gener al Assem bly of Virgin ia, approved March 10, 1916, or conl;ra ry to law, and that the ardent spiriis so r ec eived by me a re fo r my own use, at my own home , and that the said ardent spirits ~ ill not be used in viol ation of l aw. Sworn to and subscr ibed before me, thi s ___day oL.- - -- , 191_ A29nt fo r Souther n Expres s Compa ul·• Consic:nee. �SOUTHERN EXPRESS COMPANY FORM 370•VA Received at Consionee ~ >,f(i!.,-.,,,,..i_ ! ..+- ·. I N . (Incorporat ed) . SP¥,~- LIQUOR RECORD 1· _ Date _ _ __ __ 191 _ Affidavit No. _ _ _ _ __ 'Y A)~~U1,..,, =-f).-,-=--rr---+-,---- - - - , - - --+,-=: 1 I --~""'-_!_~ ~v-== · :..-'£f~·= ~ .L-- e-+--Amount_ _ _c___-+-=----__,'--- RECORD OF NOTICES To Consionee To Sh ipper_ ____________ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ' . ( O VKR ) .,,' • · �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~, - --==---....z...--=--_ __ .£._..!:._->- being duly sworn, depose and say that I am S{lecified on ol_fillr s·de o this form, this day -'--''--'--F-L-=---.,<----- , delivered to me by the Southern Express Company, from_~~-'-----,--~~----=-.,- ----'--- i that I am not a student or minor, and, if a female, I am the head of a family; tha' the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw , and that the ardent spiri\s so received by me ar for my own use, at my own home, and that the said ardent spirits will not be s la~ion of law . Sworn to and subscribed before me, ";'7 [¼ ,,,71/ Aeent for Southern E:xpress Co.mpau y. �FORM 370•V A EXPR ESS COM PAN Y SOU THE RN (Incorp o rated) Affidavit No, _ _ _ __ _ Advt1.n.-ea t o Collect RECO RD OF NOTI CES ___ To Consignee ___ ___ ____ _ _ _ __ PREPA ID _ _ _ __ To Shipper _ ___ ___ ___ ___ ITS FOR PERS ONAL USE. AFFID AVIT FOR ARDE NT SPIR (OVER ) �AFFIDA VIT FO R ARDEN T SPIR I TS FOR PERSO NAL USE STATE OF VIRG)NI A , COUNTY OF - - ~ -- - - - -- _._ , - '--'--"--'-''- ---'---'--'----'---"--"-'='" -'-- - ' -- L----'---'----"--'---'----'- , 'being duly sworn, depose and say Umt I am ihe consign ee of a certain shipmen t of ardent spirits, as Jipecifie d on other side of this form, fois day delivere d to me by foe Souther n Express Compan y, from _ _,__ __ ,-.,..= ::.__ _ _ _ __ ; that I am n ot a student or minor, and, if a female , I am the head of a family; thlit-the ard ent spirits so r eceived by m e were brought into the State on my written order, and foat I have not, within th e thirty days previous h ereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of t he quantity allowed by the provisio ns of th e Act of t he Gener al Assembl y of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirit.s so r eceived by me are fo r my own use , at my own hom e , and t hat the said ardent spirits will not be used in violati on of l aw . Consianee . Ai:ont for Sontb.,fn Express Company. �FORM 370•VA Received at Affidavit No Consign ee ,, .,,~ ,z ~--' , Frqpr: Weigh .___,__ _ lbs. ·'>t..-:/L, ?-?. •u -t;~ Advan.- e e to Collect RECORD OF To Consign ee ___ _ _ _ _ _ _ _ _ _ _ _ _ __ To Shipper_ ____ ____ ____ _____ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . ( OV<R) �AFFID AVIT FOR ARD E NT SPIRI TS FOR PERS ONAL USE STATE 0~' VIRGIN I A , COUNT Y OF _ _ __ _ _ __ _ __ i, --- --- -- -- - - --- --- --- -, being duly sworn, depose and say t hat I am the consig nee of a certain shipme nt of ardent spirits , as specifie d on other side of this form, this day d elivere d to me by the Southe rn Expres s Compa ny, from ____ ____ ____ _ __ ; that I am n ot a studen t or minor, and , if a femal e , I am the head of a family ; that the ard ent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previous hereto , receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spirit.a so r eceived by me are for my own use, at my own home , and that ihe said ardent spirits / II not be used in violati on of law. Sworn to and subscr ibed before me , this ___day o1. - -- - , 191_ A~ent for Souther n Express Company. <Jonsien ee. �SOUTHERN EXPRESS COMPANY FORM 370•VA (Incorporated ) ,/ Affidavit No. ~ ' .;,.,, / L/ . lbs. /,11, ,>I , /_/, / RECORD OF NOTICES To Consionee ___ _____ ._ _ _ _ _ _ _ __ To Shipper _ _ __________ ______ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ·-.. (O VER ) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STATE O~' VJRG!NI A, COUNTY OF _ _ _ __ __ _ __ _ i, ---- ---- ---- ---- ---- --, being duly sworn, depose and say that I am the consign ee of a certain shipmen t of ardent spirits, as specified on other side of this form, this day delivere d to me by the Souther n Express Compan y, from ____ _____ ______ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into th e State on my writt en order, and that I have not, within th e thirty days previous hereto, r eceived any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law , and that the ardent spirhs so rec eived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscrib ed before m e, this ___day oL.. - - -- , 191_ Aeent for Southern Exvress Comvauy. ~ / Consia:nee. �SOUTHE RN EXPRESS COMPAN Y FORM 370-VA (Incorporated ) Advnnree t o Collect Add PREPAID Ond er cbar gc Shipper_ ~ ~~ =:..:'.i:·__ __J \u}cc ''-"'i._....-=::..:1L, _.:, -l::_,c=-- 1) \) RECORD Of" NOTICES To Consign ee _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ To Shipp er _ _ _ _ _ _ _ _ __ _ _ __ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE . (OVER) I J �AFFID AVIT FOR ARDE NT SPIR ITS FOR I i, PERS ONAL USE · -"=4 .,-L---"''-'-'=c..... .::=---,<-_ J.•-L-"" '--"-"-A '--'-:::::_-= =---'--- , being duly sworn , depose and say ihat I am as ~j ~ e~ n othe ·de of this fo, ; ~his ay delive red to me by the South ern Expre ss Comp any, from ~ ( ; that I am no studen t or minor , and, if a female , I am the head of a family ; t t the arden t spirits so receiv ed by m e were broug ht into the State on my writte n order, and that I ha e not, within the thirty days previo us hereio , receiv ed any ardent spirits of any kind whatso ever, from any person or from any place whats oever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916 , or contra ry to law , and that the ardent spiri1,s so receiv ed by me are for my own use, at my own hom e , and that the said ardent spirits will not be used in violati on of Jaw . j Sworn to and subscr ibed before me, t his-l- --day oL- -- -- - , 1911 - Consicn ee. �FoRM 3TO•VA RECORD OF NOTICES S COMPA NY SOUTH ERN EXPRES rated) (I ncorpo To Consignee _ __ _ ______ _ _ _ _ _ _ __ To Shipper _ _ __ ____ ____ _ _ _ _ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. (OVJt R} �AFF IDAV IT FOR ARD ENT SPI RIT S FOR STAT E OF } PER SON AL USE Vrno J JA, COUN TY O~' ~_,_ /-'j/ - ""---- '-''-<' -~ i, Y , , bein g duly swor n, depo se and say that the cons idee of a certa in shipm ent I am of arde nt spiri ts, as spr ified on ot r side of this form , this day deliv erel o me by the Sout hern Expr ess Com pany , from stud ent or mino r, and, if a fema le that I am not a , I am the h ead of a fami ly; th,,t the arde nt spiri ts so r eceiv ed by me were brou ght into the State on my writt en orde r, and that I hav1e not, with in the thirt y days prev ious here to, recei ved any arde nt spiri ts of any kind what soev er, from any perso n or from any place what soev er, in exce ss of the quan tity allow ed by the prov ision s of the Act of the Gene r al Asse mbl y of V irgin ia , appr oved Marc h 10, 1916, or cont rary to law, and that the arde nt spiri ts so r eceiv ed by me are for my own use, at my own home , and that the said arde nt spiri ts will not be u sed in viol ation of l aw. ?v-,tf.,,fl~ M l6 Swo rn to and subs cribe d befo re m·e, thi s _ _day O~ =-= --, 1911 A2ent fo r South ern Exvre ss Co mvau y. Uonsi anee. �l'OAM 370•VA SOUT HERN EXPR ESS COM PANY (I ncorpora ted ) Affidavit No. Ad vnm·e e to Co llect RECO RD OF' NOTIC ES To Consignee___ ___ __ ___ ___ ___ __ To Shipper _ ___ ___ ___ __ _ _ _ _ __ AF'F'ID AVIT F'OR ARDE NT SPIRI TS F'OR PERS ONAL USE . (OV ER ) �AFF IDA VIT FOR AR DE NT SP IRI TS FOR PER SO NA L US E STA TE OF VIRG COU NTY OF -.--- -~ -...,,. ,,~ - =~ -- ~, _(_....,...--'~-'----+--',.-. .,__.,_.. . . ,___ _ _ _ __ +-_ _ , bein g duly swo rn, as spe/ e dep ose and say that I am on othe r side of this form , this day deli vere d to me by the Sou ther n Exp ress Com pan y, from stud ent or min or, and , if a / ; that I am not a fem al e , I am the head of a fam ily; that the af den t spir its so wer e brou ght into the State r ecei ved by m e on my wri tten orde r, and that I h,av e here to, rece ived any arde nt spir with in the thir ty day s prev its of any kind wha tsoe ver, from ious any person or from an y plac e exce ss of the qua ntit y allo wed wha tsoe ver, in by the p rovi sion s of the Act of the Gen er al Assembl y of Virg Mar ch 10, 1916, or con trar y inia , app rove d to law, and that the arde nt spir its so r ecei ved by me are for my own use, at my hom e, ~• "" ' th, ,,id a,de nt , pfri ts will ••: / t; M : ''..11:•:••~: . C:j •= I,. Swo rn to and subs crib ed befo re me , -;- ~I~ , 1911 ---ezt- <Jb tc \.J-- Cons i �FORM 370•VA SOUT HERN EXPRE SS COMP ANY (Incorpor ated ) 7JJ RECO RD .1-7 - - ~~ - --'-_..,'--___ _ 191--rTo ___ __:_::=-'---'-'--"''-'-L.::;.,.,..- --'--- - - - Advanr e s to Collect Shipper_J_f~·~'td..,; ~~t-..=__j_~{. ::1~~ ~~- Affidavit No _ _ _ _ __ 191 7 -- From~ ---=-::... :::...=--- ---''---"'" -- EXPREs s CHARGE S COLLECT Add Underchar 1e RECOR D OF NOTICE S To Consicne e _ _ _ _ __ ___ ___ ___ ___ To Shipper _ __ _ _ _ ____ _ _ _ __ _ __ · AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . (OVIIR) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE STATE OF VIRGIN IA, COUNTY o~•- ---- - -- - - - i, --- --- ---- --- --- --- --- , being duly sworn, depose and say 1;hat I am the consign ee of a certain shipme nt of ardent spirits, as specifie d on other side of this form, this day deliver ed to me by the Southe rn Expres s Compa ny, from _ _ _ _ _ _ _ _ _ _ _ _ _ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisi ons of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me are for my own use, at my own home, and that the said ardent spirits will not be used in violatio n of law. Sworn to and subscri bed before me, "' ,I, 1,,, ,. 191 _ Aeent for Southern Exvress Compauy . Cousi,;nee. �FORM 3TO•VA SOU THER N EXPR ESS COM PAN Y (Incorp orated) COLLECT RECO RD Of" NOTIC ES To Consignee _ _ _ _ _ _ ___ ___ ___ __ To Shipp er _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ Af"f"ID AVIT f"OR ARDE NT SPIRI TS f"OR PERS ONAL USE . (OV tR) �AFFIDA VIT RDENT SPIRIT S FOR PERSO NAL USE STATE 0~' VIRGINI A , COUNTY O F - - - -- - -- - - r - ,J ~, ______,,;__,___,,___--=---~-- - - - -- - - - --,-bei ng duly sworn, depose and say that I am the consign ee of a certain shipmen t of ardent spirits, Specified on other side of this form, this day delivere d to me by the Souther n Express Compan y, fro // I ; •,, ' J;, Otat I-am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previou s hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe v·e r, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, allj that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits wil! n t be used in violation of Jaw . Sworn to and subscrib ed before me , this _ _._ day ot.. - -- - ' , 191 __ Aeent fo r Southern Exvress Comp~uy . Consignee . �FORM 3TO•V A SOUT HERN EXPR ESS COMP ANY (Incorpo rat ed) Affidavit No, _ P REPAID _,½ '---- --'7__ Add Uu de rcba r1e RECOR D Of" NOTIC ES To Consion ee ___ _ _ ___ _ _ _ _ __ _ _ _ To Shipper _ ___ ___ ___ ___ __ __ _ Af"f"IDA VIT f"OR ARDEN T SPIRIT S f"OR PERSO NAL USE . • ( OVKR) �AF FID AV IT FOR AR DE NT SP IRI TS FOR i, _ __,~,____ _ _.c__ PE RS ON AL US E -=..,.____,__= --,. ,c_ ____ , bein g duly swo rn, dep the con sign ee of a cert ain ose and say tha t I am ship men t of ard ent spir its, ~~ ecifiec_},on othe r side of this form , this day deli vere d to me by the Sou ther n Exp ress Com pan y, fro ~ stud ent or min or, and , if 1,/ , tha t I atn not a a fem al e, I am the hea d of a fam ily; tha t the ard ent wer e bro ugh t into the Sta spir its so rece ived by m e te on my wri tten ord er, and tha t I hav e not , with in th e thir here to, rece ived any arde nt ty day s prev ious spir its of any kind wha tsoe ver, from any p er son or fro_ exc ess of the qua ntit y allo m any plac e wha tsoe ver, in wed by the pro visi ons of the Act of the Gen e1·al Ass e mbl y of Vir Mar ch 10, 1916, or con trar gini a, app rov ed y to law , and tha t the ard ent spir its so rece ived by me my own hom e, and that the are for my own use , at said ard ent spir its will not e use d in viol a ·on of law . .ItL /1 , /j , ed befo re me, ~ Co'i1s ic: uee. ,-----,F-- , 191 _2 ,ft Aee nffe r Sout hern E:xvress Com vauy . • �FORM 370-V A SOU THE RN EXP RES S COM PAN Y (l ucorpo rat e d ) REC ORD Received atL--1.c= ,:...;,, :~~ Consignee _ ""-"- --'-- - ---=--- =-=---- Date._ _,~---4--7_ __ 191 J- Affidavit No ___:,,_L.. Ju.. J.l-;..c..L!!==-==-.;---==-=~ --';;/""-----~•.L/:.__,1'<'---"'"---=-' =----"'=e._-- ~- - - -- - - - - I REC ORD OF NOT ICES To Consionee ___ _ __ _ _ _ _ __ _ J .2 6 __ __ To Shipp er_ __ __ __ __ __ ___ _ _ __ AFFI DAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . (OV ll:R) �i• • ~ ., =:_:::r7 ~ , AFFIDAVIT FOR ARDENT SPIRITS FOR COUNTY 8TATk O> 0~' - PERSONAL USE ~ '/~ boing duly ,wom, dopo" ~, "1 lbot l om foe consignee of a certain shipment of ardent spirits, as -~pacified on otl~er side of this form, this day f I ll delivered to me by the Southern Express Company, from f. ~ - . · .~ t I am not a student or minor, and, if a female, I am the head of a family; that the ardent SIJ. its so r \) ived by m e were brought into the State on my written order, and ihai I have not, within thirt ays previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law , and that the ardent spirits so received by me are for my own use, at my own home , and that the said ardent spirits wil not be used in violation of law . ;J.'! L Sworn to and subscribed befo re me, I A11:ent for Southern 'Exvress Company. �SOUTHERN EXPRESS COMPANY (Incorporat ed ) LIQUOR RECORD Affidavit No. //0 , Kind of Ard ent Spirits_ _ _ __ _ _ __ __ ~ -- + - -- Amoun _ ...,...._ _ _ __ _ _ __ Weioh t- _ ___ lbs. F/-~,,_____ Way-Bill No. _~ From_-"-- - - -~ - - -- - 7 To Advau< e a to Coll ec t E X PRESS CHARGES PREPAID Add Unde r cha rge RECORD OF NOTICES To Consign ee _ _______ ____ _ __ _ _ __ To Shipper _ _ __ _ _ _ _ _ _ _ __ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVkR) �. AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA , COUNTY 0 • ' - - -- - - - - -~ - i, - - - -- -- - - - -·- - -- - =-"""'-- - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day / delivered tome by the Southern Express Company, from ___ _________ __ ·; student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of -Ia, Consicuee. Sworn to and subscribed before me , this ___day oL. - - -- , 191 _ A~ent for Southern Express Com:pauy. �SOUTHERN EXPRESS COMPANY FORM 370•VA (Incorporated ) SPECIAL LIQUOR RECORD Received a,.___ _ __ __ _____ _____ Date, _ __ _ _ ___ 191 _ Affidavit No, ____ _ _ Kind of Ardent Spirits_~ -=-----'----------'-- - -- Amoun.___________ Weioh '--- " - - -lbs. From, ___ _ ________ 1 Way-Bill No...c•c.._ _ _- ' - - -- Advsnrea to To __ _ _ _"-.!....:c.=-----=-- - - - - - - -- Collect EXPRESS CHARGES PREPAID - - - -- - ! - - - - - - COLLECT Arld Unde r ch arge RECORD OF NOTICES To Consignee_________ __________ To Shipper _ _________ __ __ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . {OVE R) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STATE OF VIRGINI A, COUNTY OF _ _ _ __ __ _ _ __ i, - - - - - - -- - - - - - - - - - - - - - -, being duly sworn, depo se and say that I am the consign ee of a certain shipmen t of ardent spirits, as specified on other side of this form, this day delivere d tome by the Souther n Express Compan y, from _ _ _ _ _ _ _ _ _ __ _ _ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violatio n of law . Sworn to and subs9-ri 'ed before me , £. lf: f~ this ___day ot-, - - - - , 191 _ Al:ent for Southern Express Company. Consir:nee. �FORM 370-V A 3--;7 EXPR ESS COM PAN Y SOU THE RN (lncorpo rn&ed ) sj\£c1AL LIQU Om ORD ----- .6----'~ _ D;ate.__rP/ -;: ___ r- ' ---1. --==-------='---'---+!'.::I---_:-- ~ Affidavit No. -----r_ ~- --- - - - -- --.--r-- - :'.:.:'. :__ _ __ _ _ Consignee ...b,,::'.'.~::._::_.::.~ :;....¢~::-Z a.~(_~~~~ P R EPA I D Add Unde r ch a rge - - - -) Shil'J/J~'- _.,_~ ~::;,:: :-=- ----= --_,_- ' - ~ RECO RD OF NOTI CES _ _ __ To Consignee _ _ _ _ _ ___ _ _ _ _ _ _ _ __ To Shipper_ _ __ ___ ___ ____ ITS FOR PERS ONAL USE . AFFID AVIT FOR ARDE NT SPIR (O YER) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR STATE OF PERSO NAL USE VrnmNJ A, CouNTY m · - - - -- -- -- ~~ i, ---- -- -- - -- ---- ---- ---, being duly sworn, depose and say that I am the consign ee of a certain shipmen t of ardent spirits, as specified on other side of this form, this day -rt delivere d to me by the Souther n Express Compan y, from , / ~ , ; th t I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to Jaw, and that the ardent spiri1.s so received by m e are for my own use, at my own home, and that the said ardent spirits will not be used i_n violation of law. . 7r(7 Cousianee . Sworn to and subsc ! be before me, thi s/ - -day oU ( - - - - , 191 / ~ / A&"ent for Southern Ex.vres s Compauy . �FORM 370•VA SOUT HERN EXPR ESS COMP ANY (Incor porated ) _~_(p:;__\()_ Affidavit No . A rld Unde r charge RECOR D OF ,NOTIC ES To Consignee ___ ____ ___ _ __ _ __ _ _ To Shipper _ _ _ _ __ _ ____ __ _ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . (OVltR) �AFFI DAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE STAT E OF VIRGI NI A , COUN TY OF _ _ __ _ _ _ _ __ _ -; i, --- --- -- - - - --- - - ~ ~ - --- , the consi gnee of being duly sworn , depos e and say that I am a certa in shipm ent of arden t spirit s, as specif ied on other side of this form, this day deliv ered to me by the South ern Expr ess Comp any, from _ _ _ _ _ _ _ _ _ __ __ ; that I am not a stude nt or mino r, and, if a femal e , I am the head of a famil y; that the arden t spi rits so r eceiv ed by me were broug ht into the State on my writt en order , and that I have not, withi n the thirty days previ ous heret o, receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whatsoever , in exces s of the quan tity allow ed by the provi sions of the Act of the Gene ral Assem bly of Virgi nia , appro ved Marc h 10, 1916, or contr ary to law, and that the ard ent spiri1. s so r eceiv ed by me ar e for m y own use, at my own home , and that the said arden t spirit s will not be u sed in viola tion of Jaw. Swor n to and subsc ribed befor e me, thisL _da y oL- . - - - - , 191 _ Aeen t fo r Southe ru E:x:vre ss Comvl luy. y J/ l Consi ,:uee. �SOUTHERN EXPRESS COMPANY FOAM 370-VA (Inco rpo rated ) Ad d P REPA ID Und e rc harge RECORD Of" NOTICES To Consignee___ _ __ _ _ _ __ __ _ _ __ To Shipper _ _ _ __ _____ _ __ __ _ __ Af"f"IDAVIT f"OR ARDENT SPIRITS f"OR PERSONAL USE . (O VER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE , i, " being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered tome byl;he Southern Express Company, from _ _ _ _ _ _ _ _ _ __ _ _ ; i;hai; I am nol; a studenl; or minor, and, if a female , I am the head of a family; that the ardent spirits so r eceived by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia,.approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. j Consi,:nee. Sworn to and subscr"bed before me , this 'J /4ay ot.. - - -- , 191 _ Aeent for Southern Express Comvauy. �FORM 370•V A SOU THE RN EXP RES S COM PAN Y (I ncor porat e d ) 191-. ;! Advn.n re e t o Coll ec t Affidavit ll No_ Y,"-· f PREP A ID REC ORD OF NOT I CES To Consignee _ _ __ __ __ __ __ __ __ _ _ To Shipp er_ __ __ __ __ __ _ _ _ _ _ __ AFFI DAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . ( OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE i, - - - - -- -- - -- - - -- - - -- ---, being duly sworn, depose and say that I am the consignee o.f a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by ihe Southern Express Company, from _ _ _ ______ _ __ _ __ ; that I am no1; a siudent or minor, and, if a femal e , I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoeve1·, in excess of the quantity allowed by the provisions of the Act of the General Assembl y.of Virginia, approved March 10, 1916, or contrary to Jaw , and that the ardent spiriis so rec eived by me are for my own use, at my own home, and that the said ardent spirits will no: be~ inl ;lation of law . Sworn to and subscribed before me, tbis ___day oL- Ai:ent f or Southern Exvress Company. �FORM 370• VA SOUTH ERN EXPRE SS COMPA NY (I ncorpo rated ) Affidavit No £/ t/ / Advnu r-e a t o Collect EXPRESS CHARGES PREPA I D A~d Uude r cba rgo RECORD OF' NOTICE S To Consignee _ __ _ _ _ ____ ____ ___ To Shipper_ _ _ _ _ _ _ _ _ _ __ _ _ __ AF'F'IDA VIT F'OR ARDENT SPIRITS F'OR PERSON AL USE. (OV ER ) �AFFID AVIT FOR ARDE l'IT SPIRI TS FOR PERS ONAL USE STATE OF VIRGIN IA , COUNT Y OF _ _ _ __ _ _ _ __,'-- i, ~ - --- ---'---- -, ~ being duly sworn, depose and say that I am the consig nee of a certain shipme nt of ardent spirits , as s 0,llified on other side of this form, this day deliver ed to me by the Southe rn Expres s Compa ny, fro~ ai I am not a studen t or minor, and, if a female , I am the head of a family ; that the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previo us hereto , receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Ge!!era l Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spirits so rec eived by me are for my own use, at my own home, and that the said ardent spirits will ot be used in violati on of Jaw . {2, ' ' Sworn to and subscr il~ed before me, this 1? day ot.-.'/ I, 191. J A&"ent for Souther n Express Compau y. , Consiau ee. �SOUT HERN EXPR ESS COMP ANY (Incorpo rated ) ~ ~ ~IJ!! _~~::_ 191;:7 , Affidavit No., _ _ _ _---'- - ~ -CL__e_--'-'---'--'--"--Jl ,7--,':. -- -- Amoun .____ _ ::__3.4._; ,.;LL.__:: '--'..!=' - -"'1 "'.J Advnu re e to Coll ec t PR E PAID Arld Ondcrcbn r go RECOR D Or NOTIC ES To Consignee _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ To Shi pper_ _ _ _ _ _ _ _ _/ _ _ _ __ _ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . {OY KR ) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE STATE OF VIRGIN IA, COUNTY OF-- - -- - -----'~ -'-~ ~, - - - - -- - - - - - - '·- - - - - - - - - -- , being duly sworn, depose and say 1;hat I am the consign ee of a certain shipme nt of ardent spirits, as speciiie d on other side of this ·form, this day ~ deliver ed to me by the Southe rn Expres s Compan y, from _ _ _ _ _ _ _ _ _ _ _ _ _ ; that-I am not a student or minor, and, if a femal e , I am the head of a family; that the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisi ons of the Act of the Genera l Asse mbly of Virgini a, approve d March 10, 1916, or contrar y to law , and that the ardent spiril.s so receive d by m e are fo r my own use, at my own home, and that the said ardent spirits will not be used in viol ation of law. I Sworn to and subscri bed before me, this ___day oL - -- , 191-l A~ent fo r Southern Express Cowpau)'. Consiane e. �FORM 370•VA SOUT HERN EXPR ESS COMP ANY (I n corpor ated ) RECOR D OF NOTIC ES To Consion ee ___ _ _ ___ _ _ _ _ _ _ _ __ To Shipper _ ___ ___ _ __ _ _ _ _ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . ' (OV ER) - �- _.,,..,..,,,.,.,,.,,.,..,:s,,,..,...,,_...,e,...,sa....,c.,....,.,,,.,..=.,,,.,,.....,=~w«<"w.....,___,.....,_ __,,,...,,~ - - AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE STATE 0~' V!RGI COUNTY OF _ _--'-J'------''--- -"C...,::---=----=-c:._J_ . ., 7 (, { I ,1 , being duly sworn, depose and say Ulat I am the consignee of a certain shipment of ardent spirits, as sp cified on other side of this form, this day delivered to me by the Southern Express Company, from / ; that I am not a student or minor, and, if a female, I am the head of a family; th t (he ardent spirits so received by me were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any p erson or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March IO, 1916, or contrary to law, and that the ardent spirits so rec eived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Cons ii;:noe. Sworn to and subscribed before m e, this ___day oL- " /, .I ) / ,, , 19Ly , '7 ✓I/£ 7 /i" �-- -·- --- - --- - ------SOUTHERN EXPRESS COMPANY l'ORM 370•VA (luco rporated ) • S f ~ L LIQUOR RECORD Received at--- ~ ~~ ~ ~ ~ -,,___ _ _ _ _ Date _ _ _ __ ___ 19 J_ • J Affidavit No . ~ /~ /_; :_ _ -~ - '--~ - - ' - - - ~ - - -~ - - -- - Amoun ~ _ ______, ____ Weioht_--'_ _ lbs. Way-Bill No· -- - ~ - v ~ -- - To _____ _______________ ~ _ _ _ 191_ __ Advnn,ee t o Collect From _ __ _ __ _ _ __ EXPRESS CHARGES COLLECT ~ Arld Uude rcburgc RECORD OF NOTICES To Consign ee ________ ________ __ To Shipper_ _ _ _ _ _ _ _ _ _ _ __ __ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (ov ,a) �AF FID AV IT FO R AR DP "!T ~ SP IRI TS FO R STA TE OF VIR GIN IA , COU NTY m• __ __ I PE RS ON AL US E _ _ __ __ _ i, -- -- ---- -'--- -- -- -- -- -- -, bei ng dul y the con sign ee of a cer tain swo rn, dep ose anq say tha shi pm ent of ard ent spi rits t I am , as spe cifi ed on oth er side of this for ~, this day del ive red to me by the Sou the rn Exp res s Com pan y, from~------stu den t or min or, and , - - -- -- ; tha t I am not if a fem ale, I am the hea a d of a fam ily; tha t the ard wer e bro ugh t into t.he Sta ent spi rits so rec eiv ed by te on my wri tten ord er, and me tha t I hav e not , wit hin her eto , rec eiv ed any ard ent the thir ty day s pre vio us spi rits of any kin d wha tsoe ver , from any per son or from exc ess of the qua ntit y allo apy pla ce wha tsoe ver , in wed by the pro visi ons of the Act of the Gen era l Ass Ma rch 10, 1916, or con trar emb ly of Vir gin ia, app rov y to law, and tha t the ard ed ent spiri~s so rec eiv ed by my own hom e, and tha t me are for my own use , the said ard ent spi rits wil at l not be use d in vio lati on of Jaw . Sw orn to and sub scri bed bef ore me , this __ _day oL- l Ji Ai:e nt for S6 uthe rn Exp ress Com pauy . .(A_ Con sien ee. �FORM 370•V A SOU THE RN EXP RES S COM PAN Y ( Incor porate d) LIQ UO R.7! ~0 - -- ~'U ~~ _ -- 191 Affidavit No _ _ _ _ _ _ Advan re11 to Coll ect REC ORD OF NOT ICES To Consignee _ __ _ __ __ __ __ __ ___ _ To Shipp er _ __ __ __ __ __ __ __ AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . (OV ltR ) , ___ �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~, - -F-"""'-"--=--'-'--= - - -L-~ --=---- - - - -- - -- - , being duly sworn, depose and say ihat I am as SP.e Hied on other side of t his form, i is day ;J )? I delivered to me by the Southern Express Company, from ,/J I' • ; that I am not a student or minor, and, if a female, I am the head of a family; Wat the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, and that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in vi lation of law. . Sworn to and subscribed before me , this:2..i__day o . :iu . . ,.,=-,-=-+-_, :U J~ _ =-r-i~--=---.:...=--- tl t A~ent for Southern Express Compan ~·. Consienee. �FORM 370-VA SOUTHER N EXPRESS COMPANY (Incorpo rated) PRE P A ID Ship RECORD OF To Consianee _ _ _____ _ ______ ____ To Shipper _ ____ _____ ______ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OV ER) �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE STAT E OF VIRG INI A, CouN TY m ' _ _ __ _ _ _ __ _ _ ' - - - - - ~ i, -- -- --- - -- - - - -- -- -- - - -, bein g duly swor n, depo the cons igne e of a certa in ship men se and say that I am t of arde nt spiri ts, as spec ified on othe r side of this form , this day deliv ered to me by the Sout hern Exp ress Com pany , from ___ __ _ __ __ __ __ ; that I am not a stud ent or mino r, and, if a fem ale , I am the head of a fami ly; that the ard ent spiri ts so r eceiv ed by were brou ght into the State on my me writ ten orde r, and that I have not, with in th e thirt y days prev here to, rece ived any arde nt spiri ts ious of any kind what soev er, from any p erso n or from any plac e wha tsoev exce ss of the quan tity allow ed by er, in the prov ision s of the Act of the Gene ral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to law, an d that the ard ent spiri is so r eceiv ed by m e are for my own use, at my own hom e , and that the said arde nt spiri ts will not be used in viola tion of Jaw . Swo rn to and subs cribe d befo re m e, thi s __ _day 01.. - -- - , 191_ A2en t for South ern Exvress Comv auy. Cons ienee. �SOUTH ERN EXPRES S COMPA NY (I ncorporated ) .. ~ Affidavit No? Advnnrea to Collect r (/ . /y PREPAID RECORD OF NOTICES To Consion ee _ _ _ _ _ __ _____ __ _ __ To Shipper _ _ _ _ _ _ _ _ _ _ __ _ _ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. ( OV ER} �AFFI DAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE STAT E OF VIR COUN TY OP-= - -- - ---- ----·< L' ---- -'=~ --- - -- - - -- - - - - -- - , being duly sworn , depos e and say that the consi gnee of a certa in shipm ent of I am arden t spirit s , as citied s on other side of this form, this day deliv ered to me by the South ern Expre ss Comp any, from -'-.-- ' - - - - -·- - - - - - ; that I am not a stude nt or mino r, and, if a femal e, I am the head of a famil y; that the ardim t spirit s so receiv ed by me were broug ht into the State on my writt en order , and that I have not, withi n the thirty days previ ous heret o, receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quan tity allow ed by the provi sions of the Act of the Gene ral Assem bly of Virgi nia, appro ved Marc h 10, 1916, or contr ary to law, and that the arden t spirit s so receiv ed by me are for my own use, at my own home , and that the said arden t spirit s will not b used in viola tion of law. I Swor n to nd subsc rib d befor e m e, this/ . ,.., day ot.../ 1 , 191_ ! Ae-ent for Southe rn Ex.pre s s Uompa ny. Consia nee. / �FORM 370•VA SOUTH ERN EXPRE SS COMPA NY (lucorpo r&ted) LIQUO R RECOR D Z - ,l-1 Received at_~ ~~f:;r'--~ ¼----...~ ~ ~---D ate 7 1911-- Affidavit No. 'f:/() I A dvn. nres t o Co ll ec t RECORD OF" NOTICE S To Consion ee _ _ _ _ __ _ _ ____ __ _ _ __ To Shipper _ _ _ _ __ __ __ _ _ _ _ _ __ _ AF"F"IDA VIT F"OR ARDENT SPIRITS F"OR PERSON AL USE . {O VER) �AFFID AVIT FOR ARDE NT _ SPIRI TS FOR PERS ONAL USE STATE OF VIR COUNT Y OF--'- -,-C-~ --'---- -'--,4'-- - ~, - - ~- ---'-.:....CC- ~ - - --,.---- '----'- -'---= ----, being duly sworn, depose and say ihat I am ihe consig nee of a certain shipme nt of ardent spirits , as .§_j1ified on other side of ihis form, ihis day deliver ed to me by ihe Southe rn Expres s Compa ny, from J .,/ I ; that I am not a studen t or minor, and, if a female , I am the head of a family ; that; the ardent spirits so receive d by me were brough t into the State on my written order, and ihat I lfflve not, within the thirty days previo us hereto , receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spiri1s so receive d by me are for my own use, at my own home, and that the said ardent spirits will not be used in violati on of Jaw. //1- .. /I r/( Consicn ee. J �Advan ce s to Coll ect RECORD OF" NOTICES To Consign ee _ _ _ _ _ _ _ _ __ _ __ _ __ ~ EXPRESS CHARGES COLLECT P RE PA I D Add Underchar ge To Shipper _ _ __ _ _ _ _ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . / (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR - PERSONAL USE STATE OF VJRGINIA , COUNTY OF _ _ _ __ _ _ _ __ _ ~, - - - - - - -- - - - - -- - - - - - - - -, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as s cified on other side of this form, this day I" ; that I am not a ✓. l ' delivered to me by the Southern Express Company, from( student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiril.s so received by me are for my own use, at e'used in violation of law . my own home, and that the said ardent spirits will_ ~ Consianee. p rI 7 A&"ent for Sonther. Express Compauy. �Affidavit No.~ / .(/t' t,t-•4;;== j y- # RECORD OF To Consionee _ __ _ __ _ _ _ _ _ _ __ __ To Shipper _ _ _ __ _ _ _ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE:. ( OV ER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY OF _ _ _ __ _ _ _ __ _ i, ..._. , 1!,eing duly swqrn, ,J;lepose and say that I am the consignee of a certain shipment of ardent spirits, as speci:fl_ed on otlier ' side of this form, this day delivered to me by the Southern Express Company, from _ _____________ ; that '! am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, fr.om any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Consignee. Aeent fo p'Southern E~vress Comvauy. �Affidavi~ No; ~ P REPAID Arl d Oude rcbo.rge • RECORD OF To Consignee _ ____ ____ ___ _ _ _ __ To Shipper _ _____ __ _____ _____ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE. ( OV ER) �AFflDAVIT FOR ARDENT SPIRITS FOR i, PERSONAL USE c (l being duly sworn, depose and say that I am s e'cified on other side of this form, this day ./ ; , th t I am not a " 1 delivered to me by the Southern Express Company, fro student or minor, and, if a femal e, I am the head of a family ; that the ardent spirits so r eceived by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever , in excess of the quantity allowed by the provisions of the Act of the Gener al Assembly of Virginia , approved March 10, 1916, or contrary to law, and that the ardent spirHs so r eceived by me are for m y own use, at my own hom e , and that the said ardent spirits will not be used in violation of law. ---='---= - ---'= :.._--=--'-·--''----'-''--- - - - - - - , the consignee of a certain shipment of ardent spirits, . Vt~ ~ - - -~---- -- - -- -- - -- -- - - -- - Consicnee. Sworn to and subs this ___day of- ibed before me, - -~ ' - · 191 _ �FORM 370•VA SOUTHERN EXPRESS COMPANY (Incorporated) Affidavit No( 1 j' / Add Undercha rg e RECORD OF' NOTICES To Consianee _ _ _ _ _ _ _ _ _ _ _ _------''----- To Shipper _ _ _ _ _ _ _ _ _ _ __ _ _ __ AF'FIDAVIT F'OR ARDENT SPIRITS FOR PERSONAL USE. (OVXR) I �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE I am ... , - - - - -- -- -- - ·"--- -- - -- -- - - , being duly sworn, depose and say that day this form, this of side other on specified as spirits, ardent of shipment certain the consignee of a I am not a delivered to me by the Southern Express Company, from _ _ _ _ _ _ __ _ __ _ _ ; that by me received so spirits student or minor, and, if a female, I am the head of a family; that the ardent previoUB days thirty the within not, have I that and order, written my on were brough1; into the State in hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, approved Virginia, of Assembly General the of Act the of provisions the by allowed excess of the quantity own use, at March 10, 1916, or contrary to law, and that the ardent spirils so rec eived, by me are for my _ _ _ _ _ . aw l of folati in ed wild spirits ardent my own hom e, and that the said Sworn z • and subsc:?e ' before me , this / /J day o1- ,,__ _ _ , 191_ / / A2ent for Southern Exvres s Compa.uy. ' Consi£uee. �RECORD OF NOTICES To Consignee (OVER) ��..,.p ADAM S EXPR ESS COMP ANY • •< ' . (OVBB) �STAT E ol' Vm" CoUN TYOP (_, fl. ~ ? ~6 > I, ~ the consignee of a ~ rtain ~bigment of arden t spirit s, , depose say that I am I specifg ieddulyonsworn other side of this orm, this day t/vf_ and · , delivered to me byth e~~ Exp ress Company, t I am not a stude nt or minor, and, if a ~mal e, I am the bead of a famil y· t the arden t spirit s 80 rece1 y me were broug ht into the State on my writt en order , and that have not, withi n the thirty days pre ous hereto, received any arden t spirit s of any kind whats oever, from any person or from any place whats oever, in excess of the quant it allowed b the provi sions of the Act of the General Assembly of Vir. ginia, approved March 10, ary to law, and that the arden t spirit s 80 receiv ed by me �D ELIVE RY PORM eo ADA MS EXPR ESS COM PAN Y R&V l allD J UI.Y, 1917 / _ _ ...__ _ -'--- ,.--' ---~ Reoelved at_L I' P.O. Address RECORD OF NOTIC ES _ To Shipper _ __ _ _ _ _ __ _ __ T o Conelgnee (OVIIB) �S'l'ATE 01' VIRG COUNTY OF ~ /Z (, 1 /(. , 1>eing duly sworn, depose and say th11t I am y== /: f: I, lfpe · ed on other side of this fVm, this day as spirits, ardent of shigment the consignee of a certain I delivered to me by the Adams Express Company, fro _ _...._....__ ................_ __..............._; ·t lt,Am not the ardent spirits so received by me a student or minor, and, if a female, I am the head of a family; within the thirty days previous not, have I that and order, written my on were brought'into the State hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Vir. ginia, approved March 10, 16 or contraq; to law, and that the ardent spirits so received by me l are to be UBed by me for • · ' (State whether for Sclentlftc, Sacramental, Medicinal or Kechanlcal) ses. �P.O. Address RECORD OF NOTICES To Consignee To Shipper (OVBR) �STATE OF VI~GINIA, .,. , being duly sworn, depose and say that I am I, the consignee of a certain ahigment of ardent spirits, as specified on other side of this form, this day ' ; ; th' t Him not · . ·, delivered tom~ byth~xpress Company, fro a student or minor, and, if a female, I am the head of a family ; tha( the ardent spirits eo received by me were brought into the·-State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 19}6, ortconp:ary to law, and that th~ ardent spirits so received by me are to be used by me40'-'· .;:-· , • · , / 1 ,.,._,., \ . . . '{State whether for Scientific, Sacramental, K e e l ~ ~ l ieir'O ~ - purposes. / ,;ignee) / ,, I �- --------·-------------------- --------ADAMS EXPRESS COMP ANY · , ,, 1)1Velgh..._-r:::==! J>a. Add Undercbarire RECORD OF To Conalgne To Shipper _ _ _..________/-'-- - - - - - (OVIIB) �• ,,. the '-+-----~------~------• being duly sworn, depose and say that I am on other side of tbill f~ , this day signee of a certain ahif?ent of ardent ap· ta, as a i, ____ not , a delivered to me by the~press Compa.ny, fro a student or minor, and, if a female, I am the head of a fam1 y ; tha e ardent spirits BO received by me were brought into the State on my written order, and that I have-not"; within the thirty days previous hereto, rece~ved any ardent spirits of any kind whatsoever, from any person OI' from any place whatsoever, in exceas of the quantity aUowed by the provjsions of the Act of the General Assembly of Vir. , or co~ ary to law, and that the ardent spirits so received by me ginia, approved March 10, �DELIVERY FORM 80 Kind WaJ-r,J•''Jl-f~~;,111;;;;_;_...ia ---- - ;~ ~ :::::::= To -...,....,,rc....,4---=-------"'-'b,;,---- - -- To Conslgne .-------.---------------.----To Shipper (OVER) �, • ' I! 1 1 >< , • I, J the consignee of a certain ahigment f , ".' \ l)eing duly swom, depose and say that I am r-roent spirita, aa S{Je~ifted on other ~ide of.~ form, this day ot , tti { delivered to me by the ~ p r ess Company, from me by received so spirit& ardent thaJthe a student or minor, and, if a female, I am the head of a family; days previous were brought into the State on my written order, and that I have not, within the thirty place whatso· hereto, received any ardent spirits of any kind whataoever, from any person or from any of Virever, in excess of the qq.antity allowed by the provisions of the Act of the General Assembly by me received so spirita ardent the that ginia, approved March 10, 1916, or contrary to law, and are to be used by me for l l L purposes. (State whether for Scientltlc, Sacramenta l, Medicinal or llechanleal) (Conelpee) ' �P.O. Add_ress RECORD OF NOTICES To Consignee To Shipper'_ _ _ _ __ _ __ _ __ _ _ (OVE R ) �I , being duly swom, depose and say that I am , Y < I, • ~ ( the consignee of a certain 1higment of ardent spirite, as specifted on other side of f;hls.t'orm, this day /_/_ . uf ;t . 1t!ha.t I am not 1: .. ; > delivered to me by the ~ ~ r e s s Company, frmrr:'.'.: //(... lne the ardent spirits so rece~ a student or minor, and, if a female, I am the head of a family were brought into the State on my written order, and that I hava not, within the thirty days previous hereto, received any ardent spirite of any kind whatsoever, fronr any person or from any place whatsoever, in exceBB of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved .March 10, 916, or contpu"Y to law, and that the ardent spirits so received by.me are to be used by Die for l £· '- (State whether for Scientific, Saeramental, ~ or l this ,;) ~ purposes._ ~ cf~ .' ✓ _/,. �To Shipper (OVER) �STATE O l ' V ~ COUN'rY OF------------- ---- 1,----- ::,'I'=,,:,,-+-- - - - - ' - ' - - - - - - - - - . tieing duly sworn, depose and say that I am the consign«¥! of a certain shigmen t of ardent spirits, as specified on otheJ side of this form, this day ~livered to me by tb~x pres a Company ,~ , , at I am not astudent or minor, and, if a female, I am the head ,offrora a family ; that the ardent spirits 110 received by me were brought into the State on my written order, and that I have not, within the thirty days previous beret.a, received any ardent.spirits of any kind whatsoever, from any person or from any place whaaioever, in excess of the quantity allowed by the provisions o:l:theAct"'of the General Assemb lyofVir• . ginia, approved March 10, 1&16, or contrary t.o law, and tbat the ·ardent-s pirits- so received by me are to be JlSed by me for · ·. - _ -. - ~ ~urpos e_s. (State whether for Sclentille. 13aeraiont al, Medicinal or Mee&inl Sworn t.o and ~ before me, this day of. , , :/ , 191 (Cone~ ) • · �DELIVERY PORM eo ADAMS EXPRESS COMPANY RECORD OF NOTICES To Conalgne / To Shipper _ _ _ __ _ _ _ _ _ __ _ (o ~) �- ~~--- ~- -~ ---·.. .------....______________________, �1- ..~ ~~- - -_ ,=___,.___ -:-::-:-=: ___:-:-:-: ___:-:-:: ___:-:-:-: ___::::= ___ _,..,,.,.., ... 2....-::-,4' _ .. ..,._=- -........ ,._______::-:;-_ Kind of Arden t Spirite.~ •~1,,1 111_ ,.~rc. .-.-J----AI w/,Lt ~-: ,Way-Bill No Dat..,_,._t..To _ _ __ _ _ _ __ __ _ _ _ ~++_,,_- ~ RECOR D OF NOTIC ES To Consignee To Shipp er ., (OVER) �ti �To Shippe r (ovu) �------- =-:~~ C---:STATE-~~-V~ • - ' homg duly ,wom, depo,e and ,ay that 1 am the consignee of a certain shigment of ardent spirit&, as s · on other side of is form, this day - - - - i that I am not _~ ,.,.... =.....:. -=:.-..rdelivered to me by th~ ~~xpress Company, fro1p;,f1C...~::;;_.q.._L a student or minor, and, if a female, I am the head of a family; th _the ardent spirits so received ~y ~e were broupt into the State 9n my written order, and that I have not, within the thirty daysl)reviQus hereto, received any ardent spirits of any kind whatsoever, from ,any person or from any place wha~ ever, in excea:s of the quantity allowed by the provisions oftheAct of the General Assembly of Virginia, approved March 10, 1916, or- eontr,ry to law, and that the .ardent spirits so received by me (U'e to be used by me fo~ Sworn to and BUbs~ . purposes. 1(/1.;,. tf • «.. .,....,...,_ ,...,.w...,_ ,~~-.....~ ~ ore m~, "'· '70 ~tfJ £ ¥ ~-- (Con• lpiee) �DELIVE RY P'ORM To (OVEB) �- --- ---~~ ---- ---- ~~-~~- -- -- -- -- -- -- -- -- ---- -~ STA TE 01' VIR~ CouNTY · f='2 :'~- ::-7" . I, the consignee of a cert ain ahigmen t of iu4lent spirits, , being duly sworn, depose and say that I am ass~ on o~ side of this fqrm, this day /:} /. delivered to me by the Adams Exp • l~tL ress Company, frnm ~ • /fL,/_ / 1 '"t I I " _;t, • a stud ent or minor, and, if a female, , that I am not I am the head of a family ; that the arde wer e brou ght into the Stat e on my nt spir its so received by me writ ten order, and that I have not, with hereto, received any arde nt spir its of any kind whatsoever, from any pers in the thir ty days previous on or from any place whatsoever, in excess of the qua ntity allow ed by the provisions of the Act of the General Assembly of Vir. ginia, approved March l_Q, 191~, or con tr8" to law, .and that the arde nt spir its so received by me �DELIVERY P'ORM 60 ADAMS EXPRESS COMPANY Received at.- -..1""""-.;--,-.,....,~~~- - Conelgnee,_--;-r-r- =--~q,,.,:+..,.._ ~---"'""'--I Kind of Arden RECORD OF NO To Consignee To S~lpper (ovn) �STAT E OF VIRGl MIA, I, ✓ being duly swoni, depose and say that I am the consign" of a certa in shigmen\ of arden t spirit s, as specified on other aide of this form, this day delivered to .me by the Adams Expre ss Company, ' ~ !' ; thaf hm not ttstud entor mino r, and, if a female, I am the head of a ~mil y ;..that_t}ie_ard1m t spirit s so received byme were broug ht into the State on my writt en order , and that I have not, within the thirty days previo us hereto, received any arden t spirit s of any kind whats oever, -from any person or from any place whats oever, in excess of the quant ity allowed by the provisions of the Act of the General Asse mbly ofVir . ginia, approved March 10, 1916, or contr'1')' to law, and that the arden t spirit s so received by me hoia,·•· Swor_,;.to_a nd Sllbscril)e4 before me, __ · this r }- d"Y ot: ,, · , 191 ) ' �DELIVERY P'ORM eo ADAMS EXPRESS COMPANY Affidavit No, _ _ __ To Shipper _ _ _ __ _ _ _ _ _ _ __ (OVER) �' I • ,, \) ,( , ,, r( -, : · , t~/ / 0 I .' :~~th~ being auty sworn, depose and say that I am the consignee of a certain ahigment of ardent spirits, as r r i1ied_OD otqer sjde of th~ day 1:2:' ,, , I/& / - · / " ., \ '; '1~t1: not delivered to me by the Adams Express Company, fro a student or minor, and, if a female, I am the head of a family ; tifot the ardent spirits so recei by me wei:e brought into the State on my written order, and that l ~ve not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess Qf the quantity allowed by the provisions of the Act of the General AssemblyofVir. ginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me II , , , are to be used by me for L.(,,{ -1- I Cl:.- '--purposes. / ,/c. ,(, t i (State whether for Scientlfie, Sacramental, Medicinal or Mechanical) / .~ ,,. ' (Coialpee) I �DELIVERY FORM 60 ADAMS EXPRESS COMPANY Affidavit No, _ __ _ RECORD OF NOTICES To Shipper _ _ _ _ __ _ __ _ _ __ _ To Consignee . • (OVE R ) �I , - - - ' ' - - - - - - - - - - - - - - - - - - - , being duly sworn, depose and say that I am . the consignee of a certain shigment !)f ardent spirits, as specip ed on other side of this form, this day ~ ".11 _; ~ - r ----. delivered to me by the Adams Express Company, f r o ~ ~ - - - - - - - - - - - - ; that I am not . a studentorminor, and, if a female, !'am the head of a family; that the ardent spirits so received byme were brought into the State on my ~itten order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me ~ -~ are to be used by me for . · purposes. . . (State whether for Scientific, Sacramental, Medicinal or Mechanical) • Sworn . to and subscribed J,efore me, • • .? this / ; day of · /~ , 191 _; t/ Agent for ,Adamo Expn,oo Company. ,:,· �D ELIVERY PORM eo To Ship per _ _ _ _ _ _ _ _ _ __ , (o vn) _ _ ��Affidavit No, _ _ __ P.O. Address RECORD OF NOTICES To Conalgn_ee To Shipper (OVER) ~ -- . �STATE OP VIRGINIA, I,._.:- ~~--- --~--- ------ , being duly sworn, depose and say that I am the consignee of a certain shigment of ardent spirits, as specified on other side of this form, this day Adams delivered to me by the Express Company, from ; that I am ~ot a student or minor, and, if a female, I am the bead of a family; that the ardent spirits so received by me were b~ught into the State on my written order, and that I hJ'Ve not, within the thirty days previous hereto, received any _a rdent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so "received by me are to be used by me for · · (State whether for Scientific, Sacramental, :Medicinal or :Mechanical) purposes. ... Sworn to l!nd subscril,)ed before me, .,,, I • tbis._ _....,...~day qf , 191 , ... ,. (Conalgnee) • ,i Agent f o ~ Expre88 Company. , • �DELIVERY l"ORM ISO RECORD OF NO To Consignee ADAMS EXPRESS COMP ANY To Shipper (OVBB) �STATE OF VIRGINJA, -,- CoUNTY OP;_ · _- (_ / / :..o:...,.;;..'-"-- - - / 1: l.being duly sworn, depose and· say that I am the consignee of a certain shigment of ardent spirits, as. Sl)El i!J.ed on other side of thls form, this day S ,..- , - , I\ .. ' delivered to me by the .Aeem& Express Compaily, froto / ;., ... •- • .: · ·, ;'tDat ani not a student or minor, and, if a female, I am the ~ead of a family ; piat the arden_t sptrits so received by~~ were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in e~cess of the quantity allowed by the provisions of the Act of the General Assembly of Vir. ginia, approved March 10, 1916, o~ contrary to law, and that the ardent spirits so .received by me , are to be used by me ifor: 1 -1 • • L ,· ~ purposes. (State whether for Scientiftc, Sacramental, kedichial or llechanlcat) Swo~ to-411d subecri",d bef~re me, . l- I , ~ • ./ this Y day of , 191 •· 1 ~ I Aaent for,....._ ~ Crmpany• ..4~~ , ~ R~ . . .. ,. �DELIVER Y FORM 80 RKVl • ED JUI.Y, 1817 ,,- ADAMS EXPRE SS COMP ANY SPECIAL LIQUOR RECORD Received at.- -1._...:;..:;.c:_..c....:-l'-==------ ,~--Conalgne e._ ,,,.~,,,_,'----1,,...------'i:,a,-","-:>!!t--cr-,;.:-::f-:,:::-,:: - - - - Kind of Ardent Spl rlts,_ .:-;-,...,_.,"""""_ _ --z-r-~ --"'---- "" Way-Blff No. --,.,,..._______ To-..,,._;___,,L.,;~c:,..,.--h' -='----- - - P .O. Address RECORD OF NOTICES To Consignee ~To Shlppu t. (OVBR) .. - �STAT EOFV IR~ delivered to me bythe xpress Company, frnro / / / · ,'i't 1-'L- ✓; • i, , .._,..;..t1i _a..f •t'"'a_m_ n_o·t a stude~i or minor, and,. if a female, I am the head of a f~ily; that the ardent.s piri~ so receiyed by rpe were brough t into the State on my written order, and that I have not, within the thirty days previous hereto, received· any ardent spirits of any kind whatsoever, from-an y person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrar y to law, and that the ardent spirits. so received by me JI are to be used by me for L < < _.I': ~ • r purposes. • . · (State whether f~ Scientific , Sacramen tal. llledlclnal or -// 4 . / ) L , · Mechanic al) ·-~ --:;-._, ,.. �DELIVE RY P'ORM 60 RIIVISIED JULY, It ADAM S EXPR ESS COMPANY 7c;;;c .,t~~;;;;;;:--.- .." liiiii., -~ -=-= --lbs. To Shippe r (ovza) �STATE OF VIBGDIIIA, !, _ _ ___ ___ ___ ___ ____, being duly swom, depose and say that I am the ~naign ee of a certa ,.~ e n t of ardent spirits, as specifie d on other side of this fo~, this day delivered to me by the . Expres s Company, frnm , ; ~ t'~ not a studen t or minor, and, if a female, I am the head of a fakily ; that the ardent spirits so received by me were brough t into the State on my written order, and that I have not, within thi thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in exceu of the quantit y allowed by the provisions of the Act of the General Assem blyofV ir. ginia, approved March 10, 1916, or contrar y ~ law, and that the ardent spirits so received by me are to be used by me for - (State whether for Sclentlftc, Sacnme ntal, Kedlclna l or llechanl Swom tq ~and subscrilfed before me, ' 1 / eal) purposes. �DELIVERY FORM 60 ADAMS EXPRESS COMPANY To Shipper It • (OVBB) �STA.TB 01' V,,.'fNIA, CoUNTY 01'.:., I# .... ( ------'-'-~.......- ~ ' , being duly sworn, depose and say that I am e consignee of a certain shigment of ardent spirits, as specified on other side of this form, this day ·vered to me by the,..__. Express Company, fro..,._ _______ _~ - - - - i tliilrl am not · tudent orinihor, and, if a female, I am the head of a family ; that the ardent spirits BO recf ived by me re brought into the State on my written order, and that I have not, within the thirty days previous ereto,-received any ardent spirits of any kind whatsoever, from any person or from any place whateo' ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, li16, or conq,uy to law, and tha! the ardent spirits BO received by me 1-; •/1 are to be used by me for ' . : ' - (State whether for Scientific, Sacramental, llediclnal or Mecbanical) purposes. / .. Swom)o,Pfd subs~ e~ -~o..re me, this j,, · day of'-' '_ · , 191 (Conalsnee) · / I • �DELIV ERY P'ORM eo R llVIBIED JUI.Y, 11117 Reoelved a RECO RD OF NOTI CES To Consignee To Shipp er _ _ _ __ _ _ _ _ _ _ __ • (o VBB) �STATE OF VIRGINIA, -·--- " COUNTY OF _ _ _ _ __' _ _ _ _/ 1 , - - - - - - - - - - - - ~ ~ - - - - - - , being duly sworn, depose and say that I am the consignee of a certain shigmer{t of ardent spirits, as specified on o~her side of this form, this day s~ ~ V delivered to me by the ~ Express Company, fro ' . ; that I 'aJn not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by-qie were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess ofJ he quantity allowed by the provisions of the Act of the General Assembly of Virginia, apJ,>roved March 10, 1916, :or contrary to law, and that the ardent spirits so received by me are to be used by me for ' .{ · , ~ ..._- purposes. (State whether for Scientific, Sacramental, Medicinal or Mechani~ I) v:..1 I' I Sworn to and subscr~ ed before me, 1 this /t--r d~y_()f t -~ .,?"" , l9l'J. . ;;r 7 / j , \ i' - ,, , Agent for /4 " r:::::!.. !I' /::1 Express Company. (Consignee) .,,/ �DELI VERY P'ORM ISO • • RIIVl IED JUI.Y, 1 17 Affidavit No, _ _ __ RECORD OF NOT ICES To Conelgne . · To Ship per , (OVBB) �STATE OP V~ , • CoUNTY OF ~ - { / ( / , '-7J1, v _ , I, t -?J -:- ~ 1. I being duly swom, depose and say that I am the consignee of a certain abigment of ardent spirita, aa s~ified on other side of this form, thill day 1 d~livered to me by the Adame Express Company, -frorp- ' f .1'.t1, , that I am not a student or minor, and, if a female, I am the bead of a fam · · at the ardent spirita so received by me were brought into the State on my written order, and tha have not, within the thirty days previous , hereto, received any ardent spirits of any kind whataoever, from any person or from any place whataoever, in excess of the·quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contraey ~ law, and that the ardent spirita so received by me are to be used by me for /z~ J! 41.,<Z -L (State whetherforclentlfic, Sacramental, llediclnal or lllechanlcal) purposes. · ztt . r _c.c..t (Comipee) 1.- �DELIVER Y l'ORM eo RIIVl81ED JUI.Y, 1817 ADAMS EXPRE SS COMPANY Affidavit No, _ _ __ Add Uadereharire S!llp~r _......&'-',...................._~"'""",...,.._'-""-....__ P.O. Address RECORD OF NOTICES To Consignee To Shipper _ _ _ _ _ _ _ _ __ __ _ (OVBR) • �STATE OF VIRGINIA, I, , , ., ing duly swom, depose and say that I am the consignee of a certain abigment of ardent spirits, as specified on other side of this form, this day 6 ~ _. Express Company ·,' delivered to me by the.... , from ( _. , ;,.. ; ,t!mt. I am not a student or minor, and, if a female, I am the bead of a family ; that the ardent spirit • so received by me were brought .iJlto the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whataoever, from any penon or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the G~neral Assembly of Virginia, approved March 10, 1916, or contraey to law, and that the ardent spirits so received by me • j I l are t<t be used by me for ( · purposes. (State whether for Scientific, j Sacrament al, Kedlc:lnal or M:echanlcal) ) Sworn and subs~t ~ b~fore me, this._·-- --day of ' ' f , 191 7 , "(¢"',:I t < �DELIVERY FORM 60 Received EXPRESS at__.._.~~r-...c-=,4t~-=----='----=-- Conalgnee_ --¥4t,L,t.~~L•l!!£11!!!1!!~--A1--___:_- To Consignee To Shipper (OVBB) �-.., ----- __·---------~ being duly sworn, depose and say that I am , I, the conalgnee of· a dllrtain shigment f ardent spirit., as Sl)!3Cified on other side.of this form, this day deliverecl to me by the ~xpress Company,.Jrotb-"-_ _ _ _ _.....__""-__:;-t1iat I am d"ot a student or minor, and, if a female, I~ .the.head of a family ;_that the ardent spirits so recei-!ed by JJl~ were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General AssemblyofVir. ginia, approved -March _10, 1916, or contrary to law, and that the ,.ardent spirits JIO received by me are to be used by me for _ : " _ . _ 11~es. , (State whether for SclentUic, Sacramental; ilecllclnal or '.Meclulnlcal) Sworn to and subscribed before me, day of_____,, 191 • , this • · (Cona~) �DELIVER Y FORM 60 ADAMS EXPRE SS COMP ANY Rl:V18ED JUI.Y, 1917 SPECIAL LIQUOR RECORD ........-;. ---191 -!: Affidavit No, _ _ __ .......~---._ _ __ - ~-h.e.-- -;;,:..+*---:~... :=-\=_ .----P , 0. Addres,___ _ _ _ _ RECORD OF tio¥fcEs To Consignee To Shipper (OVJIB) �f' I ~ . . . ,__ , I, ,t being duly sworn, depose and say that I am the corlignee of a certa in shigm ent of arden t spirit s, aa specided on other side of tbi, form, this day . delive red "to me by the ,S(N.V~ d-,"' .,_..-z,. lMlem' s Expre ss Compaµy, from r , ---....:::-m not a stude nt or minor, and, if a .female, I api the head of a f!m_iIJ ithat 'the art!~nt spirit s so received oy were broug ht into the State on my writt en order l!l-e , and that I have not, within the thirty days previo us hereto, received any ardea t spirit s of any kind whats oever, from any person or-from any place whats o. ever, in excess of the quant ity allowed by tl:ae provi sions of the Act of the General Assembly of Virginia, approved March 10, 19]i6, or cony,ary to law, and that the ard~ s"Ji¥ts so .received by me (l?'e to be used by me for . · JC;:: · - _ purposes. -· (State wheth er for Scientl ~ Sacramental, Jle,i i)a1 /J \;. . . or"Kec hanlca l) # �REC ORD OF NOT ICES To Conslgne To Shlp per. ::=:= ::=:: =::;= :::::: =::= ::=:= === = (OVER) �STATE OP V1¥INIA, I, , ~ / , being duly swom, depose and say that I am the consignee of a shigment of ardent spirits, as specified on other side of this -(orm, this day .S,-J ! , delivered to me by t h e ~ E;press ~ompany, from · , .. ; Uiat I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirit.a so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 19~, or contrf'Y to law, and that the ardent spirits so received by me are to be used by me for · purposes. (State whether for Scientific, ---- Sacram en~clna l or lllechanlca l) , ,,,.- ,- ,, �To Shippe r I (OVEB) �STATE OF COUNTY v-,y,w., , O✓-k:t._Clf. _..:;.!---"'--r'-"--''-"" I, • ), the consignee of a certain ~ , being duly sworn, depose and say that I am igment of ardent s rits, ass ed on ot~er side of_ · form,~ day . /- delivered to me by the ~ Express Company, f 1 1 '.t1 .i., , &t I am not a student or minor, and, if a female, I am the bead of a family ; at the ardent spirits so received by me were brought into the State on my written order, and that I have !}Ot, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assemply of Vll'ginia, approved March 10, 1916, or contrary to law, and that the ardent sptrlts so received by me are to be used by me for · '.tl;. . . . ._ " urposes. (State whether for Scientific, Saeramenta l. Swo~ to this / ~ subsc · da.y of .,,.-,L...,.._,- icinal or Mechanical) �DELIVER Y FORM eo RKVl• IED JUL,Y, 11117 ADAMS EXPRE SS COMPA NY SPECIAL LIQUOR RECORD --\,of!lj~ ~~IC:.. ~.J-~::: ___ Date ~3 191 "7: Affidavit No, _ _ __ _ L~~ ~~~ ~~-- ...,,= ---- P, 0. Address ~~ '"7't"T.ltt ""~.;;,,J~ ,... eigh~__ ,.-lbs. RECORD OF NOTICES To Consignee To Shipper (ovu) �STATE OP VIRGINIA , 1,---- ------ ---- ---- ---'- ---- being duly swom, depose and say that I am the consignee of a certain ahigment of ardent spirita, as specified on other side of this form, this day I delivered to me by the Adams Express Company, fro · ;·that I am not a student or minof, and, if a female, I am the head of a family ; that the ardent spirita so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spitjta of any<li:ind whatsoever, from any person or from any place whatsoever, in excesa of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by mefor , · {5tate whether for Scientific, Sacrament al, lledlelnal or Keehanleal) purposes. Sworn and subscril)ed before me, thi-s._.. ,_,,..____.day of , 191 _. ( • Airent fo, I (Cclllaipee) J A.ijJiii El<pnaa CompanJ". I . �DELIVERY PORM eo P.O. Address RECORD OF NOTICES To Consign To Shipper _ _ _ _ _ _ _ _ _ _ _ __ (OVBB) �l.~="-J ll.:.._-= ~._.....,.....,;:::.....~....1:__.,i:::..t~1<,&,,""'-c;..,:.., IM!flng duly swom, depose and say that I am t spirits, as s~c· ed on other side of th· , this day Asent for A(Jama Expnae Coa,pan y. �CIAL LIQUOR RECORD ~ ;p/J__ 1_9_1~~-- - ·- 1 Received at_~"""'-~~~~- ..._--,1~-Date Conalgnee-7'4~~,c.q. ,µ':#---::a1~~"'-----= --- -- - To Shipper (OVBB) �STATB 01' VIBGUW.. I; , · - 1 · , oetng duly sworn, depose and say that I am the consignee of·a certaiL shigment of ardent spirits, asspe~iftedonot herside of-th» form, this day delivered to me by the Adams .Express. Company, frnm · _, · -- ·- ; th~t I am not astudent or minor, and, if a female, I am the head of a family ; that _the ardent _spi~ts so receive~ by :r,ne were brought into the State on DiJ writtel'l order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Vir. ginia, approved March 10, 1916, or contrary to law, and that the ardent spirits -co received by me are to be used by me for _ ~ · ' . · . -- purposes. (State whether for Sclenililc, Sacramental, M:ec1lclnal or lllechanicil) Swo~ this l I !'° and s u ~ d before· me, day of . I l~l / ; , (Couipee) �DELIVERY PORM 60 ADAMS EXPRESS COMP ANY SPECIAL LIQ" UECORD §! ~,.,,.L4-~~=.:::s....-1._ _ _ _ oate 19 P. 0. A dress _ _ _ ____,t--s_--'.,.._ ~...::......._&.-~<.J,,,l~"""'4t.4"=~""""-- - Advancee t.o Collect Shipper, ___._,,._,,..____,....,...._.,......~- - - P.O. Address , 1 RECORD OF J.io;ICES ToConalgne To Shipper . (OVBB) 'J �I I,---- -~-'-- - - - - - ~ - - - - 1 - - - - , being dwy ·sworn, depose the consignee of a certain shigment of ardent spirits, ana say that I am 8f specified on other side .of thf8 form, this day delivered to me by.the Adame Expree s Company, b-q m~ ---- ---- --; ~ at;J am not "stude nt or minor, and, if a female, I am the head of a fauµly ; ~at th~ ardenU pirits 80 received by pie brough t into the State on niy written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any pereon<>r from any place whatso;. ever, in excess of the quantit y allowed by the provisions of the Act of the_General Assembly of Vir. ginia, approved ,March 10, 1916, or contra ry to law, and that the ardent -s~ta 80 received by me > are to be used by me for · _ · _ • _ . _ _ _ _ - purposes. (State whether for Sclentlftc, SacramenfaL M'.edlelnal or llechanl cal) ~ere Sworn, to and subscribed before m~, this : day of - 191 �DELIVERY PORM eo To Shipper (ovn) �STA.TB OP VIRGIN IA, I, · being duly sworn, depose and say that I am the consignee of a certain llhig_!Dent of ardent spirits, as specifie d on other aide of this form, this day delivered to me by the Adams Expres s Company, fro,.. .._--a studen t or minor, and, if a female, I am the head of a family ; that''--.;. _---- ----; that I am not the ardent spirit.a so received by me were brough t into the State on my written order, and that fhave not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantit y allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contra.ry to law, and that the ardent spirits so received by me are to be used by me for · ' · ~ , parpoeea. (State whether for Sclentlft c, Sacrame ntal, Kedlclna l or :Mechani cal) • Sworn to and eubscrjhed before me this / ' day o.f._ -'---....,....- : (Ccmafirn6e) · �Way T0---11t"#--------,----"l;-.,_:-;,_,j>~--~-r7W~~.. t P.O. Address To Shipper . (OVEB) " �STA.TB OP VIR(}JNIA., I,,----'-'.......- -""'- - - - - - - - - , . . . - - - - - - - - being duly sworn, depose and say that I am •the consignee of a certain 11higment of ardent spirits, as specifie d on other side of this f~, this day delivered to me by the Adams Expres s Company, from ~, { · ; 6ia not a studen t or minor, and, if a.fema le, I am the head of a family ; that the ardent spirits so received by were brough t into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits oJ any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowed by the provisions of the Act of the Genera l Assembly of Virginia, approv ed March 10, 1916, or contrar y t.o law, and that the ardent ~pirits so received by me ,. are to be used by me for · ' · purpose,/. (State whether for Scientlftc, Sacrame . - . Sworn to j&Dd subscribed before me, this f , d•y of / ~ • 191 ntal, /'-r11cln al or Kechanl cal) . /f I / I/ �DELIVE RY FORM 60 ADAM S EXPR ESS COMP ANY Received at Oonalgnee To OonalgoAe To Shippe r (OVBB) �STATE OF VIRGIN IA, I,--- -;-- "'-'- ~-~ ~--- ~--- ---, being duly the consignee of a certain-'Bhigment of ardent spirits, as specifie sworn, depose and say that I am d on other side -of this form, t!iis day delivered to me by the Adams Expres s Company, fro · ; that 1 am not a studen t or minor, and, if a female, ~ am the head of~ f~ily ; ~ the _ardent s11irit.11._so receive4 by ijtJ! were brough t into the-Sta te on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, fr-0m any·person OI' &om any place whatsoever, in exceBB of the quantit y allowed by the provisions of the Act of the General Assembly of Vi~~ ginia, approved March 10, 1916, er contra ry to law, and that the ardent spirits. so received by Dl;!t .. tbis \ \ I ~ I �DELIVERY l'ORM 60 ADAMS EXPRESS COMP ANY Way- To_h ~ ~ ~ ~ ---.---...----:-----Shipper _µ~,V..#YY.li+-JP.-..,&,,:1!:J!'.___ _.!,~ P.O. Addr&ss RECORD OF NOTICES To Consignee To Shipper (OVER) �STATE OF VIRG~ I, 7 'I · being duly sworn, depose and say that I am the consignee of a certain shigmen t of ardent spirits, as spee.itied on other side of this form, this day . ~delivered to me by the Adams Express Company, from _ _ _ _ _ _ _ _ _~ _ ; that lam not a student or minor, and, If a female, I am the head of a fai_nily ; that th~ ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from &11y place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ,ardent spirits so received by me are-to be U!led by me for - · • · •- . (State whether for Scientific, Sac1'111D8ntal, lledlclnal or M:echanlcal) purposes. / Sworn to and subscribed before me, -J this ! day o( , 191. • (Comfirnee ) �- DELIVERY FORM 80 Received at~--~~#1..!o:-I-+~~ -~ Conalgnee-4~L~~~~flei'~+ ---'-4~~t;,,l,,IM~ WayTo r / (OVER) �STATE of VIRGINIA, j, _____ _____ _____ ____, being duly sworn, depose·and say that I am the conaignee of a certain Bhigment of ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company, .fro 1 ,. • ; that I am not astudent or minor, and, if a femaie, I am t.hebeadof :a family; that the ardent spirits so recetved by ,me were brought into the State on my written order, and that I have not, within 1;,be thirty days previous hereto, received any ardent spirits of any kind whatsoever, from -any person 01' from any pl\ ce whatsoever, in -excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or cqn~ary to law, and thal the ardent spirits .so received by me are to_be used by me for • · . . _ _ _purposes. {State whether for Selentiftc, Saerainental, llecilelnal or M:ecbanfcal) Sworn to and subscribed before me, this ' day of · , 191 ; (Con• ipee) �DELIVE RY P'ORM 60 ADAM S EXPR ESS COMP ANY I RECOR D OF NOTICE S I To Conalgne To Shippe r • (OVBR) �STATII OF VIRGINIA, I, · being duly sworn, depose and say that the consiguee-of a cert ain ahigment I am of arde nt spirits, as specified on othe r side of this form, this day delivered to me by the Adams Exp ress Company, fro a stud ent or minor, and, if a female, I · ; that I am not am the head of a fam ily; that the.arde nt spir its so received by me wer e brou ght into the Stat e on my writ ten order, and that I have not, within the thirt y days previous hereto, received any arde nt spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quan tity allow ed by the provisions of the Act of the General Assembly of Vir. gini a, approved March 10, 1916, or cont rary to law, and that the arde nt spir its so received by me /' , .. . are to be used by me for ~ / • ~ purposes. (Stat e whet her for Scientific, Sacra ment al. Jllediclnal or Kechantcal) Sworn to and subscribed before me, . tbis / day of , 191 ";/ ., /JI /, /~ r \ , Apn t fo,: Adams Expn111a Comp anJ". (Conalsnee) • • �To Shipper (ovim) �I STAT E 01' VtaGI NIA, I, __......._ __._ _ _ _ _~ ' - - - - - - - - - • being duly sworn, depose and Bay that I am the consignee of a certa in ahigment af arden t spirit s, as specified on other side of this form, this day . delivered to me by the Adam s Expre ss ' Company, fro • · : that I am not a stude nt or mino\', and, if & female, I am the h~ of e fam_ily ; tha,t th!! ardent_ ~i!it s so received by lllf! ,vere broug ht into the State on my writt en order , and hereto, received any arden t spirit s of any kind whats that I have not, withi n the thirty days previous oever , from any person or from any place whats oever, in excess of the quant ity allowed by the provisions of the Act of the General Assembly of Vir. ginia, approved March 10, 1916, or contr ary to law, and that the arden t·a~ ts so received by me are to be used by ~ fol'. · · . ~ _ ' · . · pll!'pO (State wheth er for Scientific, Sacram ental, llledlclnal or 'Mechanlcaf) Sworn to end s~)1 ea' befor e me, , ' this : · day of • k , 191 1 1 Bes: - (Couf pee) �DELIVERY FORM 60 RECORD OF NOTICES To Conslgne To Shipper (OVER) �--------------~----~----~....... ..... .................-:_.,,.......-..........---- ~ ~ ...-. I,~~:.£.....t. !!:~- A.;z:.::ll:~3::-::..J.:_L!.. ....;~q_...l.., being duly sworn, depose and say that I am the consignee of a certain abigment of ardent sp· ts, ass cified on other side of this form, ·s day . -;:;1/t delivered to me by the Adams Expreas Company, fro?AUL.i~ u.2:i:M: ~ci~~~; that I am not a student or minor, and, if a female, I am the bead of a famil at the ardent spirits BO received by me were brought into the State on my written order, and tha have not, within the thirty days previous hereto, received eny ardent spirits of any kind whatsoever, from any penon or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits BO received by me are to be used by me for ,. /, (State whether for Scientific, Sacramental, lledlclnal or Mechanical) S~~ th1 ands~ day • Agent for Adama Expnea Campany. purposes. �RECORD OF NOTI To Consignee (OVER) �ST.A.TE OF VIRGINIA, l, ___ _ ....;...,..._~~----...;._--'-- ----being duly sworn,' depose·arid say that I am the consignee of a certain ehigment of ardent epirita,. as specified on other side r,f this form, this day ; ttiat l am not delivered t.o me by the Adams Express Company, from astudeat o:rminor, and, if a female, I am thehead of pl fam_ily; tlult t}ie ~ent e11iri!;!I ~ .received by file were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from-any place whatsoever, in excess of the quantity allowed by .the provisions of the ~ct of the General Assembly of Virginia, approved March 10, 19~6, er contrary -to law, and tnaf the ardent .spirits.so ~eceived by me are to be used by me fol'. · · . . · . _. . . ·... __ . . ~es. (State whether for Sclentfftc, Sacramental. lladiclnal or Mechanh;al} Swom ~ and sube~d before me_, , l91 · this \ , · day of ·., ·' �~--~- ----..,.......---,---,--- --- -~- --- --- ~-- --- --- ~-, RECORD OF NOTICES To Conslgl"!ee To Shi pper (oVBB) �r , delivered to me by tile .Adams EJi:press Company, from , A/ ardent spirits so rece1 the that family; a of head the am I female; a if and, minor, astudent or were brought inter the State on my written order, and that I have not, within·the thirty days prev1 hereto, received any ardent spirits of any kind whatsoever, from any person ol'from any place wba~ ever, in excess of the quantity allowed by the provisions ot the Act of the General Assembly of Vir. ginia, approved March 10, 1916, or contrary to law, and that ·the ardent spirits so received by me I are to b_e used by me for · __ I . , 0 '-=::::- J., purposes. Medicinal or Mechanical) (Sta&i whether for'scientl~c, Sacramenj I I I' • i f i,1, f ; I , - (Coiwlrnee) . •· J �ADAMS EXPRESS ,- S PECIAL LIQU -rReoelved at-,F-l----..-+--F-4'--,_v _______ Dat,..:::::c.,c;__ , vi_, P,O, Address RECORD OF NOTICES To Conslgoee (ovn) _ _ __ �STATE 01' VIRGINIA, CotJNTY OJ'_.....;;.....:.;;._ ___;;___ _.;_ I, • , , being duly sworn, depose and say that I am the consignee of a certain lhigment ;/ ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company, fro,iu.. _ _ _ _ _ _ _ _ _ _ _ ; tbat"f--am not a student or minor, and, if a female, I am the head of a family; that the ardent spi:rits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Vir. ginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for ...- ,. (State whether for Scientific, Sacnmen~ Kedlclnal or Mechanical) Sworn to and su'-'ribed before me, / -r , I this ._." I dav , 191 " 6f , ; purposes. . (Conafpee) ! �Affidavit No, _ _ __ P.O. Address RECORD OF NOTICES To Consignee To Shipper (OVEB) �delivered to me by the Adams Express Company, frQ11~l..:~~ ::..!!~:::: !~~~_:....::., at I am not a student or minor, and, if a female, I am the bead of a fami}y at the ardent spirits so received by me were brought into the State on my written order, and th have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever,·from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Vir. ginia, approved March 10, 1916 contr,ary to law, and that th ".ardent spirits so received by me are to be used by me for /2 C. . /' (State whether for Scientific, Sacramental, Medicinal or Mechanical) A:lrent for Adanu Expreaa Company. purposes. �DELIVER Y FORM eo ADAMS EXPRE SS COMPA NY P.O. Address RECORD OF NOTICES To Consignee To Shipper _ __ __ __ __ _ _ __ _ (o vu) ... �I,..,,, the consignee of a certain • bigment of ardent s , being duly swom, depose and say that I am cified on other side of this form, ·s day ta, ass delivered to me_bythe Adams Express Company, f ; at I am not a student or minor, and, if a female, I am the bead o a f , that the ardent spirits so received by me were brought into the State on my written order, and I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatso- , ever, in ex.cess of the quantity allowed by the provisions of the Act of the Genf ral Assembly of Virginia, approved March 10, 1916, or contrlll"Y._ to law, amd that the ardent spirits so received by me are to be used by me for . ~t . ~ '--<le (State whether for Scientlftc,. Sacramental, Kedlcinal o :Mechanical) Swoi'iP and sub, r br this day crf J/k purposes. me, , 191 Agent for Adama ExpN&• Company. f �FORM 370-V A Ad•anre a to Collect .Md Unde rc harge RECORD To Consian ee _ _______ ____ __ _ _ __ To Shi pper _ _ _ _ _ _ __ _____ _ _ _ __ AF'f"IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. (OVER) �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE STATE OF VIRGINI A, COUNTY O F - -- - - - - - - -- ~ ... , - - - - - -- - -- - -- - - - - - - -- - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits , as specified on other side of this form, this day delivered to me by the Southern Express Company, from _ _ _ _ _ _ _~ - -- - - ; that I am not a student or minor, and, if a female , I am the head of a family; that the a; dent spirits so received by me were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gener al Assembly of Vi rginia, approved March 10, 1916, or contrary to law, and that the ardent spirhs so rec eived by me are fo r my own use, at my own hom e , and that the said ardent spirits will not be used in violation of law. l - --+--c~~ Sworn to and subscribed before m e, this ___day ot.. . ,I .A2ent1 for Southern Exvress Compauy. .L~ ~ ~Y~~~,..:==-.--:,t..,f--:;-,--- +~ onsiauee. • �FORM 370•VA SOUTHERN EXPRESS COMPANY (Inco r po rated) Affidavit No Adv o.n re e t o Coll ect To Consianee_ _ _ _ __ _ ______ ____ To Shipper _ ______ ______ ____ Af"f"IDAVIT FOR ARDENT SPIRITS f"OR PERSONAL USE . ( OVER) �AFFI DAVI T FOR ARD ENT SPIR ITS FOR PERS ONA L USE STATE OF VIRGI NIA, COUN TY OF _ _ _✓----~-~--+-- ... , - ~ - - -- -- - - - - - -- - - - -- - , being duly sworn , depos e and say that I am the consig nee of a certai n shipm ent of arden t spirit s, as specif ied on other side of this form, this day delive red to me by 1.he South ern Express Comp any, from ___ ___ ___ _ _ ___ ; 1.hat I am nofi stude nt or minor , and, if a femal e, I am the head of a family ; that the arden t spirit s so r eceive d by me were broug ht into the State on my writte n order, and 1.ha1. I have no1., within th e thirty days previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, appro ved March IO, 1916, or con1.rary to law, and that the arden t spii:il.s so receiv ed by me are for my own use, at my own home , and that the said arden t spirit s will not be used in violat ion of law. / Sworn to and subsc ribed before me, this ___day ot... - -- ~ , 191 ~ I A29ut for S outher n Expres s Conipauy. Consh:nee. �FORM 370•V A SOU THE RN EXPR ESS COM PAN Y (Incorp orated ) Affidavit No. RECO RD OF NOTI CES To Consignee ___ _ _ _ __ __ _ _ _ _ _ _ __ To Shipper _ ___ ___ _ __ _ _ ____ AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE . ( 6 VER) __ �~,,,.-- -- -=--- =--oa!t! t:: m 2£1 :a: c:: Ls m AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE ....,,_ .....;._ _ +'---''- -+= - -_.:;._ ..:_~= ~=~ - - - , being duly sworn, depose and say 1;hat I am as specifi ed on ot her side of this fo rm, this day deliver ed to me by the Southe rn Expres s Comp9 9· , from that I am not a studen t or minor, and, if a female , I am the head of a family ; tlilt the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the t hirty days previous hereto , receive d any ardent spirits of any kind whatso ever, fro m any person or from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assf;lm bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spirits so receive d by me are for my own use , at my own home, and that the said ardent spirits will no be used in violat i~ w. ~M ' v. Sworn to and subscr ibed before me, this v,._{~ t-, 1911-- · ; ~ ,14 �FOAM 370-VA SOUT HERN EXPR ESS COM PANY (Incorpo rated) ...{ _,,,. Affidavit No . Advnnre a t o Collect PREPA ID _.__ J __ j </-'----- Arld Uudercb a rge RECO RD OF NOTIC ES To Consignee _ _ _ _ _ ___ ._ _ _ _ _ _ __ _ To Shipper _ _ __ _ __ ___ ___ ___ _ _ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE. (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINI A , COUNTY ~, m•-- -- - - - ---"-- L ~-- ~-~~--~-, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on othe side of thi s form, this day delivered to me by the Southern Express Company, from~~- -~-~ - - ~ ~- - - i \hat I am not a student or minor, and, if a female, I am the head of a family ; at the ard ent s pirits so r eceived by m e were brought into the State on my written order, and that I have 1;1ot, within th e thirty days previous hereto, received any ardent spirits of ariy kind what soever, from any person or from any place whatsoeve1·, in excess of the quantity allowed by the provisions"of the Act of the Gener al Assembly of Vi rg inia , approved March 10, 1916, or contrary to law, and that the ardent spiri1s so rec eived by me a re fo r my own use, at my own hom e, and that the said a rdent spirits will not be used in viol ation of law. J, Consianee. Sworn to and subscr ibed before me, 191_ J A2ent for S outhern Exvress Comvany. �- - - - - -- .,., - ..:r:--: - - - - - - -- ~~-.-~~~ -----' .-"t Affidavit No,~_ • __ _ /.-. _ _ _ _ __ _ _ _ _,,__ _ __ __ Amount,_ ~ __ 6_- / 1 7 Advan,es to Collect _:__ 1--4-_ __ ,_,_-1-_ 191_ COLLECT Add Undercharge RECORD OF NOTICES To Consignee _ _ _ _ _ _ _____ _ _ _ _ __ To Shipper_ _ _ _ _ _ _ _ _ _ __ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVltR) �AFF IDA VIT FOR AR DE NT SP IRI TS FOR ~ . : . __ _____:__:__;__ :;._< ..=•- L' PER SO NA L US E -·"?i; / r .I C. , bein g duly swo rn, dep ose the con sign ee of a cert ain ship and say that I am men t of arde nt spir its, as spec ified n othe r sidil of this form , this daY, deli vere d to me by the Sou ther I I\/), . n Exp ress Com pan y, from ~ Z stud ent or min or, and , if a ,_ t; thll am not a fem ale , I am the hea d of a fam ily; that the ard e t spir its wer e brou ght into the Stat e so rece ived by m e on my writt en orde r, and that I hav e not, wit in the thir here to, rece ived any arde nt spir ty day s prev ious its of any kind wha tsoe ver, from any pers on or from any plac e exce ss of the qua ntit y allo wed wha tsoe ver, in by the prov isio ns of the Act of the Gen eral Ass emb ly of Mar ch 10, 1916, or con trar y Virg inia , app rove d to law, and that the arde nt spiri1.s so rece ived by me a1·e my own hom e, and that the for my own use, at said arde nt spir it s will not be used in viol atio n of law. I Swo rn to and sub scri bed befo re me , th is. Lday oL:. ,- , Zu_ 1 1911 A~en t for Sout hern Expr ess Com pa ~y. ~Cons ianee . �AFFIX STAMP HERE I depose and say that (Artiolea) uantity) ,__.......,..,._,-.....::.:...:.,_,.,.1,C--i,..__,, " which under the laws of the State of Virgin ia I am permi tted to receiv e, and-9f which I now desire to take deliv,e ry from \ \ ~ . Railw ay Comp any; that I am a manuf acture r dul'y licens ed 1;mde~ Act of Virgin ia, approv ed Ma rch 10, 1916; that the conten ts of said shipm ent are to be sold, dispen sed or u sed in ac , d Act. //-C-- �, �SOUTHERN .EXPRESS COMPANY FORM 3TO-V A (Incorporated} Affidavit No. _ _ _ __ _ COLLECT RECORD OF NOTICES To Consign ee _ _ _ _ _ _ ___________ To Sh ipper _ _ _ _ _ __ _ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (O VER) �AF FID AV IT FOR AR DE NT SP IRI TS FOR PE RS ON AL US E --', __- ~~ "--_.___ _...,'- ----'--=-+-- -- == "---, bein g d ly swo rn, dep ose and say 1;hat I am as / f f~ ified n othe r side of this form , this day deli vere d to me by the Sou ther n Exp ress Com pan y, from stud ent or min or, and , if 7 ( I I, , ha - am not a a fem ale, I am the hea d of a fam ily; tha t the a Ient spir wer e bro ugM into the Sta te its so rece ived by me on my wri tten ord er, and that I hav e no{ with in here to, rece ived any ard ent the thir ty day s prev ious spir its of any kind wha tsoe ver, from any pers on or from any exc ess of the qua ntit y allo wed plac e wha tsoe ver, in by the pro visi ons of the Act of the Gen eral Ass emb ly of Mar ch 10, 1916, or con trar Vir gini a, app rov ed y to law , and tha t the ard ent spir its so rece ived by me my own hom e, and tha t the are for my own use , at said arde nt spir its will not be use d in viol atio n of law . W/ Swo rn to and sub scri bed befo re me, this ..J.7.--. ay , I 01.-i"~ ,1911 Con shtnee. / A11:ent tor Sout hern Exp ress Com pauy . ' ~ �FORM 370•VA Received at EXPRESS CHARGES PRF.PAID COLLECT Add Unde r charge RECORD OF NOTICES· To Consignee _ _ _ _____ _______ __ _ To Shipper _ _ __ _ _ __ __ _ __ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER} �-- -- -- -- -- -- - -- -- -- --- -'- -- -- - - - - --- - AFF IDA VIT FOR AR DE NT SP IRI TS FOR STA TE OF VIJ;W INI A, COU NTY OF i, - PE RS ON AL US E ✓ L ._:, i!t: /3...< , b ing duly swo rn, depose 1.he con sign ee of a cert ain and say 1.ha1. I am ship men t of arde nt spir its , as s ci1ie d on othe r side of this form , 1.his day deli vere d to me by the Sou ~ ther n Exp ress Com pan y, fro / • ,,,. stud ent or min or, and , if ' tha t 'r:-aiu._not a a fem al e , I am the hea d of fam ily; that the ard ent spir wer e bro ugh t into ihe Sta te its so r ece ived bym e on my wri tten ord er, and 1.ha t I hav e not, wit hin th e here to, r ecei ved any ard ent thir ty day s prev ious spir its of any kind wha tsoe ver, from any pers on or from any exc ess of the qua ntit y allo wed plac e wha tsoe ver, in by the pro visi ons of the Act of the Gen er al Ass emb ly of Mar ch 10, 1916, or con trar Vir gini a, app rov ed y to law, and tha t the ard ent spiri1.s so r ecei ved by me my own hom e , and tha t the are for my own use , at said arde n1. spir its will not be use d in viol atio n of law. ,, ,; Swo r o and sub -{ibed befo re me, this,?' l day oL-.. _, 191 _ I ~ / / Ae-ent for ?out heru Exp ress Com pa uy. ( Con s h:ne e. �FORM 370•VA Affidavit No. V L IL 11/IJ.-,,/' ./ ; ✓ u ,; /,, ,,.~ ' I Weiah .__ _ _ lbs. . RECORD OF NOTICES To Consignee_ _ _ _ _ __ __________ To Shipper_ _ _ _ _ _ _ _ _ _ __ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVl< R ) �AFFIDAVIT FORr ARD!;:NT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY OJ<' _ _ _ __ _ __ __ _ ~, - - - - -- -- - -- - -- - - - - - - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specifi'ed on other side of this form, this day . /j delivered to me by the Southern Express Company, from _ _ _ _ _ _ _ _ _ __ _ _ ; that I am not a student or minor, and, if a female, I am the head of a family; that ~he ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, my own home, and that the said ardent spirits will not be used in violation of Jaw. at , Sworn to and subscribed before me, this ___day oL- _ _ __ , 191_ Ai:ent for Southern Express Compan y. Consit?nee. �FORM 370•VA SOUT HERN EXPR ESS COMP ANY (Inco rpora t ed } j/t "--~ Affidavit No~ _ _ Wat Bill No._ ~ "-=-- '----- --To - -""'-'-4'='--'-- -~-- '·c ._~,- ----,,,- Ad vt1.ure a to Co ll ec t Add Onderch a rge RECOR D OF NOTIC ES To Consignee_ ___ ___ ___ ___ ___ _ To Shipper _ _ _ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . ( OV E R) _ _ _ _ _ _ _ __ �AFF IDA VIT FOR AR DEN T SPI RIT S FOR PER SON AL USE STA TE OF VIRG IN 'J,., COU NTY OF _---,-,., /-"-":=:-< '---==-~" 7 '-+'-" ... , .....c.. c .1. 1 .:.):......._,_ , --''---'=-- =--- .-,." --""-- -"'---':......._" --= ~=" "--"--'~ -• bein g duly swo rn, depo se and say the cons igne e of a cert ain ship ihat I am men t of arde nt spir its, as spec ified on othe r sicle o tl!iil ;.orm , this day deli vere d to me by the Sou ther n Exp ress Com pany , from stud ent or min or, and, if a fem ; that I am not a al e, I am the head of a fam ily; that the arde spir its so rece were brou ght into the Stat e on ived by me my writ ten orde r, and that I have not, wi hin t he thir ty here to, rece ived any arde nt spir day s prev ious its of any kind wha tsoe ver, from any pers on or from any place wha exce ss of the qua ntity allow ed tsoe ver, in by the prov ision s of the Act of the Gen eraf Asse mbl y of Virg Mar ch 10, 1916, or con trar y to inia , appr oved law, and that the arde nt spir iis so rece ived by me are for my my own hom e, and that the said own use, at arde nt spir its will not be used in viol atio n of law . ~ Sworn to and subs crib ed befo re m e, this __ _day o r \ A26n t for Sont hern Express Com vauy . Cons ianee . II �FORM 370•V A SOUTH ERN EXPRES S COMPA NY (lnco rpo r a&;ed) ,,,......__SPECIA __- ~ LIQ~UR RD E .!-e'.1~ ~~~4~•1---· _ _ _ _ __ _ _I.,~L-._ ' :,,,,...--,1'-Cc,,·= I-/_:·=-- /?- Date . 191 _ .. ·~, P R EPAID COLLECT A dd Unde r ch arge RECORD OF' NOTICES ' · To Consion ee _ __ _ _ ___ ,_ _ _ _ _ _ _ __ To Shipper _ _ __ ____ ___ __ __ __ _ AF'F'IDAV IT F'OR ARDENT SPIRITS F'OR PERSON AL USE . (ov xa) �. . AF FID AV IT FO R AR DE NT SP IRI TS FO R STA TE OF VIR GIN IA, COU NTY O ~ ' - - -- - i1 - - - - - PE RS ON AL US E - -~ - -- - - - - - -- - - -- the con sign ee of a cer tain - , bei ng dul y swo rn, dep ose and say shi pm ent of ard ent spir 1.ha t I am its, as spe cifi ed on oth er side of this form , \his day del ive red tom e by the Sou the rn Exp ress Com pan y, from _ _ _ _ _ _ _ _ stu den t or min or, and , _ __ _ _ ; tha t I am if a fem al e, I am _the hea not a d of a fam ily; tha t the ard wer e bro ugh t into the Sta ent spi rits so rec eiv ed by te on my wri tten ord er, and me that " I hav e not , wit hin the her eto , rec eiv ed any ard ent thir ty day s pre vio us spi rits of any kin d wha tsoe ver , from any per son or from exc ess of the qua ntit y allo any pla ce wha tsoe ver , in wed by the pro visi ons of the Act of the Gen era l Ass Ma rch 10, 191 6, or con trar emb ly of Vir gin ia, app rov y to law , and tha t the ard ed ent spi rits so rec eiv ed by my own hom e, and th at me are for my own use , the said ard ent spi rits wil at l not be use d in vio lati on of law . Sw orn to and sub scri bed bef ore me , thi s __ _day ot... - - -- , 191 _ A29 nt for Sou ther n Exv ress Com vauy . Con s iane e. �l'oRM 3T0•VA SOUTH ERN EXPRE SS COMP ANY (Inco rporated) ,m,m,,, ~ Advan r ea to Collect RECOR D Of' NOTICE S To Consign ee _ _ _ _ __ _ _ _ _ _ _ _ _ __ To Shipper _ _ _ _ _ _ _ _ _ _ __ _ _ __ Af"f"IDA VIT f'OR ARDEN T SPIRIT S f"OR PERSO NAL USE . ( OV ER) �AFFIDA VIT FOR ARDE~ T - SPIRIT S FOR PERSO NAL USE STATE OF VIRGIN! COUNTY m'----,r-r1.t_ _ ~ ;-...c~ '-----i'F-I-~ i, _..,f'-N --',= --'-,,-=....1...-----"'='--"L...:"-=---- ===- , being duly sworn, depose and say that I am specified on other sid thi&..form, this day delivere to me by the Souther n Express Compan y, from v ; that I am not a stud~nt or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and ihat I have not, within the thirty days previons hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March IO, 1916, or contrary to law, and that the ardent spirit.a so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . Sworn to and subscrib ed before me, thi _.L_day o'--v,__,,_,__, 1911 r A2ent for Southern Exvress Comvany. �SOUTHERN EXPRESS COMPANY FORM 370•VA ( Inco rpo rated ) _ _ __ Advau, e 11 to Colle ct 191 Add . PREPAI D Onde r cha rge RECORD Or NOTICES To Consign ee _ _ _ _________ ___ ____ To Shipp er _ _ __ ______ _ __ _ __ _ _ Arf"IDAVIT f"OR ARDENT SPIRITS f"OR PERSONAL USE . ( OVER) ' �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE ~, _ _J~L-4-L__,__ __.2_~£,L_f:~ ::::::::::~ =~- - - , being duly sworn, depose and say that I am the consign ee of a certain shipme nt of ardent spirits, as sp cified on other side Qf this form thi day '-X/J J deliver ed to me by the Southe rn Expres s Compa ny, from H£ -(,,I ; tliat I am not student or minor, and, if a female, I am the head of a family; tp{t the ardent spirits so receive d by m e were brough t into the State on my written order, and 1;hat I have not, within the 1;hirty days previou s hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and 1;hat the ardent spiriis so receive d by me are for my own use, at my own homo, ond th•I tho soid "doot spirits will : ; , :• I"'~ -r. , . •~ 7: I Sworn to and subscri bed before me, this - day ot.. / -i'i.(,,. _, m y- A2ent for South9r £ Express Compauy . Consiane e. �Affidavit No Way-Bil To Advnn,es t o Collec t RECOR D OF To Consigne e To Shipp er _ _ __ ___ _ ._ _ __ _ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL US£. ' (OVlt R) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF V!RGlNIA, COUNTY O F - - - ----::---:r.-'---- -:--- ~, - - - - - -- - -- - - - -- - - - - - -- , being •duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered tome by1;he Southern Express Company, fron, _ _ _ _ _ _ _ _ _ __ __ ; thatj am no1; a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into foe State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March · 10, 1916, or contrary to Jaw, and that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before me , , this ___day o . A2ent f r Southern Expres s Compauy. Consh:nee. �SOUTHERN EXPRESS COMPANY F'ORM 3TO•V A (Incorporated) Advances to Collect A~d Unde r cha rge RECORD Or NOTICES To Consign ee ______ __ ______ __ _ _ To Shipper_ _ _ _ _ ___ ______ ____ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE - i' - - - - ~ ~=~=~ ~,,_~~~=-- =-- -, being duly sworn, dep~se and say that I am the consign ee of a certain shipmen t of ardent spirits, as sye;Ified on other side of this form, this day delivere d to me by the Souther n Express Compan y, from J(. ~ ; that I am no a student or minor, and, if a female, I am the head of a family; t ~ the ardent spirits so received by m e were brought into lhe State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so rec eived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscrib ed before me, this-"- '-day ot...J;,{ , 191 ~ Consicnee . �FORM 370-VA Affidavit No. f f-• Aclvn.u re s to Collect RECORD OF' NOTICES To Consign ee _ _ _ _ _ ___ ___ _ _ _ _ __ To Shipper _ _ _ _ _ _ _ _ _ _ __ _ _ __ AF'F'IDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (o v1rn) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE STATE OF VIRGIN I A , COUNT Y OF~[½--~= --=-.c...-- =-- -----'--" ... , - - , - - - - -- - - - - - ----;, '--- - - - -, being duly sworn, depose and say ihat I am the consig nee of a certain shipme nt of ardent spirits , as- s ecified on other side of this form, this day deliver ed tome by the Southe rn Expres s Compa ny, from . '; that I am not a studen t or minor, and, if a female , I am the head of a family ; that the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previo us hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Gener al Assem bly of Virgin ia, approv ed March IO, 1916, or contra ry to law, and that the ardent spiriis so r eceived by me are for my own use, at my own home, and that the said ardent spirits will not be used in viol ation of law . Sworn to and subscr ibed before m e, , day oL-7 / C (, - , 191:;l Ae-ent for Souther n Express Comv.auy. Cons icnee. �·- -----------~~..,.----~.~~- -------.,....-------- FORM 3TO•VA ~7 Advaure a to Collec t PREPAI D A dd Unde rcha rge RECO RD Of' NOTIC ES To Consign ee_ ___ ___ ___ ___ ___ _ To Shipper _ _ _ _ _ _ _ _ _ _ __ _ _ __ Af'f'ID AVIT f'OR ARDE NT SPIRI TS f'OR PERS ONAL USE. (OV KR ) �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE STAT E OF VIRG INI A, COUN TY OF _ _ _ __ _.:...____:_ ::.,__:.,__.:_ __ .... , - - - - - -- - -- - ·- -- - - - - -- -, bein g duly swor n, depo se and say that I am the cons ignee of a cer1tain shipm ent of arde nt spiri ts, as speci fied on othe r side of this form , this day deliv ered to me by the Sout hern Expr I ess Com pany , from __ __ __ __ __ __ __ ; tliat I am not a · stud ent or mino r, and, if a fema le , I am the head of a fami ly; that the arde nt spiri ts so recei ved by me were brou ght into the State on my writt en orde r, and that I have not, with i~ the thirt y days prev ious here to, recei ved any arde nt spiri ts of any kind what soev er, from any perso n or from any place what soev er, in exce ss of the quan tity allow ed by the prov ision s of the Act of the Gene ral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to law, and that the arde nt spiri1.s so recei ved by me are for my own use, at my own home , and that the said arde nt spiri ts will not be used in viola tion of Jaw. Sworn to and subs crib! d befo re me, this I day ot... 1 , 191 _ Aceut for South ern Exvre ss Comv auy. .• Cons icuee. �SOUTHERN EXPRESS COMPANY FORM 370-VA (Inco rpora ted) Advnnre a to Collec t Arld Undercha r ge RECORD OF" NOTICES To Consianee _ _ _ _ _ _ _ _ _ _ _ __ ~ - - To Shipper_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ AF"F"IDAVIT F"OR ARDENT SPIRITS F"OR PERSONAL USE . {OV KR) �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE STAT E OF VJRG IN/,i, , COU NTY O F - - - ' - -- - ---- - - '- i, -~ -- --- - - -- - - - -- -- -- -, bein g duly swor n, depose and the cons igne e of a say that I am certa in ship men t of arde nt spiri ts, as spec ified on othe r side of this form , this day deliv ered tom e by the Sout hern Expr ess Com pany , from _ _ _ _ _ _ _ _ _ _ _ _ _ ; that I am not stud ent or mino r, and, if a fema a le, I am the head of a fami ly; that the ard ent spiri ts so rece ived by were brou ght into ihe State on my me writ ten orde r, and that I have not, with in the thirt y days prev here to, rece ived any arde nt spiri ts ious of any kind what soev er, from any pers on or from any plac e wha tsoe ver, exce ss of the quan tity allow ed by in the prov ision s of the Act of the Gene ral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to law, and that the arde nt spirit.s so rece ived by me are for my own use, at my own hom e, and that the said arde nt spiri ts will not be used in viola tion of law. I Swor n to and subs cribe d befo re me, this __ _day ot.... - - -- · , 191_ Aeen t f or South ern Exvr ess Comp any. ( Consiz:nee. �= FORM 370•VA SOUTHER N EXPRESS COMPANY (I ncorporate d) Advan rea t o Collect P REPA ID RECORD OF NOTICES - To Consian ee _ _ _ _ __ ____ _ __ _ __ _ _ To Shipper_ _ _ _ _ _ _ _ _ _ __ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ..,. (OV ER ) �- AF FID AV IT FO R AR DE NT SP IRI TS FO R PE RS ON AL US E i, --- ,-- --' ------'~--- --'·- - - - -- --- - -, bein g dul y swo the con sign ee of a cer tain rn, dep ose and say tha t I ship men t of ard ent spir its am , as spe cifie d on oth er side of this form , this day · deli ver ed to me by the Sou the rn Exp ress Com pan y, from stud ent or min or, and , if , ; tha t I am not a a fem ale , I am the hea d of a fam ily; tha t Che ard ent wer e bro ugh t into the Sta spir its so rece ived by m te on my wri tten. ord er, and e tha t I hav e ot, wit hin th her eto, rece ived any ard ent e thir ty d a ys pre vio us spir its of any kin d wha tsoe ver , from any per son or from exc ess of the qua ntit y allo a n y pla ce wha tsoe ve1·, in wed by the pro visi ons of the Act of the Gen era l Ass Ma rch 10, 1916, or con trar emb ly of Vir gin ia , app rov y to law , and tha t the ard ed ent spir ils so r ece ived by my own hom e , and tha t th me a re for my own use , at e said ard ent spir its will n ot be u sed in viol atio n of law . Swo rn to and sub scri bed bef ore m e, th is __ _day oL - -=-- , 191 7 Con sicn ee, e:£! - \ �F'ORM 370•VA SOUTHERN EXPRESS COMPANY (I ncorpo rated ) .,r .........~ =:_ lb~ i-:11{'4J ) . A rl d / \ Underc harge RECORD OF' NOTICES To Consionee To Shipper_ _ __ _____________ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE . (OVE R) l 1 �AFFI DAVI T FOR ARD ENT SPIR ITS FOR PERS ONA L USE STATE 0~' VJRGI NIA , COUN TY OF _ _ _ __ _ __ _ __ ~, - - - - -- -- -- - - -- -- - - - - -, being duly sworn , depos e and say that I am the consig nee of a certai n shipm ent of arden t spirit s, as specif ied on other side of this form, this day delive red to me by the South ern Expre ss Comp any, from ___ ___ ___ ___ __ ; that I am not a stude nt or minor , and, if a femal e, I am the head of a famil y; that the ard ent spirit s so receiv ed by me were broug ht into the State on my writte n order, and that I have not, within th e thirty d ays previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any p erson or from any place whats oever , in exces s of the quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgi nia , appro ved March 10, 1916, or contra ry to law , and that the ard ent spirh s so r eceive d by me are for my own use, at my own hom e, and that the said arden t spirit s will not be used in violat ion of law. dLL Sworn to and subsc ribed before me, th is /j day oL. (j ~ -- , 191-1 A2e nt fo r Southe rn Exvres s Co mvauy. . 'faj-1J·1A--Consia nee. ~ �SOUT HER N EXPR ESS COM PANY ( Incorpo rated ) Affidavit No. I./ JI AdYanr ea t o Collect ,RECO RD To Consignee _ _ _ _ __ __ _ _ _ _ __ _ __ To Shipper_ _ _ _ __ ___ ___ _ _ _ _ _ _ AF'F'ID AVIT F'OR ARDE NT SPIRI TS F'OR PERS ONAL USE . (OV ltR ) �AFFI DAVI T FOR ARD ENT _ SPIR ITS FOR PERS ONA L USE STATE m' VIRGI NIA, COUN TY OF~!_ _ __ __ __ _ _ ~, - - - - - -- - -- - - -- - - - - - - - , being duly sworn , depos e and say that I am the consig nee of a certai n shipm ent of arden t spirits , as specif ied on other side of this form, this day delive red to me by the South ern Expre ss Comp any, from _ _ __ _ _ _ _ __ _ _ _ ; that I am not a stude nt or minor , and, if a femal e, I am the head of a family ; that the arden t spirit s so receiv ed by me were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgi nia, appro ved March 10, 1916, or contra ry to Jaw, and that the arden t spirit s so r,eceived by me are for my own use, at my own home, and that the said arden t spirit s will not be u sed in violat ion of law. Sworn to and subsc ribed before me, this _ _,_day o 191_ A11ont for Southe rn Expres s Com'l)a uy. Consii: nee. �/J .r , ,! , 'l (0 :-UGI NAL) AFFIX STAMP HER£ · - ~ -'- • , Railw ay Com pany 5 NOTICE TO DELIVERJ'IG AG£ NT : , Thia form la to be -c1 when mald,.._clell•el'lea of ardent apirila under the Prohibi tion Act of the State of Viralal a to CONSI OTHER T HAN HOTELS, DRUG GNEES , SUPi,.P 1 NT ENDEN S OF HOSPITALS, CHa:.MICALLABORATORIES ANDGISTS, OR MANU FACl ' -RERS OF FLAVORJNC EX , RACTS Etc . Bo h the o tlainal ancl clupUca~ , hee mual atampe d oriarinal muat be r .. talnecl bi, Ji prop~r. i, cancele d. See circula r of ~ b e ai11nocl bi, the couian oo ancl thi• a pel'IIIRllent .._rc1, The atamp • - be / / b•ermaa, v--- -- _- , Virginia l depo se and say that I am the cons ignee of / i /, << l . 1 ~ V- / (Quant ity) of...:...-"'- • · / of whic h I now desir e to take deliv ery from .I •-.-'-_,__(girull --L -I-=-...c. ....,____~""·'-·=· ___ /_ __ Railw ay Com pany ; that I am a male (or if a fema le, that I am the h~ad of a tami at a univ ersit y, colle ge or any othe r scho ol ly); that I am not a stud ent in this State ,.nor a mino r; that said shipm ent was orde red by me and brou ght into this State upon my writt en orde r; that I have not ot any kind what ever , inclu ding said shipmrecei ved ariy arde nt s pirits ent as if alrea dy recei ved, from any perso n or fro·m any place what ever in exce ss of the quan tity allow ed by Act of Virg inia of Mar~ h 10, 1916, or othe rwis e cont rary to said Act, with in thirt y days prece ding the date of this affid avit ; that the arde nt spiri ts cont ained in said shipm ent are for my own use at my own hom e and w,ll not be used in viola tion of said Act. ��l'ORM 370•VA Affidavit No._h..;1-----'/J /'----=-- To - - ~~~-_:._+-- =--•- - - -------,A - Shipper4'C...!.~~ ...p~= .!?-~ ~ =--.L-~ ~ r ~ RECORD Of" To Consign ee _ __ _ ______ _ _ _ _ _ __ _ To Sh ipp er_ _ _ _ _ ___ ._ _ _ _ _ _ _ __ Af"f"IOAVIT f"OR ARDENT SPI RITS f"OR PERSONAL USE . ( OVER ) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE STATE OF VIRGIN IA, COUNT Y O F - - - -- - -- - -- ... , - - - - - -- - - - - - - - - - - - - -- , being duly sworn, depose and say that I am the consig nee of a certain shipme nt of ardent spirits , as specifi ed on other side of this form, this day deliver ed tome by the Southe rn Expres s Compa ny, from _ _ _ _ _ _ _ _ _ _ _ __ ; that I am not a studen t or minor, and, if a female , I am the head of a family ; that the ardent spirits so r~ceive d by m e were brough t into the State on my written order, and that I have not, within the thirty days previo us hereto , receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to Jaw, and that the ardent spirits so receive d by me are for my own use, at my own home, and that the said ardent spirits will not be used in violati on of law . Sworn to and subscr ibed before me , this_F _ _day ot - -- - , 191 _ A1:ent for Souther n Express Compau y. Cons ianee. �FORM 3TO•VA Affidavit No ? 6 l---- NOTICES To Consigne e _ _ _ __ _ ___________ To Shipper _ _ _ _ _ _ _ _ _ _ __ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OV ER) �AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE L _._ · ;J J~ ng duly the con~ ignee of a certa i: ihip men_t _ o_f_a-rd_e_n_t_ s_p_i-r i_t_s_,_a_s_p,,e.·cti.fie d on swor n, depo se and say that I am other side of thi s form , this day deliv ered to me by the Sout hern Expr ess Com pany , from ~~- - - - - -- - -/__ · that I am not a stud ent or mino r, and, if a fema le , I am the head of a fami ly; that the ard ent sp irits s r eceiv ed by m e were brou ght into the State ·on my writt en orde r, and that I have not, with in th e tliirt y days prev ious heret o, recei ved any arde nt spiri ts of any kind what soev er, from any perso n or from any place what soev er, in exce ss of the quan tity allowe.d by the prov ision s of the Act of the Gene ral Asse mbly of Virg inia , appr oved Marc h 10, 1916 , or cont rary to law, and that the arde nt spiri \ so received by m e are for my own use, at my own home , and th at the said arde nt spiri ts will not be s d i viol ation of law ./ Swor n to and subs cr"lfu d befo re me, thi s_) _jda y o J , 191 _ A~en t for South ern Expre s s Comp u.uy. Consi auee. �SOUT HERN EXPR ESS COMP ANY (Incorpo rated ) Advnnr e s to Collect PREPAI D RECOR D OF NOT.IC ES To Consignee _ ___ ___ _ _ _ _ _ _ _ _ _ _ To Shipper _ _ _ ___ ___ ___ __ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. (OYKR) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE ... , ~-~~......~~~ ----\'+'. _~- - ~ ~ ~ - - ~ , being duly sworn, depose and say 1ihat I am 1ihe consign ee of a certain shipme nt spirits, as specifie d on othet side o his form, 1ihis day deliver ed to me by 1ihe Southe rn Expres s Compan y, from that I am not a student or minor, and, if a female, I am the head of a family; that e ardent ,spirits so receive d by m e were brougM into the State on my written order, and 1ihat I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any pla~e whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to Jaw, and that the ardent spiriis so receive d by me are for my own use, at my own home, and that the said•ard ent 'spirits will not be used in violatio n of law, "J../4 L, Sworn to and subscri bed before me, this_L _day oL-f= ""-(~"---, 19f Aeent for Southern /Expres s Compa_uy. , . ~ I' Consiaue e. �-~----.-,s-----~--------------- FORM 370•V A SOU THE RN EXP RESS COM PAN Y (lucorp o rated ) t- L I Q ~ R~C ORD Receiv ed at--,::;a1F - ----'-----'-"'"---:al- - --'--- ,:5.. -- - - Dat ~ c·onsian ee ~ L-'::::. ._,~=----""'-1--]f--- ~ -"--' u =----.,=. ,V ,c;_=- /I 1,.,""¥'- ----- - - - - -- Advour ee to Collect Shipper____ _ _ _ __ _ __ _ _ __ __ Affidavit.No _ _ _ __ _ - -- -- - ~~ - ....- -- PREPA ID RECO RD Of" NOTI CES To Consign ee ___ _ _ ___ ,_ _ _ _ _ _ _ __ To Shipp er _ ___ ___ ___ __ _ _ __ _ _ AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE . ( O V KR) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STATE OF VIRGINIA , COUNTY O F - - , - - -- i, -'--"=-=-=--= ~ ,/ , being duly sworn, depose and say that I am the consigne e of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company , from , (; that I am not a student or minor, and, if a female, I am the head of a family; th11.t the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within t he thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoev er, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so rec eived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . Consicnee. Sworn to and subscribe d befo1•e m e, .. .A£8nt for Southern E'xvress Compauy. I �FOFIM 370•VA SOUTH ERN EXPRE SS COMPA NY (Incorpora ted ) Consianee Way-Bill No.~,F-~ ::Y,;ii: !~;:;-- To ---<11" -~flf i,~~ ~~- - - -- Advn.n r-e a to Collect RECORD OF NOTICE S To Consignee _ ____ ____ ____ _____ To Shipper_ _ _ _ _ _ ____ __ __ _ _ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL US£. {OVER) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE - - - ~ ~ - -- - ~~ -- - - - - - - - -- , being duly sworn , depose and say that I am the consig nee of a certai n shipm ent of arden t spirits , as specj.fied ther side of this form, this day delive red to me by the South ern Expre ss Co~ any, from / ; that I am not a studen t or minor , and, if a femal e , I am the head of a family ;e,t liat the ard ent sp irits so receiv ed by m e were broug ht into the State on my writte n order, and that I have not , within th e thirty days previo us hereto , receiv ed any ardent spirits of any kind what soever , from any person or from any place whats oever , in excess of the quanti ty allowe d by the p rovisio ns of the Act of the Gener al Assem bly of Virgin ia , approv ed March IO, 1916, or _c ontrar y to law, and that the arden t spiri\s o r eceive d by me a re for my own use, at my own home , and that the said ardent spirits wil ~ sed in violat ion of la ' . ,, c;., Sworn to and subscr ibed befor e me, Aeent fo r Souther n Exvras s Compa uy. . �FORM 370•V A SOUTH ERN EXPRE SS COMP ANY (l u corpotat e d) Arld Under c ha rge RECOR D OF NOTICE S To Consion ee To Shipper _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . (O VK R) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ,, - - - - -- -'----'--- - - - - -- -- - - -- , being duly sworn, depose and say ihat I am ihe consignee of a certain shipment of ardent spirits, as specified on other side of this form, ibis day delivered to me by ihe Southern Express Company, from ______ __ ______ ; ,tha1; I am noi a student or minor, and, if a femal e , I am the head of a family; that the ard eni spirits so received by m e were brought into the State on my writt en order, and that I have noi, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place wh atsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so rec eived by me are for my own use, at my own hom e, and that the said ardeni spirits will not be used in violat io of law . Sworn to and subscrHSed before me, th is / day o:.I , , 191 ~ Aeen~for Southern EX.press Compau y. Consienee. �FORM 370•VA SOUT HERN EXPR ESS COM PANY (I ncorpo ra t ed ) Affidavi t No, _,,.✓, _~ -~--/ RECO RD Of" NOTIC ES To Consign ee ___ _ _ _ _ _ __ __ _ __ __ To Shipper _ ___ ___ ___ ___ ___ __ Af"f"ID AVIT f"OR ARDE NT SPIRI TS f"OR PERSO NAL (OV KR) use . �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY OF _ _ _ __ _ __ _ __ i, - - - - - -- - -- - - - -- -- - - - - -, being duly sworn, depose and say \hat I am the consignee of a certain shipment of ardent spirits, as specified on other side of- this form, this day delivered to me by the Southern Express Company, from __________ __ __ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, fro~ any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law , and that the ardent spirit.s so received by me are for my own use, at my own. hom e , and that the said ardent spirits will ot be used in violation of law . Sworn to and sub~cri ed before me, , this day ot- - -- - , 191_ Aalent for ,Southern Exvross Compauy. Consicnee. �FORM 370•VA 1 ~J._,'_./' _ ...z/---1-_ Affidavit No •. AdvntH e a to Collect And Unde rcharge RECORD OF To Consion ee _ __ _ _ __ ______ ____ To Sh ipper _ _ __ _ _ _ _ _ _ _ _ _ _ __ AFFIDAVIT FDR ARDENT SPIRITS FDR PERSONAL USE . ( OV ER) �AF FID AV IT FO R AR DE NT SP IRI TS FO R PE RS ON AL US E STA TE OF VI RG / . !NIA , Co~ NTY OF -~- ~- --;;-- - - ----:----:z~,F i, __. .,.____,, __ __ __ __ __ __ __ __ -? _ , bein g dul y swo rn , depose and say tha the con sign ee of a cer tain ship men t of ard eut spir its t I am , as spe cifie d on oth er side of this form , this day deli vered to me by the Sou the rn Exp ress Com pan y, fro m_ ~ - - - - - - - - -stud ent or mii lor, and , if - -- i tha t I am not a a fem al e, I am the hea d of a fam ily; tha t the ard ent wer e bro ugh t into the Sta spi rits so r ece ived by m e te on my wri tten ord er, and tha t I hav e not , wit hin her eto, rece ived any ard ent the thir ty day s pre vio us spir its of any kin d wha tsoe ver , from any p erso n or from exc ess of the qua ntit y allo any plac e wha tsoe ver , in wed by the pro visi ons of the Act of the Gen er al Ass emb Ma rch 10, 191 6, or con trar ly of Vir gin ia , app rov ed y to law, and tha t the ard .e nt spir its so r ece ived by my own hom e , and tha t the me are fo r my own use , at said ard ent spir its ';ily not be u sed in viol atio n of aw. . V _ Sworn to and sub scri bed bef ore me, C °7/ __;:: c___ !:.__ : _=c ;I / ,, I thi s_, _ _day ot.. - -- , 191 _ A,re nt foy So uthe rn Exp res s Com vau y. I ,,, I ~L_' _::..:C..c....=c_ _:-= ---._ _...:..::c....:._ _ _ _e__ _ __ Con sie nee. �SOUTHERN EXPRESS COMPANY FORM 370•VA (Incorporated) -~.L- +f~' -~,,____."--""""--"'---'=----c,C,_ · -""-'1~---'~,.___Amount,_ t I y,,__l""'·--" ·f'-' ·')_,.,"'-' . -~ ' /)-'!--" 1 - - -- ' -.......;L ___.__ __ _ 191 ~ Advom es to Collec; t • I Add PREPAID Uurlercborge COLLECT ; ,,.. ,,, '? J RECORD OF NOTICES To Consionee To Shipper_ ____________ __:__ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. {OVE R) �AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE STATE OF VJRGINIA, COUNTY OF _ _ _ __ _ __ _ _ __ ~, _____ __ __,__ __ ____ _____ __ , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered tome by the Southern Express Company, f r o m ~ - - - - - - - - - - - - i that I am not a student or minor, and, if a female, I am the bead of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . ,I I Sworn to and subscribed before me, this ___day oL Ae-en, for Southern Exvress Compauy. Uonsianee. �P'ORM 3TO• VA. SOU TH ER N EXP RES S CO MP AN Y (luco rpora lied) REC ORD OF" NOT ICE S To Consignee, ___ _ _ _ _ __ _ _ _ _ _ _ __ To Shipper ____ __ __ __ AF"F "IDA VIT F"OR ARD ENT SPI RIT S F"OR PER SON Ai USE . (on: BI __ _ _ _ _ __ �AFFI DAVI T FOR ARD ENT SPIR ITS FOR PERS ONA L USE 8TA'l'~ OF VIROIN LA , COUN TY or _ _ _ ___.=--=-==-=-- I, - - - - - - - - - - ~- - -- - - --- - , being duly sworn , depos e and say the consig nee of a certai n shipm ent of arden that I am t spirits , as specifi ed on other side of this form, this day delive red to me by the South ern Expre ss Comp any, from _ ___ ___ ___ ___ _ ; that I am not a stude nt or minor , and, if a femal e, I am the head of a family ; that the arden t spirit s so receiv ed by me were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgi nia, appro ved March 10, 1916, or contra ry to law, and that the arden t spiril. s so receiv ed by me are for my own use, at my own hom~ , and that the said arden t spirit s will not be used in viol ation of law. Sworn to and subsc ribed before me , this ___day o ~ - - ~ - - , 191_ Consie nee. . A~nt for Southe rn Exvres s ()omv1111y . �FORM 370•VA A.dvan<e1 to Co ll ec t RECORD Or To Consignee _ _ _ __ ___ _ _ _ _ _ _ _ __ To Shipper _ _____ _____ _____ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �AFFI DAVI T FOR ARD ENT S~IR ITS FOR PERS ONA L USE STATE OF VJRGl NIA 1 COUNT Y OF _ _ _ __ _ _ _ __ _ ... , - - - - - -- - - -- ·-"--== -- - -- -- - , being duly sworn , depos e and say that I am the consig nee of a certai n shipm ent of arden t spirit s, as specif ied on other side of this form, this day delive red to me by the South ern Expre ss Comp any, from . ; that I am not a stude nt or minor , and, if a femal e, I am the head of a family ; that the arden t spirit s so receiv ed by me were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quant ity allow ed by the provis ions of the Act of the Gener al Assem bly of Virgi nia, appro ved March 10, 1916, or contra ry to law, and that the arden t spiri\ s so receiv ed by me are for my owil use, at my own home , and that the said arden t spirit s will not be used in violat ion of law. Sworn to and subsc ribed before me , this ___day oL. - -- , 191_ Aeent for Southe rn Expres s Compa uy. Co nsicuee . �FORM 3TO•VA SOUT HER N EXPR ESS COM PANY (Incorp o rated) COLLECT RECO RD OF NOTIC ES To Consign ee _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ To Shipper _ ___ ___ ___ __ _ _ _ _ __ AFFID AVIT FOR ARDE NT SPIRI TS FOR .PERS ONAL USE . ( OV ER) �AFF IDAV IT FOR ARD ENT SPIR ITS FOR i, ~. . . .~= ~~- -,e;--~_.,_--.,_-¼ --~~~~- PER SON AL USE - -- , being duly swor n, depo se and say that I am as speci fied on other s~ of this form , this day 1 deliv ered to me by the Sout hern Expr ess Comp any, from , i I ; tliat I am not a stude nt or mino r, and, if a fema le, I am the head of a famil y; nt spiri ts so recei ved by m e were brou ght into the State on my writt en order , and that I have not, wi in the thirty days previ ous heret o, recei ved any arden t spiri ts of any kind what soeve r, from any perso n or from any place what soeve r, in exces s of the quan tity allow ed by the provi sions of the Act of the Gene r al Asse mbly of Virgi nia, appro ved Marc h 10, 1916, or contr ary to law, and that the arden t spiri \s so rec eived by me are for my own use, at my own home , and that the said arden t spiri ts will not be used in viola tion of law. 1tt~e 1_ 2 -a ± I, V Swor n to and subsc ribed befor e me , this ,, (/_ day oL-- 1.-f- /7 ;/ 0 / / ,./ , 191!_ / "> / , Ae-ent f or South ern Expre ss Compau y. '-"' C onsii:noe, �FORM 3TO•VA . ,_. 1/4 /.c ~ Affidavit No.,~ -~- - -- , -' Advau <' ea to Coll ect P REPAID A ad Unde r char ge RECO RD OF NOTIC ES To Consign ee _ ___ ___ ____ _ _ _ _ _ __ To Shipper _ _ __ __ _ ___ _ _ _ _ _ _ __ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE . (OV ER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR i, _ _(J~d,~f.dC'.'!,¢11..,...:__ _~~~~~~~ ~- - , PERSONAL USE being duly sworn, depose and say that I am ecified o other side of t~form, this day that I am not a student or minor, and, if a female, I am the head of a family; hat the ardent spirits so r eived by m e were brought into the State on my written order, and that I have not, within the thirty clays previous hereto, received any ardent spirits of any kind whatsoever, from· any person or from a ny place whatsoeve1·, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. (Pitt Consiauee. �.,, - ~ ':+- ---'="------19 1L Advan1 e s to Coll ec t Shipper _ __ __ _ _ __ _ _ _ _ _ _ _ __ From,_c....__ ~,.__ __ _ __ COLLECT A~d Uudercbnrge RECORD OF NOTICES To Consignee _ __ _ ____ ._ _ _ _ _ _ _ __ To Shipper________ __ _ __ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( O VER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE m' Vrn?lNIA, CouNTY m·---•- - - -- -----'-~ i, ------- ------ ------ ---, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, f r o m _ ~ - - - - - - - - -- - ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the· thirty· days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before me, this 2..-v day oL -7_ ,_ , 19lr-, I A2ent for Southern Express Comr,au)', Consienee. �SOUTHERN EXPRESS COMPANY FORM 370•VA (Incorporated ) Affidavit No, _ _ _ __ _ P R EPAI D RECORD OF NOTICES To Consign ee ___ _____ _ _ _ __ _ __ _ To Shipper ____ ______ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL US£ . ( OV·KR) �AFF IDA VIT FOR ARD ENT SPI RIT S FOR _., --'- ---" ----...L,cc----'- PER SON AL USE -'-_.:: _---"- -'=--- - -----""=-- - , bein g duly swor n, depo se and say the cons igne e of a certa in ship men that I am t of arde nt spiri ts, as spec ified on othe r srne of this form , this day deliv ered to me by the S~ut hern Expr ess Com pany , from f stud ent or mino r, and, if a fema ; that I am not a le, I am the head of a fami ly· that the arde nt spiri ts so rece ived by were brou ght into the Stat e on my me writ ten orde r, and that have not, with in the thirt y days here to, rece ived any arde nt spiri ts prev ious of any kind what soev er, from any pers on or from any plac e wha tsoe ver, exce ss of the quan tity allow ed by in the prov ision s of the Act of the Gene ral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to law, and that the arde nt spiri 1s so rec eive d by me are for my own use, my own hom e, and that the said at arde nt spiri ts will ot be used in viola tion of law. ff ~ _j_ Swo rn to and subs cribe d befo re me , this ',I - -- , · Cous i2nee . 1917 L Aeen t for South ern Ex.press Com = �FORM 370•VA SOUT HERN EXPR ESS COMP ANY (I ncorporat ed ) LIQU ~EC ORD Received at~m! !!~~"" "'LJq~ ~ :,!-9-- - - + Da t e p { , Consignee ......t-.z.... .c:__-=.L_!=+--~l!"J.~f".'.'!i::'.'.~~~~~""'~""'~ ""'".:"_ _,,_..,_____ ~ ~-- To RECOR D OF NOTIC ES To Consignee _ __ _ _ ___ _ _ _ _ _ _ _ __ To Shipper ______ ___ ___ ___ __ ~ AFF"ID AVIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . / ( O VKR) �AFFIDA VI,: FOR ARDEN T SPIRIT S FOR PERSO NAL USE STATE OF VIR G INI A, COUNTY OF _ _ __ _ __ _ _ _ _._, - - - - -- - -- - - -- - - -- - - - - -, being duly sworn, depose and say that I am the consign ee of a certain shipmen t of ardent spirits, as specified on other side of this form, this day delivere d to me by ihe Southern Express Company, from ·' ; that I am ntn a student or minor, and, if a female , I am the head of a family; that the ard eµ t spirits so r eceived by m e were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, fr(!m any person or from any place whatsoe ver , in excess of the quantity allowed by the provisio ns of the Act of the General Asse mbly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so received by me a re for my own use, at my own hom e , and that the said ardent spirits will not be used in viol ation of law. Sworn to and subscrib ed before m e, this ___day oL - -- - , 191 _ Aeent fo r Sonthern Exvress Comvauy. Consi,::u ee. �FORM 370-VA "? '/J J~ Rec.eived at SOU THER N EXPR ESS COM PANY (;.,/t.,r{lt/l..r., Consianee ~ : . , ,_ , ~ ~1 ' ~ Kind of Arden Sp~s Date ~ -/ ' ? . fl,~ ~ ~ U/ •~~: • ~ '"' !:!::.._ - 9 ?' .i& ~ !': (:;; P- w.,.,m , · To S~· ~::~;:> RECORD Amount Advam ea to Shipper_ _ __ _ _ _ _ _ _ _ _ _ _ ___ Coll ect / " 1917 ,;;.;&-- ,.f>1 F,om Affidavit ~o.3 6 3 / Wei~L ~ ~ LU (Jr..l,,v'-'6 EXPRE SS CHARG ES PREPA I ~ ll-c _o_L_L_E_ c_-r_, _ _ YI ___ , RECO RD OF' NOTIC ES To Consignee_ __ _ __ _ _ _ _ _ ___ __ To Shipper _ _ _ _ _ _ _ _ _ __ _ _ _ __ AF'F'ID AVIT F'OR ARDE NT SPIRI TS F'OR PERS ONAL USE , {OVER) �AFF IDAV IT FOR ARD ENT SPI RIT S FOR PER SON AL USE STAT E OF V I RGIN IA COUN TY OF·~ ~ = - ~~~ -:_:: ~~:Q '.~ 1 i, 0 ''-". l , bein g duly swor n, depo se and say that I am ' the cons ignee of a certa in shipm!;lnt of arde nt spiri ts, as speci fied on othe r side of this form , this day deliv ered to me by the Sout hern Expr ess Com pany , from / • • • stud ent or mino r, and, if a fema le, that f am not a I am the head of a fami ly; that the arde nt spiri ts so recei ved by m e were brou ght into the State on my writt en orde r, and that I have not, with in the thirt y days prev ious here to, recei ved any arde nt spiri ts of any kind whai soev er, from any perso n or from any place what soev er, in exce ss of the quan tity allow ed by the prov ision s of the Act of the Gene ral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to Jaw, and that the arde nt spirh s so recei ved by me are for my own use, at my own home , and that the said arde nt spiri ts wil .31ot be used in viola tion of law. 1 A2en t for South ern Express Comp auy. �..,...,---~----~- ----~,--~~---,- ------------~------- ------ ----SOUTHERN EXPRESS COMPANY FORM 3TO•VA (Incorporated) Affidavit No . _ _ _ __ _ Advnn re e to Collect EXPRESS CHARGES PUE PAID COLLECT Arld Undercharge RECORD OF NOTICES To Consianee_ __ _ _ __ _ _ _ _ _ _ _ __ To Shipper _ _ _ __ _ _ _ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVER) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE STATE OF VIRG), Nl COUNT Y OF_-' -+ / _ _ __ __ _ i, --- --~~- --~ --- --- --~ --, being duly sworn , depose and say 1.hat I am 1.he consig nee of a certai n shipm ent of ardent spirits , as specifi ed on other side of 1.his form, 1.his day delive red tome by1.he South ern Expre ss Comp any, from --"--- -"--_ ._--- ----- -- i -that I am not a studen t or minor , and, if a female , I am the head of a family ; that the ard ent spirits so receiv ed by m e were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any arden t spirits of any kind whatso ever, from any person or from any place whats oever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spiri\s so rec eived by me are for my own use, at my own home , and that the said ardent spirits will not be u sed in violati on of law . S~orn to and subscr ibed before me , I this__ .___da y of- --'--"--' ----, 191~ Jll:, c7 , A~ent for Souther n Exvres s Comva.uy. Consicn eo, �FORM 370•VA. SOUTHE RN EXPRESS COMPAN Y S Received at ~ ' -. Consignee ,.,,- -r~ ~ctJ~(~u(:;~i~~/>~c / ~ llMe , <='- ' /l"t/Z; /~,,.., /1!-7' , ,,,_ "C??-,r"'-,' 7~; f I ;:µ..£~* ,,,...,_ . - ~~,, ., ,? '(_.-.,, ..- c· ,-1,----/ 4:;c , 1 =,1 2_;,i,.. . K;odolA ,deo,S~/ Way-Bill No ~ .-L------4::;.__ _ TO /, , -,; ~ , . . ~m"""' Shipper _ _ _ _ _ _ _ _ _ _,/_'_ _ __ _ / / .,,. 4:- 7 191 .::'.:__ - ... - ~ 191 _ Advnnr:ee t o Coll en 6 Affidavit f~o. _ _ _ __ ~ J .,,- , D"'?"'J:.'L ,___,.. --.._..-., ;,~ 4 - - r ~ l- "./ /';,i ..,,,t..-t,.,f,-,.;; __ 1., ( . , J ~ ~ ,,i,r,J,/ ~.. From_..,.,~✓ --4L ____ ___ I EXPRESS ---'---~ """..:.ii!=- - PREPAI D Add Uude rcha rge ---~----.1----4i:. '-- - - - RECORD OF' NOTICES To Consign ee . t.~ To Shipper _ _ _ _ _ __ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONA i USE. �- - - - - - - - ----~ - - _,. - - - - - - - - - - - AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE - . -..-- ---~ ~--- -,,..~- ----_ _,____ -~ _ , being duly sworn , depose and say that I am p ified on other si of this form, this day delive red to me by the South ern Expre ss Company, from .L.....-"-""'--="-"'--1- •- ~ ' - "--'-"" -- student or minor , and, if a female , I am the head of a family ; :h were broug ht into the State on my writte n order, and that I hereto, receiv ed any arden t spirits of any kind whatso ever, from person or from any place whatso ever, in excess of the quanti ty allowed by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed .March 10, 1916, or contra ry to law, and that 1.he arden t spiriis so received by me a.re for my own use, at my own home, and that the said ardent spirits will not be used in violati on of law . Consl11nee. c:;:;7'/, A1111n• t or Southe rn Express Compan y. �RECORD OF NOTICE S To Consign ee _ __ _ __ ____ ____ ___ To Shipper _ _ _ _ _ _ _ _ _ __ _ _ _ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL US£. ( OV KR) �AFF IDA VIT fOR ARD ENT SPI RIT S FOR STAT E OF VIRG 1NIA , COU NTY OF _ _ _ __ _ __ _ _,__ PER SON AL USE -- i, -- -- -- -- -- -- --- -- -- --, bein g duly swor n, the cons igne e of a certa depo se and say that I am in ship men t of arde nt spiri ts, as sp.,ecified on othe r side of this form , this day deliv ered to me by ihe Sout hern Expr ess Com pany , f r o m - - ~ - - - - - - -- - ; that; I am not stud ent or mino r, and, if a fema a le, I am the head of a fami ly; that the arde nt spiri ts so rece ived by were brou ght into the Stat e on my me writ ten orde r, and that I have not, with in the thirt y days prev here to, rece ived any arde nt spiri ts ious of any kind what soev er, from any pers on or from any plac e wha tsoe ver, exce ss of the quan tity allow ed by in the prov ision s of the Act of the Gen eral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to law, and that the arde nt spiri ts so rece ived by me are for my own use, at my own hom e, and that the said arde nt spiri ts will not be used in viola tion of law. Swo rn to and subs cribe d befo re me, .,,. , this __ _day ot..- Aeen t for South ern Expr ess Comv auy. Cousia;:nee. �FORM 370•VA R,ooi,ed " Consignee '~:,~fJ SOUTHER N EXPRESS COMPANY ttL';~A--~~ IAL 0 ,, ; - ,m,..11 ,.. f?/,I - - -~- ~'-,,,..--~~_ h ..c:~~-=-L---~~:::..:c:==--'-='==----- --·- - - - -- - --'- - Advnure 11 t o Co ll ec t Arld Uu de rc hnrge RECORD OF NOTICES To Consign ee _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ To Shipper _ __ _ _ _ _ _ _ _ __ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . {OV KR ) �AFFI DAV IT FOR ARD ENT SPIR ITS FOR STAT E OF VIRG INI A, COUN TY OF _ _ _ __ _ _ _ i PER SON AL USE __ _ 1 - - - -- - -- - - - - - -- - - - - - - - , being duly sworn , depos e and say 1;hat I am the consi gnee of a certa in shipm ent of arden t spirit s, as spllcified on other side of this form, 1;his day deliv ered tome by the South ern Expr ess Comp any, from ___ ___ ___ ___ _ _ ; tliat I am not a stude nt or mino r, and, if a femal e, I am the head of a famil y ; · .t hat the ard ent spirit s so receiv ed by m e were broug ht into the State on my writt en order , and that I h ave not, withi n th e thirty days previ ous heret o, receiv ed any arden t spirit s of any kind whats oever , from any p erson or from any plac e whats oever , in exces s of the quan tity allowed by the provi sions of the Act of the Gene r al Asse mbly of Virgi nia, appro ved Marc h 10, 1916 1 or contr ary to law, and that the arden t spirit s so r eceiv ed by me are for my own use, at my own home , and that the said arden t spirit s will not be used in violat ion of law. Swor n to and subsc rib ed befor e me, th i _~_ _day ot.. /( - --, 1911 f ~ Aeent fo r S o uthern Ex vress Compa uy. Cousia nee. �FOAM 3T0•V A SOUT HERN EXPRE SS COMP ANY ( lucor porated) Affidavit No,~ - - -- - Advnu ce 11 to Co ll ec t RECOR D Of" NOTICE S To Consion ee ___ ___ ___ ___ ___ __ _ To Sh ipper ___ ___ ___ ___ ___ ___ Af"f"IDA VIT f"OR ARDEN T SPIRIT S f"OR PERSO NAL USE . ( OVER) �AF FID AV IT FO R AR DE NT SP IR ITS FO R STA TE OF V1 J!i? , u , CO UN TYO F / ' PE RS ON AL US E t YI ~ ~ ~ - ~, ?JtMULL • ~ ~I the con sig nee of a cer , bei ng dul y sw orn , dep ose tain shi pm ent of ard ent and say tha t I am spi rits , as s ified on oth~ d eliv ere d to me by ~he thi s for m, s day Sou the rn Ex pre ss Co mp any , fro m stu den t or min or, and _ , if a fem al e, I am the , t!~ ~ I a hea ',1't a d of a fam ily ; we re bro ugh t int o the t the ard ent spi rits so Sta te on my wr itte n ord rec eiv ed by m e er, and that I hav e her eto , rec eiv ed any ard not , wit hin the thi rty ent spi rits of any kin d day s pre vio us wh ats oev er, fro m any exc ess of the qua nti ty per son or fro m any pla allo we d by the pro vis ion ce wh ats oev el', in s of the Ac t of the Ge ner Ma rch 10, 1916, or con al Ass em bly of Vir gin tra ry to law, and tha ia, app rov ed t the ard ent spirit.a so my ow n hom e, and tha rec eiv ed by m e are for t the sai d ard ent spi rits my ow n use , at wil l not be use d in vio lation of Jaw. . Sw orn to and sub scr ibe d bef ore me , th; s~ d'7 o< 1:Jt./ ,1911 .~ / / h A2ent; for So utjl ern Exp ress Com vau y. . )J:,J I Con sian ee. �.------ -~ -- -- -- -- -~- ~ -- -- -- --~-- -- -- -- -- ---------- - .& /4 ~ ;?,. ~ _ _ _ __<~•.:~;;;~CORD FORM 3TO• VA SO UTH ER N EXP RES S CO MP AN Y SPE CIA L Received at Consignee Kind of Ard e/1 pirit: Way- /G, o. To ( ,.. ..l /L t """ .I_ r .,7 Shii}i!h ~ 2, yJ l 1 r ~ ';if Date ),....._ Amount / ?)t 7 . ... ~ Adva nn! s t o Coll ect 1,-•"-; ......_ . q' f Affidavit No/ -- - -- - - - - -- - - - -- - ..... ,.-- JfoT;.9 ; • j ;,,_ _ u ~,_, , .______ °(, I/ 17 LJ_l 'I' / ~ Date , ,,--... ~ ~-== = ---- - -- - i ~J_/' . •~ ·;· ; 7 Weioh t,---,,£,____ Fro~ _ f:l_ '7.----1f.'Y'---,, .,-.;.,_ · _ - _;____:____; E XPR E SS CHA RGE S PR E PAID COL LECT Ad d Unde r ch a rge REC ORD OF NOT ICE S To Consionee _ _ _ _ _ _ __ __ _ _ _ _ __ __ To Shipper_ _ _ _ __ __ __ __ _ _ _ _ AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE . ( OV ER ) __ �AFFI DAVI T FOR ARD ENT SPIR ITS FOR PERS ONA L USE STATE OF VIRGI NIA, COUN TY OF _ _ _ __ _ _ _ __ _ L, - - - - -- -- -- - - - -- - - -- --- , being duly sworn , depos e and say that I am the consig nee of a certai n shipm ent of arden t spirits , as specif ied on other side of this form, this day delive red to me by the South ern Expre ss Comp any, from ___ ___ ___ ______ ; that I am not a stude nt or minor , and, if a femal e, I am the head of a family ; that the arden t spirit s so receiv ed by m e were broug ht into foe State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quant ity allow ed by the provis ions of the Act of the Gener al Assem bly of Virgi nia, appro ved March 10, 1916, or contra ry to law, and that the arden t spirii s so receiv ed by me are for my own use, at my own home , and that the said arden t spirit s will not be used in violat ion of law . Sworn to and subsc ribed before me, this ___day oL- - -- , 191 _ A&'ent for Southe rn Exvres s Compa ny. Cons i~nee. �SOUTHERN EXPRESS COMPANY FORM 370•VA (I nco rporated) Alfid_avit No, --=)'--( :__-='-/ Advnnres to Co11ect - ,; RECORD OF NOTICES To Consian ee _ _ _ _ _ _ _______ _____ To Shipper _ _ _ _ _ ___ __ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ' ' (OVER) �AFF IDAV IT FOR ARD ENT SPIR ITS FOR fl PER SON AL USE STAT E OF y 1 COUN TY OF _ __ ~ ,_,_' ------'-- i, § , being duly swor n, depo se and say that the consi gnee of a certa in shipm ent I am of arden t spiri ts , as speci fied on other side of this form , this day deliv ered to me by foe Sout hern Expr ess Com pany , from / / / , / , ; ,ihat I am not a stude nt or mino r, and, if a fema le, I am the head of a famil y; that the arden t spiri ts so recei ved by me were brou ght into the State on my writt en order , and that I have not, withi n the thirty days previ ous heret o, recei ved any arden t spiri ts of any kind what soeve r, from any perso n or from a ny place what soeve r, in exces s of the quan tity allow ed by the provi sions of the Act of the Gene ral Asse mbly of Virgi nia, appro ved Marc h 10, 1916, or contr ary to law, and that the arden t spiril.s so recei ved by me are for my own use, at my own hom e; and that the said arden t spiri ts will not be us in viola tion of la~ Swor n o and subsc ribed befor e me , this ___day oL. ,/ , 191 _ A&ent for S outher n Exvre ss Comva uy. ) :/LA-.. /Z--l Consiauee. �SOUTHER N EXPRESS COMPANY FOAM 370•VA ( Incorpo ra t ed) Affidavit No '3 7 2 Advna r ee to Colle ct Shipper _ _ _ __ _ _ _ _ _ _ _ _ _ _ __ PREPAID RECORD OF NOTICES To Consion ee _ _ _____ _____ _____ To Shipper _ _____ _____ ____ _ _ AFFIDAVIT F;OR ARDENT SPIRITS FOR PERSONAL USE . (OV E R) �... , A_....,_.._..._........_~- =~"-the co . nee of a cerlain shipmen t of ard I ~ ' being duly sworn, d epose and say that I am spirits, as. ~PJ<lified on other side of this form, this day -~?t,. . . ~ _. delivere d to me by the Souther n Express Compan y, from )-I ; that I am not a student or minor, and, if a female , I am the head of a ~hat the ard ent spirits so received by m e were brought into the State on my written order, and that I h ave not, within t he thirty days previous hereto, r eceived any a rdent spirits of any kind whatsoe ver , from any p er son or from a ny place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assem bly of Virginia , approve d March 10, 1916, or contrary to law, and that the a rdent spiri\s so rec eived by me are fo r my own use, at my own hom e , and that the said a rdent spirits will not be used in violation of law. " family, Sworn t '.!.!nd subsc1b ed Jefore me, th is j.:[_da y oJ ,,,,l,//'-"--~- , 1917 r ~ ~,4.G / A"ent fo r Southern Exprei:;s Compan y. Consh:uee. �Advan ree to Collect PREPAI D RECO RD OF NOTIC ES To Consign ee _ ___ ___ ___ ___ ___ _ To Shipper _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE . (OVI<R} �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE i, ---"----"'- '----'"'-+--=~ ~ ~ - -~ - -- - - - -, being duly sworn, depose and say that I am the consignee of a cerlain shipment of ardent spirits , as specified on other side of this form, this day / ~ delivered to me by the Southern Express Company, from , ; that I am not a student or minor, and, if a femal e, I am the head of a family; that the ard.fnt spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gener al Assembly of Vi rginia, approved March 10, 1916, or contrary to law, and that the ardent spiras so r eceived by me a re for my own use, at my own hom e , and that the said ardent spirits will not e used in violation of law. Sworn to and subscribed before me, this day 0 1.-,,- ...:=-- t ,. -, 191 T Aeeut for Southern Exvress Compauy. Consii:nee. �FORM SOUTHERN EXPRESS COMPANY 3T0•VA (Incorporated) Way- Bill No,,,_ _,_..,---"--.,.----'----"-- - To - - -- -~ .,_=---.,c_L__ _ _ _ _ __ _ __ Advanc e s to Collect EXPRESS CHARGES PREPAID COL1'ECT Add Unde r cha rge RECORD OF NOTICES To Consignee _ _ _ _ _ _ _______ __ _ __ To Ship per_ _ __ ______ _ __ __ _ __ AFFI DAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �; AFFI DAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE STAT E OF COUNTr t. __ /4- £ ~ ;J,~ Vrn Nt , , being duly sworn , depos e and say that I am the consi gnee of a certa in shipme t of arden t spirit s, as spec· ed on other side of this form, this day f deliv ered to me by the South ern xpres s Comp any, from I ; that I am not a ·s tuden t or mino r, and, if a femal e, I am 1 the head of a famil y; he arden t spirit s so receiv ed by me were broug ht into the State on my writt en order , and that I have not, withi n the thirty days previ ous heret o, recei ved any arden t spirit s of any kind whats oever , from any perso n or from any place whats oever , in exces s of the quan tity allow ed by the provi sions of the Act of the Gene ral Assem bly of Virgi nia , appro ved Marc h 10, 1916, or contr ary to law, and that the arden t spirit s so receiv ed by me are for my own use, at my own home , and that the said arden t spirit s will not be used in viola tion of law. - ct,~ Z-o-.t. ~~ - "">--<" ~ Swor n to and subsc ribed befor e me, this _ _day oL-7~ , / ( ' 1911 . --: -.1/. '" Ai:ent for Sout~ fuJ:,{ press Compa ny. �FORM 370•VA SOUT HERN EXPR ESS COMP ANY (Incorpo rated) RECOR D OF" NOTIC ES ,I To Consign ee _ __ _ _ _ _---'- - - - - - - -- To Shipper_ _ _ _ _ _ _ _ _ _ __ _ _ _ _ AF"F"ID AVIT F"OR ARDEN T SPIRIT S F"OR PERSO NAL USE . ·, - ~ , _,...' ..t ... . 'I. IIU . . I -~ ''· ' (o v1rn ) �, AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE STAT E OF VIRG INI A COUN TY OF_..:::.._ ' _ _ _ ::_1,..~ !_'_c_ .!':::-- 1<"=-t i, -- -- -- -- ------- - --- - -- , bein g duly swor n, depo se and say the cons igne e of a certa in ship men that I am t of arde nt spiri ts, as specified on othe r sid of this form , this 1 day I ' deliv ered to me by the Sout hern Expr i I ess Com pany , from / J /l ,/ stud ent or mino r, and, if a fema ; that I a_ m not a le , I am the head of a fami ly; that the ar~e nt spiri ts so rece ived by were brou ght into the State on my me writ ten orde r, and that I have not, with in the thirt y days prev here to, rece ived any arde nt spiri ts ious of any kind wha tsoev er, from any person or from any plac e what soev exce ss of the quan tity allow ed by er, in the prov ision s of the Act of the Gen eral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to law, and that the arde nt spiri~s so rec eive d by me a re for my own use, my own hom e , and that the said at arde nt spiri ts will not be used in viol ation of Jaw. Swo rn to and subs c ibed befo re m e, this_ l__day o~ - -~ -, 191_!}__ I Aa-ent fo r S outhe rn Exvr ess Comv au y. Cons i~nee . �SOUTHER N EXPRESS COMPANY (Incorporated ) Add Undercharge RECORD OF NOTICES To Consignee___ _ _ __ _____ _____ To Sh ipper _ __ _ __ _ _ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . { o vn) �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE ~, - - - - ~ - -- - -- ~-- - -- - -- - , bein g duly the cons igne e of a cert ain ship swo rn, depo se and say that I am men t of arde nt spiri ts, as spec ified on othe r side of this form , this day deliv ered to me by the Sou ther n Exp ress Com pany , f r o m ~ ~ - - - - - - - - - - - ; that I stud ent or mino r, and, if a fema am not a le, I am the head of a fami ly; that the arde nt spir its so rece ived by were brou ght into the Stat e on me my writ ten orde r, and that I have not, with in the thirt y days prev here to, rece ived any arde nt spir ious its of any kind wha tsoe ver, from any pers on or from any place wha tsoe ver, exce ss of the quan tity allow ed in by the prov ision s of the Act of the Gen eral Asse mbly of Virg inia, Mar ch 10, 1916, or cont rary to appr oved law, and that the arde nt spir i\s so rece ived by me are for my own use, my own hom e, and that the said at arde nt spir its will not be used in viol ation of law. Swo rn to and subs crib ed befo re me, this __ _day oL. Aa-ent for S outhe rn Exvr ass Com vva ny. �F'ORM 3TO•VA , """' - ~- ..._- lbs. ) ~. E, Adve.n r ea t o Col lect v ··- I, '• ,, I ,,,,,_. Arld Unde r ch a rge I RECORD OF NOTICES To Consian ee _ _________ _ _ _ __ __ _ To Shipper _ _______ __ _ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) I ! �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, . COUNTY O F - - - -- -- - -- ~ ~, - - - - -- - - - - - - - - ' -- - -- - -- -, being duly sworn, depose and say 1ihat I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from _ _ _ __ _______ __ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by ~ e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any k ind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . t1 Sworn to and subscribed before me, this ___day oL.. - - - - , 191_ l 7' } Cousiane8. �FORM 370•V A Affidavit No. Advnur-e a to Collec ti, ;J f :J Add Unde rcharge RECORD Of" NOT ICES To Consign ee _ __ _ __ _ __________ To Shipp er_ _ _ _ ______ __ _ _ _ __ AF"f"IDAVIT f"OR ARDENT SPIRITS f"OR P E RSONAL USE . ( O VER) �AFFIDAV IT FOR ARDENT SPIRITS FOR I. STATE OF V!~RGI/.i 'IJ,, COUNTY O F -.,._._(IV{...,, ~~ ~ ~ ~~~ - ~ ~ ~ - i, , /vi/ PERSON AL USE / II 7:'J,W .,(,/ I ' , being duly sworn, depose and say that I am the consignee of a cert i,n shipment of ardent spirits, at,.specifie d on other sirui.. of this form, this day delivered to me by the outhern Express Company, from ~ ; that I-am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by-me were brought into the State on my written order, and that I li{ ve not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so rec eived by me are for my own use, at my own home, end th•I lh• " " a,denl epi,it, ~ =•d in vloJ,lion,er l•w _;. . ~ti&#u&!Mu. this Aa:en, for Southern Express Compaus. Consicnee. �___________ _____ _ .......,...__.. .., , __, / f• ·' /t . I Affidavit No,,__:1_' _ _ • __ Advam e11 to Collec t Aad Under charg e REC ORD OF' NOT ICES To Consianee_ _ _ _ __ _ __ __ ___ _ _ To Shipper _ _ _ _ _ _ _ _ _ _ __ AF'F 'IDAV IT F'OR ARD ENT SPIR ITS F'OR PER SON AL USE . (OVK R) _ __ �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE STAT E OF VIRG INI-A , COUN TY OF _ _ __ _ __ ____ , ... , - - - - - - -,--- -- - - - - - - - - - - , bein g duly swor n, depo se and say that I am the cons ignee of a certa in shipm ent of arde nt spiri ts , as speci fied on othe r side of this form , this day deliv ered to me by the Sout hern Expr ess Com pany , from _ _ _ _ _ _ _ _ _ __ _ _ ; that I am not a stud ent or mino r, and, if a fema le, I am the head of a fami ly; that the arde nt spiri ts so recei ved by me were brou ght into \he State on my writt en orde r, and that I have not, with in the thirt y days prev ious here to, recei ved any arde nt spiri ts of any kind what soev er, from any perso n or from any place what soev er , in exce ss of the quan tity allow ed by the prov ision s of the Act of the Gene ral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or cont rary to Jaw , and that the arde nt spiri \s so recei ved by me are for my own use, at my own home , and that the said arde nt spiri ts will not be used iu viola tion of law. - I Swo rn to and subs cribe d befo re me, this __ _day ot.. \ 191,- - A2"ent for Sonth ern Expre ss Comp auy. ✓ Consi auee. �RECORD OF' NOTICE S To Consign ee _ ____ _____ _ _ _ _ _ _ __ To Shipper _ ____ ____ ____ _ _ _ __ AF'F'IDA VIT F'OR ARDENT SPIRITS F'OR PERSON AL USE . (OVER) �AF FID AV IT FO R AR DE NT SP IRI TS FO R STA TE OF VIR GIN IA, CO UNT Y OF _ __ I _ _~6 ~_ _1 PE RS ON AL US E .~ -~ ., - - - - - -- - -- - -- - - - - the con sig nee of a cer - - ~ , bei ng dul y swo tain shi pm ent of ard ent rn, dep ose and say tha spi rits , as spe cifi ed on t I am oth er sid e of thi s for m, del ive red to me by the thi s day Sou the rn Ex pre ss Co mp any , fro m __ __ __ stu den t or min or, and __ ____ __ ; tha , if a fem ale , I am the t I am not a hea d of a fam ily; tha t we re bro ugh t int o the the ard ent spi rits so r ece Sta te on my wri tten ord ive d by me er, and her eto , rec eiv ed any ard that I hav e not , wit hin ent spi rits of any kin d wh the thi rty day s pre vio ats oev er, fro m any per son us exc ess of the qua nti ty or fro m any pla ce wh ats allo wed by the pro vis ion oev er, in s of the Ac t of the Gene1·a Ma rch 10, 1916, or con l Ass em bly of Vir gin ia, trar y to law , and tha t app rov ed the ard ent spi rits so rec my ow n hom e , and tha eiv ed by me are for my t the sai d ard ent spi rits ow n use , at wil l not be_use d in vio lati on of law . Sw orn to and sub scr ibe d bef ore me, thi s __ _day oL.. - - -- , 191 _ A2e nt for Sou ther n Exv ress Com pau y. Uon sian ee. �SOUTHERN EXPRESS COMPANY FORM 3TO•VA (l u co rpo rated) Affidavit No~•- --------'-- : - lJ ..J-_ ·~ - -'--=--'---'...c._== ~ --- -- - -- - AmountL_,... /_-'-,.r.~,,. ,;_~f..__-_ Way-Bill No. cc,.,,...._,_~ ., I To I Shipper : , _, ,_=-_:.__c_-- ~ ~ - -- -~ 3.______ Advnn re a t o Coll ect -* _ ..,__ ,,,_, 7, 191.Z Fro m_ __ _ __ _,___---'---EXPRES S CHARGES PR E PAID .,, Arl d Unde r charge RECORD OF NOTICES To Consignee ________ ________ _ _ To Shipper_ _ _ _ ____ ___ __ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . {OV ER) �STA TE OF VIR AF FID AV IT FO R AR DE NT SP IRI TS FO R PE RS ON AL US E COU NTY OF -~ -- - -~ - - ~ ~, - - ' - - - - -~ -=- - ·--- '-- - ' - - -=--=--- -, bei ng dul y swo rn, dep ship men t of arden1i spi rits ose and say 1ihat I am , as specifi ed on oth er side of this · form , 1ihis day del ive red to me by 1.he Sou the rn Exp ress Com pan y, fro m-- - - - - - s1iudent or min or, and , - ---=-"'--- i 1iha1i 14ffii if a fem al e, I am the hea o1i a d of a fam ily; tha 1i the ard wer e bro ugh t into ihe Sta ent spi rits so rec eiv ed by te on my wri tten ord er, and me 1iha1i I hav e . no1i, wit hin her eto , r ece ive d any ard ent th e thir ty day s pre vio ua spi rits of any kin d wha1isoe ver , from any per son or from exc ess of the qua ntit y allo any pla ce wh atso eve r, in wed by the pro visi ons of the Act of the Gen era l Ass Ma rch 10, 1916, or con trar emb ly of Vir gin ia, app rov y to law, and tha t the ard ed ent spiri1.s so r ece ived by my own hom e, and tha t me are ·fo r my own use , the said ard ent spi rits wil at l not be use d in vio l ati on of law . Con si1:u ee. �{(13 ', Ad van r-e a to Collect Add Underc harge RECORD Of" NOTICES To Consignee _ _ _ _ __ ____ ____ ___ To Shipper _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Af"f"IDAV IT f"OR ARDENT SPIRITS f"OR PERSON AL USE . ( OVltR) �AFFIDAVIT FOR ARDENT SPIRITS FOR STATE OF VIRGINIA, PERSONAL USE // COUNTY O F - - - ---'-'- " l(/4:.__::___ , _::;_ ~, - - - - - -- ~-'-- --,L----- - - - - - - - , being duly sworn, depose and say that I am the consignee of a certain shipi:ient of ardent spirits, as specified on other side of this form, this day delivered tome by the Southern Express Company, from ______ _______ _•; that I am not a student or minor, and, if a female, I am the head of a family; tha1; the ardent spirits so received by m e were brought into the State on my written order, and tha1; I have not, within the thirty days previous hereto, received any ardent spirit s of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law , and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. /' Sworn to and subscril'>ed before me, l , J th i ___day oL..c - - -- , 19L .....! I A21')nt for Southern Express Comvauy. / f Consii:nee. �TO BE FILED. WITH CLERK OF COURT antity) ::::e".at~ ini a~ =rp >te d un~ er the law s o~ the Sta te o . irg =c=.=froOM~~~•lil·l!!!~!!'JHll!ll!lol!l~t,!~!....-~~~of Act er whi ch I now des tre to take delia very und d nse lice iy nu fa~ d;i men t R ailw ay Com pan y; tha t I am ma ship said of s tent con the t tha 6; Virg inia , app rov ed M arch 10, .191in a da ce · said ct. are to be s old, disp ens ed o ��J. T. WA LL AC E DR UG GIS T DRU GS A N D DRU GGI S T SUPP LIES , PAIN T S , VAR NIS H ES A ND OILS CUT GLASS , STATI ONER Y, SCHO OL SUPPL IES, GARD EN SE E DS ELKTON, VA., 3/1/1 7 Mr . '8' .F . Blac kbur n Cl erk of Coun ty Cour t , Harr i s or_bu rg , f' ockin gha m Co., 1.Ta . ~,i r: _r.:.'he f ol _ow i r.t.:, is a s t a t e rr,en t o f r;.y a lc c :·,01 a c_co un t r o .. e,ll ,~ 1. 0 1, l,lt of Feb . 191 7 • Amou nt of a l coho l on ha nd Feb . lst , 1917 3ga l , O p t , 1 2oz . Amou nt of alco hol bo ught in mon h Fob . 19 ....,I 1t:.a 1 ' El pt , ,Q_ oz . Amo unt of alcoh ol used duri ng f eb . 19 17 4£.,al , 6 p t, 10 o z . Amou n t of alco hol on hand Mch . ls t , 1917 3e;a l, 0 pt , 2o z . Yo urs very truly , 1) / / J/ v' . ' // · .. .. a-u :,,c'Z:--~ .. ... . . ~ .. ·.. ~ # •• • • �• � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 04 Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Elkton in Rockingham County Virginia for personal use. Subject The topic of the resource affidavits ardent spirits personal use elkton virginia Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Date A point or period of time associated with an event in the lifecycle of the resource 1917 1918 Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (<a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a>) Identifier An unambiguous reference to the resource within a given context RcPr-box10-040 Format The file format, physical medium, or dimensions of the resource PDF Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Spatial Coverage Spatial characteristics of the resource. Elkton, Virginia https://omeka.lib.jmu.edu/erp/files/original/80843db71ebf97a215b212f800d0efdb.pdf 796d75819810a57f153d67470654b071 PDF Text Text FORM 370 - VA. R evised June, 1017 COMP ANY SOUT HERN EXPR ESS ) (In co r porate P'ECIA L ./ I ~Q/'nt,ty I 191_ . Advan ces to Co ll ect v I,,. Weigh ~ /2 To Shipper / "'(OVER) From EXP RESS CHARGES CO L LECT PREPAID l P. 0. Add ress ~ - - - - - I Affidavit No . _ _ __ __ ] Shi pper ~ - ~,---- - ---.,_ _-----; ;..-+-- ~- To Consig nee 191_ P. 0. Address / Date RECORD OF NOTIC,E S I ) _ - - 4 -_ _ _ _ _ ( I, Add Undercha rge �--->.,,;£...-~- -""<--+--=" - - - - ' - c - - - - - - - - - - - -, being duly sworn, depose and say that I am a certain shipment of ardent spirits , as specified on oth er side of this form, this day delivered to me by the Southern Express Company, from ____ _ _________ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the !IUantity allowed by the provisions of the Act or' the General Assembly of Virginia, approved March 10, 1916, or c.)ntrary t~ law, and that the ardent spirits so received by me are to be used by me ✓ 1/ ( L Sworn to and subscribed before me, e ~,c , ·~~ �FORM 370-VA . Revi sed June, 1917 SOUTHERN EXPRESS COMPANY (Inco rporate d : Advonces to Coll ect I Shippers""?\ ,----,·, --~~:.....-==----=:__:,~--:='-------=:~ = P. 0. Address - ~ - ~ - ~ -- ~ ~ ~ - To Consignee To Shipper (OVER) PREPAID �STATE OF t 7v1::.t \ r I$-;,-,,,µ ' ~ V-,~-«:....t{_,,(,.A..,-t_.. ; ' - , , ' VT-✓V y couNTY OF, CJ!! ,,:f ~/L-- tl·r .f' .J . l-V , being duly sworn, depose and say that I am , 1 the consi ~ ,e'e of a certain shipment of ardent spirits, as specified on olher side of this form, this day delivered to me by the Southern Express Company, from that I am not a 1~ student or minor, and, if a female, I am the bead of a family; that ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or co~ 1,ary to lawl and that the ardent spirits so received by me are to be used by me I\Y~\\"~ 'a, ti: /•// l( p ·--- < for · (StatEe w p>":; S,•;•;; S,e,om••"'• -; ( . > i ,r__f - purposes. Me<He;,., oe M••>sc ;e,Df t / L/.,£_-1.((,.....,~_ f!t~~~ f-~(..,. . ~4=.-____ {J Sworn to and subscribed before me, ,,,,,.;,- Consignee. / Ii ' 'd :7~"(c· ; t t \. Aa:ent for South e'1·n Express Company. �F"ORM 370-VA. Revised June, 1917 SOUTHERN EXPRESS COMPANY (I nco rporated) SPECIAL LIQUOR RECORD • Received at _ _ _ _~ - ~ ~ - - - - - - ate _ _ _ _ __ _ Consig nce _ _--'---'---'----___:::__ __ _:____c__ _ _ _ 191 _ p. O. Address Aff idavit No. _ _ __ __ - Urottocs l Va. I Kind of Arde nt' Spirits _ _ _ _ _ _ _ _ _ _ _ _ _ _Quantity _ _ __ _ _ _ ___ We ight __'/ --_lbs. Way-Bill No·- - - - - - '' - - - Advan ces to Collect EXPRESS CHARGES . PREPAID Shipper - - -- - - - ' ~ - ~ - - - - - - - ' - - I P. 0. Address - - - - - - - ~ - ~ - - ~ ~ ~ To Consignee To Sh ipper (OVER) I COL L ECT '\) Add Undercharge . I �STATE OF t_-/ I, --'---'- '--__,'---- ------'==--=----='------ - -- - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits , as specified on olher side of this form, this day Gl'llttnCB, Va. delivered to me by the Southern Express Company, from that I am not a student or minor, and, if a fem ale, I am the head of a fam ily ; th at the ardent spirits so received by me were brought into the State on my written order, and th at I have not , within t he thirty days previous hereto , received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of th e quantity allowed by th\l provisions of the Act of the General Assembly of Virginia, approved March 10, 191 , to w, and th at th~ ardent "rits so r eceived by me are to be used by me for t/ '/; tA ; es A '-"' (State whet her for Scientific, Sacramental , Medicinal or Mechanical) purposes. Cons igneo:t. this ___ day of _ - - - , 191- . Agent for Southern Express Company. �Kind of Ard ent Spirits _ _.,,._=----- ---+----'-- -=----'-- Ouantity, _ _ _ _ _ _ _~ _ · Wei ght+ ...J bs, ,{ - - - ~- - - - - - 191_. Adv ances to · C'o llect From,_ , _ _____ _ __ _ ~ KXPRESS CH AI\GES PREPAID Add COL L ECT I ( U nde rch arge P. 0. Address ------''---'---------=:__--=-__:_------''------''------== -- ' ,___ _.__ ____._ _.......__ _.__ _,._,,;.........:....._ ......._ __, RECORD OF' NOTICES( " / To Consign ee / - I To Ship pe r (OVER) �.,. ,,.,,, ' ' L_ ~ t(;...J.,r A..A..- L- _..-l . - - - -, ~---~:,.)u5lti},7{_A 1 .., ";-tleing duly sworn, depose and say that I am · / on olh, side of this form, this day specified as spirits, ardent of shipment certain a of th e consignee (\_"f-1\\\i~• \ ' delivered to me by the Southern Express Company, from _ _ __ \1-1}~\l________ _ ; that I am not a student or minor, and, if a female, I am the head of a family ; th at the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any pl ace whatsoever, in th e pruvisions of the Act of the General Assembly of Virginia, approved excess of the quantity allowe:iib March 10, 1916, i~Jftrary to law, and that th e ardent spirits so received by me are to be used by me /{.__f__ CA/: , J , for · ~ . purposes. (State whe ther for Scien tific, Sacramental, Medicinal or Mechanical) <- ({ AKent for Southern Etx'vress Company. f Consigneo. �F'ORM 370-VA. SOUTHERN EXPRESS COMPANY Revised June, 1917 " .. (In co rporate d) PECIAL LIQUOR- RECORD , Kind of Ardent Spirits_ --"'=-- - - - - - - -- --='-'--- ~ I ) Ou antity,_ _ _ _ _ _ ___:'----- Way•Bill No._ __ _ __ __ Advances to Collect Shipper - - - - - - -- - ~ ' - - - - - - - - - - - ''-----.C.... P. 0. Address - - - - -- - - ·- - - - - - To Con signee To Shipper (OVE R ) EXPRESS CHARGES PREPAID COLLECT Add Undercharge �// STATE OF Vf RGI,:tj'IA, // ~' ~~- . _/4 COUNT Y itJF~ ~~·- - - , - - - - - - - , - - - . . fJ,, & '/J··' ., I 4 ,.· I, · / , being duly sworn, depose and say that I am the consig nee of a certain shipm ent of ardent spirits , as specifi ed on other side of this form, this day ' I deliver ed to me by the Southe rn Expres s Compa ny, from ___ ______ ___ __ ; that I am not a studen t or minor, and, if a femal e , I am the head of a family ; th at the ard ent spirits so receive d by me were brough t into th e State on my written order, and th at I have not, within th e thirty days previo us her eto, receive d any ard ent spirits of any kind whatso ever, from any person or from any place wh atsoeve r, in excess of th e qu antity allowe d by the prQvi sions of th e Act of the Gen eral Assem bly of Virgin ia, approv ed March 10, 1916, or_cont r.ary to aw, and/th at th e ardent spi 'ts so r eceived by me are to be used by me ~ /, I for .., & ,./¢ ✓f-/ ,fl" f- -¥ " J' . ._ ·1,f.A. I purpos es . (S t ate wh ether fo r Scientifi c, S~cr amen t a l, Medicin al or Mechan ica l ) Sworn to and subscr ibed before me , this _ _ ~ ay of _ - -- r , 191- Con signee. . Agent fo r Sou thern E xpr ess Compan y. �-- ------------ ~--~--- ----- ----------------FORM 370 - VA . R evised Ju ne, 1917 SOUTHER N EXPRESS C - MPANY (In corpornted ) SPECIAL LIQUO Received at _ __,__---!f- -=--'--~-- ----- Date RECORD 7 /) Y .t' 191 ·. / / " ' Affidav it No.- - ~- - - Co nsianee _ _~__,__L_-=-- --r-:,,;=..;::...~.,.....,,__ _ _(_ :ec'-=•=---•- P. 0. Addre~,...c..._~.,..c.._--"----'---"~ _ _ _ _ _ - - - - ~ - - - - - - = . ~ ~,_ QuantitY • - -- - ---""--"---'-'--- A dvan ce s to Coll ect Sh ipper·..:.,_ ...L~::!~~~~ ::2.'~~~d-5 ;_:_:,.,_ We ight_---'---;.__ EXP RESS CHARGES PRE P Al]) COL LE CT Add U nde r charge .\ P. 0. Address - - - ~- -..........- - ~ ~ ~ - - - ti- - - - ' - - - - - ' - - - - ' - - - - - ' - - - - - ' - - - ' - - - - ' - - - - ' To Consignee (OVER.) �, being duly sworn, depose and say that I am specified on other side of this form, this day GT 'J delivered to me by the Southern Express Company, from _______ ._ __ ____ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within · the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantitv allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or confrllr,y to law; and that t};le ardent spirits so received by me are to be used by me , ,. ,11' .,·l' f/ I for (....k.'- " ( t.,.1 / · · C. 1/ ,,/ •· (State whether for Scientific, Sacramental, Medicinal or Mechanical) Sworn to and subscribed before me, /4 / -;J thi/ /d,a y of_ {/(._ I/ 1 ) 19,,1 --. ,, ., / / / Agent for Southern Express Company . ., purposes. . �F'ORM 370-VA . Revised June, 1917 SOUTHERN EXPRESS COMPANY Grottoes, Va. (Inco rporated) SPECIAL LIQUOR RECORD Consignee _ _ _ _ __ _ _ _--,-..,....,c-=----=--- ----- n n 1 P. 0. Address_ _~.....----·-- - - - Kind of Ard ent Spirits _ _ _ _ _ _ _ _ _ _ _---,-__ Quanti!Y•- - - - - - - " - ~ - - Way-Bill No·- - - - --=- To _ _ _ _ _-.----.----'--.-= -------- EXPRESS CHARGES Advance s to Coll ect PREPAID I I CO LLECT Add Undercharge Shipper - ~ - ---'-~- - - -----'-C---=---=--P. 0. Address - - - - - - - -- - -- - ~ RECORD OF' NOTICES To Consignee To Shipper (OVER) I I �_.,__.__- '--= ---+- · - = ~ - --- -+-- +-, being duly swor n, depo se and say that I am specified on oth er side of this form, this day . deliv ered to me by the Sout hern Expr ess Comp any, from ----;.,;.,-... ,__- ~-·--- - - - ; th at I am not a stude nt or mino r, and, if a fema le, I am the head of a fami ly; th at the arden t spirit s so recei ved by me were broug ht into th e State on my writt en order , and that I h ave not, withi n th e thirty days previ ous h er eto , recei ved any arden t spirit s of any kind what soeve r, from any person or from any pl ace what soeve r, in exces s of the qu antit y allow ed by tee provi sions of the Act of the Gene ral Asse mbly of Virgi nia, appro ved Marc h 10, 1!)16f -'<l/o entra ry to I w, and that the arden t s irits so recei ved by me are to be used by me for ' urpos es. (State wh ether for Scient ific, Sacra ~ menta l, Medic inal or Mecha nical) SEP 141917 Swor n to and subsc ribed befor e me, this _ _ day of _ __. - -, 191 -. Agent for South orn Expre ss Comp any. Uon ~ignet). �"' - -- ....... - - ---- FORM 370-VA . Revised June, 1917 SOUTHER N EXPRESS COMPANY (In corporated) SPECIAL LIQUOR Advances to Co ll ect Shipper - - --=-------='------'==-="------""--'---=- --='---'=---P. 0. Address - - - - - - - - - -- - ~ - ~ ~ RECORD OF To Consign ee To Shipper (OVER} Add !'REPAID COLLECT Unde rcharge �.f_£ ~ I, ----.,+--=- ------ - - - - - - - - - " ' - -- , ,being duly sworn, depose and say that I am spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from _ _ __ ___ _______ ; that I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in exce·ss of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or,J.lpntrary to law anc'I. tha. t the ardent spir1J:s so received by me are to be used by me - .Yl-1 for / /'- i?- A - ~o ~ j t/ , " ·~ " -rposes. (Sta te whether for Scientific, Sacramental, l\iedicinal or l\iechanical) /) Swo7· ~,nd suJlsor}1}e~~ef9ie ~... j . this Co nsignett . l __/ [1 day of _ ,- ,,1.fkY ~ I • 191 . / ' ., J / " • I Agent for South ern Express Company . �F"ORM 370-VA . Revised June. 1017 SOUT HER N EXPR ES S COMP ANY / Advances to Collect To Consign ee To Shipper (OVER) PREPAID r COLLECT Add Undercharg e �,.._ the consignee of a certain shipment ardent spirits, as GBO ; delivered to me by the Southern Express Company_, from that I am not a student or minor, and, if a femal e , I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, or e ntrary tA1law, and •that the ardent spirits so received by me are to be used by me rn, for 1 V// f- c..,, r -' 1/2 · ---t • ,t ~ ,_ ' -- i.. purposes . (State whether fo Scientific, Sacramental, Medicinal or Mechanical) ~t r ..... , 17 ! ./ / (_(l-( / I 1 erCons ign ee. Sworn to and subscribed before me, this _ _ day of_t _ _ _ , 191-. ,?- . /. r I Agent for Southern Express Company. �FORM 370-VA . Revised June, 1917 SOUTHE RN EXPRESS COMPAN Y ( In corporated) , SPECIAL LIQUOR/ RECORD Received at, _ _ __ _ _ ___ t__: _____ _ Date ,. I & 1l 191,-- ~ - ~- - - ---___c.._ -=-~:.L-~Ouantity_ __,/_ _ _~----'- ------- -'------- -191 _ , To _ _ _ _ _ _ _- ' - - - - ~ ~~ ~ ~ ~ - - .Advances to Collect Shipper -"--_:__..c..c=~:..::__--- ==----- -==-- P. 0. Address - --,!"---- - - - - - '==-=c-=:.__ ,.-"-"~c..,__ RECORD OF To Consignee To Shipper (OVER) EXPRESS CHARGES PREP.A.JD Add Undercharge �', \ .,.-.n< , ~ STATE OF VI COUNTY OF r-.~ ~IA, (., •', _- // /I ~ -/,, , t.-t 'If;/· 1AA. ' , .A x±lt,)7(!-<q;1 .'M . I, being duly sworn, depose and say that I am the consignee of a certain shipment o/ ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from ____________ __ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsol'lver, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916,•or contrary to law, and t at the ardent spirits so received by me are to be used by me A' j ,;, / • ' -·' for / " '-" ~ {= ' Y - "'1 , purposes. C -. / f (State whether fo-r Scientific, Sacramental, Medicinal or Mechanical) t> \~ 1 Con s ignee. Sworn to and subscribed before me, this~ / / ay of _ _{_ _ , 191-. / "";,:/ V(_,,V / / / ' I I ( Agent for South orn ,Express Company. �F"0RM 370-VA. R evised June , 1917 '\toitoes, Va. SOUTHERN EXPRESS COMPANY ( I ncorporated) SPE C IAL LIQUOR RECORD Received at.________ ____ _ _ _ _ Date _ _ _ _ __ _ 191 _ Consianee,_ _-'-----'---'--"--" - = - - - ' - - - = - - ' - - - - - ' - - - - - - _ _ __ Way-Bill No·- - - - ~ - ~ -To _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Shipper _ _ _ _ _ _ __ _ _ _ _ _ _ __ , I RECORD OF" NOTICES To Consig nee To Shipper (OVER) tll __,_____ ~ ~ - _!JP P. 0. Address _ _ _Dl Advances to Collect P. 0. Address - - - -----·--'--'-- ----'---- Affidav it No. _ __ _ _ _ EXPRESS CliARGES PREPAID I CO LL ECT I Ad d U ndercharge I �, being duly sworn, depose and say that I am specifie d on other side of this form, this day Ya. deliver ed to me by the Southe rn Expres s Compa ny' from that I am not a student or minor, and, if a femal e , I am th e head of a family; that the ardent spirits so 1·eceive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the uantity allowed · y the provisio ns of the Act of the Gen eral Assemb ly of Virgini a, approve d March 10, 1916, or contrar y and that the ardent spirits so receive d by me are to be used by me ill'DUOCS, for f r ;V ; ~ , '/ ' "-~ purpose s. (State whether for Scientific , Sacram ent al , Medicina l or I\Iechaui cnll' J ,J 'J Consi gnea. Sworn to and subscri bed before me, this _ _ day of _ \ ,,, ____.., .,, 191- . / t \ Agent for Southern Express Company . 7 �----- - ~ - -- f"ORM 370-VA . R evised June, 1917 - -~----~-- --(Iucorpornted} SPECIAL ;rottoes, Va. / Rec eived at __,C c__,~/..,..,,._ _ _ _ _ ~ - - - - Consi gnee _ ECORD .1 ,_ _..,__..;__ _ _ _ 191 Affidavit No . _ _ __ _ __,Z ~= u----':. . .{_ .:. -=::.. .;. .=-'--=---=---=-='--------- Ad1"8llCee to Co1lect To Consignee z / SOUTHERN EXPRESS COMPANY To Shipper (OVER) PREPAID I �- ~~--- --~--- ----~-- -- - - - - - - -, being duly sworn, depose and say that I am the eonsigne e of a eertain speeified on o1her side of this form , this day fl~ - - -- ...,-----.;,,,_,.___~_•____ _ ; th at I am not a student or minor, and, if a female , I am the head of a family; th at the ard ent spirits so r eeeived by me were brought into the State on my written order, and that I have not, within the thirty days previous her eto , r eeeived any ard ent spirits of any kind wh atsoever , from any person or from any plaee whatsoe ver, in exeess of the quantity allowed by th e provisions of the Aet of the Gener al Assemb ly of Virginia , approve d Mareh 10, 1916, or eontrary jo) aw, an)i,.t-hat the ardent spirits so received by me are to be u sed by me for • ,' ( c· · .A.' ~( ·- ( #/ ,, ( pwpose s . (S t a te whether for Scientific, Sacramen tal, 1\1edicina l or 1\1ech a nic:.l) EP 29 1917 Sworn to nl'-i? ' and subserib ed before m e, this ___ day of __ - - - - , 191- .LJ . I '\·' ' Agent fo r Sou th ern .Express Company. I A ~ , r ; _ -~ ~ nsign e• . �-~~-~-~~----~------------ --------SOUTHERN EXPRESS COMPANY FORM 370-VA. Revised June, 1917 lirottoes, Va. sPEc1AL I ( l nco rpornted) uQuoR ;REcoRo Received at _ _,•,-;-~'~'- ---,,---cc- - -- ~ - Consignee _ _ __ >t4I ~-- ~--~~.. .,___-_,_______ , c __ _ __ l 91 _ ., - - - -- - - - -- - - ~ - Ouantity,_ _ _ __ _ __c__ Weioht Advances to EXP R ESS CRARGES Collect PREPA ID I I I✓ RECORD OF NOTICES To Consignee To S~ipper ( OVER ) COL L ECT l ·,/ lbs. A dd Unde rch arge I �_,'."---,: z ___; .A...,,(... ________,z._:=-------c.__-<-+---=----l-; being duly sworn, depose and say that I am of ardent spirits, as specified on other sid r?f this form, this day I ; that I am not a ~ delivered to me by the Southern Express Company, from student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my wl'ittf n order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by th provisions of ilie Act of the General Assembly of Virginia, approved March 10, 1.916, - -f ntrary to la , and that the ardent spirits o received by me are to be used by me for vlCf...,A /' (State whether for Scientific, Sacramental. Medicinal or Mechanical) EP29 1917 Sworn to and subscribed before me, ft.gent for South ern Express Compa~y. pu~oses . �SOUTH ERN EXPRE SS COMP ANY _s, V 1 (In c orporate d) SPECI AL LIQUO R RECOR D Received at _ _ __ __ __ c _ _ - - - ' - - - - - ____ , _ _ 191 _ _ Affidavit No. _ ~ -- - - '2 Kind of Ardent Spir'ts _ _ : _ ~ - - - - - - -- -4r--~ Quantity_ _ ~-----":c::.:...~-''~__;__ r Wei ght+ Way-Bill No. ------- ,1--~/<--_(___ l 9 l _ L TO ----;; ----,- ----= ---=- ------ - To Consign ee -,1 ) EXPRESS CH ARGES PREP.A.J D I I To Shipper I (OVER) lbs. From _ _ __ _ __ __ _ _ Advances to Colle ct '\,._ RECORD Of" NOTICES . ,t./ COL L ECT I Add Underc harge I �I, ----'=---=. -'-.Jir<"'-- ----""'---------='-------=:._:==---, being duly sworn, depose and say that I am specified on other side of this form, this day delivered to me by the Southern Express Company, from ________ ______ ; th at I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within . th e thirty days previous hereto, received any ardent spirits of any kind whatwever, from any person or from any place whatsoever, in excess of th e ~u.aatµ allowed by p1,.e provisions of th e Act of the Gen eral Assembly of Virginia, approved March 10, 1916,jf" c trary to r,,,v, and that the ardent spir' so received by me are to be used by me ~ A~ .d / for / _.,., It... --~P'--<' urposes. I ,/ _,( (State whether for Scientific, Sacramental, Medicinal or Mechanical) Sworn to and subscribed before me, this _ __ day of _ - - -, 191- . Agent for Sou t hern Express Company. Cons ign ee . �f"ORM 370-VA . SOUTH ERN EXPRES S COMPA NY (Iucorporated ) R evised June , 1917 SPECIA L LIQUOR REC9R D Consion ee _ _ ___,__-=:c ._-=---,._;_..,_-----=._ ....:...__ _ __ _ _ __ I P. 0, Add ress, _ _ _ _ _ _-'-"-__:_:.:__ __ Wei oht._--''---'b1 -=-- Kind of Ard en t Spiri~---'-- ----=-- -------"C ...C.-~- ~0uantity· ___/:._:._~ ._ _ _ _ _.,_~ ~- -~ ' 19 1_ . From_ •- - -- - - - - --"-··'' No. Way-Bill TO - - --,--~ c....,-=-- - - - - - - , - - - - - - Advance s to Collect Shipper - - - - - - - - - - - - - - - - - - - - P. 0. Address - - - ' - ---"-----'--'-- '-·-'-'--=-==-"--'--=--'---"To Con sionee To Shipper (OVE R) EXPRESS CHARGES PREPAID COLLECT Add Unde rcha rge �STATE COUNTY I , ___,__..,__,~ ==----~..J.---+--"'----"".._=,.____,__ _,_ = '-------, being duly sworn, depose and say that I am the consignee specified on other side of this form, this day delivered to me by the Southern Express Company, from . f~ ; that I am not a student or minor, and, if a female, I am the head of a family; ih"[ tf \~~ arde-nt spirits so r eceived by m e were brought into the State on my written order , and that I have not, within the thirty days previous hereto, received any ardent l!pirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allo~ ed by the provisions of the Act of the General Assembly of Virginia, approved Marcl;i 0,11916, or co ' rary to law, and that the ardent spirits so r eceived by me are to be used Lf_ . by me for ") .,/. P / - (State whether for Scientific, Sacramental, Medieinal or lechan ical) .· - 9\' Consienee. Sworn £land subscribed before me, this _ _ day of_ _ _ _ _ l9l_ , I {,,.- I..,. purposes . / ' , \ A11ent for Southern Express Company. �F'ORM 370 - VA. Revised June, 1017 To _ _ _ _ _ ____:::..::.c._ SOUTH ERN EXPRE SS COMP ANY (I ncorponted) Shippe r_ -)4--c,,..-_.,_:.____:,=-..=-----"'-.:....:::.::.....,:c:...__ _ __ P. 0. Address - "- - ~ - ~ - - ~ - - - - - - To Consignee Advances to Collect __,_ _ _ _ _ __ EXPRESS CHARGES PREPAID , - I To Shipper (OVEit) I COLLECT 1.)5 Add Undercha r ge I �; ~ 1 ,:" ' , being duly sworn, depose and say that I am { ')\ I, the consignee of a certai~ s~¼pment of ardent spirits, as specified on other side of this form, this day '4\~\\~~i ; that I am not I~ • delivered to me by the Southern Express Company, from a student or minor, and, if a female , I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whats·o ever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March JO, 1916, or coi\trary to law, and that the ardent spirits so received by me are to be used - by me for £ .I •j I \ , I , I, , / l ' .,,. • _,,, .;,,.. ., -t I I "' (State whether for Scientific, Sacramental, Medidn1,l or Mechanical ) purposes. ;a Consiirnee. Ai:ent for Sonthern Express Company . �SOUTHERN EXPRESS COMPANY F'ORM 370-VA. Revised J uue, 1917 (Incorp orated) \itOUfttS , la. / SPECIAL LIQUOR RECORD ,1- Received at, _ _ __ _ __ _ __ _ _ _ _ Oate,_ _ _ _ _ _ _ 191_ . Affidavit No., _ __ __ _ 17 ll _ __ OP,S , _---" Consicnee _ _ _]- -''-'---~---'=----r-,--=-"----'----- P. 0. Address l¾rot Kind of Ard ent Spirits, _ _~ ~ - -- - - - -~ - - -Ouantity_ _ _ _.~_.,._ _ _ _ _ Weight i/ lbs. I Way-Bill No., _ __ __ __ _ Date_ _ _:..__ _ _ _:..___ 191_ ro lirffttoes, Va. .Adv ances to Collect . From _ ____ ::___ _ __ EXPRESS CHARGES PREPAID CO L LECT Add Unde rcharge Shipp er - ~ - -- -- - -- - - - - - P. 0. Address _ _ _ _ _ _ _ __ __ _ __ '------'----'-----'----'------'----'----....l....--' RECORD OF' NOTICES To Con signee To Shipper (OVP:R) , �STATE oF {:ouNTY Vrn:;:; A OJ'/ t,;((: / 'j-- 0 /f ' ,../->__,, e· .I . •, ~rl.A'.v(A, _;, -I_ "r___ , being duly sworn, depose and say th at I am ~1- - --v - - --'"' ~ - - - ~/L,./ I ,- - -- - ~""- the consignee of JR, ce rtainj i hipment of ~rd ent spip ts, as specified on other side of this form,. this day c~;. Va, ; th at I am not t~ ' . delivered to me by the Southern E xpress Company, from A, student or minor, and, if a female, I am the bead of a family ; th at t he ard ent spirits so r eceived by me were brought into the State on my written order , and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind wh atsoever , from any person or from any place whatsoever , in excess ot the quantity a,Jlo~ ed by tbti, provisions of the Act of the General Assembly of Virginia, approved March ro, ,t m6,._ or contrary to law, and th R,t the1 it\-dent spirits so r eceived by me are to be used ,;I ~ / J ( • ,. ,'/ • ,1 / -;f{, ,; / •. I I ., - ,., , _,., .,. • "· £ (State whet her fo r Scient ifi c, Sacr a me ntal , Medid n a l or ll1echanical ) ._.., by me for purposes . I tbis ___ day of_ _ _ _ _~9l_, A11:ent for Southern Exi)ress Company. �F"0RM 370-VA . Revised June, 1917 SOUTHERN EXPRESS COMPANY (Incorporated ) /6 SPECIAL LIQUOR RECORD Received at _ ________ - -- - -- -~ ate,________ 191_. Affidavit No ._ _ _ _ __ Consignee _ _ __ _ _ _ -'-----'-~--''-"---'C...C-------- Way-Bill No,_~ - --~---,--. Otia ntity_ _ _ _ _ _ _ _ _ _ Weight. _ _ __ lbs. 1 Kind of Ard ent Spirits P. 0. Address, _ _ _ _ _ __ _ __ __ / '- ~ - - - - - - -- - -----'---'---''--...CC..C...CC..C-=--'--- PREPA ID ~ RECORD OF" To Consign ee From _ _ ________ _ EXPRES S C HARGE S TO --------=--= --=-------'------~Shi pper - -- 191_ , To Shipper (OVER) COLLE CT Add Unde rcharge �:::::::,vJ.!N B Ct_ ') ,,_r It < k11 / I, ( ~eing duly sworn, depose and say that 1 am the eonsignee of a eertain shipment of ardent spirits, as speeified on other side of this form, this day 1 ~ ~ delivered to me by the Southern Express Company, from that I am not a student or minor, and, if a female, I am the head of a family; that the argent spirits so reeeived by me were brought into the State on my written order, and that I have not, withi~ the thirty days previous hereto, reeeived any ardent spiri\ s of any kind whatsoever, from any person or from any plaee whatsoever, in exeess of the quantity allowed by the provis_ions of the Aet of the General Assembly of Virginia, approved Ma 9 ,., 1916, ore ~trary to Jaw, and that the rdent spirits so reeeived by me are to be used filll\lOO~, Ja, by me for ~ ' l ( { A ( /.-' , •~ (State whether for Scientific, Sacramental, Medicinal o~ 0r. i _,911 ! Sworn to and subseribe_d before me, this _ _/_day of_ _ _ _ _/ 91_, / t ,) l Agent for Southern Ex{)ress Company. purposes. echanical ) ; �SOUTHERN EXPRESS COMPANY FORM 370-VA. (Incorporated ) Revised June , 1917 lirottocs, va. sPEc1AL uQuoR REcoRo Received at, - - - - - - - - ~ - = - , - - - - - -Oate. _ _ --'--_ _ _ _ 191 _. Consignee _ '- - - - ~ ~ -~ -=----'"--=-'-=---=---=-- - - - - P. 0. Addre~s•~ "' - - - - -- -----'-- - ,_ ~t----'= ----'- ;~.=:::::=~- - - / -:r~C-=-",/ ~ ~Quantity _ _ _ Way-Bill No.___,~.,__'--.L.._ _ _ _ Date_ _ _ _ _-'--_ _ .1 _ _ _ 191_ . To _ _ _ _ _ ~Sro~n=oc=,s,~ . . V~_ Advan ces t o Coll ect Shipper --...,- ~ ---=:........:::....ec=-~---~-----'"-- j P. 0. Address _ _ _ _ _ _ _ ________ From, ___________ EXPRESS CHARGES PREP.AID COLLECT I ·1 \ .Add Underchnrge I To Shipper _ _ __ ______ _ _ _ _ __ To Consignee I (OVER ) �-~~--~-~- --- -·-------~--=~ - - - - . . . - :!:,.....--<=:,..,-,,..,,...._ __ _ _ _....,_..,.._ _ _ _.,,,,,,.,,.,_ __ I' b ng dnly sworn, depo se and say that I am I , - ~ -= "----"----'.....;_-- --"----"",::__--'-_,,._=--- '---"""'-'~ the consignee of a certain shipment of ard ent spirits , as specified on other side of this form, this day 0s T delivered to me by the Southern Express Company, f r o = - - - - - - - - - - - - - - ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spit!ts of any kind whatsoever, from any person or from any place whatsoever, in excess of the quanti y allowed by the frovisions of the Act of the General Assembly of Virginia, O, 1 16, o contrary to law, and that the dent spirits so received by me are to be used approved M l .,.. 'I / , ' by me for,..:....--'---=----'==- =- =--===--=-=-"=..o:...,.......,.'--'...,,~----- ,--PUrposes. (State whether for Scien t ific, Sacramental, Medi<-inal or 6- 1917 .Sworn toOCT and subscribed before me, Consie-nee. this _ _ day of_ _ _ _ _ l91_. I / Agent for Southern Express Company . �FORM 370-VA . R evised June, 1917 SOUTHERN EXPRESS COMPANY (I nco rpor at ed) ~1 \J!~\\\t\ I ~ i, Received at.------,---- ~---------- .,-Consianee.____,/ ____..;,. l 7_ ~ - - ~ ~ ~ ~ ~ - ~ -- - · - -Kind of Ardent Spi_9 ts )0 s. 9 uantity 1 Way-Bill No. I /? !_! ), To --...,-----. ,,------=-· ------~Shipper - 191 .2. A dvance s to Coll ect EXPRESS CHARGES P REPAID CO LLECT Add Un de r charge +--=-..;....::=--- -=-'---~- = c...=,c_____ --Jf P. 0. Address ~,L--L......'"--"'--'-__:" --=-'-'-"-=- _.c.---l ' .,..___--L.._ ___,J _ _ RECORD OF NOTICES To Consignee To Shipper (OV IIR) _..__--L.._ _' - -_ _,___ __,__ __, �/) . STAT E OF V IRG NIA / COU NT Y I , -'"'-'-'"..:._--==---' --------":::....:,c::._"""'- - -1,.,.''----'""'=-"--=--' -,r eing aii1y sworn, depose and say that I am the consig nee of a certain shipm ent of ard ent spirits , as specified on other side of this form , thi s day va delivere d to me by the Souther n Express Compan y, from filD}iOP.S , that I am not a student or minor, and, if a femal e, I am the head of a family ; th at th e ard ent spirits so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind wh atsoever , from any person or from any place whatsoever, in excess of the quantity al lowed by tile provisio ns of th e Act of the General Assemb ly of Virginia, approve d,..M di O, 1916, or contrary to law, and that the ardent spirits so received by m e are to be used by me for / / L -t. , ( ( -1,_ "( /1 ( (Sta te whether fo r Scie ntifi c, Sacramen tal, Medicin a l or Mechan_ ical) OCT 121917 Sworn to and subscrib ed before me, this I? Alt8nt for Southern ji]xpress Company . ; purpose s. Con sienee. �FORM 370-VA. Revised June, 1917 SOUTHER N EXPRESS COMPANY (Iu corpomted) I~ Kind of Ard ent Spirits_- -- -=--"---- -=-""?--'-- - Way-Bill No·- -- - - = - - - Advances to Coll ect To Consignee To Shipper (OVER) Add Undercharge �• I<' I , ,bei~ worn, depose and say that I am ' the consignee of a certain shipment of ardent spirits , as specified on other side of this form, this day arnt delivered to me by the Southern Express Company, from Ofl~ 11S ; th at I am not a student or minor, and, if a femal e, I am the head of a family; that tlie ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved -March 10, 1916 r contrary to law, and th at the ardent spirit so received by me are to be used by me , \ I , ( for _____ _ _ __ _ _ __ ______ ______ p oses. (State whether for Scientific, Sacramental, Med icin al or Mechanical) Consi cne'3 . this _ _ day of _ -- - , 191-, fo.gent for Southern Express Company. �F'0RM 370-VA . Revised SOUTHERN EXPRESS COMPANY JuG,ff6TTOES. , rECIAL ~~~pc~; R!C?RD Received at, ________"_ _ _ __ ___ Date I ! Consignee, __/ _ __,__J,.._ / __:_:c:..._....:..._:...___:.-'---'--=--'--------- Kind of Ardent Spirits,~ __________ _ J ._ __ 191 _. P. 0. Address, _ _ _ __c______c__=..:,a:;..cc...._----'--- Way-Bill No•----<"'-"'l-== = - "" · ~ ~ - ~ - - - ~ - - - 191 Shipper Weigll..__---'--_ _ lbs. EXPRESS CHARGES Ad vance s to Collect PREPAID COLLECT I I -'I \ P. 0. Address - ---'--'---___;.-_..c::____::.,-:___:____ __ __ RECORD OF' To Consignee _J./__,____ 7. _QUJ,1J>ity, _ _ _ 1 To Shipper (OVER) I Add Undercharge I I �~ dnly sworn, depose and sa y that I am I ,- -'-c-----.;'+----- -'-_._- - -- ----'------ - -;_•_ ·; the consignee of a certain shipment of ard ent spirits, as specified on other side of thi s form, this day ( delivered to me by the Sonthern Express Company , from-t+.-l--l-l1-rl-¼f\--lthr-----i~N-- - - ; th at I am not a student or minor, and, if a female, I am the head of a fami ly ; that the rd ent spirits so r eceived by m e were brought into the State on m y written order , and that I have not, within the thirty day s previous hereto, received any ardent spirits of any kind whatsoever, from any person or from an y place whatsoever, in excess of the quantity allow'ed by the provisions of th e Act of the General Assembly of Virginia, approved March 10, 1916, or contr~ry to law, and th at the ardent spirits so received by m e are to be used /,, , • by me for ~I - 1911 Consi11nee. Sworn to and subscribed before me, . . this~ // purposes. ' " , o, Sd,ooili,, S~••mooOM "-''"'"' o, • ~ ~ ~ :• ; r I day of ,7 / 191_. 1 ,' I / I A11ent for Southern' E::,cpr_e ss Compa\,.y . �FORM 370-VA . Revised Juue, 1917 SOUTH ERN EXPRE SS COMP ANY (Incorporate d ) SPECI AL ._ ___ P. 0. Address _ _ __ __ _ / I ,,,. Ouan•r •- - - - - - -~ '--_ / _, -+/ ___,/______,,)'--'-- - -~ _ Ad vance s to Coll ect Shipper --''---~-- -==---- __:_:__ .,__...-=---- - ~ P. 0. Address To Consign ee ' -'-------' ------"---= -'----'~ = EXPR ES S CHARGES PREPAID CO LLE CT ~ Add Underch a rge l =---:_:_:'---"--- • '--'----' ----'---- --'---.,_ __ _,__ _.,___ _.__ ___, To Shipper _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ (OVl<R) �STATE OF VIR _/ depose and say that I am as specified on other side of this form, this day the uT01iOt~ , Va. ; delivered to me b the Southern Express Company, from that 1 am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of be quantity apoJ ed by the provisions of the Act of the General Assembly of Virginia, approved Mar1cb' l ,l),.19161'.pr contrary to law, and that the a,! 'dent spirits so received by me are to be used by me for II f.1 . • ~ ,t • __,,, • •· ' ' f · ' _,, • '. ·n ( . •• .-c (State whether for Scientific, Sacramental, Medicinal or Mec1'iinical) purposes . OCT181911 Sworn to and subscribed before me, this _ _ ,.... day // ~ :r , / 191_. ///,'-: ,,[,{, (_ Aeent for Southern Express Company . J Consienee. �FORM 370-VA . Revised June, 1917 SOUTHERN EXPRESS COMPANY (Incorporated) Advance s t o Coll ect \ 1--«-.--=-'---+-.,-----='--"-----Ship per - ~ p. o:~dd ress F-. .<)C__,j_~.:..,._-~'--=·---""=c:...z.-"-=..:__.::__ To Con sig nee To Shipper (ov1m) Add PREPAID Unde rcharge �\ I, the consignee of it , being duly sworn, depose and say that I am i , certain ; hi\iment of ardent spirits, as specifie~ n other side of this form, this day ; that I am not 'h1J4 ff, delivered to me ~ y the Southern Express Company, from a student or minor, and, if a female, I am the head of a family; th at the ardent spirits so received by me were brought into the State on my written order, and thai I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever: from any person or from any -place whatsoever, in excess of the quant}ty a.lowed by the provisions of the Act of the General Assembly of Virginia, approv~d,.M-ai:ch 10, 1916, or contrary to law , and that the ardent spirits so received by me are to be used / , ,,, I 1i f , purposes . ~ ;,.,.....-- I _,:: .J: I \_ • by me foi; 1, J ,f / (State whether for Scientific, Sacramental, Jl1edieinal or Jl1echanical) u~ l 19 1917 Ai:ent for Southern EXl)ress Company. Consi2nee. �f"oRM 370-VA . R evised June , 1917 SOUTHE RN EXPRESS COMPAN Y (I ncorporated) CROTTOE l RECORD Affidavit No., _ _ _-=- - Consicnee,_ _ _ _ _ __:_=--___;--=--.c.. ..;;:-'-- _ ; _ _ - - - - - - -- P. 0. AddJess __=----==--- -- - - -~ - - - '- -..c-'-- ------- ~~,- --Ouantity ,_ _ _,_ _ _ _ _=.,._ _ Weicht-;L: ..-1bs. - - - -~ -- - - - - 191 _ . Advenc es to Coll e ct From,_ ~ --(- - - -- - - - EXPRESS CHARGES PREP AID - - - - -•- - - - - RECORD Of" NOTICES To Consignee I I ) To Shipper (ov1m ) CO LL ECT Add Underch a rge �being duly sworn, depose and say that I am specified on other side of this form, this day -+-7'!"!1"'---Hb~f-----,ji,,£--'1.--------i"',E-----,.,/C---j6''-f-J'-----b."'-"""'""-"•• the e by the Southern Express Company, f r o = - - - - - - - - - - - - - - i that I am not minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spi~ts of any kind whatsoever, from any person or from any place whatsoever, in exces_t of the quantity allowed by t4,e provisions of the Act of the General Assembly of Virginia, approved ~ ] i;,1916, or ntrary to law, and that the ardent spirits so received by me are to be used r \\\O~ 10 ,grT by me for.t':=~~~~ ~=~~~~~:2~;:'.l.;:;:;z~~f(,::::;:::==i-,PUrposes. tate whet er or Scientific, Sa a Consie-nee. Sworn to and subscribed before me, this _ _ day of_ _ _ _ _ l91_. I Acent for Southern Express Company. �f"ORM 370-VA . Revised June, 1917 SOUTHERN EXPRESS COMPANY (Incorporate~) SPECIAL LIQUOR ~ECORD J t t , Received at, - ' --~---.c......,-?- - - - - -- ~•ate_ _ _---6-___,..c...._ I Consignee._ · _'\..__ _ ~----------=:c--cc:--=--:-- - - - - - - P, 0. Address~ ___________,___ 'V EXPRESS CHARGES Advances to Collect PREPA ID I I CO LLECT Add Undercharge Shipper -~::'..L~~'-SL~~~~~~~~~~ P. 0. Address _ _ __,,,__ _-=----==---.--=- - - - - RECORD Of" To Consig nee - To Shipper (OVT<R) I I I �STATE COUNTY I,-~~~_:__..!!.:...__.!:. _~~~~~JL~ ,e:".J..''.__J__ _ , being -duly sworn, depose and say that I am as specified <>n other side of this form, this day the delivered to me by -the press Company, fro=---- - - - - - - - -- i that I am not a student or minor, and, if a female, I am the h ead of a family; that the ard ent spirits so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in e~ a~of the quantity a owoo by the provisions of the Act of the General Assembly of Virginia, 7 _ciy.w;Jh,J,916, or c·o rary to law, and approved Mltfc that the dent spirits so received by me are to be used by me for / ~' (0 ..._.,{_ ' ~ purposes. . (State whether for Scientific, Sacramental, Medicinal or . .. Consi2nee. i :• ' I (" Aeent for Southern Express.Comilr �f'ORM 370-VA . Revised June, 1917 1l SOUTH ERN EXPRES S COMPA NY LI (Incorporated ) rottllcs, Yr. SPECIA L LIQUOR / RECOR D )'1/ ) Received at __1~ - - -- - - ~ - -- - - - Date,_ _ _ _ _ _ _ 191 _ . Attidavit No., _ __.a.____.c,_ _ Consiunee--'J+-----=- --==:.,_.=:c::.=.===--.,~ - - - - - - - P. 0. Address, _ _ _ _ ·_~..:.. " ,..tc:. :..: U'-"1,.... - h_~_ ~ --- •----... ------- ----__ ,__ Quantity,_~/~ _ _ _ Way-Bill No·- - -'----='- ---- •ate _ _ _ _ _ _ _ _ _ _ _ l 9 I_ . From, _____ ___ _ , / To _ _ _ _ ~ Gr=ot,~to~ es .,. . .V . .a . .,~- - Advances to Collect Shipper - -~ - - - - - - - - - - - - - - - i '' To Consignee \ Shipper \ (ov1rn) EXPRESS CHARGES __:._ Add Undercharge - �~-.-,.-~--,------- --=-=--- ~-------- ->---,C.,-G,.,. ~,..,.~------- -- - --- the I,_....,__,__....,_~..£...-"""--=c._---"'=-=== ==~=-----"''• being duly sworn, depose and say that I am sp ecified on other side of this form , this day delivered to me by th e Southern Express Company, fro tOP ; that I am not a student or minor, and, if a female , I am th e head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous he1eto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in 1 xc. ess of the quality allowed by the provisions of th e Act of the General Assembly of Virginia, approv~J,re'h/10, 1916, ~ contrary to law, and th he ardent spirits so received by me are to be used by me foi l .; !(,..{!., >· 4 purposes. · (State whether for Scientific , Sacramental, Madkin f '),J 19 · 1 Consi2nee. Sworn to and subscribed before me, ( I .' \ Ai:ent for Southern Express Company.'- �FORM 370-VA. Revised June, 1917 SOUTHERN EXPRESS COMPANY (Incorporated ) SPECIAL LIQUOR RECO Received at _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0ate _ __ Consignee _ _ _ _ _.;:_____:_" - -=--'-='-.::.......C.=--- - ~ D } _ _ _ 191_. Affidavit No., _ __ _ __ , .....H"'-'ro~tt-l-ll01t.CSll--,1P. 0. Add ress _ _;;_ - - = - -- '- - - ----=----- -Weight - - - -- - -~ -- To - - - - ~ - ~~~,........~ - - - - - - '-T' ~_,._\_ _---_ Shipper,,.....,,._ Ad vances to Co1lect _;::___----=-_c__--=:...._-- I P. 0. Address --,-- '---'-+--"------------ To Consignee To Shipper (OVER) / - ,l'J...jaJ.- lbs .. ) j 191 _ . EXPI!ESS CHARGES PR EPAI D I CO LLECT I .Add Undercharge I �STATE / ---='-------'~ -----'= =---=--='--"""----=-"-'..__= = ----'----'--'-""" the L. duly sworn, depose and say th at I am specified on other side of this form, thi s day ., 'rmtq~YJ ; delivered to me by th'e Southern E xpress Company, from that I am not a student or minor, and, if a female, I am the head of a famil i 1 fi ent spirits so r eceived by me wer e brought into the State on my written order, and that I have not, wi'thin the thirty days prev ious hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quanJity allowed by the provisions of the Act of the General Assembly of Virginia, approved h 10, 1\116, It contrary to law , and t . the ardent spirits so received by me are to be used a Min. / by me fo✓---J , '1/ I ~{ t . ·' J • (State whether for Scientific, Sacram en tal, Medic purposes. I or Mechanical) < - - - - - - - - - - - - - - -c=-o- n-s"'"i11_n_e-e,- I t/ I, l ' Ai:ent for Southern Express Company. �SOUTHERN EXPRESS COMPANY FORM 370-VA . Revised J nne, 1917 (Incorpor ated) I GROTTOES. -+-- - ~ ---,-,--------:---- - - - -- Oate _ _~ - -- -=""------ - -..;--"'-~~"--~~ -=--""-----=-- - -- - Kind of Ardent Spi cits _ _ Way-Bill No. ~_ f_ _ _ Weight4 1bs. ___,__ _ _ __::__---=.__!._=-='--~Ouantity,_ _ -'--_::') _ _ __ f~_,__/_-_·~/_ _190 . To _____~ ~- - - - ~ - - - - - - - - To Consignee .Y.':r.A1..o., ____ P. 0. Address ~ ~~?:..2~~.!a!.J,_ U _ Advances to Collect From, ~ ~ - EXPRESS CHARGES r _...,, ~·- -- ~'- ·~/ ~ Add Underchar ge PREPAID - - - -, < - -- -_ _ _ - COLLECT _ _ __, _ _ To Shipper (OV!lR) �-----~-------<----=--.----~---- -~ ) COUNTY O i• _ _,,.., , , _. - ' -~ (A.A , - . -- Ii ~ j , ,,, ,i',.. · G , :7 / i I, ( ~-/ l - , being duly sworn, depose and s&y that I am a:;.,«:: , I - ., , U' the consignee of r,/ ce rtain shipment of ardent spirits, as specified on other side of this form, this day (/ ' delivere.d to me by the Southern Express Company, from~~~~~-~~~~~---i that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind wh .. tsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved Mar no, 1916, o I.contrary to law, and th at the ardent spirits so received by me are to be used ///' I by me forv l) \..._..k.__ ,, ' l...._·" _.A .,.,~ . /( ( ~ · (State whether for Scientific, Sacramental, Meditin al or Mechanical) NOV1- 1917 Sworn to and subscri~ed before me, / day of_ _ _ _ _ l9l_, / ,, A11:ent for Southern Express Company, purposes. Consienee. �_______ ---- ---- ---- -~--______________...,.._.,,.... SOUTH ERN EXPRES S COMPA NY I {) ,_...,_-,;.- ' - ' - - - - - - ~- +--~- ouantity_ ..,L-_ ___,/' /-- - - - '-~'-------'------ ;91-l Advances t o Coll ect From/'--------''---/-J _------'"----'-_._LL------'-- -- EXPRESS CHAR!fES PREl,AlD Add Undercharge Shipper -,;<c,--+- -__J__.:.__- -+----=--=c'-- '--== =----').._ P. 0. Address -~~-~or--~~~-~~~- '----'---. ...1....-- ------'----'--~-- ...1.---- 1 To Shipper rovER) �STATE OF VIRGI NIA, COUNTU A F---'1....,.,..-~~---,---f- r--~ I I , -- - ~ --++-- - ' ~ - - - ~~ - -- -- - - , being duly sworn, depose and say that I am shipment of ardent spirits, as specified on other side of this form, this day the consignee of a I ,; ,,. ; that I am not I delivered to me by the Southern E xpress Company, fro a student or minor, and, if a female , I am the head of a family; that the ard ent spirits so received by me were brought into the State. on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for __________ _________ ~ _____ purposes. (State whether for Scientific, Sacramental, Medi<-in al or Mechanical), "<'J01tsienee . J A1tent for Southern Express Company. �SOUTH ERN EXPRES) S COMPA NY FORM 370 - VA . Revised June, 1917 (Incorporated GROTTOES, RECOR D VA:>PE CIAL LIQUOR 1 Received at- ~'---,- --~-,-- __ __ ___ / 191 / . c.=c:.ccs==---'---=--'---=::c_------ - P. 0. Add ress_ ' - - - - ------- --'--__L7__,~ -/ ')_ Consionee _--1re--//': _,,_---1.(_ ~ .-==-=c.:_ --Ouan ti ty, _ _ _-=------ ---'--Kind of Ard ent1Spirits _____Cf' Way-Bill N( f l From,_ _ '( - - - - _,_I_--''---~ E XP llESS CHARGES CO LLECT , PRE PA ID Unde rch a rge _ ,____ Collect __, ____ _ ___ ___ ____ Advan ce s t o Ship pe r - ~c.........::~ , -=--"-"'-""-.c .....:,==c:..!...=-c._ _ _::::._ Add / _,_...,:.._ .___-'-_- ' P. 0. Add ress - - -~ ~- ~ --- - -- - - '--_........__ _.,___ _,__ _'--_ To Consignee To Shi pper (OVER) �STATE OF COUNTY I,---'= --'.....,,_ '---'----'-----=-----' --- ---,;, - - - , being duly sworn, depos e and say that I am the consignee of a certain shipment of ard ent s · its, as s ecified on other side of this form, this day f OTT0£S, V • ; that I am not delivered to me by the Southern Express Company, from a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and thai I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allow d by the provisions of the Act of the General Assembly of Virginia, approved March l " - 1 . .ntra t'I> law, and,that the ~rden.t spirits so received by me are to be used I by me for (:!J~l .., purposes. (State whether for Sciijntific, Sacramental, Medi<·inal or Mechanical) tQJ 131917 Consienee. ( l ( 1 A11ent for Southern Exp ss Company. \ �FORM 370-VA . Revised June , 1917 SOUTHERN EXPRESS COMPANY (Incorporated) GROTTOES. V .PECIAL LIQUOR RECORD 191 _ . Affid avit No. Date I Wei ght Quantity 191 _ . I' _,__~------ ----71 To _ __,__ A d van ces to Collect Sh ipp er :__,__fi_~_ -""'.~~~~~L~c..._!"!:_~ - RECORD OF NOTICES To Consignee II/J711 To Sh ipper (OVER) , lbs. From EX PRESS C HARG E S PREPA ID CO LLECT Add Unde r charge / l �·- ·- ·- -~ -- -· .. -··----~ -..,..,.---- --,-.--- - --.,. . .,. . . - -------- .,----... S TATE OF COUNTY ' I,- - --;tl~#--J~ --.l'----1-~~~,,,.,.,~~ ~ :....::=~-:U. , being duly sworn, depose and say that I am sfROTTb~~s1J~f the this form, this day delivered to me by the Southern E xpress Company, f r o ~ - - - - -- - - -- -- - ; that I am not a student or minor, and, if a female, I am the head of a family ; that the ard ent spirits so r eceived by m e were brought into the State on my written order, and that I have not, within the thirty day s previous hereto, received any ardent spirits of,_ any kind wh atsoever, from any person or from any place whatsoever, in excess of the quantity allowed' by the provisions of the Act of the General Assembly of Virginia , approved March 1 1 ,· or cont ry to law, and'that the ardent spirits so received by me are to be used . ', f Sworn to and subscribed before me, this _ _ day of_ _ _ _ _ 191_. /, Ai:ent for Southern Express Company. Consianee. �FORM 370-VA . Revised June , 1917 SOUTHERN EXPRESS COMPANY (Incorporated) ~PECIAL LIQUOR RECORD Receivedat, _ _ __ _________ _ _ _ Date ' } 191 _ . AffidavitNo., _ _ _ _ _ _.:--.. From _ _ _ _ _ _ _ _ _ _-4 Advances to Collect Shipper _ .:..:_..!..:!_~~ ~ ~ ~ ~~ - ~ -~~:,,.J P. 0. Address - - - ~ - - - - · -- -- - -= RECORD OF NOTICES To Consign ee To Shipper I (ov1rn) EXPRESS CHARGES PRE PAID Add Undercharge �I, ___,_,c___....,.,~=-=--=--:........:= --=:........:_.:,c._....t,.#-- - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me oy the Southern E xpress Company, from l/ (\ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess f e qnantit al!'tlwed by the provisions of the Act of the General Assembly of Virginia, a p p r v, , . 916, or 9ntrary to law, af"d that the rdent spirits so received by me are to be used by me for_+_L..~cot!:._.,,_ _,~.J.~~~:i.,..,,,,_~ ~dD..~~----PUrp oses. (State whether for Scientific. Sacramental, Medicinal or Mechanical) ubscribed before me., I this _ _ day of / i 191_ . ~ Aiient for Southern Express Company. �F'ORM 370-VA . R evised JuC#ifrroEs . SOUTHERN EXPRESS COMPANY (Inco r porated) raPECIAL LIQUOR RECORD • Received at _ ~ - - - - - - • / Date Advances to Co11ect 191 J A!fid avitNo . _~~ EXPRESS CRAR<,XS Add Under charge PREPAID I To Consignee To Shi pper (OVER ) - --=, �/ COUNTY I,~--4.,,___ ___,,c..___=-='---=---"""'.,_..'-----L--'-=,:;__-duly sworn, depose and say that I am the consignee of II certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from ,I ; that I am not a student or minor, and, if a female, I am the bead of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits 'of any kind whatsoever, from any person or from any place 'wh!ltsoever, in exce~s of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved M, ; ; 1916, or co rary to law, and that the ardent spirits so received by me are to be used ~ ,., /~ _;/ .•:/1/ /J A,! _,,:c~ ~:c_ ,.f/ by me for . (State whether for Scientific, Sacramental, Medirinal or Mechanical) ,, ; ~, / ' V -· . Sworn to and subscribed before me, j.. 1 tbis_,_ _ day of : ,. -I ~~ , 1, .,. ; l . > ~- ~ Agent for Southern Express Company. . ~ purposes . 1 f ~ ,. I ,J/1" = '/ / ,',,...,";'·. 1,p./ !,. 1.,t,.,,...., Consienee. �FORM 370-VA . Revised J uue, 1917 SOUTHER N EXPRESS COMPANY (Incorpor at ed) f SPECIAL LIQUOR RECORD ~-/~~-.191-/. Received at _ _ _ _ _ _ _ _ __ _ _ _ _Date _ _ Affi davit No,_ __, ~- - - -. 1 Consianee _ _ ___,'--~ --..._~,~~--:'._~~~~+-- - - -- - -- P. 0. Address_ ' - - - - -Kind of Ard ent Spirits- -----,-- - -- - ---- - - ,----,.- . Way-Bill No. To , Shippe;--~ /C / _____, _____ 191_:J ,., kt ( To ·Consignee E XPRE SS CHARGE S P REPA ID I I r RECORD OF NOTICES To Shipper (OV!CR) / lbs. From_ / _ ~ - -- - - - Advan ce s to Coll ect IF --~-- ' oh / - _ _ _ _ _ _ _ We1 CO LLEC T f9 Add U n de r charge I �I,-----,,____- l-_.__ __c__-""-__c:.--= ---=--....:__::_::.__ _,...__,,,c., the being duly sworn, depose and say that I am as specified on other side of this form, this day ,... delivered to me by the Southern Express Company, from • ; that I am not a student or minor, and, if a female, I am the head of a family; that the ai dent s~irits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the qu nti~y allowed by the provisions of the Act of the General Assembly of Virginia, appr""""'u1m =ch 10, 191 or contrary to lnw, and that the ardent spirits so received by me are to be used /)g • , ~ f or ,,d_ . purposes . (State whether for Scientific, Sacramental, Medicinal or Mechanical ) Sworn to and subscribed before me, I · • this--r1-J-da y of I . _.,,, : :) j 9l_, .I Aeent for Southern Express Company. ~ 6 , / '\ Consienee. I !. :.'1' ' ~/1 . (':? Cc, , '' 1 �FORM 370-VA . Revised Juue, 1917 SOUTHER N EXPRESS COMPANY (Incorporated) LIQUOR ) RECORD f / Received at.- - - - - - - ' -- --hr- _ _ _ _ _ _ _ Date Consignee-=~~ ----'"'--"'--='-;'--r - + - ~ - ' - - - - - - -- 191_ . s ___,- ~'--7---+-'i.-i-i---=-"~ P. 0. Addresgc /_f_---i------ - - - - - - - - -~--0uant ity_ _ _ (6 Kind of Ard e9 t Spirits,~.... Way-Bill No. ) / (' Advances to Coll ect 191 "__). To Consign ee To Shipper (OVER) '---------1-- lbs. From _ _ _ _ _ _ _ __ EXPRESS CHARGES PREPAID --~--1--~-- RECORD OF NOTICES -.ai--.i+-- - COLLECT Add Undercharge �COUNTY __,,._.,,L,_J"--"'=---'------==:.....::......,-==11--"""""=----"'---- - - , being duly sworn, depose and say that I am as specified on other side of this form, this day the T delivered to me by th e Southern press Company, fro=~---- --'-~------ ; th at I am not a student or minor, and, if a female, I am the head of a family; that the ardent spi rits so received by me were broug_ht into the State on ID{ wl'.itten order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kill(l whatsoever, from any person or from any place whatsoever, in excess quantity a lowed by the provisions of the Act of the General Assembly of Virginia, approved March 1 , 6, or co rary to Jaw, and that the ardent spirits so received by me are to. be used 01) ~ , V by me for _ __'.__!..._~~~:...: :...~~~~..,,,_'.J., ..L.L~od~4---- purposes . <S•• .,..,. ,o, '"'""''· SMeom'"'"'·M"''''"'' o, Mm>o,,M,~ · ~ ._7 Sworn to and subscribed before me, I ., r \ Agent for SouthJ,rn Ex1>ress Company . /~✓ �F'ORM 370-V A . Revised June, 1917 SOU THE RN EXPR ESS COM PAN Y GrlOTTlJES. (Incorpo rated) LIQU OR REC ORD Received at ___ ___ __ _ _ __ _ _ _ _Oate __~ - - -- - .i-,J==ee.. .- Way-Bill No. _ _ _ - ~ ------'/ ___ 191 _ To _ ___ ___ ____ ___ ___~ -Advance s to Collect Shipper _ _ ___ ___ ___ ___ ___ _ P. 0. Address _ _ _ _ __ .....:.____ ____ _ _ RECO RD OF' To Consignee To Sh ipper IOVER} . From _ __ _ ___ ____ EXPRES S CHARG ES PREPAI D COLLEC T Add Underch arge �STATE OF COUNTY I,---~---~ -~~~-~= =---~~- , being dnly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day OTTQES, VA. ; delivered to me by the Southern Express Company, from that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me ,w ere brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved ~Ma;i:1;)1 O, 1916, contrary to law, and t f t the ardent spirits so received by me are to be used by me for A C/ "i \..1(. {_ f'!. ✓ \ :.,)J,~ i '. .c . purposes . (State whethe&---foL--ScieDtifi c, Sacramental, Med-icinal or .M.echanieal)_ _ Sworn to and subscribed l;>efore me, this _ _ day of_ _ _ _ _ l91_. Ai,,nt for Southern Express Company. - Consignee. �l'ORM 3T0-VA. Add PREPAID Uudercbar1e To Shipper _ _ _ _ _ _ __ __ _ _ __ _ __ / AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) �- ----- ,---~ ~ ---~-=-,,,-=-~-~~~-----~------------- SPIRITS FOR PERSONAL USE __,.~..:_--'"- -===--== ---=-----.,.__-""''--, being duly sworn, depose and say that I am sp_ecified on other side of this form , this day delivered to me by the Southern Express Company, from ______ __ _ __ ___ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into 1.he State on my writt(ln order, and th at I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever; from any person or from any place whatsQever, in • excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. ,. Sworn o and"Su scribed before thi/ .cJ day-1,f / e, - , 191_ . Aeent for S outhern Exvress Comvn.nr . Consi"nee. �f"ORM 370-VA. C JlTT E Received at Consionee a;-tJ 2 Advo.n ce 11 to Co ll e.-t PREPAID To Shipper_ _ __ __ _ _ __ _ _ _ __ ArrlDAVIT rOR A DENT SPIRITS rOR PERSONAL USE. (OVJ:R) �T SPIRIT S FOR PERSO NAL USE I,'-:::'.'..~ ~~:__~~ ~~~=_ .__:::_ =--=- --y sworn, depose and .say that I am the consigne e of a certain shipment of ardent spirits, as on other si\l,e of this form, this day delivered to me by the Southern Express Company , from ____ __ _____ ____ ; that lam not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within. the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoev er, from any person or from any place whatsoev er; in excess of the quantity allowed by the provision s of the Act o·f the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, and that the ardent spiri'is o r~ceived by me are for my own use, at my own home, and that the said ardent spirits will e used in r olation of Jaw. Consi&'nee. ' ~ Ai:ent for Southern Express Company. �EXPR ESS COMP ANY SOUT HERN (lucorpo mted) FORM 370•VA LIQUO R / Received at·- - -~...1 --'-.--.........,_ _ -._ _ _ _ _ _ Date c,.,~ Consign ee - - ---'---i .'----1--- -"''""-.-- -==C""- i~=-'---- -'-~-'\1, 1 /0 191 _ / - Affidavit No. _ _ _ __ _ ----- -/-~' ----- - -- - ----" --- /_ Kind of Ardent Spirits / / Way-Bill No._ _..,...,..__ _ / · / RECO RD _ ~ - - -~ -- - - - Weigh .___ __ lbs. --'-.,___-'---Advnncea to Collect 191_] From I EXPRES S CHARGE S /J/ Add Uud e rcha.rge To Shipper _ _ _ _ __ _ _ __ __ _ __ _ (OVER) �PERSONAL USE STATE OF COUN'1'Y OF-++-R--1---¼- ¥'--..l.c----rl _ _.....,,___ __ ___;,.,,,,=...c_-='----- - -- ----'-',e...- - , being duly sworn, depose and say that I am specified on other side of thi s form, this day deliver ed t o me by t he Southern Express Company, from _ _ __ ________ _ _ ; that I am no t a student or minor, and, if a femal e , I am th e head of a family; t hat the ard ent spirits so r eceived by me were brought into th e State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place wh atsoever, in excess of the quantity allowed by.the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or cont rary t o law, and that t he ardent spirits so receiveq by me are for my own use , .at my own home, and th at t he said ardent spirits will not be u sed' i.n violati no( law. l_f 0 onsh:nee. J\ge 111i for $d'uthern Express Company. �SOUTHER N EXPRESS COMPANY FORM 370-VA . (I ncorporated) SPECIAL LIQUOR RECORD (: Received at _ __ ~-"-',______ :;;---:-----::-::-==c: --- Date_ _ __ _ ___ rn iL Affidavit No. ~ Consionee ~~---- ---/-==-+- - - '=:c_- -------:--,-----,-:...-----,-:,"i=:. ._;t~i;t~~~~;~ - - - ~ -~-Amount _____ _ _ _ _ _ __ ,.._..,,-...:_,._:;::-""~J.--- Way-Bill No. _ _ _ _-:--:=--:--tAdvo.n cea to Col le rt To Ad <1 Uuderc hn r ge To Shipper_ __ __ __ ____ __ _ _ __ / AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVIIR,) �FOR '(/ DENT SPIRITS FOR PERSONA L USE STATE 0 - , being duly sworn, depose and say that I am as specified on other t de of this form, this day I, the consignei o lam not a delivered tome bythe Southern Express Company, from _ _ _ __ __ _ _ _ _ ___ ; that by me received so spirits ardent the that family; a of student or minor, and, if a female, I am the head previous days thirty the within not, have I that and order, written my on State the into brought were in hereto, received any ardent spirits of any kind whatsoever, f~om any person or from any place whatsoever, approved Virginia, f o · Assembly General the of Act the of provisions the by allowed quantity the of excess own use, at March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my law. of violation in used be not will spirits ardent said the that and home, own my Sworn to and subscribed before me, 7 L Aeent for Southern Express Company. 11 I?, • tt"-9 Conslenee. �FORM 370•VA . T C ----'"'---c--'------"--_..:.._--'---'----'----'-_..;c._---"-''---- - - - Advsucee to Collert EXPRESS CHARGJ,;S Add Uud e r r, barge Shippe~ -=--l.-4-"--~---+---,---To Shipper_ _ _ __ _ __ __ _ __ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVJCR) �FOR FOR PERSONAL USE , being duly sworn, depose and say that I am I, on olhe1: side_of this form, this day specified as spirits, ardent of the consigrnie of a certain shipment ____ ; that I am not a delivered to me by the Southern Express Company, from ___ _ _ _____ spirits so received by me student or minor, and, if a female, I am the head of a family; that the ardent the thirty qays previous within not, have I that and order, written my were brought into the State on any place whatsoeve r, in hereto, received any ardent spirits of any kind whatsoeve r, from any person dr f :oi'n of Virginia, approved ssembly al Gene the o Act the of provisions the by excess of the quantity allowed are for my own use, a:t March 10, 1916, or contrary to law, and that the ardent spirils so received by me • ln.iot.tin n •! lsw r t b myo= bnme, snd tb,lth,.• id ,ro,nta / Sworn t;o and subscribed before me, _;, I this ___day ~ ~ - - - - , 191_, J A11:ent for Southern Express Company. �FORM 370-VA . Advances to Collert Add PREPAID Und e rc harge RECORD Of' NOTICES To Consignee _ _ __ _ ~ - - - - - - + - -- --+----- To Shipper _ _ _ _ _ _ _ _ _ _ _ __ _ __ (OVER) �FOR PERSONAL USE I, , eing duly sworn, depose and say that I am foe consign ee of a certain shipme nt of ardent spirits, as specifie d on other side of this form, this day deliver ed to me by the Southe rn Expres s Compan y, from ___ ____ _~ ~ = - - - ; that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a·, approve d March 10, 1916, or contrar y to law, and that the ardent spiri\s so receive d by me are for my own use, at my own home, and that the said ardent spirits will not be used in violatio n of Jaw . Consiine e. ; �fORM 370-VA . ' EXPR ESS COM PAN" l SOU THER N (lucorpo r&ied) LIQU OR,. '}E_;CO RD , /.:) ----: ;r-c: ----- t~---=.--.-: ~-= -=- Date Ad'f'nnc ee to Co1lecli RECO RD Of" -,--_ _ To Consionee ___ ___ ___ ___ _ __ / ' COLLECT A~d Undercb ar~ __ __ To Shipper ____ ___ ___ ___ USE. ARDE NT SPIRI TS FOR PERS ONAL (OVER) �,-..- - ., -- --- - - - - ---- . -~ SPIRITS FFIDAVIT . ~r ORDE :NT S T ATE 0~' COUNTY I, _/ F . . ~j.~~'f1 ,-'f.,L, t{_',#~//,,✓-;r-;;"J--s __ .... , being duly sworn, depose and say t hat I am the consignee of a certain shipment of ardent spirits, us specified on other side of t his form, this day delivered to me by the Southern Express Company, from _____ _ _ _____ ___ ; that I am not a student or minor, and, if a female, I am the head of a family ; that t he ardent spirits so received by me were brought into foe State on my written order, and that I have not, within the thirty days previous hereto, rece ived any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of tbe ·quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary t o iaw, and t hat the ardent spirits so received by me are for my own use , at my own home, and that t he said ardent spirits will not be u sed in violat ion of law . J ' I A2ent for Southern Exvress Company . Consienee . �SOUTHERN EXPRESS COMPANY FORM 370-VA . ( I ncorporated) rt Rece'.ved a~ Consignee IT ~ ES - ' Add Und e rchor~ e PREPAID ! To Shipper _ __ __ _ _ _ _ _ __ _ __ ARDENT SPIRITS FOR PERSONAL USE. (ov 11:a) �SE I am , =---- -- - - - - - -_cc-=,.- -"---- ----, being duly sworn, depose and say that day of this form, this the consignee of a certain shipment of ardent spirits, as specified on other side • ; thatlamn ota delivered tomebyth eSouthern ExpressC ompany,° from C,L., , ,.,·L• , so received by me spirits ardent the that family; a of head the am I student or minor, and, if a female, the thirty days previous were brought into the State on my written order, and that I have not, within any place whatsoeve r, in hereto, received any ardent spirits of any kind whatsoeve r, from any person or from of Virginia, approved excess of the quantity allowed by the provisions of the Act of the General -Assembly for my own use, at are me by received so spiri1.s ardent the that and law, March 10, 1916, or contrary to . my own home, and that the said ardent spirits will not be used in violation of la~ ~ Consienee. �SOUTHERN EXPRESS COMPANY ( lncor porated} LIQUOR , ~ CORD '). - -'--~-'--- - 1Dl _ From, ________ __--=. Way-Bill No,, - - - ~ -- - - - To - ----+t•>---:--,c-7.-= ==--c·.--~= ·- - - -- - Advance11 to Coll ect EXPRESS CHARGES COLL ECT Mrl Uuder ~barft:e I To Shipper _ __ _ _ _ _________ __ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. (OVER) �7; A FFIDAVIT J fOR STATE COUNT ~ C . I RDENT SPIRITS FOR ~V/l.4J~ 1A t ' y),., ., ; W I/ PERSONAL USE ,. ' · . emg duly sworn, depose and say that I am ment of ardent spirits, as SI?ecified on other, i ide of this form, this day ,,..._ _,___--='------ --+---.:.._--'""""-=:..,,,'"'------'-----, . - . CS V delivered to me by the Soutnern Express Company, from , ; that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me • were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from ai:iy place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General As·s embly of Virginia, approved March 10, 1916, _or contrary to law, and that the ardent spiri\s so receive·d by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. I r-/ Sworn to and subscribed before me, t 1. \. A&"en, for Southern Express Company. I Consienee, �FORM 370•VA. SOUTHERN EXPRESS COMPANY ( I ncorporoted) / SPECIAL LIQUOl;t ,RECORD 01 Affidavit No._ _ _ __ _ ~ - -~ bs. Advances to Collec t EXPRESS CHARGES Add Uud c r c bnqi; e RECORD OF To Consicnee _ __ __ _ _ _ _ _ __ _----F-- To Shipper _ __ _ _ _ _ _ _ __ __ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. / ( OVJ:R) �T SPIRIT S FOR PERSO NAL USE ...._~,......._...:..._--=-------= -------- -- ----~- ---'-· - ~ -being - -duly , sworn, :depose and say that I am . the consi,gnee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me, bythe Southern Express Company , from ____ _ _ __ _ _ _ ___ ; that lam not a student or minor, and , if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoev er, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not ·e ·used in violation of law. Consienee. ,. Ae:en• for Southern Express Company. �SOUTHERN EXPRESS COMPANY FO RM 370 ... VA . «••roo•-• ECORD 101 _ ,, Received at_ ·-ii:::cn-,-----r..---,,,--- pi- - - -- 7 J 7, Affidavit No. / / __:___ Consignee _ .>....,;'-------'-"=-..:!.;:.- ~"'-...,-r.,-'~;,....,~'------ '~~--1-----~c""-- · - - - -- - ~ r - _ Kind of Ard ent Spirits,~,,_________ Way-Bill No. To <I 7 V , / _ _____;,._ _.,....,._ L ___ Date_ _ _ _____,'-----____:c~_1 91/ . Advonc e a to ---'----''--.f-'-"' We"ht~ ?2' lbs. Fro: ~4n;,tP>1 EX PRE SS CHARGES // A dd Uu de n;barge Collect ) RECORD Of" NOTICES To· Consignee _ _ __ _ __ ----=_.;:::' - - ' - " - - - , < - - To Shipper _ __ _ __ _ _ _ _ __ _ __ / (OVJ:R) �FOR PERSONAL USE 1, -\.-l.e:'-'-~~~~~ ..:::~~~::::_'::.J__:..._~~~~~--, being duly sworn, depose and say that I am the consignee of a certain shipment of rdent spirits, as specified on other side of this form, this day . I delivered tome by the SouthernExp s Company, from _ __ __ _~ - ~ ~ -- - - i that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my writt en order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . Sworn to and subscribed before me, = .., t' Ai:eni for Southern E:,:press Company. 'I I· Consienee. �SOUTHERN EXPRESS COMPANY FORM 370•VA ( luco rpo rntcd ) • " SPECIAL LIQUO 6 ORD Affidavit No., _ _ _ _ _ _ Advaure s t o Coll ec t l 'RE l'A ID CO LL EC T -i-r To to nsig nee _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER ) �, being duly sworn, depose and say th at I am shipm ent or ardent spirits, as specifie d on oth er side of this form, this d-0.y delivere d tome by_tbe Southe rn Expres s Compan y, from ~ ~~ 1' • ; that I am not a student or minor, and, if a.femal e, I am the bead of a family; th at the ai'dent pirits so r eceived by ·m e were brough t into the State on my written order, and that I have not, within tne thirty days previou s hereto, receive d any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of th e Genera l Assemb ly of Vi-rginia, approve d March 10, 1916, or contrar y to law, and that the ardent spirits so r eceived by me are for my own u se, at my own home, and that the said ardent spirits will not be used in violatio n of law. Uonsie:nee. tbi ;\g:e ut for Sout,h ~rn ExvreRS Company . �F O RM 3 70-V A. SOUTHERN EXPRESS COMPANY (Incorpo rate d) LIQUOR RECORD ., I Affidavit No._ · .Advance s to Collect _ To Shipp er _ _ _ _ _ __ To Consign ee _ / AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( o nR-) �SPIRITS FOR PERSONAL USE STATE Oi' COUNTY ,, - - -=--'--------=-- - ~==~,c.~,,._...._~_t._- _""_"_"__.._- _..._-:__ -"':a.,.,2:-'eing duly sworn, depose. and say that 1 a n, pecifi ed on other side of t h is form, this day delivered to m e by the Southern Express Company, from _ _ _ _ ______~ -- - - ·; t hat I a m not a student or minor, and, if a femal e , I am the head of a famil y ; that the ard ent spirits so r eceived by m e were brought into the State on my written order, and that I have µot, within th e thirty days previous hereto , r eceived any ardent spirits of any kind whatsoever, from any p er son or from any place what soever, in excess of the quantity allowed by the provisions of the Act of the Gene ral Assembly of Virginia, approved lfarch 10, 1916, or contrary to law , and that the ardent spir its s eceived by m e are for my own use , at my own hom e, and th at the said ardent spirits will not be u se m l(lijlatio of law. -<1- c - - - ~ - ~ · - - · - - ~ -~ �.:.K FORM 370-VA . __,. ,__~____,_,_ 10,i' . '""""I ___ __,___ __ Advtmcee to Collert PREPALD CO LLECT / Aclrl Uurle r cha rge To Shipper_ __ _ _ _ _ _ _ _ __ _ __ SPIRITS FOR PERSON AL USE, (OVER) �- , b~fng duly sworn, depose and say that I am ....,~-.__......., . , . . . . ~ - ~ - - - - - ; - - - - - - - - # I ~ - its, as specified on other side of this form, this day a certain shipmen t o_f ardent s 1 ="7" -- r l =- , - -- - - ; \hat l am not a delivere d to me by the Souther n Express Comp a y, fro-..~ ~ -"f-"-c,h=-' ard en't spirits so received by me the at th family; a of head the am I student or minor, and, if a female, within the thirty ditys previous not, have were brought into the State on my written order, and that I or from any place whatsoe ver, in person any from ver, whatsoe kind any of hereto, received any ardent spirits ly of Virginia , approve d Assemb General the excess of the quantity allowed by the provisio ns of the Act of are for my own use, at me by received so spiri\s ardent the that and March 10, 1916, or contrary to law, ,r~ siolotinn nf I•~ my nwn homo, •nd th,t th, ••id o,dont spi,ito wia:o 6, . Cons1enee. A11:en, for Southern Express Company , �FORM 370 TTOEs. ·v I .SOUTHERN (EXPRESS Inco rporat ed) COMPANY SPECIAL LIQUOR RECORD )j/ Affidavit No. _ _ _ _ __ Kind ·at Ard ent S~i rits,_ _ _ _ _ __ __ - - ~ - - - - " - , l ' C - -- Way-Bill No. _ ---=__,_--=----__;;_____ Date_ _ _ ____..'--'----=--=----- AdVfHlC68 Collert to PREPAI D Add Oud erc ba r ge 0 RECOAD OF NOTICES To Consignee _ _ _ _ _ _ _ _ __ _ _ _- + - - - To Shipper_ __ _ _ __ _ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVIIR) �SPIRITS FOR PERSONAL USE delivered to me by the Southern Express Company, from , • ; that 1 am not a student or minor, and, if a female, I am the head of a family; that tlie ard /nt spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of Jaw. fl ol s] J ld before me, this ___'day of / C: \ ' , 191_, tJ J)~u)QAi:en, for Southern Express Company. Consienee. �SOUTHER N EXPRESS COMPANY FORM 370•VA (l ucorpo raliedJ SPECIAL LIQUOR / RECORD ' _ ....,.___,.~ =-,,~ - - - -- - - - ---Date._ _ _ _ _ _ __ 191 _ :'\ I RECORD Of" NOTICES To Consignee~- ~ } / __ __ _ _ .,__ - - - - -/~~/~ // / Affidavit No._'- --'- - ~ ,_______ 57 - '---- -'-''----"------- ,'-"~ - --'-'---....,,_- Amoun,t.__ _/_ _ _ _ _ __ ___ _ __/ _ _ 191 _ Advnnr e a: to Coll ect I 7 Weich .___ __ lbs. firom, __r_ _ ....~ _ _ _ ___ _ J,.XPRESS CHARGES . A~ d Unde r ch ilra:e To Shipper_ _ _ _ ____ __ _ __ _ _ __ l Af"f"IDAVIT f"OR ARDENT SPIRITS f"OR PERSONAL USE . (OV JIR) �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE STATE OF VIRGJNIA, COUNTY m•-+--- -- - - - - - ,j., ~, ihe consig ee 6f , being duly sworn, _depose and say ihat I am , ecified on other side of ihis form, this day ~ spirits,f!h a certain shipment of arden{ f J fTOES. VA ; that I am noi a delivered to me by ihe Southern Express Company, froM'_ U by me student or minor, and, if a female, I am the head of a family; that the ardent spirits so received previous days thirty the within not, have I that and were brought into the State on my written order, in hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever;approved Virginia, of Assembly General the of Act the of excess of the quantity allowed by the provisions own use, at March 10, 1916, or contrary to law, and that the ardent spirils so rec eived by' me are for my law. of vfolation in used be not will spirits my own home, and that the said ardent 1u1_ rr Sworn to and subscnb JJ before me, this ___day ot- +---'--• 191_ t'.. /"''J ;';//4( ,_ ✓ 7 /1 A11ent for Sonthern'Expr ess Compauy. k ,,,, �,f FOAM 370•VA. Affidavit No._ _ _ __ Advau ce e to Colle, t Adrl PREPAID Oude rc hnrge RECORD (!)F NOTICES To Consignee _ _ __ _ _ _ _ _..:.__c~'----'-'--+-- To Shipper _ _ _ _ _ _ _ _ _ _ __ _ __ AFFIDAVIT FOR AR -,=-NT SPIRITS FOR PERSONAL USE. (OVl: R) �STATE OF CouNJ' ...,_....::..--=-----'---_.,,,,,_--==------=-------=----------,-- --,---+ the consignee of delivered to me by the Southern Express Company, from ,I'-+ - -- - ---=----='--'---=:...:...=-- - ; that l am not a student or minor, and, if a female, I am the head of am y; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any·ardent spirits of any kind whatsoe • r, om any pe.r son or from any place whatsoe.v er, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my ~wn use, at my own home, and that the said ardent spirits will not be used J n ~iola'tion of law. l, Sworn to and subscribed before me, '?tf: ~ v 19L /. , Aiient for Southern Express Company. Consi~nee. �SOUTHERN EXPRESS COMPANY FORM 370-VA . (I ncorporated) , LIQUOR' RECORD _ __ _ __t _ 1n1 Kind of Ard ent Spirits,_ _ -+----=,,, - -- - - ·- - ~ ~ --+--Amoun (__ _ __ _ _ ___::__ Weigh"- ~~=--- : bs.) ;, 1 Way-Bill No•-..,.-.-,:cc:,z::='-="===--- Date_ _ _ _--+- / 191 I /le, ---, .-- To l / ' ,r--'' '--~-----.c..:....:.cc....,._ Shipper..,,_ \' Advan ce s to Co ll ect ~ :c.,...~- EX PRESS CHARGES PRE PAID CO LL ECT Arlrl Oud c r1:bnrge ( - I I ;\ J I RECORD OF NOTICES To Consignee _ _ __ _ ___::.c... - " - - --'-'- - - E - - - To Shipper_ __ ________ __ __ _ _ / AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVJ:R) ., �FOR PERSON AL USE I, the consi am :=--- being duly sworn, depose and say that I day -.,..,;~~~~=::~S::~::::~::::~:_::~:_::::=---:___ as specified on other side of this form, this 1 . " , rr- " , of ardent spirits, . . - -- -- - - i that lam not a delivered tome by the Southern Express Company , from ___---'--~~ardent spirits so r eceived by me the that ; family a of head student or minor, and, if a female, I am the witnin,_, the thirty days p'revious not, have I that and order, written my on State the iµto were brought or from any place whatsoev er, in person any from er, whatsoev hereto, received any ardent spirits of any kind of Virginia, approved Assembly e"Gerieral i of Act the of s provision the by allowed quantity the excess of for my own use, at are me by r"':e~~ived spi_pl.J!JjO ardent March 10, 1916, or contrary to law, and that the of· law . violatio,n rn be•U:sed" no will spirits ardent said the that and home, my own Sworn to and subscribe d before me, this_ [ a!cf t 191 ,191_. t G / )( :cJ A11:ent for Southern Express Company, �l'ORM 370-VA, SOUTHERN EXPRESS COMPAl'll (lncorporMed) ~I Affidavit No, _ _ _ _ __ I Ad1'81lCe • to Coll ect I EXPRESS CHARGES I Add Undercbarae PREPAID RECORD Of' NOTICES To Consignee _ _ _ _ __ ~ - - -~ ~ -- ~- - To Shipper _ _ _ __ __ _ _ _ __ __ _ _ ~:'· (OVIIR) �----~~---~~-~-~~---~----~~--~---------------- delivered to me by the Southern Express Company, from ______ _____ ___ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within °the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in al Assembly of Virginia, approved excess of the quantity allowed by the provisions of the Act of the Ge ivjd by me are for my own use, at March 10, 1916, or contrary to law, and th at the arden~ spirits so , low. myown homo, md th,tlh,saihn lont spi,its wHI t • us,d ~ Sworn to and subscribed before me, ii...illl.. Consie-nee. ,. - �SOUTHER N EXPRESS COMPANY FORM 370-VA . r (lucorporat.ed ) SPECIAL . / R.E Advsn ce a to Collect PREPAID ' RECo'AD OF NOTICES To Consion ee _ _ __ _ _ _ _...:..__ __ _ _ __ To Shipper _ __ _ _ _ _ _ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (ovn.l �SPIRITS FOR AFFI/V~T FOR A~ENT STATE COUNT ~L / ~~ --µ~• -- ~ / -CiY~ PERSONAL USE ~ I, ,' the consignee of a certain shipment of ardent spirits, as , being duly sworn, depose and say that I am pacified . ~ o1hv side of th_is form, this day ; that l am not a ' ' delivered to me by the Southern Express Company, from student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirhs so received by me are for my own use, at my owo homo, ond thol tho " " .,d,ol •Pi,ilo wi!J ; : io •:;•~:~r: JJ-_ .J f'" Consienee . . ~, Aeen, for South• . �Ad-.1111cea kColle ct PRE PAID To Shipper _ _ _ _ _ __ ( OVER ) _ _ _ __ _ __ �depose and say that I am __,.._.=_,.-"'"-=-"'"""-.i.:~ ,-,~ "---""-'""'""--=~c---, being dulyotsworn, her .side of this form, this day I ; that I am not a o L7' • ~ f delivere d to me by the Souther n Express Compan y, from eceived by me r so spirits ardent the that student or minor, and, if a female, I am the head of a family; thirty days previous the within not, have I that and order, written my on were broug ht into ihe State any person or from any place whatsoe ver, in hereto, received any ardent spirits of any kind whatsoe ver, from General s embly of Virginia , approve d the of Act ihe of ns provisio the by excess of the quantity allowed rec · 'J y e are for my own use , at so spirits March 10, 1!)16, or contrary to law , and that the Iardent violat1 in u~e-a be not will spirits ardent said the my own home, and that ~ orn to and subscrib ed before me, t i_]_ :1¥,J917 191_, / Agent for Southern Ex11ress Company . \~ �,oRM 370-VA. -----'--+--D_ 191] o___ Affidavit No~ __ I Add PREPAID Unde rcharce RECORD OF" To Consignee _ _ _ _ __ __ ______,,__ __ To Shipper _ __ __ _ _ _ _ _ _ _ _ _ __ AF"F"IDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OV ER) �FOR PERSONAL USE STATE 0~' COUN'l'Y OF='=f---P.1'---"""~~::::;;if;z:::/,?_,,. I, _ ___________ _ _______:,..,__ , ,being duly sworn, depose and say that I am ,the -consign~e.of a certain shipment· ·o f• ardent spirits, as .specified on other side · of t his' form, this day ~ .· ' · delivered to me by the Southern Express Company, from __________-"-'-"'--; that I am not a student or minor, and, 'if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received an:y a,rd'ent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the G~neral Assembly of Virginia, approved March 10, 1916, or"contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will noi ~ ;·v!,o1 tjon of law . .< 1 ;;rf ,[J~c.4✓ Cous ie-nee . Sworn to and subscribed before me c:.~ I of i' t his _ _/_ day l I 7 , 191 / . / Aeent for Southern Ex11ress Comvany. �FORM 370-VA. SS COMP ANY SOUT HERN EXPRE nco r po rnted) (I SPECI AL LIQUO R --,---'-'--:--~ -~-- t-- Date_ RECO RD lbs. '-- - -- - - - - --Weioht _ _ __ _ __ _ ___ From _ _ _ _ _ __ _ _ _ Jg'iZ__ Advances to Collect RECOR D OF To Consionee- - - - -- - - - - - -- - - ~ - EXPRESS CHARG]; S PREPAID COLLECT Add Unde r c harge To Shipper____ _ __ ____ ___ _ __ NAL USE, AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO (ovsa) �NT SPIRI TS FOR PERS ONAL USE - , being duly sworn, depose and say that I am ,,. - - - - - - - - - - - - - - - - - - - - - as ,specifi ed on o1her side of this form, this day the consig nee of a certain shipme nt of ardent spi,rits, a from ___ ___ ___-"-,-_ _ __ ; that lam not deliver ed tome by the Southe rn Expres s Compa ny, me by d receive of a family ; that the a: dent spirits so studen t or minor, and, if a female , I am the head that I have not, within the thirty days previo us and order, written my on State the into were brough t from any person or from ariy place whatso ever, in ever, whatso kind hereto , receive d any ardent spirits of any ed the Act of the Genera l Assem ply of Virgin ia, approv excess of the quanti ty allowe d by the provisi ons of for my own use, at are me by d receive so spiras ardent the that March 10, 1916, or contra ry to law, and not be us,e d in viol'f!tion of law, my own home, and that the said ardent spirits will Consien ee. A11:en, for Souther n Express Compan y. �-~ -- -- -- -- -- -~ ,oRM 3T0- VA. SO UT HE RN EX PR ESS CO MP AN 'J (luco rpora ted) {: LIQ UO R /RE CO RD I _ _ _.,_/_ __ _ 191 _ Ad•a nce e to Colle ct. .!'RE PAID To Shipper __ __ __ __ __ Af"f "IDA VIT f"OR ARD ENT SPI RIT S f"OR PER SON AL USE . (OVE R) ?--__)'__ Affidavit No.__ A~d Uude rcba r1e ___ _ _ __ _ �---------------------~ ~~-~------------------~--SPIRITS FOR PERSONAL USE STATE OF COUNTY OF------,Mj'-~r-c--a.,,.-,1---,.,,_-""'_,A I, - - - -- - - - - -- - - -- -- - -- -- , being duly sworn, depose and say that I am . the consignee .of a certain .shipment of ardent spirits, as spe,,;:ified on othei: side of this form, this day delivered to me by the Southern Express Company, from ________ ______ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brougM into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent.~_pirii.s so receiv~d by me are for my own use, at my own home, and that the said ardent spirits will not be used in v_iol11-tron of law . _ I - Con~-enee. Sworn to and subscribed before me, thi~ / (...,. d-a y o~~- - - -, 191_, ") ( / c/L I ---·- A1,?ent for Southern Express Company . �SOUTHERN EXPRESS COMPANY FORM 3TO--VA , (Incorporated) '""'"' •·- ~ Advan ce s to Collec t Add Und e rc harge PREPAID { 1 RECORD OF NOTICES To Consign ee I ) / To Shipper_ _ __ __ _ _ _ _ __ _ __ AFFIDAVIT FOR7 - ; .T SPIRITS FOR PE_RSONAL USE. (OVER) �Ta •;t,~VI T F O ~ N T SPIRITS FOR PERSON AL USE ~: :~r1!/ • ~~ }l doly ,w,rn, d,po,, ~d "Y th,t I om the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day -:r. T r r delivered to me by the Southern Express Company, from 1 • . ; that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of _the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . �SOUTHERN EXPRESS COMPANY FORM 370•V A ( Incorporated) Advnu ce s to C ol lec t RECORD OF NOTICES ;c _,, )--..,. J-i 7J..-'---To Consignee _ _ _ _ __ '-'0 PREPAI D To Shi pper _ _ _ _ _ _ _ _ _ _ _ _ _ __ A:ENT SPIRITS FOR PERSONAL USE. I (OVER) �SPIRITS FOR PERSONAL USE COUN ; ..:c__------=---=--- -===----=----=""-------::. . :,= --------=---- - --=-------- being duly sworn, depose and say that I am the consignee of a certatn shipment of ardent spirits, as s1pecified on other side of this form, this day ... . . , ...... ~ delivered tom~ bithe Southern Express Company, from ______________ ; that I am not a student or minor, an'd, if a female, I am the bead of a family; that the ardent spirits ·so received -b y me were brought i~to the State on my written order, and that I have not, witp_in th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person·or f om_~~] place whatsoever, in excess of the quai;itity allowed by the provisions of the Act of the Ge -er~l Assem~ o_f Virgilifa 1 approved March 10, 1916, or contrary to law, and that the ardentl pirits s e eived by e are for my own us e, at my own home, and that the said ardent spirits will not be used 1r1 ol'At-ion ·o . @t:l4 Swo this _ __ day of.~----, 191_, t{ ( Agent for Southern ExpreRs Company. , . �FORM 370•VA. SOUTHERN EXPRESS COMPANY (Inco rporated) 'l SPECIAL LIQUOR - - - --'------="-- 191 _ Consignee 1/. Affidavit No., _ _ _ _ __ -- - ---='-------'. . ::__--~--'~r --~-'-'~ - - --~1-=----- -..,.-,c'---,- ~-+----~tl1-+ lbs. ,( c__,._ .Advsucea to Coll ect >1 / j if _ __ __ Arlrl Oud e rc barge PREPAID J To Shipper _ _ __ __ _ AFFIDAVIT FOR ARDENT SPIRITS' FOR PERSONAL USE, (ova:a) _ _ __ _ _ __ �delivered to me by the Southern Express Company, from _____ _____ ____ ; that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirils so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation o~f law . Sworn to and subscribed before me, this _ _day of _ ( , 191_, ~~~~ Ae-eni for Southern Express Company. �foRM 370•VA , SOUTHERN EXPRESS COMPANY (Incorporu.t od ) To Shipper _ __ _ __ _ _ _ __ _ _ __ AFFIDAVIT FOR ' RDENT SPIRITS FOR PERSONAL USE, (OVIIR) �- ~ F~D,,IT ,FOR SPIRIT S FOR PERSO NAL USE STATEfe/6.i,~~_, ,· COUNTY OF - ----,LI - - - - - - - \ - - - - = , : _ __ _ _ _ _ _ being duly sworn, depose and say that I am sp cified on other side of this form, this day _ _ __,. __ ; that l am not a e by the S~uther n Express Compan y, from _ _ ____ ___ ____ delivere th at the ardent spirits so received by me student or minor, and, if a female, I am the head of a family; not, within the thirty days previous have I that and were brought into the State on my written order, onor from any place whatsoe ver, i_n pe any from ver, whatsoe kind any of spirits ardent hereto, received any Assemb ly of Virginia , approve d ral Ge the of Act the of ns excess of the quantity allowed by the provisio by me are for my own use, at c spirit ardent the that and law, to contrary or March 10, 1916, law . of ation vio in used e not will my own home, and that the said ardent spirits Sw~~ore-::7 •~ '/ l , '",T / ~ ~ ~ Consh1nee. 7 / , ~,R ~ Aeen, for Soutp ern Exvress Company , ~;,~ �SOUTH ERN EXPRES S COMPA NY (Inco rporated) SPECIA L LIQUOR " RECOR D '- ---~"- ---- - - - - - - - -- Amount _ _ __ ~ - - - ~-WeightL ---~ ---'-/-_ _/_:___ _ 19 1_ Advances to Collec t RECO~D OF NOTICES.) / To Consignee / 1 I / J2 From~ - - -- EXPRESS CHARGES PREPAID _/-=---/_ Jt -~_ _ Add Uude rcbnrge To Shipp er_ _ _ __ _ _ _ _ __ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE, ( OV l:R) __,l bs. �,PE,Rs'o NAL USE delivere d to me by the Souther n Express C - - - - - - -· - - - - -- - ; that l am not a student or minor, and, if a femal e, I amt head of a family; th at t he ardent spirits so received by me were brought into the State on my written order, and that I h ave not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my o= homo, ond th,I th, ,oJd ...... , • .,... will ho oo,d in ''"'•"· · of low F ·o Consi1rnee . Ai:ent for Southern E.xt>ress Company , �PREPAID RECORD OF NOTICES To Consionee _ _ _ _ _ _--1~•~_,--f--1---f. _ __ To Shipper _______________ ___ DENT SPIRITS FOR PERSONAL USE. ( OVER ) �FOR ARDENT L USE --~<---- -f=--- - -~ ,c__~::::__- - -- -- ---'lc""'' being duly sworn, depose and say th at I am ~pacified on, other side of this form, this day me ythe Southern Express Company, from _ _ _____ ____ _ __ ; that I am not a · or, and, if a femal e , I am the l:tead of a family; that the arden t spirits so received by me were broug t into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by th e provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, ifr contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . ta:c7;: t , Swor t-nd subscribed before me, t-1 '- { J n---d ·. 19L, ;\gen~ for Southern Express Company. t3 Oonsi2nee. �/'ORM 370-VA. G Add AdTaocee to Coll ect; PREPAID Undercbarae To S~i pper _ __ _ _ __ _ __ _ _ _ __ AFF"IDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . \ (OVER) �·- --- -- -~====~~~-~ - ~ ~------ --------- -- -~•-..r-t - . / .( / ]A) FIDAVIT:OR A" USE ENT ~ PIRITS STATE':, ~>,,/~ · ~ {._~ /4..,.,,,.~.(,,,L J COUNT~YJZ 1.:?-~ . ,:J ~ - ~ vf/l/ir1- Ufv (\ · I, - - - - - - - - - - --- -=--=c....--""-"''---- - - - being duly swornl depose and say t hat I am the consigllee of a ceftain shipment of ardent spirits, as specified on ot!i,e .sid~ 'of t his form, this day delivered to me by the Southern ExpreSs Company, from • ; that I am not a student or minor, -and, if a female, I am the head of a family; that the ardent spirits so received by me were brougM into 1he State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violat ion of law . l Sworn to and subscribed before me , Ar; ct . . V tiQJ),,-t- A Consie-uee. �F"oRM 370.,.V A • . Consignee - - -~- --""~ ~--" ---c r-?- c~= l"'"- ----~ -~~- ~--- '----- - ~ - - - - ~ -- - - --;1~~'- l\moun I~ I I 6 ) ----c----=- - - -,------- '--- -~- / 191 _ I () To Shipper _ __ __ _ _ 7 AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONA L USE, ( OV ER) I· _ _ __ __ __ �delivered to me by the Southern Express Company, from _ _ __ _ ____ ______ ; that l am not a student or minor, and, if a female, I am the head of a family; that the ard ent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are for my own use, at / / my own home, and that the said ardent spirits will not be used in vio ation of law. 71£& t1,· J ~u;f, t~1kt-1--j/1 �FORM 370•VA SOUT HERN EXPR ESS C-OM PANY ( lncorpor nterl) LIQU OR Kind of Ard ent Spirits_ Way-Bill No. _ .;;;;-~~~-=--+--~__,_=--"c...-...--'--'-___ f _ _Dote ~-~ Amount _ _ --,-£.~ -=-___:_...p==---->= !! - - -- ~--~ / --'~- / 0 Aclvnn<"e8 to Coll ect ,, EXPRES S CHARy ES COLLEC T A<ld Uuile r chnrge RECO RD OF NOTIC ES To Consignee _ __ __ ~ '---' _...,_,___,_ _, ____ To Shipper _ _ _ _ _ _ _ _ _ _ _ __ _ __ (OVJtR) �FOR PERSONAL USE STATE COUN'l eing duly sworn, depose and say that I am ecified on other side of this form, this clay delivered to me by the Soul; Eirn Express Company, from,~--- - - - -- - - -- ~ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that t he ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be usea in violation of law . . Conshtnee. �- -- --- -- --- ~ FOAM 370•VA , SOUTHERN EXPRESS COMPANY ( 1 ucorpo r at ed) 06 Affidavit No . _ _ _ __ Advn n cee to Collect PREPAID RECORD OF' NOTICES Add U ud e r chn rge _ _ _ __ _ _ _ __ __ __ _ To Consion ee _ _ _ __ _ _ - - - - , C -~ ~ - - - ; L - To Shipper / AFF'IDAVIT FOR ARDENT SPIRITS F'OR PERSONAL USE. (OVEtl.) �- - - - - - = - - - ~=----- -~>"'- +------ -, being duly sworn, depose and say that l am ' e of the consigne speci~ed on other side of this form, this day delivered to me by the Southern Express Company , from _ _ _ _ _ _ _ __ _ _ ___ ; that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoev er, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . . a L 1J( ot c.-U✓Ja Ii, f A11en, for Southern Express Company, Consi11nee. �SOUTHERN EXPRESS COMPANY FORM 370-VA . GROTTOES. (Ipcorpo rat e d) o VA . SPECIAL LIQUOR RECORD Affidavit No.__ l _ __ Kind of Ardent Spirits_ _ _ _~ - -- -- ~ - ~ - -Amount_ ---,.-._ _ __ __ _ Weioh ~ ___ lbs. Way-Bill No. / To l / / J/ I ( - -- - ~- - -- - 191~ GRO f Ad vo.nce e to Co ll ect From _ _ _ _ _ __ __ EXPRESS C H Al<GES PREPA ID Add Undercha rge Shi;-7 _ _ _ _ _ _ _--,-_ ____,--------=c-; - : - - - To Shipper _ _ _--0'-------- - - - - -- - - - (O \'l!R) �FOR PERSONAL USE STATE COUN of ardent spirits, as l" ·delivered to me by the S.outhern Express Company, from ___ _ __ _ __ _ ____ ; that I am not a student or minor, and, if a femal e , I am the head of a family; that the ardent spirits so received by m e were brought into ihe State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from 'any place whatsoever, in excess of the quantity allowed by the provisions of the Act of ·the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me .a re for my own use, at my own home, and that the said ardent spirits will not be used in violation of Jaw. Consignee. �---------...,.,..--.,----------- --- --------------------- ----- ~ SOUTHERN EXPRESS COMPAN'l l'ORM 370-VA. Gfit. TT (locorpora&ed) 1• !=v. SPECIAL LIQUOR..-SRE b Received at _ _ _ _~ - -~,-,-,._" "' ( ~~~ Consignee - - - ~Kind of Ardent Date _, c;,...,, - -+--+---- -- - ~~ ~,___ _,._ _..,mount _ _= Way-8ill No,_ _ __ _ _ __ _ Date _ _ _ _ _ To c7---F-/ ___,_____ I ,/ /6 Affidavit No._ _ _ _ __ 7 ~(_ ___ ,-;----- -----'--ci- - ---19✓ AdT8DC81 t,o Coll ect P R E P AID ";"~ 1-c RECORD OF NOTICES ~ / To Consignee _ ' To Shipper_ _ _ _ __ __ ____ __ _ __ _ ARDENT SPIRITS FOR PERSONAL USE. ( OV E R ) \ �----- --- - - ---- - - -~ -- - -- -------- ~ --- ----- - ~ - --- --- - FOR PERSONAL USE .delivered to me by the Southern Express Company, from ________~ -..i..- - - ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in· violation bf law. Consi2"nee. Sworn to and subscribed before me, Agent for Southern Exv·ress Comv,mr. �FORM 3 70-V A. SOUTHERN EXPRESS COJ\fPANY (Incorpo r ated) / SPECIAL LIQUOR RECORD I / ; Affidavit No._ _ Advnncc e t o Collect 0 I Add Uuderc h nrgo PREPAID I To Shipper _ _______ ___ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (ov,rn) �~FFID~'(I~ FOR A R / T SPIRITS FOR ~TATE r1{~i~r-lt-~ ( /f,{_._,~{(__,,/L,t.A~ OUNT ~ - JJ' ,. , .·---r/ •• , • / •; ~,V ~, ·· · ., ·,., ;.. .,;;/..,,/ PERSONAL USE - r( ' .,,, t,,:;/ ~ ~~ , being duly sworn, depose and say that I am the consignee of a certain shipfu ent of ardent spirits , as specified on other side of this form: this day delivered to me by the Southern Express Company, from , ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent sp irits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or froi:µ any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly ·of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Consignee. ·- ~ ;;±--i,.--, 191_ ){du/4). A~ent for Southern ' vress Company. �fORM 370-VA. Affidavit ______ No.d Consignee - - - -- - :Z..-"'c:...J=~- - - - -- - - - - ----"'---- --~---- -- -~f'-----~,_,.~~-- - -- - - + - - -I- - Amoun ,.__ _ _ _ _ _~_,,,,"---Weiah/ / - - -------"'---- Date_ _ ~ -'--;_) _,,):..____ _ 191 _ /, AdTDDC81 '7 / to ColJect RECORD OF NOTICES To Consianee _ _ __ _____---'-"'----- / A~d Undercbaa-19 -..._ I---'-- - - ----1- AFFIDAVIT FOR ARDE l ./4 Jf To Shipper _ _ _ _ __ _______ __ _ _ ' SPIRITS FOR PERSONAL USE. (OVKR) �------------- --- -----~---------~----------------- ------FOR ,RDENT ~~ . SPIRITS FOR S T ATE OP PERSONAL USE VJ COUNTY O~'-----=---""'711'--="1-"'' - -r-'-J./- I, -----='--'"""''-----II''---"''-----.!..__""'--= - " ' -~ - - -- - - - - , being duly sworn, depose and say that I am _t he consignee of a cert ain shipment of ardent spirits, as ~pacified on other side of t his form, t his day delivered tome by t he Southern Express Company, from _________ _ _ ___ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into t_h!l_ State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gene~al Assembly of Virginia, approved March 10, 1916, or contrary t o law, and that the ardent spirits/So received by me are for my own use, at my own home, and that the said ardent spirits will not be u et. in ~ lation of law. I Consi2nee . )'\.k:.,...:2., ~ Aeent for Soutftern Express Com1>any. "-- z~ =,,-·-~ wc~~YL �FORM 370•VA . ~f Affidavit No._ _ Add U ud e rc-hnrge J RECORD OF' To Con sign ee _ _ _ _ _ _____- - ' - - ~ F - - - - + - - To Shipper _ _ _ _ _ _ _____ _ _ _ _ __ (OV ER) �DENT SPIRITS FOR PERSON AL USE - ---'------ =,......,,= "-·-'---- -'---=='--=--=--- , being duly sworn, depose and say that I am S}lelJified. ,o n o her side of this form, this day delivered to me by the Southern Express Company, from _____ _ __ _ _ _ ~ - - ; that I am not a student or minor, and, if a female , I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not , within the thirty days previous hereto, received any ardent spit-its of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of th e quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own u se, at my own hom e, and th at the said ardent spirits will not be used in violation of law. Consienee, �FORM 370-VA. SOUTHERN EXPRESS COMPANY ( lucorporat~d) To Shipper _ _ _ _ _ _ _ _ _ _ __ __ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PER!;?ONAL USE , ( onk) �/ '/'F'FIDA /T F'OR ARD(T SPIRltS FOR PERSONAL USE ·' y\.._...-(1 -e ~ '-' , being duly sworn, depose and say that 1 am s specified on o1her side of this fo1·m, this day ~ r n :~n;J>fj;rde t s urottoes, Va. s~J~ ( e '. ; delivered to m..:n-.#'tt#\ a , from that I am not a student or ~ or, and, if a female, I am the head of a family; that the ardent spirits so received by me were brou t into the State on my written order, and th:it I have not, within the thirty days previous hereto, received any ardent spirits of any kind wliatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, and that the ardent spirits so received by me are for my own use, at my own hom.e , and that the said ardent spirits will not be used in violation of law. 1 <Joush:uee. "' l 1 I, Acent for Souther11 Exoress Oompauy. �SOUTHERN EXPRESS COMPANY FORM 370--VA. • rr (Incorporated) ' _ _'---,..-~-.L..._~-·-'-1--~-Received .at _ Kind of Ard ent Spi ri; s- - F - - - -- ~ -'----~c+---r'----Way-Bill No· -- -- --==----'-- To -1) Shippe ·Y f r t / T Advnn ce1 to Collec-t Add PREPAID U ud e rc harge 1 RECORD OF NOTICES t, To Consionee _ _ __ _ __:_/~_c__..:...:;__,:___ __;__ To Shipper_ __ _ __ _ _ _ __.,~ - - - / (OVER) �IDAVI~ FOR A " T SPIRITS . FOR PERSONAL USE STAT COUN "t(,.(~ ~ i ~ 1,/lf O ~ ~ l y sworn, depose and say that I am ~ :_'-;, the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from ____ __ _ _ __ ____ ; that l am not a student or minor, and, if a female, I am the bead of a family; that the ardent spirits so received by me were brought into the St ate on my written order, and that I have not ~ within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, fro'!l any person o~ from any place wliatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiril.s so received by me are for my own use, at . my own home, ·and that the said ardent spirits will not be used ln viol"ation of law. \>-('~ ~~ . Sworn to and subscribed before me, 11~,·191_ , v.. . . . ,. .,---==: 7t t1 It \ 1~ Aiient for Southern Exvress Comvany . I Consi~nee. �To - - -- -- - - -~ ~ ~ - - - - S Advances t o Collert EXPRESS CHARGES PREPAID Add ip~ef-- -- - - ~ ~ -- - - - - ~ - v I / ) To Shipper~•- I - - - - - - - - -- AFFIDAVIT FOR ARz : T SPIRITS FOR PERSONAL USE . ( OVER) Uude rrhnrge COLLEC 'f - - - -- �SPIRITS FOR PERSONAL USE ~, ---+-,,...="' ---L---'---- - - - - -- - -~ - , being duly sworn, depose and say that I am of a rd ent spirits, as specified on other side of this form, this day e by the Southern Express Company, from _______ ·- - -~ -- - i that I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into t he State on my written order, and that I have not , within the thirty days previous h ereto , r eceived any ardent spirits of any kind whatsoever, from any person or from a ny place whatsoever., in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or ·contrary to law, and that the ardent spirits so r eceiv:lid by m e a re for my own use, at my own home, and th at the said ardent spirits will not be used in violati~ of law. rioni,,,to. n~ thi~ - V ~~ SU day o I - Consignee. scribed before me, ~ 17 ,191 _ {/ /( A ( • ( 1 i Agent for Southern Expres s Compan y. �FORM 370•VA , SOUTHERN EXPRESS COMPANY {Incorporated) .Advao ce e to Colle ct Arlrl Uud e rc ba rR e PR E PAID To Shipper _ __ _ _ _____ _ __ _ _ __ AFFIDAVIT FOR " ENT SPIRITS FOR PERSONAL USE. ,. (ov1111) �DENT SPIRITS FOR PERSON AL USE ;J-- "'!t-'1- . _:.,e...=::...::=:. . . , = =c.. ., .e::=-- -...:_-=--=--=-=--- -, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered tome by the Southern Express Company, from _____ __ _ ____ _ _ ; that 1 am not a student or minor, and, if a fema le , I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, witb,in the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that t he ardent spirits so r e c ~ nfe y ·are for m y own use, at my own home, and that the said ardent spirits will not be used in violati . , ~J-q t[ /') Swr;f andsu t his__:~~ ~ ;,:_-½:~ --) ' " ~ Consienee. �F"ORM 370•VA. Advouce s to Colle(: t PREP AID COLL ECT Adrt Uud e rc ba rge J To Shipper _ _ _ _ __ _ __ _ _ __ __ _ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. I (OVl:R) �FOR PERSONAL USE I am ,--....,_-=------ - -- - - - -- - ------- -->.-, being duly sworn, depose and say that pacified on other ~i1e of this· form, this day _ _ ; that lam not a delivered to me by the Southern Express Company, from _____ ___ _ .,..,..,c-;-_ so received by me spirits ardent the student or minor, and, if a female, I am the head of a family; that days previous thirty he t within not, have I that and order, written my were brought -iµto the State on any pla·c e whatsoeve r, in hereto, received'a ny ardent spirits of any kind whatsoeve r, from any person.or from of Virginia, approved excess of the quantity allowed by the provisions of the Act of theGenei a::A~sembly are for my own use, at March 10, 1916, or contrary to law, and that the ardent spirils so r ll.QJl· d by me , · !J,W. / my own home, and that the said ardent spirits will (,'.!be Used in viol , ; l Sworn to and subscribed before me, -+~..__.7__ , 191_ . t~ ~~ A? A119nt for S olthern Express Company. ~ .. �SOUTHERN EXPRESS COMPANY (In co rporated) SPECIAL LIQUO f! 1 EC RD 7 - - -----+---------+-- ~ - -- •ate_-+-~ - ~ -19 1_ Co nsig nee - GI Affidavit No.___ _ __ - ~ ~ -- - - '=-=;:...-,:. '--'-=---=----=---------,, - - - - - - -- - - - -- """""'-- -=---------.J-----,,--{mo unt._~_ _/_ _ - -----,~"-/- ~_ _ _Weio hL .2f- ___.,___-----'1/ ---~~1Advnnce e t o Coll ec t PRE PAID _ lbs. I CO LL EC T A ad U nde r<' h urge ti To Shipper_ _ _ _ _ ______ __ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (ovn) 1/ �FOR PERSONAL USE ~, - - - ~- ---~ - -- -- -- - -- - - - -- , being duly sworn, depose and say that I am the cons igz of a certain shipment of ardent pirits, a · specified on other side of this form, this day delivered to me by the Southern Express Company, from _ _ _______ __ _ _ __ ; that I am not a student or minor, and, if a femal e, I am the head of a famil y ; that the ardent spirits so received by me were brought into t he State on my written order, and t hat I have not , within the thirty days previous hereto, received any ardent spiI·its of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at · · my own home, and that the said ardent spirits will not be used in violation of law. rJ Consignee. Ag-011 t for S~u?i:a;; ~~xpress Uompan.). �SOUTHERN EXPRESS COMP.AN'? ,oRM 370-VA. ( lucorporMed) SPECIAL Affidavit No Advaucee to Collect ;:; A~d PREPAID Underchar11e RECORD OF NOTICES To Consignee _ _ __ _ _---'-"-+- +-''----'-- - - To Shipper _ _ _ _ _ _ _ _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) �r-- ------ --- - -- - -- ---- -- --- - - -- - - ------------- FF; rVIT\ FOR ff DENT SPIRITS FOR PERSONA L USE J ~-\_ ~ r;7f1J..~/.f.: /,f./J t.A.COUNTY "' L/ '. -~--c. · '..__/ ,<_ ~·· -t // / , · I, the ~-onsi?nee of a certain shipment of ' " ~l ' _, being duly sworn, depose and say that I am spirits, as s_pecified on other -side of this form, this day I am not a delivered to me by the Southern Express Company, from _____ ____ _ ~ =- - i that by me student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceived previous days thirty the within not, have I that and were brought into the State on my written order, in hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, approved Virginia, of Assembly General the of Act the of excess of th e quantity allowed by the provisions own use, at March 10, 1916, or contrary to law , and that the ardent spiJ'its_,so received by me are for my law. of iolation c sed be not will my own home, and that the said ardent spirits Consialnee. Ae;ent for Southern Express Company. �FORM 370•VA . SOUTHERN EXPRESS COMPANY (Inco rporated) SPECIAL LIQUOR RECORD - - ~- ~ - ~ ~ - - -------r'---+'"-' OJate _ _ __ __ _ Advauces to Coller t EXPRESS CHARGES PREPAID COLLECT RECOFID OF' NOTICE ) To Consia nee To Shipper _ _ _ __ _ _____ __ __ __ / AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. (OVIC R) �SPIRIT S FOR PERSO NAL USE __ ; that l am not a to me ·by the Southern Express Company , from ____ ____ ____ so received by me spirits ardent the that family; a of head the am I or minor; and, if a femal e , within the thirty days previous not, have I that and order, written my on State the into brought were or from any place ~hatsoev er, in hereto, r eceived ~ ny ardent spirits of any kind whatsoev er, from any person of Virginia, approved Asse1:p.bly ral excess of the quantity allowed by the provision s of the Act of the Ge e for my own use, at a ni~ by ived 'li9tf· spirits qent a the that and March 10, 1916, or contrary to law, my own home, and that the said ardent spirits wt t ; / ; (t jn \~ efore me, ti A119n, for Southern Express Company. ;;t ~to; u /d { ili 4{ 1 Jt_ '1-:>,u.,.. .1- '2.-C-c:, fi:c!.~ Cooru~.. { _ �(lncorporMed) SPECIAL/ LIQUOR ! '- -- -~ Consianee - - - -~ ~ - - - - _ /.__Date - -/_ ,/____, ECORD 1/ 2-- -- -'--- - -- - - - ::..::.__ _!,=;:.-- - - -- - - -- - - - 1/ Way-Bill No·---- - ----"---- To Mf"AN"J SOUTHERN EXPRESS C ,oRM 370-VA. / 19,l Ad...-ancea to Collec& / Weich Amoun , r From EXPRESS CHARG&8 PREPAID COLLECT A~d Uoderchar1e Ship' r~ - - - ' - - - -- -"-+---'-,;- --,'-----,'--,--~ -~ If RECORD OF' NOTICES To Consiane·e ) To Shipper ______ ______ ___ _ _ _ AF'F'IDAVIT F'OR Az ; ;T SPIRITS F'OR PERSONAL USE. (OVIIR) �-- -- ---- - - - --- --,, - - - - ---- -- --- - - - -- - -- - - - -- - -- - -NT SPIRIT S FOR PERSO NAL · USE , being duly sworn, depose and say that I am . I, on ot her side of this form, this day specified as the consi_g_rie~ of. a certain ·shipme nt of ardent spirits, ____ _ __ ___ ; that I am not a delivere d to me by t he Souther n Express Compan y, from ____ the ardent spirits so received by me that family; a of head he t am I female, a student or minor, and, if withtn the thirty days previous not, have I were brought into the State on my written order, and t hat or from any place whatsoe ver, in person any from ver, whatsoe kind any of spirits hereto, received any ardent ly of Virginia , approve d Assemb General the of excess of the quantity allowed by the provisio ns of the Act are for my own use, at me by received so spirits ardent the hat t and law, to March 10, 1916, or contrary , law o 2 n violatio: in be,1ised my own home, and that the said ardent spirits will not /· ,do A&:ent for Southern/ir.xvress Comv11ny. 1 �------- -----~- ----·----'---·- -------- -------- --·-,oRM 370-VA. SOUTHERN EXPRESS COMPAN"l (lucorporMed) AdvBl.lcee to Collect A11d !'REPAID Uudercharao To Shipper _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ SPIRITS FOR PERSONAL USE . (OVER) �- ------- -- - -- --- ----- - --DENT SPIRITS FOR FFIDAVIT FO ~ " S TATE COUNT ;i /.. . -:,c . 9(i<_,:t,,,,. t,.._ , , ,, / ~'- ,;/ ~ 'l,,/\.. ..-,,i.°' l..,;-l .._ ,._ I, the consignee of a certain shipment of ar ,, ; PERSONA L USE · ______ ___ ______ ; that I am not a delivered to me by the Southern Express C that the ardent spirits so received by me family; a of head he a I female, a if student or minor, and, previous were brought into the State on my w tt order, and that I have not, within the thirty days in soever, what ace pl any from or person any from ; whatsoever kind a o spirits ardent hereto, r eceived any provisions of the Act of the General Assembly of Virginia, approved excess of the quantity allowed by own use , at March 10, 1916, or contrary to law, and t hat the ardent spirits so r eceived by me are for my my own home, and that t he said ardent spirits will not be used in violation of law. Cousie-nee. Sworn to and subscribed before me, ( Ai.::en t for Southern-'Exv r8ss Comvany. �SOUTHERN EXPRESS COMPANY FORM 370 • VA . (Incorpo rated) (~ ..if Received at _ _ _ _ _ _-=-''--~ - - - - ~ - RECORD OF NOTICES EXPI!ESS CRAI!GES Ad vn.n ce a to Co ll crt P REPAID I I COLLECT 1J Add Uu de rc harg e I :: To Consignee _ _ _ _ _ _ ---"- "-------=- -- -_j_.,___ To Shipper _ _ _ _ _ _ _ _ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVS R) �AFFIDJWIT FOR ARD.C h SPIRITS FOR ~ ., ST ( ·- · Co d·'.A_✓ I ' , ' . ,' / tf .: ,,11/ Pl.--. - • 7 · c ,.,_,..,; ,I A PERSONAL USE • ~ (= ( ~ being duly sworn, depose and say that I am I, on other side of this form, this day specified as spirits, ardent of shipment certain a of the consignee delivered to me by the Southern Express Company, from ______ _ _______ ; that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirils so received by me are for my own use, at f my own home, and that the said ard_ent spirits will not be used ; viola, • / 6. '/ Consie-nee. Swo ) to and subscribed before me, thi ___day of.~-~-- , 191_ I Apn• for Southern .Exvress Company. �FORM 370•VA . 1 Affidavit No . _ ~ - - - - / / s. ~ Advsuce a t o Co ll ert RECOR D OF NOTICE S EXP R ES S CHARGE S PRE P A ID Add Uud e rr. b urge To Shipper_ __ _ _ _ _ _ _ _ __ __ _ To Consionee _ _ _ _ _ __ J NAL USE. AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO (ovsa) �FOR PERSONAL USE ✓/ . /,, / _ _,,,~-==---------'=--------- 1-------""-' , being duly sworn, depose and say that I am specified on other side of this form, this day ______________ ; that l am not a student or minor, and, if a female, I a e ead of a family; that the ardent spirits so received by me were brought into the State on my w · ten o der, and that I have i:iot ; within the thirty days previous hereto, received any ardent spirits o any ki whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by t e pro sions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used i 'il'.i~ of law. . 't t; 1&j ( • J,,.,, 7 e before me, Aeent for Southern EX1>. 1ess Company. "'' r J t/ Consienee. �FORM 3TO•V A TT- __,,___ _ _ _ _ _ 19 1_ A rhnnres to Collect RECORD OF NOTICES /. I __ To Consignee ___ -------~~ --~_--.,/ ./ AFFIDAVIT FOR AR Z From ____ _______ EXPRESS CHARGES PREPA ID COLLECT Add Under c hnrge To Sh ipper _ _ _ _ __ ______ ______ T SPIRITS FOR PERSONAL USE . (OVER) �NT SPIRITS FOR PERSONAL USE a cert~in::shipm ent ' ·. , me by the so'uthern Express Company, from ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or fr.om any place whatsoever, in excess <;>f the quantity allowed by the provisions of the Act of the Ga-p-eral Assepibly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spi1:its sQ.receiv~ d by me are for my own u se, at my own home, and that the said ardent spirits will not b~ us~d i~ 1~J~ iqn of Jaw . · .'• { r_ \ / t! ;\geut [or Southe �w =.. -= =-z m as ::a £¥& SOUTHERN EXPRESS COMPANY { lncorporo.t.ed ) R i'oRD SPECIAL Kind of Ard ent pirits_ ~ - - - - - - - --+--~c-i'-c--L- ;:•·BIII No. t '- ••-n-ce-,-,o_] g J / - - - - 4 - - - ' ----=A=d=- A dd Co ll ec t h' pe EX PR ESS CHARGE S P REPA ID COLLECT Uu de rc hu.r ge _ ----""""'..,_-'~,-,._~..--+---=~ __ _){ RECORD OF To Consi cn ee _ _ __ _ __ =___.,,_~--~ -- - To Shipper _ __ _ _ _ _ _ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (ovn) �SPIR ITS FOR PER SON AL USE ;r , STA / . I am - + - - • being duly sworn , depos e and say that I, - - -- -- ~ - ~ - - - - - - - - - day this form, this of v·<hi er •.-0s "tied~u et s , ·as of a certai-n shipm ent of arden t spirits l L . the consig. nee , · · . . '- • ' . . . . U1 ' i I that l am not a ·. any, from ___ ___ ___ ___ __ ; delive redt o me by the South ern Expre ss Comp ed by me receiv so s spirit t head of a family ; that the arden stude nt or minor , and, if a femal e, I am the previo us days thirty the within not, have I that order, and were broug ht into the State on my writte n , in oever w~ats place any frorp. or n whats oever , from any perso hereto , receiv ed ·any arden t spirit s of any kind appro ved ia, Virgin of bly Assem al Gener the of Act ions of the exces s of the quant ity allowe d by the provis my own use, at the arden t spiri1.s so receiv ed by me are for March 10, 1916, ·or contra ry to law, and that .4_ law. of ion violat in used be not s will my own home, and that the said arden t spirit ~ Sworn to and subsc ribed before me, thf F Ai:en, for Southe rn Expres s Compa ny. -{ J~ CA ,.// / Consienee, �SOUTHERN EXPRESS COMPANY FORM 370•VA (l ucorporntt,d) Affidavit No._ _ __ __ Consion ee _ = - - -- - - -- - ~,1-/_ --L--;,.:_;;~~-'--'' -'-'---'-~---=------ -,-----,.--·- - - - - - - - - ~ ~ -- Amoun ~ - - - ' - - - - --,,<-7-c--Weioht= - t - ' lbs. _ _ _,,___ _ _ __ _ 19 Arlvnnree to Collect To I RECORD OF NOTICES To Consignee _ _ _ _ _ __ ~.,._~~- lL From _ _{_ _/_ EXPRESS CHARGES J>REPAID COLLEC T I ·1 1 1 _ ~ --Add Onde r cbt1.rge I To Shipper _ _ _ _ _ _ _ __ _ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OV ER) �= - - - - - - -- -:.......i'----"=- - - - - ---1-- - - - , being duly sworn, depose and say that I am specified on other side of this form, this day delivered to me by the Southern Express Company, from~--- - - - · - -- -- -- ; that I am ne t 11 student or minor, and, if a female, I am the head of a family; that the ard ent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or frem any place whatsoever, in excess of the qnantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so r·e ceived by me are for my own use , at my own home, and that the said ardent spirits will noi be used in violation of law . ., subscribed before me, y f 1917 , tA.. 191_ , ltil ;\geu\ for Southern Exvress Company. �~ - ___________________________ ___ F"ORM 3 7 0-VA. .,..,.,,,_..,,,,~- - - --, ..,.__,,,,,... SOUTHERN EXPRESS COMPANY (Incorporated) Advoucee to Collect PREPAID Add , COLLECT I Underc; harge To Sh ipper_ __ __ _ _____ __ _ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) �STATE COUNTY ; that l am not a • e by the South ern Expre ss Comp any, from receiv ed by me so s head of a family ; that the arden t spirit stude nt or minor , and, if a femal e, I am the days previo us thirty the within not, have I order, and that were broug ht into the State on my writte n oever , in whats place any whats oever , from any perso n or from hereto , receiv ed any arden t spirit s of any kind ved appro ia, Virgin of bly Assem al Gener the of ions of the Act exces s of the quant ity allowe d by the provis at use, own my for are me the arden t spirit s so receiv ed by March 10, 1916, or contra ry to law, and that law. of lation vi in s will n°J/J used my own home, and that the said arden t spirit . ~ - . t)f - Consii nee. Aien\ for Southl rn EXl)ress Compa ny. �FORM 3TO•VA. SOUTHERN EXPRESS COMPANY (Incorpo rated) SPECIAL LIQUOR RECORD Date 19 1_ A_ Affidavit No. 1 -" bs. Weioht _ _ _ _, Ki nd-of Ard ent Spir!ts_ ~ - -- -- -----'---.,,,...,,,_ - - - Amount Way- Bill No,_ _ ___,~_ _ _ _ Date_ _ _ __ _ ~ - - - -- 191_ To _ _ _ _ _.~---'--..;,._-'--- --'-------'------ Advsucea to Collect I From EXPRESS CHARGES PREPAID COLLECT l To Shi pper ( OVII R) Adrl Uud e rr.harge �I PERSO NAL USE SPIRIT S FOR I STATE OF Cou~TY 01';_::;y. -',_,...-..., ;,.'<7'~-= :-.,/-~ -ff_,._,,....,.._,__----'------'= '"""''----=-J'-.....:,= ~='-.....:,...,_==-• as being duly sworn, depose and say that I am of this form, this day ~ ~ ther .!~ecJ~~~ s ii¥\J~ ; that 1 am not a • • l -~' delivere d to me by the Souther n xpress Compan y, from , received by me so spirits ardent the that family; a of head the student or minor, and, if a female, I am days previous thirty the within have not, were brought into the State on my written order, and that I ver; in whatsoe place any from or person any from ver, whatsoe kind hereto, received 1:tnY ardent spirits of any d , approve , Virginia of ly Assemb the General excess of the quantity allowed by the provisio ns of the Act of use, at ·' own my for are me by received so spiri\s ardent the that March 10, 1916, or contrary to law, and in vjolation of law . my own home, and that the said ardent spirits will no be used - A11ent for Southern Express Company . i. • �f"ORM 370•VA . SOUTHERN EXPRESS COMPANY (Inco rporated) -~~-~- o___· 1!l17 Affidavit No.~ Add PREPAID RECORD Of' NOTICES To Consignee _ _ __ _ _ _"- - ~ -- -----,<--- Unde rc ha rge To Shipper_ _ __ _ __ _ _ _ __ _ __ Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONAL USE. (ona) �- --+..F--------- ---='----- ----~-'----- , being duly sworn, depose and say that I am specified on other side of this form, ibis day ~ - - -- - - -·- - ~h~ •~ - - i ibat lam noi a siudent or minor, ·and, if a female, I am the bea of a family; that the ardent spirits so received by me were brought into the State on my ;Written order, an -ibat I have not, within the thirty days previous hereto, received any ardent spirits of a ny kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of 'the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and·that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardeni spirits will not be used in violation di Jaw, 1 c.- -;f- ,I / ' ' t r (;(} t_ Conshtnee. Sworn o and subscribed before me, A11:en, for Southern Ex/ress Company. �SOUTHER N EXPRESS COMPANY FORM 370-VA . (Incorporated) " SPECIAL LIQUO.'.RJ R Received a•---~-~ -~~__, __ _ _ _ _ ___,_ _ Date__,,.- 1/ ~~- HJ L r- Affidavit ~o. .___ __, bs, _ ___ _____ __,t Add Unde rc ha rge Advnuce a to Co l lect RECORD OF NOTICES To Consia nee ~/ I /f ' J I j To Shi pp er =============================-- AF'j DAVIT FOY -DENT SPIRITS FOR PERSONAL USE. I (ova:al V �PERSO NAL USE duly sworn, depose and say that I am ---4- ---=- ---"""'-- --- ----+ ---c~ ---, being form, this day specified on other side of this ____ ____ ____ __ ; that lam not a that the ard ent s·pirits so received by me family; a th head of not, within the thirty days _previous have I that and rder, my on were brought into the State on or from any place whatsoe ver, i~ any-pers from r, ye hereto, received any ardent spirits of any ind whatsoe Assemb ly of Virginia , approve d General the of ,4ct thli of ns provisio the by allowed excess of the quantity by me are for my own use, at received so spiriis ardent March 10, ·1916, or contrary to law, and that the ofJaw. violation in used be not will spirits ardent said the that my own home, and >? ~ onsi11noo. �,oRM 3TO-VA. Add Ad1'8DC68 io Collect PR.BP.AID Uodercharae To Shipper _ _ _ _ __ _____ _____ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE . / (OVIER) �lRDENT 'OR I(/ AFFIDAVIT: S TATE oJt'nGtf;[I/" /4 SPIRITS FOR . PERSONAL USE I ~f ..~/ <· ,~f,~_ COUNTYOF \~!:1-:('f!} / · ?~ /J Jt: ,, / ;,r//(/&.,V.. 'l!! _. ( , ~ b eing duly sworn, depose and say t hat I am I, spirits, as specified on other side of this form, this day ardent of shipment certain the consignee of a delivered to me by the Southern Express Company, from ______ ___ _ _ _ _-_; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirit; so received by me were broug~t into the State on my w1·itten order, and foat . I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and 1;hat the ardent spirits so received by m e are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. 7'5'._{/ . ( Uonsie:nee. Sworn to and subscribed before m e, (._ .t J.. \ (.A Ae:ent for Southern Ex.9-ress Comvanr. �FORM 370•V A. SOUTHERN EXPRESS COMPANY {I nco rpo r a t ed) To I' Advnuce s to Colle c t Shippe /-,---~-----~-,---~--H- -- - To Consianee To Shipper_ _ _ _ _ _ _ _ _ _ __ _ __ AFFIDAVIT FOR A'RDENT SPIRITS FOR PERSONAL USE, (OVl:R) �/7) _AF7Av1-r.._ FoloE NT SPIRITS FOR PERSON AL usE A ..-U-t_ ,f STA,(,o;f~tA✓l/'ff~ --< ~~,...,. : COUNTY ' ~~ ~ O}'D// , r:r/L I , _,,.,,c.-_ -'------'--the consignee of a certain ---'-----'--------- ~ being duly sworn, depose and say that I am specified on o~ er side of this form, this day -----l-....,.."----, C ~ TO ; that 1 am not a delivered to me by the Southern Expr spirits so received by me ardent the that family; a of head e female, a if and, minor, or student order, and that I have not, within the thirty days previous were brought into the State on my whatsoeve r, from any person or from any place whatsoeve r, in kind y of spirits ardent any received hereto, of Virginia, approved excess of the quantity allowed by the provisions of the Act of the General Assembly are for my own use, at me by received so spiri1.s ardent the that and law, to contrary or 1916, 10, March . my own home, and that the said ardent spirits will not be used in violation of law \ Consie-nee. · ed before me, A&'.ent for Southern Express Company. �,oRM 370-VA. /0 Ad..-ancea t,o Collecli Add PREPAID Undercharae To Shipper _ _ _ _ _ ______ ___ _ __ ARDENT SPIRITS FOR PERSONAL USE. (OVER) �-- -- T SPIRI T S FOR PERSONAL USE S T ATE o ,,> _,,.,, // _./ /' " '--~> :...,....,- ~? I, - - - - - - - - - - - - - - - - - - - - -- , being duly sworn, depose and _sa_y that I am the consignee of a cert ain shipment of ardent spirits, as ~Hified on other side of this form, this day ''TOE • 'r • . ; tha~Iamnota .deliveredtomebytheSouthernEx pressCompany,from . student or minor, and, if a femal e, I am the head of a family; that the ardent spirits so recei'.ved by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoev:er, in excess of the quantity allowed by the provisions of the Act of the General A_ssembly of Virginia, approved March 10, 1916, or contrary to law, and t hat the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of la.w . . Uonsie-nee. �( A .... ~ 7~ Kind of Ard ent Spi its,_ -r-cc~,..---- -- - ·- --+--=- -- Amoun '.3 0 Way-Bill No. _., To --+- - - -~'--"- - - -"-~ -- - -- - { Shipper /?t{{ 7 191_ Ad..-DUc ea Collect '?J(Jlq-e - - -----'-RECORD OF" NOTICES 17 To Consion ee - - -- - ---'-- -"---- - - /- ~ ,____ _ AF"F"IDAVIT F"OR A From to PREPAID Add Unde rchar1e To Shipper _ _ _ _ _ _ _ _ __ _ _ __ __ __ I DENT SPI RITS F"OR P ERSONAL USE . (ovn) �I, the con.sigi;iee of , a certain shipment of ardent spirits, as delivered to me by the Southern Express Company, from ______ _____ ___ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my nwn home, wd lh>t lhe '"" Mdenl, · · ~JZ~~ f Sworµ to and subscribed before me, .... i.J this ___day o.___ _ _ _ , 191_, A"ent for Southern Exvress Comvan:r. ~ . Consi2nee. �SOUTHERN EXPRESS COMPANY F'ORM 370•VA . (lnco rpomted) SPECIAL LIQUOR RECORD Advan ce s to Co ll ec t EXPRESS CHARGES PREPAID A•M Unde rc ha rge RECORD OF NOTICES To Consian ee _ _ __ _____- + - -- - ~- - To Shipper _ _ _ _ __ _ _ __ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVIIR) �A ~ T S FOR PERSONAL USE - - - - - - - - - - - -- - - - - - - - - - , being duly sworn, depose and say that I am specified on other side of this form, this day delivered to me by the Southern Express Company, from ' , ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardeni' spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my own home, and that the said ardent spirits will not be used. !11--violation of law . Consi2nee. A11en, for Sou the Pb Express Company. �,FORM 370-VA. GROTTOES. V . f U' Consign ee - -~ - --------,~--r---- ~ Received a - -----~--- 191_ ----'-:--~--------"----,--,- - -~ - -~ - --+-- Advonr.e e t o Co ll ec t PR EPAID COLLECT .Md Un dc rc·hnrgo )j ./. AFFIDAVIT FO { ~ 7. ( I) To . Sh ipper _ _ _ _ _ __ __ _ _ _ _ __ ARDENT SPIRITS FOR PERSONAL USE. (o v~!!) �• ,/ / ' AFFIDAVIT., FOR Ar ; ENT SPI RITS FOR op;j/(r.Jlj STATE couNTY , ~:;& £/A'.&x(A,1 .:"' :, '- _.-LL- r, A,l ,;:Jc ,.;- • t-- C, r l~--ff '. u,,· tl / 1L/.~"I -~ i, ~ · ' the cqnsign ee of a cert PERSONAL USE /j Z/!.k (~--~ ~. ·· c.., - ~ , being duly sworn , depose and say that I am _ s ipm ent of a rdent sp irits, as sr ci~ed on ~ther side of this form, this day ~- delivered to m e by the Southern Express Company, from · ; that I am not a student or minor, and, if a female, I am the h ead of a family; that the ardent spirits so received by me were brought into \he Sta te on my written order, and that I have not , within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any pl ace whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that th e ardent spirit s so rec eived by me are for my own use, at my own hom e, and that the said arden t sp irits will not b e u sed in violation of law . ./ iT Swo -ndif!ubsc, · fore m e, - this _ ___, day o~f_- _ _ ___ , 191 _ A,eent for Southe rn Ex1•ress Compauy. • I .i--.,•, . _ : .. .-; ~-,_ Consignee., �SOUTHERN EXPRESS COMPANY FORM 3 7 0•V A J (I nco rpo rated ) ;OTT~f SPECIAL LIQUOR ""IRECORD Received at, _ ___.,.,'---- --=---'---'-'----- - - - - -Date, _ _ _ _,.___ __ 19 1_ 7 Affi davit No. V Consignee - ~- ~ ----=---.+---,---,.-+--- - ~ - - - -- -- -- /--,~-cc-,-~~ ..~ - - -----''--Kind of Ard ent Spirits _ _ ___,_~_ _ __ ,___.,,,__-----,/~- Amoun ~ - - - - - -__,~- A d va n r-e s t o Col lect PREPA ID A~d Und er ch a r ge RECORD OF NOTICES To Consignee _ _ _ _ __ _ -,,-_ _ ___,)~--- To Sh ipper_ _ _ __ _ _ _ __ _ _ _ __ _ AFFIDAVIT F9 1 :RDENT SPIRITS FO R PERSONAL US E. (OVE R) �If ' AL USE PERSON , being duly sworn, depose and say that I am . , on other side of this form, this day specified as pirits, ardent of ent shipm the consignee of a certafo ; that I am not a ~;I",...·-., deli~ered to me by the Southern Express Company, from r_eceived by me so spirits student or minor, and, if a femal e , I am th e head of a family; that the ardent days prevrous thirty the within noi, have I that and order, written my were brought into the State on any place whatsoeve r, in hereto, received any ardent spirits of any kind what.soeve r, from any person or from of Virginia, approved excess of the quantity allowed by the provisions of the Act of'the General Assembly are for my own use, at March 10, 1916, or contrary to law, and that the ardent spirits~o r eceived by me my own home, and that the said ardent spirits will not be used in violation of 1:1,w. utlU \ I Cousi&:nee. ,,,.,,------· ------~------------------- �F O RM 370 ... VA . G SOUTHE RN EXPRESS COMPAN Y ( I ncor porated) SPECIAL LIQUOR RECORD Consign ee "j 0 / 19 1_ ' AffidavitNo.~ -,~ -- - ------''- -' /_-----, _,,._ - --'--"'--- ---,/--"-''- ---- ---+~ =c-'--' --------/---,,~,:-') __ __....,,'-Kind of Ard ent Spirits,_ _ _ _ _ __ ______ _ _ _ Amou nt __ _ __ _ / ~ - ~ -Date_ _ _ _ __ __ t) Way-Bill No._~ _:)_ _ ,.._,___ _ Jb s. / 191 / Advances t o Coll ect Ann Uude rcha rge To Shipper _ _ _ _____ __ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE. (OVIIR) Jtl �FOR PERSONAL USE , _,,::c_____,,.,.c::.___:._~__:=-:_:+---=-c::.__---=----~---, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent specified on olher side of this form, this day del ivered to me by the Southern E xpr ess Company, from _ _ _________ ___ ; that I am not a student or minor, and, if a femal e , I am the head of a family; th at the ard ent spirits so received by me were brought intq the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, and that the said ardent spirits will not b,e u sed in violation of law. Consianee. -.:-...i:_• ·, ·, '- . �SOUTHERN EXPRESS COMPANY FORM 3 TO•VA . (l nco , pornted ) SPECIAL LIQUOR Kind of Ardent Spiri ts_ _ _ __ _ ____-=--~ ~--'- Way-Bill No. / L 7Y To --'-- -~ ~ - - - -- - - - - - -- - A dvance s to Collec t EXPRESS CHARGES PREPA ID COLL EC T Adrt U n derc h ar ge ShipQer_ ~ - - ~ '- - - ------,-,L---'-'-- -- -- / RECORD Of" NOTICES To Consignee _ _ _ _ _ ___ ,_~----;.- - - To Shipper _ __ _ _ _ __ _____ _ _ _ _ Af"f"IDAVIT f"OR / RDENT SPIRITS f"OR PERSONAL USE. (OVJ: R) �,. u y sworn:--depose and say that I am other side of this form, this day j ; delivered to me by the Southern Express Company, from that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916,_or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Aa,en, for Southern Express Company. �SOUTHERN EXPRESS COMPANY FORM 370 .. VA , (lncorpo raied) SPECIAL LIQUOR RECORD ) ,_ _ _ _ __ _ 191_ ,_ _ . ; __c;,'----- -- - c/6 Affidavit No ,_ _ __ __ -------'-f / Amo unt,_ __ --'---=-----=---=,-..,,n ,._ / ...--=-:::-::::--.,---c'--;'--- Oate_ _ _ _ _ __ _ ~/_ __ Advnu ce1 to Collect Add PREPAID Uu de rchaqie RECORD OF To Consignee _ _ _ __ _ _ ~-~ --'--~~ -.-.--- To Shipper_ _ _ _ _ _ _ _ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (ov11al �delivered tome bythe Southern Express Compa __________ ____ ; that lam not a student or minor, and, if a female, I am the of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from a; y person or from any place what oever in excess of the quantity allowed by the provisions of the ct of th Gen al Assembly of Vi~,ij&lll,,-l~m>ved March 10, 1916, or contrary to law, and that the ar nt s ved by me are for my own home, and that the said ardent spirits wil ot b �F"ORM 370-VA . _,,. Advauces to ColleC" t RECORD OF To Consia nee _ _ __ _ ----=:_ _ _-=----=-- --'-- -,E.-- EXPRESS CHARGES PREPAID Add Underchar ge To Shipper _ _ _ _ _ _ _ _ _ _ __ _ __ AL USE. AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON (OVIIR) �PIRITS FOR PERSONAL USE STATE OF COUNTYu•·n "-c./-----.,c+,~--'--...;= I, - -=----=-'-'---- - - ' ' - - - - - ' - - ' - - - - - - ' - ' ' - -·, being duly sworn, depose and say that I am the c<msignee _of a certain shipment of •ardent spirits, as specified on other side 9f this form, this day delivered to me by the Southern Express Company, from _ _ _ _ _ __________ ; that l' am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, ·within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General As~embly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiras so ·received by me are for my own use, at my own hom e, and that the said ardent spirits will not used- in 101ation o , law. be ~7;), (.' C.~/ Consienee. �F OA M 370•VA (' SOUTHERN EXPRESS COMPANY (I ncorpo rated) 1,- Affidavit NO·~ - - - -- Way-Bi ll No,,-1'----_..,,,,,,,. To ----===.i,...,~..-;...-;----'---~r - - - - -- - - PRE PA ID I To Shipper __________ __ _ _ _ __ _ (OVKR ) �T SPIRITS FOR PERSONAL USE =-__:e::.__~=----~=.L~ -, ----+~'-l,--_:__ _ _ being duly sworn, depose and say that I am specified on other side of this form, this day delivered t by t he SouthernExpr·e ss Company, from ________ _ __ ___ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous heret o, received any ·a rdent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary t o law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violatidn·of law. Sworn t o and subscribed before me, J\5!'ent f lSouthern Exvress Company. Consi~nee. \ �SOUTH ERN EXPRE SS COMPA NY ( lnco rpore.ted) Affidavit No~ % Advance s to Collect To Shipper _ __ _ _ _ _,_ _ _ _ __ Af'f'IDAV IT f'O/ AROENT SPIRITS FOR PERSON AL USE. (ovsa) �FOR PERSONAL USE say that lam ' being duly sworn, depose andform, -i~~L-----:~+~~~~~?-----::~~~....;;;;;;;:;;as:;;;;'specified this day on other side of this QTT!" ~ , \Ji, · ; that l am not a delivered to me by the Southern Express Company, from [ student or minor, -and, if a female, I am the head of a famby; that'the arden~ spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever·, from any pe1·son or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia., approved March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in, violation .of law . Conshinee. A ~ 7 L l A11ent for South t n Express Company. �FORM 370•VA , SOUTHERN EXPRESS COMPANY ( l nco rpo rnted ) • EC~ RD / - -~ - -- - - 191_ Affi davit No._ _/~/_ _ _ !T/ / 1 - - ~ - - -- - -- - - ~ ~,,__Amount _ __ _ __ _ __ _ I - - 1 917 - - - ~ ~- A d va nce s to Coil e<'t Y'\ Ad rl PREPA ID COLL ECT t.. ,I Uud e r r. hn rge ( \ RECOAD OF' To Consio nee _ __ _ _ _ __ _____ _ .,.__ _ To Shipper _ _ _ _ _ __ _ __ _ __ __ _ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. (ova:al lbs. /' I �delivered to me by the Southern Express Company, from _ _ _____ _______ ; that l am not a student or minor, and, if a female, I am the head of a family; th at the ardent spirits so received by me were brought into the State on my written order, and that I have not, within . the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not be ed in violation of law . tf 7i<; l I I, (., l \,, Consienee. A11:ent for S ~ n Express Company. �FO AM 370-VA. SOUTHERN EXPRESS (Incorporated) OMPANY jj D Received at Co nsignee t~t D~e To 7 -- - - - 7 Amo""' ) Advan ce s to Collec t bs rn7 EXPRESS CHARGES PREPAID COLLECT Add Undercha rge To Shipper _ __ __ _ _ _ _ _ __ _ __ / AF"F"IDAV I T F"OR ARDENT SPIRITS F"OR PERSONAL USE. ( OVIIR) �USE STATE COUNT --""""-~ ----== --'c.._4--',..."'--~_. :._____.:=------__, ,,.r..., being duly sworn, depose and say that I am specified on other side of this form, this day delivered to me by the Sou, hern Express Company, from ________ ______ ; that lam not a student or minor, and, if a female , I am the head of a family; th at the ardent spirits so received by me were brought into the State on my written order, and that I have not, withi n the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, and that the said ardent spirits will. not be used in vfofalion of law . Consianee. �FOAM 370--VA . V Affida,;1 { __ Consignee - - ---==--.:._---1--,c_.,,,....-,-::;=.-~.::..__:...==---=="'-----_,,,_----'---~--+---F-------:-- - ---.=,=./_ __ _ _rl/__ ~~=;a: ==:":; t;;,~;;: ;~--~- - ~ - - r---c; - Amoun c_ _ _-=------= -.:,..,_------+:-Weight_: .zz:_ Jbs. 1 ~~.,.,..,.,-,.----~-- --'"'-- - Date_ _ _ _ _ _ 1- - __,~<;- =/---·- Advauce e to Colle<'t /. • L Ad d Undercbo.rg e J To Shipper_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ (O VER) �T S PIRITS FOR i, PERSONAL USE - ~~---rJ-__''>!!!___:,C~ ~~::_.::::::::::__::::L ~ c:._, being duly sworn , depose and say that I am th e consignee of a sp'ilcified on other .side of this form, this day p.ei lv~red to me e Southern E:ip_ress Company, from ~ . . ; that I ilm not a student or minor, and , if a female , I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not , within th e thirty days previous h ereto , received'any ard ent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of th e Act of the General Assembly of. Virginia, appro"ved March 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me are for my own use, at my own home , and th at the said ardent spirits will not b&. Rsed in violation bf l aw. lY. - S f orn . t. ..J - . an subscrib"ll b efore me, th1s_,,.,_ day of ) JI , 191_ A2en t fo r Southern Express Company. I - I v Con si2nee. �Add Undercharae I -;1 T-+-- RECORD OF' NOTICES L I To Consionee _ _ _ _ _ ~ ---i _ ,_, 7,___ - __ To Shipper _ _ _ _ _ _ _ _ _ _ _ __ __ AF'F'IDAVIT F'OR ARfENT SPIRITS F'OR PERSONAL USE. (ov1rn} �, b · duly sworn, depose and say that I am specified on other side of this form, this day delivered to me by the Southern Express Company,' f r o m ~ - - - - - - ~ - -~ ~ - - ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent splrits so received b_y me were brought into the State on my written order, and that I have not, within the thirty, days previous hereto, received any ardent spirits of any kind whatsoever, from any p erson or from.any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly 9f Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received -by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . I Agent for Southern Express Company. Consh:nee .. �FORM 3TO•VA. SOUTHERN EXPRESS COMPANY (Incorporated) SPECIAL ECORD S,.). 7 _<~ Affidavit No.~ lDl I ,, Advnuce a to Collect lbs. Add PREPAID Ondercbar,q:e RECORD OF NOTICES To Consign ee _ _ __ _ _ _ _ _ _ _+ - - - - To Shipper _ __ _ __ _ _ _ __ _ _ __ (OVER) �DENT SPIRITS FOR PERSONAL USE being duly sworn, depose and say that 1 am specifieu on other side of this form, this day .J--'----'""":::__ ___::_::::::i_.L..,1.-__::::_=--___.:=---_ _ _ __;_, delivered to me by the Sou the xpress Company, from _ _ _ _ ________ _ _ ; that 1 am not a student or minor, and, if a female, I am the head of a fa!llily; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirils so received by me are for my own use, at my own home, and that the said ardent spirits will not b in-violation of law. I :/ Conshirnee. ~ __:_ A119n• for Southern E~press Company. �l'ORM 370-VA. SOUTHER N EXPRESS COMPAN~ 11 1 -'-----'-----;= .t ,. ,. . ~ (lncorporaied) GP RD AdTBUC68 Coiled RECORD OF Tq Consignee _ _ _ _ __ _+---- ~ - ~ ~ - - - Add to PREPAID Underchar1e To Shipper _____ _____ _____ __ AFFIDAVIT FOR (OVJCR) �- ~ S TATE OF COUNTY I F SPIRITS FOR FIDAVIT FOR ~ ~• ./ 4" /,,,.. i 1b PERSONAL USE .'// ,J • rVl. 1(' -~ .,,;l,-AA_ '° J'J l!:, .,,,, . • / 1 I _ a,/ <-/ .,,/ , being duly sworn, _depose and say that I am ee of a certain shipment ot/dent spirits, as specified on ot her side ~of this form, t his day to me by the Southern Expr~ ~ompany, from _________ _ _~ - -- ; that I am not a student or minor , and, if a female , I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and t hat I have not, within t he thirty days previous hereto, r eceived any ~rdent spirits of any kind whatsoever, from any person or from any pl ace whatsoever, in excess of the quantity allowed by t he provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits w~ d in} ~ Jion of lawq .,,, Consi&:nee . l A&:ent for Southey,{ Exvress Compsuy . �FORM 370•V A TTO~: SOUTH ERN EXPRESd)S COMPA NY (lucorporute SPECIA L Consign ee Way-Bill No. _,,~~..,___ To - - - - - ~ ~~~~ - -- - - - - - - Advnn ree to Co l lee r; A <l d • PR E PAID Unde rch a rge S~ , , , . ~ -- - - - ---'-i- ---i--"- ---- RECORD _ _ _ _ _ __ _ _ _ __ _ . To Consignee _ _ _ _ _ _+---'=- ....,_~- 1---- To Shipper _ _ _ USE . AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL (O VER ) �I ENT SPI RITS FOR PERSONAL USE STATE OF C OUNTY F-"'~'----"i;::...-.,1',i""-___;;,q~_-,,,.'-t arue nt spirits, as delivered to me by the Southern Express Company, from _____~ - - - , - -- --,,...-- i that I am not a stud.e nt or minor, and, if a fem a le, I am th e head of a famil y ; that th e ar ent spi~its so r eceived by m e were brought into th e State on my written order , a)ld that I have not, within th e thirty days previous her eto, r eceived any ardent spirits of any k ind whatsoe~r, from any person or from any place whatsoevet , in excess of the quantity allowed by t he provisions of th~ A/t of the General Assembly of Virginia , approved March 10, 1916, or contrary to law, and that the ardent ;;pirits so r eceived by me are for my own use, at my own home, and th at the said ardent spirits will not:;. used in : o~at!~n ~f l~w. M fore me , -.:✓ · C Oousjinee. J\eeu\ for Sohthern Exv ross Company. ,. �,oAM 370-VA. SOUTHERN EXPRESS COMf"Al'n (lucorpor&Md) Ad'Yance1 k> Collect RECORD OF NOTICES -To Consignee _ _ _ _ _ _~--~-~~---+--- A~d PREPAID Undercbarae To Shipper ______ ______ _____ I AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVIIR) �FOR PERSONAL USE depose and say that I am , --~~"'-------= ---'--"--"'- - - - ' - - - - - ' ' - ' - - - --=::_-, being duly sworn, the consignee -of a certain. shipment of ardent spi_rits, as_ specified on other side of this form,·this day V ; that I am not a :J . delivered to me by the Souther~ Express Company, from student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State..._o n my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. I Cousienee. Sworn.Jo and ubscribed before m e, t h"s fj da f~ ,,,,..-, / t-z J. 191_ ) ) Ae-ent for Southern Ex't>res s Company . �- -- ----- --S COMPA NY SOUTH ERN EXPRES ln co rpomted) FORM 370 - VA . { LIQUOR RECOR D - - - Affidavit No,_ _ _ __ _ , Way-Bill No, __,,___ _ _----'--- -- To 191_j_ I Received at- --..-----" -c:;..::.-~;c._ _ _ _ __ _ Da te Advoacea to Collect -'-...-,R- ~--- ~ ~ EXPRESS CHARGES PREPAID COLLECT ~ SliiP P. r ~✓--1 () ~, /) RECORD OF NOTICES ; 7: / } I To Consi onee ____ _ __J._/--';,;__--'--/____ __ I ' A drl Uud e rcb nrg e I To Shipper_ _ _ __ ___ ____ __ _ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. (ova:a) �ENT SPIRITS FOR PERSONA L USE STAT -----,-;f -------- '--- - - - - - - - - - , being duly sworn, depose and say that 1 am specified on other side of this form, this day delivered o me by the Southern Express Company, from ____~~-~~ ~--- - - ; that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . . ' ~~ Sworn to and subscribed before me, r, ( -----~ Conshrnee. �FORM 370-VA . SOUTHERN EXPRESS COMPANY (Incorpo rated) Kind of Ard ent Spirits,_ ~ - - -- -- - _______.,___ I I Way-Bill No·- - - - - ~ - -Ad vau ce e to Coller t .Add COLLECT To Shipper _ _ _ _ _ _ _ NT SPIRITS FOR PERSONAL USE. (OVl:R) Und e rch arge _ _ _ __ __ _ �STATE OF COUNTYv.>" 't,)~-#-- ~- _ J"',-.Q, 1, "'-~-- -------= -------- -----,;., :...-, being duly sworn, depose and say that 1 am the consignee of a certain shipment of ardent specified on other side of this form, this day delivered to me by the Southern Express Con:ipa _ __ _ _____ _ __ ___ ; that lam not a student or minor, and, if a female , I am the hea of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed _by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not 'be used in violation of law. /. · Consienee. �FORM 370•VA . SOUTHERN EXPRESS COMPANY (In corporated) Consignee EXPRESS CHARGES Advauce e to Colle<' t PREPAID I I COLLECT ~l· Add Uud e rc harge I -RECORD OF NOTICES To Consignee _ _ __ _____~ - - " - - - - - - - To Shipper _ __ _ ____ ______ _ __ (OVER) �FOR PERSONAL USE being duly sworn, depose and say that I am a certain shipment of ardent spirits, as specifiedr on oJher side of this form, this day -"-4'--------"'"'-----""--- - - - - ' - - - - - - = ' - - - - - - - - - , delivered to me by the Southern Express Company, from _ _ _ _ __________ ; that l am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever ,.from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Swu7 - • ,ud.h,~efore m~, I~ this~ ,· / L' '· ·· .~ ,~ nU/ jl?A . ?-'I / f.· . 7 . 91_ . . .. \. \ . Uonsh!nee. ~ ~- ~ A11en, for Soueforn . press Company. - �FORM 370 - VA. R evise d June . 1918 RES S COM PAN Y SOU THE RN (EXP Incor porate d) _ _ _ __ _ , To _ _ __ ___._,...___ __ __ Advan cee to Collec t ,,__--=~-= -.!'- 1 Shipper,__,.-v --=-• -=-- += _::---=---. P. 0. Address REC ORD OF NOT ICES ---'' ---- -"-c .=.. ---To Consignee _ __ _ _ _---''--- - _______ To Shipper _ _ _ _ _ _ __ _ (OYE R) _ �I, -.LL~"----_,,_~:_:_--i-,:'-------1'----'...,'-'-'=""-"-"""'-""-----I-- -- -, being duly sworn, depose and say that I am tbe consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day frogROTTQ£ A. ; delivered to me by the Southern Express Compan;y:, that I am not a student or minor, and, if a female, I am the head of a family; that the at dent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoner, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrar~ to law, and that the ardent spirits so received by me are to be used l,y me for / /( f. , A _,{J.,.' , purposes at my own home, and in con- (State -..hether for Seiemtific, Sacramental, lledicinal or Mechanical) formity with law. , MAY 20"1919 lz, / _)'; ~--- Sworn to and subscribed before me, ibis Ai:ent for Southern Express Company. Consi~nee . �FORM 370- VA. Revised June, 1918 SOUTH ERN EXPRES S COMPA NY (Inco rporated} LIQUOR RECOR D Advances to Coll ect EXPRESS CHARGES PREPAID COLLECT Add Undercharge Shipper _ _ --;:=---:;:-;--"--=--=c:----:-;;------'=-=='-----='----1 P. 0. Address - - ---"----- ---____:--'----=:::__To Shipper _ _ _ _ __ _ _____ ___ _ __ (OVER) �------:1-~1-___ :,;;;;,:::=--+•"-4 =.-~r'-A',1 ----¾- , being duly sworn, depose and say that I am specified on other side of this form, this day delivered to me by the Southern Express Company, from,.- --,-+--,t--t,-+-+-P--,,- -..;,,_.,._____ ; that I am not a student or minor, and, if a female, I am the head of a family; that t e ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of 11.ny kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, to l!\,W, and that the arde spirits so received by me are to be used approved March 19, 1 ~ Cousie-nee. t;his _ _~ ay of_-,--~ ...I / t ii �FORM 370- VA. Revispd June, 19~ Received at SOUTHE RN EXPRESS COMPAN Y ( In co rporated ) GROTTOES~pqi lAL LIQUOR RECORD Consign ee _ _ ~ ~ - - -- ~ --,--- - - - - - - -""-- P. 0. Add r.ess_ ~ + - - - - - - - ~ -- / Advftnce11 to Col lect PRE PAID RECORD OF To Consignee _ _ _ _ _ _c____,c__ __ __ __ , _ (OVER) To Sh ip per _ _ _ _ _ _ _____ _____ _ �=~~~----------- ~---------- - - - -~-~--8'IATE OF COUNTY q_ t( Vr;&GINiA., /) ~-/U..,4t I / l Lt(...,{.. I.. .Gvlt ,,,6'1:, Y ~ auly sworn, depose and say that I am b 1· l,{ :, r {( the consignee of a certain shipment of ard ent spirits, 1as specified on other side of this form, this day I,~ { 1 I ; that I am not .., ' delivered to me by the Southern Express Company, from a student or minor, and, if a female, I am the bead of a family; that the lirdent 'spirfts"so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place wh at soever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contr~ry to law, and that the ardent spirits so received by me are to be nsed \_...- h by me for / ··4 / /!,. A (. . • · · "' ..-: t r.A f r\ pnrpose11 at my own home, and in con- (State whether for Scieil!tific, Sacramental , Medicinal or ~hanical) -;--- formity with law. A G; (~ L l1 L 19 Y ~o rid suoscribed before me, '? ~,{ 't i ( Ai:ent for SoutherB E~ress Company. ~ l_ C~ nsie:nee , �FORM 370- VA . Revised June, 1918 SOUTHERN EXPRESS COMPANY (Incorporated) Kind of Ardent Spi rits=----==-----------H'c,,--r-c-..,..- Way-Bill tio,,~ _,/'--_( _ __..,.'--------Advan ce s to Collect · To~hipper _ _ _ _ __ __________ _ (OTI:R) �,.... STATE OF v1Jrny.. , . ,h COUNTY OF . 1 .(--=' ' l; : _r ' • • · r ~ I' ,.r· 111A.,,~ .,.,_..,, \ • t· .. )· \ 'J \I_,· ., \ ,I J , .. /f . I i' . I p : ~ ,.; _,, ,,. t.\., , .,, ~ I ,,. ...,, '(_ " .,.,; • ., L , bemg duly sworn, depose and say that I am tlae consignee of a certain sq3 'm~ t of ardent spirits, as specified on other side of this form, this day q: 1~ delivered to me by the Southern Express Company, from t, , ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent splri s so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoner, in excess of the quantity allo..,wed by the provisions of the Act of the General Assembly of Virginia, approved M~ 1,9, 1918, or cpntrary to law, llJld that the ardent spirits so received by me are to be used by 1110 for 11 , ; , (/ . 'c ' • f. ,.,_ ·, ' f ·' _ - '· - ' \~_ pnrposeil at my own home, and in con- (State whether for Scien,tific, Sacramental, Jledicinal or Meclianical) formity with law. (' /,. l Consie::nee. Agent for Seutl\ern EJ<press Company. �FORM 370- VA. R evised J une , 1918 COMPAN Y SOUTHE RN EXPRESS ) {In cor porated .Ad vei nce s to Co11ect 'T'" ,,,~,; F'" EX P R E SS CHARGE S J; Ta, RECORD OF NOTl<j:E'.S To Consig nee_ _ _ _ _-r-----+ -------- ----- To Shipper _ _ _ __ _ _ ______ _ _ __ (OVE R) �r ,- J'i .. '1 I, i . "' ·. ' tlae consignee of a certain shipment of ardent spirits, as 1 ,..-n~ng duly sworn, depose and say that I am 1fied on other side of (his form, this day , },, ,--·.. "" / t:f delivered to me by the Southern Express Company, from (: •,· · '\ .:... ✓ ·t - ~ I am not a student or minor, and, if a female, I am the head of a famil,:; that the ardent spirits so received by me were brought into the State on my written order, and that ,I ave not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve from any person or from any plac!'l whatsoner, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits 110 receiv'e d by me are to be used ., ,. . ,,,.. L l,y me for f • ' _,,,f, ;__,.,,, formity with law. Sworn . lhl• _,,,,,,. . -7} )'\. ,· t' ,-L ~ A_ .v purpose11. at my own home.,.and in con(Stato~ hether for Scientific, SacrameDtal, llediciDa! or llrechanical) ' re me, /ff~ ' 191_ . . Agent for Southern E:<press Company, �f"0R M 370- VA . SOUTHERN EXPRESS COMPANY (lnco rpo rnted) r SPECIAL LIQUOR RECORD· I y-- - - + - - - - -- V Affidavi t No._ __ _ __ 191_ I .Ad vnnces to Collect EXPRESS CHARGES PREP.A.ID COLLECT WarTax Add Collect Unde rcharge Shi ppe r~ --s,.,~- - - P. 0. Add ress _ ~ - - - -~ - - - - ~ RECORD Of" NOTICES To Consign ee _ __ _ _~ -- - - - + - - -- To Sh ipper_ _ _ __ _ _ _ _ _ _ _ _ _ __ (OVE R) �J --""-----''----__L-'------"------"'--------''------=------ , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day 'q ; that I am not delivered to me by the Southern Express Company, from a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatrnever, in excess of the quantity allowed by the provisions of the Act of the General As~embly of Virginia, approved Marfh 19, 1918k ~ contrary to law, and that the ardent spirits so received by me are to be used / / ,.-) 1 f', . v'!A.-tl ~ at my own home, and m con---------Purposes ___'-"""=---J / ·,-i , , '- _ ,,. , ""--'r;"' by me for _ _ _ ____ (State whether for Scientific, Sacramental, Medicinal or Mechanical) formity with law. /. l O ,-, • I'' Consii:JJee. Swo~n to and subscribed before me, lt Agent for Southern Express Company. �F"ORM 370- VA . SOUTHERN EXPRESS COMPANY Revised J une. 1018 RT 0 (Incorporsted ) ,I SPECIAL LIQUOR R,ECORD Advance s to Collect PREPAID To Shipper _ __ _ __ __ _ _ __ _ __ (on:&) �, ,.--------------------~--------·---------- -~ I, the consignept a certain shipment of arde , being_duly sworn, depose and say that I am spirits , as specified on other side of this form, this day delivered to me by the Southern Express Company, from a ; th at I am not a student or minor, and, if a femal e, I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia , approved March ,or. contr,:;_r 1to h\w, and that the arden spirits so received by me are to be used 19,'1. ' • t,J'/,1 0 by me for l t- ,A_.,. . I ~~ < . . ..,(1-, · / (State whether for Scientific, S11cramental, Medicinal or Mechanical) purposes at my own home, and in con- formity with law. Consi1:Dee . Agent for Southern Express Company. �FORM 370- VA . SOUTHERN EXPRESS COMPANY R evised June, 1918 (lncorpornte d) LIQUOR RECORD Received at _ _ _ _ --c------r'-- ---- - - -- •ate / Way-Bill No. _ _ _~ .- ~__,,_.~- To - - - ~ - ~ -~- .Advnnce8 to Collect PREPAID COLLJ1~CT WorTu Coll ect Add U ad erc bnrge RECORD OF NOTICES To Consignee _ _ _ _ _ _ __ _ _ __ __ r--_ To Shipper _ __ _ __ __ _ ______ _ _ l (OVER) �,-.------------------------------------=--~~~-- ~ COUNTY depose and say that I am I, -~--c-'---+- - - - - - · - - c,#-- - - - - ~ ~- , being duly sworn, side of this form, this day other on specified as , spirits of e the copsigne ; ROJ'T that I am not delivered to me by the Southern Express Company , from ,... by me eceived r so spirits ardent the that a student or minor, and, if a female, I am the head of a family; previ ous days thirty the within not, have I that and order, written my on were brought into the State person or from any pl ace whatEO hereto, received any ardent spirits of any kind whatsoev er, from any General Assembly of Virgini a, the of Act the of s provision the by allowed ever, in excess of the qu antity so r eceived byme are to be u sed approved March 19, 19~ ' J ttrary to/law, and t.hat the arde spirits by me for · , L£.,.4 ,; - . , -- •~ r - ·~i;· · (State whether for Scientific, Sacrament al, Medicinal or Mecha cal-) formity with law . . ( Sworn to and subscribe d before me, this _ _ J day of_j_ l 191 ?,l ,\}/ )lfi \ I Ae:e nt for Southern Express Company. purposes at my own home, and in conI �FORM 370- VA. Rev ised June, 1918 SOUTHE RN EXPRESS COMPAN Y (In co rporat ed) P R E P A ID W.arTax Collect Add U n de rc h a rge To Shipper _ _ _ _ __ __ _ _ _ _ _ _ _ __ i (OVER) �r ...._~ ....,,i;,,,,~ ===...-:L-_::__::__='..._-__-.,.==-~--~':, being duly sworn, depose and say that I am the consignee of a certain shipment of ard ent spirits, as specified on other side of this form, this day f;' delivered to me by the Southern Express Company, from _ ______· - - - - - -- i that I am not a student or minor, and, if a female, I am the head of a family; th at the ardent spirits so received by me were brought into the State on my written order, and that I have ·not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place' whatsoever, in excess of the quantity a~owed by the provisions of the Act of the General Assembly of Virgin ia, approved Marc JA, 1918, or ontrary to law, and that the ardent spirits so 1·eceived by me are to be u sed /. Mr, (' by me for/ . / • " "'" •••~" <o, formity with law . ' ; , 1 · ,0(.../')- _...,f\ ...,..,,/ s.;.,,rn,, S•cr=•"'•'• x"';j ;"' MooO.,,MO f/..y purposes at my own home, and in con• V · Consiguee. Sworn to and subscribed before me, 191_ J Agent for Southern Express Company, �SOUTHER N EXPRESS COMPANY FORM 370- VA . (In co rporated) Revised J,me, !018 R CORD LIQUOR I ~ -~ - - Date Advances to Coll ect • Y 19 ~ EXPR ESS CHARGES PREPAI D Add Undercharge P. 0. Address ..,/'--- - --'~ '-+--- -- To Consianee _ _ _ _ To Shipper _ _ _ _ _ _ _____ _____ _ (OVER) �---- ---- ---- ~-- ---- ------ --- --- -~~~~,~~~- . STATE OF I, --==....,..= ~-~~ ----~ ~-= -= ~ - -, being duly sworn, depose and say that I am the consign ee of a certain shipmen t of ardent spirits, as specified on other side of this form, this day delivere d to me by the Souther n Express Compan y, from _ ____ ____ ____ _ ; th at I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virgini a, approve d_Ma_Jr ~ 19_, 1918/ or \ontrary t_? Jaw, and that the ardent spirits so received by me are to be used '--')·, )1'-J} .I\' ..../4,..Q_.,.{___.AA.....,-i; by me for .-' /. ._ · () ~ (State whether for Scientific, Sacramen tal, Medicinal or Mechanic al) formity with 1 w I\ , 1 919 . ·: "), ' / ,.,. . Sworn to and subscrib ed before me, n purpose s at my own home, and in con- / L Consigne,e. ; ·, ihis_-_ _ day of ____ __ I. 191 '/. Agent for Southern Express Company . \ �FO RM 3 70- VA . SOUTHER N E XPRESS COMPANY (I nco rporate d ) SPECIAL LIQUOR RECORD _ _ _ _ _ _ __ 191 _ Affidavi t No ._ _ _ _ __ - - -- ~ - - - - -___,,,..___,,- - - Qua nti tv-., .--~-~~~ ,___ _ We ioh ~ ~ - ,.........._ _ __ _ 19 17 To Shippe; _ _ _ ____ _ _ ·------- -,- ~ (O VE R) �~ ~ - - - - - -- - - -- ~ - - - - - - - - -- -, being duly sworn, depose and say that I am shipment of ardent spirits, as specified on other -side of this form , this day delivered to me by the Southern Express Company,' from _ _____________ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and -that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March :W, 1918, or contrilTy to law, and that the ardent spirits so received by me are to be used by me for r -✓271 /, ;!( - ✓" .. -.· ~' ' ~ IJ 1~ \.- (State whether for Scientific, Sacramental, Medicinal or Mechanical) formity with law. 1/ Sworn to and sub cribed before me, 2' ~ thi, purposes at my own home, and in con- j{<..,,'-{ t 'I I ~ 191-, . Ai:ent for Southern Express Company. C6nsi&:Dee , �FO RM 3 7 0 - VA . Revised June , 1918 SOUTHE RN EXPRES S COMPAN Y ( Incorporated ) RECORD SPECIAL LIQUO _ I _,.e:..__ _ Rece ived at_ ____--,-_ __ _ __ _____.,....._ Date _ __ Quantitx--- ~--t':.-t" c:::;;r--- - ---'----- - - - -- --'--·-· Way-Bill No.___..,.,-..-;-.~.';""..- - - - - -~-- --- -191 To - ------'-,,-;;---='-'---" i>ff'--~"=~ "--- - -=--- 1 A dv an ce B to Co l lect WarTu Collect Shipper _ ~ -=--- ~-=--=-- -----=,-----=--=-- =-- -• P. 0. Address _ _ _--'-- - - - - --=--- RECORD OF To Shipper _ _ _ _ __ __ _____ _____ (ona) �I,~ :_i~ SJi_'._1,~ ~~~:::::'.~ ~~ :...:.__~ __ the consigne~ of a certain {_/ delivered to me by the Southern Express Company, from _ _ _______ _____ ; that I am not me a student or minor, and, if a female, I am the head of a family; that the ardent spirits so 1·eceived by were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed-by the provisions of the Act of the General Assembly of Virginia, , or contr y to law, imd that the ~ den:~pirits so received by me are to be used approved March 1 , 1 by me for \..,. ~£~ ,__,.,~ purposes at my own home, and in con- (State whether for Scientific, Sacramental, Medicinal or Mechanical) formity with Jaw. Con si &Dee. Ai:ent for Southern Express Company. �SOUTHERN EXPRESS COMPANY FORM 370- VA . Revised June . 1918 (Inco rporat ed) ( 5 '/ __~+-----+--To Consi on ee _ _ _ _ _ _r_.,,.. RECORD OF NOTICES L...,; To Shi pper _ _ _ _ _ _ ______ ____ (OTI:R) �t,;1 ,$#_/ '-~_, "'·t • L/2'--1.J ·. Vrnoi~ , STATE OF ~ COUNTY OF f " ' /0 ' 1 f' I # ....I ., ~ -'\/} ( / ,'"!i /J . ,_,,, ,.. ....,.. ,. , -..,.4._. - ' cl{t o· I Ad f_ t.R/L A , being duly sworn, depose and say that I am 1, as specifie d on other side of this form, this day the consign ee of a certain shipme nt of ardent spirits, _ _ _........,.....__..__.___,,,,_.-:=-iL--"-'""-''- i that I am not deliver ed to me by the Southe rn Expres s Compan y, ·f rom that the ardent spirits so receive d by me family; a of a student or minor, and, if a female, I am the head not, within the thirty days previou s have I that and order, written my on were brough t into the State person or from any place whatso any from ever, hereto, receive d any ardent spirits of any kind whatso Genera l Assemb ly of Virgini a, the of Act the of ns provisio the by allowed y ner, in excess of the quantit receive d by me are to be used 20 spirits ardent the approve d March 19, 1918, or contrar y to law, and that . /,r• , llymef or , ·, ,I ft _ i • Ii J-' , ~-•~ l ,· . _,. · , . I ./ ( · ' I purpos e11atm yownh ome,an dincon .,. 4' n·"l or Mechani cal) (State whether for Sciell!tific, Sacrame11ta1, Medicina formity with law. y( ~ v Consiene e. thi Agent for s ·outhef, ,furess Company . �ESS COM PANY SOUT HER N EXPR nc orporat ed ) (I SPEC IA't LIQU OR RECO RD f~ 191 ~ . Affidavi t No. EXl'RES S CHARGE S PREPAI D Ship per----'-----'-''--+'----"--=:._+',_;_c~:,.,c---=-'----"'-=F--\.P. 0. Address RECOR D OF' To Consionee To Shipper (OV IIR �' COUNT - -7''-"l"-"-- ""---L-----"'--'=_ ,_."--'-"'-----""'"- ""=----F------ , being duly sworn, depo!!e imd say that I am spirits, as specified on other side of this form, this day n,u, Ta. deliv·e red to me by the Southern Express Company, from _______ _______ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allow8{1 by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contri11ry to la~ , and that the ardent spirits so received by me are to be used - ~,1 by me for ' / •, ~t I I! ,,. r' I • ., I . A..' a4,.,. ,·r''---· ., (State whether for Scientific, Sacramental, Medicinal or Mechanical) purposesatm yownhome,a ndincon- formity with law. \..;ou .s ii;:u ee. Aiient for Sonthern Efpress Company. �F"0RM 370-VA . Revised J une, 1918 SOUTH ERN EXPRES S COMPA NY (l ucorpornt ed) ECIAL Received at ~ LIQUO/R<:>Rf/i lRD +---19 -c..,--+- , P - - - + - - - - - - -- Date _ ____,_/_ '-'1- Consignee _ _ _~____. -~~~=~ ~=F--- --f"'-1-f_ J .' I To _ _ -r-----,-----r-- - - - --\----',f-r--.-.,.-~--'--------,'------l .Advances to Coll ect Ship t er-"--'-----""'-7-~-=-=--r ---J'-----.- ----f-~-" P. 0. Address RECORD OF" To Consignee --- To Shipper (OVER �the consignee of delivered to me by the Southern Express Company, from ______________ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent sj>irit·s so· rpc.~ived by me were brought into the State on my written order, and that I have not, within ·the thirty days previous hereto, rEceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantj.l;y allowed by the provisions of the Act of the General Assembly of Virginia, ~nd that the ardent spirits so received by me are to be used approved March 19, 1918...o'r J.Atrary to 7 - r,-T,. I by me for formity , \ ,- J x• ' ~, / . •; 11 i 1 .purposes '-- ,J .,... . ',_ · · l (State whether for Scientific, Sacramental, Medicinal or IIIechanical) Titc •1 6 'V 8 at my own home, and in con- _[ ~ - ' - = - - - - - = - - - - - =:....:...___ c:7" Co ns i~uee. Sworn to and subscribed before me, this _ _ aa;:f_--+-/___, 191_, ,, A11ent for Southern Express CoIQ:e-llJ'. �FORM 370- VA . R evised J un e, 191&., SOUTHERN EXPRESS COMPANY ( lncorpornt ed) LIQUOR '/ To .Advan ces to Co1lect EXPUESS CRA.RGES PREPA.ID WarTu Collect Add Unde rcharge Shipper- - ~ ~ - ~ - ~ - ~ - -- - - - -, P. 0. Address _ _ _ _ _ _ _ __ _ _ __ _ To Shipper _ __ _ __ __ _ _ _ _ _ _ _ __ (O'l"KR) �•. "I' ~ c._,'------+-+-- -""='----"---=--- - - - - -- -, being duly sworn, depose and say that I am specified on other side of this form , this day "f:.f"':• t·.,·~ • r• - ' j ·, r'l ' that 1 am not " .. .~.. delivered to me by the Southern Express Company, from a student or minor, and, if a female, I am the head of a family; that the ardent sp-irits .so received by me were brought into the State on my written order, and that I have not, within the· tiiirty days previous hereto, received any ardent spiritf of any kind whatsoever, from any person or from any place what~oever, in excess of the quantity allo);ed by the provisions of the Act of the General Assembly of Virginia, 918, or co hary to law, and that the arc nt spirits so received by me are to be used approved March 1 ~ by me for v r ,L,,\o__,, , ' I ' - -1,: • ' ; , I' purposes at my own home, and in eou- (State whether for Scientific , Saernmental, Medicinal or Mechanical) formity with law. L; ( Consie:nee. Sworn to and subscribed before me, �F"ORM 370-VA . SOUTHERN EXPRESS COMPANY SPECIAL Add Undt:irc b11rge RECORD OF" NOTICES To Consignee To Shipper ( OVll:R �1, , , being duly sworn, depo8e ,md say th at I am the consignee of a certain shipment of ar dent spirits, as specified on other side of this form, thi s day delivered to me by the Southern Express Company, from -i:~~--'-...r:..-4c'!~t-}--- ---'t.co:.... - - - i that I am not 11 student or minor, and, if a female, I am the bead of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, rrneived any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virii:inia, approved March 19, 1918, or contrary 'l,o law, and that the ardent spirits so received by me are to be used by me for -<Tl 1 v' \ ~ Ll.?..A . '-......,,..___ ~ 1..,...,.-Y i (S tate whether for Scientific, Saeramen\a_ l, Jlleqieinal or llleehameal) purposes at my own home, and in con- formity with law. \,;c., n s ii;uee. Sworn to and subscribed before m e, this _ __ '"d~ ;;,~ 'l 1 ...., I_,. Aient for Southern Express CoQl~~- �SOUTHERN EXPRESS COMPANY FORM 370- VA. Revised June, 1918 (incorporated ) 0 PECIAL LIQUOR I mmo .1 ~ J: bi~: EXPRESS CHARGES To Shipper _ _ __ _ _ __ ______ _ __ (Ol'"l<R) �~.=-i"-=--1-----_:,,::_=-------- --'----I--- - -- -, being duly sworn, depose and say that I am aSG"QetiYto V ~ :r " · of this form, this day delivered to me by the Southern Express Company, from _ _____________ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place wha.t rnever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, fary to law, and that the ardent spirits so received by me are to be used approved March 19, 19l~ by me for ~ ( t purposes at my own home, and in con- (State whetJi,er for Scientific, Sacramental, Medicinal or Mechanical) ~ w)_ formity with law. ." ~~· - o_n_s_ie_D_e_e_. 1=,'"'r-t----;......;-'-'~-,~----C ---c=;o,----r Sworn to and subsci;ibed before me, '"'" tti f_ ,,'"~ ,, f A~ent for Southern Express Compa,;y. �FORM 370-VA . Revised J une, , 91 8 SOUTHE RN EXPRESS COMPAN Y ( I ncorporated) . PECIAL LIQUOR RECORD \ ~ - - -- - - - = - + - - -- Date / ) / {.c ~"=-....::: '--+--=-,-- 1.____,L.::...= -_:___l~·- --t-· -------- ·- - -~ ~~------ J'-----'~ - Ouantity-c--'- ---"'Way-8ill No. - ~ - ~- - ~ - PR E P AI D P. 0. Address- To Consignee I ·, - --:--i::-::;-;-- - -- -;..-::..-::..-::..-::.-:..":.. . ':..-::..-::"Tl9_1_1_....__Fr_o_m..::.~.::.::.::.::.:::.::::.::.::::;.::.::.::.::.::____-: To _ --,,+-'""~' -rl--,,-=-'- -- -'-'-'-+-~-++ -1 Ship RECORD OF NOTICES 191 _ . AIU I tC, I To Shipper (OVIIR �1:hAT E o;JjJJ, .~ IA, . . I C OU N TY O ~ .• • r r) { [1 \ j r?iv~ ..iJ.. .,d),1, A AM ~ J,;; . . 1 1• f.' 1 ,J- f ),• · t 1 I, · . . / \ -' '--'<...-, l \ • '-) ~ \_. , being duly sworn, depose and say th at I am the consignee of a cer in . ~hipment of ardent spirits , as s cified on th,er : id~ this forp:i, this day 6 0 delivered to me by the Southern Express Company, from · ; that I am n ot a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by m e were brought into the State on my written order, and that I h ave not, witliin the thirty days previous hereto, l'ECeived any ardent spirits of any kind wh at soever, from any person or from any place whatsoever, in excess of the quantity allowed by th e provisions of the Act of the Gene~! Assembly of Virgini a, approved March 19· 1p1s, or cont(ary to law, 1.tnd that th ,a rdent spirits so received by me are to be used I I '1i\_ ~ f! fi... j1 I , • . / _.1, I . I / 1. , y ' by me for , .' _ , ' -· _,,,_.. _., -- » _ purposes at my own home, and in con- J:L(. (S tate whether for Scientific, Sacramental, Medicinal or 111echanicall formity with law. .t?e A119nt for Southern Express Company. t._11:~ -l/r-h= ~ usi~uee. �FORM 370- VA. SOUTHERN EXPRESS COMPANY (Incorporated) Revised June, 1918 ( LIQUOR RE &{RD i,,!~ (" c Received a.___~:::__ _ .,___ _ L_....___ __,_____ 0ate_ _ _--r/-¥~~ ~ =-- -191 _ Consignee _ _-="'--...c.._-=c=c_____,.,,:.:.,:.,=-- ) '-';.:.--'--'r--'-----'----''----=- -- - P. Affidavit No.~ -- - - ~ 0. Address _ _ __ _ _~ - - - -- - QuantitY= - ~ - - ' - -- -- - ~ ~- -- - - - - - -,------;!'--+- ---ac-,-.,--,--- -=--- 191 _f_ Ad vnnc e s to Collect Fro m_ ~ ~ ~ - ~ ~ ~ - - - ~ - , - EXPRESS CHARGES PREPAID CO LLECT War Tax Collect Add Undercharge ( To Shipper _ _ _ _ __ _ __ _ __ __ _ __ (OTER} �C - -- ~ - - ~ -- - - -------- --- I, _ _ __.___."'--_ ,____ -'"'--·'-----.c.__..c....____ ___ , being duly sworn , depose and say that I am the consign ee of s pirits, as specified on other side of this form, thi s day delivere d to me by the Souther n Express Compan y, from _ __,,==-~ ~---=c·='-- -''----'= '---- ; th a t I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any pl ace what~o ever, in excess of the quantity allowe::i..by the provisio s of the Act of the Gen eral Assemb ly of Virginia , approve d Mareh 1 :J.,!H , or contr ' y to law, and that the ardent spirits so received byme are to be used 7· by me for l ,. ,,,- V rJ { (State whether for Scientific, Saernmen tal, Medicinal or Mechail'rc al) formity with law. l; Swor ~ purpose s at my own home, and in conJ - nd subscrib ed before me, 191 Aiient for Southern Express Company . Consie:11 ee. �FORM 370- VA . Revised Jun e, 1918 SS COMPA NY SOUTH ERN EXPRE r a t ed) {[n corpo SPECIA L LIQUO R RECOR D ...,..---.,.....,,_____---,,_ _ _ _ Date 2- / ')..,--" <J EXPRESS CHARGES P REPA ID ~((: _ 19'?__ Affid avit No._ _ _ _ __ COLLECT WarTu Collect Add Unde rc ha rge To Sh ipper _ _ __ __ _ _ _ _ _ _ _ __ (OVER) �" I, --'"-''--\-_,._-'-_ =_,.,,:---==,._~..£__,,"-- - - -- , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified oh other side of this form , this day _ i_ _ delivered to me by the Southern Express Company, from _ _____~ · - - - - - - - i that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatEoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved Marc~9, 1918, or co.,ntrary to law, and that.the ardent spirits so received by me are to be used by me for d'll L - , ,' ,. _; (State whether for Scientific, Sacramental, )l(edicinal or Mechanical) formity with law. purposes at my own home, and in con- _,.,.. l'v /. //J; Cousi2nee. Sworn to and subscribed before me, ihis _ _ day of _ _ _ _ , 191_ . I Airent for Southern Express Company. �FORM 370- VA . Revised J une, 1918 SOUTHER N EXPRESS COMPANY (Incorporated ) SPECIAL LIQU I .Advan ces to Collect _To Shipper _ _ _ __ (on&) �\ ; STATE OF Vr,t\UN1-A 1 / , COUNTY OF- ~ - - - -- - - -- I ,' I, _____ ______.___________,,,._, being duly sworn, depose and say that I am the consignee of a certain shipment of a1·dent spirits, as specified on other side of this form, this day lirottoes, v~. delivered to me by the Southern Express Company, from _ ______________ ; that I am not student or minor, and, if a female, I am the head of a family; that the ardent spjrits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the..qnantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 197 HHS, or contra,ry1 to law, and that the ardent spirits so received by me are to be used a .,,'/ :1/ I . ! by me for _ _ _ _ _ _ _________ ___________ purposes at my own home, and in con- 7Jc . (State whether for Scientific , Sacramental, Medicinal or Mechanical) formity with law. .( Sworn.to and,subscri'bed 'before me, Ae,ent for Southern Express Company. Consh:Dee. �FORM 370- VA . Revised June , 1918 SOUTHERN EXPRESS COMPANY (In co rporated) RECORD ,I .Advan ces to Co ll ect I Add Unde r c ha rge To Shipper _ _ _ _ _ _ __________ • (o n&) �., I, - +----\---'"""'-- --__.___,.,_,,___.,,.,:.=,e:_-=--- -- - -~ - , being duly sworn, depose and say that I am the consignee of a certain shipment of ar-d ent spirits, as specified on other..side- of thi; ·-form ; thrS-day- delivered to me by the Southern Express Company, from _ _ • ; th at I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatrnever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia , approved March 1 1918, or co rar:\ to law, and that the ardent spirits so received by me are to be used , L_,1,v"A by me for / ., {_ ' ,' L (State whether for Scientific, Sacramental, Medicinal or Mechanical) purposes at my own home, and in con- formity with law. s J:' a2i, b ~f Consi e:llee. before me, '£'9~7C ··~ iQ ~ l 1 Agent for Southlrn Express Comp3ny. �FORM 370-VA . Revised June, 1917 SOUTH ERN EXPRE SS COMP ANY (Incorporate d) LIQUO R RECOR D Way-Bill_No,, _ _ _ _ _ _ __ _ TO - - ~ - -- - - - - -- - - ~- - - - Advances to Coll ect EXPRESS CHARGES PREP.AID COLLECT Add Underchnrge Shipper - ~ - -- - - - - - - - -- - - . / P. 0. Address - - - - - - - -- - - ------- -=~ ,..__ ___._ _........_ _..__ _ _.__ __.__---'-_ _....__ _, RECORD OF NOTICES To Consig nee To Shipper (OVER) �Vf'\ 1 1 I,---'--""''----------=:,e__---'"""-- = =--"'"----'= "-----'-- = ,,__--_ .,_~ being duly sworn, depose and sa.y that I am the consig nee of a certain shipme nt of ardent spirits , as specifi ed on other side of this form, thi s day deliver ed to me by the Southe rn Expres s Compa ny, f r o = - - - - - - - - ~ ~ - - - - i that I am not a studen t or minor, and, if a female , I am the head of a family ; th at the ardent spirits so r eceived by me were brough t into the State on my written order, and thai I have not, within the th.i rty days previo us hereto, receive d any ardent spirits of any kind wh atsoeve r, from any person or from any place whatso ever, in excess of the quanti ty allo'we d by the provisi ons of th e Act of the Genera l Assem bly of Virgin ia, approv ed !}JO, 1916, o contra ry to law, and th at the ardent spirits so receive d by me are to be used Mr by me for 7I t, ~ ~ ..... · · •~~ ~ (State whether fo r Scien t ific, S acram ental, Medicin al or Mechan ical) I · J. t ... ,,, ' t, Sworn to and subscr ibed before me, this _ _ day of_ _ _ _ _ l9l_, Aeent for Souther n Exi)ress Compan y, , purpos es. Conslen ee. �SOUTHERN EXPRESS COMPANY f"ORM 370-VA . (I ncorpo rnte d) Revised June, 1917 GR OE . y PECIAL LIQUOR RECORD I Consignee, _ _ _ _ _ _---''---'---=..,,:__-'-----'----=------- - ~ P. 0. Addr_ ess_:.:c..:;'-'---'-"--+"'-+.k--"--"--''--- Kind of Ardent Spirits,_ __ --=----- -'---'·-'------'--Ouantity,_ -'-l_ ' _ __ _____ Weight Way-Bill No,_ _ _ __,._."'--",___ _ _ _ _ _ _ _ _ _ _ _ _ 191_ To _- _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ Advance s to Coll ect RECORD OF" To Consign ee To Shipp er (OVE R) . ' f lbs. From, _ _ _ __ _ _ _ _ __ E X PRESS CHARGES P R E P AID COL L ECT Add Unde rch arge �COUNT Y 0 I , - - --""'--" "--~. .L.-- -'----'---"""'----"'"---"'"-=--- , being duly sworn , depose and say that I am the consig nee of a certai n shipm ent of ardent spirits , of this form, thi s day delive red to m e by t he South ern Expre ss Comp any, f r o = - - - - - - - - - - - - - - i that I am not a studen t or minor , and , if a female , I am the head of a family ; that the ardent spirits so receiv ed by me were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from any place whats oever, in excess of the qnant i~ allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, app rov ed~ 10 ,,..1916,} r ~ontra ry tQ law, and th at the ardent spirits so receiv ed by me are to be used by me purpos es. (Sta te whethe r fo r Scientifi c f: / / ' ~~A ._ ~ , Sacram ental . Medidn al or Mechan ical) ,1 ~l ' . ,.:11~ Sworn to and subscr ibed before me, this _ _ day of_ _ _ _ _ l91_ . Ai:ent for Southe rn Expres s Compan y . ' l · Consi2nee. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 05 Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Grottoes in Rockingham County Virginia for personal use. Subject The topic of the resource affidavits ardent spirits personal use grottoes virginia Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Date A point or period of time associated with an event in the lifecycle of the resource 1917 1918 1919 Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (<a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a>) Identifier An unambiguous reference to the resource within a given context RcPr-box10-041 Format The file format, physical medium, or dimensions of the resource PDF Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Spatial Coverage Spatial characteristics of the resource. Grottoes, Virginia https://omeka.lib.jmu.edu/erp/files/original/c682d45597ee923cadb35753db496029.pdf 6143cc0f30e0e1c63e7062e1876790d6 PDF Text Text SOUTHERN EXPRESS COMPANY FORM 370-VA. (I nco rpo rated) SPECIAL LIQUOR Received at _lsland _ _ _ _Ford, _ _ _ Va. _ _ _ __ _ _ Consign ee l 'i '- . Kind of Ard ent Spirits 1 I 1 • - ,, ~ ~ •...,Ji J-/--- ) 1 / \sland Ford, Va. Way-Bill No. (,\ f Date RECORD " 1 n 1-_j_ 191 Affidavit No .~ :;t I Am ount,_ '/--"('--'1_i__ ,_ _ _, _ _ _ _ Wei ohtL_ _ _ lbs. 1 ate___.~J'---(~ t'---'1'--5 -=-.." _ _ _ _ 191~ To - - - - - - ~ - - - - -- - - - - Ad vnnce s to Collect F O!)l _ __ ,.__ , '/--'-/--'/"EXPRESS CHARGES PREPA I D ---"'---'Add Unde r charg e Shipp'<!r.--Jb.-.,----'l-"=-..:;..,,.Z..:: v4 :_;....!="-"-=--'--~'--==-- 7 ° / RECORD OF NOTICES To Consignee _ __ _ _ _ _ _ _ _ _ _ _ _ __ To Ship pe r _ _ _ __ _ _ ___,__ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVE R ) �FO,=t ARD ENT SPIR ITS FOR PERS ONA L USE STATE OF VIRGI N! COU NTY OF _ ~ - - ~-'-':e....!.-'--'e__.e....;C-"'- ..i being duly sworn , depos e and say that I am I, - = {~------'---}~l---- ---------'-----"------- - ,<~---,pecifi ed on other side o this form, this day t the consig nee of a certai n shipm ent of arden ; , •; that l am not 11 I any, fr delive red to me by the Southe1·n Expre ss Comp receiv ed by me head of a famil y ; that the ard ent spirit s so stude nt or minor , and, if a femal e , I am the days previo us thirty the within , not have order, and that I were broug ht into the State on my writte n any place whats oever , in from or n perso any from , oever whats kind hereto , rece ived any_ar dent spirH s of any Virgin ia, appro ved ions of the Act of the Gener al Assem bly of exces s of the quant ity allowe d by the provis me are for my own use, at by ed receiv so s spirit t arden the that March 10, 1916, or contra ry to law, and s will not be u sed in violat ion of law. my own home , at!d that the said arden t spirit d before m e, )UJ<•--=c:::....=_ _ , 191 7 / / �FORM 370•VA. SOUTHERN EXPRESS COMPANY ( lucorporat.e d) LIQUO ~ Received 8)1---"-'--'.J~'--"-""-''---'~'c"--'~-=:;:..--,--c------,--c -- Date RECORD ,,j 191_ Affidavit No,_ _ __ _ Consione..,___-"---_~'---'----=----=---'---"-'-"·c..c'--'---"----'--------------- ----- - - -- - - - -- - -"'---'--=-""'-- - ---=-...!....:.....c.'---'--==-- Am ount _ _ __ _ _ _ _ _ _ Weio ht Fro~ J,l~ ( A d vn nce e t o Collect ! l' llE P A JD /QI') lbs. h / I' Add Uud e r c harge C O L L ECT ~ To Consignee ,I' EXP l! l!:S S CHARG ES J_ /., I To Sh ipper _ _ _ __ _ __ __ __ __ _ __ _ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE . (OVER) �ARDENT SPIRITS FOR COUNTY 0 ~'-~--'-'---- '- - - ~ -- I / Ir l, \.I ' the consignee of a certain shipm ent of a tlent spirit s, a~ ' PERSONA L USE being duly s worn, depQSe and say that I am : ter r; · e of thi s form, this day t I • , deliver ed to me by the Southern Express Company , from _,......,~- - - -·i that l am not a student or minor, and, if a fem ale , I am th e h ead of a family; that the ardent spirits so received by m e were brought into the State on my written order , and that I have not , within the thirty days previous hereto, received a ny ardent spirits of any kind whatsoever, from any person or from any place whats. o ever, in excess of the quantity allowed by the provisions of the Act of the General Assembl y of Virginia, approved March 10, 1916, or cont rary to law, and t hat t he ardent spirits so received by me a re .f or my own u se, at my own home, and that the said ardent spirits will not be used in violation of law . R (("') )' (.)onsi6CU80 • • �FORM 3 7 0•VA. SOUTH ERN EXPRES S COMPA NY (lu(·orpo t otod Received at _...,___ _ _ _ Consignee ~-~~ - LIQUOR --.-1- -- Da'te _ _ _ _~--"- l!l l __l Affidavit No,_ _2(..,__,,,{'---- /- -------"---~-=~=Y =------'tc.'--==----=--~-_,__-----"-_ ____ ____ _____;j:__,'------ Kind of Arde n_t_S-p~i~ rit_s,__~~ , ~-- •a'., '¥ IJ I ) V ' ,. is '"'-·-'/_~,_,_--= ---~-+- ---Weioht ,r , lbs. 19 1 Ailvnnf' c a to Collect EX.PRESS CHARGES ! 'REPA ID COLL ECT Add Umlerchnrge { RECORD OF NOTICES To Consignee ____ ____ ____ __ _ __ To Shipper _ _ _ _ ____ ____ _____ AFFIDAV I T FOR ARDENT SPIRITS FOR PERSON AL USE . (OVER) �\, �SOUTHERN EXPRESS COMPANY FORM 370•VA. (lucorporoted) SPECIAL LIQUOR Received at ls~and Fo rd1 Vij.._____ Dat l ~+ --\cc--',---"-+-~~-+-- - -~,--,------ C RECORD Am oun ~ - '---rc...+-~-- Weioht /. -1· )/ I Ad vnnccs to Coll ect RECORD OF NOTICES To Consignee Add l'REPAID To Shipper _ _ _ __ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVl<R) lbs. J U u<le r chru-ge _ __ _ _ _ __ _ �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE "j STATE OF VIR GINIA / r COUNTY Ot,.--L:IL -_,__ __:_::.::.__::~:c..:...:...;.. •u I, the consignee of a certain shipm ent ::)being duly sworn, depose and say t hat I am sp cified1 on ot her siq-e ' f this form, this day f7 C cl.J? not a j,,. ha d ~- ( {_ delivered to me by the Southern Express Company' rom student or minor, and, if a fem ale, I am the head of a family; th at th e ard ent spirits so r eceived by m e were brought into t h e State on my written order, and that I h ave not , within the thirty days previous hereto, received any ardent spirits of any kind whatsoever , from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or cont r ary to law, and that the ardent spiri1.s so received by me are for my own use, at my own home , and th at the said ardent spirits will not be used in violation of law. /t e ~ ~ ~ - F - - F -~ ~~ A~ent for Sout hern Express Company . �SOUTHE RN EXPRESS COMPAN Y FORM 370-VA. ( l uco rpo r: t ed} SPECIAL Affidavit No,__?---y-- - - -- ---+- ~- -'----c-"'--_;_--'---'--- - - - - - - - -;:;t:.'::.::.=.:..- - -- - - -__,_---'-'-~ - ' - ~---'---'---" c,----,.,..-,i----;-'---- Am oun ~--- .·j c. ____, __ 7 / FrOl1)1--- ---_,__, __-'-'--I Ad vrmces t,o Collect EXPRESS Ct1ARGES Add Undercharge RECORD OF NOTICES To Consign ee _ _ __ __ _._ _ __ _ _ __ To Shi ppe r _ _ _ __ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE. (OVER) _ __ _ _ _ __ �AFFIDA VIT FOR ARDEN T S PIRITS FOR PERSO NAL US'E /' being duly sworn, depose a d say that I am l, on other side of this form, this day specified a spirits, the con-signe e of a certain shipment of ardent that 1 am not a .....i delivered to me by the Souihern Express Company , frof so received by me spirits ardent the that family a of head e th am I female, a if and, student or minor, , wit hin the thirty days previous were brought into t he Stat e on my written order, and that I have not or from any place whatsoev er, in person any from er, whatsoev kind any of spirits ardent any hereto, received of Virginia, approved Assembly General the of Act the of excess of the quantity allowed by the provision s are for my own use, at me by received so spirit.a ardent he t hat t and law, to rary cont or March 10, 1916, of Jaw . my own home, and that the said ardent spirits will not e used iu violation +-, - ~" r - ----L-----"- -"'- -~----"' ---------1- ~ ~ - f~ r / Sworn :o/nd su:,t 1be before me, thi _#_! )w / ,~✓/ \ ;1~ /7 ,9.y-nf '-' • 1 ,I°'- Aa«nt for Southern Exvress CompaJ y. V 1 ~e )d /7 / ·; ,_.,(f-/. ~ /I Uonsiinee. �FORM 370•V A. SOU THE RN EXP RES S COM PAN Y (loc orpo ral.ed) Recei ved at Island Ford, Va. sPE ctA L uQ u~ _ __ _ _ _ Oa'ie' Consignee _ _ _ _---'-'C---"'.:--+'-: .+--~~~~ ~- REc oRo ( t '7,,, 1.,_.,.,lDLL '-.....,/ f-" - - -- - - - - -...,• ~ - Kind of Ardent Spirits- - ~ ~ ~'""""__,.~ , -~ ~ ~ -Way-Bill No. '), - / --<.J_q.i--_-L/_....-, _ Amou ntL ._ __,___ _ To _ Isla nd _ _ __ _ __ __ _ _ __ _ __ S.hipper _ _ 1 ~J~~~~~~ ---=.---=.--=__::--=::.= Arlv n n ce s to Co ll ect Affid avi t N·o? · - - -- - -- - -- _c__ _ _ 1917-- 7.--- Weioht J lbs. From, _..1.l-<1_,___ ____,;~:.:.__-t =•:.il EXPR E S S CHAR GES P RE PAJD COLL EC T Add Ulld t: r c h n rgo REC ORD OF NOT ICES To Consignee _ _ _ _ __ ___ _ __ _ _ __ To Shipper _ _ _ __ _ __ __ _ _ _ __ _ AFFI DAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . (OVER ) �AFFIDA V IT FOR ARDEN T SPIRIT S FOR PERSO NAL USE /j STATE 0~' COUNTY Vrno NIA , o.~~- -~----,----'--~ -~- /,j~. J duly sworn, depose and say that I am 1, ~ -....,.. ..~~~~ ~~---- -~~ - ~- - -- - , being on other si b of this form, this day specified as s, spirit the consign ee of a certain shipmen t of ard~nt ot a 7 \ that ' < + delivere d to me by the Souther n Express ; ompan , rom me by received so spirits that th e ardent student or minor, and, if a femal e , I am the head of a family; previous days thirty the within , not have I that and were brought into the State on my written order, any person or from any place whatsoe ver, in hereto, received any ardent spirit s of any kind what soever, from Gener.iii Assemb ly of Virginia , approve d the of Act the of ns excess of the quantity allowed by the provisio m e are for my own use , at rece'ved so s spirit ardent the that and law, to contrary or March 10, 1916, flaw. lation ~ sed u be ot w\n my own home, and that t he said ardent spirits (. ' ~ .c ~ +IiL:. -- �SOUTHERN EXPRESS COMPANY FORM 370•VA. (Incorporated ) SPECIAL LIQUOR RECORD Affida vit No,_,),__i_ _,_,__ _ To Advnnces to Collect / EXPRESS CHARGES PREPAID COLLECT Add Oude r cbarge Shi pp~...:.,__==-=~-----'----'---_c_---'--~~ - - - - RE C ORD Of" NOTICES To Consig nee ____ __ ___________ __ To Shipper ______ _ _ __ _ _ _ _ _ _ __ Af"f"IDAVIT f"OR ARDENT SPIRITS f"OR PERSONAL USE . (ovxa) �AFFIDAVIT FOR ARDENT ' SPIRITS FOR STATE OF PERSONAL USE vlu0rnrA, COUNTY Ow_ _:._ { _ __ ..c,___..:...c..,.__-'---'~ ~ I, ..._ , being duly sworn, depose and say that I am .the consignee of a certain shipment of ard'e nt spirits, as specified on o.t her side of this form, thi s day depvered to me' hy the Southern Express Company, from 1 ; that l am not a student or minor, and, if a female, I am the head of a family; th at the ardent spirits so received by me , were brought into the State on my writt en order, and that I have not , within th e thirty days previous hereto, received any ardent spirh s of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March IO, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. · ( 7(/? 7. / i!,IY.~!,,..-,h-==--- , 191 l Agent for Southern Express Company. j J ~ �SOUTHERN EXPRESS COMPANY FORM 370-VA. ( lo(·orporated) SPECIAL LIQUO Received at _ _~ ~ - - -- - To - ---'-- - - -- ~~•-'-,------ -Shipp er _ _~ ~ ~ -__.__ /RECORD _ _ __ _ _ Date r, I • l l!)J_ Advn nC"eS to Collec.t \R..( _~ ~Jt. . . ~J q--__,,i---:--_ _ Add COLLECT Uude rchllrge -§ { J RECORD OF NOTICES To Consignee _____~ - - - -- - - - -- - To Shipper _ __ _ _ _ _ _ _ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVXR) �ARDE NT SPIRI TS FOR PERSO NAL USE STA'.rE 01'' VI COUNTY 01''- -- -~ ~ ~- ~ -~ 1 1, , being duly sworn, depose and say that I am th e consign ee of a certiiiu shipme nt of ardent spirits, as specifie d on oth er side of this form, this day deliver ed to me by th e Southe rµ Express Compan y, from _ _ _~ - - -- - - - -- - ; that 1 am not a student or minor , and, if a femal e, I am the head of a family; th at the a rdent spirits so r eceived by me were brough t into t he State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirit s of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisi ons of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that t he ardent spirHs so receive d by me are for my own use , at my own hom e, and th at the said ardent spirits will not be used in violatio n of law . ,&lJ --J / ~ ( A gent for Sop thern Express Com1>auy . �,. SOUTHERN EXPRESS COMPANY FORM 370-VA, ( l.ucorpo rat ed ) SPECIAL LIQUO J Received at _ Consignee r __c:..::....c:..__.:._....:..__ __ ' I _ __ _ _ _ __ Nn.l ~ r 19 1~ Amount / < I Kin d of Ard ent Spirits_.;Lc....,. ,(, _ ___,__-==='----4'------'---'c,----,'-c:::---''----- Way-Bill RE C ORD '""...-T/ ' Date / l Wei oh / 191-/- To _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ Advnnce a to Collect j. lbs. From, _ _ __ _ _ __ _ EXPRESS CHARGES PREPAID COLL EC T Add Unde r c harge Shipper_ L }----''-----'='--.:......:-'----'---'~= ----'-- - -- - - r /} RECORD OF' NOTICES To Consignee _ __ _ _ _ __ __ _ _ _ _ _ _ __ To Ship per _ _ _ __ ___ _______ __ _ AFFIDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. (OVXR) �AFFIDAVIT FOR ARDENT SPIRI T S FOR PERSONAL USE : being duly sworn, depose and say t hat I am :J l, is form , t his day the consignee of a certain shipment bf ardent spirits, s pecified on .o1her side fl.{ that lam not a J.. (1 ,/1 J::..._ delivered to me by the Southern Express Company, fro by me student or minor, and, if a female, I am the head of a family; that the /ardent spirits so rece1 were brought into t he State on my written order, and that I have no t( wifain the t hirty days pre ious hereto, received any ardent spirHs of any kind whatsoever, from any per's on or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or cont rary to law, and t hat t he ardent spirits so received by me are for my own use , at ,,. my own home, and that the said ardent spirits will not be sed in violation of law . \. ) (Jonsi1:nee. - - - - - -- , 191_ . I ,r... I// I I V C I A11ent for Southern Express Uomi,any . �SOUTHERN EXPRES FORM 370•VA. (ln <'o r~ e I SPECIAL LIQU ord, Va. COMPANY "•9!!:t f,,,t RECORD Of" NOTICES To Consi gnee _______ _____~ - - AFFIDAVIT f"OR ARDENT SPIRITS f"OR PERSONAL USE . ( OVER) �SPIRITS FOR PERSONAL USE delivered to me by the Southern Express Company, student or minor, and, if p. femal e, I am the hekd ~ sir:nee. �FORM 3TO•VA , Affidavit No ., _ _ .~/-=!l_,,_____ p ___ Ac1Vftllf' C 8 Coll ect to EXPltESS CHARGES PREPA ID c..___ _ _ WeiohtL'--- - lbs. Add Uucl e r c bar ge RECORD OF NOTICES To Consignee _ _ __ __ _ ________ __ To Shipper _ __ _ _ _ _ _ _ _ _ _ __ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (ovKR) �AFFIDAV I T FOR ARDENT SPIRITS FOR PERSON AL USE / STATE OF Vp wrnrA, ,.... COUNTY 01'---.:::-- - . ---;-:----:--:----'+-.....-: and say that I am 1, - - - -- - - - - - - - - - - - -- - ~ - - , being duly sworn, depose of this form, t his day side other on specified as spirits, ardent of shipment certain a of consignee the / ,,.r ; that l am not a ; from Company, Express Southern the by me to delivered spirits so received by me student or minor, and, if a female, I am the head of a family; that the ardent the thirty days previous within , not have I that and order, written my on State he t into were brought any place whatsoeve r, in from or person any m fro r, whatsoeve hereto, received any ardent spirits of any kind of Virginia, approved Assembly General he t of Act he t of provisions the by allowed ity quant the of excess for my own use , at are me by received so s spirit tlent he March 10, 1916, or cont rary to law, and t hat t my own homo, ond th.t lh• ..,. -.d,nt spidt, wi'J'r x1 in t:"o:JI; wNY , f-;(J/tU :•:~ -f'J---'\;;:~tf (, 9 • · I r:_e,,-.---::-, f~_r:~----::-/ ~---.-~,; • _b~_;;,_::_ : ---:-:-_o _: : :_h:_:r---'r-1/ V / Ai:Mt for Souther11 Exvre s Com I v �FORM 370•VA . SOUT HERN EXPR ESS COM PANY • (lucorpo rate d) SPEC IAL n. Received at _ _ _ _ _ _ _-'---'"-'- - - ~ - - -- Dat., '-''---'- --'--"- ---=-- - JQ l _ ~ ~ ~ - - - - ~ - - --=-- - ' - - Amount a f / 1:__ _.;_;._.i...::c== --- - - - - - ; D A dvnnc c e to Co l lect Affidavit No. 7 Jlo Weio hL/:..____ Jbs. Fr(u.111~_ ~ : ~,;!.l___ __ ~ - - EXP1!1£ S S C HARGE S Add Und c Tc hnrge l ' R E PAID ( RECO RD OF NOT I CES \.., To Consignee ___ ___ ___ ___ ___ __ _ To Shipper _ _ _ ___ ___ ___ __ _ _ _ _ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE . (OVER) �AF-FID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE 8TA'l'E OF VIRGIN IA, COUNTY OF _ _ _ _~_-=:..._ _ ___.__:- /""' I, / , being duly sworf , depose and say th at I am th e consign ee of a certain sh ipment of ,a rdent spirits, as ~pec ifi.ed on other sfde of this form, this day 1 deliver ed to me by the Southe rn Expres s Compan y, from " t '- ( t i / ; t.ha m not a student or minor, and , if a female, I am the h ead of a family; th at the ardent spirits so r eceived by me were brough t into t he State on my written order, and that I have not , within th e thirty days previou s hereto, receive d any ardent spirits of any kind wh'a tsoever , from any person or from any place whatso ever, in excess of the qu antity allowed by the provisio ns of thii Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me are for my own use , at mY. own hom e, and that th e said ardent spirits will not be used in violatio n of law . j {, (Jousiieuee. Exl)r d mpany. �FORM 370• VA. SOUTH ERN EXPRE SS COMPA NY (Inco rpo rate d} SPECIA L LIQUO-;;I RECOR D ~"'-'--:c= "-----'--- ~---'---- _ _ __ _ _ _ _ d( J Hi12 I- Dated Affidavit No I Co nsig nee - - - - -- ~ - - + - - = - ~ - - - - - - - - - -- -,_j____ ____ :.___,___ _ Advnn cc e to Coll ect l!j.l(Plrn:SS CHARGES PREPAID COLLE CT Add Utu1erc barge RECORD OF NOTICE S To Consign ee _____ ____ ____ __ _ __ To Shipper _____ _ ____ __ _ _ _ _ __ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . (OVER) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STA'£E OF VIRGINIA , COUNTY OF- ~ - - - - - ~ - 7 ' - - -~l, I ! depose and say that I am 1, - - -- - - - ~ ~ - -~ ~ ~ - - -- - - - - , being duly sworn, on other sip.e ' f this form, this day the consigne e of a certain shipment of ardent sp irits, as specif!ed l ( • '//71, , <IC: A ro delivered to me by the Soufoern Express Comp~ received by me so spirits ardent the that y; famil a of head the am I , student or minor, and, if a femal e not , within the thirty days previous have . I that and order, w1·itten my on State the into brought were person or from any place whatsoev er, in hereto, received any ardent spirits of any kind whatsoev er, from any Assembly of Virginia, approved excess of the quantity allowed by the provision s of the Act of the General by me are for my own use, at received so spiri1.s ardent the that and law, March 10, 1916, or contrary to law. of my own home, and that the said ardent spirits will not be used in violation Ir ibed before me, ~ Sworn to an (' day o ,-, 1 / Tl V" '--"' I .r f ,19; } . / A~ent for S outhern Express Company . Uonsie:ne.e. �SOUTHERN EXPRESS COMPANY FORM 370•VA. ( Inc orporated) SPECIAL LIQUOR/ RECORD - F ~ - - - -- - + - - - -- -- Date ' _ J 191_ Affidavit N Kind of Ardent Spirits_ ~~-F~ ~~f ~ •-' ~' - - ~ - ~ ~ - Amoun ~_/_l':. _'1_ ~, -~ --+ - -Way-Bill No. / fV Weioht4 -lbs. Date _~r~?~""'~t~ / _{.. __,. ,.,_ . _ _ _ _ 191 • To 27----'\ , - - - - - - - , - - -E- X-.P-R_E_S_S _C_H_ A_R_G _E S - - - , - - - - - - ,~ Advnn<' es to t Coll ~ct f ' Add l'REPA1D COLLECT Ship11er_ --==---=---'--'--:c...z.s ::--='--"'----'--=,,, ----,.-~~- Underc harge ,I RECORD OF NOTICES To Consignee_ _ _ __ ___ _________ To Shipper _ _ _ __ _____ _ __ __ _ _ ~FFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR STATE OF VIRGINIA, /, / 0 COUNTY OF PERSONAL USE ~ / 'j) , being duly sworn, depose and say that I am ' , 1 I, on ot her side of/ this form, this day specified as_ spirits, ardent of shipment certain a of the consignee · ; that' l am not a /", I I delivered to me by the South~rn Exp~ess Company, from student or minor, and, if a femal e, I am the head of a family; that the ard ent spirits so1 received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatso·e ver, frohl any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirit.a so received by me are for my own use , at my own home, and that t he said ardent spirits will not be used in violation of law . efore me , U'l....U:C....::;..c__ _ , ; 191_, / I /~ '" Agent for Southern Ex i : ~va~·· ' �SOUTHERN EXPRESS COMPANY _f ORM 370: VA. (lurorpor.ated) SPECIAL LIQUm Rece ived at.-">-..:;.J.~ .!-'-"-----=---"-'~"-'--- / t RECO - ~ -- - - Da'Z_.,J ( J 19 L:__ Affidavit No.d -----f- __ AdvrW<'C8 W Collect PREPAID COLLECT/ / Add Uude rc bo.rge \V RECORD OF NOTICES To Consign ee _ __ _ _ _ __ ____ _ _ _ _ _ To Shi ppe r _ _ _ __ _ _ _ _ _ _ _ _ __ _ AF.FIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR ; PERSONAL USE STATE OF VIRGINIA, COUNTY OF ~ ' , being duly sworn, depose and say that I am / ~I, the consigne e of a certain shipment of ardent spirits, as specified on other side of th is form, this day I \ , ) / ; , ; that l am not a I delivered to me by the Southern Express Comp~ny, from , student or minor, and, if a female, I am the bead of a family; that the ardent spirits ,so 1· ceived by me were brought into t he State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at aw. ~ my own home, and that the said a_rdent spirits w1 Ze used in violatio, Uousieuee. �SOUTHERN EXPRESS COMPANY FOR M 370•VA. ( lu corpQfated ) Affi davit No. Consignee ~ - ----'~- -----''--- ~ ~ - -~ - -- -- -- - -- - -p+ --- - -- - - - -J..f--_,_~ _ ·- - ~~--+--~-"-:::::.- ----:-~-,..,,_- Amoun t._,-._:.~----;'------ -- Weio hL.___.:__ _ lbs. From ___ _~_ __,/1 '----'._1 _ _ Ad vn n cc s to Coll ect EX PR ES S CH ARG ES l'REPA1D A dd I U nde r c harge RECORD OF NOTICES To Consignee _ _ _ __ _ _ _ _ _ __ __ _ __ To Sh ipp er _ _ _ __ __ _ ___ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVER) �AFFIDAVIT FOR ARDEN T SPIRITS FOR PERSONAL USE I, - -- - - - - -- - -- - - - - -- - - -- , being duly swor)l, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified 1 on other side o this form, this day 1 /; delivered to me by the Sout hern Express Company, from • that l am not a student or minor, and, if a female, I am the head of a family; e ardent spirits eived by me were brought into t he Stat e on my written order, and that I h ave ot, within t he irty days previous hereto, received any ardent spirit s of any kind what soever, from an j person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly f Virginia, approved March 10, 1916, or cont rary t o Jaw, and t hat t he ardent spiri1s so received by me are for my own use, at my own home, and t hat t he said ardent spirits will not be used in violation of law . /) J u Oonsi2ueo. ·; Sworn to and subscr bed lfefore me, this day t''::r--"'----....:::..- , 191_. I-I - -- -- ~ ~ , Acent for Southern Express ompauy. �SOUTH ERN EXPRE SS COMP ANY ( l u corporate d} Affid avit No. To J/-3 - I. Shipper: B ' t..-1..A RECOR D OF NOTICE S To Consign ee _ _ _ _ _ _ ___ ___ ___ __ To Shi pper _ _ _ __ _ _ _ _ _ _ _ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR STATE 0~' COUN'fY PERSONAL USE i V RGINIA, F__,_ _ _ ......._-====--=:...::---=- , bein g duly sworn, .depose and say that I am rr--z.-tl- h . 1, specified as the consignee of a certain shipment of ardent spirits, . on oilier side of this form, this day . __:_./ 1 h · that 1 am not a °rrl deliv.e11ed to me by the Southern Express Company, from ceived by me so splrits ardent the that ; / famil a of he~d the am I female, a if and, student or minor, evio s were brought into the State on my written order, and that " I have no t , within the thirty days i whatsoever, place any from or person any from whatsoever, kind any of s spirit ardent any hereto, received excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or cont rary to law, and that the ardent spiril.s so received by me are for my own use, at my own home, and that t he said ardent spirit s will not be used in violation o·f law. J1 / Sworn to and subs ribel before me, this /C, dayor' ,_/ { J , 191_ , I Ae-ent for Southern Expres~ Comi,any. vr v fr>-n-:i e--11 Consienee. �FORM 370•V A. SOU THE RN EXP RES S COM PAN Y (lucorp ornt.ed ) ,m,~;,,.2$ SPE CIA L LIQ (J' R Consign ee - --"< ~,,., ,,'--- '--"- -',-,. ""--' -..,_ _.,~ ~~., _'-0 .._,_ ___ ___ ___ __ / '---1 --~ ---- --"-- - Wei oht ~I JL lbs. Fro m,..,__ _ -'-- ----"-'- ~ ..,1'-'--' ' '-'-f--=, A<lv:rnc: c s to Coll ect EXPH E S S CHAR GES REC ORD OF" NOT ICES To Consignee _ _ _ __ __ __ __ __ _ _ _~ Add PREP AID U ud e r c hurgo I To Sh ipper _ _ _ __ _ _ _ __ _ __ _ _ _ AF"f" IDAV IT F"OR ARD ENT SP I RITS F"OR PER SON AL USE . (OVER ) �2 , · / 0•! ! ~,•:t,~dt~r AFFIDAV IT FOR ARDENT SPIRITS FOR ) PERSON AL USE STA'J'E OE' V1 ' GINIA, COUNTlY 1 -~~--C~__(l ~ ~-----1-.. .-'L -----~l/L -...~ ~ :~ _,_ /~i ~ !a.~_ - - - - - , being duly sworn, depose an ay that I am other side of this form, this day th e consignee of a certain shipment of ardent spirits, ,k; ~ )J/c, 1 delivered to me by the Southern Express Company, fro ? /,, hat l am not a student or minor, and, if a female, I am the head of a famil / ; that the ardent spirits so r eived by me were brought into the State on my written order, and that I h ave not, within the thirty s previous hereto, received any ardent spirits of any kind whatsoeve r, 'from any person or from any place wh tsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, March 10, 1916, or contrary to law, and that the ardent spiri1.s so received by me a re for my o my own home, and that the said ardent spirits will not be used in violatiou of law. /q,1 I Uonsi2uee. efore me , ~'---- -t:--- , 191/ / 7 I J Al:ent for South: ra ) Efpress Com1>auy. �SOUTHER N EXPRESS COMPANY FORM 370•VA, ( l u('o rpo raLcd} SPECIAL LIQUOR RECO _ _,.,,__ 1!l 'v Rece ived at _ _ _ _ _ _ _~ ~ -- - - - - - Date,--'-/_ _ _ 12 Kind of Ard ent Spirits,_ c,--1----"-- -'--~-~-~ ~ - - - ,~ ~~ ~ - Dat/ c3 f f 't,, Advnnccs to Collect, To -- + - - - - - - ~ ~ - ~ -- - - - - - - EXl'l!ESS CHARGES l'REl'Al D Add Uud e r chnrge J ---'-_,_~--- -----,~-'-~,;o ,.Shipper.-......-~~JC. ..-"'- RECORD OF NOTICES To Consign ee _ _ _ _______ _ __ _ _ __ To Shi pper _ _ _ _ __ _ _ _ __ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER) �FOR ARD ENT SPIR ITS FOR 1, - v"'--"'- "'-----f .-f---= -- =--'--"-J'-'--"" PERS ONA L USE '----'== =----- ---,---, -, being duly sworn , depos e an say that I am specif ied other side of this fdrm, this day ------->;'l'l-r.:'t7 J }J J ; that l am not a stude nt or minor , and, if a femal e, I am the I 7 I head of a famil ; that the arden t spirit s so r ceived by me were broug ht into t he State on my writte n order, and that I have not, within the thirty s previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place wha ever, in exces s of the quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, ap ·oved March 10, 1916, or contra ry to law, and that the arden t spirit.a so receiv ed by me are for my own us , at my owu home , and that t he said arden t spirit s not be used in violat ion of law. will j Oonsie:nee. �FORM 370•VA. ) l!ll _ Consignee - - ----=-'--''- --_e__c'----='-"-...-=-.=c='-'-- - - - - - - -+---=--c,----- - - - -- -- -.t--- Kind of Ardent Spirits, _ _ ~~_.c....~- ~~'-T--' ~~-,.-'-- - Amo un.__ _ _ _ _ _ __ __ Wei ati<-- L - - lbs. Way-Bill Np. ) To , . c~,f ~ ,,v .. ✓ - Advonces t o Collect ~ LvvO EXPRESS CHARGES l 'REPAID COLL EC T ~ J. /c...,J'+ , ; - -'----=- ------~- T- - -- ~ - -- - - Shipper 1 ___:l___:,_IJ c:.;=-_1-,lu )~ i i Add Unde r c harg e I RECORD Of" NOTICES V To Consignee _ _ _ _ _ _ _ _ ___~ - - - - - - To Ship pe r _ _ _ _ _____ _____ ____ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONA L USE. ( OV ER) - �AFFIDAV IT FOR ARDENT ' SPIRITS FOR STA'rE OF VIRGINIA, COUNTYOF _ _~•- Jl PERSON AL USE • ~ -{,--:-c'--'=-;--=-{....,--~ j ,, , · l, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on ol her side of tqJs form, this day · delivered to me by the Southern Express Company, from , I i.! ; that 1 am not a student or minor, and, if a femal e, I am the head of a family ; that the ardent spirits so re eived by me 1 were brought into I.he State on my written order, and that I have not , within the thirty day previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from' _a ny place what s ever, in excess of the quantity allowed by th e provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiril.s so received by me are for my own use, at my own home, and that t he said ardent spirits will ot be ut ~n violation of law . '~ I ~ ~irl!Po/~ I A!lent for Southern Exvre ~~ omi,any . � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 08 Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Island Ford in Rockingham County Virginia for personal use. Subject The topic of the resource affidavits ardent spirits personal use island ford virginia Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Date A point or period of time associated with an event in the lifecycle of the resource 1917 Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (<a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a>) Identifier An unambiguous reference to the resource within a given context RcPr-box11-003 Format The file format, physical medium, or dimensions of the resource PDF Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Spatial Coverage Spatial characteristics of the resource. Island Ford, Virginia https://omeka.lib.jmu.edu/erp/files/original/5e416830b055187760b0309e03066519.pdf 1994dd931738c132d77f20f4a44d99d0 PDF Text Text DELIV ERY FORM 60 ADA MS EXPR ESS COM P ANY SPEC IAL LIQU OR RECO RD /, - - ~ - ~ - -- 191 _ / Cons ignee _ -----'--'----------:.,_ ---''-'F ~-'-'-~--"-- --'c-:- z----- '-----' ----"-- Affidavit No. _ _ __ '-c;--- --.,c--:--::-- -:--- '---- ----- -- ~ ~ ~ - -~ -.--'- '~- .........,._-A mou nt-----./~ ~ ~ - - -- Weig ht~~ - -lbs. Advan ces to Collec t I RECO RD OF NOTI CES To Co nsign ee _ _ _ __ _ _ _ _ _ _ _ _ __ ' EXPR ESS CHARGES PREP AID COLL ECT I To Shi pper AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE. ( OVER ) ~- , Add Under charge - I �~-----~~---------------~---- --~-ARDENT SPIRITS FOR PERSONA L USE I ,I / I, - - - - - - ~ - - - - - - ~ - - - ~ - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day ~ delivered to me by the Adams Express Company, from :' _I , ; that I am, riot a - student or minor, and, if a female, I am the head of a family; that the ardent spirits so receive me were brought into the State on my written order, a1,d that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever , from any person or from any place whaJso1 ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. . A g ent for Adams E x pre ss Comoany. - �ADAMS EXPRESS COMPANY SPECIAL LIQUOR RECORD ,I - - ---==-:-:----:;- -;----- - , - - - - -Date~- ----r_ ,, _ ____ 19;2- Affidavit No. _ # _ __ Consignee _ :s,,,____,_---''----,- -"-~~- -""'"''--·+.-L ,-C~~,"---"c----'C......~L"----- ~ -- - - - - - --Way-B·ill No· - / ~ -~-"-- To_-'--- - - - ' -~~~r(a.--+--~- --Shi pper Ad vances to Collect Add Unde rcha r g e ....,,__,r:.--i'-'--,c.......,--1.r.....,__=:;;_, 1-,;e;c:~=..;..:'- -,,-'-- RECORD OF NOTICES To Consignee _ _ _ _____ _____ __ _ To Shipper _ _ _ _ _ __ _ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVER ) �,-.- · --------- -----------.-- --------- -------- --------- -----AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF V1Rf'.}1'1A, L!"-"//c___ ,L_=:.::.....::.....=.. / COUNTY OF-,,/'--"- , being duly sworn, depose and say that I am . . I, the consignee of a certain shipment ofoirdent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company, from _ _ _ _ _ _ _ _ _ _ _ ; that I ar;n not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into the State on my written orde r, atld that I have not, within the thirty days previous h ereto, received any ardent spirits of any k ind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by t he provisions of the Act of the General Assembly of Virg inia, approved March 10, 1916, or contrary to law, and that the ar dent spirits so r eceived by me ar e for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. 0 _- ( I Consignee. Sworn to and subscribed befor.e me, thisL day of ;lu I / ' ~ A gent for Adams E xpress Company. �----------------------------------------- -·- --- --- --- --ADAM S EXPRE SS COMP ANY D EL I V E R Y F ORM 60 I ,.., C onsign ee __~ - - ~ ; . , - - - - ' - - - ' ~ - - ..- ,_ Date,:;.,,=--,L----,.-'.,....,...,'---c--19 1 / ' · Affid,avit No. ! =-------- - - - -- - ; --.-,---- r--'-c,... ..,/-,,-~. ._•_-'r<-c-✓ ~ ..-'""....-~:\.:....,.....,,- I :t-:":_.=_. ,mou nt _ _~_ _.....,.·- •~ We igh t _;::'_,_ , _ l bs. l<ind 9f Arden t Spiri ts _ __,..~-o-=--i-.~=-;;r-c,..,...__,,.....:~ Way-B i!l , No. _ __,c.......---=---- - To _, / .,, • ._.,_ Advanc es to Collect i RECOR D OF N O TICE S _ To Con si!}l'lee ___ ___ ___ ___ ___ EXPRE S ):'REPAID CHARG ES To Shi pper _ _ _ _ _ _ _ _ _ __ _ _ _ __ PE R SONAL USE. A FFIDAV IT FOR ARDEN T SPIRIT S FOR (OVEK) �( AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF ':IR~INI~, ( ; , • .•.I COUNTY OF, , ..: ( /', . .f . f"i·', .... . · ·· ' · · , • · ·· - 1~,~eing duly sworn, depose and say that I am •. ·• ' I, of this form, this day of ard~n·t~p~ra!I"specified on other/side shipment certain a the consi~~e ' t:r ~ ~ delivered to me by the Adams Express Company, from ;- , / .....,;. • -,.,<.· 9 • .,. ,. ~- ,> i, that I •am m1t a student or minor, and, if a female, I am the head of a famiJy ; that the aroeht !1pitits-s'lS~_e.~i-ved\fur me were brought into the State on my written order, and that I have not, witrufi the thirty days pre,:"ioushereto, received any ardent spirits of any kind whatsoever, from any persoo or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. \ Sworn to and subscribed before me, ., ' �ADAMS EXPRESS COMP ANY OEL !VERY FORM 6 0 Received- .., ..,...--===::....:::..:....=:.c:._-~;__~- -- Consig nee _ _----,--__:.'----'--- _:__--'--_LL--:+--=-:.=--'::..._--,-- 4~,'---------- ,--,.......,~- ---,------ --- - ,.,,,. - ---=---=----=-----"--': ....:..-~~-- '----- To _ _~ PREPAID I Shipper RE COR D OF" NOTI CES T o Co ns ignee _ _ _ _ _ _ _____ _ _ _ __ / T o Shippe r _ _ _ _ _ __ _ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( O VER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF v15m~u, COUNTY OF-,i-~-+--e-'-- - -=-'-- . - - - / '" I, - - -- -----'------ '----'--..____ , being duly sworn, depose and say that I am the consigne'e of a ce!"tain shipment of ardent spirits, as specified on other side of this form, this day ;,.,that_ am not a n I . delivered to me by the Adams Express Company, from , student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are fo r my own use, at my own home, and that the said ) ; dent s irits will not be used in iolation of law. (l (!_ U, ( l }ll,€,) 1 ttl I Consig nee. Sworn to and subscribed before me, tbis_ _ day of--'.....:-:==-~- , 191T . I Agent for Adams Express Company. �ADA MS EXPR ESS COMPANY To '; Ship per -:,:_;}..-4--- '---'- =~__ ._--"""-------""' --','--" - f_"'_.' ,__ RECO RD OF NOT1 c i: s 1 Advan ces to Collec t I ' ~..: ., :// ; ~- ~- -~ --~ -~ --~ -~ ~- ~- ~ To Co nsign ee _ _ _ _•·_ _ ___ ___ ___ _ To Sh ippe r · AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE. ( OVER ) l �___ _______________ ___ ____________________________________, ___,.. AFFID AVIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE STATE OF VII>f! COUNT Y OF+(_, -:,,_ _ __ _ ___,,.....,,.. J_ ,✓ 'J' I, " ', being duly sworn, depose and say that I am the consign ee of a certain shipme nt of ardent spirits, as ~.ge_9ffied on Q,ther ,;tide1'f> this.ff;lrm, Jl)is day deliver ed to me by the Adams Expres s Compa ny, from ?Jf "1"' ~~ · , __✓,-.,.,<-/4!/~t a studen t or minor, and, if a female , I am the head of a family ; thlttiie a:rden t spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previous hereto, receive d any ar dent spirits of any kind whatso ever, from any person or from any place wh1J,tsoev_e r, in excess of the quantit y allowed by the provisi ons of the Act of t he Genera l Assem bly of Virgini a, approv ed March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me are for my own use, at my own home, and that the said ardent spirits will not be used in violati of law. ,, , °I I _:.,. ( ,, ;, '. 'i ,~.;, il,fl -~- ·'(Ir"'."~ , .. "'l < & / f Consigne e. l A gent for Adams Express Company . �ADAMS EXPRESS COMP ANY LI QUOR RE.C OR D SPECIAL , Received_ _ _ _~-'----=------=--:..:.....-'-- - -- -C onsign ee _ _+-- -- --,--rc-- - --==--i==--------,--'-- -f-- ---'---'-----=:--:--;--".:a...--..,..,....~ - - - - -- - ~ - - 1.bs. W ay-Bill No. _ -c-:---:-c==,-,--To ' /1 A dvances to Collect / E XPRESS CHARGES PREPAID Add U nd e rch a r ge RECO RD OF N O TICES To Consignee T o Ship per _______ _ ________ A F FIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVER) �--------- -------- -- -AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY OF _,,,_ J _ __ _I~ f./· 1/ /_/_ __ I ,I ,, I, I , 1 ,· / , oein~ d uly sworn, depose and say that I am the consigni e of a certain shipment of ardent spirits, as specified on other side of this form, this day J delivered to me by the Adams Express Company, from ; ./ 1 ( that I am· not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and tha t I have not, within the thirty days previous hereto, received any ard en t spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me are for my own use, at my own home, and that the said ardent spirits will not be u sed in violation of law. Sworn to and subscribed before me, this _ _ day of_ _ _~ ~•• 191___,(. ~ I / A gent for Adams Express Company. �- ---- · -- - - - - -- --- - -- --- ---- ---- - -- - --- --DEL I VERY FORM 60 ADAMS EXPRESS COMP ANY SPECIA L LIQUOR R::::co D --+-.......,,;;,,,...-.,...:....-=-'-'--=--- - -- -Date _: _-+---- ,,.,_-- 191_ Affidavit No.- - b - - S~ipper REC OR D OF' NOTICE S To Consign ee ____ ____ _____ ____ To Shipper AF'FIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. ( OVER ) �AFFIDA VIT FOR ARDENT SPIRITS FOR PERSON AL USE STATE OF VIRGINIA , COUNTY OF----:-:----::: - - ~---.=:c-:- ---=.7.A I, "-------"----- ~~- -',,- - ---"--- ---.:... ----, being duly sworn, depose and say that I am the consigne e of a certain shipmen t of ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company , f r o m - - - - - - - - ~ - - ; that1 am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and tha t I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or f rom any place whatsoever, in excess of the quantity allowed by the provision s of the Act of the General Assembl y of Virg inia, approved March 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me ar e fo r my own use, at my own home, and that the said ardent spirits wilLnot be used in.Niolati on of law. Consignee. A gent for Adams Expres s ComDany. �ADAMS EXPRESS DELIVERY FORM 60 COMPANY SPECIAL LIQUOR RECORD Received _ _ _-----::--=--==;-;:c....;~';--=--=+~ ~ ~- - - --"--- ~- -- 191 _ Affidavit No. _ _/_ __ Consignee _ _~ - - - ~---=--- ~ -------::~- ~------.------, ,-:~-----:;;e-- -------- - -- Advances to Collect I E XPRESS CHARGES PREPAID COLLECT I RECORD OF NOTIC ES To Consignee _ ________ _______ To Shipp er AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVER ) I Add Undercharge I �- --- --~-- ----- - -- - - - ·--··· ------- ------ -- AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE , 'being duly sworn, depose and say that I am .... I, this form, this day the consignee of a certain shipment of ardent spirits, as specified on other side of _,/ that I a m not a delivered to me by the Adams Express Company, from----'" -------...., __ _ _.__~; received by me so spirits ardent the that family; a of head the am I female, a if student or minor, and, days previous thirty the within not, have I were brought into the State on my written order, and that whatsoplace any from or person any from er, whatsoev kind any of spirits ardent hereto, received any ofVirg.foi a, ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly by me are for approved March 10, 1916, or contrary to -law, and that the ardent spirits so received of law. violation in used be not will spirits my own use, at my own home, and that the said ardent \ Conei~nee. Sworn to a d subscribe d before me, rt. "'---"~- , 191...:J. thi!<_J_day of_ ...==c(, I A g ent for Adams Express Company. �~----- -------------ADAMS DELIVERY FORM 60 . EXPRESS { OMPA!ff Reoeived_'-'----"-=-::::,;c..:=_~-==-'-="'-'-_:__::::..___.:c-'----"--Date_~~- - - - -191_ Affidavit No,_1_ __ _ Consignee _ _ _ _---.::-r------=--::c----cc--::-;::--;----::::::=-- -- -- / -----=--:-:----:------ - -- -- - - ~--~ ~ -~ - ~~~~- - ~moun t _~/_ _ _ _ __ Weigh ~ ___ Jbs. Way-Bill No. -+---~ - -- - To _~___________=--:"- -- - - - Advances to · Collect EXPRESS CHARGES PREPAII) COLLECT Add Underc ha r ge Shipper I I RECORD OF NOTICES To Consignee _ _______________ _ To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER) I I �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINIA, COUNTY OF _ _ _ __ _ _ _ __ I, - -- - - - -- - - - -- - - - - - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company, f r o m - ~ - - - - - - - - - - ; that I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into the State on my written order, and t hat I have not, within t he thir ty days pre¥ious h ereto, received any ardent 2pirits of any kind whatsoever, from any person or from any place wh at soever, in excess of the quantity allowed by the provisions of the Act of the Gener al Assembly of Virginia, approved March 10, 1916, or contrar y to law, and that t he ardent spirits so r eceived by me a re for my own use, at my own home, and that the sa~ t spirits w~ll not be used in violation of law. Consignee. Sworn to and subscribed before me, tb;;;l-c dfy of ~ {~ Z7 / ' 91 ' J. . I A g ent for Adams E x press Company. �l bs. Add U ndercharge Sh i pper RECORD OF NOTIC ES To Consignee _ ______ _____ _ __ _ To Shi ppe r _ _ _ _ _ _ _ __ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRG NIA, i I , - -- -f----COUNTY OF-.-- ' ,_ f I --"-- - , being duly sworn, depose and say that I am _,t,_,. I, . the consignee of a certain shipment of a rdent spirits, as s ' cified on ot r side of this fo:r.w, this day /_,-,f~ ; r:. '/_,.;.- '"':, •'/'. ~ at I am not a ,!: ,.,, · · ' ' 't,- ,'-,; delivered to me by the Adams Express Company, from 1 student or m inor, and, if a f ema,le, I am the head of a family ;{ hat the ardent spirits so received.by me were broug ht into the State on my w ri tten order, a11d that I have not, within the thirty days previous hereto, received any ar dent spirits of any k ind whatsoever, from any p er son or from any place wh11tsoever, in ex cess of the quantity allowed by the provisions of the A ct of the General Assembly of Virginia, approved March 10,' 1916, or contrary to law, and t~at t he ardent s pirits so re ceived by me are fo r my own use, at my own home, and tha t the said ar~ t spirits will not be used in violation of law. . , /,; // · ;. '_. . · ~· ;_ ,,.., -;, · l_ /,, I . / .!,/ . . Consignee. J A g en t for Ada m s Express Company. �~-- --~-- --- ---- --- ----- --- -DEL I VERY FORM 60 ADAMS EXPRES S COMP ANY SPECIA L LIQUOR RECORD Add Under ch a r ge R ECO RD OF NOTICE S To C on signee _ _ _ _ _ __ ____ _ _ _ __ To Shipper AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE, ( OVE R ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF / /1 Vr~~L\~-') 1 :• COUNTY OF ~ , J , .' '- , ~ ~ , ~ ~ I, ' , , < ,,- r ,. , being duly sworn, depose and say that I am the consig'iiee o a cert ·m sh ment of ar'dents\,w-.its-, as specified on other side of this form, this day 1 delivered to me by the Adams Express Company, from ~ ; that I arh not a student or minor, and, if a female, I am the head of a fanfify; thftfiiearde ~pirl\:s so received by me were brought into the State on my written order, and tha t I have not, within the thirty days previous hereto, received any ard ent spirits of any kind whatsoever, from any person or from any place wh.at soever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved Mar ch 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. ?f's' . 4':::t;t <- , ; Sworn to and subscribed before me, ,/ -✓.: ,,~ thi~day of pi;,':,, 19L'/' i , , -'f=(f /,-- I,__..,._ -- " -{l- f~_,T ~ k ~ ~-Comuany, :;...- I .A l ~ ;" /r .. / ~ 'l ' i '.,, '- . .,, -~1· l,,,KlI : •,•- . . Consignee. �------- ----------------------- - - - - ~- - _ ,._.._. _____ - ----- -- - ---- ---- ---- ---- ----. COMP ANY ADAMS EXPRES S DEL I VERY FORM 60 SPECIAL LIQUOR RECORD Way-Bil l No. _ _ _ __ __ To _ _ _ _ _ Advances to __:...__.:::__..:_ __:c:....: :...~~---+ ~-- Co11ect EXPRESS CHARGES PREPAID COLLECT S hipper - -- - - ~ -- - - - - - - RE CORD OF N OT I CES T o Consigne e ____ ____ ____ ____ To Shipper USE. AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL ( OVER } Add UndeTc harg e �I, - - -~ - - - +------,-'~--- ,c-'-------- --, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as s ecified on other side of thi , form, this day . Adams Express ~ I a m not delivered to me by the Company, from l 1 '". r , tli a student or minor, and, if a femal e, I am the head of a family; t hat the ardent 1rits so ceived by me were brought into the State on my written order, a nd th a t I have not, withi the thirty days previous h ereto, received any ardent spirits of any kind whatsoever, from any person or from any place wh.atsoever, in excess of t he quantity allowed by the provisions of t he Act of the General Assembly of Virg inia, approved March 10, 1916, or contrary to la w, and that the ardent spirits so r eceived by m e are for my own use, at my own home, and that the said ardent spirits will not be u sed in violation of law. I Sworn to and subscribed before me, A g ent for Adams Expre ss Comoany. ·~ -- Consignee. �- - --·- - -- - ---- --~--- --- - - - -- --- ------ ---- ---- ADAMS EXPRESS COMPANY COLLECT REC ORD OF NOTICES T o C onsignee ________ ___ _ __ _ __ To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVER ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I I, _ .,._:,__ _,--,_ _ __.__:::c..._-=:..__..c....;:..__~ ~ - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express Company, from--~ ---'------ ---; that I am not a student or minor, and, if a female, I am the head of a family ; t hat the ardent spirits so received. by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from a ny place whatsoever , in excess of the quantity allowed by the provisions of the Act of the General Asse mbly of Virg inia, approved March 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation· of law. Sworn to and subscribed before me, this+ day of_ _ --,,__ / A gent f or Adams Express Compan y. Consignee. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 09 Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Keezletown in Rockingham County Virginia for personal use. Subject The topic of the resource affidavits ardent spirits personal use keezletown virginia Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Date A point or period of time associated with an event in the lifecycle of the resource 1917 Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (<a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a>) Identifier An unambiguous reference to the resource within a given context RcPr-box11-004 Format The file format, physical medium, or dimensions of the resource PDF Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Spatial Coverage Spatial characteristics of the resource. Keezletown, Virginia https://omeka.lib.jmu.edu/erp/files/original/c3bd5f1a5170a4edb5aa19a4b09f393f.pdf 5ff095a53fec0fc136a5963dfeb18a74 PDF Text Text DELIVE RY FORM 80 R&Vl91ED JUI.Y, 1917 ADAM S EXPR ESS COMP ANY To-~. K.::l~ ~:::!.. --d::u .&:1~ L&~- !L Shipper -1~.d:' .'-~Z:: .k.:.c~ ~~F:£: :.,_L.. 1:.,q. P.O. Address To Consignee To Shippe r (OVBB) �·t/Z~ STATEOFV~ CO<JNTY O F ~ I,--....J~~:::'.L~-~~~::::::J6':::::~1...t.,::::::_~::::::::__, being duly sworn, depose and say that I am the consignee of a certain shigment ardent spirits, a~1ecified ~n other side of this form, this day _,a, ~fh~ at t=ts; i~ delivered to me by the Adams Express Company, frorrl/ ~ I am not a student or minor, and, if a female, I am the head of a family ; that received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me /-tt!.-,~ are to be used by me for Sworn to Md ,ub~db this //J /,,.. day IB<omws,u...,~s-••• 0 ~11,A,ff?~ - . •~•~ · purposes. ~~,? 5 �DELIVERY FORM 60 REVISED JULY, 1917 ADAMS EXPRESS COMPANY IAL LIQUOR RECORD -\-,j~=~ ".!.-,,,b...J~ ~:JL~//_~t~.!:: a 191/- Affidavit No._2__ P. 0. Address---,~- - - - - - - -- Consignee To Consignee I To Shipper ______________ _ (OVER) �I,--~~~-f/---t,,~~k: :'.'.:t__~Jl-~~~(.!d. ~1,44 _being the consi duly sworn, depose and say that I am of a certain shigment of ardent spirits, as SP, ·fied on other side of this form, this day delivered to me by the Adams Express Company, fro\9<~~=~::!..i~~ ~:.d::~~:_ a student or minor, and, if a female, I am the head of a family; that the ard were brought into the State on my written order, and that I have not, wi in the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Vir. ginia, approved March ~o. 1916, o r ~ ~ law~and:: the ardent spirits so received by me are to be used by me for g , ~ (State whether for Scientific, Sacramental, Medicinal or Mechanical) Sworn to and subscribed before me, this I / :?J day oJ/,p,u, , 191 purposes. �Delive ry Form BO AdTaue ee to Collecl RECO RD OF NOTI CES To Cons ignee _ _ _ _ _ _ _ __ _ _ _ To Shipp er ittfAFFID AVIT FOR ARDIC NT 8P"IR ITS FOR PICR8 ONAL ...U81 C, (0'"8) �--,.. . STATE OF COUNTY . ,; ... ~.it AFFIDAVIT FOR• fRDENT SPIRITS FOR PERSONAL USE. Vrn~ ->f-~ OF...._ruta:=-tr--"'::::--.___,,,,_....-"'_~_ I, ~ -·. ~ , being duly sworn, depose and say that I am the ~ gne~,9f a certain shipment of ardent spiri1t; ;.;l.!~~c~fi:dA ~na:the:.t ~i~~m, this day delivere,~in e by the Adams Express Company, f r ~ :.t/4.; ~ I am not a student or minor, and, if a female, I am the head of a family; thatthearden tspiritssorec eivedbyme were brought into the State on my written order, and that I have not, within t he thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 191(;, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ·: ? : ~ o t b ~ n Sworn to and subscribed before me, thit2..lf--day of-+-""<lo'-C-...a:.- ~ · '-Couigneo �DEL I VERY FORM 60 ADAMS EXPRESS COMP ANY To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVEK} �AFFIDA~IT FOR ARDENT SPIR ITS FOR PERSONAL USE I, the consignee of ... , being duly sworn, depose and say'that I am ertain shipment of ardent spirits, as ~ s i d e of this form, this day deliver ed to me by the Adams Express Company, from _ ~ ~ at I am not a student or minor, and, if a female, I am the head of a family; that the ard ~irits so received by me wer e brought int~ the State on my wr'itten order, and that I have not, within the thirty days previous hereto, received any ard~nt spirits of any kind whatsoever, f rom any person or from any place whatsoever, in excess of the quantity allowed by the provisions of t he Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirit will not be used in violation of law. Consignee. Sworn to and subscribed before me, -f=?"'_J£_c:---=-=, 191~. �Oelive ry Form 60 ADAl\'IS EXPRES S COMPA NY RECORD OF" NOTICES To Consignee _ _ __ __ _ _ _ _ __ To Shipper AF"F"IDAVIT F"OR ARDENT SPIRITS F"OR PERSONAL USE , - (OVIB) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. 1,-----"-="----"'::C......:=--=-----+ '::....::::......_ the consignee of a certain shipment of ard t spirits delivered to me by the Adams Express Company, (J:flf6:£~~:1.../4~~"4c~C..~ ~ltit I am not a student or minor, and, if a female, I am the head of a family; that the a tspiritssoreceivedbyme were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 191(;, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will_;1~e used in violation of law. ·this..a;y of ~- . ~cJ?o~- Sworn to and subs~d before me, r~.,/f._ , 191_,L- . ~ ~ �To Shipp er AFFID AVIT FOR ARDIE NT SPIRIT S FOR PERSO NAL USIE. , ,; \ (Offa) . ........;~-_. . .. �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. . , · . STATEOF~V CoUNTY OFt-t-......,-"-7..-=--L..=...;:;;....o.....,~- ~ • being d~y iwom, depose I, the consignee of a certain shipment ·of ardent spirits, delivered t.o me by the Adams Express Company, student or minor, and, if a female, I am the head of a family; that the were brought int.o the State on mywritten order, and that I have not, thin the thirty days previous heret.o, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 191(;, or con_trary t.o law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. �Delive ry F orm 60 AD AM S EX PR ES S CO MP AN Y Affid avit No, RECO RD OF NOTI CES To Cons ignee • To Ship per AFFI DAVI T FOR ARDE NT SPIR ITS FOR PERS ONAL USE, - '· _.. ,.. _...~ (OYa l -:ft(,,) �AFFIDA VIT FOR ARl;>E NT SPIRIT S FOR PERSO NAL USE. COUNTY OF 1, and say that I am the consignee of a certain shipmen f ardent spirits, this form, this day delivered t.o me by the Adams Express Company, fp(j~l1:1_:..d,&J,,~c;).f.~ ~~~~ ~; that I am not a student or minor, and, if a female, I am the bead of a family; that the entspir itssorec eivedby me were brough t int.o the State on my written order, and that I have not, within the thirty days previous heret.o, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1911\, or contrar y t.o law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ard=t : : wiJlfot be used in violation of law. qi 4 , / / k ~ �AMS EXPR ESS COM PANY .u ~ SPECIA L LIQUOR RECOR D ·dA~~~~~~~L__Date \ 191.,L Affidavit No. .ORD OF NOTICE S ,'g'Consign ee ' ToShlpp er AFFIDAV IT FOR ARDENT SPIRlTS FOR PERSON AL USE, ~,e �AFFID AVIT FOR ARDE NT SPIRI TS FOR PEASO NAL USE. C.0UNTY OF:-,: :f-:;,.:;:_L-!~~r~!::::-c.--- -- J, _ _ _~-,IJ'--= -_...c... __ __,;;;..__ _ _ __ _ being duly ·sworn, depose and say that I am cified on othe side of ~ {orm, this_day the consignee o a certain shipme nt of ardent spirits, as delivered to me by the Adams Expres s Company, fro 1 ~ t I am not a studen t or minor, and, if a female, I am the head of a family; thatthe arden iritseo receive dbyme were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrar y to law, and that the ardent spirits eo received by me are for my own use, at my .own home, and tbat tbe said ardent spirits will not be used in violation of law. ·• Sworn to and subscribed bt!forc,; me. tbi~ da1 _0 , V - • 19 , .• . 4V ~~~~d< ,f , , CouitrMe �Deflvery Form 80 CIAL LIQUOR RECORD 1,tL~~~~~ ~2f...__oa te U - ,fl.;2. 19~ Affidavit . No. Add PUPilD RECORD OF NOTICES To Consignee To Shipper • AFFIDAVIT FOR ARDENT 8191RITS F'OR 19ERSONAL USE. (OffB) Undercbarse �AFFIDAVIT FOR AR l? ENT SPIRITS FOR PEPISONAL U S E . "!!!hf:2 ";,,';;.°'.. 1.1~ , being ·duly sworn. depose and say that I am the consignee of a certain shipment of ardent spirits, delivered t.o me by the Adams Express Company, f~q,.L~:k::=~..aiu,..,.i:.::::::~~ student or minor, and, if a female, I am the bead ofa amily; thattheardent irit.ssoreceivedbyme were brought into the State on mywritten order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 191£>, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ~en~irits will not be use!f in violation of law . .rb ~ . ., Sworn to and s u b s c ~ore me, tbis.2.2da1 of Jr, . 191 �Dellvery Form 60 ADAMS EXPRESS COMPANY Affidavit l'lo. PRRPAID To Shi pper _ AFFIDAVIT FOR ARDENT SPIRITS FO R ~,.ERSO t:IA_L .. (Oil!lll.l us;: . �AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. STATE OF CoUNTY I ot\...~!'. !::z~~~~ fP'.:.,Z." '7-,.,,. I,--!u~....:,IIE::;.L......£:::::lii!....:~41:::::::!!!:::!:::::~:......... being duly sworn, depose and say that I am the consignee of a; rtain shipm of a r d e n t ~ ~ side f • fo delivered t.o me by the Adams Express Comp , _ _.,..,..._ _ ; o student or minor,-811d, if a female, I am the bead of a family; that the tspiritsso receivedb yme were brought int.o the State onmywri tten order, andthat I have not, within thethirtyd aysprevio us heret.o, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent sp" · • used in violation of law• 0 ........~.. ....-:;::tr,-:-·~,t . tia r.& ..~ �AD AM S EX PR ES S CO M~ AM Y. u ~-~,,._. SPE CIAL LIQU OR REC ORD Date , _.. " !.i_l PRBP.&.lD RECO RD OF" NOTI CES To Cons ignee _ _ _ _ _ _ _ _ _ _ __ To Ship per AFFI DAVI T FOR ARDE NT SPIR ITS FOR PERS ONAL USE. (O\'IB ) Add Umlerc barse �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PEf lSO NAL USE . :~~ ., .~-- and say that I am this form, this day . delivered to me by the Ada ms Expr ess Company, .a.ni ,-.a,. ~:u,.1 .a.,_. 1..u. i,q~.. ..::~ ; that I am not a stud ent or miner, and, if a female, I am the head of.a family; that the ntsp irits sore ceiv edby me were brou ght into the Stat e on my writ ten order, and that I have not, within the thirt y days previous here to, received any arde nt spiri ts of any kind whatsoever, from any person or from ever , in exce ss of the quan tity allowed anyp lace wha tsoby the provisions of the Act of the Gene ral Assembly of Virginia, approved March 10, 191fi, or cont rary to law, and that the arde nt spiri ts so recei my own use, at my own home, and that ved by me are for the said arde nt ~ t s will not be used in violation of law. •. I rlL~ • t/unt \.CuaalsDN �--- ---------- ~---- ~~- ---- --- ---- --- --- --- -------,. . •. ADAMS EX PRESS COMPANY 19~ Affidavi t No. R ECORD. OF NO ~ . A To Consign ee ~~ ...) • ~·.l,To Shipper AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . (OVEII) a:£ �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATEOFV~ COUNTY OF-H------1---.-.=--+---'=" ~ - I, , being duly sworn, depose and say that I a m the consignee of a cer~ain shipment of ardent spirits, ~ citied on _o ther side of this form, this day delivered t o me by the Adams Express Company, fro ~~ - ~/ hat I am not a student or minor , and, if a female, I am t he head of a family; that the ardent spiri ts so received by me w ere brought into t he Sta te on my written order, and tha t I have not, within the thirty days previous hereto, received any arden t spirits of a ny k ind whatsoever, from any per son or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of t he General Assembly of Virg inia, approved March 10, 1916, or con tr ary to la w, a nd tha t the ardent spirits so re ceived by me a re for my own use, at my own home, and that the said ardent spirits will not be u sed in violation of law. ,M 7 / 2 ~ ~ "- , Consignee. �Del lver i, For m 8 0 - To -i,'t:: ::. .~~ ~~ :;= .., !:: ~~ ~.. .E ._~ ::: ::_-1 Sh ipp er ~ .J,.~::?:::!:::t:_ J~ ~ ~ ~=--~ ::,: :== r Add Underch arce RE CO RD OF NO TIC ES To Co nsi gne e _ _ __ _ _ _ _ _ _ _ __ _ To Sh ipp er AF FID AV IT FO R AR DE NT SP IRI T& FO R PE RS ON AL US E. �AFFID AVIT FOR ARDE NT SPIR ITS FOR PEfllS ONAL USE. ·: :. :: ,V •~ 1. L _ · , being. duly sworn, depose and say that I am the consign4r3 of a certain shipm ent of ardent spirits , as specified on other side of this form, this day delivered to me by the Adam s Expre ss Company, from C-- .--f~ ~ t I am not a studen t or minor, and, if u female, I am the head ofafam ily; thatth eaiden tspirit ssorec eivedb yme were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , received any ardent spirits of any kind whatsoever, from any person or from any place whats oever, in excess of the quanti ty allowed by the provisions of the Act of the General Assembly of Virginia, approv ed March 10, 1911>, or contra ry to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be ~d in violation of ~aw. ~ Sworn to and subscribed before me, c, d evr.,L fb;,/i~~or Adams ExPN nCom ~ 41 a-is - �~ Delivery Fe ~"' / \ / f J{[?,g~ Received Consign) Kind of I .., w,,-~ To_ -;(~ ;_.; y ~~ Shipp• --, - REC( ToC ,.,,.,I ~ _lbs. -o ~ 'I t. . '· .,.. ,,. ~- ... / -I' J ,;_ �&PU il.TS FOR P AFF IDA (IIT FOR ARD ENT STA TE OF NAL USE . V -~~ in:' CoQNTY o~~ dr:. ....J ~r/ G-H . r side of this form, this day of arde nt sp iri ~f ted on othe t ship ain cert a of e igne cons t.be ""4 ~ t I am not a Company, delivered t.o me by the Adams Exp reu the head of a fami ly; tha tth~ irit sso rec eiv edb ym e am stud ent or minor, and, if a female, I the thir ty days previous ten order, and that I have not, within writ my on e Stat the from any place whatsowere brou ght int.o or on pers any any kind whatsoever, from of its spir nt arde any ived rece to, here eral Assembly of Virginia, by the provisions of the Act of the Gen received by me are for ever, in exceBB of the quan tity allowed so spir" nt t.o law, and that the arde approved' March 10, 1916, or cont rary be 'Wl8d in violation of law. ~ts the said · t.bat and ' ho" own my my own use, at ~~~4a~ sL t.o ~ BUbscri.£i before me, ?~ Cj) ~ ; ~ ~•w9 • -~~ ~ �Delivery F orm 80 ADAMS EXP..RESS COMPANY Affidavit No. RECORD Of' NOTICES -To Consignee _ _ _ __ To Shipper ·, . Af'f'IDAVIT FOR ARDENT SPIRITS f'OR PERSONAL UBE. (OffB) 60 ~ �~------- AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. CoUNTY OF 1,--~~~~-'tfl::l!!:::::~4.r.:::za:::::.., the consi~ee of a certain shipment of dent spiri rm, th~"s da am n • delivered t.o me by the Adams Express Company, ttheardentspiritsso receivedb e student or minor, and, if a female, I am the head of a family; were brought int.o the State on mywritten order, and that I h e not., within the thirty days pr ious hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1911\, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said d t sp· · will not in violati ·¢ law. , s/: J ,~_.,,p to~•~- Swom . this-2::day of m,, , 191-7-- - - ~~ �ADAMS EXPRESS COMPANY Affidavit No....;;CJ_CJ _____ RECORD OF NOTICES To Consignee To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE, (0'\'IB) �AFFI DAV IT FOR ARD ENT SPI RITS FOR PEPI S ONA L USE. I, being duly ·swom , depose and say that 1 am arden t spi~its, ~ i f i J I ~ other ~of this form, this day delivered to me by the Adam s Expre ss Company, fro ~M ddd dJL ,/z, , that I am not a stude nt or minor, and, if a female, I am the head ofafa mily; thatth earde ntspi ritsso recei vedb yme were broug ht into the State on my writt en order , and that I have not, within the thirty days previ ous hereto, received any arden t spirit s of any kind whats oever, from any person or from any place whats oever, in exces s of the quant ity allowed by the provi sions of the Act of the General Assembly of Virgi nia. approved March 10, 1916, or contr ary to law, and that the arden t spirit s so received by me are for my o\lVn use, at my own home , and that the said arden t irits w· l not e d · Yiolati n of law. the consignee of a certai n shipme �DeHver y Form 60 AD AM S EXP RES S ~CO MP AN Y •~ ~=;! ~~~ ~19 1)_ - Affida vit No, . % - Way- To----(,µ,:::.~~~ ~~~ 'S4-: .._.1::::;_~~-I RECO RD OF NOTIC ES To Consi gnee • A To Shipp er IDAVI T FOR ARDE NT SPIRI TS FOR PERS ONAL USE. (OVJB) �AFFID AVIT FO R A RDEN T S P I RITS FO R PERS ONAL US E. I, the consignee of a certain s pment ardent spirits, er side ,1 ~is form, this day delivered t.o me by the Adam s Expre ss Company, fr·l:JIIJ~ ::.£:L.:::U.C;,IIL..l:..L~~~U@! a:::::a::.; that I am not a studen t or minor, and, if a female, I am the head of a family ; thatth eard tspirit ssorec eivedb yme were broug ht int.o the State on my writte n order, and that I have not, within the thirty days previous heret.o, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quanti ty allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 191t;, or contra ry to law, and that the ardent spir!ts o received by me are for my own use, at my own home, and that the said arde sp" • will not sed ·n violation of law. Sworn t.o and subscr ibed before me, tlli~ da:, of 191L. _ ' ~~,.,~Y, J.~ ~ ~ ... �Dellvery Form 60 Affidavit No. RECORD OF NOTICES To Consignee _ _ _ _ __ _ _ _ _ __ To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE, I (OVIB) 7 "'j,,// �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. CoUNTY OF l,---.!:t.~f:::'.;4._(t.J~~~&~~L--. being duly sworn, depose and say that I an1 the consigne a r in shipme of ardent spirits, as delivered to me by the Adams Express Company, fro,r¢U.~~SdlW~"C£~:Lt.f41that I am not a student or minor, and, if a female, I am the head of a family; thatthearde spiritssorecelvedbyme were brought into the State on my written order, and that I have not, withm the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the-provisions of the Act of the General Assembly of Virginia, approved March 10, 191f\, or contrary to law, and that the ardent spirits so received by me are for : ~: •m,•~-.ua~.,~-.-fii''~~ this/4-day • o~~~ ·. t,v~ ✓--.-- (,7 U>J,t,13.,..oa.•~ �Deliv ery Form 6 0 9"'-.,,_7__ __ Affid avit No .... '1 COLL&CT REC ORD OF NOT ICES T•C onsi gne e _ __ _ _ _ _ __ _ __ To Ship per AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE , (<>Y a) �ARDENT SPIRITS FOR P!ERSONA L USE. STATE OF COUNTY OF I,--f,L U~~=.i ,._w.:i...:::: :!:::::::i~~- -- the consignee of a certain shipment of arde delivered to me by the Adams Express Co student or minor, and, if a female, I am the h d ofa were brought int.o the State on mywritten order, an at I have not, within the ir ty daysprevio us heret.o, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, appl'Oved March 10, 191f\, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. . ·1 ~. Swom t.o and su~~ this.%da y of before me. ,f:.t-fc:::. , ~ ff i ~ ' • �Affidavit No. ! RECORD OF NOTICE S To Consignee _______________ _ To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVER ) L/f �--- - - ------ -·- ---AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, --+-.,_-="'---"<-~-=.:>..:a.:::,""'-44.. LL L - - --, being duly sworn, depose and say that I am the consignee of a certain shipment f ardent spirits, as specified on oth si e of this form, this day delivl;!red to me by the Adams Express Company, fr. · hat I am not a !~ ~ &..~dent or minor, and, if a female, I am the head of a ii.mily; t'nat the ardent spirits so received by me were brought into the State on my writt en order, a1)d that I have not, within the thirty days previous h ereto, received any ardent spirits of any kind whatsoever, from an]' person or from any place whatsoever, in excess of the quantity aJJowed by the provisio'ns of the Act 6f ttie General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for ' my own use, atmy own home, and that the said ent spirits will 110 be u in violation of law. Consignee. Sworn to and subscribed before me, thif'~day of ~ (k-:,191 _ �Delivery Form 80 ADAMS EXPRESS COMPAN Y Affidavit No. PREPAID Shipper RECORD OF NOTICES To Shi ppe r _ To Consignee __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL U S E. ( OVER ) 2._ l) I/ �AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE. STATE OF CoUNTY O....,:..,&.,< ;~-<,-:;Ji..,, c'-"!~s,rf,~ 1,----,l,.J'= :!:::~:I..::~ :J...<:µ«£_ t_.¥,l.~~::! :::::=:::...L, tbe consignee of a certain ment of ardent epiri--..,,,._;-_delivered to me by the Adams Express Company, rnitn.ifL.J.LCIL,..~~llA!~l.4<:i:::a:~!ltll ¥t~ not a student or minor, and, if a female, I am the head ofafamily ; thatthear dentspiri tssorecei ved yme were brought into the Stat.e on my writt.en order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind.whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act o'f the General Assembly of Virginia, approved March 10, 19lf>, or contrary to law, and that the ardent spirits ao received by me are for my own use, at my own home, and that the said spirits will n t be used in violation of law. �Receive Advancea to Collecs RECORD OF NOTICES To Consignee To Shipper . AFFIDA'41Y. F.Oa ARDENT SfllRlTS FOR flERSONAL. USE. (~ �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PE A SON AL US E. CoUNTY OFr iJ~• . n~ ~,9 ---, ,- l,....,.,LL4,)(.t'.~ ~2 '.!~ ~~;::5::::::::::_--. that I am ent of arde nt spirits, delivered to nic by the Adams Exp ress Company, fro~ :LJ ~.k:1.4-A~=:: ::;J..::l..-"J!UlJa'I. I am not a stud ent-or minor, and, if a female, I am the head ofaf ami ly; that thea rde _.pir itss o~e ived bym e were brou ght into the Stat.e on myw ritte n order, and that I have not, with in the t hirty days prev ious here to, rece ived ~~ arde nt spir its of any kind whatsoever, from any pers on or from any place wha tsoever , in exce ss of the quan tity allowed by the prov isions of the Act of the Gen eral appr oved March 10, 1911>, or cont rary to law, and that the ardent spiri ts so Assembly of Virg inia, my own use, at my own home, and received by me are for that the said arde nt spir" will not be d in · · ion of law. t.he consignee of a Swo rn to and su~ thi. ax_ .day of~ ·a l>efore me, 191 2- ~ As,mtforAdam. :a: / ~- Co m- �Deli very For m 80 AD AM S EX PR ES S CO M PA NY REC OR D OF NO TIC ES To Con sign ee To Shi ppe r AFF IDA VIT FOR AR DE NT Sl"I RIT S FOR l"ER SO NA L US E. (O't 'a) �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE . STAT E OF V~ CoU NTY OF /) ,J :{, _~ ~~ g · . I, duly swo rn, depose and say that I am the consignee of a cert ain ship men t of arde nt spir " as specifie ther sid f 's form, this day delivered to me by the Ada ms Expr eaei Company, stud ent or minor, and, if a fema le, , not a I am the head of a family; that ents pirit sso rece ived bym e were brou ght into the Stat e on my writ ten orde r, and that I have not, within the thirt y days prev ious ' here to, received any arde nt spir its of any kind whatsoever, from any pers on or from any place wha tsoever, in exce ss of the quan tity allowed by the provisions of the Act of ibe Gen eral Assembly of Virginia, approved March 10, 1911\, or cont rary to law, and that the arde nt spir its my own use, at my own home, and so received by me are for that the said ent spirits will not be used in viola t ion of law. �Delivery Form 60 ADAMS EXPRESS COMPANY 2::-/J Affid~vit No. v RECORD OF NOTICES To Consignee _ __ _ _ _ _ __ To Shipper __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. VlllR) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. CoUNTY OF 1,----,, ;J:.L!:~ ~~_J~ i!!::[Jt. :1::z./f !!;:.:J:: :!~ the consignee a certain shipmen t of ardent spiri delivered to me by the Adams ExpreBS Company, fro~~4'-:..L:.~'1.:U'4 ~::::!:1.; that I am not a student or minor, and, if a female, I am the-hea d amily; that the ntspirit ssorece ivedby me were brough t into the State on my written order, that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in exceBS of the quantity allowed by the provisions of the Act of the General ABBembly of Virginia, approved March 10, 1914i, or contrar y to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said nt spirits will be used in violation of law. �Delivery Form 60 ADAM S EXPRE SS COMP ANY Affid~vit f'lo. / RECORD OF NOTI CES To Consignee _ To Sh ip per _ AFFIDAVIT FOR ARDENT SPIRITS FO R P E R S Of\lAL USE. ( O "J EJR) •9'0 �AFFI DAV IT FOR ARD ENT SPIR ITS FOR PERS ONA L USE. ( CoUNTY OP'. U.,,~ Q;::L l!J~~ ~~• I.--Jt:::ll-l:::J.~.!:=:l..~t:::!::i;::;;;:~~~ ·6eJne du.Jz s""t_ ~ deP.()Se and say that I am the consi gnee of a certa in shipment. ent a p i r i • ~ f J i ~ i ~ ~~Y A delivered to me by the Adams Expre ss C o mpany,~ · ;</' tha ~nr a stude nt or minor, and, if a female, I am the head ofafa nilly; thatth earde ntapi ritaao recei vedb yme were broug ht int.d the State on my writt en order , and that I have not, within the thirty days previ ous hereto, received any arden t spirit s of any kind whats oever, from any person or from any place whatsoever, in excess of the quant ity allowed by the provi sions of the Act of the General Assembly of Virgi nia, approved March 10, 1916, or contr ary to law, and that the arden tlapirita BO received by me are for my own use, at my own home, and that the said t ap~t8 will not be used in violation of law. '/, , ........... ~-- th~ day o , 191- ,- ~ Oiit: r11,;f" Apnt tor Adam• Ezpre u Compa ny ·a /4 f ' �Dellve r, Form 80 AD AM S EXP RES S CO MP AN YAffida vit No, WayTo-4: ~~~~ h.;;f-! L.C,,~ ~IQ,, ,-...JI IL~... .....,.. -I RECO RD OF NOTIC ES To Consi gnee To Shipp er AFFID AVIT FOR ARDIE NT SPIRI TS FOR PERS ONAL USE. COVE) ::;.o 'l ( �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PER SON AL USE . �,, I' DEL I VERY P'ORM 60 191-.f- Affidavit No. /f tJ PREPAID 01 RECORD OF NOTICES F O To Consignee _ ____._0:.------'----- ----"'y ______ To Shipper _ _ _ __ _ _ _ _ _ _ _ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVE R ) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I STATE OF VI COUNTY OF-1J.~~.G e:;t;!,.~~';;J -'11~~~/ I, _ _j~ lL~-/:,~ ,L....L~d~~~ -:!:::_~:__ _ , being duly sworn, depose and say that I am spiri;:;-:~ _sJ:cif~~.,o~ ~t(f1side o ~ o r ~is day the con~~gnee of a ' rtain shipment of ard ,_qe,liver~d~~ m~!+•~he ,.Adams Express C o m p a n y , ~ ~ ezvu. /4 ; that I am not a ·, student or minor, ·arid, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my writ t en order, .and tn-at I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place what soever, in ex cess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to .Jaw, and that the ar dent spirits s received by me are for used in vi ation of law. my own use, at my own home, and that the said ardent spirits ·n not Sworn to and sub~ed before me, this_Ltf:..day of '&L , 1911--i �Delivery F~rm 60 ADAMS EXPRESS COMPANY Affidavit Way• To__.,_...,.~"'1[,,L<~f--c.~,,.,_.....,~HJ.W-._..'-71/ IIECORD OF NOTICES 1"o Consignee To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVIB) NotP-//1' �- vAFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. STATE OF CoUNTY O ~~~~¥~~~r;,c. ......'V'I-""" and say that I am the consignee of a certain shipm t of ardent spirits, this foz,-, this day delivered t.o me by the Adams Express Company, f thMllnnota student or minor, and, if a female, I am the head of a family; that theard iritssoreceivedby me were brought int.o the State on my written order, and that I have not, wi in the thirty days previous heret.o, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisionso( the Act of the General Assembly ofYirginia, approved March 10, 1916, or contrary t.o ·law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will n in violation of raw. Conaignee �ADAM S EXPR ESS COMP ANY RECORD OF NOTICES To Consigne e _ _ _ _ _ _ _ __ _ __ To Shipper AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE. (OV-) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE. :: :: :; f ~ ' I, ~ - being duly sworn, depose and say that I am the consignee of a certai n shipm ent of arden t spirits , is fo~ is day delivered to me by the Adams Expre ss Company, fr·~ (l.,4~ t::IL.. l::~lli ~?::f: :ttlC{,-cthla\ I am not a stude nt or minor, and, if a femal e, I am the head ofa amily; thatth earde ntspir itssor eceiv edbym e were broug ht into the State on my writte n order, and that I have not, within the thirty days previous hereto, received any arden t spirit s of any kind whats oever, from any person or from any place whatsoever, in exces s of the quant ity allowed by the provisions of the Act of the General Assembly of Virginia, approved Maroh 10, 19W, or contra ry to law, and that the arden t spirits po received by me are for my own use, at my own home, and that the said arden t spirits will not be used in violation of law. 1 • Sworn to and subscribed before mti, D , H J J/aM.«A /IV \ ~~~- • < 0-eilP> Nt " �Deliv e ry Form 60 f REC ORD ~~ ~~ ~II O.L 19~ 1- Affid avit No. 7-/2-- Way To__ _JU, .£~:l :;'}lt: ::.".. /.4::Z ::::~~ a,.~J .L.... Ll!: REC ORD OF NOT ICES To Con sign ee _ __ _ __ __ __ ___ To Ship per _ _ _ __ _ _ _ _ _ __ _ _ AFF IDAV IT F'OR ARD ENT l!lPI RITS FOR PER SON AL USE . ' (OVIB ) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. STATE OF V ~ CoUNTY OF /J ~~ . ' I, ~ C / . A 4 heing duly sworn, depose and say that I an1 the consignee of a certain shipment of ardent spiri delivered t.o me by the Adams Express Company,,rr,91&41-a.<1:,.a..~..L.J'--L~~~:4.l ; _that I am not a student or minor, and, if a female, I am the bead . afamily; tbatthea rd spiritsso received byme were brought int.o the Stat.e on my written order, and that I have not. witbm the thirty days previous heret.o, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 191fl, or contrary t.o law, and that the ardent spirits so received by" me are for my own use, at my own home, and that the r ~ = t i o n of law. saidzt Swom to and this./it- day o,t;r;.~ ~~~ Couisnee �Delive r y Form ao ADAMS EXPRE SS COMPA NY Affidavit No. COLLSCT RECORD Of' NOTICES To Consignee._ __ _ _ _ _ _ _ __ _ __ To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL. USE, .; ".·... ( OVJa) ·....\ ;. £1/ �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. STATE OP V CoUNTY OP'-t/-~~a)~:::::::Z...q.F Jl:..,,, l, _ _i.,::;.;:,::__...:_=---L-.e..::s.a, ii,..,::~::...,1;._._ __, being duly sworn, depose and say that I am the consignee of a certain shipme delivered t.o me by the Adams Express Company, f,«llti~f4~~~~M !!!!:~!:.tt&t I am not a y; thattheardentspiri1's oreceivedbyme student or minor, and, if a female, I am the head ofaf were brought int.o the State on my written order, and that I have not, within the thirty days previous ; heret.o, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 191f\, or contrary t.o law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. . Sworn to and subsm before me, t h i s ~ : , of-lfdi=......,....__, 191 . (w ().7/1ft?, �- Oellver y Form 60 ADA MS EXP RES S COM PAN Y Affida vit No, COLLBCT RECO RD OF NOTIC ES To Consig nee ToShi pper , AFFID AVIT FOR ARDE NT SPIRJT S. FOR PERSO NAL. USE, &0 �AFF IDA VIT FOR ARD ENT SPI RIT S FOR PEII ISON AL USE . STAT E 0 1' ~ Ii} i, L -. "°""7, • y w ~ , - bomg duly - ..-.. .... .. ..., my that I am the consignee of a certa in shipm ent of arde nt spirits, as clfied on othe r side of this form, this day delivered t.o me by;c;he Ada ms Expr ess Com ~y. ~Mll:lll::~ 11! !:~: :IG ~~E stud ent or minor, and, if a female, I am B"r d.it ~ am not a the hea o a fa ; that the arde ntsp· · so rece ived by me were brou ght into the Stat e on myw ritte n orde r, and that I have not, with in the t irtydays prev ious here to, received any arde nt spiri ts of any kind whatsoever, from any person or from ever , in exce ss of the quan tity allowed anyp lace what.soby the provisions of the Act of the Gene ral Assembly of Virginia, approved March 10, 191fi, or cont rary to law, and that the arde nt spiri ts so received hy me are for my own use, at my ow.n home, and that the said arde w· be used · viola tion of law. . �Delivery Form 80 ADA MS, EXP RES S COM PAN Y Affidav it No- Shippe r RECOR D OF NOTIC ES To Consig nee _ __ To Shippe r AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. (OVIB) :7 0 r/z �AFFIDAVIT FOR ARDENT SPIR TS FOR , PERSONAL USE. ••o•~ ~• o COUNTT . . ~ - ~ - - - - ~ being duly sworn, depose and say that I ani ide of this cified o oth the consignee of a certain shipment of ardent spirits, am ot a delivered·to me by the Adams Express Company, student or minor, and, if a female, I am the head ofafamily; thattheardentsp iritssoreceivedb yme were brought into the State on mywritten order, and that I bave not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person i,r from anyplace whatsoever, in excess of the quantity alloweaby the provisions of the Act of the General Assembly of Virginia, approved March 10, 1911\, or contrary to .law, and that the ardent spirits so received by me are· for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. I, (/J//Y: ~fk'e~naignee �FORM 370- VA . -. SOUTHERN EXPRESS COMPANY (Incorporated ) EXPRESS CHARGES PREPAID I COLLE CT WarTax Add Coll ect Und e rcharge -I RECORD O;J~T'r/f To Consi~ nee/~ fl ~•/J / ;iY.llJ.:fo Sh~pper·_ _ 5 (OVER) _ _ __ _ _ _ _ _ _ _ __ �.,. ., ~"it ~1 COUNTY O ~~ ~ I, the consignee of a certain shipment of ar ~ ••y bei•g duly mm, dep,., ~• th,t I ,m nt spirits, as specified on other side of this rm, this day t..£~ ; delivered to m-e by the Southern Express Company, from at I am not a student or minor, and, if a female, I am the head of a fa~ily; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in -axcess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me for . ~L purposes at my own home, and in con- "-;l~ ~k ~ (State whether for Scientific , Sacramental, Medicinal or Mechanical) ~ formitywithlaw . Consii»ee. Sworn to ~d subsc~ ihi~ day of1 fore me, , 191 �FORM 370- VA . R evised June, 1918 SOUTHERN EXPRESS COMPANY (Incorpora.ted ) LIQUOR RECORD Received at_-'-'--_ _ _ _ _ _ __ _____,___ _ilate _ _ _ _ ____ l 91 _ ) Affidavit No. Consignee _ _ _ __ _ _ __ _ __ ~_ _ _ _ _ _ _ __ P. 0. Ad dress _ _f_ Quan tity_____~____ Weigh ~ _ _ _ lbs. Kind of Arde nt Spi rits--~--------,---_,._/ _ _ _ Way-Bil l No. _ ____,___~_ _ __ _ _ _ ______ _ From _____ _________ _ Oate ~/_ __ _ _ ~ /_ _ 191_ ) To I' Shipper ' P. 0. Address .- I t I,. _,f '" - - I ' - ' "f- . I Advan ces to Collect EXPRESS CHARG ES PREPAID COLLECT I I WarTu Collect Add Undercharge I ' I - I RECORD OF NOTICES To Consi gn ee _______ ___________ To Shipper_ __ _ __ __ _ _ __ _ _ _ __ ( OVER) �I, - -- - - - - - - - - - - -- - - - - -- - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form , this day delivered to me by the-Souther.n-Express Company, from _ ___________ __ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatrnever, in excess of the quantity allowed by the provisions of the A:ct of the General Assembly of Virginia, approved March 19, 1918, or contrary to law , and that the ardent spirits so received by me are to be used I by me for ___________ ___________ ____ purposes at my own home, and in con(State whether for Scientific, Saersmental, Medicinal or Mechanical) formity with law . 1 I Sworn to and subscribed before me, ihis..k____day of J1 _r-'~ ~ I V ;"';:) Consht:Dee. �L \ ADAMS EXPRESS COMPANY )::LIVERY FORM 60 REVISED JUNE, 1917 SPECIAl.. LIQUOR RECORD Received at..__ _ _ _ _~ - -- ~ -~Date __._l _ _ _ _ _ 191 _ Affidavit No , _____ _ P. 0. Address--,--- - -- -- - -- Consignee • 1 Kind of Ardent Spirits_ _ _ _ _ _ _-=.::.....1:....:c:....,:..._:..::....:.__ __.A moun~- - -----Wei gh~.- - . , -lbs. I Way-Bill No• -,----- - - , -To • / 1 J 7.. _ _ 191_ '-------- +-/~..., \... Advances to Collect Shipper I P: O. Add r ess RECORD OF NOTICES To Consignee.___ _ _ _ _ _ _ _ __ _ __ From ______ ___ _ EXPRESS CHARGES COLLECT PREPAID I .r Add Undercharge I To Shipper _ _ _ _ _ _ _~ - - - - -- - • (OVER) �STATE OF VIRG;INIA, I ~() COUNTY OF_·-.J. \(' --.;..:.•:....::c:::....:...:......:.:-"'-'-::....;..___:'l_,,..,.-tt_, ({.. f.,,Vf (• . 1 I, , being duly sworn, depose and say that I am the consignee of a certain shigment of ardent spirits, as specified on other side of this form, this day delivered to me by the Adams Express CompJny, fro /; that I am not a student or minor, and, if a female, I am the head of a family ;that the ardent spirits so received byme were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever , from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the 'Act of the General Assembly of Vir_ ginia, approved Marcq 10, 1916, or contrary to law, and that the ardent spirits so received by me /'J.·lf (.-,:~,/ 9,,A'; ?(. &f are to be used by me for . \"/ I - Witness: purposes. (State whether for Scientific, Sacramental, Medicinal or Mecha/ ic1 I) / ; '• j _, ,, . I! ( ;signature of Consignee) I • •r j i ,;.,1/ f • :,. I � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 14 Subject The topic of the resource affidavits ardent spirits Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Penn Laird in Rockingham County Virginia for personal use. Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Date A point or period of time associated with an event in the lifecycle of the resource 1917 Rights Information about rights held in and over the resource <span>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (</span><a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a><span>)</span> Format The file format, physical medium, or dimensions of the resource PDF Identifier An unambiguous reference to the resource within a given context RcPr-box11-009 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Penn Laird Virginia https://omeka.lib.jmu.edu/erp/files/original/1b7daeeeb2352543a0584542b0aa71c7.pdf e59f13da8de66e2fda80ef64c65d64f8 PDF Text Text SOUTHERN EXPRESS COMPANY F"ORM 370•VA. Cl ncorporat.ed ) LIQUOR REC 'l __ , _ --===---===--=----.;..-~~'-'----'-----' ___.,...___ _ Date,_~_ _ _ 19 , Affidavit No...,/'--/,__ _ _ __ I Con sign ee - -- ' - -~-"'-~'-'--,---- - - - ~ ~~ ~- - - -- - - - - - - - - - - -+ - -- - -- ~ ~ ~ ..-Y__·__Weio~ Kind of Ardent Spirits--,..-'/_•~, ~ ~ ~ - - - - - -- -- - - Am oun ~ _,_/ _ _ _ __ ., Way-Bill No. I -., A( .1. 0 I n,,i 1 _J / / • J ' -6 r I J,( A Date~<~---"c.")'---'-------,/, _ _"",7 _____ 19 :J.- _, 7 lbs. Fro m...,,U"--'-----'(---'1-"----'l_/2_ _ ' ,...,_C-=--- ' ~ -- - - - - _ . _ E_X_P_l!_E_S_S_ C_'B _A _ l! _G _ ES _ _ _ _ _ _ __ Atlvnncee t o ir . - Collect Add 1-'UEPAID · COLLECT Un d er cha rge ShiJ)!ler- - ~ - - -- -~~~--_,_--~- RECORD Of' NOTICES To Con signee _ __________ _______ To Shipper ___ __ _ __ _ _ _ __ _ _ _ _ Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONAL USE. (OV XR ) �AFFID AVIT FOP ARDE NT SPIR ITS FOR PERS ONAL USE -( , being duly sworn , depose and say that I am a certai n shipm ent of ardent spirits , as specifi ed on other side of this form, this day ' by the South ernEx press Comp delive red tome any, from ~---- -- - - -- - - i that I am not a studen t or minor , and, if a female , I am the head of a family ; that the ardent spirits so receiv ed by me were broug ht into the Siate on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from ·any person or from any place whatso ever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spiri\s so receiv ed by me are for my own use, at my own home, and that the said arded spirits will not be used in violati on of law. ~etrV CoW1ie;nee. J( 1t-- --. �SOUTHER N EXPRESS COMPANY fORM 3TO•VA. (Incorporated) /J 1 ' ,r,., . •I Received at ~ (JL,,,(A,, V"l, ~ Consign~ • I..)_ , ' ) SPECIAL LIQUOR b- I "' RECORD ,,._ _- ...,_c__ ,1 _ Date __,,,.... 7 __ 191 _ AffidavitNo. -fa{ <f I A11vnn<" e & to Collect l 'REPAI D. Add Unde r cha rge RECORD Of" NOTICES To Consignee ____ _ _ _ _ __ _ _ _ _ _ __ To Shipper _ _ _ _ _ _ __ _ _ _ _ __ _ __ AFFIDAVIT f"OR ARDENT SPIRITS f"OR PERSONAL USE. ( OVER ) �AFFIDAVIT FOP ARDENT SPIRITS FOR ~~GIN!A f . STATE OF COUNTY OP' J_ -< PERSONAL USE /I y :,,- ,m1- r, ({ ~ cJ'f"-,d- 1, 1.- ,>--~(.,, "? , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as , pecified oil other side 'of this form, 1;his day . I . / ) /. delivered to me by the Son1;hern Eipress Company, from {/ t "· ; ha1; I am not a student or minor, and, if a female, I am the head of a family; that the ardent spi.rits so received by me were brought into the State on my written order, and that I have not, within the thirtf days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary 1;o law, and that 1;he ardent spirits so received by me are for my own use, at my own home, and that 1;he said ardent spirits w/ j / d in ~ :of~ CoDBienee. I Ai:ant for Southern Express Compan y. �FORM 370•VA. SOUT HERN EXPR ESS COMP ANY (Incorpo rated ) Affidavit No._ _ _ _ __ A d vnnree to Collect EXPRE SS CHARG.E S Add Und er charge r RECOR D OF NOTIC ES To Consignee _ _ _ _ _ _ __ _ _ _ __ __ _ To Shipper _ _ __ _ _ __ _ _ _ __ __ _ AFFIDA VIT FOR ARDEN T SPIRIT S F OR PERSO NAL USE. (OVER) �AFFID AVIT FOFI ARDE NT SPIRI TS FOR PERSO NAL USE - -- ---r-- -...---,~-+-- - ~ - - -= ------,r'--~, being duly sworn, depose and say that I am as §P cified Oll"' other s}de of this form, this day deliver ed to me by the Soufae rn Expres s Compan y, from . { t..I ; that I am not a student or minor, and, if a female, I am the h ead of a family; that the ardent spirit~ so receive d by m e were brough t into the Siate on my written order, and that I have not, within the thirty days previou s h ereto, receive d any ardent spirits.o f any kind whatsoe ver , from any person or from any place whatso ever, in excess of the quantit y allowed by the provisi ons of the Act of the Genera l Assemb ly of Virgini a, approv ed Mar ch 10, 1916, or contrar y to law, and that the ardent spiri1.s so receive d by me are for my own use, at my own home, and that the said ardent spirits will not be u sed in violatio n of law. /J /2: Sworn to and subsc ibe before me, this~ day of _ _ __ _ , ( 1911. ,, ) l Ai:ent for Southern Express Compan y, r / / ~I, [ Consi2ne e. �fORM 370•VA. SOUTH ERN EXPRE SS COMPA NY (Iuco rpo rnte d ) SPECIA L LIQUO R Received a11=--- ~-=----........=-..:'----=-----=----;.:..._.- - - ~ -- - Date 1 ,.. RECOR D 191_ Affidavit r!o. To - - - - ~ - - - - ' - ' - --""'--- -,,..--.. ..,.cc-c.__ Shipper _'~--=-- ---,'---==--=.L:::...-=-- -'-----=--- ~ Add Unde rcha rge _, - RECORD Of" NOTICE S To Consignee ____ ____ _____ _ _ _ __ To Shipper ____ ____ ____ _ __ __ _ Af"f"IDA VIT f"OR ARDENT SPIRITS f"OR PERSON Ai USE. (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE , I, -''--"--'----,1---- ''------- - -_;_---=-----=--- - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as s,vi cified of other side 1>f this form, this day .,./1. _,_ ~ delivered to me by the Southern Express Company, from that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits sd received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in v iolation of law . ..,Q t. Consh:nee. �FORM 370-VA. SOUTH ERN EXPRE SS COMP ANY Clncorporn t ed) Affidavit No._l_ '-·- - Kind of Ardent Spirits, ___ _~ ~ - - ~- - ----= --Amount- -'~-- --'--'~ -~..._ _Weigh .__--=_ _ Jbs. J J Way-Bill To ~ ~ -'-~~ ~=:::., _---"-.. ::::..-~ ~~-.... !..-- f' A.1tvnn ces t o Collect l'HEPAID . Add lJndei-c harge RECOR D OF NOTICE S To Consign ee ___ ___ __ __ __ _ _ _ __ To Shipper ___ ___ ___ _ _ _ __ _ _ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. (OV J<R ) �AFFID AVIT FOP ARDE NT SPIR ITS FOR PERS ONAL USE • I, - ~- - ~ ~ ~ ~ -~ ~ -- - - ~ - - - - - , being duly sworn , depose and say that I am the consig nee of a ceriai n shipm ent of ardent spirits , as specif ied on other side of this for,m, this day delive red to me by the South ern Eipre ss Comp any, from ___ ___ _ ____ ____ ; that I am not a studen t or minor , and, if a female , I am the head of a family ; that the ardent spirits so receiv ed by me were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spiriis so receiv ed by me are for my own use, at my own home, and th at the said arden t spirits will not be u sed in violati on of law,:"""') ~~ #,~ -~ ~~ta ~:_J_~ ~~ Conah:nee. �l'ORM 370-V A. SOUTH ERN EXPRE SS COMP ANY (Incorpor ated) LIQUO f:l RECO • - ~-=- -'---- - - -- - ' - -~ - ate To • ..__ ·1 _,,{,i_ i i Shippem / 2, / (/VIJ,1 ..- ~ / / Atlvnnr e a t o Co lle ct - ]1 '- I D 7 Affidavit No.-_/_ _ _ _ _ 191 _ EXPRESS C HA RGES I l'R E PAID I I CO LL ECT RECOR D OF NOTICE S To Consigne e tr Add Underc- har~ e I To Shipper_ _ _ _ _ _ __ _ _ __ __ _ _ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE . ( OV ER ) �ARDENT SPIRITS FOR - - PERSON AL USE ~----,,...-L.-- "~.z_=----"--=-- --<--' - - - ' - ' - ' - - - ' - - - - - - - , being,i uly sworn, dep ose and say that I am specified on other s"de of t is form, 1;his day ~ delivered to me by the Son1;hern Express Company, froi - l ; tha1; I am no1; a student or minor, and, if a female , I am the h ead of a family; that the ardent spirits so received by m e were brought inl;o the State on my wrHten order, and 1;ha1; I have not, within the thirty days previous hereto, r eceived any ardent spiril;s of any kind whatsoeve r, from any person or from any place wha1;soever, in excess of the quanUty allowed by the provisions of 1;he Act of the General Assembly of Virginia, approved March 10, 1916, or contrary 1;o law, and that 1;he ardent spiril.s so received by me are for my own use , at my own home, and 1;ha1; the said arden1; spiril;s will not be used in violation of law. ~1 :k eh £ _,, .,.=:::,...A ;,.=-:___::______::___ Consie:nee. �- SOUTHERN EXPRESS COMPANY FORM 370•V A. (l nco rpo rnt ed ) SPECIAL LIQUOR ~~ CORD Received al ___:'---'---,~~'-'=-=-='------'----'-'--'-- - - - - -Date )- A tl vn n <' e s t o Co llec t 19 ( / Affidavit No.=c::___ _ __ E XP RESS CHARG ES CO LLECT Ad d U uder c b a t Re RECORD Of" NOTICES To Consignee_ __ __ _ _ _ _ _ __ _ __ _ To Sh ip per _ _ _ _ _ _ __ _ __ _ _ _ _ _ Af"f"IDAVIT f"OR ARDENT SPIRITS f"OR PERSONAL USE. (OVICR ) �AFFIDA VIT FO~ ARDEN T SPIRIT S FOR PERSO NAL USE STATE OF 'J~NlA, // ' couNTY OF 'il_§-u /i. c--0----;.:z ~ ..J../ (1 / I, < t'1 " the consigne e of a certain shipment of ardent spirits, , being duly sworn, depose and say that I am pacified o other side of thi o/form, this day delivered to me by the Southern Express Company , fro 1 "· I / ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spiri1/ so received by me were brought into the Sbte on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoev er, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are for my own use, at my own home, and 1ihat the said ardent spirits will not e use z z : :it1 of law. / .:::__ Conaienee. Sworn to and subsc "bed before me this£ _day of .J..£ , 19,-_ , Ai:ent for Southern Exvress Comvsny. �SOUTHERN EXPRESS COMPANY FORM 370•VA . (luco rpornted) / -SPECIAL LIQUOR RECORD '?--, ~ ____:__c__ Date A1l vn n("' C8 t o Co ll ec t \ 19;[ Affidavit No.- - t - - - - EX P RE S S CHARGE S l'R EPAID . CO LLECT Add Und er c h a rge RECORD OF NOTICES To Consignee To Shipper _ _ __ _ _ _ _ _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVE R ) �AFFIDA VIT FOP ARDEN T SPIRIT S FOR r: PERSO NAL USE , I, ~ t ..,,.._ being duly sworn, depose and say that I am the consigne e of a ertaiil shipment of ardent l pirits, a~;,/.Specified, on other side of this form, this day I1 . { I /' I delivered to me by the Soul;hern EJ:press Company , from VI"" ,AA.,- , -:[ {. ! ; thal; I am nol; a studenl; or minor, and, if a female, I am the h ead of a family; that the ardent spirits so received by me were brought inl;o the Siate on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoev er, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri\s so r eceived by me are for my own use , at my own home, and l;hal; the said ardent spirits will not be u sed in violation of law. ~G[ (d ~lt ( )1_r, V Sworn to and subscribe d before me , this_J_ _ day of j,_v? /4) 19, - · er~ (/ A~eut for Southern E:x:press Company. O 0-- -- -- - ~C_o_n _si-~u - •- •-. - �SOUTHERN EXPRESS COMPANY FORM 370-VA. $__ (lJlCO r porrit ed} · SPECIAL LIQU Received at.- - ~~ --"="- -=..-'~- I 1 / R RECO.RD Date.~_--_; _ __ ' ___ 191 ~ - Affidavit No. Consign ee _ _ _ _ __:__:_-"---'::::..:...----:.-1.--C=- ---'--~''-" /~~ /~ -- - -- - - - - - - - - ~- - -- - - -- -. Way-Bill No._~,___ __ _ __ To -'-- - ~-'-'--=.:..=--=---" '-'-"'--'-~-~.,___-- '--- A d vnnccs to Co l lect EX P RESS CHARGES PREPAID . Add Onder chtujil;e RECORD OF NOTICES To Consignee _____ __ _ _ __ _ _ __ _ _ To Shipper _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVT<R ) �AFFID AVIT STATE OF VIRGIN IA, FZ O ARDENT - SPIRI TS FOR PERSO NAL USE / COUNTY OF•_!_JL"'--_ ,,,--'-/: _~ ~ ~ ~:_- I , 1 l, " ' ( / I being duly sworn, depose and say that I am the consign ee of a certain shipme nt of ardent spirits, as,, specifie d on other side of this fo ibis day deliver ed to me by the Souihe rn Expres s Compan y, from ~ m not a studen1; or minor, and, if a female, I am 1;he head of a family; tha1; the ardent spirits so receive d by me were brough t inio the Sbte on my written order, and 1;hat I have not, within th~ thirty days previou s hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any place whaiso ever, in excess of the quantit y allow~d by the provisi ons of the Act of the Genera l Assemb ly of Virgini a, approv ed March 10, 1916, or contrar y to law, and ihat the ardent spirHs so receive d by me are for my own use, at my own home, and that the said ardent spiri1;s will not be used in violatio n of law . Sworn to and subscri bed before me , 17 '-:LI 1 this ___ day of _ _ _ _ _ , 191_ ·?-I,, ,, I Conaie-ne o. , ~ Ai:ent for Southern Express Company . �F"ORM 370•V A. SOUTH ERN EXPRES S COMPA NY (l uco r poru.ted ) IQUOR RECOR D -::?,- /Y 19 To .A.llvnnres t o Collect Affid avit N o.--7-- EXPRESS CHARGES P REPAID . CO LLECT Add Underchnrge I RECORD OF NOTICES To Consignee _ _ _ __ _ __ _ _ _ __ _ _ _ _ To Shipper _ _ _ _ _ _ __ _ _ _ __ _ _ _ _ AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . ( OVER) �AFFID AVIT FOP ARDE NT SPIRI TS FOR I PERSO NAL USE I I, ./ , being duly sworn, depose and say that I am the eonsign ee of a eertain shipme nt of ardent spirits, a.s 'specifi d on other side of this form, this day deliver ed to me by the Souihe rn Eipres s Compan y, from 4 i, '• } • that I am not a studenl; or minor, and, if a female, I am the head of a family; thal; the ardent spfrits so reeeivti d by me were brough t inl;o the Siate on my written order, and l;hat I have not, within the thirty days previou s hereto, reeeive d any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in exeess of the qmmtit y allowed by the provisio ns of the Aet of the Genera l Assemb ly of Virgini a, approv ed March 10, 1916, or contrar y l;o law, and l;hat !;he ardent spiri\s so receive d by me are for my own use, at my own home, and l;hal; the said ardenl; spiril;s will not be used in violatio n of law. / Sworn to and subscri bed efore this / 7 day of~...__d~J -c;[/. 2 (/ m / - , 191_ , ✓ Ai:ent tor Southern Express Company . Conai2ne e. �SOUTHERN EXPRESS COMPANY FORM 370•VA. (luco rporuted) A,1vnnc-ee t o Collect EXPRESS CHARGES PREPAID. COLL ECT Add Under c h a rge RECORD OF NOTICES To Consignee _ _ _ _ _ __ _ _ __ _ __ __ To Shipper _ _ _ _ __ _ _ _ _ _ __ __ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVER ) �AFFIDAVI T FOP ARDENT SPIRITS FOR PERSONA L USE STATE OF l !NIA ~ ,I')/ f,t:,, COUNTY OF'J ..---""-"--~----'-"'- -=--· -=-'-- I I, ., A/'11 ,.__, ,(,,f .1 ,t , being uly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as,.specified on other side of 1;his form, this day .,,, delivered to me by the Southern Express Company, from ~ ~ t ; that I am not a student or minor, and, ifs female, I am the head of a family; that the ardent spirits so received by me were brought in1io the 81.ate on my wri1iten order, and that I have not, within the I thirty days previous hereto, received any arden1i spiri1is of any kind whatsoever, from any person or from any place whatsoever, in excess of the quan1iity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that 1;he ardent spiri\s so received by me are for my own use, at my own home, and 1iha1i the said ardent spirits will not be used in violation of law. I Pi Swor~ to and subsf::J. ~ ore ~/ this _ _ _ day of _ __ _~ , 191_ . Ai;;ent for Southern Express Company. Corui,i1:nee. �SOUTHERN EXPRESS COMPANY FORM 370-VA. (I nco r po ra t ed) SPECIAL LIQUOR Received at _ _ __ _ _ _ _=-,_ _ _~ -- ~ __ RE 9 0RD I Date _. 1917 ___,_/ _U ____ Affidavit No _ Way-Bil No,_ ___,__ _ _---"~To 1J_ ~ ! Shi pper '.t-' ( .A1lvnnces to Collect EXPRESS CHARGES PREPAID. Add Un~er c-barge <, RECORD Of' NOTICES To Consign ee _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ To Shipper _ _ _ _ _ _ __ _ _ _ _ __ _ __ AF'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONAL USE. ( OV JIR) �ARDENT SPIRITS FOR - PERSONAL USE ,. J I, ----'-~--"------'--------'----------'-- - - " - - - - - - - - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, asZ ~ecifiedjon ot~er side oJ- this form, this day that I am not a delivered to me by the Southern Express Company, fromi;.J-1,1,v\, ,$ ., student or minor, and, if a female, I am the head of a family; that the ardent pirits o received by me were brought into the Siate on my written order, and that I have not, within the th rty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quan1dty allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that ihe ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. ~ ~ u i; �SOUTHERN EXPRESS COMPANY FoRM 370•V A. (I nco rporated) Affidavit A1lvnnc e e t o Coll e ct P REPAI D . No,---,1/L-'L,,._ ___ COLLECT Add Und e r c ha.rJ!: e RECORD OF NOTICES To Consignee_ _ _ _ _ __ _ _ _ __ _ _ __ To Shipper _ _ _ _ _ __ _ _ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVER ) �~ AFFIDA VIT FO { ARDEN T ~Pl ITS FOR PERSO NAL USE I STATE OF i COUNTY o,---'----'-="-"'-'-------'"--'-''----------=--'------='-- f ,( , I, the consign ee of a certain shipmen t being duly sworn, depose and say that I am spirits, a_s ':ecifieo /On oth_er side of this form, this day delivere d to me by the Souther n Ex ress Compan y, frofil / ( 1 t ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spiri s so received by me were brought into the Siate on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoe ver, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits w~ tl used : viol~ i:~ of lrJ-J, / ' ..f "- · ~ ' • ' ~ ~'----.f-'-~7- - -C-o_ns _ iii_n_e_e.- /v �- -- - -- - - - - -~ ----- - - - ~~--~-:'.,.....,.........,_,,,.,,.....,......,....._ ,..r.=,,::--..,.,..,._..... - - -- - -,.,r-SOUTHERN EXPRESS COMPANY FORM 370•V A. (Inco rpo rate d ) ,t_ Received at ~ -I -lA- l ·,1 SPECIAL LIQUOR ,U / ) ,. RECORD cj/1 ~ llate 1 191_ (7 Affidavit No.,__)-" ,,.:.-_ __ e Jy ~ -'--,'-C--,(._ ,e; -4---_Z_:___ ______ ______ _ _ Kin d of Ardent Spirits ~ ,J;/ t/ Amoun ' -_L__--'-~- - -,(.- - - -We ig h.___ -4-_lbs. u I From _U/ _ _Oi-_ J _ _ _;,___ Way-Bill No. 7 /~ L Date 2- - / ) To rll1~c..- ~ Co nsignee Shipper J..; A .A tl vm1ree t o 0-f- ~ EX PR ESS CHARGES Ad d Und ercharge Coll ect t RECORD Or NOTICES To Consignee _ __ _ _ _ __ _ _ _ __ __ _ To Shipper _ _ _ __ _ _ _ _ _ _ __ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (OVIIR } �AFFIDAV 1T FOP ARDENT sP1R1ls PERSON AL USE STATE OF COUNTY OF---'-'- ~--4-'-'------=----'-'-_:__--"-----"---- / I, - -=~'-'-''--' -"''--'---=-_ ,_- -_----'---_ ____,,_ _ _ _ _ _ being duly sworn, depose and say ihai I am 1 the consignee of a certain shipment ~f arde0:t spirits, as,1,:iecified/ m other ;!,ide of th!s form, this day delivered to me by the Southern Eipress Company, from ~ that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. ~~ Sworn to and subscribed b{fore m e, d of :A . WA, r / l , , , . I -) ~ 'CA, ) )( / I Ai:ent for Southern Express Compnuy. ✓ ; 4*Cf47'? r•r; / r d .f'",., f J }_',1, mi'[ thi, / '{ Conai6:nee. �FOAM 370•VA. SOUT HERN EXPR ESS COMP ANY (Incorpo rat ed) J,' Received at Consignee f vl/-)i"Z ( _ t- J { s ·PEC.P1': ,(, f':i LIQUO R Date/ - REC2 RD ',__.... L / J_ ii~ J ~.__ J~?.D~f~ft, ._'_,L_'/f_, ,c______ __ _,_ ___ _ _ _ t Amoun t Way-Bill No·- -'-"- -+--l, - ~-Oate'1___ - ~ '-)_ _ ' __ _ _ _ _ 19 To'- f -f/-A.A... - --J \ "vl .AtlVOll(' &.i=-&- Shi : per 1- • 2u '-/ ::1A. /_'}. I ~ ·c ~ e 8 to Collect 191 Affidavit No. 1-0-:d From,,(// _ _ __ EXPRES S CHARGE S l-'R~:PAI D. -f-r- we/ight 1 ( lbs. _c__ _ _,.___ Arld Underc:ha r1ee RECOR D OF" NOTIC ES To Consignee _ _ _ _ __ __ _ _ _ __ _ __ To Shipper _ _ _ _ _ __ _ _ _ __ _ __ _ AFFIDA VIT F"OR ARDEN T SPIRIT S F"OR PERSO NAL USE. (OVER) _ �STATE OF CouNTY ~s ~~.~- oM .D ~V•T _ Z" SPIRI TS FOR PERSO NAL USE ~RD ENT j;J , ,,-vv-t,fl I, J l ~ ,e,,l,._ /-"''j_=-'--=- ---''-+ ------ , being duly sworn, depose and say that I am the consign ee of a certain shipme nt of ardent spirits, s ecified on' other side of this form, this day t I deliver ed to me by the Southe rn Expres s Compan y, from .i...,~'.'k'.:\Q'.'.'.&~ hat I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisi ons of the Act of the Genera l Assemb ly of Virgini a, approv ed March 10, 1916, or contrar y to law, and that the ardent spiriis so receive d by me are for my own use·, at my own home, and that the said ardent spirits will not be used in violatio n of Jaw. t 0 Sworn to and subscri bed before me 1 f r this ____ day of _ _ __ _ , 191_ . I A11ent for Southern Express Company . Consie:ne e. �SOUTHER N EXPRESS COMPANY FORM 370•V A. (Iu c o rpo rnted) AtlvnlH"Cfl t o Co ll ect EX P RESS CHA R GES A dd P RE PAID . Und er chorge I RECORD Of" NOTICES To Consignee _ __ _ __ __ _ _ __ __ _ _ To Shipper _ _ __ _ _ __ _ _ _ __ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVItR ) �AFFIDAVI T FOP ARDENT SPIRITS FOR PERSONA L USE I, , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits , as -:.pecifiJ d on other side of tp is form, this day £c. delivered to me by the Soufoern Express Company, fro ' 1 1 ,1. Ir f / \ ; that I am not a student or minor, and, if a female , I am the h ead of a family; that the ard ent s~irits ~o r eceived by me were brought into the Sbte on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly.of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so r eceived by me are for my own use , at m·y own homo, ond th•t tho "id o,d,nt opi,i~ wili nn'ieed ~ violo~" _w_.=-'l_a - -- - - - - Consienee. '/ /. ,, Agent for Southern Express Company. �SOUTHERN EXPRESS COMPANY l'ORM 370-VA. ( lucorpo rnted ) SPECIA,L LIQUOR Received a,~"--'=- ----"cc::::...---"--:-------'-- __ _ _ __ _ Date RECORD I ,t Co nsignee _ _[.. .....- ~~-...::.---'-~=~~ --'' _,t"--~=:..!'-.'.(;'......... ,. _ __ Kind of Ard ent Spirits _ _:_-=::::....,_c...=~- - - '. rn1f I _ __ _ _ __ _ _ _ __ __ ~- - - - - -Amount_ _.c.../_ _ _ __ _ _rJ_ Affid avit No. _ L. /_{;. _ __ ___ A tl vnn f'e s t o Collect _/_ _____ Weig htf ~ - :. 1 From--=U_ __-'-F _ _,_.J. ___,_ 191..1. EX PRE SS CHARGES )'RE PAID . A dd CO LL ECT / U nd e rc h11 rge f RECORD Of" NOTICES To Consignee _ _ _ _ _ __ __ _ __ __ __ · To Shipper_ _ __ __ _ _ _ _ _ __ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVJI R ) �AFFIDAV IT FOi" ARDENT SPIRITS FOR STATE OF VI COUNTY OF ✓ " PERSON AL USE I I, ) ~~~ - - - - - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as ispecified on other side of this form, this day delivered to me by the Southern Express Company, from ~ , - -- - ~ - - ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri!s so received by me are for my own u se, at my own home, and that the said ardent spirits will not be used in violation of law . ~ (U• J Sworn to and subscribed before me , thi si day of ~ µ , l!l - · {;,~J c'l.(') / (/ A~ent for Southern Express Company. /i' r ~_,/ ~,, :<.- L""""""'::r.....L -.'--'t....cc......r:---''--"'::.:....,1=-.;... �FORM 370•VA. SOUTH ERN EXPRES S COMPA NY (Iuc orporut.e d} RD Affidavit Kind of Ardent Spirits_ WToay-Bj17 ~: := !/ __,'--'-;..-a.. ..._.-=scc--L ..'--=--'-- r:o.Q -- _ ount1~t--,; :.~:_::--:~:...!....-"'"'-- - -- ,-I- ~----, ----- ----, .---- -,--- -- ~ ~,,_ (!__ .A dvnn ce s to Co ll ect 1 Shipper""""'--....L-.:......:_::.::___~ =,~--"- '=:__- --' EXPRESS CRAllGJi:S PU E PAID I RECORD OF NOTICES To Consignee ____ ____ ____ _ _ _ __ To Shipper _ __ ~ - - ---- -- -- - -- AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON Ai USE. (OVER) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~/J I, - - ~ -----~-+---- .<---'-''--- -~ /,,,..-, '---___ _ , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, 1Jified · n other side of t is form, this day , i delivered to me by the Southern Express Company, from ~ ; that I am not a_ student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on.my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of ·any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in vio lation of law . Sworn to and subscribed before me, this_;;_J_day of .-Au ,t,d ,101L. I /J /J t < ;,-, , .~ ~ Aeent for Southern Express OomVJ'DY, Consienee. �SOUTHERN EXPRESS COMPANY FORM 370•VA. (I n c o rporate d ) I SPECIAL LIQUOR RECORD Affidavit No._:;_ ; _ ' _ __ _ Way-Bill No·- - - - -- - - r To j Iv .Ad\tn n c-e s t o Col lect E X P R E SS C HARG ES PR E PAID . COLLEC T Add Und e r cha rge RECORD OF NOTICES To Consign ee _______ _ _ ~ -- - - -- - To Shipper _ _ __ _ _ __:__ _ _ __ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OV E R ) �AFFIDAVIT FOFI ARDENT SPIRITS FOR PERSONAL USE k I, ~ ~ -- ~ - - - ~ ~ -- - - - - - - - - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, a~ specified on other side of this form, this day 1 - 1 delivered to me by the Souihern Express Company, from ' l -" ; thai I am not a student or minor, and, if a female, I am the h ead of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that 1ihe ardent spiriis so received by me are for my own u se , at my own home, and 1ihat the said ardent spirits will not be used in violation of law. i,/ @ , ~,~ rrl~~~-1 _-_ _ Conai1:nee. �FORM 370•VA. "'1 . Receiv~d at Consianee JA.A,,,0- L $ SPEC A.L LIQUOR '> • cL \ REC ~ 2 -/ / Date D 1911 Affidavit No.~/,__JS +-- - - €: .{.~,.J,,~\'-"~=-,1::.c= =---- - - - - - - - - - - - - - f~ U y[f To ~ - < t 1 Shipper (Incorpo rated ) JJ.~rl ,7 Kind of Arden t Spirits Way-Bill No. SOUTHE RN EXPRESS COMPAN Y I -ct , .._.. Date 7&y--J~ ~ , / Amount 2: -/ -6 ~ ,:Z1,.-(;f't -:j / 191l Weiah~ lbs. From _ L _{ __:__~ __ / _ /. .::_ , -" ( ,._ ~_ , r-A-,l -vn-nc- e-, -, o- - , - -E-.X -' P_R_E_'S_S _C_li_A_R_G _E S_ _..,...._.;_A_d_d _ -f~ Coll ec t CO LLECT ___, Und er c buge RECORD Of' NOTICES To Consign ee _ _ _ _ _ _ __ _ __ __ _ __ To Shipper _ _ __ _ __ _ _ _ _ __ _ __ Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONA L USE. (OVl<R ) �AFFID AVIT FOP ARDE NT SPIRI TS FOR PERSO NAL USE -'-''-'--~ = --'-''--'c.._=---== "------"-~-'-'= - - - - - , being duly sworn, depose and say that I am _pecifiea _fin other si e o this form, this day ! '---'--'-- --4 =c-_ , t,<t,,.,,, _ >~1 ,.f \ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceived by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind v,vhatsoever, from any person or from any place what soever, in excess of the quantit y allowed by the pro;,.isi ons of the Act of the Genera l Assemb ly of Virgim a, approve d March 10, 1916, or cont rary to l aw, and that the ardent spiri1.s so receive d by me are for my own use, at my own home, and that the said ardent spirits will not be used in violatio of law . ..,.!/ X - I r,., Sworn to and subscr "bed before me, this _ __ day of J , 19lz. t Agent for Sonthern Express Compan y. /4/ Conaii:ne e. �0 l'ORM 370-V A. SOUTHER N EX PRESS COMPANY {I n c orpo ra t e d) Affidavit No__/ _ __ __ RECORD OF" NOTICES To Consi gn ee _ _ _ _ __ _ _ _ _ _ _ _ _ __ To Sh ipper _ _ __ __ _ _ _ _ _ __ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVER ) �SPIRITS FOR PERSONA L USE ,1 ~-~ ~-~-~ -- - --+~- ------- , being duly sworn, depose and say that I am a cedain spirits, ay, pecifief on other side o this form, this day cf-.v..,. ✓-, delivered to me by the Son1;hern Eipress Company, from~~ --- - 1. /, (. ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the Si;ate on my written order, and that I have not, within the thirty days previous hereto, received any ardent spiri1;s of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that 1;he ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . . {7) r::P /;{ -F' - ~ - ~------t.. ~-,--'&6e,. ~ad ~.•. �~-------------~~~-----~-~---~---------~--~ ~~-~FORM 3TO•VA. SOUTHER N EXPRESS COMPANY (Incorporated ) To Shipper ~/l/l... A--- ~ Allvo n r e a t o Col lect C I EXPRE SS CH A RG ES P RE PAID COLLEC T ~1 RECORD OF NOTICES To Con sign ee _ _ _ _ __ __ _ _ _ __ _ _ _ _ I Arl d Unde r c harge i To Shipper _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . (O VIIR ) �AFFIDAVIT FO~ ARDENT SPIRITS FOR COUNTY OF I, the consign ::__ PERSONAL USE _/ ?["Cl , b~ing duly sworn, depose and say that I am of a certain shipment of ardent spirits, ass~~ified other_~~~ of this form, this day °P delivered to me by the Southern Eipress Company, from ~ :c.-~=---+,f-- , that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spir were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirils so r eceived by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscrw this~ before me , J: , rnL. '-) ~#g .,,, 1 ~ day of ')''1,,f ' Ai:ent for Southern Express Company. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 15 Subject The topic of the resource affidavits ardent spirits personal use Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Timberville in Rockingham County Virginia for personal use. Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Date A point or period of time associated with an event in the lifecycle of the resource 1916 1917 Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Relation A related resource <span>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (</span><a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a><span>)</span> Format The file format, physical medium, or dimensions of the resource PDF Identifier An unambiguous reference to the resource within a given context RcPr-box11-011 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Timberville Virginia https://omeka.lib.jmu.edu/erp/files/original/72941c8f713fb7681161dc0868f83682.pdf 64022484bdcf62aa49bd897097696f55 PDF Text Text SOUTHERN EXPRESS COMPANY F"ORM 370•VA. (Incorpo rated) RECORD OF" NOTICES To Consionee _______::...J.c...;jO,'.C~+-,__ ,__ __ To Shipper _ _______ __ __ _ _ _ __ AF'F"IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. (OV • R) �AFFIDAVIT FOR ARDENT SPIRITS FOR I, /( the consignee of a cert ain shipment of ardent spirits, ? PERSONAL USE , being duly sworn, depose and say that I am ified o~ other side of this form, t his day delivered to me by the Southern Express Company, from~ -t:Z;,t -J 6., '• /i~/ that I am not a student or minor, and, if a female, I am the head of a family; that the ardent., spirits f.>. received by me were brought into the State on my written order, and t'iat I have not, within tile tl:iirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place wh atsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for m y own use, a1. my own home, and that the said arden1. spirits will not be used in violation of law. Sworn 1.o and subscribed before m e, - /1: r: 1.hi s ~day of I I , 191_ . Ai:ent for Southern Express Company. Consieneo, �. EXPRESS COMPANY (Incorporated) _ __ - ~7',__ Affidavit No.,-J./ I Advanc-et to Collect; RECORD OF NOTICES To Shipper _ _ _ __ ___ _______ __ _ To Consignee AFFIDAVIT FOR ARDENT .SPIRITS FOR PERSONAL USE. '--- (OVIIR) �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONAL USE I ~ t::f'}' , ~ ...,-, 15TATEOFV1 ~0 ~ -- COUNTY OFI/& , I, being duly sworn, depose a:ad say that I alll the consignee of a {';tain shipment of ardent spirits, as specified on,_ other side of thi s form, this day ~ delivered to me by the Southern Express Company, frdrp'X /4; <. • ; th at I am not a student or minor, and, if a fem~ al'.ll\ the head of a family; that the ard ent spirits so r eceived by me were brought into the State on my writtet order, and t l:i at I hav~ not, within tlte thirty days previ•ns hereto, r eceived any ardent spirits of any ki.J;id whatsoever, from any person or from -any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General A.s embly of Virginia, approved March 10, 1916, or contrary to law, and t hat t he ardent spirit s so received by me ·are for my owrr'll_se, at my own home, and th at the said ard ent spirits will not b e u sed in violation of law . Sworn to and subscribed before m e, this.1_,.._day of / It,./ , 191-j- , .A2ent for Southern Express Company. Consiltneo, �FOAM 370-VA. SOUTHER N EXPRESS COMPANY (Inco rpo rated ) Advau<"e1 to Collect COLLECT A dd U nderc harge RECORD OF NOTICES To Consianee _ _ _ __ _ __ _-+~""--<IJ-- - - - - To Shipper _ _ __ _ _ __ __ _ _ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVIIR) �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE ~TA'l'E OF COUNTY I £ VIRGJNU.,j , o-( r::,, ' ,. {, OF / ~ ) ' of the consignee 1 -ifa. u-,.:;/ a certain shipment of ardent spirits, , being duly sworn, depose aad say that I am specifie 'On other side of this form, this day hat I am not a delivered to me by the Southern Express Comp any, fro ~ -- - - - -~ - - - -- by me student or minor, and, if a female, I am the head of a family; that the ardent spirits so received previeus days thirty tlte within not, have I t!Jat and order, written my on were brought into the State in hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, approved Virginia, of Assembly General the of Act the of provisions the by excess of the quantity allowed own use, at March 10, 1916, or cont rary to law, and that the ardent spirits so received by me ·are for my . law of violation in used be not will spirits ardent said tbe at tb my own home, and Consieneo. Sworn to and subscribed before me, .A11ent for Southern Express Compan y, �SOUTHERN EXPRESS COMPANY FORM 3TO•VA. (Incorporated) Affidavit No. To <.A. Advance • to Collect Sh;pp,,4 6-~t:l :0, ,J ~ Add Under charge RECORD OF NOTICES To Consionee To Shipper ________ ____ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVBR) ,_ �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~TATE OF Vrnq rnu., COUNTY O F - ~ - - ~ - - - _ ; __ _ 'It (' I, l • ,.,f '-, being duly sworn, depose a:ad say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, fro ~ -~---~--'----'--i'J ____,_(__'; th at I am not-!' student or minor, and, if a female, I am the head of a family; that th~ ardent spirits so received by me were brought into the State on my written order, and t'iat I have not, within tl10 thirty days previ1rns hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of th e General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that th e said ardent spirits will not be used in violation of law. ~ ,+7,,,-::;_.,,___;,;.-i• _-r. .,. A "'-,. ._.J<---+.(j): ~·~✓--~ ~='- -'-'---'-'l---"'-"J_ _ F--1'== Consh:neo, this , .Aeent for Southern Exvress Comvsny. �l'ORM 370•VA. SOUTH ERN EXPRE SS COMP ANY (Incorpor ated ) Affidavit No.__~ - -- - RECOR D OF NOTICE S To Consionee To Shipper _ __ _ _ _ _ __ __ _ _ __ _ (OVBR) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I , ----.-- - - - - - - - - -- - - - -- - - - - -, being duly sworn, depose aad say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form , this day delivered to me by the Southern Express Company, from J(, I ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within tlae thirty days previeus hereto, received any ardent spirits of any kind what soever, from any person or from any place wh atsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiri~s so received by me are for my own use, at my own home, and that the said a.rdent spirits will not be used in violation of law. ( V. Sworn to and subscribed before me, this--7--day of :I/. /- /2:Fef Ji • , 191 A11ent fo r Southern Express Company. I /2: ·Conshineo, �F08M 370-VA. SOUT HERN EXPR ESS COMP ANY (Incor por at ed) Affidavit No._....,/..__ __ Ad vauree to Coll ec t RECOR D OF NOTIC ES PREPAI D J To Consignee___ ___ ___.:. _z__."""'_____ _ To Shipper _ _ _ _ _ _ ____ __ _ _ _ __ AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE. ( OV IIR) �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE STATE OF VIRGINLA, COUNTY OF-----=- =---===--.: :=- I, - - - - --=----'=-- ~ - --'--- - - - - - - - , being duly sworn, depose a:ad say ihai I am the consignee of a cert ain shipment of ardent spirits, as specified on olher side of this form, ihis day l delivered to me by the Southern Express Company, from _ _ _ _ ______ __ __ ; th at I am not a student or minor, and, if a female, I ain the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and · t ':Jat I have not, within tli e thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from -any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that th e said ardent spirits will not be used i~ violation of law.. Sworn to and subscribed ·before me, ,, this _ ___day o.___ _ ___ , 191_ . .A i:ent for Southern Express Company. Consh:neo. �SOUTHERN EXPRESS COMPANY FORM 370•VA. (Incorporated) LIQ 4,0R RECORD Date;: , ,_ ,Y·~ '1/1 . 1/ / ~ind of Ardent Spirits _ _.,/c.:v,::_'--"'== '~ ,!..l:.....&#d<;L- - - - - 'Amount Way-Bill ~ / i'~ ~ To , I 2 h';r7 Date .;l~,vt-fj,(/ Shipp~<l'<'\c4,,JU. A., . V ~·,. -2 •/ a t - 1- , ) J 191- / Affidavit / I No._ -11'... :2, ~"'--_I- l' (,'f ~t(' Weight-~,,_ cr_ _ lbs. / l,I: ~ From /:, • , · UL , ... ~-<, . I" C 191....::2 ,------,---"-E--x'"'P""R""'E""'s..,.s""c""'a--A""'R,..G_E_s_ _.,....__•_d_d_ ' - . ~ Advau<'e • t o CoUect; .,4 PREPAID COLLECT Undercbar1e I RECORD OF NOTICES / To Consionee _ _ _ _ _ ____--11Ic.,;g."'~_,r..1~ ,-r4,..,.,--1 ' !- -- To Shipper _ _________ _ _ _ __ _ _ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVSR) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE ~TATE OF VmmN U, COUNT Y OF\+-,- ----''---- - _ ; _---=-- ----'-- l, ""-" --"- ---- ---- ---- -'~- ~------ , being duly sworn , depose aRd say that I am the consig nee of a certai n shipm ent of ardent spirits , as specif ied on other side of this form, this day delive red to me by the South ern Expre ss Comp any, from l ;- that I am not ;1 studen t or minor , and, if a female , I am the head of a family ; that the arden t spirits o receiv ed by me were broug ht into the State on my writte n order, and that I have not, within tile :thii·ty days previe us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from any pmce whatso ever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly ,o f Virgin ia, approv ed M_arch 10, 1916, or contra ry to law, and that the arden t spirits so receiv ed by me -are for my own use, at my own home, and th at the said ardent spirits will n t be used in violati on of law . Sworn to and subscr ibed before me , this Ai:ent for Southe rn Expres s Compan y. ffi Consieneo. �..------ --- --SOUTHERN EXPRESS COMPANY FORM 370-V A. (ln <'orpo r ated ) LIQUOR RECORD Date M I jJ 19Lf Affidavit No. I If RECORD OF" NOTICES To Consignee _ _ _ _ _ __ ___,.__,_...,,._ __ __ To Shipper _ __ _ _ _ _ _ _ __ _ __ __ AF"F"IDAVIT F"OR ARDENT SPIRITS F"OR PERSONAL USE. (OVllR) �Af'f'IDAVIT f'OR ARDENT SPIRITS f'OR PERSONAL ,U ~E I, / , being duly sworn, depo'se aRd say that I am the consignee of a certain shipment of ardent spirits, as specified on other side qf this form, this day ~ delivered to me by the Southern Express Company, from \ that I am not 13 student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have n ot, within tile thirty days previ•us hereto, received any ardent spirits of any_kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or cont rary to law, and that the ardent spiri\s so received by me are fo r my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to an d subscribed before m e, J1J,111~0/V\, a .A i:ent fo r Southern Express Company. /~ Consh:neo, �SOUTHERN EXPRESS COMPANY FORM 3T0•VA. (Incorporated) RECORD OF NOTICES To Consignee ________ ~,__~~--- - - To Shipper _ _ __ _ _ _ _ _ __ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (ov • R) �------ ------ ------- ------- ------~ ---~~------ .-..,<"=--AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, _ ...,,:....,..~_ _.,__ __:____:c::..:.._:__!..__ _ _ _ _ _ _ _ , being duly sworn, depose alid say ihai I am the consignee of a certain shipment of ardent spirits, as s~ ecified n other side of this form, ihis day ~ * ' delivered to me by·the Southern Express Company, from 1/~ "1 ',:,,-, h .-,,, ; t at I am not a student or minor, and, if a female, I am the head of a family; that the frdent spirits so received by me were brought into the State on my written order, and t11at I have not, within tile thirty days previ•us hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, i916, or contrary to law, and that the ardent spirits so received by me ·are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and s!¾bscribed before me, this,:}./ day o~f/ _✓~-Ai:ent for Southern Express Company, Conshineo. _ �FORM 370•V A. SOU THE RN EXP RES S COM PAN Y (luco rpora. ted) Arld Under charg e 111 REC ORD OF NOT ICES /; ~ To Consignee- - -- - -~-,..~ 1---~ .,, - -fl()--~----'--4--.I"'- ., _ _ ~ !f: r • To Shipp er _ _ _ _ _ _ __ _ _ _ __ _ _ _ AFF IDAV IT FOR ARD ENT SPIR ITS FOR PER SON AL USE . ( OVER ) �AFFIDAVIT FOP ARDENT SPIRITS FOR PERSONAL USE I, ~.---- - - - - - - - - ~ - - - - - - - - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specifie - on other side of this form, this day delivered to me by the Southern Express Company, froM · vvt--~ Y~ ' ; that I am no~ a student or minor, and, if a female, I am the head of a family; that th ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed hy the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirit.a so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. Conai1:nee. Sworn to and subscribed before me, thisJ - +day of- .....,__-'-- - , 1911 . ) Agent, for Southern Express Company. �SOUTHERN EXPRESS COMPANY FORM 370•VA. (Incorporated) LIQUOR ---~~<;:--1"~'--'-"'----''--- - C.....:::-'---~-Date 7 RECORD M-,1,- Advan("e • t o Collect / L...o~-- 191-1 Affidavit No. __ PREPAID Add Undercbar1e RECORD OF NOTICES To Consionee _ __ _ _ _ _ ___,__,'---1----'--_,___ To Shipper _ _ _ _ _ _ _ _ __ _ __ _ __ _ ,\F'FIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVBR) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE I, - - - - - - - - - - -- - -- - - - - - - - , being duly sworn, depose a:ad say that I am . the consigne e of a certain shipment Qf ardent spirits, as specified on other side of this form, this day · delivered to me by the Southern Express Company , from ____ ____ ____ __ ; that I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into the Stat_e on my written order, and tliat I have not, within tile thirty days previeus hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoev er, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved 11:larch 10, 1916, or contrary to law, and that the ardent spiri\s so received by me are for my own use, at my own home, and that the said ardent spi rits will not be used in violation of law. I Sworn to and subscribe d before me, Aeent for Southern Express Company. Consli:neo. �SOUTH ERN EXPRES S COMPA NY FORM 3TO•VA. (Incorporate d) Affidavit No. __,? :~.../' - - - - Advanc-e1 t o Co llect PREPAID RECORD OF NOTICES To Consionee _ ____ __--#-c.L.'--""~ _,_4-- -+-- To Shipper _ ____ ___ ____ _ __ _ _ \., AFFIDAV IT FOR ARDENT SPIRITS FOR PERSON AL USE . \ ,, (ov • R) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE depose aRd say 1iha1i I am I, - - - - - - - - -- - - - -- - -- - -- - , being duly sworu, on other side of this form, 1ihis day specified as spirits, ardent of shipment certain a of e consigne the _ __ _ _ __ that am not a delivered to me by the Southern Express Company , from ____ ___ arden1i spirits so received by me the that family; a of head the am student or minor, and, if a female, I not, within t:110 thirty days previeus have I 1i'ia1i and order, written my on State the into brought were or from any place whatsoev er, in hereto, received any ardent spirits of any kind whatsoev er, from any person Assembly of Virginia, approved General the of Act the of s provision the by allowed quantity the of excess by me lire for my own use, at March 10, 1916, or contrary to law, and that the ardent spirhs so received f o---'flll:::!"~~:__::::::...::....:~~ - ·o~nl-v io~J~a=t1::.. d~i~n~·~ my nwn hnm, , ,nd th.t th• "id .,d,nl opidto will n~.t b6R~ Sworn 1io and subscribe d before me, this1-.Lday o /r K , 191 f. Ai:ent for Southern Express Company. �SOUTHERN EXPRESS COMPANY FORM 370-VA. (Incorporated) Affidavit Kind of No.1'4----- ~ Amount~l---(J ,,...___ ;L:_ _ ~w~~~-~41."#------ ~---->.J..-.'F-- - --Date,.U~~.,._~l- 'f+-- - - - 1 9 1 Fro=~-~ldl,.,--~~!!'.LI;.L...l..: . Add Advrmre1 to Collect PREPAID COLLECT Underchor1e RECORD OF' NOTICES To Consianee _ _ __ _ ____+JL.J.L-~'----JL__ __ To Shipper _ __ _ _ ___ ______ __ _ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. ,_· . . (OVRR) �AFFID AVIT FOR ARDE NT SPIR ITS FOR PERS ONAL USE I, ---- ''---'-....;_- -=--=-=-=-=~ =--'-- - - - - - - , b~ing duly sworn , depose aRd say that I am the consig nee of a certai n shipm ent of ardent spirits , as specif ied on other side of this form, fais day f delive red to me by the South ern Expre ss Comp any, from ___ ___ ____ _ _ __ ; that I am not it studen t or minor , and, if a female , I am the head of a family ; that the arden t spirits so receiv ed by me were broug ht into the St ate on my writte n order, and tliat I have not, within tke thirty days previe us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from -a ny place whatso ever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law, and that the ardent spiriis so receiv ed by me are for my own use, at my own home, and that the said ardent spirits will not be used in violati on of law. !f )hvt t Sworn to and subscr ibed before me, this / l. day of / Ji I, '._..._. . . . . Conshrneo. �SOUTHERN EXPRESS COMPANY FORM 370•VA. (Incorpo rat ed ) LIQUOR RECORD Received a~~ ~~"3,,~:::_::.:__~ J ._ __:__ _ OatP~ w~ T 1 191 -/- / 3 -all,,//?'_ Shippe ( A / ~ / & Advanre • t o CoJlect A dd Underc b ar1e RECORD OF NOTICES To Consignee _ _ _ _ _ _~ ,--~~~ ~"'--- - - - To Shipper _ _ _ _ _ __ _ ____ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. -·. ( OV BR) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE STATE OF VIRGINU., ' COUNTY OF r [l--r- /t,,t,., I, / 1 ( I , .J the consignee of a certain shipment of ardent spirits, , being duly sworn, depose aad say that I am specified on other side of this form, this day delivered to me by the Southern Express Company, f r o m ~ - - - - - - - - -- - -- ; that I am not!' student or minor, and, if a female, I am the head of a family; that the ardent spirits s.o received by me were brought into the State on my written order, and t'1at I have not, within tlae thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from ·any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly .of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so received by me -are for my own use, at my own home, and that the said ardent spirits will not be used in violation of Jaw. QI' :, Sworn to and subscribed before m e, f Ai;:ent for Southern Express Company, t, / I r 7 Consiiineo. �SOUTHERN EXPRESS COMPANY FOAM 370-VA. (Incorporated) RECORD OF' NOTICES To Consionee _ _ _ _ _ ___ ~~...r.::.¥'--fi ~-.1-- To Shipper _ _ _ _ _ _ ________ _ __ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. (OVIIR) �AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE I am I, - ---'---'---'----=---~-=:c._- _:c__-"---"-------'----'---=---=---:.....:---=-- - - , being duly sworn, depose a11d say that this day tlie ()Onsignee of a cerfain shipment of ardent spirits, as specified on ot her side of this form, 1 delivered to me by the Southern Express Company, from-M ardent spirits so received "by me the that family; a of head the am I female, a if and, minor, student or previ•us were brought into the State on my written order, and tl-iat I have not, within tlae thirty ·days in whatsoever, place any from or person any from whatsoever, kind any of spirits ardent any hereto, received approved Virginia, of Assembly General the of excess of the quantity allowed by the provisions of the Act own use, at March 10, 1916, or cont rary to law, and that the ardent spirits so received by me are for my . law of violation in used be pot my own home, and that the said.ardent spirits will t Conshrneo, Sworn to and subscribed before me, this .A 11ent for Southern Express Company, �SOUTHERN EXPRESS COMPANY FORM 370-VA. ( Incorporated) 191 .Ad-.an<'ea t o Collect; .Add U ude r ch a r1e RECORD OF NOTICES To Consianee ___ _ _ __ _ __,,____c......._ __ _ To Shipper _ __ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. ( OVBR ) _ _ __ _ __ _ _ �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, - - ~ - " ~ ----""=-----"-'--'-"'-'------'~ --==--- - - - - - , being duly sworn, depose aRd say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Exp1·ess Company, fro t at I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and t'1at I have not, within tile thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, ond th, t tho ""id "'dent spfrits : sod in viol,tion low. , •i1a .. Sworn to and subscribed before me , A2ent for Southern Exvress Comvany. j , ~c:_ Consi~neo,.., �SOUTHERN EXPRESS COMPANY FORM 370•VA. (Incorporated) RECORD OF NOTICES To Consianee ________,~'--"'<-,- -+---- To Shipper ______ __ ____ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OV• R) �--------------------- - - ------------·=-=-=-=-,=-~-- -----AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE b ~TATE OF # ~ COUNTY OF. /. ~ ~,._,v, 'J-:lJ,~2/t:,; 1,/h~J I , being duly sworn, depose aRd say that I am ' the consignee of a certain shipment of ardent spirits , as specified on other side of this form, this day . /_ r I • delivered to me by the Southern Express Company, fromrV ?v? ,. 1.- - '~_, t• --; :hat I a m not \t student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and t'iat I have not, within tlte :thirty days previ•us hereto, received any ardent spirits of any kind whatsoever, from any person or from -any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own hom e, and that the said ardent spirits will not be used in violation of Jaw. -+ .J Sworn to and subscribed before me, . thi dayofM.6--- , 191?2- . Ai:ent for Southern Express Company. Conshtneo. �FORM 370-VA. SOUTHERN EXPRESS COMPANY (Incorporated) RECORD Affidavit N o._~c ____ Add Undercharge RECORD OF NOTICES To Consionee _ _ _ _ _ __ __,<-l~- - -- - - - To Shipper AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OV• R) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~TATE OF VIRGI I.A, /. COUNTY ~ -=---"------ . • , OF-l'-lt,,....._l".~C , being duly sworn, depose aBd say that I am , {>I, the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day ; that I am not a f delivered to me by the Southern Express Company, fro student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within tlae j;hirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of Jaw. 1 I Sworn to and subscribed before me , this; _ _day of , 191/ - . &J, /.l s;- /L, .. .Ae:ent for Southern Express Company. �FOAM 370•VA. SOUTHERN EXPRESS COMPANY (Incorporated) Affidavit No ~ / / \ RECORD OF NOTICES To Consionee _____ ____~'-1-'"""-- - -- -- .." { To.Shipper _ _ __ _ __ _ __,__ _ _ _ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVBR) �AFFIDAVIT FOR ARDENT SPI RITS FOR PERSONAL USE I, ~~- - -~~- - - -- - - - - - -- - -- , being duly sworn, depose aiad say that I am the consignee of a cert ain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, fro /. C ' "" ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and t!1at I have not, within tile thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of t he General Assembly of Virginia, approved March 10, 1916,· or contrary to law, and t hat the ardent spirits so r eceived by me ·are for my own u se, at my own home, and that the said ardent spirits will not be used in violation of law. Sworn to and subscribed before Ille, this / C day of_.__, _ _ _ 191 /' , I A11ent for Southern Express Company. Consie-neo, �FORM 370•VA . Add Undercb ar1e RECO RD OF NOTIC ES To Consignee - - -- - ---- -.~- --_. ""-- ---- To Shipper _ ___ ___ _ ___ __ _ __ _ . AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE . : r ( OVB R) .. �AFFIDAVIT FOR ARDENT S~IRITS FOR PERSONAL USE ~TATE OF VIRGINU. COUNTY OF .Jt. I" ~t--(:;Z , I, ~ / ( being duly sworn, depose aB.d say tha1; I am the consignee of a certai£ shipment of ardent spirits, as. specified on other side of this form, this day ?✓tC delivered to me by the Sout~ern Express Co~any, from~ , . ( <• ;• that I am not a student or minor, and, if a female, I am the head of a famP,Y; that the ardent spirits so received by me were brought into the State on my written order, and iliat I have not, within tae thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of _the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March IO, 1916, or contrary to law, and that the ardent spirit.a so received by me ·are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. ., Consh:neo. Sworn 1;o and subscribed before me, this _ _day of 1J/~ ;(.191 �FORM 370•VA . SOU THER N EXPR ESS COM PANY (Incorp orated) ~:zs~: ()"'~ Xind of Ardent Spirits _ _~ ~1£J"'-""""-.L...--""'=e ,;,.- - - -- Ship per~ (.).(, ,.,../ - 1:-">-D~ RECO RD OF NOTIC ES To Consionee _ _ _ _ _ __ _ _,,___-"".-.- - - - - To Shipper _ _ _ _ __ _ AFFID AVIT FOR A,RDE NT . SPIRI TS FOR PERS ONAL USE. ( OVBR) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I , - - ~ - - - - -- -- - - -- - - -- - - - , being duly sworn, depose aad say that I am. the consignee of a certain shipment of ardent spirits, as specified on ot her side of this form, t his day ; that I am not a delivered to me by the Southern Express Company, from ~ student ·or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and t 1rnt I have not, within tke thirty days previtius hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of t he quantity allowed by the provisions of the A.ct of the General Assembly of Virginia, approved March 10, 1916, or .contrary to law, and t hat the ardent spirits so received by me ·are for my own use, at my own home, and that the said ardent spirits will n t ~e used in violation o law. I Consh:neo, Sworn to and subscribed before me, Ai:ent for Southern Express Company, �FORM 370-VA. Received at LIQU?'~ R:CORDf Date ,._ 191-f Add Underchar1e RECORD To Consianee _______~ + ---",l'4'-----c'-1--4'....._- To Shipper ___ _ ____ _ _ __ _ __ _ _ AF'F'IDAVIT F'OR ARDENT SPIRITS FOR PERSO,!"'AL USE. {OVBR) �AFFID AVIT FOR ARDE NT SPIRI TS FOR PERSO NAL USE I, _ .....," - - - - ---"'----'-- - ·-'---- - - - - - - - , being duly sworn, depose asd say that I am the consign ee of a cert ain shipme nt of ardent spirits, as specifie d on other side of this form, this day deliver ed to me by the Southe rn Expres s Compan y, fro I ; that am not~ student or minor, and, if a female, I am the head of a family; that the ardent spirits so receive d by me were brough t into the State on my written order, and t~at I h ave not, within tile thirty days previeu s hereto, receive d any ardent spirits of any kind whatso ever, from any person or from •a ny place whatso ever, in excess of the quantit y allowed by the provisi ons of t he Act of the Genera l Assemb ly of Vir.gini a, approv ed March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me ·are for my own u se , at my own home, and that the said ardent spirits will not be used in violatio n of law . i Sworn to and subscri bed before m e, Ae:ent fo r Southern Exvress Comvany. Consie:neo, �Ad'Tanc-e1 to Collect RECORD OF" NOTICES To Cons[anee _ _ __ _ __ _ --J,___.""----_.__ _ _ __ Add COLLECT UndeTcbaTge To Shipper _ _ _ _ _ _ _ _ _ __ _ __ __ AF"F"IDAVIT F"OR ARDENT SPIRITS F"OR PERSON AL USE. (ov • R) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, •/ I , being duly sworn, depose aiad say that I am the consignee of a certain shipment of ardent spirits, as specifie ot her side of this form, this day delivered to me by the Southern Express Company, from_---=--"===--'<-=-=:.:'--'-'----"'-- ; that I am not~ student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and tl:iat I have not, within tlle thirty days previeus hereto, received any ardent spirits of any kind whatsoever, ·from any person or from any place wh atsoever, in excess of the quantity al.lowed by the provisions of the Act of t he General Assembly .of Virginia, approved March 10, 1916, or cont rary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violat ion of law. Sworn to and subscribed before me, this j _ _day OL..C...c.L=..:.=:=....:. .A~ent fo r Southern Express Company. t p. C . I �-~--·- --------~=~--------FORM 3TO•VA. SOUTHER N EXPRESS COMPANY (I n corporated) Affidavit ""--~t&.-- No.,~2 EXPRESS CHARGES COLLECT To Consignee Add Undercbar1e To Shipper _ _ _ __ _ __ __ _ _ _ __ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OVBB) �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~TATE OF VIRGIN!£ , COUNTY OF /r& (' j A'r I 1 ----1 If / , being duly sworn, depose aB.d say 1.hai I am t he consignee of a certain shipment of ardent spirits, as specified on other side of thi s form, 1.his day delivered to me by the Southern Express Company, from_-=-..,=:.c- '--"--'-- _;_~--- i th at 1 am not !,t student or minor, and , if a fem ale , I am the head of a family; t hat the ardent spirits so r eceived by me were brought into the State on my written order, and t l:i.at I have not, within til e thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and t hat the ardent spirits so received by me are for my own use, at my own home , and th at th e said ardent spirits will not be used in violation of law . I Sworn 1.o and subscribed before m e , l'}J--" 1 this _ _ _ day o~f_ _ _ __ , 191 ~ /2 .A l?ent for Southern Express Compa ny, Consh:neo, �FORM 370- VA. SO UT HE RN EXP RE SS CO MP AN Y (Inco rpora ted) Affidavit No.,_ ,.-# -- - - - REC ORD OF" NOT ICE S To _Consignee __ __ __ ___,..s...____,_-4--~ -- - - To Shipper __ __ __ __ __ AF"F"IDAVIT F"OR ARD ENT SPI RIT S F"OR PER SON AL USE . {OV • R) __ _ __ __ �( AFFIDAVIT FOR ARDENT SPIRITS FOR ~TATE OF VIRGINIA, / /_c_ _,,._ ~ (>-C COUNTY OFr-'/ PERSONAL USE ______,___ J,,,__J/4 ~ , '- being duly sworn, depose aiad say that I am on other side of this form, this day ecified s as spirits, ardent of shipment certain a of the consignee = ~T; ~~ that 1 am not ~ J;;-tf" ,_..., . delivered to me by the Southern Express Company, from student or minor, and, if a female, I am the head of a family; that the ardent spiritt to received by me were brought into the State on my written order, and tliat I have not, within tlie thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from -a nY. place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spiriis so received by me are for my own use, at my own home , and that th e said ardent spirits will not be used in violation of law . I f 1 ;, ,.. Conshtneo, Sworn to and subscribed before me , t ~ (;_ _ , 191_ thisL Lda)'lof...,..._~ . .A i:ent for Southern Express Company. �l'ORM 370•V A. SOUT HERN EXPR ESS COM PANY ( Incorpor a ted) SPEC IAL LIQU OR RECO RD Received at.----::a.,,..~J4 ~=-"""--=-- - - - ~ ~ ~ - -Dat e ~ RECO RD OF NOTIC ES r 191-- J Affidavit No._.J.J -- - - 7f.,---- To Consion ee ___ __ __ __~...,#.....,'lf ---<- -- - - - - To Shipper_ __ _ _ __ _ ____ __ _ __ AFFID AVIT FOR ARDE NT SPIRI TS FOR PERS ONAL USE. ; (ovza ) . �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE l!TATE OF VIRGINIA.,, COUNTY O F ~ - ~ -'~ ~-'--',.---"-~ - - - ,&.../\ ,4., - I, I ! / , being duly sworn, depose aBd say that I am the consignee of a certain shipJent of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from/ '; '-' ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and tliat I have not, within tlte thirty days previeus hereto, ·received any ardent spirits of any kind whatsoever, from any person or from -any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly .of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law . Jtl t . Consie:neo. Sworn to and subscribed before me, this ___day OLf--== '---, 191_, ,'/' Ai:ent for Southern Express Company. �FOIIM 370•VA. RECORD OF NOTICES To Consionee SOUDIER N EXPRESS COMPANY (Incorporated) To Shipper _____ ___ ____ _ ____ _ AFFIDAVIT FOR ARDENT SPIRITS f'OR PERSONAL USE. (ovaa) �AFFIDA VIT FOR ARDEN T SPIRIT S FOR PERSO NAL USE duly sworn, depose aad say that I am I , - ~ - - - -'--- - - - - - - - -- - -- - -, being ecified on other side of this form , this day the consign ee of a certain shipmen t of ardent spirits M ,;H I ; that I am not a ~ t f t'.-/-L' I, delivere d to me by the Souther n Express Compan y, fro received by me so spirit~ ardent the that famiiy1 a of head the am I student or minor, and, if a female, days previeu s thirty tlte within not, have were brought into the State on my written order, and that I ver, in whatsoe place any from r person·o any from ver, whatsoe kind any hereto, received any ardent spirits of d approve , Virginia of ly Assemb General t he excess of the quantity allowed by the provisio ns of the Act of own-use , at my for are me by received so spirit.s ardent the that and March 10, 1916, or contrary to law, in violation of law. my own home, and th at the said ardent spirits will not be used Conshineo . Sworn to and subscrib ed before me, this t( r: I Ai:ent for Southern Express Company . �SOUTHERN EXPRESS COMPANY f'ORM 370-VA. - ' j.'J SPECIAL ~~:~;:> "= if "'i' < ,.,.je,1..-6c ~ECORD ~,;_e. t, \.) ~ ~ &, Lh::. ._~Consignee , ...;,.a Kind of Ardent Spirits N ~~ --.~ - ----,--.-:.,:~D a~e Att;o,.;, , ,. :I ,-... ~ - - - - -- - - - Amount )i..;{; 2 / 191 i;_,-- _ EX P RESS CHARGES RECORD OF' NOTICES lbs. '-d From N ~ PREPA I D To Consignee _ __ _ __ __ __ __ _ __ _ _ _ ¾ W~ ~L A dd Underc har1e To Shipper _ _ _ _______ _ __ _ _ __ AF'F'IDAVIT F'OR ARDENT SPIRITS F'OR PERSONAL USE. ( OVJIR) �---------- - ------------~------------------AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~TATE OF VIRGIN!~ / ,, COUNTY o.,/? ~- t.- 1, .,1 , being duly sworn, depose aRd say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day % '~' C delivered to me by the Southern Express Company, fro t -,: ,. that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and t 1iat I have not, within tae thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the qu antity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own ·home, and that the said ardent spirits will not be used in violation of law. · Sworn to and subscribed before me, ,' day of-'-'-~ ' __,(,_ _ , 191_ . .Ai:ent for Southern Express Company. Consi2neo, �SOUTHERN EXPRESS COMPANY F'ORM 370•VA . (Incorpo rated) ~ Received ~ • $ SPECIAL LIQU9_R, RECORD Date~~ / t1 1917" Affidavit No._'#-/_O ~_ C o n s i o n e P . ~ ~~ Advanre 1 to Collect PREPAID .Add Underc bar11e RECORD OF NOTICES To Consionee ______~H'-"''--,~'---c,__ _ __ To Shipper ____ __ ____ __ __ _ __ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE. (OV&R) �r AFFIDAVIT FOR ARDENT SPIRITS OR PERSONAL USE ==_,______________________ , being duly sworn, depose aBd say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day 4 ~ delivered to me by the Southern Express Company, from /i ", that I am not ,~ student or minor, and, if a female, I am the head of a family; that the ardent spiritslo r eceived by me were brought into the State on my written order, and tl:Jat I have not, within tile thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March IO, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home , and that th e said ardent spirits will not be used in violation of law . Consh~neo. Sworn to and subscribed before me , this.{!_day or~/: -✓-~-, 1917- . .A11ent for Southern Express Company. �rORM 370•VA. SOUTHERN EXPRESS COMPANY (I nco rporated) RECORD OF" NOTICES __ ___ __ _ _ __ _ To Consionee ________,__ . . . , ~ - - - - - - - To Shipper ____ _ AFFIDAVIT FOR ARDENT SPIRITS F"OR PERSONAL USE. ( OVBR ) �--- - -- ------ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE ~:::::~;%A J~,: ~ ~ 1 ~ I, , • ,, , being duly sworn, depose a11d say that I am the consignee of a certain shipment of ardent spirits, as specified on .other side of this form, this day ', delivered to me by the Southern Express Company, front l-' t1fat I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, with\n tile thirty days previeus hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and t hat the ardent spiriis so received by me -are for my own use, at my own home, and that the said ard ent spirits will not be used in violation of law. Sworn t o and subscribed before me, t his r day of d { ,191.i - . r £ Ai:ent tor Southern Express Company. Consi~neo, �l'OIIM 370•VA . SOU THER N EXPR ESS COM PAN Y (Incorp o rated ) Affidavit No. ;:1- ¥' RECO RD OF" NOTI CES To Consignee _ _ __ _ __ _ __ _____~,.,_. .__ _ To Shipper _ _ _ _ _ _ _ _ _ _ __ __ _ AF"F"IDAVIT F"OR ARDE NT SPIRI TS F"OR PERS ONAL USE. (OVKR) _ �AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE I, ~ - ~ ~ - ~ - - - - - -- - - - - - - - - - , being duly sworn, depose a:ad say that I am· the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day /.re<, C, that I a.m not a delivered to me by the Southern Express Company, from VY' t student or minor, and, if a female, I am the head of a family; that the ardent spirits s.o received by me were brought into the State on my written order, and that I have uot, within tl10 :thirty days previ•us hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. . 0c , / Sworn to and subscribed before me , this~ day of /r,vU-- , _191/ 7 . W~v>~ .Airent for Southern ·Express Company. I Consi~J?eo. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 10 Subject The topic of the resource affidavits ardent spirits Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Linville in Rockingham County Virginia for personal use. Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Date A point or period of time associated with an event in the lifecycle of the resource 1917 Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (https://creativecommons.org/publicdomain/mark/1.0/) Identifier An unambiguous reference to the resource within a given context RcPr-box11-005 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Linville Virginia https://omeka.lib.jmu.edu/erp/files/original/60862cb71f64294f8f41d640a61bc59a.pdf 781b47df01413d64cb8a3fe42cbcd377 PDF Text Text Commonwealth of Virginia, County of Rockingham, to-wit: In the Circuit Court of said County: The jurors of the Commonwealth of Virginia, in and for the body of the County of Rockingham, and now attending the Circuit . at its . Sept a..l'...e.r.m 191 6 , , . Court of said county,/ UPUJ.'f 'TH.IHK bATHS PRESENT, that FranK Fi t zwater on the _ _ _ _ _ __ day of _ _ _ _ _1,. 916 , in said County , near Dovesville , i n Plain s 11 a giste i all District , the sai d Distri ct be i ng no li c ense territ ory"did unlawful l y sell to .I . L . Reedy , ardent sp irits , against the peace and dignity of the Commonwealth of Virginia. UPON THEIR OATHS AFORESAID, BO a ~~ - t -f t-he Comm This indictment is found on the testimony of _ _ _ _ _ _ _ __ , witnesses sworn in Court and sent before the Grand Jury to give evidence. �Sept . ~e r m, 1 916 . sell ing of arde nt s p iri ts COM MON WEA LTH vs. Indic tmen t Frank Fit zwat er ~ For Misd emea nor A TRUE BILL u Forem an ! Harr y k • . 0tri ie: kB r Att y . fo _. ,c11e Jor•1 . � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 11 Subject The topic of the resource affidavits ardent spirits Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to McGaheysville in Rockingham County Virginia for personal use. Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Date A point or period of time associated with an event in the lifecycle of the resource 1917 Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (https://creativecommons.org/publicdomain/mark/1.0/) Format The file format, physical medium, or dimensions of the resource PDF Identifier An unambiguous reference to the resource within a given context RcPr-box11-006 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant McGaheysville Virginia https://omeka.lib.jmu.edu/erp/files/original/4922b1bf6091d3e7d1aa828b0254435f.pdf a5990668f8e87ef96b81c6f75a2bff99 PDF Text Text �� Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 12 Subject The topic of the resource affidavits ardent spirits Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Melrose in Rockingham County Virginia for personal use. Source A related resource from which the described resource is derived Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1917 Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (https://creativecommons.org/publicdomain/mark/1.0/) Format The file format, physical medium, or dimensions of the resource PDF Identifier An unambiguous reference to the resource within a given context RcPr-box11-007 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Melrose Virginia https://omeka.lib.jmu.edu/erp/files/original/3d19368e0c8c801b559e5e04bca66cbd.pdf dc5f283cf6d1575b6bb2524e8e167152 PDF Text Text Form 743 10-1 6 ·'vvells Fargo & Co Express . Consig nee's Affida vit of Intox ~ ~!:!:y O~~~~~ .... ~ ~ uor SS j I .............. ····•········•················ and say: That I am the day deliver ed to me by Wells Fa rgo & Co ... .......... ······•···········-\-··········· ; that I am not a s tud e nt or a minor, and, if a fem e, I am the head of a family ; that such ardent spirit s were Rh.pped on my written order . and that I have not, within t. he t hirty days previou s hereto , receive d any ardent spirit s , contra r y to l a w, a nd that such ardent spirit s are for my own use at my own home . thi s ...... . ................ day ��Form 743 10-1'6 '"V ells Fargo ,& Cp Express Consignee's Affidavit of Intoxicating .· County i B, . ' J# ) .. ············t r:;...... ) ,,,,-.... ss i .. .. e:;vr~-4 / fi ·quor ~ , ~ ,l lJ I .. .............. ..... _. .. ..........,:. ....! . . i ... ../: :". ................. .... ... being duly. sworn, depose and say: Tha~ I a th~ consigne e o f a shipment of ardent spirits th i s /.~~~ ~ ~ day delivered to me by Wells Fargo & 'Co fr ~m..... ......... ...... ............. ; that I am not a s tudent or a mi nor, and, ir a femaYe, I am the he a d o f a family; that such ardent spiri t s were ~hipped on my written order and that I have not, within the thirty days previous hereto, received any ardent spirit H, c ontrary to law , a n d that such ardent spirits are for my own use at . my own home . .. .... ,Q. . Consignee. . f .. .............day 1-I7 Sworn to and subsc r ibed befor e me thi s .....;;:_:··············!-·········,.. ·· ············· - "i I p ( . .l ........................ -f ..........••.................................. · Agt. for Wells Fargo ~ ~co �- �\V ells Fargo & Co Express Form 743 10-16 Consignee ' s Affidavit o f In toxic~tin State of V in County of' .... .ll. ... l . . ..;..)) }s j ~ · ·... ... ., ./ .... ~ :................... .....................being duly sworn, depose and say: That I am he consigne e o f a s hipment o ardent spirit s this '47' day delivered to me by Well s.. Fa r go & Co f rom ../.0...................... ~ hat I am not a s t ud en t or a minor, ~ n d, if a fem I am the he a d of a family; that such ardent s pi rits we re s hip p ed on my written order and that I have not , wi t hin the thi r ty days previous hereto, rece ived any ardent spirits , c ontrary t o law, a n d that such ardent spirits are for my own use at my own home. L' , I l J,,- ~ -----··········-·-·-··········--------,----- ---.;,,~- ····#····- .. ./'! .... , . ~ ·------------·········---------- / Sworn to a,u s u bs c ribed before me / ) JI" of ................ .......k./ ...... ~ ........ ...................... , 19~/ ;( ~:::2~¥... ... · , ...............•. day ~ ·Jt. f'or Wells Fargo & Co �/ �\Vells Fargo & .Co Express Form 743 10-1 6 Con sign ee' s Affi davi t Stat e of /{2 ~ . Coun ty · > J/ , ) 0¥.(f .. . .. .,_.,._., as,~"" ' 1 and say': Tha\ ··· ... ~~ ·\,-b~---~-~-~ ;·i~ n e e o f a s hip: ; : f d; [rds: ;:;ns, p:re· ptsse from j~ -~ -- day deli vere d to me by Well s Fa r go & Co that I am not a s t u d e nt or a min or , and , if a fema le, I am the b ead of a fami ly; that such a r dent s piri ts were s hipp ed on my writ ten orde r and that I have n o t , with in the t hir ty days prev ious here to, rece i ve d any arde nt spir it s, c ontr ary to l aw, a nd that such arde nt spir its are for my own use at my own home . s u bscr ibed �. .,, • �Form 743 10-16 '"Vells Far go & Co Express Cons ignee 's Affid avit of -Intox icatin g Liquo r State of Virgi nia, ) Count y o~... :............!...!......... ~ ss ! iJ I .......':':........ ./1.. .........~...:.... ~ .. t / ~·•····· · v --••~·! .. L ............ .being duly sworn , depo s.e and say: That I am the consi gnee of a shipm ent of arden t spiri ts thi s day deliv ered to me by Wells Fargo & Co from ..... •······ ·········-r· ·__(.·· .. ...... ....... ... ......... ......... ...... . ; that I am not a s tuden t or- a mino r, and. if a fe ale, I am the bead o f a famil y; that such arden t spiri ts were ~hipp ed on my writt en order and that I have not, withi n the thirt y days previ ous heret o, recei ved any arden t spiri t ~ , contr ary to law, and that such arden t spiri ts are for my own use at my own home. I Consi gnee. Agt. for Wells Fargo & Co • �• • �Form 743 10-16 \V ells Fargo &_ Co Express Cf nsign ee' s Affid av i t of State of JV, / Count y 'Q.t'...L i 4 .· t: ) ,/ .·........L ( .... ) ss i / I I 1 11 ,· f t. ,,: f 1'} ,/ I ...... ..... -···············:·.. ·············· · ....t ...... !. ..~..................being duly sworn , depos e and say : That I am t he consi tn e e o f a s hipme ~ , of arden t spiri ts t his ,~ ✓ . • J' f / .,,.,~ , ':,.' ,~, I,/ ,.~. f (, day deliv ered to me b y Well s Fargo & Co f r olll.,.~, ...'.... J..... .L,..../ ... ...........h ..... ~ ....... ····~·-······; that I am not a s t u de n t or a mino r, a n d, if a femal e , I am he he ad of a famil y; that s u c h a rdent spi rits we re shipp ed on my writt erV ord e r and that I have not , withi n th e thirt y days previ ous heret o, recei ved any arden t spiri t s, contr ar y to law, and that such arden t spiri ts are for my own use at my own hom e . ' /? I /;/ t I -< ' ....... '.............. .......f .............. .......... ) ... , f...........•.. ... ' .............. . .. ......... . • I Consig nee. ~ / 0 Sworn to and subsc ribed befor e me thi S ..... ..... ·~·········r ····· ......... ········: 5-········· ····day :J. 0 l f ....................!. ....... f. •..... . .• • ···f ·············· ··· ···· ' 191 .1' I..,,, I ,, .'# / I l /. ··················~·······• ( ·1 ...... ~' .. ....l...... .: • •••• , . // e· ....... ·.. :··............... Agt. for Wells Fargo & Co !--l ��·Form 743 10-16 '"V ells Fargo & . ~o Express . " Consignee's Affidavit of I ntoxicating Liquor / State of VJirginia , ) County o:f. ...........................;;: ss % I/ . . I I ..............~ ...............................;:..~ ......... ~ ....,............. being duly sworn, depo s e and say: That I am the consig n e e of a shipment of ardent spiri ts th is day delivered to me by Wells Farg o & Co from ................................. ... ,.. .. .., .~ ......................... ; that I am not a s t u den t or a minor _, and, if~ fema i e, I am th~ h ead o f a family; that s uch ard ent s pi rits were s h i pped on my written order and that I have n ot , wi thin t h e thi rty days p revious her~to, re c eived any ardent spirit R, c ontrary to law , and that such ardent spirits are fo r my own use at my own home. >1- a J . ~2...........Ir;,,,·························· ···················································· --..------- .---... ---··········-·······---------- ........... ········.... --- ...·--...........----. ~ Agt. for Wells Fargo & Co �- -- -- - ... • ·· �\Vells Fargo & ,Co Express • Fo rm 74 3 10 -1 6 Co ns ig ne e' s A ff id av it of St at e SS ! I ..... ....... ~. .!. .... 1. ..... .... .......... ...... .......................be in g du ly sw an d sa y: Th at I am or n , de po s e th e co ns g n e e o f a s hi pm en t of ar .en t sp ir it s t h is da y de liv er ed to me b y W ell s Fa rg o & Co fro m ..... ..... . th at I am no t a st u de nt o r a mi no r , an d, if a fe ma l a fa m ily ; th at s uc h a rd en t sp ir i ts we re s hi pp ed on my an d th at I ha ve n ot , wi th in th e th ir ty da ys pr ev io us he re to an y ar de nt sp ir i t s, , re ce iv ed co nt ra ry to law , a n d th at su ch ar de nt ar e fo r my own us e sp ir it s at my own ho me . /4.. . . . . . be fo re me of ��'..Vells Far go & .,Co Express . Form 743 10-1 6 Cons ignee 's Affid avit of Into xica ting Liqu or,,; ; ~!:!:Y o~~ ~-~~ '.J s; -4./4. .l/.L. ... .....~...~.. . }1{7J fj;7,- () / ( I ............. ·~··•······~···········b eing duly swor n, depo se and say: Tbai I am the con ~ gnee of a shipm ent o arde nt spir its thi s day deliv ered to me by ; ells Fargo & Co from./ ............ ., .... .."'."." . ... , ......~.·-·······~······•······ ···· ; · that I am not a stud ent or a mino r, and, if a f male , I am the he ad of a fami ly; that such arde nt spir its were shipp ed on my writ ten orde r and that I have not, with in the thi r ty days prev ious here to, rece ived any arde nt spir its, co n trary t o l aw, and that such arde nt spir its are for my own use at my own home . Swor n to ~nd subs cribe d befo re me 0 ..., ....i f ············ ··········· ············· ··························· ······' �• �'"Vells Fa rg o & Co ~Express Form 743 10-16 Co nsi gne e's Aff ida vit o Sta te of Vir gin ia, Cou nty < ) cz········) s ,()? ot: ............... c..9. . .....·.. I ....... e...............' ........................... ein g dul y swo rn, dep ose and say : Tha t I am t b e con sig ne e of a s hip men t o rde nt spi rits t his day del ive red to me by Well s Far go :...... ...... ............... L.\..... ; tha t I am not a s t ud e n t or a min & Co f'rom ... ................f ... ~ or , and , if' a fefu ale , I am the a fam ily; tha t suc h ard ent s pir h ead o f i ts we re shi ppe d n my wri tten ord e r and tha t I hav e not , wit hin th e t h irt y day s pre vio us her eto , rec eiv e d any ard ent spi ri ts, con tra ry t o law , and tha t suc h ard ent spi rit s are for my own use at my own hom e. f ..... Swo rn "tin ~ sub scr ibe d bef or e me of ....................................................... ............. , 191 / 7_- - _ ~A gt. r r We lls Far go & Co �../ - I �\V ells Fargo & Co Express O Form 7 4 3 10-16 State and is day delivered to me b y Well s Farg~ & Co from ...................... ... .. ... ~ .1/.. ............:............... ; , that I am not a s t uden t o r a minor , an d , if a fem e, y am the head of a family; that such a rd en t s p iri t s were s hipped on my wr i tten ord er and that I have n o t, wi thi n the thi r ty days previous hereto, rec eived any ardent spirit s, riontrary to l a w , a nd that such ardent spirits are fo r my own use at my own home . 1 Sworn to and sub s cribed befor e me 0 .~y4'.W.. ...... , 191 7 I Agt. for Wel s Fargo & Co ��\Vells Fargo &_Co Express Form 743 10-1 6 State of Virginia, ) County o f' ..............................r) I .......................................................................................being duly sworn , depose and say: That I am tbe consignee o f a shipme ardent spi r. its 1.L.., ·-·-·· .......,-...,. ....................; day delivered to me b y Wells Fargo & Co from ... ..._. ... that I am not a s tud ent or a mi nor, and, ·r a female, I am the h ead of a family; that such a r dent spiri ts wer e shipped on my written ord e r , and that I have not, within the t hir t y days previous hereto, rece ived any ardent spiri ts, con tr a ry to law , and that such ardent s p irits are for my own use at my own home . . ..... . . ..& . . . . . . . . ... . . . ... . .. . . . . .... . .... . .. . .... ... . .. . Consignee·. Sworn to and subscribed befo re me , - -, of ....................................~........... ............. , 191 . �� Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 13 Subject The topic of the resource affidavits adrent spirits personal use  Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol to Mount Crawford in Rockingham County Virginia for personal use. Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Date A point or period of time associated with an event in the lifecycle of the resource 1917 Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Rights Information about rights held in and over the resource This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (https://creativecommons.org/publicdomain/mark/1.0/) Format The file format, physical medium, or dimensions of the resource PDF Identifier An unambiguous reference to the resource within a given context RcPr-box11-008 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Mount Crawford, Virginia  https://omeka.lib.jmu.edu/erp/files/original/c1cf01f5b1d5778b4fc0b5aae81c0e29.pdf d06a18b2719914bab5f45374e1aaeaed PDF Text Text . · ---~~-·~-~~-~~~--·---·-.......·~-~-~- Form 746 8-17 Wells Fargo & Co Expres~ SPECIAL LIQUOR RECORD Received at.- - -- -- - - - --Date : ; a r•ch ~p.,_r,_.,_O_p_ 0. Addres _ r_U , _ _A_V_i_s_'~t__D Consignee _ _J___f_ Kind of Ardent Spirits Way-bill No. al ~n ho 1 5(Hl1 Date Advances to Coll ec t To Shi pper P. o. 191- From PRF PA 1D AddresJ I I RECORD OF NOTICES T o Shippi,r To Consigne , (OVER ) _ _ ,,~..,,r 1;W Jight-1S__lbs. al t.:.·TJoce, ' [d l~l~ E X PRESS CHARGES .\Iutl1 llros al ti.more, hl' d t;ity 41 / :1 Amount ar 711 p. l_ Affidavit No, __ O /b.91...._ r? i,:; WarTax Add Coll ec t Undercharge I o-t I �J/ STATE O F Y ! RG INf A• COUNTY OF - , 0 f'J.;-, -----!L~ I • • I , { 1 /. { <, y •· .' ' ~' (, r i I L ' \ I, - . I . ~ - ---~-~ _:~'-~,!___ , being duly sworn, depose and say that I am I the consiine'e of a certain shipment of ardent spirits, as specified on other side of this form, this day 11 delivered to me by Wells Fargo & Co Express, from I?; I'.< i..{ L \, 1tr.;f that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so ' received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from · any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approve d March 10, 191 6, or contrary to law, and that the ardent spirits so received by me are to be . ff, used h y me fo r ,,; • • ' 1-' 7_...._ -\. < ', • - (St ate whether for Scienti fic , Sacram ental, Medicinai!o r Mechanical) /, ':-" - ;rf Witness : I pu rp,Jses. t l( _J (Sig nat ure of Con signee) �f"0RM 370-VA . Revised J une . 1917 iot!JfrFJERff.~EXPR ESS Well s r r si E Received at _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Datf L • H• 0 t t Consignee Kind of Ard ent Spirits F eb .. 1 s t To _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ 191..g... ' Advances to Collect Shipper Cl t.j I 47 /8 Gal P. 0. Address _ _ _ __ Quantity __ Date .,1 U th hro s Co . I P. 0. Add ress ___ ___ __ _ _ )_,_ _ _~~ RECOR D Of" NOTICE S To Consignee 1 191_. Affidavit No._ _ _ ___ eb 7 /l S • rug Co 1 coli O 1 Way- Bill No. _ _ _5_4 _ g_9_ COM PANY O (Incorpora ted) IAL LIQUO R RECO RD To Shipper , (OVER) I I From Weight~_ _ _ lbs. !..- , ~- • EXPRESS CHARGE S PREPAID COLLECT I .. - _, Add U ndercharg e I I I I I I I �STATE OF VIRGINIA, I, ,::_, /-~. ,·being duly sworn, depose and say that I am the consignee-'ol a ce rtai n shipm ent of arde 't spirits ; as specified on ,other side of this form, this day -- delivered to me by the Southern Express Company, from I J f -, ; that I am not a, student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, rEceived any ardent spirits of any kind whatsoever, from e.ny person or from any place whatso· ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for ) '1, c "I· . J --; , , ...:_ urposes. (State whether for Scientific, Sacramental, Medicinal or Mechanical) Consi2nee. Sworn✓t and subscrihed before me, ,✓_;..,.--- / this__day o_ _ _ _ _ , 191_. }. Aeent for Southern Express Company. �FORM 3 70 - VA . Revised J nne, 1917 S OUTH ERN EXPR E SS COMP ANY (Iu co rpore.ted) SPECIA L LIQUO R RECOR D 2 ~/ jlg Received at_· _ _ _ _ _ _ _ __ _ _ _ _ _ _ Da te Consio nee _ _ T_._ _ll_•_ _C_l_a_ t_t_e_r_b_u_c_k_ ~ -Affidavi tNo. _ __l_ ___ ___ ___ p, 0. Ad dress _ _ _l_t__l ___ _ _ _ Way-Bill No._ _~g ~___ _ Date _ _---'-2-'-'/~ 'l___ ___ To_ _ _ _ _ _ _ __ _ _ __ _ _ __ _ Sh ipp e1:- hilon Advances to Collect LObe u-~ S ~ o=n~ - -- - I P. 0. Add ress ____ ____ _ _ _ _ _ __ RECORD OF NOTICE S . To Consignee To Shipper (OVER ) EXPR~JSS CHARGES J>Rll:PAID I I I I I COLLECT, 129 I Add U udcrcharge Taf 02 �I,_.,_ _,__~ -~--- ---~ - -- - +---- - , being duly sworn , depose and say that I am the consign ee of a. certain shipmen_t of ardent spirits, as sp ified on other side of this form, this day f; delivere d to me by the Souther n Express Compan y, from •/. '• ' . _ \ that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoever, in excess of the quantity allowed by the provisio ns of the Act of the General Assembl y of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for , I ' (State whether for Scientific, Sacramen tal, Medicinal or .Mechanic al) purpose s. I ! • \ Consi2nee . �F"ORM 370-VA. Revised June, 1917 SOUTH ERN E~PRE SS COMP ANY (In corporated) SPECIA L L QUOR RECOR D ( Co~.sip ·1e~.~--- ------- --'---- '--=--- --=-... :._---'"'f', 0. Address,,__ _ _ _ _ _ _ _ _...:,___ _ Kind oi Ard ent Splrits _ _w ~ h_s_ i _k_y ~ ----,---- ---,---,-- Ouantity _ _ _l_q _ t____ _ Weigh~4___ ibs. 3 85 J an 2 3 /1 8 u 8 _gers to,m Way-Bill No. Date 191 _. Frnm _ _ _ _ _ _ _ _ __ To _ _ _ _ _ _ _ __ _ __ _ _ _ _ __ _ }~XPRESS CHARGES Advan ces to Ad d Collect PREPAID Undercharge I COLLECT Ship11iro~o~ r~e ~ ~ E~ - - - - -- - - - - P. 0. Address _ _ _ _ ____ ____ ____ I I RECORD OF" NOTICES To Consignee To Shipper (OVER) I I rd I �COUNTY I,.L.- ==-- ------ -_._- -"--- ==-- ------ ---~ the consig nee of a certain shipi;p ent of ardent deliver ed to me by the Southe rn Expres s Compa ny, from -~~ -~-~ ---~ ---i that I am not a studen t or minor, and, if a female , I am the head of a family · that the ardent spirits so receive d by me were brough t into the State on my written order, and that I ave not, within ~he thirty days previo us hereto , receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed March 10, 191 OJ contra ry t6 law, and ·that the ardent spirits so receive d by me are to be used by me for State whether for Scientifi c, Sacrame ntal, Medicin al or Mechani cal) purpos es . �FORM 370 - VA . R evised J u ne, 1917 SOUT HEit :N EXP RES S COM PAN Y ( I nco r porat ed ) SPEC I AJ_ LIQU OR RECO RD Received at _ _ __ _ __ ___ _ _ __ Consionee ___ _.J_.__J_._ Kin d of Arde nt Spirits l_i'_r_Y _·_e_,_ ___ Date _ _e_C _· _•__ 2_4_/~ ~ 1~ . Affidavit No._ ~ "'-"-- - __ __ __p, 0. Ad dress I arr ioo n bur g:, vhis _k_y___ __ _~__ _ Quantity_ _ _ _l~ q~ t__ __ Weigh Way-Bi ll No. _ _ 23 _ _ _ _ __ Dee lfate 21/1 7 • To _ _ _ _ _ _ _ __ _ __ _ _ _ _ __ Shipp er Fra nk O' Lau gh lin P. 0. Add ress _ _ _ __ _ _ _ __ _ __ _ RECO RD OF NOTIC ES To Co nsig nee 191 _ . .Advanc es to Coll ect EXPRE SS CHA RGES PREPA ID I CO l,LEC'l' I I To Shipper I 4 lbs. Fro mP nt,_ _ __ _iec:" _ _1.mo ___ I I Add U nderch arge 130 1'a.,, I a, �., .Y OF !!A , /(;C: 1\ 1 I ' • f ' the con~ign ee, of a cer,ain shipme nt , being duly sworn, depose and say that I am rdent spirits, as spec· ed on other side of this form, this day eel tte . delivere d t me by the Southe rn Expres s Compan y, from ' l_ ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d . any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me are to be used by me for 7·, ' . _ (State whether for Scientific , Sacrame ntal, Medicina l or Mechanic al) Sworn to and subscri bed before me, tbis_ day o ~ - - - - - , 191_. Apnt for So~thern Express Company . urposes . Consie-nee. �f"0RM 370-VA. Revised June, 1917 SOUTH ERN EXPRE SS COMP ANY ( In corporated) SPECIA L LIQUOR RECOR D 2 fli i1: 7 ." AllidavitNo.,_-----'C--- - Nov• Consignee ___J_ .__ A_.__M_o_u_s_e~,____ ____ __ P. 0. Address ____ ____ __ _ __ Kind of Arde nt Splrits _ __,w~h....s-i,zky..,._____ ____ Quantity l'a t WeiohtL___;::,:.___ Receivedat _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date Way-Bill No., _ __ 4 _ 6_ _ _ Date _ __:1=.:!:1!./..:.2~6~ To _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ Sh ipper N. s. Muns_o_n___ __ ===~1~9~1==:~~a/lc ~ ro~~~r~s~t~o~wn ~ :::;:::-;;E.~~:= Advances to Collect EXPRESS CHARG~S PREPAID P. 0. Address _ _ _ __ ____ ____ __ RECORD Of" NOTICES To Consignee To Shipper 49 (OVER) �I STATE OF VIRGIN IA, ' I, the consign ee of a certain shipme n // 1 0./\ :::=::::::-;- being duly sworn, depose and say that I a of ardent spirits, as specifie d on other side of this form, this day ' delivere d o me by the Southe rn Expres s Compan y, frozp'. / I ,2. ; that I am not a studen1 or minor, and, if a female, I am the head of a family; that the ardent spirits so receive d by me were brough t into the State on my written order, 1.nd that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatso ever, froin any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me are to be used Sworn to and subscri b d before me, this J _day of~_/_ _ c--.A ~, };_9Y7 I /{ V - �FORM 370-VA. Revised June, 1917 SOUTHE RN EXPRESS COMPAN Y ( I uco r porated) SPECIAL LIQUOR RECORD OCt • 3 / 1 791_. Affid avit No._ _ __ _ _ J_ ._ _\_'_•__C_C _a_r_y~ ,_____ _ p_ 0. Address _ _ _ _ _ _ _ _ _ __ _ Received at._ _ _ __ _ _ __ _ _ _ _ _ _ _ Date Consionee _ _ _ __ Kind of Arde nt Splrits_----" W'-"h-"'-"' i '-"s""k= .i l - - - -- - -- - Ouantity l ot Weioh ~ 4_ _ lbs. Way-Bill No, _ __ -1. .1c._9 ..,__ _ Date _ _ ..,,lec0cc.,../_:J.,___ _ _ __ 191_. ~~ ~ers tm,n M4 To _ _ _ _ __ _ __ _ _ _ _ __ _ _ _ EXPRESS CHARGES Advances to Add Collect PREPAID . I U ndercharge COLLECT M oor e &Eransh aw Shipper _ _ _ _ _ _ __ _____ ____ ; I I I P. 0. Address _ __ _ _ _ ______ _ __ RECORD OF NOTICES To Consi gn ee To Ship pe r ' 49 / (OVE R) I I 128 I �V . , .,. }:}' 'fa I, the cons· shipment of a:fdent spirit / · 7-being duly sworn, depose and say that I am as sp~ ci d on other side of this form, this day ~ ·~ ~-~- ~ delivered to me by the Southern Express Company , from , , ,, -~ ; that I am not 7 a student or mfnor, and, if a female, I am the head of a family; tliat the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r6ceived any ardent spirits of any kind whatsoev er, from any person or from any place whatsoever, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, a~ ;hat the ardent spirits so r eceived by me are to be used by me for ~ l 1, I •µU t (State whether for S cientific, Sacram8nt al. Medicinal or Mechanica l) Sworn to and subscribe d before me, A11ent for Southern Express Company. urposes. �FORM 370-VA. Revised Jnne, 1917 SOUTHER N EXPRESS COMPANY (I nco rporated} SPECIAL LIQUOR RECORD t •_ _ 1 C_ _ 191_. Affidavit No. _ _ _ _ __ Received at ______ _____ _ _ _ _ _ Oate _ _ _ Consionee _ _ _J_ a_c_ o_b___ A_ l_J _a_r_ t _x_ _ _ _ _ _ _ _ P. o. Address _ _ __ Kind of Ard en t Splrits____ w_h_s_ i_k_.c,_y__ _____ Quantity _ _ _ _ _ _l_ _ _ _ _ _ _ __ . _, t__ Weioh ~_4._ _ lbs. Way-Bill No, _ _ C_____ Oate_ _ _ _J'----0_,/__1_ t ___ 191_. FromWashin t; ton To _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ EXPRESS CHAUGES Advnnces to Add Collect Shipper _ _ _C _ o_n_r_a_~c_l _P__a~g~e__C_o_ __ l P. 0. Address _ ______ _ _ _ _ _ _ __ RECORD OF NOTICES To Consign ee To Shipper (OVER) PREPA ID I COLLECT I I I I I Pd U nderc harge I �STATE COUNTY 'h {I ~ I, ({ < , boing dnlyswo, (},,,., &nd s,y th•t I &m the consignee of a certain shipment of ardent ~ a s specified on othe side of this for£, this day delivered to me by the Southern Express Company, fro v 1/ /. ,, r' ~ at l '1tm not a student or minor, and, if a female, I am the head of a family; that the ardent spirits ~so receiyed by me / were brought into the State on my written order, and that I have not, within the' thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved ;¥a-rch , 1916, or contrary to law, and that the ardent spirits so received by me are to be used ( by me for -'--L-->.E=---""=--..,'-="--""'c...::,:= - -- - - - - - - - - ----PUrposes. ) (State whether for Scientific, Sacramental, Medicinal or Mechanical) I �F'OR M 370-VA . Revised J u ne , 1917 SOUTH ERN EXPRES S COMPA NY ( I nco r po rn.t ed) SPECIAL LIQUOR RECORD Receivedat _ _ __ _ __ __ _ _ _ _ _ _ _ OateOOt • Consignee _ _ _W _ a_r_d___E _i'_ -ll_:V ~ . _e_I_.._s_,.___ / 13 / 1 _ ____ p, 0. Add ress _ Ki nd of Arden t Sp lrits _ _ _~ ~- - - -- - - - - -0 uan ti ty Way-Bill No. _ _ _ __ _ _ Oate 10/13 To _ _ _ _ _ __ _ _ _ _ _ _ _ __ __ s. ~Junson Sh ippe r _ _ __ _ __ _ _ _ _ _ _ __ _ _ _r .. / Fro nf Weig ~~ - --lbs. a,;erst won EXPRESS CHA RGES P REPA ID I COLLECT Add U nde r c h a r ge I I P. 0. Add ress _ _ _ _ _ _ _ _ _ _ __ _ __ I RECORD OF' NOTICES To Consignee _ _ ____~ - - - - l "1 t 191_. Advnuccs to Collect J/ 1 1'9 1_ . Affidavit No.~ To Shipper 49 (OVER) I I I 8 I �~ ---.-~----= STATE OF V1 ? ~ COUNTY OF '. t1 j/ L- 1c ,b 1 f ( I I, I t , being duly sworn, depose and say that I am the consigne e of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company , from _ , 1 /7 / ; that I am not a student or minor, and, if a female, I am the head of a family; th f t the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoever, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for / / .I ( /, (State whether for Scientific, Sacrament al, Medicinal or Mechanica l) urposes. Consi2nee. L �FORM 370-VA . SOUT HERN EXPR ESS COM PANY Revised June, 1917 (I n corporate d) SPECI AL LIQUO R RECO RD Received at _ _ _ _ _ __ _ A. / O t . 4th '1aF •. Affid avit No. _ _ _ _ _ _ _ Date Rho des , Consignee _ _ _ _ _ _ _ _ _F _._ _ _ _ _ _ _ _ ~ _ ~ :___ _ _ P. 0. Address, _ _ _ _ _ _ _ __ __ _ _h_s_i_k~y~ _ ____ __Quantity _ _ _ _ _ _t___ No., _ _ _ _l_7_9__ Date 10/~ flll_. Kind of Ard ent Splrits_ _ _ _ W_. Way-Bill To _ _ _ _ _ _ _ __ _ _ _ _ _ _ __ _ N _o_rm __a_n_ __S_ ,_ u_n_ s_o_n__ Advances to Col lect Shipper _ _ _ I COLLECT I l2s I I P. 0. Ad dres s----- - - ·- -- - - -RECOR D OF NOTICE S To Consignee EXPRESS CHARGE S PREPAID To Shipper (OVER) I I Add Underc harge I �k2 STATE OF VIRGINIA , I V. _, ___ t COUNTY. OF~ _ _ _ _ _ _ cl I, / , r , being duly sworn, depose and say that I am the consigne e of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company , from ,,. I r- :.i that I am not a student or minor, and, if a female, I am the bead of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I h.i've not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatsoever, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to Jaw, and that the ardent spirits so r eceived by me are to be used by me for ) 1 1 I l I • ) \ (State whether for Scientific, Sacrament al, Medicinal or Mechanica l) urposes . (, f Consh:nee . �FORM 370-VA . Revised June. 1917 SOUT HERN EXPR ESS COM PANY ( J ncorporat ed) SPECI AL LIQUO R RECO ~D /) t. 20;1 ,. Re ceived at _ _ _ _ _ __ _ _ _ _ _ _ _ OateOc / ,,,, _ _ _ _ _ _ _ J91_. Affidavit No. __..,....-_ _0 __ Consignee _ _ _ _ _ _ _C =-=-h=-a=...cs=----=H.,_o"-"''-==-==-=-=-- ---P . 0. Address _ _ ___ _ ____ __ Kind of Ard ent Splrits _ _ _~~h~s~ i~l_ ry v--_ ____ __Quantity l q_ t Weight~_4 =--__ lbs. Way-Bill No. _ _8_ __ _ _ 0ate _ _ _ _l_ 0~/_1_C _J _ _ J91 _. FrJ~ shin gt n To _ _ _ _ _ _ _ _ _ __ _ _~ - - - EXPRESS CHARGE S Advtrnces to Add Collect Pl!EPA ID U nd er charge I COLLECT Shipper _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ P. 0. Address Conr ad Paff I Co ~~~~--- RECOR D OF NOTICE S To Consignee To Shipper 40 K (OVER) I i I I Pd I �, , - - ·- - --•---=- - =- STATE OF VIRGIN I A, 1 , - - - - -- - - - - - - - -- - - - -- - - , being duly sworn, depose and say that I am the consign ee of a certain shipme nt of ardent spirits, as specifie d on other side of this form, this day delivere d to me by the Southe rn Expres s Compan y, from _ _ _ _ _ _ _ _ _ _ _ _ _ ; that I am not • a student or minor, and, if a female, I am the head of a family; that the ardent spirits so receive d by me were _brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approve d March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me are to be used by me for _ ___ ___ ____ ___ ____ ____ __ _--vurpo ses. (State whether for Scientific , Sacrame ntal, Medicina l or Mechani cal) Sworn to and subscri bed before me, , tbi!(___ , L_day o..__ _ I _ _ , 19LL.. Apnt for Southern E:<vress Company . Consie-nee. �FORM 370-VA . Revised J nne, 1917 SOUT HERN EXPR ESS COMP ANY (I n co r porat ed ) SPECIA L LIQUO R RECOR D Received at _ _ _ _ _ _ _ _ __ _ __ __ _ Date t l ,./17 f!l 1_ . Affidavit No. / ,· / H · Consignee _ _ _ _John 1 _ _ _ _ _ _ _ __ __ _ _ _ _ _ p_ 0. Address _ayotn _ _ _ _ _ Va~ ___ _ __ Kind of Ardent Splrits _ _ h _1·k• W_ _~J:'_ . _ ___ _ _ __ Quantity_ _1__ ~t _ _ _ _ _ Wei oh~ _ __ lbs. Way-Bill No._= ' -~2~8~ _ _ _ _ Date ~1'-'0~/ ~1,___ _ ____ 191_. From _H_a_,g =---'e-'r_s_t _o__c\c_m___ To _ _ _ _ _ _ _ __ _ __ __ __ _ _ . EXP RESS CHARGE S Advance s t o Coll ec t Shipper _ _ _ _ _ __ _ _____ __ _ _ L ii eyer s, I P. 0. Addres s - - - -- -- ·- - -- - - - PREPA ID I R-ECORD OF NOTICE S To Consignee To Shipper 9 (OVER) S ti kley I I I COLLECT I '"'8 A dd U nd erc h a rge I �STATE OF V IRGINIA, '• ., ,,.-~ tl·I' I, - ~µ...::...cc..L...:..:- -'LL--= - - "----' 1 '"--'"'--'--""-''-- --- - , being duly sworn , depose and say th at I am the consig)l e of a certain shipmen t of ardent spirits , as specifie d on other side of this form, this day delivere d to me by the Souther n Express Compan y, from Jl/.,, ,._ ; that I am not a student or minor, and, if a femal e, I am the he ad of a family ; tnat the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoever, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916', or contrary to law, and that the ardent spirits so received by me are to be used by me for LII ,, J \ (State whether for Scientific, Sacramen tal, Medicinal or ll1echanic al) , , Sworn to and subscrib ed before me; / thi~ y ... day of !., f / urposes. , 19 / I A111ent for Southern Express Company . Con siiinee. �FORM 370'-VA. Revised June, 1917 SOUTHERN EXPRESS COMPANY (In corpo rated) SPECIAL LIQUOR RECORD Oat 1 st, • 2 Received at _ _ __ _ __ ~ -= - - - - - - ate _ _ _ _ _ _ _ l91_. Affidavit No, _ _ _ _ __ Consignee--'C'--h---'a'---s_ _S -'--i'--'P ..___s lll _o _ n___________ p_ 0. Address_~-~~~ ~~- - - Kind of Ardent Splrits _ __r_ a_n_d~ y- - - ~- -- -Way-Bill No._7_ O _ _ __ _ _ Date_ 9 _/ _2_ 9 ___ To _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Shipper 0uantity _ _ _ _l_ ____ .Advances to Col lect Conra d Pagt:. Co I P. 0. Address _ _ __ _ _ _ _ __ _ __ _ 191_. ·_t____ Weigh _ _4__ Jbs. p Jil,Sbing ton EXPRESS CHARG ES PREPAID I I I I COLLECT IPd RECORD OF NOTICES To Consignee To Shipper 49 (OVER) Add Undercha r ge I �r- - - - - - - - - - - ===-==-·------ ~ .,.;;--;,...._ - - - - - - STATE OF VIRG INIA, COUNTY OF_ -<-/_ _ _ _ _ __ _ _ _ __.l__f___ ___ ___' _ ___ _____ , I, __ being duly sworn , depos e and say that I am the consi gnee of a certa in shipm ent of arden t spirit s, as specif ied on other side of this form, this day deliv ered to me by the South ern Expre ss Comp any, from ___ ___ ___ ___ __ ; that I am not a stude nt or mino r, and, if a femal e, I am the head of a famil y; that the arden t spirit s so receiv ed by me were broug ht into the State on my writte n order , and that I have not, withi n the thirty days previ ous heret o, receiv ed any arden t spirit s of any kind whats oever , from any p_erson or from any place whats oever, in exces s of the quant ity allow ed by the provi sions of the Act of the Gene ral Assem bly of Virgi nia, appro ved Marc h 10, 1916, or contr ary to law, and that the arden t spirit s so receiv ed by me are to be used by me for 1 l /_. urpos es. (State wheth er for Scienti fic. }i -{_ Sacram ental, Medici nal or Mecha nical) I Consi2nee. �FORM 370-VA. Revised June, 1917 SOUTH ERN EXPRE SS COMP ANY (lucorporo.te d) SPECIA L LIQUOR RECOR D Received at _ __ _ _ _ _ _ ._ _ _ _ _ _ Date Oc t • 8 /:\~-•-· ._s_ ._ _S_n_e_l_l_____ Affidavit No._ __ 1 _ 3__ Con signee _ _ _ _ _ _ _ _ _ Kind of Ard ent Splrits _ _ _ _ lV_l_l_i_s_k~ y____ ___ Quantity _ _ _ __ _ Way-Bill No._ _ __ ,6_6_·___ Date _ _ _ _ 191_. 1_,.~/_6____ To _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ Advances to Co ll ect Shipper - - --=N -'-=-.-----"s:C...:..---"C,[_u =n=s=o-=-n=--- - - a g,~_s_t_w_o_n___ ___ EXPRESS CHARGES PREPA ID I I P. 0. Add ress _ _ _ __ _ ____ _____ t ____Weioh ~ _4__ lbs. I I I RECORD OF" NOTICES To Consignee To Shipper 4fl S ti ley (ovEB,) COLLECT I Add O nderc ha.rge 28 I �STATE OF VIRGINIA , COUNTY OF_ _ _ __ _ _ _ _ __ ! , - - - - - - - - - - - - - - -- - - - - - - , being duly sworn, depose and say that I a.m the consignee of. a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from _____ _____ ____ ; that I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatso·ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for . - (State whether for Scientific, Sacramental , Medicinal or Mechanical) Sworn to and subscribed before me, ,1/ ,- this.___d ay of ;/(c {/• · , ., ,. , 191L. l/1 , /;7 z \., Apnt for"s ~uthern Express Company. urposes. Consienee. �F'ORM 370-VA . Revised J nne, 1917 SOUTHE RN EXPRESS COMPAN Y ( Incorporated ) SPECIAL LIQUOR RECO 0 t 29 u,D '.1 Received at _ _ __ _____ _ _ _ _ _ _ _ Date_ _ _ __ _ _ l91_. Affidavit No ____ ___ :.J_ . _r;_. G Sprink , _ _ _ _ _ _ _ _ _ _ P, 0. Address _ Con s1gnee _._ _ _ _ _le __ 1 _ _ _ _____ __ __ Kind of Ard ent Splrits ___ Wh _ i_ s_k_ e _y~ -- - - - -Ouantity _ _ _ _l__ Q_t___ Weiuh ~ __4_- _lbs. 7 6 Way-Bill No. _ _ __ _ _ _ _ liat'e _ _ 27 , _ _ _ __ ,_ _ _ _ _ __ __ 191_. From _Washn ____ To _ _ _ _ _ _ __ _ _ _ _ _ _ _ __ _ EXPRESS CHARG ES Advan ces to Add 1n/ n. c Col lect PREP A.ID I I Sh ipper _ _ _ __ _ ______ _ _ _ _ _ P. 0. Addre s s - - - -- - - ·- - - - - - RECORD OF' NOTICES To Consignee To Shipper # 49 S (OVEit) I COLLECT P~iil.1 U nde r charge I �STATE OF VIRGINI A, COUNTY OF ~&,., ~f,,l I, __,__,__-=:..__:~r--"--=---=----=--====--=--------, being duly sworn, depose and say that I am the consign ee of acer in shipmen t of ardent spirits, as specified ~b'other side of this form, this day ~~Ct.,c.,._2(:'.; delivere d to me,by the Souther n E:irpress Compan y, from that I am not a student or minor, and, if a female, I am the head of a family; that the a%nt spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatsoever, in excess of the quantity allowed by the provisio ns of the Act of the General Assemb ly of Virginia , approve d March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used lk.~& 'l-J by me for pnrpose s. (State whether for Scientific. Sacramen tal, Medicinal or l\1ech_a_n_i_ caA'--)-f _· _ _ l _J --;...µccc.._ ! j_ _,--=c.:....--....:::,-,..,.= 4 Sworn to and subscrib ed b fore me, thi~ day of I tJ~ , 1911 ,) . V �f'ORM 3 7 0-VA . R evised J une, 1917 SOUTHER N EXPRESS COMPANY (I ncorporated } SPECIAL LIQUOR RECORD O c<.t • 1 6 • l Received at _ _ __ _ ____ _ _ __ _ _ _ Date Consignee ___W _i_·_l_l__T _ am _ _s_,_ ,. . .... f9 1_ . Afli ~a:it No. _ _ _____ _ __ P, 0. Address _ / _ _ _ _ _ __ __ _ __ Ki nd of Ard ent Sp lr its _ _ _W -'• _ t _ _ _ We igtil~ ,1 _ - _S~ l·~ky _ _ __ _ _ _ _ Quantity_ _ _ _1_ ___ lbs. Way-Bill No,__ t _ O_ _ _ _ _ Date _ _7~/_1 ~ 3~ _ ___ il) P,: ttiMl_____ ___ _ ,_a_~'f To_ _ _ _ ~ _ _ __ __,__ _ _ __ _ _ Advanc es to Collect Sh ip per - - - - - - ~ , . , - - - - - - - - - Conrad P a__ g_e _ __ _ _ _ P. 0. Address _ _ _ _ __ I R-ECORD Of' NOTICES To Consignee To Shipper (OVER) EXPRlJSS CHARGES PREPA ID I I I I I COLLECT I Add U ud er cha.rge Pa I �STATE OF VJROINIA, COUNTY I, '--"--"' - --"' , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from ...- / / / Y ; that I am not a student or minor, and, if a female, I am the bead of a family; that the ard ent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from a.ny place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, .approved March 10, 1916, o:r contrary to law, and that the ardent spirits so received by me are to be used by me for L - .,,___ "!.- • (State wheiher for Scientific, Sacramental, Medicinal or Mechanical) purposes. �F'0RM 370- VA. Revis ed June, 1917 SOU THE RN EXP RES S COM PAN Y (Incorp orate d) SPE CIAL LIQU OR REC ORD = .=. .r__:_ c. /_ - _"'-----,_1 91_ . I '-I Affidavit No,_ _ _ _ __ :~::i:;::d-e.;.n_t_S.,_pl'""ri.,_ts~--""_~_""_-_""'~"'-~_....~~-..-,_..::_;i:::_~_-_-~--~=--.3.-~----~--~--___.._·__, P. O Add / 4/ ~ Way-Bill No. _ _~-+-- - - , ~ - - - Wei /, ') 7:_ L- - lbs. / - -'----- '--- --- -f - - -- 191 _. From _ _ _ _ _...,__ _ _ __ To _ _ _ _ _ _ _- _ _ _ _ _ _ _ _ _ __ EXPR ESS CHAR GES Adva.n ces to . Collect RECO RD OF' NOTI CES To Consignee To Shipper (OVER ) PREPA ID Add U nderc ha.rge - - -~ ~, --- -- I �STATE OF VIRGINIA, - 1,- - -- - -- - -- -- - - - - - -- -- - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on ot~er side of this form, this day f ; delivered to me by the Southern Express Company, from th; t I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and th~t I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used /7 by me for I ' ' - (State whe\her for Scientific, Sacramental, Medicinal or Mechanical) urposes. J Sworn to and subscribed before me, this day of_._ { _ _ __ I Aient for Southern Express Company. Consignee. �F"ORM 370-VA. Revised J nne , 1917 SOUTHERN EXPRESS COMPANY ( I ucorporated} SPECIAL LIQUOR RECORD O Receivedat _ _ __ _ ____ _______ Date t • 2 ?9't1' 7 AffidavitN o._ "'_l_ __ _ G ._ _ Anderson Con signee _ _ _ _ _ _A _•_ _ _ _ _ _ _ _ _ _ _ P. 0. Address,_ _ ________ __ Kind of Ard en t Splrits_ _~ -w~b~;,~·~i~k...,y,.___ _____ Quantity _____l _'l_t____ Weigh c_____ lbs. Way-Bill No._ __ _ _ _ _ _ Date _ _ _1r/1<1 _ _ _ _ _ _ _ 191 _ . To _ _ _ _ __ b_- ~Jl'. ------<s,,......t~e..--4i ~11~bh,. e~1....... r-~ .e~1..... , Advances to Colle ct Washin From, _ _ _ ton _ _ _ _ _ __ EXPRESS CHARGES PREPAID COLLECT I I I Shipp er _ _ _ _ __ __________ _ I P. 0. Address _ _ _ _ _ _ ___ _ _ _ _ __ RECORD Of" NOTICES To Con signee I To Shipper (OVER) I I Add -r QU nderchuge - I �- -- ~ -~~.....,._--,,o.-,;-----,,,;.,ao,.....,.~ ~ ~ -#C - ~- -- • - - , being duly sworn, depose and say th at I am ardent spirits , as specified on other side of this form, this day --~ delivered to me by the Southern xpress Company , from,,,.,___= --''-4 '-c---.,,:..:,.....,... ..,...----'c...:c.:ao...,,;:._; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written. order, and that I have not, within the thirty days previous hereto, rqeeived any ardent spirits of any kind whatsoev er, from any person or from any place whatso· ever, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved Marc~ O, 1916, or ~ontrary to law, and that the ardent spirits so received by me are to be used by me for / / ,-(,/ e (I'.- C<,- (State whether for Scientific, Sacrament al, Medicinal or Mechanica l) urposes. �f"0RM 370-V A. Revise d June , 1017 SOU THE RN EXP RES S COM PAN Y ( Incorpo rated) SPE CIAL LIQU OR REC ORD Received at _ _ _ _ _ __ ___ _ _ _ ___ Date Oct • ?0 / 1i91•_ . Affid avit No ,___ ~- - . _Car Consign ee _ _ _-rs rie Las ___ sfo ___ _ _ _ _ __ rd, __ __ p, 0. Address _ _ _ _ _,ity _ ____ __ - ~ =~ ~ - - - -- - - - - -0uantity _ _l_ rt~t__ __ __ Weigh L........_ _ _ lbs. Way- Bill No._ __ ~ O_t_•_ __ ,~ _ _ _ _ Date _ _ _ ~7 ___ J91_ . From _Wa _ _shin _ _ _ _ _ __ To _ _ _ _ _ _ _ __ _ _ _ _ _ _ __ _ Advanc es to •m,o s <Rm '" ~ .J.dd Coll ect PREP.J.ID I COLLECT Un de r ch arge Ship pe r - --1c~o~1~ n~-~a~d- -._,.> . ~a;~g~e~ _,C ,.......,o~ - - P. 0. Address _ __ ___ __ _ _ _ _ _ __ I RECO RD Of" NOTI CES To Consig nee I l Ip To Shipper 40 Sti kle y (OVl'lR) I �- - ~ ~ ~- ~ - - ~ ~ -- ~ - - - ~~ - - - , being duly sworn, depose and say that I am ardent spirits, as s nJed on other side of this form, thi s day ~L~ tt?~ ; delivered to me by the Southern Express Company, from, that I am not a student or minor, and, if a female, I am the head of a family ; that the ar t spirits so received by me were .brought into the State on my written order, and that I have not, ,rthin the thirty days previous hereto, rE;ceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved Marc O, 1916, or contrary to law, and that the ardent spirits so received by me are to be used ~ by me for I~ purposes. ic-d:~, el , ' (State whether for Scientific, Sacramental, Medicinal or Mechanical) .I, Z-vl, .) I 7 1 , < Allen( for Southern E:,:press Company. �f"0RM 370-VA . Revised June , 1917 SOUT HERN EXPR ESS COMP ANY (In corpo rated ) SPECIA L LIQUO R RECOR D Received at _ _ ____ ___ _ _ _ _ _ _ _ Date _ 0 _t __ . 20/17 . _ _ _ J91_. . . ~2 Affid avit No. _ _ _ _ __ Consig nee _ _ _ _ _ _ ____ ___ . _ .u_e_e_r___.y_, .,. ,_____ P. 0. Address _ _ _ _ _ _ _ _ _ _ __ t Kind of Ardent Splrits _ _ _~ \\~'1=1=8~1-•= 4k,.,y,_______ __ Quantity _ _1_ _ _ _ _ _ _ We ig hL____ Way-Bill No._~ 8~7_ __ _ _ _ 0ate _ _ ~1~ /~ l _fl___ _ 191 _ . Fro1 To _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ __ EXPRESS Advance s to Shipper P. 0. Add ress _ _ _ __ _ ____ _____ I I I ! To Sh ippe r (OVER) CHARGES P REPA ID RECORD Of" NOTICE S To Consio nee as b ine:t on Coll ect -----C ...,o...n .......r...a...c...l ~ P...,a...,p'--r~e.,..._....c,..,o- - - - lbs. COLLECT Pel I Ad d U nderc harge I �STATE OF VJRGINIA, / 1 I, ' , being duly sworn, depose and ·say that I am the consignee of a certain shipment 9f Jardent spirits, as specified on other side of this form, this day Qk<- kt. \ delivered to me by the Southern Express Company, frow J.r ,- 1.. J<J{_ ; that I am not a student or minor, and, if a female, I am the head of a family; that the irdent spirits so received by me were brought into the State on my written order, and that I have not , within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used I by me for ~e:- (State whether for Scientific, Sacramental, Medicinal or lllech a nica[} J Sworn to and subscribed before me,this_da y o ~ - - - - - , 191_. AIIOnt for Southern Express Company . purposes. (/ Coosi2nee . �f"ORM 370-VA. SOUTHER N EXPRESS COMPANY Revised June, 1917 ( I ncorporated) SPECIAL LIQUOR RECORD 3/17. 7 _ __ Received at _ _ _ _ _ _ __ __ _ _ _ _ _ _ Date _Oct. __ _ __ _ l 91_. Affid avit No _ __ c. Con signee _ _ _ _ _ _ _ _ _ _ _ _ _ _hryan _ _ _ _ _ _ p, 0. Address _ __ _ _ _ _ _ __ __ Kind of Ard ent Splrits_____W __h~1 =·-s~k~y .,_ ___ Way-Bill No,_ __ ___Quantity _ 3~?_ _ _ Date Oct 3/, 7 To _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __ Shipp er Conra _ ___ l _q~t___ Weight~_4__ ibs. 191 _ Advances to Coll ect I COLLECT I i I I I RECORD Of" NOTICES 2 f o Shipoer ,1t('HH e (OVER) FWifltshing ton PREPA ID P age Co P. 0. Address _ _ _ __ _ _ _ _ _ _ _ __ To Consignee . EXPRESS CHARGES I Add Uodc rcba.rge id I �,. I,--~-' '(---- - - " -- -- - - -- - - -- - - , being duly sworn, depose and say that I am the consign ee of a certain shipme nt of ardent spirits, as specifie d on other side of this form, this day I j / deliver ed to me by the Southe rn Expres s Compan y, from 11. /.. ~ ; that I am not a student or minor, and, if a female, I am the head of a family; that the arg_ent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, ri;ceive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Virgini a, approv ed March 10, 1916, or contrar y to law, and that the ardent spirits so receive d by me are to be used by me for / }/,t oi :.c ( (State whether for Scientific , Sacrame ntal, Medicina l or Mechani cal) ' Sworn to and subscri bed before me, this...__.!L_day of 0/ , 191_ { / Ae:ent for Southern Ex-press Company . urpo ses. , ) IJ~/? �FORM 370-VA . Revised J nne, 1917 . ./ SOUTHER N EXPRESS CQMPANY (Incorporated) SPECIAL LIQUOR RECORD Receivedat _ _ ______ ___~_ _ _ _ Date Q c t 1._ _ A_ . _ Eye Consignee _ _ _ _ _ _ _ _ _ _ __ Kind of Ard ent Splrits _ _w_h_s_i_k ~y_ 3 /l 7 • 191_. Allid avit No, _ _B___ _ _ __ p, 0. Address _ _ _ _ _ _ _ _ _ _ __ _________Quantity _ _ _l__t _____Weight_4~-- - -1bs. 191_ ~'{ 1fo~_i_n_g_t_o_ n _ _ __ _ Way-Bill No. _ _ 7_2_ __ __ Date _ __ _l_0_/_3 _ __ To _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ Shipper Adv nnces to Co ll ect Conrad Pa ge Co E XPRESS CHARGES PRE PAID I I I I P. 0. Address _ _ _ __ __ _ _ _ _ __ _ R-ECORD OF NOTICES To Consignee _ To Shipper 21 (OVE R) I I COLLECT r .Add U ud e rc ba.rge I �STATE OF VJROINJA, COUNTY OF fi :d.t- ,,// J >- I • /6U ~ /4 ?"- £:/ J ,,,_,,. • I, 1 I , being duly sworn, depose and say that I am the consignee of a certain shipmen/ of ardent spirits , ·a s specified on other side of this form, this day Q,f /. t_< ~- "~ l, delivered ·to me by the Southern Express Company, from 2 j ; that I am not a student or minor, and, if a female , I am the head of a family ; that the ard ent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, r6ceived any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10 1916, or contrary to Jaw, and that the ardent spirits so r eceived by me are to be used by me for }7 ~ L •f { (State whether for Scientific. Sacramental . Medicinal or Mechanical) pnrposes . _/-4 { / �F'ORM 370-V A . R evised June. 1917 SOU THE RN EXP RESS COM PAN Y ( I ncorpora ted } SPEC IAL LIQU OR RECO RD Received at _ _ _ _ _ ___ __ _ _ _ _ _ _ Date Consignee _ _ _ _ _ _ _ O_t_h_o__E_•y~ e___ ___ 0 t . 4th , 191_. AffidavitNo.-l ~l~ - - ___ P. 0. Address _ _ _ _ _ _ _ _ _ _ __ _ Kind of Ard ent Splrits _ _w _ l_lS-----=-i~k~-.y,___ __ ___Quantity = n~/~A Way-Bill No. __3 ~ 8~ __ __ 0ate_ _ _ To _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ _ Shipper 191 Adv an ces to Co llect Con rad Pa ge Co P. 0. Address _ __ _ __ __ _ _ _ _ _ __ I RECO RD OF' NOTIC ES To Consignee l rt Weiohf_i_ __ FroJla shin ~ton To Shipper (OVE R) E XP R E SS CHARG E S PREPA ID I I i I C OL L ECT f Add Unde r charge I lbs. �STAT E OF VJ RG I IA, COUNTY OF A ' J-~-., - 'f:. ~·C ,,,_ ___ ~ 1&=='---. . , I, bein g duly swor n, depo se and say the cons ignee of a certa in shipm ent that I am of arde nt spiri ts, as specified on othe r side of this form , this day /_ /', deliv ered to me by the Sout hern Expr ess Com pany , from · ,?'c , -7/. ; -that I am not a stud ent or mino r, and, if a fema le, I am the bead of a fami ly; that the arde nt spiri s so recei ved by me were brou ght into the State on my writt en orde r, and that I have not, with in the thirt y days prev ious here to, recei ved any arde nt spiri ts of any kind what soev er, from any perso n or from any place what soever, in exce ss of the quan tity allow ed by the prov ision s of the Act of the Gene ral Asse mbly of Virg inia, appr oved Marc h 10, 1916, or contr ary to law, and that the arde nt spiri ts so recei ved by me are to be used by me for ~ / 4 - ~ ~ 0 -\ C. .,, ~' , purp oses. (State wheth er for Scien tific, Sacr\ menta l, Medic ) inal or M~~ cal) Swor n to and subs cribe d befo re me, thi ~d ay of _ _ _ _ _ , 191 _, Ae;ent for South ern Exvre ss Comp any. �FORM 370 - VA . Revised June, 1917 SOUTH ERN EXPRE SS COMP ANY (Incorporate d) SPECIA L LIQUOR RECOR D Receiv1:d at _ _ _ _ _ _ __ _ _ __ _ _ Date O t • 3 / 1 f 191_ , Affi dav it No. _ _9 ~ - - Consign ee _ _ _ _ _ _ __ _ __ _ C'_. _ O _. _ G _a_i_n_ef c!. Ad dress _ _ __ ____ __ __ Kind of Ard ent Splrits_ --'w--= -' h=s=--= i =-k~~y,__ _ _ ___ __ Way-Bill No. _ _ 5_ 0___ __ Date Quanti ty 10/ 3 To _ _ __ __ __ _ _ _ _ _ _ __ _ lq t 191~ Advance s to Collect Shipper _ _ _ _ _ __ _ _ _ _ _ _ _ __ r. o. Ad dress __C _o_n_r_a_ d_ P_a_..,._g_·e_ _C_o___ I .s l}:;t~~ g~t _o_ n _ _ _ __ EXPRESS CHARG~S P REPA ID I RECORD OF NOTICES To Co nsig nee To Shipper 1!1 (OVE R) .. Weidli ~ - - -lbs. A oore , I I I COLLECT I Pd Add O nd c rc ha.rge I �STATE OF V!RGlN IA, I,~ - - ---- -'------~ ----. ..;..+ --- ="- , being duly sworn, depose and say that I am the consig nee of a certain shipme nt of ardent spirits, as specifi'ed on other side of this form, this day "":e ' deliver ed to me by the Southe rn Expres s Compa ny, fr;;;; c ¾..i.J.ha t I am not a studen t or minor, and, if a femal e, I am the head of a 1family ; that the arde spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previo us hereto , r €ceived any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quanti ty allo ed by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed ch 10, 1916, or contrar y to law, and tbat the ardent spirits so receive d by me are to be used '"J,; by m / orW , Sci~,,. / ,, - / IS"~ w ""~ ,o, &~om, o!M, M,a, ,.,...,,. Sworn to and subscr ibed before me, this.£ _day of /( tJ J , 191 I , I Al?ent for Souther n Express Comp&uy. Moooooo~,f i urpose s . ~ �FORM 370-V A . SOU THE RN EXP RESS COM PAN Y (In co rporated ) SPEC IAL f-~-+- --~ ~........--1 91_ . Affi davit No·- - - = -- - - ~~ - - - -77'-- --r--r--- - ---'~ ~~ -- P. 0. Address _ _ _ _ _ _ _ __ _ __ To _ _~- ---+-- - -- ~------.'--- - - - - Ad vance s t o Co ll ect PREPA ID Shi ppeJ '---JL b--- -,-\.l,,C..__ __J:.._"'-"'"--'"'- '!,--...:._ ;:--'--=:- --' 0. Address _ _ _ __ ___ __ _ _ _ _ _ _ ,____ ___ ___ ___ ____,__. .__ ........_ P: RECO RD OF NOTIC ES To Con signee To Ship pe r (OVE R) ___, �STATE OF VIRGINIA, COUNTY OF- -- ~ -- - -- -- /_ • (}./, (, ' t. I, t , being duly sworn , depose and say that I am the consignee of a certain . shipment of ardent spirits, as specified on other s·ae of this form, this day I / 1 ? ) delivered to me by the Southern Express Company, from u· !' ' / l --1_ -;t that. I am not a- student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, re ceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrarY., to law, and that the ardent spirits so received by me are to be used ~ by me for _ , (State whe\her for Scientific, Sacramental, Medicinal or Mechanical) urposes. ,{ . ~L Consie-nee. �f"ORM 370-V A. R evised June , 1917 SOU THE RN EXP RESS COM PAN Y ( I ncorpo rated) SPEC IAL LIQU OR RECO RD Received at _ _ _ _ _ __ __ _ _ _ _ _ _ _ Date Consignee _ _ _ _ _ _I_•_N. _ _ _owl _ _ _ _ __ Kind of Ard en t Spirits _ _ __ whs _ iky _ _ _ _ ____ _ Way-Bill No. _ __ f:_ . 6'---- --- Date 10L1 To _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ Shipper •.l • O t . 15/1191•_ . Affi davi tN o._ 1_6_ _ __ _ __ P. 0. Address Weig t4~ ___ lbs. olil twon A dvn ncee t o Coll ect S. i unso-n -- - - - - - I RECO RD Of" NOTIC ES To Shipper 4 9 S.tte le (OVE R) 2,- d mnRE S S CHA RGES PRE PAID I CO L LECT i P. 0. Address _ __ _ _ _ _ _ _ _ _ _ _ _ To Consignee l"'t Quantity I I I Add Unde r cha rge 28 I I �,._ - -- -- ·-. - -,a .,..._ - - --- ~ - ·- -- - - - -. -'~--~---------,.,...----~.-- - - =-==~=~=... STATE OF VIRGINIA, ~i \ r, I, I , being duly sworn, depose and say that I am the consignee of a certain shipment of arden.t spirits, as specified on other side of this form, this day delivered to me by the Soutberu Express Company, f r o m ~ - - - - - - - - - - - - - ; that I am not a student or m,i nor, and, if a female, I am the bead of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place wbatso· ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for . (State whether for Scientific, Sacramental, Medicinal or Mechanical) urposes. I) ~J l CollSi&"nee. �,I \ f"0RM 370-VA . R evised June . 1917 ,. SOUTHE RN EXPRESS COMPAN 'X ( I ucorpornted) SPECIAL LIQUOR RECORD Received at _ _ _ _ _ __ _ _ _ _ _ _ _ Date 0 t Consign ee _ _ _ _ _ _ __ _w _a_d_e__l_ • .._ 'i. . 13/1 7'1~~·. l_ _G _o_w_l___ P. 0. Address _ 1 __ __ _ . Affi davit No._ _ _ _____ __ _ _ Kind of Ard ent Splrits_"----- =-=---"-- - - - - - -- - 0uantity _ _ l_ Cl_t____ __ 41 Way-Bill No. _ _ ~ _ _ _ __ 0ate _· _ _ __ 10/19 _ ,___ _ _ _ 191_ . To _ _ _ _ __ _ _,--_ __ _ _ __ _ Shipper Advnucc s to Co ll ect U ud er chsrge Pen-r ar Dis ti l l i n,:; Co P. 0. Address _ _ _ __ _ ____ _ _ _ _ _ RECORD Of" NOTICES To Consignee 28 I ~---- ----- -!_______________, ~ To Ship per -) --, •. ',, L ( OVE R) ,. . �STATE OF VIRGINIA, = ~Lz , tz COUNTY OF1-'~ ~ ~~ -~ ~~ - rlt1. I, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, thi s day • delivered to me by th e Southern Express Company, from /f..,.a__g ~~.uv lf...; that I am not a student or minor, and, if a femal e , I am the he ad of a family ;tJ:«7the ' ardent spirits so received by me were brought into the State on my written order , and that I have not, within the thirty days previous hereto, !'€Ceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used Sworn to and subscribed before me, this...l_Q__day of &J.- '1911. J f ~ ~/ Aitent for Southern Express Company. �F"ORM 370-VA. Revised June , 1917 SOUTHE RN EXPRESS COMPAN Y \ I ncorpornted) SPECIAL I.IQUOR RECORD Se P • 2 , /il 7: "Affidavit No. __2_1____ Re ce ived at _ _ __ _____ _ _ _ _ _ _ _ Date Consignee _ _ _A _._ L _ a__,p=-----i_n_____ _____ __ P, 0. Address _ __ Kind of Ard ent Spirits whs iky ____ Date() / 27 Way-Bill No. _ __9_3 _ To _ _ _ _ _ _ _ __ _ _ __ _ _ __ _ Pa~e Co _ __ Shipper _ __Conrati _ _ _ __ ______ Quantity 191 Advance s to Collect I P. 0. Address _ __ __ __ ___ _ _ _ __ RECORD OF" NOTICES To Con sign ee _ _ ___ __ _ __ 1qt Wash DC From ~i~ - -- E XP R ESS CHA RGES PREPAID I I COLLEC T !I 4 9 (OVER) Add Un de r charge I To Shipper 1~ �STATE OF VIRGINIA, 1 , - - - - - - - - - - - -- - -- - - -- - - , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, f r o m - - - - ~ ~ - - - - - - - i t)lat I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for ______ ______ ______ ______ __,,urposes. (State whether for Scientific, Sacramental, Medicinal or Mechanical) Consi~nee . �F"0RM 370-VA . Revised June. 1917 SOUTH ERN EXPRE SS COMP ANY ( 1 ncorporatcd) SPECIA L LIQUOR RECOR D Received at _ _ _ __ _ _ _ _ ____ ____ Oate ·~• (l V • 1 •)/1 .... 1~ !"_ . Affidavit No.·--= =- Consionee _ _ _ _ _ _J_n_O _ .__\_'_._ ,_,_c_C _a_r_v_,:.._____ P. 0. Address _ __ _ _ _ _ _ _ _ _ __ Kind of Arde ~t Splrits. _ _ _ _ _w_l_ l_s~i=·=k~Y ~ ____ __ Quantity_ _----'1,._r,._,,_,tu.-,____ _ Weioht...::4,.___ _ lbs. Way-Bill No. __<:>_O _ f _l _ _ __ _ Date _ _ {_o_v_ .__1_r_1-'/--__~_ . _ _ 191 _ . To ~ ·- - - - - -- - - -- - - - -;o_r,nan u ns Shipper _ _ _ _ _ _ _c.. ___ _ _on _ _ __ _ Advnnce a to Co ll ect I P. 0. Add ress _ _ _ __ _ _ _ __ _ _ __ 1,;o,.·,~ 6~_ r _s_ t _o_,_v_n. __d____ EXPRESS CHARGES PREP.AID I RECORD OF" NOTICES To Consig nee To Shipper 4() (OVE R) COLLECT I I 1R Add U nderch a rge I �STATE OF VIRGINIA , C OUN TY OF & ~ _,,.,.J...._-,,-lll~ "'P',... ,,. ~ 'Yi(, ?-,/f / .n ,~/ ,being duly sworn, depose a I, the consigK e of a certain shipm ent of ~~s sp ifi. d on other side of --r--:_ ___-.. .:_ delivered to me by the Southern Express Company, fron:f..L~ UC~'J,::_ :1,,~~~~: :::j~~lhrl I am not a student or minor, and, if a female, I am the head of a family; tha were brought into the State on my written order, and that I ha not, within the thirty days pr.evious hereto, received any ardent spirits of any kind what soever, from any p erson or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrarx ,. and that the ardent spirits so received by me are to be used P2~ by me for (S~w . ,.. ,M ''" Scioo.,,, ,~•=••w,, ,,.,.,,••, .. sw7J_:/! thi~da y of---......, ..--- , M~"Jt'JG,~ YJI . Jit.s:,t' r . urposes. t,' Con.lignee. �F"0RM 370-VA . Revised June, 1917 SOUT HERN EXPR ESS COM PANY ( In corporated ) SPECI AL LIQUO R RECO RD ffl Received at _ __ _ _ _ _ __ ____ ____ Date J_ otin Consignee _ _ _ _ _ n_ orris on _ _ _C __ ___ _ _ _ _ _ _ P. Kind of Ard ent Splrits ___w _I_ s~·-k_y~ OV • 19' i l.¼ffidavit No. _ _ _ __ 0. Address _ _ _ _ _ _ _ __ _ __ ___ ___ _ Quantity _ _l_r_ ___ ___ Weioh ~ re - Way- Bill No ._ __,,_J_ _ _ _ _ _ Date _ _ _1_,/------' 0'--------- To _ _ _ _ _ _ _ __ _ _ _ _ _ _ __ __ Advance s to Coll ect Shipper _ _)_ o_a_n _ r_k_ e__t'_'_1_· 1_1_0__r_o_ •___ I P. 0. Address _ _ _ ___ __ ___ ___ __ RECOR D OF" NOTICE S To Consignee 1 To Shipper (OVER) EXPRESS CHARGE S PREPAID I I I COLLECT I lrd I I _ __ lbs. Add U udercharg e I �delivered to me by the Southern Express Company, from~L.._~~---'"" "'-----=---'-'-=-- i that I a not a student or minor, and, if a female, I am the head of a family ; that the a1·dent spirits so received l:iy me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the arden't spirits ·so received by me are to be used • I ,~m;poses. ' Medicinal or l\lechanical) Consie-nee. �f"ORM 370-VA . Revised June, 1917 SOUTH ERN EXPRES S COMPA NY ( I n corporated} SPECIAL LIQUOR RECORD Received at _ _ _ _ _ _ _ _ _ ____ ___ Date { OV • l " / ~ (~ . Affidavit No._ _ _ _ __ Consianee _ _ _ _ _ _ _ _ _ _i_._o_l _l_e _ r_, ____ __ P. 0. Address,_ _ _ _ _ _ _ _ _ _ __ Kind of Ard ent Splrits ___,--"v__,_r-s~ii.,l..,r~y,____ ____ _ Quantity Way-Bill No.~-- -~_ J _f_, _ _ __ 1 t -'1'-'-,__/_l_fl_.____ _ 191 __!:laFro~ r Date _ _ To _ __ _ _ _ _ __ _ _ _ _ __ _ __ _ PREPAID I I RECORD Of" NOTICES To Consignee To Shipper ,1 ( (OVER) s t mm rd E XPRESS CHARG ES Advnncc s to Col lec t -Shipper - - -- - ~~'~·O ~ rr: ~ .1~a,~1=1~'-=·•~l=l=D~~ ~,~O~D ~ P. 0. Address _ _ _ __ _ __ ___ _ _ _ __ 1 _ _ _ lbs. WeiahL',1..:._ I I I COLLECT J~a Add Und er charge I �-----=---------~ f( , I, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from ~ / 0 /, ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days pr.evious hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contra! y to Jaw, and that the ardent spirits so received by me are to be used by me for , (State whe\her for Scientific, Sacramental, Medicin11l or Mechanical) urposes. I ( JII C Sworn to and subscribed before me, thi day 9 / " ,J 1.__. 1 ? ~ Apnt for So,hern Express Company . /, Consi~nee. �f"0RM 3 70-V A . Revise d .Tune, 1917 SOU THE RN EXP RES S COM PAN Y (Iucorp ornted) SPE CIAL LIQU OR REC ORD Received at _ _ __ _ _ _ __ ___ ___ _ Date fJ v • ~n I , 19 _!__~ Affida vit No.,_-=-_ ..:..,.:.:::___ Consionee, _ _ -"'-.___ ..___ .,.__...c0_1.:.,'_,i~t"'-= z ....,c"""' ' :......,,,_ _ _ __ _ P. 0. Address ,., • t) Kin d of Arden t Splri ts,_ ___,_V ,__,_?~ ,_ 9,...J·,..~k,.,y,_____ __ _ __ Qua ntity 1"' 1., Weigh ._1_ _ _ lbs. Way- Bill No. _ _.,_ _"'_ _ _ _ _ Date _ _1_1 _-~/_l_·_•_ 191 .La rJ:nii Or(, ' - · To_ _ _ __ _ __ _ _ _ _ _ _ _ _ __ _ EXPRE SS CHARG ES Advanc e s to Add -Co ll ect PREPA ID U nd er c he.rgc I COLLE CT ~h-ipper ea·l 0 I ,, P. 0. Add ress - - - - -- - -- - ----' ~ - -RECO RD Of" NOTI CES " To Consignee I To Shipper (OVER) I I I 'l l I I �STATE OF VIRGINIA, ~ COUNTY OF ' ~ ~ ~ 4~ , I, "' being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day (c ~ ~ ; delivered to me by the Southern Express Company, from that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days p1'evious hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so re·c eived by me are to be used by me for Y>\£. ~ - (State whether for Scientific, Sacramental, Medicinal or Mechanical) urposes. ' �FORM 370-VA . R evised June, 1917 SOUTH ERN EXPRE SS COMP ANY {I ncorporu.tedJ SPECIA L LIQUOR RECOR D 4;/ 1191'_ . 1 OV • Affidavit Consignee _ _ _ _ _ P_a~y_l_l_e__·•·- • - - -- - " - - - - - P, 0. Address i ty Kind of Ardent Splrits ___,_v_l_ l s_ i _k--=-Y--"'-- - - - - ~- Ouantity ___ l _·-:'--t___ /J,-n_e______.;:.. .__ ___ Weigh L -_ _ _ lbs. 1 _ _ _ _ 0ate _ _ ha.r.;e Way-Bill No.,_ rstwon ' _ _ __ _ _ _ __ _ _ __ 191 _. From _ _ _ _ _ _ _ _ _ __ 11/" .Advan ces to Coll ect EXPRESS CHARG~:s PREPAID Shipper _ _ ____ ____ ____ ___ _ I I P. 0. Address _ _ _ _ __ ____ _ _ _ __ _ RECORD OF NOTICES To Consig nee I To Shipper 49 (OVER) I I I COLLECT l?,8 Add Underc harge I �STATE OF'"VIRGIN IA, • !ut7l /(, COUNTY OF I,-~'---'-" -'-+--= - ---'-'---'---''-------''------''-'---'e..,.~- - -- - , being duly sworn, depose and say that I am the consignee of certain shipment of ardent spirits, as specified on other side of this form, this day ~o, ~ Llm ,'h1tl • ; delivered to me by the Southern Express Company, from j,,( ( that I am not a student or minor, and, if a female, I am the head of a family;; at the arden/ spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for ' l \ I (:. LL.u tG (State whether for Scientific, Sacramental , Medi cinal or 111echanical) purposes. ¾o/,.k. ( , Consienee. �F"ORM 370- VA . Re,ised Juue, 1917 SOUT HERN EXPR ESS COMP ANY ( I n corporated ) SPEC IAL LIQUO R RECP RD 2. 0 Ct • 20 / 17 • Receive d at, _ _ _ _ _ _ __ __ _ __ _ _ Date, _ _ _ _ _ _ _ 191 _ , Affidavit No ._ __'::::-_,,/= ~Consig nee _ _ _ _ _ __ _:-' __• _ _ _ _e_c _ h_e_r_t_,_ P. 0. Address,_ ----=Cc.=i:....ct:...,___ _ _ _ __ Kind of Arde'nt Spirits, _ _ W_h_ s~i= •k _~~Y~ ___ ____ Quantity _ _ _ Weigh t .1. lbs. Way-Bill No. _ _ _ _ _ _ __ Date _ __ _ _l_ 0~/_2_ "'__ 191 _ , From ashin -.£.. ~l~q=n;"--___ w To Shi ppe-r .Advance s to C\) lle c t The Sh omak er Co gotn EXP RESS CHARGES l:'RE I•.A ID ~ p Add Uud erc hnrge co me, I P. 0. Address I I R E CORD O F" NOT IC ES To Consignee_ _ _ __ _ _ _ __ __ __ _ To Shipper 0 (OVER) Stik e y I �STA'rE OF VIRGIN IA, 11 C OU :-!TY OF I, ✓,_· ?cc ,/4 1,u ~ I { ( ,, c[,/ / /! ' , being duly s worn, depose and say that I am the consig nee' of a certain shipme nt of ardent spirits , as specifi ed on oth er side of this form, this day deliver ed to me by the Southe rn Expres s Compa ny, from / I :' ,,/ /1 / ; th at· I am not a studen t or minor, and, if a female , I am the head of a family ; th at th e ardent spirits so receive d by me were brough t into th e State on my written order, and that I have not, within the thirty days previo us hereto , r eceiv ed any ardent Epirits of any kind wh ateoev er, from any person or from eny place whatso ever, in excess of the quanti ty allowe d by th e provisi ons of the Act of the Gen eral Assem bly of Vitg inia, approv ed March 10, 1916, or contra ry to law, and that the ardent spirits so rec eived by me are to be used ~ ,. by m e for J ' _ ,, , / (S tate whether for Scientifi c, Sacrame ntal, Medicin al or ~fechan icall Sworn to a nd subscr ibed before me, this_1 - -day of l/ {16 / C: 191 --A. /:: /~, /?; A2ent ro'i:- Souther n Expref:s Compan y. purpos es . Consign e6. �F"ORM 370 - VA. Revised June , 1917 SOUTHER N EXPRESS COMPANY ( l ncorporated) SPECIAL LIQUOR RECORD Received at. ___ _ _ _ _ _ _ __ ______ Date • 1 ov 13/1 Way Bill No • .Advnuces to To Sh ipper • S ••1lunson , P. 0. Ad dress Collect ~ I RECORD OF" NOTICES To Consig nee To Shipper (OVE R) . EXPRESS CHARGES PUEPLllD I I I I I CO LL ECT I R Ad d Unde r charge lo �- - -- - - - - - - - =-=-,=~~~-~---- ~-- - -__,___________. ., ._. . . . . . .----~ delivered to me by the Southern Express Company , from~~ ~~:...,~ ~-ei~C....e~~;? " a student or minor, and, if a female, I am the head of a family; t,),i t the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, rEceived any ardent spirits of any kind whatsoev er, from any person or fr~m any place whatsoever, in excess of the quantity allowed by the provision s of the Act of the\ General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for /;7:7? .Lc /;:r C (.,./ urposes. (State whether for Scientific, Sacrament al, Medicinal or Mechanical ~ •· /, t d' y of~~ --- ('-;";(J .. /,' / /_ ,/1:a--t--:~ Consienee. Sworn. to and uj scribed before Is ,3, -"' / ------- A11ent for Southern Exvress Comvany . �F'ORM 370-V A. R evised J nne, 1917 SOU THE RN EXP RESS COM PAN Y ( I ncorpora ted) SPEC IAL LIQU OR RECO RD Re ce ived at _ _ __ _ __ __ ___ ___ _ DateQct • • Ga.add.en, Con sig nee 3l/1 7 19 1_. P. o. Address Affi davit No. _ _ _ _ __ Ci tv Ki nd of Ard ent Splrits_ _~W ~l~l ~S.._1..... ·~k...,Jr1 _ _ _ _ _ _ _ _ Quantity 1 r1 t Weiu h1~ _ _ _ lbs. ___l_o ~ /_3_0__ __ 191_. Fro m Ila ers t own To _ _ _ _ _ __ _ _ __ _ _ _ _ __ EXPRES S CHARG ES _ Advance s t o Way-Bill No, _ _ 5_5___ __ Date _ Ship per _· _ _ 1{_.__S_. _ !_ .U _ n__s__o_n___ __ P. 0. Address ___ ___ __ _ _ _ _ __ Collect _ I I I _ RECO RD OF' NOTIC ES To Co nsignee PREPA ID To Shipper ( OVE R) I I I COLLEC T 12 Add Underch a rge I �STATE OF V!ROI IA, I COUNTY OF_ _ _ _ _,,_~-,,.~ - ~ I, , , being duly sworn, depose and say that I am the consign ee of a certain shipme nt of ardent spirits, as s ecified on other side of this form, this day / delivere d to me by the Southe rn Expres s Compan y, from~ ~~_.£_~~~:!'.:_!!-__::::..:_...:.::~~:""littat I am not a student or minor, and, if a female, I am the head of a family; tha the ardent spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previou s hereto, r€ceive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of the Act of the Genera l Assemb ly of Vi;gini a, approv ed Ma~ 10, 1916, or co1?trary to law, and that the ardent spirits so receive d by me are to be used by me for / JZ.?£ l--tZ.,..t .,,,{__,. (State whether for Scientific , Sacrame ntal, Medicina l or Mechani cal) , urposes /" ( Sworn to and~ bscribe d before me, this day 7 / ') , 191_, ) ., "', for A11ent Southern Express Company . �FORM 370-VA . R evised J nne, 191i SOUTHER N EXPRESS COMPANY ( I ucorporated) SPECIAL LIQUOR RECORD Received at _ _ __ _ __ _ _ _______ _ Date _ _ __ _ _ _ 191 _ . Affid avit No. t.,I I ._ • _J _ o hn <!On Consignee _ _ _II _._ _ __ _ _ _ _ _ _ _ _ _ _ P. 0. Address _ _ _ _ _ _ _ __ _ __ wh s i ky _____ Quantity ____l_r•_t_ _ ___ We igh ,1 lbs. ,t_ 1,:, 1 /11:J Ha erc;tuo 1 ,, d Way•Bill No._ __ __ ___ Date _ _ _1_ _ _ _ _ _ __ 191_. From _ _ _ __ _ _ _ _ __ To _ _ _ _ _ _ _ __ _ _ __ _ __ _ __ EXPRESS CHARGES Advnnces to Add Kind of Ard ent Spirits L Collect .• eyers , PREPA I D I I I I RECORD OF NOTICES To Consign ee I COLLECT Unde rcharge I Shipper •.- - -- - - - - - - - - - - - - -P. 0. Address _ _ _ _ _ _ _ __ _ __ _ _ To Shipp er D (OVEll) I ' 8 I �STATE COUNTY I, , t «9 , being duly sworn, depose and say that I am the consigne of a certain shipment of ardent spirits, as specified on other side of this form, this day 1/ . . ,. . . ._______ delivered to me by the Southern Express Company, from ,,. ; that I am not a student or minor, and, if a female, I, am the head of a family; at the ard ent spirits so receiv'ed by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Vir.ginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by );Ile are to be used by me for hu,_c:£,, (!!A~~ (State whether for Scientific, Sacramental , Medicinal or Mechanical) _ __.,_______ _____ ___,L--...:...;:c......-=--==-=---- Aeent for S uthern Express Company. urposes. �FORM 370-V A , Revise d Jnne, 1917 SOU THE RN EXP RES S COM PAN Y (Incorpo ro.ted) SPEC IAL LIQU OR ~ECO RD Received at _ _ _ _ _ _ _ _ __ _ _ _ _ _ Oate 31 /1 i9 T_. OCt Consi gnee _~l~l~i ~c=l=1=a=r~ d ~ I=C~o~h~l~ 1~a~ _ _ _ _ _ __ P. 0. Address _ _ _ _ __ _ _ __ __ Kind of Ard ent Spirits Way- Bill l''h S iky _ _ _ __ Quantity_ No. _ ~,~!l ~ _ ____ Oate OCt • :10 / 1, . To _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ __1.,_, q_~i~,__ ___ Weight<l~-~ - -lbs. 191 _. Advances to Colle ct Shippe r - - - -~~5~, ~ -',~= U=n=s~o=n=-- -- P. 0. Addr ess-- - -- -- ·- - - - I I RECO RD Of" NOTIC ES To Consignee '6',ge rsto wn EXPRE SS CHARG ES PREP AI D I COLLE CT I -- Affidavit No.__2_8 __ __ I I 1~8 To Shipper 49 (OVER) ., Add U nd e r c harge I �STATE OF VJROINIA, COUNTY OF . ~ {; c,,.j r}(tC,,/2~t j t, ' ,v ,Jr J. 1 (" l. I, d" it,, [ ·, being duly sworn, depose and say that I am the consigne'e of a certain shipment of ardent spirits , as specified on other side of this form, thi s day ,@c h delivered to me by the Southern Express Compan~, from 5".,!,t. ,J- t ,._ l,.. ; that I am not a student or minor, and, if a female, I am the head of a family ;,c1th at the ard ent spirits so received by me were brought into the State on my written order, and that I have not , within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any pe1·son or from any place whatso· ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for _ _ -"-/---'/'-"l-=,_/._,_,_.'_,-'1--'-,_c-=-'-/___ _________ __.,urposes. (State whether for Scientific, Sacramental, Medicipal or Mechanical) /,,,.JI,' �'"""",J3t Advnncea to Collect To Consionee _ ______ ______ __ _ __ Acld PREPAID Unde r charge To Shipper _ _ _____ _____ ______ Af"f"IOAVIT f"OR ARDENT S PIRITS f"OR PERSONAL USE. ( OV ER) �AFFID AVIT FOR ARDE NT SPIR ITS FOR STATE PERS ONAL USE o~• VI RG INI A, COUNT Y OP- - - -- -- - - ~ ~ i, 1 --;- being duly sworn , depose and say 1;hat I am ihe consig nee of a certai n shipm ent of ardeni spirits , as specifi ed on other side of this form, this day delive red to me by 1;he South ern Expre ss Comp any, from _ ______ __ _ _ _ __ ; that I am not a studen t or minor , and, if a female , I am the head of a family ; that the ardent spirits so r eceive d by me were broug ht into the State on my writte n order, and that I h ave not, within th e thirt y days previo us hereto , r eceive d any ardent spirits of any kind whatso ever , from any person or from any place whatsoever , in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 10, 1916, or contra ry to law , and that the ardent spirits so r eceive d by me are for m y own use, at my own hom e, and that th e said ardent spirits will not be used in violati on of law. Sworn to and subsc ribed before m e, this _ _day oL /4 Consicn ee. , 191_ " "'C nress Cowvao y. �SOUTHERN· EXPRESS COMPANY FORM 370-VA. (Incorpo rated ) SPECIAL LIQUOR RECORD Received at, _ _ _ _ __ _ _ _ __ _ _ _ _ Oate Feb . Co nsig nee _ Kind of Ardent Spirits _ __ _ w =-=h=1=· ~ s~ky ~ _ Way-Bill No,_ _ Affidavi t _____ Amoun tL_ _ _ __l- q-'4--'t...___ _ N✓/ 11= I Weigh tcc4X".-.-_ _ lbs. ~ 3=6~5~ _ _ Date___2__,/~1~ _ 7~ - -- - - 191_Iashc1i11n lU~g~t..... .o.....n~~ o'-'-c,___ To Shipp er 19/171@1 _ Mason Boggs , _ _ __ __ _ _ Conrad Page Co Adv.i,n ce s to Collec t . I EXPRESS C HAl<GES .PR E .PAID COLL EC T ! I 28 _ A <l<l Unde rc har ge I RECORD OF NOTICES To Consig nee ~ - - - - - To Shi pper _ _ _ __ _ _ _ __ __ __ _ AFFIDAVIT FOR ARDENT SPI RITS FOR PERSONAL USE. 4 9 lfard (O VER) �AFFIDAV IT FOR ARDENT SPIRITS FOR STATE o;• COUNTY PERSON AL USE Ym m •- ~ - ~. ;2 RJ , I, t I ";I / being duly sworn, depose and say that I am the consiguee of a cc rtaiu shipm ent of arde,~t ~~irits, as specified 011 other sid of this form, this day 1/., delivered to me by the Southern Express Company, from l) J l I , that I am not a student or minor , and, if a femal e, I am the hev.d of a family; that the ard( nt spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or fro m any place whatsoeve r, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved :\larch 10, 1916, or contrary to law, and that the a1·dent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law , 71¼c .A~en f for Sontl1el'• Ex).)res-e Compauy. �-------- ---~--- ----FORM 370•V A SOUTHERN EXPRESS COMPANY (Incorpo rated ) Advnn.-ee t o Colle ct Add COLLECT Unde r chnrge RECORD OF To Consignee _ __ _ _ _ ____ _ _ _ _ _ _ __ To Shipper_ _ _ ________ _______ AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE . ( OVRR) • �-= - - =-==-=....,,--=-=----.,....---~ - - - AFFIDAVI T FOR ARDENT SPIRITS FOR PERSONA L USE STATE OF VJRGINIA, COUNTY OF_ / ~/~ -'c "~ - - - - --"------ -:,-- -.. i, ., /- I ' ...__ , being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as pecified on other side of this form, this day 1/2 • / ~ • delivered to me by the Southern Express Company, fro I' / /; lttiat I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the Gener al Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are for my own use, at my own home, and that the said ardent spirits will not be used in violation of law. ✓, (7/?.,-,,,, ~ Colls1cnee. 'd before me , - --C-1, { 191 - 1 / A2ent for Southern Express Company . • t.p �,I F0R!YI 370- VA . Revised June, 1018 SOUTHERN E XPRESS COMPANY (Incorpornted ) 0 SPECIAL LIQUOR RECORD W• M . Heatwo ) e, Kind cl Ard ent Spirits _ _ ~ Apr i l 5 /iU.!__!_ Affidavit No. P. O. ·Address .HintonVa Received at----c=--- ----- _ _ _ _ _ _ Date C~nsignee ne _ __ ~b~e~ e~r-~---- - - - Quantitv---3.ga~ _ _ _ _ Weiuht&f}-_ _ lbs. ____ 19l.9.. From »a l tim-o~t...d...- - - ·· \ vay- Bill No._·_ 1_ _ _ __ _ Date __ 4../_4 ,. ~ To Shi pper R Advances to Collect Francion P. 0. Address EXPRE SS C HARGES PUEl>AID I / I r I COLLE CT f4 \YarTu Collect 04 Add Und er c hnrge I RECORD OF NOTICES To Consionee ________ _ _ _ _ _ _ __ To Sh ipper _ _ __ __ _ _________ (on&) �,--- ~-==- ==-~----------- ----- - --- - ---- -------~------ --. . S'TA'U 9F V rnGJNfA, COUNT-Y ~F~ - -~- - ~ - - -- ) • I I being duly sworn, d.epose _and say that I am / I, 1 the consignee of a certain shipment of ai-dent s vi rits, as spe~ified on other side of this form, thi s day I' / ; that I am not delivered to me by the Southern Express Company, from J ( , I. a student or minor, and, if a female, I am the head of a family; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or- fro)!! any place what~o ever, in excess of the quantity allowed by the provisions of th e Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me for _ _ _ _ ___________ _ __ __ __ ____ purposes at my own hom e, and in con(S tate whether for Scientific , Sacramental, Medicinal or Mechanical) formity with law . Coosi2nee. Sworn to and subscribed before me, this _ _ day of _ __ _ , 191_ . Agent for Southern Express Compau,-. �FORM 370- VA. SOUTHERN EXPRESS COMPANY (Incorporated) Rev ised June, 1918 SPECIAL LIQUOR RECORD April 28fi[.19_._ Cons ignee _ _ _T _b_o_s__R_ L _ o_k_e~y_____ ____ P. 0. Address _ _ Received at _ _ _ _ _ _ _ _ __ _ ___ Date Affidavi t No. l ....,C = i '-"tC.Oy,__,_ , _ _ _ __ Kind Ill Arde nt Spirits _ _ _w ~h~ iecs=c.k ==..Y<--------- Qua nti ty _ _~l~C+J~t<--____ Weigh t~4"0e-- -lbs. Way-Bill No._•_1~3~1~ ____ To Shi pper Advances to Collect J _. J. stumn FrnrCnmberland Md. Date_ ~ 4._,-/ ~2~ 6 ~ _ _ _ 191___ &Co EXPRESS CHARGES COLLECT I I I I P. 0. Address WarTu PREPAID Collec1 31 02 Add Underchnrge I RECORD OF NOTICES To Consig nee _ _ _ _ _ _ _ __ _ _ _ _ _ _~ To Shipper _ _ _ _ _ _ __ _ _ _ _ __ _ (OT'ER) �delive red to me by the South ern E ~ "'---'=---'='--'--""'-""'-'"=---- =--- , a studen t or minor , and, if a, fema that the arden t spirits so receiv ed by me were broug ht into the State on m writte n order, and that I have not, within the thirty day s previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from any place what~ oever, in excess 'of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed Marc 18 or cont ry to law, and that th e ardent spirits so receiv ed by me are to be used ,___:_...: _.:::t'. :!.~'.'k '~~== ::::=-- =~:__ ::~-== ~- - - - PUTposes t my own hom e, and in con- r Mechan ic111) Sworn to and subscr ibe ihidJ J._day o>J.},,.~-; C_~~ _,,. Consien ee. �FO RM 370- VA . Revised J une, 1918 SOUT HER N EXPR ESS COM PANY (I n co rpo rated) SPEC IAL LIQU OR RECO RD Receive d at _ _ _ _ _ _ _ _ _ _ _ _ Consignee Ur. w• 26 / 1!9...f.._ _ _ OateA p r i L Kin d of Arde nt Spirits _W _ h_ i_s_ k_ y~ - - - ~ - - - - Quanti ty 7_S__ __ __ 0ate __ 2_ 5 __ __ 191~ To .Advanc es to Collect Shipper R F ran cio n P. 0. Addr~ 12q t Weight 50 FromBa l tim o r e ,Md 4_/_ Way- Bill No._ l ti ore I I Md . RECO RD Of' NOTIC ES To Consignee _ _ _ _ __ _ _ _ _ _ _ J. Sid ney EXPI\E SS CHARG ES PREPA I D Pe t ers _ _ __ I I I I 86 WarTu Collect 05 Add Unde rc h a rge I To Shi pper_ _ _ _ __ ___ __~ --- per mit # 265 6 (on&) COL L ECT lbs. Apr il 21s t , l!H 9 . �---- ---- --~- --- --- -----,-- -=---- --- --- --- --- -COUNTY 6'/'\ J OF -==--~-"'- '-'- .c. . c'- =-----'1---·'-""" -=-m✓iag duly sworn, g,epo.se and a1·d,j spirits, as s p e < J ~ of this f si: that I am , this day 1/r' · delivered to me by the Southern Express Company , from · ~_ ', -that I am- not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty da)'.s previous hereto, received any ardent spirits of any kind whatsoev er, from any person or from any place whatEo ever, in excess of the quantity allowed by the provision s of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to aw, and that the ai;Jl,nt spi~its so received by me are to be used 1 . _/_. by me for (State whether f formity with law. ._ ,_- -~~ // -' Sc en!- fie, Sacrament al, Medicinal or Mechanica l) Sworn to and subscribe d before me, this _ _ day of _ -· _ _ _ , 191_ Agent for Southern Express Compan~. purposes at my own home, and in con- �FORM 3 70- VA. Revised June, 1018 SOUTH ERN EXPRESS COMPANY { In corpornt cd ) SPECIAL LIQUOR RECORD Received at_~_______________ Oate_ _ _ _ _ _ _ _ 19·1~ Affid avit No._ l _,_ _ _ __ d. ~ -- - - - .,.~ 1'....,__ _ _ _ _'-.:''. --l. p_ 'Ad~ress ____·?_ •...,t._,·:J .lc;cl;__=Consig nee _ __ _a______r,_, _,,a"'l=-c'".;;; ., _ _ _ _ _ _ _ _ _ _ Qua ntity_ __.__.,....._,___ ____ Weigh ~ - -+-lbs. Kind .!lf Arde nt Spirits_ ,~ ]~!~S_1~· ="-. ;,_ Way-llill No. ' 0 Date ~ Froml..:_L...__..,....__,_,_~ - -•~,:i~ - - - 191 _ '1 Advance s to Co ll ect To Sh ipper l, 1 .1 ra1 cion I CO LLECT PREPAID I I P. 0. Add ress EXP RE SS CHARGES I 1 ~~ I I ..,. ~ Collect Add Uud ur cho.rge ~ I RECORD OF NOTICES To Consig nee _ __ __ _____________ To Shipper_ _ _ _ _ __ _ _ _ _ _ _ _ _ __ .I (OTER) �STATE OF VIRGINIA , / COUNTYOF~,c. . . dl...a-~~'-,+✓-+~~-I, ----=~- - -- - ~ ~ ---'--~ - - - - -- -, being duly sworn, depo se and say that I am the consignee of a certain shipment of ardent spirits, as specifi e..(l on other side of thi s form , this day delivered to me by the Southern Express Company, from ' ; th at I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so r eceived by me were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatEoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me for ) }( L (State whether for Scientific, Sacramental , Medicinal o, Mechanical) purposes at my own home, and in con- formity with law. _/. Sworn to and subscribed before me, thi L -1-1 ,,, - 1/(A ( day of __ ~~ - - 191' ·\ :-· ConsieDee. _.,. / ( -+ Aeent ~o';;thern Express Com11u1 . ( f l t,6tk::; / f~ , '£, 7-/- ✓--- p...rr>( �FORM 3 70- VA . R evised J un e, 1918 SOUTHERN EXPRESS COMPANY (lncorporn t e d) SPECIAL LIQUOR RECORD I r 1-1/10 Received at_______________ __ 0ate_ _ _ _ _ _ _ 191 _ ~ _ _ _ _ _ _ __ _ P. 0. Ad dress _ __ _ _.............."--"~ ~ - - ~tl Consion ee _ _ _ __ ~ =~ ~a- S~O 4 b_s_i _Jc~y.,_________ Quan tity_ _,1'-'q+-+t~ -- - - Weioht Kin d ol Ard ent Spiri ts_ _ _\_f_ Way-Bill No. 4 To Shipper " 'l 98 u. p .Date ./1 0 Fro~ al ti mn P 191_ Advan ces to Co ll ec t Gi l :Qi ,- Co EXPUESS CH AUGES I I P. 0. Add ress I War Tu CO L LECT PREPAID I I I Un 32 Coll ect 2 lbs. Add Unde r c ha rge I RECORD OF NOTICES To Consio nee ________ ________ _ To Shipper _ _ _ _ __ ___________ (Ol'ER) �~- - - - - - - - - -- -- - -~ ---- ~--- ---- ---- -- --~----- - ----.. ., STATE OF VIRGINIA/ ' COUNTY OF /L. U l, I the consigt /e of a certain shipment of ardent s pirits, as delivered to me by the Southern Express Company, from LJL~~"" "'==.~~_ :_- - -~ i that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirit o received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatrnever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and tJ:iat the ardent spirits so received by me are to be used ~~_____ . }//..L r/1 t £ L'1. L _____ _____ _____purposes at my own home, and in con- by me for _ _ _ _ (State whether for Scientific , Sacraments! , Medicinal formity with law. . ~z·· Sworn to ari; yr echanical) / • lf-J ~ _ ,,t/ \ ,,,/ V / / , (./{.,-/ ,C/- I L Consii:nee. �SOUTHERN EXPRESS COMPANY FORM 370- VA. Revised Ju ne , 1918 (I n c orporat e d ) SPECIAL LIQUOR RECORD May l/19 .._ _ Received at _ _ _~_ _ _ _ _ _ _ _ _ _ _ 0ate_ _ _ _ _ _ __ 1:-.t 1 _i_~_._ Consignee_ __D f~i~t_z_'"'~e~r~ ,_ _ ____ P. 0. Address_ _ .__s_,_ _{_._D A - 2_ _ _ __ Affi davi t No._ C~i~t ...Y~· - - - - _ _~ '-'h'-"-'iwS......,k.y;J----_ _ __ ____ Quantitv----1q..:.,__ _ _ _ Weight Kind of Ardent Spirits _ ____.W Wav-llill No. _ 4-8"'---- - - --•ate Shipper Frollal t j mo.re....,- ~-ld_• ___ 4/30/19 . 191 _ Adv ances t o Co l lect To Roanok e \Vine Co EXPR ESS CHARGES PRE P A ID I I P. 0. Address _ _ lbs. I CO LL ECT r3 WarTax Collect 02 Add Unde rc harge I RECORD OF NOTICES To Consignee ________ _ _ _ _ _ _ _ __ To Shipper _ _ _ _ __ __ ____ _ _ _ __ (OVER) �_J'-----"c:...J"---""'-----'-- ----'' ---,4---'='-"' -----~ - -~ , being duly sworn , depos e and say that I am specif ied on other side of this form, this day ~~ delive red "to me by the South ern Expre ss Comp.any, from • ; th at I am not a stude nt or minor , anil, if a femal e, I am the head of a famil y; that the ard ent spirit s so receiv ed by me were broug ht into the State on my writte n order, and that I have not, within the thirty days previo us hereto , receiv ed any arden t spirit s of any kind whats oever , from any perso n or from any place whatr never, in exces s of the quant ity allowe d by the provis ions of the Act of the Gener al Assem bly of Virgi nia, appro ved March 19, 1918,_or contra ry to law, and that the arden t spirit s so receiv ed by me are to be used by me for 'h· (State whethe r for Scienti fic , Sacram ental, Medici nal or Mecha nical) formi ty with law. '¾ :r• . 11 , a. Sworn to and subsc ribed before me, lhi,_l i___d ,y of 1. ~ 191 ~ Agent for Southe rn Expres s Compa ny. purpo ses at my own home , and in con- - Consie-nee. �FOR M 370- VA . Revised June , 1018 SOUTHERN EXPRESS COMPANY (Incorpo rated ) SPECIAL LIQUOR RECORD Ma y 1 / l ~Ji'- Received at _ _ _ _ _ _ _ _ _ _ _ _ _ _ Oate Shipp er Weight • l _.,6,.___ l ga J From l:ia l t i more ~ld Quanti ty No._ 6_ 0______0ate _ _~ /_1_3___ 191 _ Advances to Collect To No.__L__ P. 0. Address ___ = ~ - -- - - - -- -Kind of Arde nt Sp irits_ ~r~um Way-Bill Affidavit i~t~y_ ______ Consignee Grl.Dll i ne & 0 t Donn 11 Lamd i n Thom n son liO P. 0. Ad dress EXPRESS CHARGES PRE PAID I I I RECORD OF NOTICES To Consignee _ __ __ __ _ _ _ _ _ _ _~ CO LL ECT To Sh1pper _ _ I WarTu Collect 7· 03 lbs. Add Unde rcharge I t\J +c/, - ------------ �- - --- - ·-·--- ---- ---- ---- ---- ---- -------~ ~. ---, n; a certain shipment of ard ent spirits, as this form, this day t ~~~~~~ ~-_!__- ~ delivered to me by the Southern Express Company , from ~ ~~:"'.:'.!~ by me received so spirits ardent the that ; family a of head the am I a student or minor, and, if a female, within the thirty day s previous were brought into the State on my written order, and that I have not, or from any place whatrnperson any from er, whatsoev kind any of spirits hereto, received any ardent eral Ass embly of• Virginia, Gen the of ever, in excess of the quantity allowed by the provision s of the Act by me a re to be u sed received so s t spiri ardent approved March 19, l ~~~ ~ ~- - - , - - - - - - Purposes -~ - ----vby me for _ _ __ _-'---~- - - - r Mechanica l) al, l,ledicin (State whether for Scientific, Sacrament formity with law. at my own home, and in con- �FORM 370 - VA. Revised June, 1918 SOUTHERN EXPRESS COMPANY ( Incorporate d ) SPECIAL LIQUOR Received at _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0ate Consignee _ RECORD 1/l 9 fay W._ __ M. _Heateole, __ __ __ _ _ _ _ __ __ No._ 7_6_______ Date _ _4~/ -= 3-'-0____ l91 3 Advnn ccs to Colle c t .a..Jt 1t1tY From 3 ga 1 No.__3____ Weight Baltimore EXPRESS CHARGES mmu Shipper Affidavit _ _ P. 0. Address _ __RFD _ _ _ _ _ _ _ __ r _ _ __ _ _ _ _ Quantity Kind of Ard en t Spirits _ _ _bee _ __ Way-llill i91 _ '""]: : ~:q 75 lbs. Md ~, u.,~(.,,. RECORD OF NOTICES To Consignee _ __ _ _ ____________ To Shipper _ _ _ __ _ _______ _ _ __ (ona) �STATE OF VIRGINJA, ) COUNTY OF.-..- ~- ~ - - - - - , ~ -- a&m , H~~~ !, being duly sworn, depo se and say tliat I am the consignee of a certain shipm ent of atdtnt spi rits, as specified on ,other side of thi s form , this day . outhern E xpress Company, f rom -1[..-':l_.! '~ delivered to me by the S - ;1,: , • - ..,, -; that I am not • ~/ ~ ,L L./ a student or minor, and, if a female, I am the head of a family; that the ard ent spirits so 'received by me were brought into the Sta.te on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or froµi any- place whatrn.ever, in excess of the quantity allowed by the provisions of the Act 'of the General Assembly Virgini a, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used of ,/ by me for if. dA aL , ,... . s....,,'.t'. . \# ' k (State whether for Scientific, Saeramental, Medicinal or Mechanical) purposes at my own home, and in con- formity with law. Consi 2nee . Ai:ent for Southern Express CompallJ. �SOUTHERN EXPRESS COMPANY FOR M 370- VA . R evised J un e, 1918 (l ncorpornted) SPECIAL LIQUOR Receive d at _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Oate RECORD Ao ril 2 R/ ~r1_•_ C~i~t~y______ P. 0. Address _ _ _~ H. L . B rtncr , Con signee 5 Affidavit No._ _ ____ " l -.Jy,___________ Quantity---1..q t Ki nd of Ard ent Spirits__.w...,h.........i ....,s.L..& Way-Bill No. 101 Date Advan ces to Co ll ect To Ship per Frorfumberland Md 191_ 4 / 25 J. J. StUIDJ11k Co P. 0. Ad dress Weig ht__ 4---lbs. EXPRESS CHARGES PREPA I D I I I I CO LL ECT I I 132 ~-'• •; ct Add Unde rcharge I R ECORD OF NOTICES To Consignee_ _ _ _ _ _ _ _ _ _ _ _ _ __ To Shi pper _ _ _ _ __ __________ (O VE R) �7 ~ ~_.__ __ , being p.uly sworn, depo~e and, say that I am the eopsigne e of a certain shipmen ~ of ardent spirits, as specified on other sid\) of this form, this day delivere d to me by the Souther n Express Compan y, fron, ~L YU~ ~ '; · that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from J1DY pjace whatrn ever, in excess of the quantity allowed by the provisio ns of the Aet of the General Assemb ly of Virginia , approve d March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used I"( by me for ,(tlt..cf l 1 1 J tl ( (State whether for Scientific, Sacramen tal, Medicinal or Mechanic al) purpose s at my own home, and in eon- formity with law. Consignee . �f"ORM 370 - VA . Revised Ju ne, 1918 SOUTHERN EXPRESS COMPANY (I nco rporated ) SPECIAL LIQUOR RECORD Received at ________________ o/ ay 21/l~ • 191 _ . Affidavit No. /V __ P. 0. Ad dress _ _ _ _i_t_ y_______ : : :.. . , - - - - - - · - - - - - - , - - - , - - - - - - : _ ~_____ 0ate,_ _ _n ~/--.:::..1--.:::.._~_.--.:::..--.:::..--.:::..--.:::..--.:::.-. -19.1_ Way-Bill No. __2 EXPRESS CHARGES To___________ _ __ _ __ War T,i Add Advance s to 1 _____:._.:_________ Ship per __fi Colle ct 1 _ -'TEC P_R_E_J'_A _I D- ~ -C- O_L_L _ I P. 0. Add ress Collect Uud ~rc b11rge 2 RECORD Of" NOTICES To Consignee To Shipper _ _ _ _ _ __ __ _ _ _ _ _ _ __ (ovu, �STATE OF VIRGINIA, / COU NTY OF_~I_---=:___..:._.__--====-=-- · _£ ~ , ., , I, -(f , be_ing duly sworn, depo8e and say that I am the consignee of a certain shipment of ardent spirits, as specified on other side of this form, this day ~ delivered to me by the Southern Express Company, from ; ·l ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent sphits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me for ✓)/. Ll . < ~ - ~ ~ - - - - - - - - - -Purposes at my own home, and in con- (State whether for Scientific, Sacramental, Medicinal or Mechanical) j[y =-.:.___,__::=-.:s=-...,.,c=-=____._._L--=~- _ ____,t, .,_ l_) _ formity with law. Sworn to ~nd subscribed before me, tbis _ _ _ day of _ {~,1_ _ _ _ , 191_. Ae;ent tor Southern Exvress Comvany. �SOUTHERN EXPRESS COMPANY FORM 370 - VA . Rev ised June , 1918 (I nco rporate d ) SPECIAL LIQUOR ~ ECORD 6 / 19 Received at __________ _______ Date ________ 191 _ , ~•Consignee_ __ _ 3 Affidavit No, _ _ _ _ __ - i i,-,ti,,y+-,,.---- -- - -=A~•~=o=n..ge---____ ______ _ P. 0. Address _ ___,C gal win t¥eight 15 ~fd Frohialtimore, W~i~n~ e '---1,----- - - - - - - - Qua ntity_ _~l~ Kind of Ardent Sp irits _ ~ 1_3_7_____ Date _ _6~ Way- Bill No._ _ A d vance s to To Shipper _1_6____ 191_ Coll ect I Ulman & Sons, E XPRE SS CHARG E S PREPAID I I P. 0. Address I COLLE CT 145 WarTu Collect lbs. Add U nd e r charge .1~3 I RECORD Or NOTICES To Co nsi gnee _ __ _ _ _ ___________ To Shipper _ _ _ _ _ _ ___________ (on&) �STATE OF VIRGINIA, I, ----"-"'--''-------'"'---'"-'--,_,""--'-'.,_,-.-1,,...__ _ _ _ _ _ , being duly sworn, depose and say that I am specified on other side of this form, this day the consignee of delivered to me ~y the Southern Express Company, from --'"'-1r--",'""""-""'1""'N"'-".,.1J=..As.--- ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place what~oever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me for 11'.l ~ ,cl,;, " ,c,..J.. CJ, u n..1 . . UJ~•- rpurposes at my own home, and in con- (State whether for Scientific , Sacramental, Medicina\ or Me; ;;;;cal) formity with law. Consi211ee. Sworn to and subscribed before me, this Al?ent for Southern Express Company. �""' l;• FORM 370 - VA , ReYised June, 1918 \>~ S~THERN EXPRESS COMPANY J "!/;~...__.....,.-·SPECIAL (In co rporated ) ? LIQUOR RECORD Received at _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0ate _ _._6cc.. /.,. ~1=7 ~·-.__ 191 _ Affidavit No. _ _ _,,.__ _ __ Con sign ee _ _ w_.__N_._ _8.-"'P_r_i _k_l_e_____ ____· P, 0. Address·-_ _ _C_i _t~y______ whdiky Kind of Arden t Spiri ts _ _ _ _ _ _ _ _ _ _ _ _ _ _ Quantity_1qt _______ _ Weight _ _ _ _ .lbs, Way-Bill No._ _ 1_6_____ Date _ _6~_ 1_4_ To ShippeJ • _ _ Advan ce s to Coll ect Frank Truner, 191_ L'fltUi PREPAID I I P. 0. Address ore d E XPRESS CHARGES I COLLECT 138 ""~ Add Undercharge C~ ct I RECORD OF NOTICES To Consig nee _ _ _ _ _ __ _ _ _ _ _ _ __ To Shipper _ __ _ __ _ _ _ _ _ _ _ __ (on&) �- -1----!L- Q..J:,.._~.z,~!"".l.l!!!.'!~~~ V'.!:!'!'"'.{.,,L- -- - , being duly sworn, depose and say that I am a certain shipment of ardent s i,irits, as specified , on other side of this form, this day delivered to me by the Southern Express Company, from ~ ; ~ I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by m e were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whateoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used �FOR M 370- VA. ~ SOUTHERN E XPRESS COMPANY ( I ncorpornted) Revised June, 1018 ~ 5 Oate J unr ~\n ~ 91_ ' Affidavit No. SPECIAL LIQUOR RECORD Received at _ __________ ____ _ • _ _ _ __ it ~ _.__ _ Lllrtner , Consionee _ _ _ _ _ __ _ _ __ _ _ _ __ -'---~--- P. 0. Address-_ ___Y w~b.......i,...s~ k~Y-- - - - - - -- Qua ntity-----1-(l,__.,___ _ _ _ _ Weioht--4-_ _ lbs. Kind of Ardent Spi rits _ _~ 6~3~:l~ _ __ Way- Bill No. _ ~ Oate _ _ To Shippe r J • ,J . S tump & Co ~fi_,_/~3~ __ 191 _ .Advan ces to Collect I PREPAID I I P. 0. Address Fro nCu~ ~ EXPRESS CH,J.RGES COLLECT \31 ...,~ Coll ect 0~ Add Unde rchar ge -I RECORD OF NOTICES To Consignee _ _______ _____ _ _ __ To Shipper _ _ _ _ __ __ _ _ _ _ _ _ _ __ (OTER) �S'!ATE OF VIRGINIA, COUNTYOF -,,/ _ ,_TC1,___ _,_,"'=-',......,~~~~-6 ~ ~L-+-~- ~-..aH,'- -9'~"---f .4-6- ~;..c~;..... ;~-, being dnly sworn, depose and say that I au: shipment of ai-dtnt spirits, as specified on other side of this form, this day delivered to me by the Southern Express Company, from - --.-~-.-, ,--,-~~--~--~- i that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spii·its so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatEoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me fo~ Toe (/,•• u: ) f •, •t ( purposes (State whether for Scientific, Sacramental , Medicinal or Mechanical) formity with law. J~_L ~ ~ /.. at my own home, and in con- j. 1,,t/J1 C 'Y' Consienee. �DELIVERY FORM eo • ADAMS EXPRESS COMPANY RIIVl IED JUI.Y, 1917 SPECIAL LIQUOR RECORD an., 24 Received a.___ _ __ _ _ _ __ _ _ Date_____ __191_ Affidavit N..o-,,~ - - ~ity, auchero w L 11 -=-- - - - - ~•- - - -- - P, 0. Address _ _ __ . - - - -~ Conalgne •---~ .. Kind of Ardent Splrlta . Whisky Amo1,1nt 1qt , , .,,., Oat____.1._/_ _ _ _ _ _191_ Fro Way-BIii No. 79 3 '~ To _ _ _ _ _ __ _ __ _ _ _ __ Welaht » a l tl.l!10 Y' e 7 1 Iha ·:1l" • r----~--=EXP=i::-:::::::::-CHARG==:::F.s=""---r-----, Adc:n: to l-=Pc-=RE:;::,:;::PAID;.;:;;=-,,..;..:::OO~LLECT::;:;::;,,.,.,..~ Uad.!:1harp Shipper _ _ _ _ _ _ __ _ _ __ P.O. Address RECORD OF NOTICES To Conal11nee :ro Shipper _ _ _ _ _ _ _ __ __ _ _ .., (OVER) �STATE OF VIRGINIA, J ,.. \ t being duly sworn, depose and s-ay ! ,,. I, sp as ;, spirit ardent of shigment the consignee of a certain J; th delivered to me by the Adams Express Company, f:rom a student or minor, and, if a female, Lam the head of a family; tha,t the ardent spirits so rec ived byme were brought into the State on my written ol'-der, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used by me for • , ' - ,, ~ ~ / .r ~, _, - · · purposejl. . (State whether for Scientific, Sacramental, llledicinal or Mechanical) 7 ,,. (Consignee) �SOUTH ERN E XPRESS COMPA NY FORM 370- VA . Revised June, 1918 (I ncorporated) SPEC I AL LIQUOR RECOR D Jan ' 24 / M~ Rece ived at~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Oa te -~ffidavit No.__1_9___ s_. __•__S_h_a_v_e_r_,,c..._____ ____ p_ 0. Address-_L.c..a_ c~y'---~ Consignee _ _ _ ~ f~r~ i =n~ g=s~·- S' , ____ Weight~ 4c+__ _ lbs, a..........t~ Kind of Ardent Sp irits_ ~ w~l~i~s~·~I ~k....y,______ ____ Quantity _ _~ , .... ___ __ Dat~ Way-Bill No._ _ _4_3 1 / 23 Advances to. Col lec t To Sh ipper Frorn h a l timnr e A.. d 191_ Clark e & Son s , P. 0. Address EXP R ESS CHARGES COLLECT PREPAID I I I I I 132 '.".:.')"·'T...""' RECORD OF NOTICES To Consig nee _ _ __ _ _ ____ ____ __ To Shipper _ _ _ __ _ _ _ _ _ _ _ _ __ (on&) �______ .......____ STATE OF VIRGIN A, I, ' · " 1.....,,, , bein~ du1y sworn, depose and say that I am the consign ee of a certain shipmen t of ardent spirits, as specified on other side of this form, this day ~1 !(/ { ' { '- .. , delivere d to me by the Souther n Express Compan y, from -{Z that I am not a student or minor, and, if a female, I am the head of a family ; that the ardent spirits so received by me were brought into the State. on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoe ver, from any person or from any place whatso ever, in excess· of the quantity allowed by the provisio ns of the(Act of the General Assemb ly of Virginia , approve d March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used --. by me for ,) / { J.__ ( l L t L L- (State whether for Scientific, Sacramen tal , Medicinal or Mee formity with law. Consh:nee . Sworn to and subscrib ed before me, this _ _ day of J ___ , 191 0 . /,7 /(,? (n _ / ./. Agent for Southern Exvress Company . �SOUTHERN EXPRESS COMPANY FORM 370- VA. (Incorporntcd ) Revised June, 1918 SPECIAL LIQUOR RECORD Rece ived at _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date Feb, Consignee J . J . Weng e r , ? () /1191_ • _ Affi davit No .__A_____ P. o. Address_~t~ D ~------- 1 at. Weight _ _ lbs. d.ltimore Fro m_ _ _ _ _ _ _ _ _ _ _ _ __ Kind of Ardent Spi rits~ lV- b ~ S~i ~k...,yr -- - - - - -- - - Quantity Way-B ill No.__3_A _____ _ Date_ _~_ /_1__/_l _P__ 191_ To Shipper __R_ Advance s to Coll ec t E'r ancione , P. 0. Add ress E X PRES S C HARG ES PREPAID I I I I COLLECT I I WarTax Coll ect 182.02 Add Und e rchurge I RECORD OF NOTICES To Consignee _ _ _ _ __ _ _ _ __ _ _ __ _ To Shi pper _ _ _ _ _ _ _ __ ___ _ _ _ __ (OTER) �I, --"'J.c:.F,~.........,"'---':......"""':...:::.-='.-,:::" - - - - ' = - - - - - - - - -, being duly s worn , d~pose apd say that I am th!) co;isigne specified on other side of this form, this day -✓~V ~_· delivered to me by the Southern Express Company, from ~fi-~M ~~~z~:~'.)::~l~=M · - - - i th at I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatrnever, in excess of the quantity allowed by the provisions of the Act 'of the Ge~eral Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used 1 by me for '//UvC< (State whether for Scientific, formity with law. ..::? / Saenmental, Medicinal or Mechanical) 1 purposes at my own hom e, and in con- Consi&nee. Sworn to and sub c t Js_j__day oi Ae;ent for Southern Express Company. �FORM 370- VA . Revised June, 1918 SOUTHERN EXPRESS COMPANY (I nco rpo rat ed) · SPECIAL LIQUOR RECORD Rece ived at _ _ _ _ _ _ _ _ ____ _ _ _ _ 0ate_ _ _ _ _ ___ 191 _ Affidavit No,.---'-"'·~ - - - - _ U_s_ e_ _ _ __ _ P. 0. Add ress _ _ _ _ _ _ _ _ _ _ __ _ .__ll_O Consignee_ _ _ _ _ _ _ _J_. _ A 4 lbs. Kind of Arde nt Spi rits--Wl:l,-,.s-.-1+·_.,k.,_~.,_r_ _ _ _ _ _ _ _ _ Quan titY- - - ---<--<+--t--- Weight X lt ili more i .La b 1' •e 11 111 Fr om • .Date 191C?JWay- Bill No. Adv an ces to Coll ect To Sh ipper I Francione P. 0. Address EXPRESS CHARGES PREPAID I I I I COLLECT 112 WarTax Collect 12 Add Underc h nrge I RECORD OF NOTICES To Consignee To Ship per_ _ _ _ _ _ ________ ___ {OTER) �I, the consignee of , being duly .sworn, depose and say that I am as speeified on oj.b.er side of thi s form , this day ; // ill . delivered , me by the Southern Express Company, from /<:- if"- '/, ·< ",...,_;,., z:.--,',___ ; th at I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so 1·eceived by me were brought into the State on my written order, and that I have not, within th e thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any persoi:i or from any place whatso ever, in excess of the quantity allowed by the provisions of the Act of the Gen eral Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used ,. 7Ar· L-'L.. by me for __ ..,~.:. _./______ ______ __ ______ _ purposes at my own home, and in con(State whether for Scientific, Sacramental, Medicin al or Mechanical) formity with law. Sworn to and sub~bef ore me, this_l_:f_da y of _ ___ .-_ , {!_, 191_1 ~~' Agent for Southern Exvress Comva111. �SS COM PANY SOUT HER N E XPRE corporn ted } FORM 370- VA. (In Revise d June, 1918 SPEC IAL LIQU OR RECO RD Jan , 2,t/ li'J 1._ _o_ n_n_e_l_l __ __ ___ P. 0. Add ress n_._ _ ~ _._ o_ '_D Consignee ___ _ 1qt ~ i~lt- Y~- --- - - - - Quanti ty v~h~S Kind of Ardent Spirits _ _,= _ __ Date Received at _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 191_ Way• Bill No._ _ _ _ _ _ _ __ Date _ _ Ship per Ad vances to Co ll ect ' To J . J' . S tun !! Co From CUI I I P. 0. Add ress RECO RD OF NOTIC ES _ _ _ __ To Consignee _ __ _ _ _ _ _ _ __ Cit;y: I I lbs. Weight lJ , rlan d Id EXPRE SS CHARG ES COLLE CT PREPA ID I 20 Affidavit No. I 32 WarTu Collect 02 Add Und e rc harge I _ _ __ To Shi pper _ _ _ _ __ __ _ _ _ _ _ (OYER) �------ ---- ------ ------ ----aa--- ------- ------ ~-----~-- --COUNTY o~• I, ~~\,l_.,.!C..,L ._~~16i~J._:_:2..:~:;,....~~ lllll!!!~the consignee of a certain shipment of ai-dtnt spirits, as delivered to me by the Southern Express Company, fro~,_..c;.a~..,...~4'~.C.C;..tl:;.t,:::C,;jMi,C\"that I am not a student or minor, and, if ·a female, I am the head of a family; that the ardent spirits so r ceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place what$oever, in excess of the quantity allowed by the provisions of the Act o{ the General Ass:mbly of Virginia, approved March 19, 1918, or con rary to law, and that the rdent spirits so received by me are to be used I Ai:ent for Southern Express Coml)&IIJ . �SOUTHERN EXPRESS COMPANY FORM 370 - VA. Revised June, 1918 ( I ncorpornted) SPECIAL LIQUOR ._ Con signee _ __ _ RECORD L - U !ill._ Received at _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ 18 Affid avit No. _ _ _ _ __ J_. _ o_ ' _D_o_n_ n_e_ l_l_l______ P. 0. Address _ _ _~G~i~t"'.ry-i,,______ · k~y,___ ......_s.....i... Kind of Ard ent _Spirits _ ~ \\~[1, Way-Bill No _ ~ ~ ~- - -- Date _______ Quantity _ _ __,l q-t from ~ J an , '>1J/ 1 ~ 1 To • _J_. _s_ - --'C"--'o"'cc p'--.... .t,.,_U__r.n_,_ Shipper _ _J_ .Ad v•ncc, to Collect I Weight 4 ~ d , EXPRESS CH.ARGES ! COLLI E CT., -, PREPI AID ,') ~w"l" ~.•llect lbs. id Add Unde , cl ba,ge I P. 0 . Address _ __ _ _ __ _ _ _ _ __ _ RECORD OF NOTICES To Consignee _ __ _ _ __ _ ____~ - - -- To Shipper _ _ _ _ __ __ _________ (OTER) �I, - -"'--"------"------~-~ -,.....---- being dul:t sworn, depose and say that I am the consignee of a certain shipment of ard~nt spirits, as specified on other side of this form, this day ..,) /I delivered 'to me by the Southern Express Company, from.~ - ~ - ~ - - ~ - - - ~ - ~ ; th at I am not a student or uiinor, and, if a female, I am th"e head of a f;mily; that the ardent spiri ts so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatso ever, in excess of the quantity allowed by the provisions of th e Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me for ________________ __________ purposes at my own home, and in eon(State whether for Scientific, Sacramental, Medicinal or Mechanical) formity with law . / Consi Ji?nee , . A Kent for Southern Express Com pan:,. �FO RM 3 70- VA . Revised June, 1918 COMP ANY SOUT HERN E X PRESS ated) (Incorpor SPE:C IAL LIQUO R RECO RD F eb Received at ___ ___ ___ ___ ___ __ 0ate 1 -=-----':......cu.:crc.._:t: . :n. : . .e:""'r::....a,'---- ----- - Consig nee _ ___l_.--'.'-----'L •_ 17 /ii91_ Affidav it No,_5_ _ _ _ __ t...,.y,______ ·~ · i~ P. o. Address _ _ _ _ _~" ~ _ _ _ Weig ht- 4_ _ lbs. w~l~J~SL.1,·,._...,k...,y,,___ _ _ _ _ _ _ _ Quantitv_ ~ ._.,_ _ _ Kind of Ardent Spi rits_ ___. .Date Way- Bill No.---<...1.. , 1 0 191_ Advan ces to Co lle ct To Shipper ___,!___.__ J rI l5 • Rt ump 6.· Co ..i;, om t "" ~ , . .1 EXPRESS CHARGE S COL LECT PRE.PAID I I P. 0. Add"ress RECOR D OF NOTICE S To Consignee ___ _ _ _____ _ __ _ _ _ __ I I 31 " WarT • x Collect Add Undercha rge m, I To Shipper_·_ _ __ __ ____ ____ ___ (Ol"ER) �STATE OF Vm~ COUNTY OF---''--~ ~~ , . ,,.._ / . =--- ~ j ( 7'l -~ ~'tz(( ll;--t- -1k~ , being duly swom, depose and say that I an: the consignee of a certain shipment of ardent s pirits, as specified on other side of this J orm, this day Ifh,~ /i) .• _ ~ a,,-,.f c,; th at lam not · delivered to me by the Southern Express Company, from ~ a student or minor , and, if a female, I am the head of a family; that the ard ent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatsoVirginia, 'ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly approved M~ ch 19, 1~18, or contrary to law, and that the ardent spirits so received by me are to be u sed of by me for ,,l~ / ,~ 1 /,) ~ purposes at my own home, and in con- (State whether for Scientific, Sacramental, Medicinal or Mechanical) formity with law. I Consienee. Sworn to and subscribe before me, tM,2-iil>y o f ~ at.<1, · Agent for Southern Express Company. �SOUTHERN EXPRESS COMPANY f'0RM 370- VA . Revised June, 1018 (Iucorporated ) SPECIAL LIQUOR RECORD I• . 1 / I () J,f Received at _ _ _ __ __________ __ Date_.u._·_ _• _ _ __._ l gl _- _ Affidavit No._ _ _ _ __ _11.,y P. 0. Address i'ut Quantity Way-Bill No. _ _ _ _ _ _ __ ~ l~n Date .Advsnces to Collec t To Shippe r~ 191 _ I ,J • .,, tumn ' ro P. 0. Add ress Fro m <' l EXPRESS CHARGES PREPA ID I I I I CO Lf,ECT j ~ I lbs. Weight' (' ....1.cl , ' ll War Tax Coll ect Add Un de r c h arge - - - ~ I RECORD Of' NOT I CES To Co nsignee _ _ _ __ _ ____________ To Shipper _ __ _ __ _ __ _ _ _ _ _ _ __ (on&) �---~~ ---- ----------- - ---- ---- ---- - - - ~-- ---~. . . . . duly sworn, depose and sa-y that I am I, -r-,,....d ---r-r-<' c--"-T+- ~-L___ _____, ~-=~~ ---, being on other side of this form,, this day cified s~ as svirits, the consigne e _of : ,ertain ~.,c---"---'-·-"-'~=~,.__._--= delivere d to me by the Souther n Express Compan y, from ~l.!~~• that the ardent spirits so received by me family; a of head the am I female, a if and, minor, or a student not, within the thirty days previous have I that and order, written my were brought into the State on person or from any place whatrnany from hereto, received any ardent spirits of any kind whatsoe ver, General Assemb ly of Virginia , the of Act· the of ns provisio the by allowed ever, in excess of the quantity received by me are to be used so spirits approve d March 19, 1918, or contrary to law, and that the ardent by me for 3 itt_c.kA f \\ l /( purpose s at my own home, and in con- al) (State whether for Scientific , Sac•ramen tal , Medicinal or Mechanic formity with .law. J l/1-1 Sworn to and subscrib ed before me, this2.!f :-day of__: n..L .,-, 191+ . Ai:ent for Southern Express Com'l)A)lif, /.r1 t. f Consie:nee . j �FORM 370- VA . Revised June, 1918 SOUTHERN EXPRESS COMPAN Y ( Inco r porate d ) SPECIAL LIQUOR RECORD Date Received at _ _ ~ - - - - - - - '> Q /1 1-s 1_ • Affidavit No P. 0. Ad dress "I ~ l_____ . Date Way-B il l No.__J 191 _ Adve n ces to Co ll ect To Shipper () r. 1nnl· ,-,, Li n n I P. 0. Ad dress Weigh .. .I.. From .; .. n1· ,.. lbs. 11" ':;""f """"t,. '"' EXPUESS CHAUGES COLLECT PREPAID I ('r, "'± t;, , 11 Quantity 11 I I I RECORD OF NOTICES To Consignee _ _ _ _ _ ____________ _ To Shipper _ _ _ _ __ __ _ __ _ _ _ _ __ (on u) �STATE OF V ~ I A 1 u~~::::!'~~~;K._~e;&-""_,.,___, COUNTY OF._J1~ ~~ , j:;:;;;_~ being duly sworn, depose and say that I an: .. I, the consign~o of a c e r t a ~ n ~ t spirits, as specified on other side of this form., this day that I am not delivered to me by the Southern Express Company, from _ ~ a student or minor, and, if a female, I am the head of a family; that the ardent spirits so 1·eceived by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatrnever, in excess of, the quantity allowed by the provisions ot the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me for Tht.44~ purposes at my own home, and in con- (State whether for Scientific, Sacramental, Medicinal or Mechanical} formity with law. ,U/t)n 191J ( Sworn to and subscribed before me, lhi ~ ~~ ~ dsy l I It Agent for Southern Express Company. Consiiinee. �SOUTHERN EXPRESS COMPANY FORM 370- VA . Revised June, 1918 (Inco rporated) SPECIAL LIQUOR RECORD .... . ,; ______________ Date ______ _ _ Recei ved at 1= i :.:l=---=l_:·= Consignee _ _ _J____:•_:_•.,\___c :.: •:___:_:_ l 91_ . 1 ', Affidav it No .__, _____ ':.:"=--c----'n-'-•-1 _ _ _ _ _ _ _ P. 0. Address _ _ _~ i"'----"_.,)c_·~,_ _ _ _ __ 1, t Kind rif Arde nt Spirits._~ :~••.,._ 1,'--'s,.'_i,___...,,,:__.:,,r___ _ _ _ _ _ _ _ _ Quantity_ _ __ _ _ _ _ _ _ Weight _ _ _ _ lbs. Way- Bill No. _ _~1~'1_ ____ .A dvanc es to Co1le c t To Shipper - Date _ _ _ _~_/ _ ..-._n___ l 91 _ r' .,.. " ,.. EXPRESS CHAJlGES PREPAID I """ I P. 0. Address I COLLECT 11" W11r T11• Collect Add Undercharge C ,~ I RECORD OF NOTICES To Consig nee ___________________ To Sh ipper _ _ _____ _ _____ ______ (on&) �STATE OF I, the consi -+-'-- ' - - ' ~ ~ - - ~ ~ ~ .,. , ~eing duly sworn, depose and sa.y that I am s pirits, as specified on othei· side of this form., this day ~ - - - ~ -- aM -I;~:t.. ,I delivered to me by the Southern Express Company, from J { not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoeve r, from any person or from any place whatrnever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to be used by me for ~~ ,,. It ' :~ (State whether for Scientific, Sacramental , Medicinal or formity with law. echanical) purposes at my own home, and in conI It vVU1 I Sworn to and subscribed before me, this~ day of::_ _ _ _ , 191_ . Aeent for Southern Express Compau:,-. ' Consie:nee. �FORM 370- VA . Revised June, 1018 SOUTHER N EXPRESS COMPANY (In corp o rate d ) SPECIAL LIQUOR RECORD ,.. Received at _ _ _-_._ _ _ _ _ _ _ _ _ _ _ Date_ _ _ _ _ _ __ l91 _ Affidavit N"'o .__, _ _ _ __ i~l~~..y,,___ _____ __ _ _ Quantity _ _1'--'-r•---'t"--____ _ Weigh ' -----''---lbs. ~_l_'_ a._n_ ~ - - -·1l_J_C _ n_ From _ _u _ J_f)_____ _Oate_ _1~/~ --()____ l9 1_ Way-Bi ll No. __n Kind of Ardent Spirits~V~•~l ~ To Sh ipper T . Ad vance s to Collec t .J . Stump P. 0. Add ress EXPRESS CHAR GES COLLECT I>U.E P A ID I I I I . ,,,~ ~ I I I 1 Add Und er chnrge ~ Cl I RECORD OF NOTICES To Consignee _ _ _ _ _ ______ __ _ _ __ To Shipper _ _ _ _ __ _____ ______ (onu) �-- -- ~ - ........ - - - ·-- - --- ' .... - being duly swoTll, depose and sa_y that I am eeified on other side of thi s form , thjs day Ir. -~ . deliver ed to me by the Southe rn Expres s Compa ny, frorr(.6Jl~,1,,l.~ ~::.4 ~~W~ c1'!!~U .'.{. ; th at I am not a studen t or minor, and, if a female , I am the head of a family ; that the ardeut spirits so receive d by me were brough t into the State on my written order, and that I have not, within the thirty days previo us hereto ,' receive d any ardent spirits of any kind whatso ever, from any person or from ,any place whatso ever, in excess of the quanti ty allowe d by the provisi ons of the Act of the Genera l Assem bly of Virgin ia, approv ed March 19, 1918, or contra ry to law, and that the ardent spirits so receive d by me are to be used I by me for+--"+-b,q,.'la,',_....~.,._,....,,,.-= --~c..~ ~~~~:- -:----::c :--:--,-Sta whether for Scientifi c, Sacrame ntal , Medicin al or formit y with law. Sworn to and subscr ibed before me, ,,, this /..5 day of _ __ _ , 191_'__ . :( Agent for Souther n Express Compap J. ---c:- �COMPA NY SOUTH ERN EXPRE SS ) FORM 370- VA . Revised June, 1018 · ([n co rpornted SPECIA L LIQUO R RECOR D QuantitY- - - ~- ~ - - - - Weioh ~---+- --lbs . Kind of Ardent Spirits_ _ _ __ =.,___ _ _ __ _ ___ Way-Bill No,_ _ _ _ _ _ _ __ To Shipper . . Advan ce s to Co ll ect Siu, ]) ,......t, n~ .-, r,c /-,o From ____ ____ ____ ___ - - - - - - ~ - -•191_ Go EXPRESS CHARGES COLLECT I I I P. 0. Address RECORD OF NOTICE S To Consig nee ____ ____ __ _ __ _ _ _ __ WarTu Collect PREPAID II I .... ~ . ·" .... Add Unde rc harge I To Shipper _ _ _ _ __ __ _ _ _ _ _ _ _ __ (O'l'ER) �STATE OF VIRGINIA, 1 CouNTl OF / 0--- -// u L -.; AJ ,- 1--;r:,e:-i--], '1 l- rl,'1 -t>/ ~?:....:. . I, '\ / 62,.,,-, t,,1/1,,7 7..,,.::---- r , bei~g duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specified on o'.her side of ;9is form, this day 8t (, ,?£,,,.,,::; }1,7 delivered to me by the Southern Express Company, from J // ~ a t i am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or ,from any .p lace whatrnever, in excess (?f the quantity allowed by the provisions of the Act of the ·Gen~ra"I Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so 1·eceived by me are to be used by me for {)7,7,,t <,(.;,,..,L~2;..v'LCJ_ formity with law. Sworn to and su~bed before me, this~1day o f L -~ -•, 191--5 71 a , ~ purposes at my own home, and in con- J ✓t{f J it v/,~r (State whether for Seientific, Saeramental , Medicinal or Mechanical) Agent for Southern Express Company. Consienee. �FORM 370- V A. Revised Juno, 1018 SOUTHER N EXPRES S COMPANY ( I n co r porat ed) SPECIAL LIQUOR RECORD Consignee L 'l/~9 .1.'eb , Received at _____ _____ _____ __ 0ate • Affidavit No.__1_____ echert , P. 0. Add ress _ _ _ _ _ _~ C~i~t.....,.y_ _ _ Kind of Arde nt Spi rits _ _"~l= 1_i~!k=l~=-.y,_______ ___ Quan tity _ _~1~Q..,.t~, . ____ Weioht_ _"-f--_ lbs. Way-Bill No . L, . 1· -~ / 7 Date _ _ _ _ _____ w To Ship per Ad vance s to Coll ec t H Francio n 1t · PREPAI D I I P. 0. Address I RECORD OF NOTICES To Consig nee _____ ___ _ _ _ _ _ _ __ _ lt!M' ~e~ -~·-••~- - - - - -- - - EXPRESS CHARGE S COL L ECT I I 8~ I WarTu Collect o-: Add Und e rc b a.rge I To Sh ipper_ __ _ _ _ _ _____ _____ (on&) �- -- STATE OF VIRGINIA , COUNTY OF ------ - - ------ , <17~ "C,,-h, '"\, \ d. c,C:/4 ·/ being duly sworn , depose and say that I am l; I, on other side of this for~ , this day specified the consign ee of a certain shipmen t of ardent spirits, as · t·h at I am not delivere d to me by the Souther n ·Express Compan y, from received by me so spirits ardent the that family; a of a student or minor, and, if a female, I am the head the thirty days previous within not, have I that and order, written my on State the were brought into from any person or from any place whatrn hereto, received any ardent spirits of any kind whatsoe ver, Act of the General Assemb ly of Virginia , the of ns provisio the by allowed quantity the ever, in excess of spirits so received by me are to be used ardent the that approve d March 19, 1918, or contrary to law, and \ Con s ignee . �FORM 370- VA . R evised J une, 1918 SOUT HERN EXPR ESS COM PANY ( [ n co rpornte d ) SPEC IAL LIQU OR RECO RD Received at Consign ee s 19 1_ P. 0. Address Ki nd of'Ardent Sp iri ts Way-lli ll No Date h 1 at~ :wh i Sk! 6 409 Quantity Date NOT . 4th To .Advan ce s to Collect J . W. Wald,eek Co P. 0. Ad dress 10 5 N Hoiv ard Shipper City ., l c1 t 191 _ From Weight.'i ___ _ Jbs. al timo re Md EXPRES S CHARG ES PREPA ID COL L ECT I I Affidavit No. I 132 RECO RD OF NOTIC ES To Consignee _ _ _ _ _ ___ ___ ___ ___ (O l'E R) To Shipp er _ _ _ _ _ __ _ ...~,:..~;··T .... . �S'fATE OF VIRGIN ! , COONffW_r- ~lLh_ ·~~=~ ~~~~ I, V-) I , being duly sworn, depose and say that I an; the coiisign ee of a certain shipm ent of a rdent s pirits, as specifie d on other side of th is form, this day 7 deliver ed ,to me by the Southe rn Expres s Comp any, from ~;'. · /'_ ; th at I am not a stud ent or minor, and, if a female, I am the head of a family; th at the ardent sp irits so rece ived by me were brough t into the State on my written order, and that I have not, within th e thirty days previou s hereto , r eceived any ardent spirits of any kind what soever, from any perso n or from any place whatso ever, in excess -of th e quantit y allowed by the provisio ns of th e Act of the Genera l Assemb ly ~f Virgini a , approve d March 19, 1918, or contrar y to law, and that the ardent spirits so rec eived by me are to be u sed by me fo r 7Y1J:' ,I", I [ (S tate w he ther for ~c ientific , Sacrnme ntal , Medicina l o,: Mechani cal) formity with law. purpose s at my own hom e, and in cou/ Sworn to an d subscri bed before me, ~- Agent for South ern Express Company . Consigne e. �FORM 370- VA . R evised J une, 1918 SOUTHERN EXPRESS COMPANY ( Inc orporat e d ) SPECIAL LIQUOR RECORD Received at ________ _________ Date_ _ _ _ _ __ Con signee _ _ _ __ _ __ __ _ ._c_. _}.I_c_ K_1_·11 D 191 _ _ ___ P. 0. Address_ _ 3 Affidavit No._ _ _ _ __ ~ 1=·~t'-'y_, ______ 4,____lbs. " _ _ _ Weig ht~ -----=Kind of Ard ent Spirits_ ~ w~h~s~ j =k=.y,,___ _ ______ Qua nti ty _ _ ____,,,'"ql--"t Way-llill No.__7_______ Date Advn.n ccs to To Shipper · Nov.ls :t! i 1_ H Collect PREPAID I I I I Francione P. 0. Address :Wil 8 . _Lal t imore,Ma EXPRE SS CHAR G E S - CO L LEC T I 12 , .. ~,~ :··r " """~ RECORD OF NOTICES To Consignee _ __ _ __ _ __ _ _ _ _ _ _ __ 1-'_··_ _ _ __ _ _ _ _ _ _ _ __ To Shi pper _ ~ ,_ (O'l'E R) �STATE OF V!RG!Nl A, .c I, - ~ ~ ~ - - ~ - - - - - ~~ - - - - - - -- , being duly sworn , depose a,nd say that I arr. the consignee of a certain shipm en t of ardent s pirit s, as spec ified on other side of this form , thi s day delivered to me by the Southem Express Company, from / ~ - ~ ~ - - - i that I am n ot a student or minor, a nd, if a femal e, I am the head of a family; that th e ardeut spirits so rece ived by me were brought into the State on my wr itten order, and that I have not , within th e thirty day s previ ous h ereto, r eceived any ardent spirits of an y kind whatsoever, from any p er son or from any place whatrn ever, in excess of the quantity allowed by the provisions of the Act of th e General Assembly of Virginia, approv ed Ma1·ch 19 , 1918, or contrary to law, and that th e ardent spirits so received by me are to be u sed J 1 ' '~' (S tato wheth er for Scientific, Snera mental, Medicinal or Mechanical) by me for / purposes at my own home, and in con - formity with law. Consi2uee. �SOUTHERN E XPRESS COMPANY FORM 370- VA . Revised June. 1018 (In co rpo rated) SPECIAL LIQUOR RECORD _·_,._ Consio nee _ _ _ H_. _ li _ a_l_l ____ _____ _ c_F .M 484 To _ _ _ Shipper TI Date _ ~t~/_ 6_J _ __ _ ..Advan ces to Collect F1 an c ione !ili 8 ~ P. 0. Address Affidavit No. ~It Solon Va l qt Quan tity ~h~ S~ i ~k=.J-Y- - - - -- -- Kind of Arde nt Spirits~ W J1 Way- Bill N 8 N V Received at _ _ _ _ _ _ _ _ _ _ _ _ _ __ Date 191 _ From Weight COLLECT I ,..: ;··T. . """t Ma I P. 0. Address lbs. al timore , Md EXPRESS CHARGES PREPAID 4 I I :12 RECORD OF NOTICES To Consignee _ _ _ _ _ ___________ To Shipper _ _ _ _ __ _ _ _ _ _ _ __ _ (OYER) �I, ,.J.J--L;,L___.,_,,µ,___...,__,__---'--'-----"'= - - - - - - -the consign ee of a certain shipme nt of arcl~nt s pirits, as , being duly sworn, depose and say that I am s eci~ed on other side of thi fo1·m , this day deliver ed to me by the Southe rn Expres s Compan y, from I " ; that I am..not a student or minor, and, if a female, I am the head of a family; that the arcle11t spirits so receive d by me were brough t into th e State on my written order, and that I h ave not, within the thirty days previou s h ereto , receive d any ardent spirits of any kind whatso ever, from any person or from any place whatso ever, in excess of the quantit y allowed by the provisio ns of th e Act of the Gen e ral Assemb ly of V irgini a , approve d March 19, 191 8, or contrar y to law, and that the ardent spirits so receive d by me are to b e used I by me for 1 . • (S tate wheth er for Seientifie, Sarrame ntnl, Medicina l or 1'1echani cal) purpose s at my own home, and in con- formity with law. l / Sworn to and subs l'ibed before me, th ' _ _ ' day of _ : / _ ~ , 19 / t L1 / Cons ign ee. . r ( Agent for Southern Ex-press Company , �SOUT HERN EXPR ESS COMPAN Y ·F'ORM 370 -VA. Revleed Jane, 1018 ( Incorporated ) S PE C IAL LI QUOR Dec • 23/l fB.:..._ Affi davit No.__1_4~ - City P. 0. Add ress Received at _ _ _ __ _ _ _ _ _ _ _ _ _ Oate Lren t Conslonee / R E C ORD Bowman t Weio h~.~ - - -lbs. 1.q Y- - - - ~ - - - - Quanti ty ~h~ s~i=k=-,. Kind of Ardent Spirits_ W , Md ore Jialtim 1918. 20th, . Dec 1 86637 From _ _ _ _ _ _ _ _ _ _ __ _~_ __ Date _ _ _ _ _ _ _ _ l9 1_ ·Way-Bill No. _ __ Advances t o Co ll ect To Shipper R P. 0. Address Franc ion EXPRESS CH AR GES PR E PA ID CO LLE CT I Bal t:t.more ,.Md. I I I 32 WarTax Collect A dd Und e rcha rge .02 I RECO RD OF' NOTIC ES To Consign ee _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ To Sh ipper _ _ _ _ __ _ _ _ _ _ _ _ __ 21 (o n&) �I, ~ ,M_~~~~~-_!~ ~~=-----=-::______:::_ the consignee of a certain shipment of Consi2;Dee. �FORM 370- VA . . Revised June, 1018 SOUTHE RN EXPRESS COMPAN Y (Iucorpornted ) RECORD SPECIAL LIQUOR 21 /i~ 8 • Affidavit No.__l_3____ ~ur /!., Va • P. 0. Address Harris on ·• Dec Rece ived at _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Oate C.E. Car _ _ __ _ _ _ __ _ __ _ _per, Consionee _ _ __ _ _ ~b-1~S~k.. ,y,,_____ ____ Qua ntitY- ~ 1....c+l~t~- - - - - Weioh t_ ~4Kin d of Ard ent Sp iri ts __\~V Fr om jjal timore Md l _2~/_2_0_ _ 191 _ Date _ _ _ Way-Bill No. 186619 0 0 _ i _o_ n_ e_ F~-r:_a~n~c : ::_-_ ::ip-p-er- -~~~-R ~i'_1~l_c~_·_ _d_c_ _ _ _ _ , __A P. 0. Address _ _ _ __ _ _ __ _ _ _ I __ lbs. ~ EXPRESS CHARGES D_ I COLLIEC; 2 ~:r1!:; 2Gndt~I~llrge I_A_I_ RE_P P_ ,__ I RECORD OF NOTICES To Consign ee _ _ _ _ _____ _ __ _ _ __ To Ship per _ _ _ _ __ __ _ _ _ _ _ _ __ (o n&) �ST ATE OF VIRGI NIA , I, ~.,.L.tM'.__('&1..----"'-~~k !f:..J:1~:1!""' - - - -, being duly sworn, depose and say that I an. s peeified on other side of thi s form, this day the eonsignee of deliver ed to me by the Southern Express Company , from _-4~~~ .-! "l!!d~~.f!oo~~ that I am not a student or minor, and, if a femal e , I am the head of a famil y; th at the ard ent spirits so reeeived by me were brought into the State on my written order, and that I have not, within th e thirty da ys previou s hereto, r eeeived any ardent spirits of any kind whatsoever , from any person or from 11ny plaee whatrn ever , in exeess of the qu antity allowed by the provisions of th e Aet of the General Assembly of Virginia , approved Mareh 19, 1918, or contrary to law, and that the ardent spirits so r eceived by me are to be used by me for .r/' 4~ ~ (State whether f or Scientific, Sacr amental , Med icinal or Mechanical) formity with law. Agent for Southern ~ r:ess Company , purposes a t my own home , and in con- �FORM 370- VA. Revised June, !018 Con sig nee _ __ _ _,...:__-'--''-'---=----=-=--=---=:....:_-=-.:..:....-~-- -Kind of Ard ent Spirits _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Quantity _ _ ~ - ~ - - - - - - 191 _ To Ad van ces to Colle ct P. 0. Address _.--_ _ _ _ _ _ _ _ __ _ ~/~c.-----.....,_~\...,>---II.A From _ _ _ __ __ EX PRES~ ,CHARGE S PREPAID COLLECT Weight __ _f_1bs. 7{ ~~- ~-- J-WarTax Collect Add Undercha rge Shipper _ ~ ~-=- --- - - -- - - - - P. 0. Address _ _ _ _ _ _ _ __ __ _ __ RECOR D OF NOTICE S I To Consigne e_ _ _ _ _ ___ ___ ___ ___ _ (OVER) To Shipper _ __ _ _ _ _ __ _ _ _ _ _ _ __ �- - - - -- - ----------- STATE OF VIRGINIA, ) ll CouNTY m•--1/_"'=-'---'----=---c::....:=----_:__-,-----'--- -7 I, - - - - - - -- -- - -- - - = - - - - - - -, being duly sworn, depose and say that I am the consignee of a certain shipmen~ of ai-deut SJJirits, as specified on other side ~ his form, this day delivered to me by the Southern Express Company, from - - - - ~ - ~ - - - - - - - ; that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, received any ardent spirits of any kind whatsoever, from any person or from any place whatrnever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contra1·y to law, and that the ardent spirits so received by me are to be used by me for _______________ _ _ _ _ _ _ _ _ __ _ purposes at my own home, and in con(State whether for Seientific, Saemmental, Medicinal or Mechanical) formity with law . ,J Consieuee . Sworn to and subscribed before me, r .., thig _ __ day of __ - - - -, 191_ . / Agent for Southern Express Company, �F'ORM 370-VA . Revised June, 1918 . SOUT HERN EXPR ESS COMP ANY ( Incorporate d) SPEC IAL LIQUO R RECQ RD . 17/1 8 . Received at _ __ ___ _ _ _ _ _ _ _ _ _ DateSep _ _ _ _ _ _ _ 191 _ . Affidavit No._5__ _ __ Consionee ---=_ _ E _ ._ _ L_._ D _e~c.~h~e~r-t--.,~-- -P. 0. Add ress ___ C _ i ~t...7_, ___ __ Ki.nd of Ard ent Spirits,_\=¥,.. h'-'iL-s.....,k....Y~ - - - - - - - -0uantity Way-Bill No. 28 9/16 Date To Ship per R P. 0. Address Fran cione Bal t:IJllo re,Md . 191 _ . Advance• to Collect: EXP RESS CHARGES PREPAID II - I RECORD OF' NOTICE S To Consignee 1 ,· t We i4i _ _ _ _ lbs, F~ l timo re , .\td To Shipper (ona: COLLECT I 32 WarTax Add Collect i j ~cbarge #H~ �STATE OF VIRGJNIA, COUNTY OF G-,;;: /4 I the con; ignee o t-:; ~;oeC a , being duly sworn, depose and say that I am certain shipment of ard\ nt spirits, as specified on other side of this form, this day (/s~_/;;a;; < j that I am ~ot Zn delivered to me by the Southern Express Company' from a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previo.us hereto , . received any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or ontrary to law, and that the ardent spirits so received by· me are to be used by me for --"_r.F-,.L- +-~~~c......:c'--"--'--_-'..___________ _ purposes at my own home, and in con(State whether for Scientific, Sacramental , Medicinal or Mech a nic I) formity with law . Sworn to and subscribed before me, thi s~ ~ , f , 191~ / (. c._r If ( 1 / day of c 1 / ./ L c7 Ai:ent for Southern Express Company. �SOUTHERN EXPRESS COMPANY FORM 3 f 0 - VA . (In co rporated) Revis ed June, 1~18 SPECIAL LIQUOR RECORD 1\.U t-o- • Received at. ______ ______ _____ Date - ~n/ °1 91_ 4_,__ Affid avit No ,_ _ _ · _e______ _____· P. 0. Address,City P r_i_c __.=__ (.. ___ C _ Con sionee. __--=-_ wh'i.sl;:y Kind of Ardent Spirifil, _ __ _ _ _~ - - - - - - - - nt •, _ _ _ __ _ __ _ _ _ lbs. Weigh c_4 r _,e.,_______~_ _ _ _,...;.... Way-Bill No._,__ _ _ _ _ _ _ Date _ ~,.,__,..~--~- 1--~ 191 _ .l.,a litn')"'-"'To - -- - - - - - - - - - -- - - - -1 Shipper P. 0. Address R Advance s to Collect I Francino e 117 i .i.; al t I i1 orte , RECORD Of" NOTICES To Con signee _ _ _ _ _ ______ ______ To Shipper _ _ _ _ _ _ ______ _____ (O.-ER) �___L"""'-=...._,._,__,,=~-=--= ----------, being duly sworn, depose and say that I an:; s pirits, as spec.i ed on other side of this form, this day delivered to me by the Southern Express Comp any, from -->...<>""---=---==-==~-'------'-----------'-- i that I am not a student or minor, and, if a femal e , I am the head of a family; that the ardent spirits so rece ived by me were brought into the State on my written order, and th at I have not, within th e thirty gays previ ous hereto, received any ardent spirits of any kind whatsoever, from any person or frol)'l any place wh at~o ever, in excess of the quantity allowed by the provisions of th e Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ard ent spirits so re ceived by me are to be used c ;)v.. / i... by me for ____....cc._ __ _ __ _ __ _ __ _ _ _ _ _ _ _ _ _ purposes at my own hom e, and in con (S t ate whether for Sc ie n tifir , Sacramental, Medicinal or 1\Iechan· al) formity with law. Con s ignee. ,, , ,L Sworn to and subscri-bed before mfe, day of _ _{__ __ , 191 th i- / /[/ 1 (. . ~ ~/ ,U r{t;< ( \ l1 Agent for Southern Expres s Company . �------- FORM 370- VA. Revise d June, 1918 EXP RESS COM PAN Y SOU THE RN (In corpora ted ) SPE CIAL L I QUO R REC ORD Date Received at Ott o Wis e Kind of Ardent Spirits :w:h tlii lik,: OO t • 22L l $9._ P. 0. Address Consignee Way- Bill No. 2(16 ?. 3 Date .Advnnc es to Collec t To Shi pper R P. 0. Address Fra n c i one , 317 w ha l to From 19 1_ RECO RD OF NOTI CES To Consig nee E X PRESS CHARG ES CO LLE CT I I To Shipper (on&) lbs. Weight 4 Lal t imo re ' PREPA ID I 4 Cit·:,: 1qt Quantity 1ni'.i7 Affidavit No. I 32 WarTax Collect Add Un de rc harge .ot �STA'rE OF VrnlllN IA, I, - - - ~ - - - ~ - - - - - - - - - - -- - -, being duly sworn , depose and say that I am the consjg nee of a certai n shipm ent of ardtnt s 1,irits, as specifi ed on other side of this form, this day delive red to me by the So{1thern Expre ss Comp any, from _ ~ - - - ~ ~ ~ - ; that I am not a studen t or minor , and, if a female , I am the head of a family ; that the ardent spirits so receiv ed by me were broug ht into the State on my writte n order, and that I have not , within the thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from any place whats oever, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin ia, approv ed March 19, 1918, 01· contra ry to Jaw, and that the ardent spirits so receiv ed by me are to be used ~ fl by me for ___ ~----- -'-= '--=-'-"= -=-"""-~~e,,o,~c~-~ - - - - - - - PUrpo ses at my own home, and in con(State whethe r for Scientif ic, Saer:un ental, Medicin al or Mechan ical) formit y with law. "'-" \ • I A Sworn to and subscr ibed before me, this ___ day of _ _ _ _ , 191_ Agent for Souther n Expres s Compa ny. Consi gnee. �SOUTHERN EXPRESS COMPANY FORM 370 - VA . Revised June, 1018 (Incorporate d ) SPECIAL LIQUOR RECORD bc t ' • Received a~ - - - - - - - - - -- - - - - - ate H• Consignee L . h,, rtner , '> 8/1!lt_.__ 8 Affi davit No ., _______ P. 0 . Add ress.- '-_ C_i_ t_ y=-----c,_ _ _ _ __ Kind of Arde nt Spirits _~ w~h~ d= m=k=-,y.,___ _ _ _ _ _ _ _ Qua ntity_ ~ l _4~ t ~ - - -Way- Bil l No. OTer 0ate _ _ Advances to Collect To Ship per 0~/_2_9_ ___ 191_ J . J . S t ump & ijo From I I P. 0. Address RECORD OF NOTICES To Consignee. _ _ _ _ _ ___ _ _ _ _ _ _ _ __ (on&) Cum 'terland Md EXPRESS CHARGES PREPA ID I Weig he,,,,__ _ _ lbs, COLLECT 13? WarTax Collect Add Un derc h a r ge 02 I �!':-'"' "-~ =' -::-,-,=-= - ~ -- - - -- - - -- - - - - -- ~-~ I, __..,J__ JL - + ~.-------!L_L~""=:~(L U;~e .,~~ '- - -, being duly sworn , depose and say that I an:; the consig nee of a certai n shipm ent of atdent s pirits, as specifi ed on other side of thi s form , this day delive red to me by the South ern Expre ss Comp any, from ·"-'--'-•""' i.._, ; ,hat I am not a studen t or minor , and, if a female , I am the head of a family ; that the ardent spirits so r eceive d by me were broug ht into the State on my writte n order, and that I have not, within' the thirty days previo us hereto , receiv ed any ardent spirits of any kind whatso ever, from any person or from (tllY place whatr never, in excess of the quanti ty allowe d by the provis ions of the Act of the Gener al Assem bly of Virgin i a , approv ed Mar h 19, 1918, or contra ry to law, and that the ardent spirits so receiv ed by me are to be used by me for·_ -L..Ll ±l4l-!~ ~l!!'!'.U ~i.,.,~.,__ _ _ _ _ _ _ _ _ _ _ purpo ses at my own home, (State whethe r for Scientif i c, Snernm e nt.al, and in conMedlcina.l or Mechan ical) formit y with law . / Sworn to and subscr ibed efore me, -- �SOUTHERN EXPRESS COMPANY FORM 370- VA . (Incorporat ed ) Revised June, 1018 SPECIAL LIQUOR RECORD Received at_ _ __ __ _ _ _ _ _ _ _ _ _ 0a11O et . l s/18 191_ E • L • De8hert, Consigne e P. 0. Address 3 Affidavit No ,_ _ _ __ _ Ci:ty , 1 Kind of Ardent Sp irits,__ \\_h-= i '---'s"---k__.,_ y _ _ _ _ _ _ _ _ _ Quanti ty_ _,,,, l '""q,_t""._ _ _ _ _ Wei aflt ____ lbs. Way- Bill No . 27 21 Date P. 0. Address 191_ Ad vti. nce a to Co ll ec t To Shipper Sep, 26 Francione :Daltimore, Md . R From PR E PA ID I I Bal ti more .Md EXPRESS C H ARGES I COLLEC T 132_ RECORD OF NOTICES To Consignee _ _ _ _ _ __ __ _ _ _ _ _ __ To Shi pp er _ _ _ _ _ _ __ (O .,.ER) Wa rTu Collect !~ A dd Under c h arge I �r--=-=-=-=-=-------------- ----- ------- -----------~----------STATE OF VIRGiNIA, COUNTY OF c"---'~'-"=-"""-~-1-...c...Jc,-·_J}v ,-, \l I, ~--'---?-~-¥.-""e: _z,,._.cC.-_L....i....=_.__.,..,..__ _ _ __ , being duly sworn, depose and sa y t!Jat I am i,irits, as specified on ot Iler side of this form, this day delivered to me by the Southern Express Company, from..- v"'-''-"'-'-..,_'---",.,_,,.._,._._--L.1L-L.1.;_...:.._) , tt:S-r am not a student or minor, and, if a female, I am the head of a famiiy; that the ardent spirits so received by me we re brought into the State on my written order, and that I have not, within the thirty days previous hereto, r eceived any ardent spirits of any kind whatsoever, from any person or from any place whatso ever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virgini a , approved Marnh 19, 1918, or contrary, to law, and that the ardent spirits so received by me a1·e to be u sed by me for 1/J c? I'{, t purposes at my own home, and in con- (State whether for Scientific, Sacramental, Medicinal or :Me rnnicnl) formity with law. Con sii;::nee. Sworn to and subscribed b efore m e , thisJ f -day of£ ~, 191 Agent for Southern Exvress Comvany. �F'ORM 370-VA . Revised June, 1918 SOUTHERN EXPRESS COMPANY (Incorporated) SPECIAL LIQUOR RECORD 5 2/1 8 . 0 t. Received at _ _ _ __ ____ _ __ _ _ _ _ Oate _ _ _ _ _ _ _ 191 _ . Affidavit No._ __ 9 rry _ _ _,_ _ _ _ _ _ _ __ __, _ _ _ _ _ _ _ __ P. 0. Address City __ Consionee _ _ _ _ _ _ _ _ _'e l nt ~ - - - - - - - - -0uantity Kind of Ardent Spirits-1f_h_s~ 1~k7 Way-Bill No. 6 27 Date! 0 /1 i To ______________ __--1 191 _ . Advances to Coll ect E__1_1_a_h_o_n_e_'y------, Ship per_ J_&_· _ _ P. 0. Address 30S '"'"'" RECORD OF' NOTICES To Consignee 3ifuti il__n_o _r ~ '- -- - - - EXPRESS C HARGES Cal ~ rt To Shipper (OV111< Weiaht_4_ _ _ lbs. omw, 2 1- "":r;""f"'"' War Tu Ad d �81' ATE ____!..=t.f.L~ ~ ~_l_~~~ ~~'.:!~L_ ____ , being spirits, as s~ duly sworn, depo~e and say that I am fie~ onJ th r side of this form, this day 0 delivered to me by th~ Southern Express Company, from ~ that I am not a student or minor, and, if a female, I am the head of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, rEceived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 19, 1918, or contrary to law, and that the ardent spirits so received by me are to_be used by me for ' f ' (State whether for Scientific, Sacramental, .Medicinal or Mechanical) formity with law. ; purposes at my own home, and in con- �... ll'H ltRf,I' EXPRESS COMPANY ; (Inco rporated ) ~ P E,i lAL LIQU d R RECORD -~~-~-- ----- Date r:/· I Consianee._ _ ~ -+-.c1c...+,.->,.+-\--,,.4-~: ...;.- I - 19 i' Received at - - - - - -- PREPA ID W1 rT11 Add Collect U nde rc h arge P. 0. Add ress To Consianee _ __ _____ _________ To Shi pper _ _ _ _ __ __ _____ _ _ __ (OTKR) �I, the consignee of a certain sh ipment - - - - - , being duly sworn, depose and say that I am spirits, as specified on other side of this form, thi s day I J I delivered to me by the Southern Express Company, from -4'--->,.- ...,eµ'-"" ..~ ____,.__._~""""- '- ; that I am not a student or minor, and, if a female, I am the bead of a family; that the ardent spirits so received by me were brought into the State on my written order, and that I have not, within th e thirty days previou s hereto, received any ardent spirits of any kind whatsoever; from any person or from any place whatrnever, in excess of the quantity allowed by the provisions of the Act of the General Assembl y of Virginia, approved March 19, 1918, or contrary to law , and that the ardent spirit s so received by me are to be u sed ~ Sworn to and subscribed before me, thisllday of _ / fF·--.,--<,,_-;,, Cousienee . �f"0RM 370-VA. Revised June, 1917 SOUTHERN EXPRESS COMPANY ( I ncorporat ed) SPECIAL LIQUOR RECORD lo Received at 4 Consio P. 0. Add ress _____________ _ _ ...__ __.__ _ _ _ _ _ _ _ _ _.,__-''---...:...---' A-ECORD Of" NOTICES To Consig nee To Shi pper (OVE R) �,.~~ ·IA .,, <l ,! .., I, _ ____:::....:__ _ _ ____:,.__ _ _::::::c....__:__::..,. :..__:Yc......:-''-----"l= •··c_ ...,,...=-, being duly sworn, depose and say that I am the consignee of a certain shipment of ardent spirits, as specifie~ on other side of this form, this day (~ t l --: ,,{"'j f"'', ' delivered to me by the Southern Express Company, from · _ ·: 1-Vl ,n I,,· \ ha I am not a student or minor, and, if a female, I am the head of a family; that the ard ent spirits so··received by me were brought into the State on my written order, and that I have not, within the thirty days previous hereto, rrneived any ardent spirits of any kind whatsoever, from any person or from any place whatsoever, in excess of the quantity allowed by the provisions of the Act of the General Assembly of Virginia, approved March 10, 1916, or contrary to law, and that the ardent spirits so received by me are to be used /~ by me for { ' I) · ,. 'f e,t l { , '•· Cl ~ .. purposes. (State whether for Scientific. Sacramental, Medicinal or Jllechanical) · 'I A11:~nt for Southern Exvress Comvany. �This is to certif y that on Februa ry 1 191'"/. we had on hand in our store Four Gallon s Six and one-ha lf Pints of Pur Grain Alcoh ol, a nd receiv ed during the mont h of Febru ary 1 917. Ten Gallon s of Pur Gr a in Alcoh ol, a nd have om, hand this First day of March 1917. Seven Gallon s and Two Pin t s of Pure Grain Alcoh ol ~ :r~ f!1-••!1-~ ' ... ~ •••••••• �, ... t '° ,. ,. $ • ~ .... .,_ ..- • , ._ • .. ... ,- • • • ,., 0. , .. . • '" ~ "' • .. • 1' • .. , , , ,t .. t 1t " '1 'I' .. ~ .. ,. .. , •. , , . ~ _, 'I 1t II! i • I t ~ •. 'I ._.., .. ., ,. • > >- 1 f- ' • • .. 1 "' .,_ ,. 1 • ,. 1 'I. " "> � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Rockingham County Prohibition Records: Affidavits for Ardent Spirits Publisher An entity responsible for making the resource available Rockingham County Circuit Courthouse Description An account of the resource Series II of the Prohibition Records collection consists of records (printed affidavits forms) documenting the inventory, sale, and transport of alcohol for medicinal purposes and personal use in Rockingham County. The affidavit was typically filled out by the common carrier in charge of transporting ardent spirits and included information such as to whom the alcohol was shipped, the amount and kind received the date of delivery and the consignee. Items have been arranged by the location in which the liquor was transported to. <br /><br />For more information on the Prohibition collection, visit the "<a href="https://omeka.lib.jmu.edu/erp/findingaids">Finding Aids</a>" tab in the menu above. Subject The topic of the resource Prohibition--History Prohibition--Government policy--United States Prohibition--Virginia--History Rockingham County (Va.)--History Rockingham County (Va.)--Genealogy Creator An entity primarily responsible for making the resource Rockingham County Circuit Court Date A point or period of time associated with an event in the lifecycle of the resource 1916-1919 Identifier An unambiguous reference to the resource within a given context Pro002 Relation A related resource <a href="https://omeka.lib.jmu.edu/erp/collections/show/7">Prohibition Records: Liquor Inventory</a> <br /><a href="https://omeka.lib.jmu.edu/erp/collections/show/5">Prohibition Records: Criminal Cases</a> Is Referenced By A related resource that references, cites, or otherwise points to the described resource. <a href="https://omeka.lib.jmu.edu/erp/items/show/4524"> Prohibition Records Finding Aid </a> Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Affidavits for Ardent Spirits 16 Subject The topic of the resource affidavits adrent spirits personal use  Description An account of the resource Printed Affidavits forms authorizing the transportation of medicinal alcohol in Rockingham County Virginia for personal use. Source A related resource from which the described resource is derived Rockingham County Circuit Court Publisher An entity responsible for making the resource available JMU Libraries Date A point or period of time associated with an event in the lifecycle of the resource 1917 1918 1919 Contributor An entity responsible for making contributions to the resource Craig Schaefer, Kayla Heslin, Selena St. Andre Rights Information about rights held in and over the resource <span>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (</span><a href="https://creativecommons.org/publicdomain/mark/1.0/">https://creativecommons.org/publicdomain/mark/1.0/</a><span>)</span> Format The file format, physical medium, or dimensions of the resource PDF Identifier An unambiguous reference to the resource within a given context RcPr-box11-012 Coverage The spatial or temporal topic of the resource, the spatial applicability of the resource, or the jurisdiction under which the resource is relevant Rockingham County