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                    <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'&lt;!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---- ---------'-----"------- - ,&lt;~---,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&lt;•--=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&lt;R)

lbs.

J

U u&lt;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. '), - /

--&lt;.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-&lt;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
' &lt; +
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 .

,&amp;lJ --J / ~

( A gent for Sop thern Express Com1&gt;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 / &lt; 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 &lt;'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,

,
&lt;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&lt;' 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.-"&gt;-..:;.J.~ .!-'-"-----=---"-'~"-'---

/

t

RECO

- ~ -- - - Da'Z_.,J (

J

19 L:__

Affidavit No.d -----f- __

AdvrW&lt;'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&gt;-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 - --"&lt; ~,,., ,,'--- '--"- -',-,.
""--' -..,_ _.,~

~~., _'-0 .._,_ ___ ___ ___ __

/

'---1 --~ ---- --"-- - Wei oht

~I

JL

lbs.

Fro m,..,__ _ -'-- ----"-'- ~
..,1'-'--'
' '-'-f--=,
A&lt;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&gt;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

-------&gt;;'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&lt;-- 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 .

�</text>
                  </elementText>
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    <collection collectionId="6">
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="38293">
                  <text>Rockingham County Prohibition Records: Affidavits for Ardent Spirits</text>
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            <element elementId="45">
              <name>Publisher</name>
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                <elementText elementTextId="38294">
                  <text>Rockingham County Circuit Courthouse</text>
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              <name>Description</name>
              <description>An account of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="38295">
                  <text>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. &lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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            <element elementId="49">
              <name>Subject</name>
              <description>The topic of the resource</description>
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                <elementText elementTextId="58015">
                  <text>Prohibition--History</text>
                </elementText>
                <elementText elementTextId="58016">
                  <text>Prohibition--Government policy--United States</text>
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                <elementText elementTextId="58017">
                  <text>Prohibition--Virginia--History</text>
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                <elementText elementTextId="58018">
                  <text>Rockingham County (Va.)--History</text>
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                  <text>Rockingham County (Va.)--Genealogy</text>
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            <element elementId="39">
              <name>Creator</name>
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                  <text>Rockingham County Circuit Court</text>
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            <element elementId="40">
              <name>Date</name>
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              <elementTextContainer>
                <elementText elementTextId="58021">
                  <text>1916-1919</text>
                </elementText>
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            <element elementId="43">
              <name>Identifier</name>
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                <elementText elementTextId="58022">
                  <text>Pro002</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="46">
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              <elementTextContainer>
                <elementText elementTextId="58056">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt; &lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/5"&gt;Prohibition Records: Criminal Cases&lt;/a&gt;</text>
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            <element elementId="72">
              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58550">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39495">
                <text>Affidavits for Ardent Spirits 08</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39496">
                <text>Printed Affidavits forms authorizing the transportation of medicinal alcohol to Island Ford in Rockingham County Virginia for personal use.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39497">
                <text>affidavits</text>
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                <text>ardent spirits</text>
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                <text>personal use</text>
              </elementText>
              <elementText elementTextId="39500">
                <text>island ford</text>
              </elementText>
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                <text>virginia</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39502">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
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          <element elementId="40">
            <name>Date</name>
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              <elementText elementTextId="39503">
                <text>1917</text>
              </elementText>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
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                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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                    <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

�---&gt;.,,;£...-~-

-""&lt;--+--=" - - - - ' - 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 ·--- &lt;

for

·
(StatEe

w
p&gt;":; S,•;•;;

S,e,om••"'•

-; ( .

&gt;

i ,r__f

- purposes.

Me&lt;He;,., oe M••&gt;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)

&lt;-

({
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,,

&amp;

'/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

..,
&amp; ,./¢ ✓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 -'&lt;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

&amp;

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&lt; ,

~

STATE OF VI
COUNTY OF

r-.~

~IA,

(., •',

_- //

/I ~

-/,,

,

t.-t
'If;/·

1AA. ' ,

.A

x±lt,)7(!-&lt;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&gt; \~ 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 _ _

__

&gt;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.__-&lt;-+---=----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--~/&lt;--_(___ 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&lt;"'-- ----""'---------='-------=:._:==---, 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'--&lt;' 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

'

,../-&gt;__,,

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 &lt;

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 )

�-~~--~-~- --- -·-------~--=~

- - - - . . . - :!:,.....--&lt;=:,..,-,,..,,...._ __ _ _ _....,_..,.._ _ _ _.,,,,,,.,,.,_ __

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&lt;-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&lt;'

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•----&lt;"'-"'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&gt;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&lt;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-. .&lt;)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&lt;R)

I

I

I

�STATE
COUNTY
I,-~~~_:__..!!.:...__.!:. _~~~~~JL~ ,e:".J..''.__J__ _

, being -duly sworn, depose and say that I am
as specified &lt;&gt;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

-

�~-.-,.-~--,------- --=-=--- ~-------- -&gt;---,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 .;

!(,..{!.,

&gt;·

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)

&lt;

- - - - - - - - - - - - - - -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
- - - -, &lt; - -- -_ _ _ - COLLECT
_ _ __, _ _

To Shipper

(OV!lR)

�-----~-------&lt;----=--.----~---- -~
)
COUNTY O
i• _

_,,.., , , _. - ' -~

(A.A

, - . --

Ii

~

j

,

,,,

,i',.. · G , :7

/ i
I,
( ~-/
l - , being duly sworn, depose and s&amp;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 -,;&lt;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&lt;-in al or Mechanical),

"&lt;'J01tsienee .

J

A1tent for Southern Express Company.

�SOUTH ERN EXPRES) S COMPA NY

FORM 370 - VA .
Revised June, 1917

(Incorporated

GROTTOES,

RECOR D
VA:&gt;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&gt; 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&lt;·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&lt;,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

. &gt;

~-

~

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 .

&lt;S•• .,..,. ,o, '"'""''· SMeom'"'"'·M"''''"'' o, Mm&gt;o,,M,~

·

~
._7

Sworn to and subscribed before me,

I

.,

r

\

Agent for SouthJ,rn Ex1&gt;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&amp;---foL--ScieDtifi c, Sacramental, Med-icinal or .M.echanieal)_ _

Sworn to and subscribed l;&gt;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&amp;'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 &lt;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&amp;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•&gt;---:--,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&amp;"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 _ .&gt;....,;'-------'-"=-..:!.;:.- ~"'-...,-r.,-'~;,....,~'------ '~~--1-----~c""-- · - - - -- - ~ r -

_

Kind of Ard ent Spirits,~,,_________
Way-Bill No.
To

&lt;I 7 V

,
/ _ _____;,._ _.,....,._
L ___

Date_ _ _ _____,'-----____:c~_1 91/ .
Advonc e a to

---'----''--.f-'-"'

We"ht~

?2'

lbs.

Fro: ~4n;,tP&gt;1

EX PRE SS CHARGES

//

A dd

Uu de n;barge

Collect

)
RECORD Of" NOTICES

To· Consignee _ _ __ _ __

----=_.;:::' - - ' - " - - - , &lt; - -

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.

-&lt;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 .

.&lt; 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

&gt;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&gt;ress Company ,

�PREPAID

RECORD OF NOTICES

To Consionee _ _ _ _ _ _--1~•~_,--f--1---f. _ __

To Shipper _______________ ___

DENT SPIRITS FOR PERSONAL USE.

( OVER )

�FOR ARDENT

L USE

--~&lt;---- -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':, ~&gt;,,/~
· ~ {._~ /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£&amp;

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==----&gt;= !!

- - -- ~--~
/ --'~- /
0
Aclvnn&lt;"e8 to

Coll ect

,,
EXPRES S CHARy ES
COLLEC T

A&lt;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.)

�- - - - - - = - - - ~=----- -~&gt;"'- +------ -, 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&lt;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&amp;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&gt;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&gt;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
&lt;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.

\&gt;-('~ ~~

.
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
,--....,_-=------ - -- - - - -- - ------- --&gt;.-, 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&lt;' 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. · '..__/ ,&lt;_ ~·· -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-:&gt;,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&amp;

/

Weich

Amoun

,

r

From
EXPRESS CHARG&amp;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&amp;: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&lt;_,: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&amp;j (

•

J,,.,, 7
e before me,

Aeent for Southern EX1&gt;. 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 &lt;;&gt;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

£¥&amp;

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·&lt;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 ~ - - - ' - - - - --,,&lt;-7-c--Weioht= - t - ' lbs.

_ _ _,,___ _ _ __ _ 19
Arlvnnree to
Collect

To

I
RECORD OF NOTICES

To Consignee _ _ _ _ _ __ ~.,._~~-

lL

From _ _{_ _/_

EXPRESS CHARGES
J&gt;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. -',_,...-..., ;,.'&lt;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 _ _ __ _ _ _"- - ~ --

-----,&lt;---

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

&gt;?

~

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 ..~/
&lt;· ,~f,~_
COUNTYOF \~!:1-:('f!}
/ · ?~
/J Jt: ,, / ;,r//(/&amp;.,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~
--&lt; ~~,...,. :

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&amp;'.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

,,&gt; _,,.,, // _./ /'
" '--~&gt; :...,....,-

~?

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&gt;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

,

~:;&amp;

£/A'.&amp;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&amp;: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&amp;lll,,-l~m&gt;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&lt;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&lt;'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&lt;;

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- -

__,~&lt;;- =/---·-

Advauce e to
Colle&lt;'t

/. •

L

Ad d
Undercbo.rg e

J
To Shipper_ _ _ _ _ _ _ _ _ _ _ _ _ _ __

(O VER)

�T S PIRITS FOR

i,

PERSONAL USE

- ~~---rJ-__''&gt;!!!___:,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&amp;. 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

_&lt;~
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,/ &lt;-/ .,,/
, 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&amp;:nee .

l
A&amp;: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 &lt;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&amp;Md)

Ad'Yance1 k&gt;
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&gt;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.&gt;" '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&lt;' 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;&amp;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&lt;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&lt;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:&lt;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:&amp;)

�, ,.--------------------~--------·---------- -~
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

~~
&lt; . . ..,(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/
. /
•
" "'" •••~" &lt;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{&lt;..,,'-{ t

'I

I ~ 191-, .

Ai:ent for Southern Express Company.

C6nsi&amp;: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&gt;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 &amp;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

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/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

, ·,

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ft _

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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

'

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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&lt;:&gt;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&gt;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

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'

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/

.

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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&amp;.,

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

-&lt;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&lt;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,

. .

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C OU N TY O

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I, ·
. . / \ -' '--'&lt;...-, 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 &amp;{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- / ')..,--"

&lt;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&amp;)

�\

;

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&amp;)

�.,
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.

�</text>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="38293">
                  <text>Rockingham County Prohibition Records: Affidavits for Ardent Spirits</text>
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              <name>Publisher</name>
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                <elementText elementTextId="38294">
                  <text>Rockingham County Circuit Courthouse</text>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
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                <elementText elementTextId="38295">
                  <text>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. &lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>Prohibition--Government policy--United States</text>
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                  <text>Prohibition--Virginia--History</text>
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                  <text>Rockingham County (Va.)--History</text>
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                  <text>Rockingham County (Va.)--Genealogy</text>
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              <name>Creator</name>
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                  <text>Rockingham County Circuit Court</text>
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              <name>Date</name>
              <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <elementText elementTextId="58021">
                  <text>1916-1919</text>
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              <name>Identifier</name>
              <description>An unambiguous reference to the resource within a given context</description>
              <elementTextContainer>
                <elementText elementTextId="58022">
                  <text>Pro002</text>
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            <element elementId="46">
              <name>Relation</name>
              <description>A related resource</description>
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                <elementText elementTextId="58056">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt; &lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/5"&gt;Prohibition Records: Criminal Cases&lt;/a&gt;</text>
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              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58550">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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      <name>Text</name>
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          <element elementId="50">
            <name>Title</name>
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              <elementText elementTextId="39478">
                <text>Affidavits for Ardent Spirits 05</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="39479">
                <text>Printed Affidavits forms authorizing the transportation of medicinal alcohol to Grottoes in Rockingham County Virginia for personal use.</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="39480">
                <text>affidavits</text>
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                <text>personal use</text>
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                <text>virginia</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39485">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="39486">
                <text>1917</text>
              </elementText>
              <elementText elementTextId="39487">
                <text>1918</text>
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              <elementText elementTextId="39488">
                <text>1919</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39489">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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              <elementText elementTextId="39490">
                <text>RcPr-box10-041</text>
              </elementText>
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="39492">
                <text>Rockingham County Circuit Court</text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="39493">
                <text>JMU Libraries</text>
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                <text>Grottoes, Virginia</text>
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                  <elementText elementTextId="48625">
                    <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_ _~&lt;.~

- - --,,--- --

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&lt;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. .&amp;••·

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&amp;: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~- - ~ -&lt;-?

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&amp;"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.

~~;&amp;

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

._~&amp;lJ~~~~~~ i-=----- -= - - Amount,_ _
---1--~

:__-

~ ~ +&gt;, -- -- -~

-_/__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&lt;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------'=---"--+-- --&gt;,----, 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+--"-"'---- --'=-&lt;---" 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&lt;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&gt;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. . ,, -----,

'---- &lt;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, , ,&gt;~

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 &amp;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 &lt;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

~

&gt;,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...--=--_ __

.£._..!:._-&gt;-

being duly sworn, depose and say that I am
S{lecified on ol_fillr s·de o this form, this day

-'--''--'--F-L-=---.,&lt;----- ,

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.

·'&gt;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&lt;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.

&lt;Jonsien ee.

�SOUTHERN EXPRESS COMPANY

FORM 370•VA

(Incorporated )

,/

Affidavit No.

~

'

.;,.,, /

L/

.

lbs.

/,11, ,&gt;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..... .::=---,&lt;-_ 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/ - ""---- '-''-&lt;' -~

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- &lt;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'&lt;'---"'"---=-'
=----"'=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&gt;
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&lt; 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&amp;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&amp;"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&amp;"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«&lt;"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-= - -- - ----

----·&lt;

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&amp;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&amp;"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

•

•&lt;

'

.
(OVBB)

�STAT E

ol' Vm"

CoUN TYOP

(_,
fl.
~
? ~6

&gt;

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&amp;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&gt;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&gt;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 &gt;&lt; , •
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&amp;
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 &lt;
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: .. ; &gt;
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&amp;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&amp;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&amp;, 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/&amp; / - · / " ., \ ';

'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&amp; 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,-","-:&gt;!!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
&lt; &lt; _.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,&gt;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.,&lt;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 _......&amp;'-',...................._~"'""",...,.._'-""-....__
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&lt;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 &lt;

�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.,
, &amp;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&lt;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&lt;pnaa CompanJ".
I

.

�DELIVERY PORM

eo

P.O. Address
RECORD OF NOTICES

To Consign

To Shipper _ _ _ _ _ _ _ _ _ _ _ __

(OVBB)

�l.~="-J ll.:.._-= ~._.....,.....,;:::.....~....1:__.,i:::..t~1&lt;,&amp;,,""'-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_--'.,.._

~...::......._&amp;.-~&lt;.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&lt;&gt;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
&gt;
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&gt;~--~-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&amp;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' &amp;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.-..,&amp;,,:1!:J!'.___ _.!,~
P.O. Addr&amp;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 &amp;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 &amp; 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&amp;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 .

~ '--&lt;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&amp;• 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 &lt;/-'-----

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

~ . : . __

_____:__:__;__ :;._&lt; ..=•-

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...&lt;

, 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&lt; R )

�AFFIDAVIT FORr ARD!;:NT SPIRITS FOR

PERSONAL USE

STATE OF VIRGINIA,
COUNTY OJ&lt;' _ _ _ __ _ __ __ _

~, - - - - -- -- - -- - -- - - - - - - - - , 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 _---,-,., /-"-":=:-&lt;
'---==-~"
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&amp;;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&amp;..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 /,

&lt;&lt; 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 ---&lt;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'-'
·')_,.,"'-'
. -~
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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&lt;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!_ /
"&gt;

/

,

Ae-ent f or South ern Expre ss Compau
y.

'-"'

C onsii:noe,

�FORM 3TO•VA

. ,_.
1/4

/.c

~

Affidavit No.,~ -~- - --

,

-'
Advau &lt;' 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&amp;
~
!':
(:;;
P-

w.,.,m , ·
To

S~· ~::~;:&gt; RECORD
Amount

Advam ea to

Shipper_ _ __ _ _ _ _ _ _ _ _ _ _
___

Coll ect

/

"

1917

,;;.;&amp;-- ,.f&gt;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~~/&gt;~c /
~

llMe
,
&lt;='- ' /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., ( .

,

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,,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&lt;

1:Jt./ ,1911 .~ /
/

h

A2ent; for So utjl ern
Exp ress Com vau y.

. )J:,J
I

Con sian ee.

�.------ -~ -- -- -- -- -~- ~ -- -- -- --~--

-- -- -- -- ---------- -

.&amp;
/4 ~
;?,. ~ _ _ _ __&lt;~•.:~;;;~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&amp;'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&amp;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&lt;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&lt;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. ~~
-

""&gt;--&lt;" ~

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&lt;"=-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&amp;#u&amp;!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'&gt;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 &gt;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' .

'

//

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.. ... .

.

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•• • •

�•

�</text>
                  </elementText>
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    <collection collectionId="6">
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="38293">
                  <text>Rockingham County Prohibition Records: Affidavits for Ardent Spirits</text>
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              <name>Publisher</name>
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                  <text>Rockingham County Circuit Courthouse</text>
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              <description>An account of the resource</description>
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                <elementText elementTextId="38295">
                  <text>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. &lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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              <name>Subject</name>
              <description>The topic of the resource</description>
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                  <text>Prohibition--History</text>
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                <elementText elementTextId="58016">
                  <text>Prohibition--Government policy--United States</text>
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                  <text>Prohibition--Virginia--History</text>
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                  <text>Rockingham County (Va.)--History</text>
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                  <text>Rockingham County (Va.)--Genealogy</text>
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              <name>Creator</name>
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                  <text>Rockingham County Circuit Court</text>
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              <name>Date</name>
              <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <elementText elementTextId="58021">
                  <text>1916-1919</text>
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            <element elementId="43">
              <name>Identifier</name>
              <description>An unambiguous reference to the resource within a given context</description>
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                <elementText elementTextId="58022">
                  <text>Pro002</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt; &lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/5"&gt;Prohibition Records: Criminal Cases&lt;/a&gt;</text>
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              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58550">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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      <name>Text</name>
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            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39462">
                <text>Affidavits for Ardent Spirits 04</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39463">
                <text>Printed Affidavits forms authorizing the transportation of medicinal alcohol to Elkton in Rockingham County Virginia for personal use.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39464">
                <text>affidavits</text>
              </elementText>
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                <text>ardent spirits</text>
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                <text>personal use</text>
              </elementText>
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                <text>elkton</text>
              </elementText>
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                <text>virginia</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39469">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39470">
                <text>1917</text>
              </elementText>
              <elementText elementTextId="39471">
                <text>1918</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39472">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
              </elementText>
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          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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              <elementText elementTextId="39473">
                <text>RcPr-box10-040</text>
              </elementText>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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                <text>PDF</text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="39475">
                <text>Rockingham County Circuit Court</text>
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          <element elementId="45">
            <name>Publisher</name>
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            <elementTextContainer>
              <elementText elementTextId="39476">
                <text>JMU Libraries</text>
              </elementText>
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            <description>Spatial characteristics of the resource.</description>
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                <text>Elkton, Virginia</text>
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  <item itemId="3462" public="1" featured="0">
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                <elementTextContainer>
                  <elementText elementTextId="48624">
                    <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&lt;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

.

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.

�------ --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.--&lt;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 ~

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Cot.Jh"TY OF

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.

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;

SPIRITS FOR PERSONAL USE
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i

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I,
,.,
,
·
, being duly sworn, depose an~ay_ that I am
the consigni;{of a certain shipment of ardent spirits, as st&gt;'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'&amp;;?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&lt; )

,,. .

�,
AFFIDAVIT FOR ARDENT SPIRITS FOR PERSONAL USE

I

V ~.1/.%--:

STATE OF
~- - -"'- - - - - - - COUNTY OF--,

,_;-

·

1

. say that I am
l'-f.&gt;:-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 , ~ &amp;,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&amp; for Sonther n Express Compap y.

�I

American Railway Exp;ress-:_ c,-

Adams Corresp. Form No. 1.

��</text>
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                  <text>Rockingham County Prohibition Records: Affidavits for Ardent Spirits</text>
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                  <text>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. &lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt; &lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/5"&gt;Prohibition Records: Criminal Cases&lt;/a&gt;</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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                <text>Printed Affidavits forms authorizing the transportation of medicinal alcohol to Dayton in Rockingham County Virginia for personal use.</text>
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                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
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            <name>Date</name>
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                <text>1917</text>
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                <text>1919</text>
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            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39456">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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                    <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

/

&lt;:'- /~..,,.--,~' I

1
{
~---·
1
·-'• ,
,&lt;" being duly sworn, uepose and say th at I am
the cou~iguee of a cert ain shipment of I r&lt;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&lt;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, &lt;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

----&lt;..: 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 &lt;'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._~ ' -.:..,...
&gt;-"---:- -''-'-- --Date

, , / ;,· ;
J

191

/

- AmountL_ _,___=-&gt;..._
,, '

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&lt;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&gt;,._.-"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

,

=&lt;'l..,(ig
•

'/'C,-6 U

9

,

[,

&amp;'~

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

&amp;

·

·

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,
~
&lt;----'-----~- - - - -, 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&lt;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&lt;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&lt;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 • __.,,_&lt;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&amp;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~ ~ &lt;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&lt;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&amp;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&gt;

'"'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 &amp;

day of~ ~ = --..---

;¼:eut fo r Southern Expres s Compa ny.

Consi.:nee .

�...;__......;.._ _ _ _ _ _ _ _ _ _ _ _ _ __

1 uUPLI CATE )

the Prohibiti on Act of
of Vir¥i!&gt;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

~

'

(' , &lt;

(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_ __ __,__---.;.&gt;~ ~::...&gt;::___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

•-&lt;-~=- 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&lt;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'--~"'--.;-,~~ - - . , ;,,
&lt;--- ,

.,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.&gt;.'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&gt;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 ~ ~~-----_,.,......_.,._-&lt;=.---'-~ ; 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&lt;---- - - -- - - -- - -- lbs.

Way- Bill No. _________
To ----+--_.::;..;....:=='---"'-="-~~- ~"-'-',.,.__--L---

A tl v nn&lt;'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-.&gt;. ---'--~~-=~ -- -- -~ ~ -, being duly sworn
, &lt;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 ___..&lt;---'"----'---"--'=--'+'--=-=-...._-=,__....._~,::...

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_ &lt;-_,/,~~

,_ _ _ _ _ __ 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______::._:_-= --=-&gt;,.; 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, - -- - ~ --;.;~~.-----&lt;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.._~,--&gt;(,,_,._._
-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&lt;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--.:'-✓-'~\-&lt;--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.

&amp;

/ ';
'60

V"'~ ~~~·~ -l.L-, --l+-, ~--=- -=-.µ= _.~·,_

'.\JI , 191_ ,

1\:,::e11t fo r Soutl1er n Expre~s Co 1111&gt;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&gt;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 ( .&lt;. /,

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 -&lt;-~- - - · - - - - - - - ; 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 ___ ___:_-!.--:+------&gt;"----'---"-"-~- - - - - - ' - -'-

-

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~ - '.&amp; ~~~
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&lt;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&lt;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

&amp;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
&lt; ,
{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.,.. &lt;.../

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&gt;re~ s Con11,an.r.

&lt;..: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&lt;--.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 &lt;..::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
&lt;..::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&lt;---,_/_,0=--- 191.1_
/

Affidavit No._..:.._____:_:_----=-=--

I
Consign ee - - --f~ .,__---!....:.___ -e.:::,..,._ ____c__.,__
,_,__ _::;__!!E_c::,'-"£'- ------'L -.-- - - -/- i- - - - - -- --

Way-Bill No,_ _

/ f't ;

-&lt;-- ' --;:___ __

'~

~

~

- - ~ - 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- &lt;~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&lt;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 , &lt;l epose and say that I am
ar&lt;l eut spirits, as specified on other side of thi s form , this day

+------'---------"'--~ ,

&lt;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

- - -+--&lt;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

&lt;-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- . &amp; ~.,___ _ _
__

---- ----- - - - - -- - --

_ __ 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,&lt;~:.....::.~-'--'--"'----.'...=.!:...._._;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&lt;R)

- -- - -- --

lbs.

�A F- DAVIT FOR ARDENT SPIRITS FOR
STATE

PERSONAL

us ~ -

o~· Yrn

COUNTY O~'-il_~'.':.!,~:Z,~ ~ ~ ~ /

_ _..=L-J...Jc+;.-i----,1e&gt;;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.. &gt;

------;;;;::-

�-- -- -- -- -- --- -- -------- -- -- -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(.' &amp;. {,. ~ ' (~,~
·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.. .&amp;'?.

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.

&lt;' ~t-; kf .

J
Aeent for Southern Express Conu,aey.

�J

7
•, . . 7
ALDHIZER &amp; 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 &amp; 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 &amp; 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

\

•

•

�,.

•

.

•

�</text>
                  </elementText>
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    </fileContainer>
    <collection collectionId="6">
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="38293">
                  <text>Rockingham County Prohibition Records: Affidavits for Ardent Spirits</text>
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            <element elementId="45">
              <name>Publisher</name>
              <description>An entity responsible for making the resource available</description>
              <elementTextContainer>
                <elementText elementTextId="38294">
                  <text>Rockingham County Circuit Courthouse</text>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="38295">
                  <text>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. &lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="49">
              <name>Subject</name>
              <description>The topic of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="58015">
                  <text>Prohibition--History</text>
                </elementText>
                <elementText elementTextId="58016">
                  <text>Prohibition--Government policy--United States</text>
                </elementText>
                <elementText elementTextId="58017">
                  <text>Prohibition--Virginia--History</text>
                </elementText>
                <elementText elementTextId="58018">
                  <text>Rockingham County (Va.)--History</text>
                </elementText>
                <elementText elementTextId="58019">
                  <text>Rockingham County (Va.)--Genealogy</text>
                </elementText>
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            <element elementId="39">
              <name>Creator</name>
              <description>An entity primarily responsible for making the resource</description>
              <elementTextContainer>
                <elementText elementTextId="58020">
                  <text>Rockingham County Circuit Court</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="40">
              <name>Date</name>
              <description>A point or period of time associated with an event in the lifecycle of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="58021">
                  <text>1916-1919</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="43">
              <name>Identifier</name>
              <description>An unambiguous reference to the resource within a given context</description>
              <elementTextContainer>
                <elementText elementTextId="58022">
                  <text>Pro002</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="46">
              <name>Relation</name>
              <description>A related resource</description>
              <elementTextContainer>
                <elementText elementTextId="58056">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt; &lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/5"&gt;Prohibition Records: Criminal Cases&lt;/a&gt;</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="72">
              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58550">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
                </elementText>
              </elementTextContainer>
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      </elementSetContainer>
    </collection>
    <itemType itemTypeId="1">
      <name>Text</name>
      <description>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.</description>
    </itemType>
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39429">
                <text>Affidavits for Ardent Spirits 02</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39430">
                <text>Printed Affidavits forms authorizing the transportation of medicinal alcohol to Broadway in Rockingham County Virginia for personal use.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39431">
                <text>affidavits</text>
              </elementText>
              <elementText elementTextId="39432">
                <text>ardent spirits</text>
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              <elementText elementTextId="39433">
                <text>personal use</text>
              </elementText>
              <elementText elementTextId="39434">
                <text>broadway</text>
              </elementText>
              <elementText elementTextId="39435">
                <text>virginia</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39436">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39437">
                <text>1917</text>
              </elementText>
              <elementText elementTextId="39438">
                <text>1918</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39439">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
            <elementTextContainer>
              <elementText elementTextId="39440">
                <text>RcPr-box10-038</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39441">
                <text>PDF</text>
              </elementText>
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          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="39442">
                <text>Rockingham County Circuit Court</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="39443">
                <text>JMU Libraries</text>
              </elementText>
            </elementTextContainer>
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            <name>Spatial Coverage</name>
            <description>Spatial characteristics of the resource.</description>
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              <elementText elementTextId="39444">
                <text>Broadway, Virginia</text>
              </elementText>
            </elementTextContainer>
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  <item itemId="3460" public="1" featured="0">
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                <description/>
                <elementTextContainer>
                  <elementText elementTextId="48622">
                    <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&lt;)

Add
Undercharg e

�--- ------ ---- ~--- ---- ---- ---- ---- -=-- ---- -------AFFIDA VIT FOR ARDENT SPIRITS FOR PERSON AL USE

I, --+-=---'------"-__._,._,,,'-=.&lt;........,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 &lt;?.,
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&gt;----'---"'=-=--~~--&lt;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&gt;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.~----&lt;-:r ~ - - Shipper

Jlfij

,f

191 v .;om--t-.:=a&lt;~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.-'&lt;C&gt;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

&lt;

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,--&lt;:...........,......::;.:...:.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

...._,,.;&gt;£--"""'.,_.._=-,;=--....-"-"-'"--""---=~::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-----:---'-'-- - -- -&lt;-- --.,.--+-=---'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&lt;,/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--,.,,-·--"--&lt;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&lt;'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&amp;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.

&amp;:.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.

�</text>
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    <collection collectionId="6">
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="38293">
                  <text>Rockingham County Prohibition Records: Affidavits for Ardent Spirits</text>
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            <element elementId="45">
              <name>Publisher</name>
              <description>An entity responsible for making the resource available</description>
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                <elementText elementTextId="38294">
                  <text>Rockingham County Circuit Courthouse</text>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="38295">
                  <text>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. &lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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            <element elementId="49">
              <name>Subject</name>
              <description>The topic of the resource</description>
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                <elementText elementTextId="58015">
                  <text>Prohibition--History</text>
                </elementText>
                <elementText elementTextId="58016">
                  <text>Prohibition--Government policy--United States</text>
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                <elementText elementTextId="58017">
                  <text>Prohibition--Virginia--History</text>
                </elementText>
                <elementText elementTextId="58018">
                  <text>Rockingham County (Va.)--History</text>
                </elementText>
                <elementText elementTextId="58019">
                  <text>Rockingham County (Va.)--Genealogy</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="39">
              <name>Creator</name>
              <description>An entity primarily responsible for making the resource</description>
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                <elementText elementTextId="58020">
                  <text>Rockingham County Circuit Court</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="40">
              <name>Date</name>
              <description>A point or period of time associated with an event in the lifecycle of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="58021">
                  <text>1916-1919</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="43">
              <name>Identifier</name>
              <description>An unambiguous reference to the resource within a given context</description>
              <elementTextContainer>
                <elementText elementTextId="58022">
                  <text>Pro002</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="46">
              <name>Relation</name>
              <description>A related resource</description>
              <elementTextContainer>
                <elementText elementTextId="58056">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt; &lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/5"&gt;Prohibition Records: Criminal Cases&lt;/a&gt;</text>
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            <element elementId="72">
              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58550">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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      <name>Text</name>
      <description>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.</description>
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39413">
                <text>Affidavits for Ardent Spirits 01</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39414">
                <text>Printed Affidavits forms authorizing the transportation of medicinal alcohol to Bridgewater in Rockingham County Virginia for personal use.</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39415">
                <text>affidavits</text>
              </elementText>
              <elementText elementTextId="39416">
                <text>ardent spirits</text>
              </elementText>
              <elementText elementTextId="39417">
                <text>personal use</text>
              </elementText>
              <elementText elementTextId="39418">
                <text>Bridgewater</text>
              </elementText>
              <elementText elementTextId="39419">
                <text>Virginia</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39420">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39421">
                <text>1916</text>
              </elementText>
              <elementText elementTextId="39422">
                <text>1917</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39423">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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          </element>
          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
            <elementTextContainer>
              <elementText elementTextId="39424">
                <text>RcPr-box10-037</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="39425">
                <text>PDF</text>
              </elementText>
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          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="39426">
                <text>Rockingham County Circuit Court</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="39427">
                <text>JMU Libraries</text>
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            <description>Spatial characteristics of the resource.</description>
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                <text>Bridgewater, Virginia</text>
              </elementText>
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                    <text>WARR ANT OF ARRES T&#13;
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STA'rE OF VIRGINIA , CITY OF HARRISON BURG, TO-WIT:&#13;
To Frank L. Dovel, Chief of Police, or any Policeman of said City :&#13;
Whereas&#13;
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mation on oath before me, W . W . WHARTON , City Justi ce of Peace of said City, that ......... ... .&#13;
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                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre, 2019; Updated by Megan Pullen, September 2025.</text>
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                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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                    <text>!_i~!~~~~ ~ To-wit:
~!1:~~:~!~~!!,t_~f@
In the - .C.i r -0-ui-t------ Court of the _S}_Q~A1Y_ of ____ _I399_l~Jp._g[)..?1lJ ___ ....
BE IT REMEMBERED That ___ .D_...W....._E~rman ____ , Attorney for the Commoniwe~lth for
the said _.9_Q1JD-J~y_______ of __ J}9.9_t;!..ngb.fil!l , and who fo r t he said Commonwealth prosecutea

First
Count

in .this !behalf, in his proper person comes into the said Court on t his the i-l6:th. ___ day 'of_ _____ .
Q.9_t,QlJJU'__ _, in the ·year 19:a~, and upon the c omplaint in writ ing, verified by the oath of ___ _
,.d Court h ere •t o un d ers t an d an d be
t h e sa1
·
V. C . Ea rlcJ~r____ _ ____ , ·a compet ent w1·tness, gives
·______________

_Js;,J.ID.e.s_JHngan _&amp;,__Jo.a. _'\Y.eng; ~:n the __ l3.t.h. __ day ofr ___ .O_c.t..ob.er. ___ __ ,
in t he year 1 ~-- , in the said _S:_~l_!!l,_~y ___ of -- -----~ g-~l~J~g!_l~-~ . did unlawfully _________ _

infor med that

±-l!la.IlS-J)O-Pt--a-pe.-e-:at--spi-ri-t-s--(-meonsh-i-ne-- li-qttOT-7------------------------------ -

------------------------------------~----------- --------------------------------,--------aigains,t the peace and dignity of t he Commonwealth of Virginia.
And the Attorney for the Commonwealth aforesaid, who prosecutes as aforesaid, in the
name and by the authority aforesaid, and upon the complaint in writing aforesaid, further gives
Second
Count

the said Court to understand and 1be informed that said ------------------------- - ---------on the __________ day of -------------------- , in the year 192 __ , in the said ______________ of
----------------------, did unlawfully --------------------------------·---------------- --

-------- ---------------------------~-------------------- ------------. -·-------- ·--------against t he peace and dignity of the Commonwe alth of Virginia.

Third

Count

And the Attorney for the Commonwealth afores aid, who prosecutes as aforesaid, in the
name and by the authority aforesaid, and upon t he complaint in writing aforesrud, further gives
the sa id Court to understand and be informed t h at said ..Iamas _Kin.gau.. ..&amp; _.J..o.e_ iY.eng.er__ _
'
__ ___ ____ , in the year 19~A., in the said _a.ou.nty______ of
on the __ l_~t ll.___ day of __ Q.9_t,Qp_~:r

JlQ 9.ki :g._g_l:}~!IL _______ , did unla"'Zfully - ~F...~~~.£.'2 !_t_ _____________________ against the peace
and dignity of ,t he Commonwealth of Virginia.

---------l!P!T~ -------Attorney for the Commonwealth.

VIRGINIA:-__ city ______ .:. ___ of - ~ :;:!_i_~~!l-~~!-~ ---------, To-wit:
ine Tu . And1'-a.'US
. da y ____ W• _C • _F.arl y _____ per s onaII y appeare d ·before me Paul
-----------------This

a Not a :r:,y _Publ i c _ for the __q,t_t_y _______ of - ~:rJ'J,e9JlQllJ:.g _______ , Virginia, and made

complaint and information on oath that Jame~_ Kin_g_c:_!!,l._ _~!l_c!__ J.9_~- K~:g.&amp;,~!'________ _______ _
within t welve months prior to this date, to-wit on the __ ),~.tJ L - day of __.9_q :!;9JH~J'___ , 19~~
in the

_c.n.un.t.y _________ of _J:l9_qJ:j.._11gM111.___ :

,---i.=.,_Jl,Ja,nru.fa,cJJu:.ed JUul.is.tjlleQ,. 1tt1denn 'f}ir~
t,s.1-

~

~

3.-Transported ardent spirits;
,;;;;;;l_QWJW~

appli-anoes~eo'ffft'OOted

ll.?.d.•-in

_

poss~

a still, still cap, wo

tub, fermenter, and ot~r

wil .a sti.11,~and mash and o th~ ~~apa!ble of be1

" d in the man~

ufacture ot ardent spiri-ts1
"'-- .~ W fu . y possess · 'r ent
Sworn

t&gt; rlt~

· .

to this __ ]._4 t h __ day of _Q.n.t oher____-o;_Z Jiu _~
------------------------ -------- .----------

·
"-.......

�Commonwealth of Virginia
vs.

} MISDEMEANOR

___ Joe _Weng_er _&amp; _James K ingan ___
Information for Violation Prohibition Law.
Witnesses:

W. C. Earl y
1

_ ____

iJ__EJ_J~J-~er__ ~------------------

Filed---- - - - ---------------- ----- 192 __

___________ _______ . _________ Clerk.
By ------------ ------- ' _ D. C.

...,

�Arrest Warrant

Com monw ealth of Virgi nia, } To-W it:
Rock ingha m Coun ty,

To ..

!o.~~ ~· · ~

These are there fore, in the name of the Comm onwe alth
of Virgi nia, to comm and you forth with to appre hend and bring befo me, or some other Justic e of the
said Coun ty, the body of the said .. ... .... ... .. .. ... .... .... ....
.
··~

· ·l····· / ·· ~ f ' 9·~

· · ···· · ·· · ···· ··

· ········ ········ ·· · ········· ·· · · · · · ·· · · ········· · · ···· ···
· · ·· ··· ·· · ··· ·· ·· · ·· · · ··· · ········· ······
t answer the said comp l · ~ and to be furth er······
dealt with accor ding to law. And you are requi
red to summon ............ .... .... ........... .... .... ... ...... ... ...... .. ...... .. .... ........
... .. .......... ..... ..... ........ .. ... ....... .. .. ..... ..... .. ....... ... ... .. ...... ..... .....
.

to appea r and give evidence in behal f of the Com monw
~alth , o th exam inatio n touch ing the said offence.
~
Give n unde r my hand and seal this .../ &lt;7'-'.--:-:- .da of
.. ... . . ....... ............... ... ... ... ... , in the year 19J .~ .... ..
/

- ., ................. .......... ..... .......... .... ..... ..... .. .......... ..... J.
Ser vice Press-1 7 0

P. (Seal)

�STATE OF VIRGINIA- COUNTY OF ROCKINGH AM, TO-WIT:

I, .. .. .

....... ., a Justice of the Peace in and for the County

of Rockingham, State of Virginia, do hereby certify that

and

........... as his suret
have this day acknowledged themselves indebted to the Commonwea lth of Virginia in the sum of.
.. .. .Dollars ( $
. ) to be made and levied of their goods and chattels, upon this condition: That the said
.. shall appear before the undersigned or the

.

Circuit Court of Roe.Kingham County, on the..
.day of ..
. .. ..... ..... ., 193 .... , and not
leave hence without leave of the said Court, to answer the charge in this warrant, or to await the action of the
Grand Jury of the said County upon the within charge.
Given under my hand this, the

.... .... day of ..

193 .
J . P.

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�In the Name of the Commonwealth of Virginia:
You a" hrrcby commondcd to ,ummon

•

'2/, ~&amp; Sh•G

Co;::ty,

~,e«;ng,

: &amp;:: .:b : : :~: :: f'~:::: : .::: : : ::: . . . ... . . . : .::::: : : :: ·:. . . . . : : :::::·: :::::: ::: : : ::

: ;~~:a:,~: : ~

1
:.h:1 :1~:g:h:f;; t z t::°.~rt o'. ... °.c~ : ; : t .o~~.t~' .. ~t .t~e..~~it~t. ~~..tse

lo .fc,t,fy and ,, ,,uth. ~ ; : : ; : : t ~ ~t··~
who stands charged uu

nd !ndicted for a felony ~

···············

a-,wr-:-

And this .. ......... : ~ ... . .. .. shall not omit under penalty of £100.
there this Writ.

And have then and

/.~#"

Witnm, . ROBERT SWITZER, ClMk of ou, ,~
al thc Coucl Hou,c, lhc
day of ....
..~
. 19.'3.i,-~d in thc ~~.. .
T H E SEN.VI CE P RESS, H ARRISONBURG, VA,

No . 4H

I~e;°J

,

ClMk

�e Copy of t .1

,~~~~
I

1~l

l1
~~

,

���' 1

.

-frl/h$

OCT

··-· .

1933

COMMONWEA. L 'JR

v.

)

M1sdr.

J"OE WENGER and
JAME irmGA.N

(Pro.)
INFCRMA.TION

..IL,
y ,,

,

~·Ii

�/

.

'

�</text>
                  </elementText>
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      </file>
    </fileContainer>
    <collection collectionId="5">
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
                </elementText>
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            </element>
            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="10957">
                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>Rockingham County Circuit Courthouse</text>
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                  <text>Prohibition--History</text>
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                  <text>Prohibition--Government policy--United States</text>
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                  <text>1916-1933</text>
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                  <text>Pro001</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Commonwealth v. Joe Wenger and James Kingan</text>
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                <text>Misdemeanor; Not Guilty</text>
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                <text>transportation of ardent spirits-moonshine</text>
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              <elementText elementTextId="38272">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
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            <name>Date</name>
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                <text>1933</text>
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            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38274">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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                <text>RcPr-box10-035</text>
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                <text>Rockingham County Circuit Court </text>
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        <src>https://omeka.lib.jmu.edu/erp/files/original/Rockingham_County_Prohibition_Records_Criminal_Cases/RcPr-box10-034.pdf</src>
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                  <elementText elementTextId="48619">
                    <text>COMMONWE. LTH OF VIRGINI ,
COUNTY OF ROCKI NGHAM , to- wit:
In the Circuit Court of said Coun t y :
The gr and jurors of the State of Virginia , in and for
the body of the c ount y of Roc k ingham , and now atten ding sa i d

ou r t

at its Oct ober term , 1933 , upon their oaths do present that Leonar d
Tiffner, who was here tofore, to-wit, on January 7 , 1933, co nv icted

in the Po lic e Court of Ha rriso nb urg , Virginia of v i olating the
Pro hibition La w, and was then and there sentence d to serve three
months on the road and to pay a fine of five dollars , in said
county , on or about August 20 , 1933, did unlawfu l l y and fe l oniously
have in h is possessi on on e ga l l on a nJ a hal f of ardent spirits
(mo onshine li quor) , agains t t he peace and digni ty of the Commonwealth of Virginia .
Thi s indi c t ment is found on the t estimony of E. E.
Kiser, a witne s s sworn i n Court and sent before the grand jury
to give evidence .

�Poss. - 2nd
ommonw ealth
v) Indictment
Leonard Turner

Felony
Octob er t erm , 19 33

--~ True Bill :

Witness: E. E. Kiser

D . 1/ .

Earman

Commonw ea l th 's At t orney

�Arrest Warrant

Commonwealth of Virginia, } T 0 -W·t·
1
Rockingham County,
·

Toi.t i~.
Whereas,

.. . .. ...... , 19\3.d. ,in the said County, did ... ./A&lt;'[A'--&lt;..L.-L.'.N.!,~~.GC;

~. 6Lt-..~ . ~.

~

P7.~~ , C . , L Z E . , l ~

tl~~~L .

--✓"-'-'·· ·· ····" · ···· · •···"······ .. ............ .

· ·· · · ·· ···· · · ·· ····· · ··

.... ................ ....... .... ........ ... .... . .. ... ... . ·· ·· ·· ········ ·· ········ ········ ······ ··· ···· · ·········· ···· ····•··· ··· ··· ·· ··

These are therefore, in the name of the Commonwealth of Virginia, to command you forthwith to appre-

~be~ ~ .~t~.e~ .1.~st.ic·e·~~ .t~·e ··said County, the body ..o.f ..t~~ .s.ai~:::::::::::::··· ········
to answer the said complaint and to be further dealt with according to law.

And you are required to sum-

mon ... ........... ... .. ....... ... ........ ... .. ......... ....... ...... .............. ... ... .. .... ..... .... ... ...... .... ........... ... ...... ..... .. ... ... .... ..... ........... .. ... .
to appear and give evidence in behalf of the Commonwealth, on the examination touching the said offence.
Given under my h a~d and seal this ..

,2./~ .. day of

· . .~

. . . . . . . . . . . . J¾ . .

Ser vice Press-17 0

.. .... ... ..

�STATE OF VIRGIN IA-COU NTY OF ROCKIN GHAM, TO-WIT :

I,

., a Justice of the Peace in and for the County

of Rockingh am, State of Virginia, do hereby certify that.

and

.... .... as his suret .... ..,
have this day acknowle dged themselve s indebted to the Commonw ealth of Virginia in the sum
of .. ..
... ... ........ ... ...... .... ... .Dollars ( $... .
.. ) to be made and levied of their goods and chattels, upon this condition : That the said ............. ... .

. .shall appear before the undersign ed or the

Circuit Court of Rockingh am County, on the ...... ...... ..day of.. .. ....... .......... ... .....
. ..... .... .... ., 193 .... , and not
leave hence without leave of the said Court, to answer the charge in this warrant,
or to await the action of the
Grand Jury of the said County upon the within charge.
Given under my hand this, the ...... ........ day of ... .

193 ...... .. .

J.P.
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�Commonwealth of Virginia:
To the Sheriff of Rockingham County, Greeting:

You are hereby commanded to summon ._

:: ::::::: :::::: :::::::::·::: :::~ 2:::~ ~
to appear before the Judge of the ~

t Co1trt of Rockingham Count y, at the Court Ho1tS(' ther¥/-'r

a,i~¾ock, a. m., on the /~. - ay of

. ~'. .

......... 19

,

to testify and the trnth ~ '-? in behalf of t;e ~ ommonwealth bPfore the. GRAND JURY .

~

. .... .. . ... ... .. ... ... ..... .. .. ... ... ....

.. =
·
····· ··· ····· ···· · ·· ···· ·•··· ··· ···· • ·· • · · ..

who stands charged with and indicted for a felony misdemeanor.
And this.. .. .. ... .... .~

/ .... . . .. shall not omit under penalty of £100.

A nd have then and

there this Writ.
Witness, J. ROBERT SWITZER, Clerk of 01tr said-,C2!2!_, at the Court House, the/ / ~

d,y

P

of

~

-

19 ~

J m th, 15 .

lf!!!J!! ::.!)"'~ ,

t L . ,.RE SS , HA.RHI SO NBUR~ . \/A

L

I

Cl" k

�Commonwealth of Virginia:
To the Sheriff of Rockingham County, Greeting:

You are hereby commanded to summon ..

···•· ····. .. ::: : :: : : : :::::::: ~2:: 1.r;;;z;:;::::: :::: : ::: : : : : ::: : : :::::: : · · · ··· ·······

:,~PJft::~~r:. t~~' J::~:eo')Z.

!l!a;

~°.1trt~

~1~ ~°.1111'.)', at the ~°.11rt .

~01tSe 1t:er~

:~

to testify and the truth ':.,_--?7 in behalf of t;e ~ommonwealth before the. GRAND JURY

~... ~

· · · · ·· · ··· ·· ·· ·· · ··· · · ·· ........ ..... ..

...... .... . .............. . . .

who stands charged with and indicted for a felony misdemeanor.
And this

.

~

/

.

shall not omit under penalty of £100.

And have then and

there this Writ.
Witness, ]. ROBERT SWITZER, Clerk of our
day of

.. ~ ' .

t9 ~

nd in the 15 .
, Clerk

Pa L. l"R[SS , HMtMISONIUI\C. , V~

L

J

�-/ f cJ s
-1,b,L -

,

,

w ithi n Summons t o

._..

by ae11ver 1ng a tr ue Copy 0 1' the

'- --..__

/ ~

_ _ In per son ,

t
~

.t

"-

~

~
~

c.xtH.:uL~a. _ _ _ _ _ _ _ _ _ oy ae11v~r1ng a true i.;opy or th

within Summons to _____________ _____
In person .

�In the Name of the Commonwe alth of Virginia:

C-..~. t~ef:;;;~::~t~. ~.°.°.°.t~·•·.~~~.e.ti.°.~:

You are hereby commanded to summon.. .

:: ;~:;:,:::::~ :.h:~1::g:h:f; hJ CZfF~~rt of

:;;/~fr

~~~~~.t~, .. a.t &lt;he .~~~~'..~ .~~se 1

to testify and the truth to say in behalf of the Commonwealth against
········ ············ ····· •······ ······· ·· ·•· ··•• 4

~ ~...

........ .. ......... . ..

~~~~2. .... ......................... .

who stands charged with and indictell. for a felony misde11tr:a11m.
And this .... . ....

~~ ...

shall not omit under penalty of £100.

And have then and

~~~
Witness~

.? .

~

ROBljRT SWITZER, Clerk of our said Court, at the Court House, the ..
(41_• ··· .... . ~
day of ....... ....... ......... :... ... 19 . d ..¼ nd in the 15 . ... ... ear of the CommonwealtQ.
~ /7,. - - ~---#--- • ..
.. .. ...... .... .... ........... ,~
~ ., Clerk

r

~,,,. .

THE SERVI CE PRESS, H ARRISON B UR G, VA .

No. 457

�I
c.. xeeuceoP~2t

9 a.:.,

- ~ Y ae11ver1ng a true Copy of t hb

w ithin Summon s t o

?:-

e

'-

....

I ....,. '-""~

_ _ In oen~o n

al, / (,

t
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l

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�:

I

COMMONWEALTH

'
!

f

I
(
l

J

t
f

1/

(

I

f

)

v.

Felony

.
LEONARD TURNi:R

(PrO • )

7 ' L ./ "'

2nd off•.

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-1./z,,

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--~

�</text>
                  </elementText>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
                </elementText>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
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                <elementText elementTextId="10957">
                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>Rockingham County Circuit Courthouse</text>
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              <name>Subject</name>
              <description>The topic of the resource</description>
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                  <text>Prohibition--History</text>
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                  <text>Prohibition--Government policy--United States</text>
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                  <text>Prohibition--Virginia--History</text>
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                  <text>Rockingham County (Va.)--History</text>
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                  <text>Rockingham County (Va.)--Genealogy</text>
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              <name>Creator</name>
              <description>An entity primarily responsible for making the resource</description>
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                  <text>Rockingham County Circuit Court</text>
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            <element elementId="40">
              <name>Date</name>
              <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                  <text>1916-1933</text>
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            <element elementId="43">
              <name>Identifier</name>
              <description>An unambiguous reference to the resource within a given context</description>
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                <elementText elementTextId="58030">
                  <text>Pro001</text>
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            <element elementId="46">
              <name>Relation</name>
              <description>A related resource</description>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58551">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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      <name>Text</name>
      <description>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.</description>
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38254">
                <text>Commonwealth v. Leonard Turner</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38255">
                <text>Possessing approximately one and a half gallons of spiritous liquors - Second Offense; Felony; Guilty</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
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              <elementText elementTextId="38256">
                <text>Felony</text>
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                <text>Guilty</text>
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              <elementText elementTextId="38258">
                <text>Possession of intoxicating spirits - Second Offense</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38259">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38260">
                <text>1933</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38261">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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              <elementText elementTextId="38262">
                <text>RcPr-box10-034</text>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
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          <element elementId="48">
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            <description>A related resource from which the described resource is derived</description>
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              <elementText elementTextId="38264">
                <text>Rockingham County Circuit Court </text>
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          <element elementId="45">
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            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="38265">
                <text>JMU Libraries</text>
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                    <text>~!1:~:~:~!!~J_it:!~!~~~~ ~ To-wit:
In the __C
_!!'_C_~i_t

_____

Court of the _y_Q~J!.~Y- of ____ J~g_c_~jp.

D-.?1!! ____ •

BE IT REMEMBER ED That _12~--?~__ }~_!'E!.~!_l.____ , Attorney for the Commomvealt h for
the said _____ _9_Q_lJ_n_t.y___ of --~QQ_K:lp b§JL , and who for the said Commonwealt h prosecutes
in this !behalf, in his proper person comes into the said Court on -this the '. ____ J__'7_~£.)._day ·of_ ____ _
First
Count

_A :ri_1____ , in

the year

19&amp;5_:2, and upon the complaint in writing, verified by .the oath of ___ _

_jt!.._J _!..__ R~~J'_QQ~------, a competent witness, gives the said Court here to understand and be
informed that _:Q§.A _tn:_c_~ J__i_~!;-~r_: ____________ , on the _J__q_t_b.____ day of _Ap ril_,_ ________ _,
ih t he year 1923 _, in the said _.c..o.·
Y:--- of -- __p9.9JsJ_n b-_______ , did unlawfully _________ _
--~~_y_e _in _ his _ pos s ession _fou ;r _gall ons _of _ardent _ s_11i r i ts__ _( m._q_g_p._5-.lj~J!.~- -

--~~g__~o r ) _________________________________________ ------ --. ------------ ----- --·------ -

------------ ------------ ------------ · ------------ ------------ ------------ -------·--------

-against the peace and dignity of the Commonweal th of Virginia.

And the, Attorney for the Commonwealt h aforesaid, who prosecutes as aforesaid, in the
name and by the authority aforesaid, and upon the complaint in writing aforesaid, further gives

Second
Count

•
the said Court to understand and be informed that said ----------------------- -----------on the __________ day of ------------ --------, in the year 192 __ , in the said --~--------- -- of
_____ :__ _____________ :_ __ , did unlawfully __________________________________________________ _
against the peace and dignity of the Commonweal th of Virginia.
And the Attorney for the Commonwealt h aforesaid, who prosecutes as aforesaid, in the
name and by the authority aforesaid, and upon the complaint in writing aforesaid, further gives

Third
Count

the said Court to understand and be informed t h at said ------------ ------------ -----------on the __________ day of ------ -- ------------ , in the year 192 __ , in the said ------------ -- of
------------ ------- -- -, did unlawfully --~--- _______ _____________________ against the peace
and dignity of _the Commonwealt h of Virginia.
'
-- - - - - - - - - - _ 1 _ --t- - - - - -- -- _ ,_ -- -- - - - - - - - - - - -- -

Attorney for the Commonwealt h.

VIRGINIA:- ____ Ci ty __ __ ____ of __H_~:rJ'_:l§.PD-.P_\!J'_g__ _________ , To-wit:
T his day

_J~•-_!_•__ !3_~~~-C:_~~--- ---

personally appeared before me I_:~!:!_~~_!l-~ _l~!.._L~~JiUS

no~ary_J)up_lic __ for the--~~~_! _______ of ----- ~!:.:'.~-~~~_5)-~~~-----, Virginia, and made
complaint and information on oath that __)2§._p.__.:.9_~;!._i_~:t;_e_r_: ______________ __, _________________ _
within twelve months prior to this date, to-wi-t on the __ _l_~~_l:!_ __ day of
in the _county ________ of _}3g.9_l~Jp_ 11-~ - __ :

_4PJ:!J._______ , 192-'3 3,

undistilled

orm, tub, f ermen~

and o-ther

substances capa e of being used in~

appliances con

man-

ufacture of arde t spirits;
5.-Unla!WfuU y possess ardent spirits.
Sworn to this -- ~_?-~)l___ day of -'"

.:r:u_______

~321..: l~

11,u,

~

�Commonwealth of Virginia
vs.

} l\USDEMEANOR

.n~-~ -~

-- (

' Information for Violation Prohibition Law.
1

Witnesses:

-=-~ - -

d ~ ~---.~bL..--------~~
~.0. -------.

--------

&amp;' () ,

tv

--~-~ ------------

·--------------------------------------- ,I
Filed-- ~------------------------- 192 __
____________________________ Clerk.
By ----------~--------- D. C.

•

�Commonwealth of Virginia,
Rockingham Countg, To- Wit:

surety, who _ i u s t i f i ~ a m e before me, -··· .

.............. .

. &amp;~......... . . . . .. . .· · · · · · \·· . . ~. . . . . .
(J. P. or Bail Commission er)

and acknowledged

a=~. . . . . . ..

,of the said County of Rockingham ,

the Commonweal th of Virginia each in the sum of
................................. ··········· Dollars,

o.·.~9.. . . . . . ),

&lt;$ .0 ... lJ...

to be levied of their respective goods and chattels, lands and tenements, for the ~se of the Commonwealth of Virginia rendered, and they each severa11y waved their homestead exemption to their recognizance; yel upon this condi~:
That if the said

..

.~

I

,

·

./4. e ~

...... shall personally appear before

the Circnit Court of Rockingham County, at the Courthouse of said County, on the ...... /

......... .,.day of the

~:~,r.:::,~~;·::: : •:i: ~b:~n:h: : ·:~::::::i:::=~~~:;;:;,~~:
Comr
hea rd, and before any court or judge hereafter having or holding any proceedings in connection with
the said charge, and then and there answer the

of Virginia concerning a certain

~~~...whereof the said...........................................d /.e...~ t a n d s

charged, and be bound under said recognizance until the charge is ~nally disposed of or until it is
declared void by order of a competent court, then the above recogniz:mce shall be null and void; otherwise to remain in full force and effect.

��.

o? ~~ , t ~

Com mon weal th of Virg inia City, County of,

to-wit:

To the Prohibition Inspecto rs, Sheriffs, Sergeants, and all Police Officers and
Constables of the State of Virg;inia
-Greeti ng:

W H E R EAS
ha s thi s day made compl aint and informat ion on oath before me, ...... .. ...... ... ....
.. ... ..~

.~
···· , ~
. . ..

Name of Mairistra te

k.Y. . . . .

Title

of t he said City / County that he verily believes, that in the said City / County
a nd St ate:
(a) Th at A rdent Spirits are being unlawful ly manufac tured, sold, kept, st ored,
possesse d, held, used and con-

dO .~~f
tJ~ . . . ~

cealed in a certain
by one ....... .

~.~ ... ... .. . .... ... .. . .. ... .. ... ..... .

kau.::·~~~ ~m.. ~" .. ""'"'' m•:'· . . . . ...... .. .. . . . . . ... . . ........
~

A·v. ~

~ / . . ,..~., ..

Give n am e, if n am e unkn own, say, " Whose n ame is t o th t" infortl1.ant unknown"

(h) A still, st ill cap, w orm , tubs, ferme rnters and other applianc es conn ected w
ith such still and u sed, and ma sh
and other subst ance s, capable of being used , in the manufac ture of A rdent Spirits,
are unlawful ly in the possession of, and unlawfull y used by one
111

a

certinJ~ ~;. L&lt;e&gt;"9'C4"'-

.J.J..~.. .M.L...~~ . . ... ........ . ............. .
Give name. if n ame unknown. say. " \ Vhose n ame is to the in fo rma!1t u nknown
"
~ -, ; : ~

· · · ·· ·· · ·· · ·· · ••·•··• ···•· ·· ' · ····
H ere describe place as in (a) above

~

I

···· ···· ······ ·· ··· ···· ·· ·· ··.. -·-····· ····· ··· ·· ·•

( c) A rdent Spirits a re being unlawfull y k ept, held , st ored, conceale d, used, sold,
and unlaw fully tran sported in
certain baggage or a certain vehicle, t o-w it : a certain
Here describe vehicle, a uto, wagon, carriage, bu ggy, boa t , baggage or what
not

by on e .... .... .. ...... ..... ............. ...... .. ...... ......... ........ .......... .... ..... ....... ....... .... .... .... .... ........ .... .. ....
..... ...... ..
Here i?ive n a me. or describe as in (a) abov ~

.. .. ...... .. ...... .. ...... ..... .... ...... .

A nd there being rea sonable cause fo r such belief :
T HESE A RE, THE R E F O R E, I N THE NAME OF THE CO M MON WEALT
H O F VIRGI N IA, to command you, w ith all necessar y and proper speed and assistanc e, to search the
house, place, baggage , boat or vehicle herein desig nated, either in day or night, and seize such ardent spirits and
th eir containe rs and other thing s
apparent ly possesse d or used i11 violation of law, and bring the same and the
person or persons, in whose possession they are found, and al so any person resisting , impeding , obstruct ing , or
in any m anner hinderin g or delaying you in the executio n of thi s warrant before me, or some other officer h aving
jurisdi ction of the case, to be
di sposed of and dealt w ith accordin g to law ; and make returtll of this warrant
show ing all acts and things done
thereund er, w ith a particula r statemen t and sufficien t descripti on of the things
seized and the name of the person

�DIRECTIONS
1. If only Ardent Spirits and containers be seized
the Magistrate shall fix a time not less than 10
nor more than 30 days from the date of return
for the hearing of said return. If no claimant appear, the Ardent Spirits and articles are to be forfeited to Commonwealth. Any person claiming
any of same must file a written claim stating particularly the _character and exten t of his interest
therein, whereupon the Magistrate shall certify the
warrant, written claim and articles claimed, to the
Ci rcuit or Corporation Court, as the case may be ,
for determination, and declare the unclaim ed articles forfeited.

2. If still, still cap, worm. tub s, h ea ter, ferm ent er s,

or any app liance connected w ith a still and u sed.
or mash o r other sub stance capable of being used,
in the manufacture of Ard ent Spirits, be seized ,
the mash (afte r taking sample) shall be destroyed,
and the facts and articles seized reported to the
prohibition Commissioner and Commonwealth's
Attorney. (A copy of this warrant and proper return will be a sufficient notice and report.) Ardent
Spirits and containers disposed of as in No . l
above.

WARRANT TO SEARCH FOR ARDENT
SPIRITS, ETC.

The following named officers and p,ersons assisted me in the execution of this warrant:

Commonwealth of Virginia

Exe~;;e wit~~ warra:1~··t~;~
of

: :Jj. ~ t ..

clay

J~~?,:J".. .,193..J. by searching the

Other than above stated the following are witn esses:

&lt;
/ ~-.
I-Ierc stat e house, room, place

within stated

.... ..

and by seizing th e following desc rib ed Ardent Spirits
and ot her thing s th er ein found (and arresting the
above name d perso n fo und in po ssession thereof) and
by pos ting a tru e co py of th is warran t and th e retu rn

This matt er set for hearin g on th e .... ............ .... day
of

herro n on the
Here say place, house, room, bo:l t,

auto or Baggage, o r a s case may be

. .....

, 193 ..

No claim of ownership or interest in any of the .
sa id things se ized having been filed herein in compliance with the law, the same are hereby adjudged
and declared confisca ted and for feit ed to the Commonwealth.

Description of Ardent Spirits and others thing s

Given under my ha nd thi s
of

..................... clay

.... ...... , 193 ..
Title of Mag istrate

3. If Ardent Spirits are being transported in an auto-

W ritten claim of owners hip or interest having
been filed to certain of the said things herein seized, this warrant, the said claim and the things in
the claim particularly de sc ribed, are hereby certified

mobile, boat, wagon, buggy, or other vehicle, the
Arde nt Spirits and containers shall be preserved
and the vehicle shall be delivered to the Sergeant
of the City, the facts reported to the Prohibition
Comm issioner and Commonwealth's Attorney and
Ardent Sp irits and containers dispo sed of as provided in No. 1 above. (A copy of this warran t a nd
prope r r eturn will be sufficie nt report.)

to the
............ .. ...... Court of this ..
for determination, and the said things unclaim ed are
hereby adjudged a nd declared confiscated and forfeited to the Co mmonwealth.
Given under my l,and thi s
of ..

4. A copy of this warrant and the return thereo n
must be posted at the fr o nt door of th e house, or
on th e door of the room, or on the premises at the
place the Ard ent Spirits may be found.

193 ..
Title of Magistrate

.

See S ections 21½, 22, 23, 23½ , 57 and 57½, Acts of
Assembly, i918, Page 578.

..... ......... .. .. ... ..... day

B

............... '/,~?.z~·~l f ~ .

. z:t:t . ...

day of

,

~;~~'~

NOTE.-Un less warrant issued for Ardent Spirits
bein g tran sported in vehicle, boat, o r baggage, it is
to be returned to the jurisdic tion from which issued.
If issued for A rd en t Spirits so transported, it can be
executed in any part of the State, and r et urned to a ny
justice in any county o r city through which they a r e
car ri ed .

�.R

I

1.I

19Pf_ /l/9 "-

COMMONWEAL TH
I',

v.

I

)

(Pro .}

M1s dr.

. DAN McALISTER

/?

I 11'tA,&lt;'(,..-,P

tf/1.'3/J 1

l
l

,
l

J

rf-

!it )

I

d

d

(po ss.)

�/

I

/

�</text>
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                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>1916-1933</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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                <text>Commonwealth v. Dan McAlister</text>
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            <description>An account of the resource</description>
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                <text>Misdemeanor; Guilty</text>
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                <text>posession of ardent spirits-four gallons of moonshine</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38247">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="38248">
                <text>1933</text>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38249">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
            <elementTextContainer>
              <elementText elementTextId="38250">
                <text>RcPr-box10-033</text>
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                <text>Rockingham County Circuit Court </text>
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                    <text>Commonwealth of Virginia ) To-wit:
City oiOC ~«lly Xof _Har rison .bur_ g _________ )
.

In the __Cix_ c\4-t _____ Cour t of the

9-~~~t __

of -----~p-~~_i_I!Sh~----·

BE IT REM EMB ERED That __ I)_._W_..E~:rl®..tl._____
, Attor ney for the Comm on1V17-e alth for
;
the sa:id ____ G..o.un..cy ____ of Roc.kingham.. __ ,
and who for the said Comm onwe alth prose cutes
in t his behal f, in his prope r perso n comes into t-h e
said Court on this the r.l.9tb .: ____ day 'of.J:.une
----- ----- --, in the year 19135, and upon the c ompl
aint in writin g, verifi ed by the oath of ___ _

----- ----- ----- ----- ----- ----- ----- -~-- ----- ----- -----

----- ----- ----- ----- ----- -,- ----- --

-again st t he peace and digni ty of the Coinmonwe alth
of Virgi nia . .
And the Atto

..._...

~

ey for the Comm onwe alth afore sa id, who
secut es as afore said, in the
name and by the autho ·ty aforesaid, and upon the
complaint in writI
afore said, furth er gives
the said Court to unde rsta d and be inform ed that
said __________ :__ ____ ----- ----- ~--- ----- I
on the __________ day of ___ ----- ----- ----- -,
in the year 192 __, in the sa· ______________ of
----- ----- ----- ----- --, - did u - ~

ully _________________________ ,__ . ----- ·---

a gai~s t the peace and digni ty of the C

~

--- : -- . ----- -

And t he Attor ney for t he Comm onwe a
afore said, who prose cutes
th e
name and by the autho rity afore said, and upon t R
comp laint in writi ng afore s1aid, furth er ives
the sa id Cour t to under stand and be inform ed that
s ·d ----- ----- ----- ----- ----- ----- ---- _
on the __________ day of _____ .:_ ______________ ,
in the y
192 __ , in the said ______________ o
----- - - ----- ----- - ----, did unlaw fully _________
_: _________ -&gt;..- ----- ----- ---ag ains t the peace
--ttltd digni ty of the Comm onwe alth of
Virgi nia.

--- --- --- ~.e ~• -«.,.__, -----------Attor ney for the Comm onwe alth.

VIRG INIA :-__ C_ity___________ of _Haxr.i.sonbur
g_ ___ ______ , To-w it:
This day

_J.a.s_ .. _JI .. _.lioic.e ______

perso nally appea red befor e mel'..aJili.n_~_M_LtJ!Q,JW
.S
_.No.tar¥--EubJ.1-C-- for the ____ gJ._~~----- u f --~~!
'!_~~_9_{!~~!)~------, Virgi nia, and made
~ - - - -c:c:O!IJ.PJa.lnt and info!_mation 9n oath jhat i_.__l.
,_.__JU1IJ._g1:2j;_~in____________ ...,______ ___________ _
w1thm~twe v mornm ritlr o t 1s
o-.w on e ____ _ __ ay O ___ - ----- ----,
·,
in the _L_.c_oun.ty_______ of ~-~~~l~_g_ham ____
•
arden t ·

still, still cap, worm , tui ferme nter, and other
nd mash and other bstan ces capa!ble of bein sed
in the man-

ent spirit s;

~lai wfu lly posse ss arden t spirit s.

Sworn to this ___ l_~~h~ day of _JJ:Ule________
.

- a -·
----- -~

19153_.

-;i;;_

'

----- --- ~

--

1}_

0 .

�Commonwealth of Virginia ) T
.
City olC~ffllyXof

•t·

)
_Harrisonbur_g_ _______ _ . O·Wl •

In the __Cix.c:µ:Lt _____ Court of the

9-~~P:~1 __

,-

of -----~_9-~!_r_i_I!gh~----·

BE IT REMEMBERED That __ p_._W_..E~:rma:n_____ , Attorney for the Commonw.ealth for
the said ____ C..o.un..ty-___ _ of Rockingham. __ , and who for the said Commonwealt h prosecutes
I

in this !behalf, in his proper perEon comes into the said Court on this the ,.l..9th. ____ day of...I.un.e
----------- - , in the year 19233, and upon the c omplaint in writing, verified by t h e oath of ___ _
pete

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�CHIEF JUSTICE,
PRESTON W. CA M PBE LL

JUSTICES ,
H ENR Y W. H O LT
LO U IS S . EPE S
EDWAR D W. HU D GIN S
HERBERT B . GR E GO RY
G EO R GE L. BRO WN I N G
J OS EPH W. CH INN

SUPR EME COUR T OF APPE ALS
H . H . WAYT,

OF VIRGI NIA

C LER K

STAUN TON

Novem ber 1 , 1933 .

Thi s is to certif y that upon the petit i on of E .
Kling stein,
one of the Justic es of the Suprem e Court of Appea ls ofL. Virgin
ia ,
has allowe d a writ of error and supers edea s to a judgm ent of th
Circu it Court of Rockin gham County pronou nc ed on the 17th ., day e of
July , 1933 , in the cause then t herein pendin g of Commo nwealth of
Virgin ia v . E . L. Kling stein , provid ed the petiti oner , or some
one for him , sha l l enter into bond in the said Clerk ' s Office ,
with good secur ity in the penalt y of Six Hundr ed Dolla
r s ( $ 600 . 00 ) ,
condit ioned as the law direc ts .
Teste ,

To the Clerk of the Circu it Court of Rockin gham County .

��.-

VIRGINIA:

f/n

CCtt:y

Ike

o/ f?/2,,cl,,mond

on

1N e dne s d ay.,tk 14th

E . L . Kl i ng stein,

day,

o/ March ,

1934 .

Plaint if f i n e rror

a g ain st
Commonw ealt h of Vi rg inia ,

Defenda nt in error .

Upon a wr i t of error and s u pe rs e deas to a j udg men t ren d ered b y the Ci r c uit Cour t o f Rock ingham
c oun t y on t h e 17th day o f J u l y , 1 93 3 .
This day carn.e as we ll the p la int i ff i n e r ror , by co unse l , a s t h e
At torney Ge ne r al on b e h alf of t h e Commonwe alth , a nd th e cour t h aving maturel
c ons ide r ed the t r anscript of t h e r e c or d o f t h e judgment afore sa i d a nd t h e
mot ion of the p laint i f f

i n err or

t o d is mi ss t h e pro secu t ion a g a i nst h i m, a nd

being of op i n ion t h a t t h ere s h ould b e n o convint ion in t h i s case , it is t he re fore ad judged a n d or d ered that t b e s a i d judgm e n t b e re ve rsed a n d a nnu l le d ,
t h e v e rdi ct of t he jury set a s i d e , a nd t h e cas e i s r ema nde d to the s a i d
circu i t

court with direc t ion

to d is miss t h e p rose c ution .

~hi ch i s ord ere d to b e f orth wi t h c e rti f i e d t o t h e said c i rc uit court.
A co p y ,

T este :
Cler k

{_

/

��To Honorable D.
Commonweal t h ' s

w.

Earman ,
ttorney for Rockingham County , s t at e of

Vi r ginia .

T E r OTICE :
That on the

day of July , 1933 , the

under signed will apply to t he Clerk of the Circuit Court
of Rock ingham Count y f or a transc r i p t of t he record in
t he case of Commonwealth v s . E. L. Uingstein f or t he
purp ose of su bmitting sa i d transcript to t he Supreme Court
of Appeals

with a petiti on for a wr it

of error

Court ren dered in sai d case

-

on the 17 th day of July , 1933 .
Dat e d t hi s ,2..1,/ day of

uly , 1933 .

�.,

�This is to certi fy t hat t he Attorney for t he
Commonwealth has had reasonable notice of t h e ti me and
place of the presentati on and signing of t h e

6 -

Certifica tes of Exc eption in this c ase as r equired by law .
Gi ven under my hand and s eal t h is ;1 b/J-r. day o f
July , 1933-.

��To the Honorable H.

w.

Bertram ,

Judge of the Circuit Court of Rocki ngham County , Virgi nia

. ,.~

i s to c er tify that I have had r easonab l e

noti c e; -f t h;~ ii.me and place t hat t h e Certifi c a t es of
Exception in t he case of .Commonwealth vs . E. L. Klingstein
shall be tendered and presented to you for your signature .
Given under my hand this

i2,6 day of July , 1933 .

��In the Name of the Commonwe alth of Virginia:
To the Sheriff of Rockingham County, Greeting:

You are hereby commanded to summon .... ... ... .... ... .. ........ .... .... .......... ..... .............

: : :::::: : :::::: : : ::::::::: :: : : ~ ~
to appear before the Judge of the C!.:J1t Court of
at 9 :30 o'clock., a. m., on the/J ~ ... . ...

to

t'.,ti:y•nd th, fruth to ,-:J. b!J,.of th,

who stands charge~

'.o~~i7a7: County, at the Court House thereof,
~·
19 ...~ .,-ff}-

~

:: :.

indicted for a ~misde-mea·ftor.

And this.... ..... .. ... ......... . .... .. . .. shall not omit under penalty of £100.
there this Writ.

,~.&lt;.

And haw then and

Witness, J. ROBERT SWITZER, Clerk of our s~~urt, at the Court House, the ..
day of .. ...
19 .&amp;., and in the 15 .~
ear of the Commonweal!h .

THE SE N.VICE PRESS, HARRISONBURG, VA,

/ £.~

~.... ,Clerk

.. . .... ... .. . ....
No. 457

��In the Name of the Commonwealth of Virginia:
You are hereby commanded to

;~J t,he Y!:Jtiff, of R°&lt;ikingham C
eeting:
summon ........ Q.~
. ;&gt;f.f..-...~....&amp; .... .-······· .... ~

~ /2 :e lf~; ' 2 7 ~ ~
~~ ·a .; (..~:: . . . ._···.·. . ...· · : ·:·:·:··:·:·::·: :.:::::: ·:

(1.;f ';;(~
-1

Court House thereof,
19

.ff~

who stands chargedJ :
ithI i d- indicted
·
for a f ~ misde.nieanor-.
And this .... .. .. . .

.

... ....... .. .shall not omit under penalty of £ 100.

And have then and
~

there this Writ.

~~% ~ WIT ~ , Clerk of our said C urt, at the Court House, the

d,y of

=;;r ,. t--:[,,.J

THE SERVI CE PRESS , HARRISONB URG, VA,

/ 'f1:_........

m th,"~ ~ . CIMk

No. 457

,

��SUPREME COURT OF APPEALS
RICH MONO , VIRGINI A

Clerk , Circuit Cour t of Rock ingham County
Harrisonbu r g , Virg inia

�-- -.._

___

�CERT IFI CATE NO. 1.
The f ollowing evidence on behalf of the Commomealth and on beha f
of the defendant, respectively, as hereinafter denoted, 1s all o
the evidence introduced on the trial of this case:-

IN THE CIRCUIT COURT OF ROCKINGHAM COUNTY, YIRGiliIA:

COMMONWEALTH OF VIRGINIA
v.

E. L. KLINGSTEIN

Before Honorable H.

w.

Bertram and a jury.

July ~7th, 1933.

Appearances:-

For the Connnonwealth: D. Wampler Earman, Esq.,

For the Defendant:

-

,

E. D. Ott, Esq.,

s. D. Timberlake, Jr., Esq.

�1.

�CERT IFICATE NO . 2 .

After the evidenc e of the Commonwealth was conclud ed,
t he d efendan t moved the Court to strike out said eviden ce upon
the f ollowin g ground s:
{l)

Becaus e it appear s that the bevera ge which the de
fendan t is charged with having in his posses sion does not contai
more than 3.Z per cent. alcoho l by weight , and a bevera ge which
contain s not more than such percen tage of alcoho l has been declared by Congre ss in the exerci se of its paramo unt author ity to
be non-in toxicat ing, and it is not compet ent, trerefo re, for the
State of Vir ~inia to d eclare such beverag e to be intoxic ating;
(2)

Becaus e the inclusi on of a beverag e such as was

found in the posses sion of the defend ant in this case, within the
defini tion of "arden t spir its" contain ed i n the prohib ition law
of this State, commo nif, known as "The Layman Act" and under whic
the inform ation 1n this case is filed, was improp er and illega l
sinc e the Congre ss has define d a beverag e of suc h charac ter and
alcoho lic conten t as non-in toxicat ing and no non-int oxicat ing
liquor can be proper ly classi fied and defined as ardent spirits ;
(3)

Becaus e the defend ant, as a citizen of the United
States , was lawful l y in pmsses sion of the liquor describ ed in th
inform ation in this case, and shown by the eviden ce to have been
rourd in his posses sion and, therefo re, cannot be punishe d for
having such bevera ge in his posses sion.

��{4)

Because trhe prohibition law, commonly known as

"The La-yman Act,• under which the information in this case was
filed is unconstitutio nal in that it contravenes the provisions
of the Constitution of the Unibed States an:i particularly Articl
6, the Fourteenth Amendment and the Eighteenth Amendment;
(5)

Because the prohibision law of tl:e State of Yir-

ginia, commonly called "The Layman Act" under which the inf'oraa-

tion in this case was filed, is unconstitutio nal end void, because it contravenes the provisions of the Constitution of the
state of Virginia in that the Act is broader than its title, a rrl
in that the fines prescribed by said Act are diverted from the
purpose to which the Constititon of the State of Virginia re quires them to be applied.
{6)

Because the evidence in this case fails to show

that the beverage found in the possess ion of tl:e defendant was
not legally acquired by him".

The Court denied this motion and the Defendant, there
upon, excepted.

��CERTI FICATE NO. 3o

At t:00 conclusion of all of the evidence 1n the case,
the defendant again moved the Court to strike out the evidence
of the Commonwealth upon the identical ground s stated in
connection with the motion to strike out the Commonwealth 's Evidence made when the Commonwealth rested its case, but the Court
overruled said motion aid the defendant thereupon excepted.

��CERTIFIC TE NO . 4

Duri n

the d.irect e,x amination of the defendant, t he following

question was asked him :
Foll owing the 9onver s a tion whi ch you had with the attorney t J
whom you have referred , did you discuss the question ofyou r desire to
have the beer with any other officials of the t own?
The Commonwealth ' s Attorney thereupon objected to any answer to
said question and the Court sustained the mbj ection and refus ed to
permit the witnes s to answer , t o which a ction of the Cour t t he defendant excepted upon the

rounds that the evidence is competent as s how-

in g or tending to show t he defend.ant ' s good f a ith and as to whethe r or
not his violation of t he law , if any was made , was intentional or inadvertent .
If the witness had been permitted to answer , he would have testified as follows :
TT

•

Yes , sir , with four members of the council .

Ye s , sir , I

t alked to four members of the counoil and. to ld them as the United States
had le galiz ed 3 . 2 beer t hat I did n ot see why the council d i d not ge t
together and L."e t some revenue out of it for t he Cit y.

We were discuss -

ing finances and automobile licenses and I told then I thought it w uld
be perfectly legal; that they could obtain this revenue by lic ensing
beer in Harrisonburg because t he United States had pas sed t he bill .
Q.
•
•

Who were the members of the eouncil?
[r .

Slater , Mr . Conrad, ]/Ir . Thomas and :Mr . Masters •

Do you know whether a:n.y of these members , f ollo wi ng t his

conversation , did take the ma tter up with the city attorney?
•

Yes , sir ,

[r .

Thomas wrot e the city attorney a let t er and a sk-

ed his opinion in regar d to the licensing of beer in Harrisonburg and
Mr . Thomas told me th e city att orney said that they would ha ve to talce
the matter up in c-ounc il meeting and the Mayor was not in fa vor of t aking the ma t ter up .

��Q/

Did all of this take place before you got the b er

from Mr. Soper?
A.

Yes, sir, You mean my conversation w 1th the cou c1J

l.

Yes, sir, before or after?

A.

A.ft er .

Q.

You g ot the beer .following your advi ce .from the

attorney to whom you have referred?
A.

Yes, sir.

�r

�- - - - -- - - - - - - - - - - - -- - - - - -- - - - - -

.

GERTIFIC .TE NO. 5 .

The following instructions , given at the re quest of the Commonwealth and the defendant , respectivel y , a s rereina fter denoted , a. re
all of t .he instructions gr anted on the tri al of the a: a se :-

I NSTRUCTION NO . 1 .
The jury are instruc t ed that if they believe from the evidence
i n this c a se tha t t he li qu i d c ommonly known a s b eer , c onsi s t ing of
34 bottles found in the kitchen in the restaurant of E . L . IO.ings te in , a n d 240 bottles found in the base ment u n der the :Ba rg ain Place
occ.upied by him , or in either place , e:ontained more than one-half
of on e per centu.m of al c ohol by volume , and that s a id be er was in
the po s session of said E . L. Klingstein , then you will find him
guilty.
The above instructi on given on behalf of the
Commonwealth was objected to by the defendant for t r, e re a sons
and upon the grounds given and. assigned in connection with the
moti on to strike out the evidence of the Commonwealt h and i ts
gi v ing was exce pted to by the defendant .

The foll owing ins t ruct ion was g-1 ven on behalf of
t he defendant.

INSTRUCTION NO .

Tf',A !T.

Th e C'ourt instructs the jury that even though they
ma y believe from the e v idence that the defendant had in his
po s session the be e r mentioned in the information filed in this
case and that said beer eontained more than one - ha lf of one per
c ent of alc ohol , yet if they furth er believe from the evidence
that the defendant did not intend to vi~l a te any of t he
provisions of the prohibiti on law , but that trere was an

��uninte nti onal or inadve rtent viol ation thereo f , then the
jury is instruc ted that they may, in their discre tion ,
omit the jail sentenc e, a nd punish the defend. ant simply
by assess ing a fine agains t him within the limits fixed
by statute .

Judge.

/

��Hilliard Boice - Direct

2

HILLIARD BOICE, a witness for the Connnonwe alth, being
first duly sworn, testified as follows: DIRECT EXAMINATION
By Mr. Earman:-

Q.

You are J. H. Boice, Chief of Police of the City

of Harrisonbu rg?

1933 - -

A.

Yes, s 1r.

Q.

State whether or not you searc

IM:::.,

on June 17th,

~ 1 0 c,C'&gt;,C: 44.!Cp:R1 .w&gt;dr C:ope,:,

of a search

warran~ s~aENl the restauran t of E. L. Kl i ngstein situated on
the east side of South Main Street in this City?
A.

Yes, sir.

Q.

Q.

State what, if anything, you fourrl when you made

that search in the way of ardent spirits?
A.

We found ten bottles

or beer

in the ice box and

there were twenty~fo ur bottles sitting right beside it and we
found ten cases in an adjoining room under the "Bargain Place".

Q.

Did the defendant state to you whose beer it was

A.

He was not there at the time.

Q.

Did he, later?

A.

Yes, sir, he called up about nine-thir ty that

Q.

What did he say?

A.

Said the beer was his and for us not to destroy

evening.

it.

�r ..

�Hilliard Boice - Direct

How did you gain entrance to the basement under

Q.

the "Bargain Stare" building?
We had a search warrant for it and we went in th

A.

back way and the ware room was locked and we took off tm hinges
and opened the door that way.

Q.

After this beer had been found -- was any one

A.

Mr. Fawley and Mr. Lawson were with me.

Q.

What did you do with the beer?

A.

Loaded it in a police car an:i took it to the jai

Q.

Where was it put in the jail?

with you?

A.

)

In a cell on the lower fioor.

Q.

Who was with you when it wasput in there?

A.

Mr. Early, Mr. Leake; the Sheriff was there and

Mr. Morrison.

Q.

Has any of that beer been removed, do you know?

A.

Two bottles were taken out to ttte State Chemist

at the State Teachers' qollege?

a.

Were you present when it was ranoved?

A.

No, sir, I sent Mr. Early to get it.

MR. TIMBERLAKE:

No cross examination.
WITNESS LEAVES THE STAND.

-o-

c.

R. FAWLEY, another witness for the Commonwealth, be-

ing first duly sworn, testified as follows:DIBECT EXAMINATION
By Mr. Earman:
Q.

You and Mr. Boice made this search of E. L.

3

��c.

R. Fawley - Direct

Klingstei n's Restauran t on June 17th?
A.

Yes, sir.

Q.

What dispositio n was made of the beer - - 1s it

true tlmt tm beer was found as Mr. Boice stated?
A.

Yes, sir.

Q.

What dispositio n was made of the beer?

A.

Moved it to the jail and locked it up in one of

the old death cells.

Q.

Who kept the key?

A.

I did.

Q.

Did you deliver to W.

c.

Early a few days ago two

bottles of that beer?
A.

Yes, sir.

Q.

I hand you two empty bottles labeled "Yuengling • s

Winner Beer" and will ask you

- - - -

MR. TIMBERLAKE:

In order to save time and preve

the unnecessa ry taking of evidence, it 1s stipulated that the two
bottles of beer which were analyzed were two bottles taken .from t
beer .foum in the possessio n

or

the defendant , one of said bottles

having been taken from um.er the adjoining building and the other

taken from the beer found in the restauran t.
By Mr. Earman: -

Q.

You delivered the bottles to Mr. Early?

A.

Yes, sir.

MR. TIMB:ERLAKE:

No cross examinati on.
WITNESS LEAVES THE STAND.

�-:

�Dr.H.

o.

Pickett - Direct

5

DR. H. G. PICKETT, another witness for the Commonwe alt

being first duly sworn, testified as follows:-

DIRECT EXAMINATION
By Mr. Earman:-

Q.

This is Dr. H. G. Pickett?

A.

Yes, sir.

Q.

What is your business?

A

Chemist at the State Teachers' College.

•

Q.

What training and experiem e have you had in

A.

Two degrees.

Q.

Did you ana.lyze two specimens of beer deliTered

chemistry?

to you by W. C. Early a few days ago?

When were they delivered

to you?

A.

About three o'clock on Thursday, July 13th.

Q.

What analysis of them did you make? .

A.

Quantitat ive determina tion of the ethyl alcohol

Q.

What did they show?

A.

Both bottles analyzed the same, 2.72- by we~ht

content.

correspon ding to 3.4% by volume.
Q.

Both bottles r•n the same?

A.

Exactly.

Q.

Did you make a very careful analysis of the bee ?

A.

With the - according to the official methods of

agribultu ral chemistry /
MR. TIMBERLAKE:

No cross examinatio n
WITNESS LEAVES THE ST.AND.

�,.

�c.

R. Fawley - Re-Called
E. L. Klingstein - Direct

C. R. FAWLEY, recalled:

By Mr. Earman:-

Q.

Mr. Fawley, the defendant's place of business is

in the City of Harrisonburg, Rockingham County, V1r ginia?

A.

Yes, sir.
WITNE S S LEA VES THE STAND.

AT THIS POINT THE COMMONWEALTH RESTED IN CHIEF.

~ % . ~fn~%MUXX~

lhlD

XU:U5~ KDI%:1Xp:J!%fx:tJl10ro

:tknh li:n.x»:&amp;icflXilbm:•x -

MR. TIMBERLAKE:

We desire to submit a motion t.o the Court:-

NOTE:

The following emo.t:Lone was heard out of the
presence of the jury:

MR. TIMBERLAKE:

we move the Court to strike out the evidence on

behal.f of the Commonvealth in this case upon the .following ground :
( 1)

Because it appears that the beverage which the defendant 1 s

charge d w 1th having in his possession d oes not contain more than
3.2 per cent alcohol by weight, am a beverage which contains not
more than such percentage of alcohol has been declared by Congres ,
in the exercise of its paramount authority, to b e non-intoxicati
and it is not competent, trerefore, .for the State of Virginia to
dec~are such beverage to be intoxicating;
(2)

Because the inclusion of a beverage such as was found in tm

possession of the defendant in this case, within the definition o
"ardent spiritstt contained in the p roh1b1tion law of this State,
commonly known as "The Layman Act" and urner which the informatio
in this case was filed, is improper and illegal sine e the Cong.res

,

��7

E. L. Klingst ein - Direct

has defined a beverage of such charact er and alcohol ic content as
non-into xicating , and no non-into xicating liquor can be properly
classifi ed and defined as ardent spirits;
(3)

Because the defenda nt, as a citizen of tm United ~tates, wa

lawfully in possessi on of the liquor describe d 1n the informa tion
in this case, and s hown by the evidence t o have been found in his
possessi on and, trerefor e, cannot be punished for having such
beverage in his possess ion.
(4)

Because the prohibi tion law, commonly known as nThe Layman

Act", u m. e r which the informa tion in this case wa s filed is unconstitu tional in that it contrave nes the prov lsions of the
Constitu tion of the United states and particu larly Article 5, the
Fourteen th Amendment and the Eightee nth Amendme nt;
(5)

Because the prohibi tion law or the State of Virginia , connnon

ly known as "The Layman Act", under which the informa tion in this
case was filed, is unconst itutiona l and void, because it contravenes the provisio ns of the Constitu tion of the State of Virginia
in th.at the Act is broader tha n i t s title, and in that the fines
prescrib ed by said Act are diverted from the purpose to which the
Constitu tion of the State of Virginia requires them to be applied
(6)

Because the evidence in this case fa i ls to shcm that the bev r-

age found in the possessi on of the defenda nt was not legally acquired by him.

I don't care to go into any exter:ded argumen t.

It is

fundame ntal and element ary that when Congress has the right to do
a thing, it is binding upon all states and the states must act
only within the congres sional legislat ion that has been applied

��e

E. L. Klingstein - D:irect

and we submit, therefore , that the State of Virginia has no right
to prescribe a penalty for the possessio n of a liquid - beer which the Congress of the United States in the exercise of the
authority conferred upon it by the Eighteent h .Amendment has now
said is non-intox icating and also which a citizen of the United
States can legally have in his possessio n.

It is no more compete t

for the State of Virginia to say that a liquid containing one-hal
of one per cent. is intoxicati ng than it would be that one contai ing four per cent. is not intozicati ng.

Does the State of Virgin a

undertake to say that a liquid - - if it should say that a liquid
containing four per cent. is not intoxicat i~, it would be met
at once by the fact that the limit is 3.2 per cent and so, for th
same reason, if the State of Virginia undertake s to class as arde t
spirits that which the Congress, in the exertise of its paramount
authority has said is non-intox icating, then the State must give
way to it :bmnediatel y.

A matter that is now un:ler considera tion

is that the Layman Act makes certain provision s for the application of fines which were directed to be turned over to the Liters y
Fund which has not been done and the state cannot legally levy a
fine dedicated to a certain purpose in this ease against this derendant charged with the violation of it inasmuch as a dedieatio n
of that fine is, ,mquestio nably, unconstit utional ;in that Act
it must do certain things which have not been done and this dedication •s likewise unconstit utional, null and void.
THE COURT:

The motion will be overruled .

MR. TIMBERLAKE: Note our exception .

��E. L. Klingstein - Direct

NOTE:

The fo l lowing evidence was t aken in the presence

or the jury.

The defendant , to maintain the issue on his pa rt , introduced the followin f" evidence: -

E. L. KLINGSTEIN, the defendant, called in his own beha f,
being first duly sworn, testified as fo llows:'.'"
DIRECT EXAMINATION
By Mr. Timberlake:-

Q.

This is Captain E. L. Klingstein?

A.

Yes, sir.

Q.

You are the defendant in this case?

A.

Yes, sir.

Q.

Where

A.

Harrisonburg .

Q.

How

A.

~or the past twelve years.

do

you live?

long have you lived here?
I was born here and

lived here for about ten years and then left.
Q.

What is your business?

A.

Restaurant.

Q.

You conduct the restaurant known as "Friddle's"?

A.

Yes,

Q.

Do

s 1r.

you have a license to sell soft drinks under

the laws of thi s sta t e?
A.

Yes,

Q.

Entitled to keep, store and sell soft drinks?

A.

Yes, sir.

Q.

I mean non-intoxica ting drinks?

A.

Yes, sir.

Q.

You we r e in the army?

A.

I served in France eighteen months.

s 1r.

��E. L. Klingstein - Direct

Q.

10

Get promoted overseas?

A.

Yes, sir.

Q.

What command?

A.

Eighty-ninth Division.

Q.

Wounded in service?

A.

Yes, sir.

Q.

Receive any citations for gallantry?
MR. EJtRMAN :

Object to that •

THE COURT:

Objection sustained.

MR. TIMBERLAKE:

We except upon the grounds that

the jury 1s ent1 tled to know the defendant and know bis oc cupat io
and enviromnent and other facts ae connected with his life; and
upon the further ground that the matter which is sought to be inquired into in connection with his service record is particularly
important upon the question of his good faith and intention in
having in his possession the beer mentioned in the information.

By Mr. Timberlake:
Q.

Do you hold any official position with the World

War veterans?
A.

I am State service Off"icer in this section

Q.

Do you hold any position with the Alrerican Legio

A.

Department Sergeant-at-Arms, Grand Chef de Guerr

Forty-and-Eight; Past Commander of the Veterans of Foreign Wars
and Past Commander, American Legion, Sta t e of Virginia.
Q.

It has been testified here that this beer was

found in your possession.
A.

Yes, sir.

Is that correct?

?

�•

,.

�E. L. Kling ~tein - Direc t

Q.

1

Please tell the Court and jury how you happen ed

to have that beer?
A.

We happe ned to have it becaus e a man came throu

here two or three month s ago and asked if we wanted any beer
I told him I did not believ e I wante d any at that time.

am

think at that time that I could use it and then I talked to aver
promi nent attorn ey here and he told me that, in his opinio n, it
was legali zed to have it in your posse ssion at any point in the
Unite d States and the law was passed by Congr ess and having been
in the servic e, I thoug ht that the laws of the Unite d States were
suprem e, and believ ing them and knowin g that it was going on in
differ ent parts of the count ry and lookin g at the newsp apers and
seeing the pictur es of unload ing beer and having beer. I then
immed iately looked into the matte r a:m.d saw that it was being had
at differ ent places in the valley and all over the state and then
this man asked me if I knew of any one who would handle it and
I told him I thoug ht I would take some and he left fifty cases
over in the basem ent next door which was next door to me - to my
place of busin ess and which I don't own and don't rent and don•t
have anyth ing to do with and then variou s people came am got so
of it and I got mine in there and when he came beck in a week or
ten days - he does quite a busin ess throug h the state am he woul
collec t for it.

The thirty -four or thirty seven bottle s in my

ice box was Englis h beer am some of it was near beer and the
other beer was my own. This man does busin ess in Penns ylvani a
and runs a truck throug h here sellin g beer.

I was advise d by th1

fttorn ey that in his opinio n it was perfe ctly legal to sell it or
to have it in my posse ssion.

��E. L. K11ngste1n - Direct

Q.

12

State to the jury, whether or not you had the

talk with this attorney before you got the beer?
A.
and he

Yes, sir, bef'ore I got the beer I talked to him

old me that 1n his opinion it was legal; that he had the

dupe that he thought it was all right to sell the beer and have
it in my possession.
Q.

A.
Q.

What was the man• s name that you speak ot?
Soper.
As I understand you, the man by the name of Sope

from Penns ylvania was trucking beer in here?
A.

Yes, sir.

Q.

Making deliveries of beer here?

A.

Yes, sir .

Q.

He stored this beer in thebasement of the build-

ing adjoining. ·

A.

Yes, sir.

Q.

Upon the understanding that any

or

his customers

could come there and get it and he made settlement when he came
back the next time?
A.

Yes, sir.

Q.

The beer that was found in your ice box was some

that you had gotten from that basement?
A.

Yes, sir.

Q.

Did you own the other beer in the basement?

A.

No, sir.

��E. L. Kling stein - Direc t

Q.

Follo wing the conv ersat ion which you had with
the attor ney to whom you refer red, did vc,u discu ss the quest
ion
of your desir e to have the beer with any other offic ials of
the
town?

A.

Yes, sir, with four members of the couns el.

MR. EARMAN:

I objec t to that, if your Hono r pleas e.

THE COURT:

Objec tion susta ined.

At this point , couns el and the witne ss retir ed
to the Judge • s chamb er in order that this evide me may be put
in
NOTE:

on the above quest ion befor e the Cour t.
IN CHAMBERS

A.

Yes, sir, I talke d to four members of the council and told them that as the Unite d State s had legal ized 3.2
beer that I did not see why the coun cil did no.t get toget her
and
get some reven ue out of it for the City. We were discu ssing
finan ces and autom obile licen ses and I told thEll1 I thoug ht it
would be perfe ctly legal ; that they could obtai n this reven ue
by
licen sing beer in Harri sonbu rg becau se the Unite d State s had
passe d the bill.
Q.

Who were the members of the coun cil?

A.

Mr. Slate r, Mr. Conra d, Mr. Thomas and Mr•

Mast ers.
Q.

Do you know wheth er any of these memb ers, follo ing this conv ersat ion, did take the matte r up with the city
attorn ey?
A.

Yes, sir, Mr. Thomas wrote tm city attor ney a
lette r and asked his opini on in regar d to the licen sing of beer
in Harri sonbu rg and Mr. Thomas told me the city attor ney said

13

��E. L. Klingstein - Direct

14

that they would have to take the matter up in council meeting and
the Mayor was not in favor of taking the matter up.
Q.

Did all of this take place before you got tb3 be r

from Mr. Soper?
You mean my conversation with the

A.

Yes, sir.

Q.

Yes, sir, before or after?

A.

Atter.

Q.

You got the beer following your advice from the

council ?

attorney to whom you have referred?
A.

Yes, sir.

MR. TIMBERLAKE:

We submit that is competent on the

question of good faith.
THE COURT:

The objection is still sustained.

MR. TIMBERLAKE:

We except to the ~etion of the Court i

excluding this evidence for the reason that the evidence is compe
tent as showing or tending to show the defendant's good faith arrl
as to whether or not his violation of the la*, if any was made,
was intentional or inadvertent.
NOTE:

The following evidence was taken in the presence

of the jury.
Q.

As a result of the advice that you had received,

did you honestly entertain the belief that you had a right to
have in your possession this beer?
A.

Yes, sir.

I believed that the law of the land

was supreme in everything, that the United States laws were tb3
supreme laws of the land.

��E. L. Klingstein - Cr.oss t.
Re-Direct

16

CROSS EXAMINATION
By Mr. Earman:Q.

Who was the attorney?

A.

Mr. John T. Harris.

Q.

You say that was before you had possession of

any of the beer that was found on June 17th

A.

I had several conversation s with Mr. Harris, a

couple before and four or five or ten after that time

RE-DIBECT EXAMINATION
By Mr. Timberlake:
Q.

Did you apply to the Attorney for the Commonweal h

who is prosecuting this case as to - did you talk to him about
the advice you had gotten?
A.

I asked him what he thought a bout the matter and

he said he didn't know.
Q.

You did tell him about the advice you received?

A.

Yes, sir.
WITNESS LEAVES THE STAND.
DEFENDANT RESTED IN CHIEF.

MR. TIMBERLAKE:

The defendant at the end of tm testimony renews

the motion to strike out the evidence in this case upon the same
grounds as those stated in connection with the motion made at

the conclusion of the Commonwealth• s evidence.
THE COURT:

Which motion the Court overrules.

MR. TIMBERLAKE

Exception.

TESTE:

This _zt, day of

~

{/

1933.

0/;1»f1

-~
-.~

JUDGE.

��-,

I NSTRUCTION NO.

•

The Cou rt inst ructs t he jury tha t even
thoug h t hey

y- be i eve from the evide nce t hat

t he

defen d.ant had i n his posse ssion t he beer menti oned.
in the infor matio n filed in this car-se and t h t said
beer conta ine d mor e than one - h al f of one per cent of
alco hol , yet if t h e y furth er belie ve from the evide nce
th a t t h e defen da nt did not inten d to viola te a:ny of
the provi sions of t h e proh ibitio n law, but th at there
was an unint entio nal or inadv erten t viol a tion t h ereof ,
t hen the jury i i instr ucted t h at they may , in their
discr etion , omit t h e jail sente nce , and punis h the
defen d.ant simpl y by asses sing a fi ne agt:. i n st hi m wit hi n
the limit s fixed by statu t e e
'

1

�'

�I NSTRUCTION NO. /
--The jury are instruc ted that i f they bel i eve from t he evi dence in t his cas e t ha t the liquid common ly known as beer, cons isting
of 34 b ottles

found i n the kitchen in the restau ran t of E. L. Kling-

stein, and 240 bottle s found in the baseme nt under the Bargain Store,
occup ied by him, or i n either pla c e, contain ed more than one-ha lf of
one ) er centum of alcoho l by volume , an d that said beer was in the
po s session of sa id • L. lingste in, then you will find him guilty .

���/;

II

I

�</text>
                  </elementText>
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
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                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>1916-1933</text>
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                  <text>Pro001</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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              <elementText elementTextId="38229">
                <text>Commonwealth v. E.L. Klingstein</text>
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                <text>Misdemeanor possession of 277, 12-ounce bottles of beer (ardent spirits), said beer containing 3.2 alcohol by weight.</text>
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                <text>Supreme Court of Appeals of Virginia</text>
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38235">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="38236">
                <text>1933</text>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38237">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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            <name>Identifier</name>
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                <text>RcPr-box10-032</text>
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                <text>Rockingham County Circuit Court </text>
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                    <text>Commonwealth of Virginia ) T _ •t·
City .or Co•unty of Ha rrisonbu rg_ _________ )

O WI •

In the Qj._:z:: g~:...:h~----- -- Court of the __ CQu n ty of ___ Roe kin_g ham -----·
BE IT REMEMBE RED That J?_ .!._ J{.!. __~tg i:_Q._c!_l} ____ , Attorney for the Commonwe alth for
the said __ .Q..Ounty______ of futc. kin gJJfilD.... __ , and who for the said Commonwe alth prosecutes

First
Count

in .this b ehalf, in his proper person comes into t h e said Court on this the :- 17t h ___ day ·of_ ____ _
__ .Ap;r_i_l_ __ , in the year 19§&gt;_~, and upon -the c omplaint in writing, verified by the oath of ___ _
- ~V_·-- ~-"-- ~-8-~!'.?_~~--- ---, a competent witness, gives· the sa·i d Co urt here to understand and be
informed that __ !_t9_12_~T_~_l_q~~]2_:g__________ __ , on the __ ?_t_:g_____ day ofi Februar; [_______ ,
in the year 19~~. in the said_-:.__c_ql]..I!_~y__ of -- -~Q.9_~ t A fl?_Ig ___ _, did unlawfully _________ _
! ~-_f !:).__l_~t-~ _p .9_~ ~_e_~ ~ _i_~:g.__c!_ _§_t~ 1-J.L __s_t t ).._t __C_@ _.__ ~XIIJ._, __t :µ_p_ 1. __f_ ~.!'IllE2P._t_El!'J_ - ~ _n d

9"_~

other app l i an ce s c o
s t i ll ,
---------- ---------- ----- nn -ec ted with a- ------------------- ---------- ---~------·- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----------·- -------against the peace and dignity of the Commonwe alth of Virginia.

And the Attorney for the Commonwe alth aforesaid, who prosecutes as aforesaid, in the
name and by the authority aforesaid, and upon the complaint in writing aforesaid, further gives
Second
Count

the said Court to understand and 1be informed that said ---------- ---------- ---------- -----on the ---------:-- day of ---------- ---------- , in the year 192 __ , in the said ______________ of
---------- ---------- --, did unlawfully
--

·----~---- ---------- ---------- ----·- ---------- ---------- ---------- --~- -----------------

against the peace and dignity of the Commonwe alth of Virginia.

And the Attorney for the Commonwe alth aforesaid, who prosecutes as aforesaid, in the
name and by the authority aforesaid, and upon the complaint in writing afores aid, further gives
1

Third
Count

the said Court to understand and be informed that said ---------- ---------- ---------- -----on the __________ day of ---------- ---------- , in the year 192 __ , in the said ______________ of
---------- ---------- --, did unlawfully ______ ------'---- ----------- -------- against the peace
and dignity of -t he Commonwe alth of Virginia.

---------- -~

---------- -----.

Attorney for the iC ommonwea lth.
VIRGINIA :-___ City _________ of _R_~ffj._~9D-~-~:rg_ .:_ ________ , To-wit:
This day W•- T •__ Rexrod e ____ ,__ personally appeared before me ::P§.~11~~- AilQ.JA§ a
p~t ary _publ ic __ for the __c_i j;~------- of ______ iarx.iso..n l.l-l!g--, Virginia, and made
complaint and information on oath that __EQPJ~.r_t__ J_o_Qe;p.h ______________ __, _________________ _
within twelve months prior to this date, to-wit on the __ _?_~b-____ day of __ llf~Q L1J.1'aT Y- -, 19333,
in the -~9.!-tQ.1;y _________ of ~~~-~~~g;-~~~-~- -- : .
1.

Ma;n'l:lfaet1:1Ped 1:1Hdistilled at dent g,phi ts,

2

Sold ardent spirits ,

3

Tnansport8d arde:rrt spirits ;.4 __,Qwned and had in
possession a still, still cap, worm, tub, fermenter, and other
appliances connected with a still, -and mash and other substances capable of being used in the man-

L __

ufacture of ardent spirits;

-a. UnlaJwfully possess at drnt spirits
Sworn to this __Uj;JJ ___ day of -- i;,t il ______ --------, 1!J!l;L

.

~

~-v~ -~ ·---------------------

�~

Commonwealth of Virginia
vs.

} MISDEMEANOR

1

Robert J oseph

~------------------------ ------------Information for Violation Prohibition Law.
Witnesses:

W. T • Rexrod e

Filed--- - -- - --------------------- 192 __
____________________________ Clerk.

By ----------~--------- D. C.

I
..

�Commonwealth of Virginia-~ounty of,

~ to-wit:

To the Prohibition Inspectors, Sheriffs, Sergeants, and all Police Officers and Constables of the State of Virginia
-Greeting:

WHEREAS .... ... .. ..... ..

fu . .......%..·. . . ~ . . . . ......................... .......... . of the

ha s thi s day made complaint and information on oath before me, .. ..

said

-g~~nt;

4.. ... ... C:. . . .O~... ?. ..Cl.,. .

Name of Mairistrate

~

tie

of the said City /County that he verily believes, that in the said City /County and State:
(a) That Ardent Spirits are being unlawfully manufactured, so ld, kept, stored, possessed, held, used and concea led in a certain

by o ne

/ci; ; ; ,;

1

; ;~; ;;;;;;;: ;;;: ;,;;;~

~

.

~

; ;;

;;,o;;,;;; ;;;.;;;;;;;;

. .

. .

(b) A still , still cap, worm, tub s, fermenrt:ers and other appliances connected with such still and used, and mash
and other sub st a nces, capable of being used , in the manufacture of Ardent Spirits, are unlawfully in the pos-

Give name, if nam

in a wtin ~

. ;;;;; ;;,;;;;;

;i;;; ;,';;

nknown, say,

hose name is to the inforn1a

~ ~ y= ... Y - ~

( c) Ardent Spirits are bein g unlawfully kept, held, stored, conceal ed, used, sold, and unlawfully transported in
certain baggage or a certain vehicle, to-wit: a certain
Here &lt;lescribe vehicJe, auto, wagon, carriage, buggy, boat~ baggage or what not

by one
Here sdve name, or describe as in (a) ahov~

And th ere being reasonable cause for such belief:
0

TH ESE ARE, THEREFORE, IN THE NAME OF THE COMMONWEALTH OF VIRGINIA , to command you, w it h all necessary and proper speed and assistance, to search the house, place, baggage, boat or vehicle herein designated, either in day or night, and seize such ardent spirits and their containers and other things
apparently possessed or u sed .in violation of law, and bring the same and the person or persons, in whose possession they are found, and also any person resisting, impeding, obstructing, or in any manner hindering or delaying you in the execution of this warrant before me, or some other officer having jurisdiction of the case, to be
di sposed of and dealt with according to law; and make return of this warrant showing all acts and things done
thereunder, with a particular statement and sufficient description of the things seized and the name of the person
in who se possession found, if any, and if not found in the possession of any one, so state in your return, and post a
true copy of thi s warrant and the return thereof, as requ·l'~Y law.
• Given under my hand and seal this

f.. . .~

.day of .... .. :~

193.~ .. .

························,Ll..···•··.l'i&gt;_., ........~ ...... (SEAL)
Magistrate

�)
DIRECTIONS
1. If on ly Ard ent Spirits and containers be seized
the Magistrate shall fix a time not less than 10
nor more than 30 clays from th e date of return
for the hearin g of said return . If no claimant appear, the Ard ent Spirits and articles are to be for feit ed to Commonwealth. Any person claiming
any o f same must file a written claim stating pa rticularly the character and extent of his interest
th erein , whereup on the Magistra te shall certify th e
warrant, written claim and articles claimed, to th e
Circuit or Corporation Court, as the case may b e,
fo r determination, and declare the unclaimed articl es for feited.

2. If still , sti ll cap, worm , tub s, hea ter, ferrnenter s.
o r any app lia nce connected with a still and used.
or mash or other sub stance capable o f bein g used,
in th e manufacture of Ardent Spirits, be seized.
the mas h (after takin g sample ) shall be des troy ed,
a nd th e facts and a rticl es seized reported to th e
prohibition Commissione r and Commo nwea lth 's
Attorn ey. (A copy of this warrant and proper r eturn w ill be a sufficient notice and report.) Ardent
S pirit s a nd containers disposed of as in N o. l
above.

WARRANT TO SEARCH FOR ARDENT
SPIRITS, ETC.

The following named officers and persons assisted me in the execution of this warrant:

Co mm onwealth of Virginia

..._

Exe ~):iit·l~in· ·; arrant .. ~hi ~.
of

;/r~z;J . . ;r.:) . . ..

wi thin stated

r./~H ere

r...~· .

day

Other than above sta ted the following are witnesses :

. ,19J~ by searching the

s tate h ouse, roo m , place

.

and by seizi ng th e fo llow in g desc rib ed Ardent Sp iri t;.
a nd o th er thi ngs th erein found (and arresting th e
above named person found in possession th ereof) and
by postin g a tru e copy o f thi s wa rrant a nd th e return

T hi s matter set fo r hearing o n th e

....day

of

hereo n o n th e
H ere sa y place, house, r oom , boat ,

.... . ....................................
au to or Baggage, or as case m ay be
a s front rloor o-f · house. ~ioor of roo m or p;emises

No claim of owne rship or interes t in any of the
sa id things seized having been filed herein in complia nce with th e law, t h e same are hereby adjudged
and declared con fi sca ted and forfeited to the Commonwea lth .

D escripti on of Ard ent Spirits a n d oth ers th ings

Given und er my ha nd thi s
of .. ... .. ....... .

...... .. day

193
······••··· ··· ···· ··
T itle of l\1agistrate

3. If Ardent Spirits a re being tran spo rted in an autom obile, boat, wagon, buggy, or other veh icl e, th e
Ardent Spirits and contain ers shall b e preserved
and th e vehicl e shall be delivered to th e Sergeant
of th e City, the facts reported to the Prohibition
Commissioner and Co mmonw ealth 's Attorney a n d
Ard ent Spirits and containers di sposed of ai prov ided in No. 1 above. (A copy of thi s wa rra nt and
proper ret urn wi ll be sufficient r eport.)

\ ;\,I ritten cla im of ownership or interest ha vi ng
bee n fi led to certain of the said th ings herein seized, this w a rrant, the said claim and th e things in
th e claim particula rly de scrib ed, are h ereby certified

to the
.. ... ....
.. Court of this ..... .
fo r determin a tion, and the said thin gs unclaimed a re
hereby adj udged and declared confiscated a n d fo rfeited to the Com mo nwealth.
Given und er my hand thi s
o f..

4. A cop y of thi s warrant and t h e return th ereo n
mu st be po st ed a t the front door of the h o use, or
o n th e door of the roo m, or o n th e p remises at th e
p lace the Ardent Spirits may be found.
S ee S ec tions 21½, 22, 23, 23½, 57 a nd 57½, Acts of
A sse mbly, 1918, Page 578.

............... ...day

.. , 193
.... ···- ········ ···
Ti tle of l\1 agistrate

N OTE.-Unless wa rrant iss ued for A rd en t Spirits
b ein g t ran spo rt ed in vehicle, boat, or baggage, lt is
to be return ed to the jurisdiction from which iss ued.
Ii iss ued for A rde nt Spirits so tra n sported, it can b e
execu t ed in any part of th e State, a nd r eturned to any
ju stice in any co unty or city throug h w hich th ey are
car ri ed.

�Commonwealth of Virginia,
Rockingham Countg, To- Wit:

......£:.

BE IT R

.&lt;f~. .
surety, who jus
.~

a~
.. ........

.. .. .

~

before me, _. .

. ............... ......~

(J . P. or Bail Commissione r)

~

~

c'Ei.. . . . . . . . . . ..

..day of... ....

19.~

...
·....... , of the said County of Rockingham,

ledged themselves to be indebted to the Commonweal th of Virginia each in the sum of

../~ ~··~··· ~ ~

. . .f ~

.·.

.. . ... . .

Dollars, ($.~

~

~..~ .~ ············· ),

to be levied of their respective goods and chattels, lands and tenements, for the ase of the Commonwealth of Virginia rendered, and th ey each severally waved their homestead exemption to their recognizance; yel upon this c~
That if the

n:

saidVJ.t.-.:•.----- L....,,

the Cimiit Court of Rockingham County, a

~

f_/f/1:'_;J_ __ Term

... ....

.......

.

he Courthouse o~

shall persona1ly appear before

C:nty, on the ____ / ~

y of the

thereof, being the ____ ,:!:Q_ _ day of ______ __ _

19 ~ at such other time or times to which the proceedings may be continued or further
hea rd, and before any court or judge hereafter having or holding any proceedings in connection with
the said charge, and then and there answer the Commonweal th of Virgini

charged, and be bound under said recognizance until the charge is fin

disposed of or until it is

declared void by order of a competent court, then the above recognizance shall be null and void; otherwise to remain in full force and effect.
IN WITNESS WHEREOF , I

··········· ~

. -:de

hereunto affix my signature this .........~.......... day of... .................................... .

·········· ···· · ···· · ·•· ····· ......., 19;£-z;

i

.'

, ..

�,,

.'

},\ ,, ft... l

r

··.;.

•. . ,
"

�/"

CCMMONWEALTH

)

V.

Misdr .

(Pro.)

ROBERT JOSEH I
~

~~

I

/ /4,,,(,,4

t//1_;/J~

I
I

i

f- .6' tl,

V (..)

�/

I

�</text>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
                </elementText>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="10957">
                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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              <name>Publisher</name>
              <description>An entity responsible for making the resource available</description>
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                <elementText elementTextId="38292">
                  <text>Rockingham County Circuit Courthouse</text>
                </elementText>
              </elementTextContainer>
            </element>
            <element elementId="49">
              <name>Subject</name>
              <description>The topic of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="58023">
                  <text>Prohibition--History</text>
                </elementText>
                <elementText elementTextId="58024">
                  <text>Prohibition--Government policy--United States</text>
                </elementText>
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                  <text>Prohibition--Virginia--History</text>
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                  <text>Rockingham County (Va.)--History</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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~!1:1:!:~:~!!!~i-~~~J!~!~~~~ ~ To-wit:
In the .9_~!'~_1.!_ ! _:!;_______ Court of thec~)U n ty ___ of _____ Ro eking h a m ---·
D. W. Earman
.
BE IT REMEMBERED That ---------- ----------, Attorney for the Commonwealth for
the sa:i·d ---------------c oun tv
of -------Rocki n.()'ha
m
.c.
th e sa1'd c·ommonweaIth prosecu· t e.,~
= ------,
an d w h o .LOr

First
Count

in this behalf, in his proper per.:mn comes into the said Court on this th~ ,_ l 7th ___ day of _____ _
--~~!'-~! ____ , in the year 19~Q, and upon the complaint in writing, verified by the oath of ___ _
T'/ . T . Rexrod e
·
th e sa1·d court h ere to understand and be
-----------------------, .a compe t en t w1·tness, gives
infor med that - ~n_:ry__,IQ~_IJ.§.9_!]. _____________ , on the -~Q, ______ day of, _F_e bruary ____ __,
in the year 193'.3., in the said __Q.Q11At y ___ of -- _9_c__ j.__g __ _P.! _____ , did unlawfully _________ _
--~~-1::~__! :Q · h is__ p o s ses s ion _ a _s,t i l l 1._ sti l l _ cap ,_ worm , __tu b , _ Z~!'~~~J-~:r_: 1 _ _
-~ !_1_9._ _9j;_h ?r a DAl ia n c es _ c o n nec ted _ w 1 th _ a _s t ill ,__ a nd_ 4 0_ g_a ll o g§__gf_____ _
-~ ~-s-~r%~ ~t o~ ~ f~tt~~ st a nc e s _c,a pab l e _ of b eing _ us ed_ in _t h e . rnan~_:r§'9_~1!!'_~
,against the peace and dignity of the Commonwealth of Virginia.
And the Attorney for the Commonwealth aforesaid, w'ho prosecutes as aforesaid, in the
name and by the authority aforesaid, and upon the complaint in writing aforesaid, further gives

Second
Count

the said Court to understand and 1be informed that said ------------------------ -----------'
on the __________ day of ----.----------------, in the year 192 __ , in the said _________
.:_ ____ of
____________________ , -, did unlawfully _______________________________ -·-- _______________ _

------------------------ ------------·- ------------------------ ---------·-------- ·--------against the peace and dignity of the Commomve alth of Virginia.
And the Att orney for the Commonwealth- aforesaid, who prose£utes as aforesaid, in the
name and by the authority aforesaid, and upon the complaint in writing afores aid, further gives
1

Third
Count

the said Court to understand and be informed th at said ------------------------ -----------on the __________ day of ------------~-------, in the year 192_,.., in the said ______________ of
----------------------, did unlawfully ______ ------------------------- ---against the peace
and dignity of ,t he Commonwealth ·of Virginia.

~~u~
__________g.r_f(C~
-- - Attorney for the Commonwealth.

VIRGINIA:--- City __________ of _tr§._r:.!'_i_~grlQAJ;:g__________ , To-wit:
This day _J_•__ T~--~~-~!'.?_4.~------ personally appeared before me _:P.?-11.'.;U._llf,L l~t. ___I} (bI'US
n ot ary __ u b l ic ___ for the -~ i t y _______ of __ Har r i s o n bur:_g ______ , Virginia, and made
complaint and information on oath that __I!~!.lF_:l_.:-"C~~~QA ______________ _, ______________ ~--. · twelve
.
, · to ' th·1s dt
· ;t on .th e ---------2d
da! of ---------F ebru a ry ---,
· 19~3
w1thm
months pr10r
a e, t o-w,.
..- ,
in the __ coun t y ----~--- of

--~~~~!!1

~ P! - _._:

1.-Manufactured undistilled ardent ·s pirits;
2.-Sold ardent spirits;
3.-Transported ardent spirits;
, .

4,--;Qwned a:nd had in ________ possession a still, still cap, worm, ,tub, fermenter, and other

appliances connected with a still, and ma·s h and other substances capa!ble of being ul!ed in the manufacture of ardent spirits;
5.-Unlaiwfully possess ardent spirits.
11th
day Of --.A- p_____
ri'\·.__,_
, ..-~·-:-- --------, 19~3
Sworn to t·h·1s ---------- ~·
J,
)

/.'

/J . fl

·.__( } ~ _nu_'.__~

_

�~

Commonwealth of Virginia
1

vs.

} MISDEMEANOR

. Henri_ .John son ____________________ _
Information for Violation Prohibition Law.
Witnesses:

J

V. T. Rexro d e
----~-----------------·----------------

- G. A .__ Law&amp;Q

•
----------------------·----------------

Filed---------- ----------------- - 192 __
___ ________________ _________ Clerk.
By ----------~----- ---- D. C.

I
I
·

�Co mm onw eal th of Vir gin ia-C ity, County of, ~ ~ to-w
it:
To the Prohibition Inspec tors, Sheriffs, Sergeants, and
all Police Officers and Constables of the State of Virgin
ia
-Gree ting:

:w... . . .JJ;.tz~ .·· ~-·· · .... . . .... . . ..... ..

W H E REAS . ..... .

~

... ..... .. ... .. ... ... ..of the

ha s this day made compl aint and inforlt nation on oath
before me, ... .... t. . .. ("iJ_.../

.d

Sal

City
County

..,..t:..

~ :.,

Name of M airis trate

Title

of the said City /Coun ty that he verily believ es, that in
the said City / Count y and State:
(a) That A rd ent Spirit s are being unlaw fully manuf
acture d, sold, kept, stored , posses sed, held, used and
concealed in a certai n ... .. ~
.
.. ... ~
:r ····.. ·... .. .. ..... ..... .. ... .. ... .. ..
Here

.

L

~

.

cribe the place, house. room or boat, as the case may
be

by one .. .. ... .. .. .. ···~····· . ~

Gi;;·;;,, / ; ~ ,;;;;;;; ·~··;;; ~;:,;;;;;; ;,;.;;;;;::········ ·····························

(b) A still, still cap, wo rm, tub s, fermen rters and other applia
nces conne cted with such still and used, and mash
and other sub st a nces, capabl e of being u sed . in the manuf
acture of Arden t Spirit s, are unlaw fully in the pos-

,.

sessio n of, and unlaw full y u sed by one . .~

.~

..... ...... .. ..r.:-:-:".~

Gi ve name. if n a1

.~

...... .. ....... ..... ... ... ...........

unknown , say, " Wh ose nam e is to the informan t unknown
"

/

111

a certin .......

~ ..... ... ~ ...... ~..~ . - . . ..~.

j

Here describe place as in (a) abo ve

.. ..~..

... .. .

···-···= ·~

J
(c ) A rd ent Spirit s a re bein g unlaw full y kept, held, stored
, concea led, used, so ld, and unlaw fully transp orted
in
certain bagga ge or a certain vehicl e, to-wit : a certai n
Here describe vehicle, auto, wagon, carriage, buggy,
boat, baggage or what not

by one
Here R"ive name, or describe as in (a) above

A nd th ere being r easona ble cause for such belief:
TH E S E A RE , THER EFOR E, IN THE NAM E OF
THE COM MON WEA LTH OF VIRG INIA, to com.
ma nd y ou, with all n ecessa ry and prope r speed and assista
nce, to search the hou se, pl ace, bagga g e, boat or vehicle herein design ated, either in day or night, and seize
such arden t spirits and their contai ners and other things
a pparen tly posses sed or used in violat ion of law, and
bring the same and the person or person s, in whose posses
sion they are found, and also any person resisti ng, imped
ing, obstru cting, or in any manne r hinder ing or delaying you in the execu tion of this warra nt before me, or
some other officer having jurisd iction of the case, to
be
di sposed of and dealt with accord ing to law; and make
return l of this warra nt showi ng all acts and things done
thereu nder, wit~ a partic ular statem ent and suffici ent
descri ption of the things seized and the name of the person
in whose posses sion found, if any, and if not found in the
posses sion of any one, so state in your return , and post
a
true copy of this w a rrant and the return thereo f, as requir
ed by law.
Gi ven under my hand and seal this ..... ~ 4 .day of ..

Y. -.~..... . 193~ ....

. . ... .... . .... ....... /4 . ~····~·~····/ .1 ~

.... .. (SEA L)

. .... .. ... . ......... ... ........... .... . . . ... . . .... .
. . .. . .. ... ..... ... ... ........ ...

T
""

/-'

. 4 .... .. .. , .. ....

of :Magistrate

�DIRECTIONS
1. If only Ardent Spirits and containers be seized

the Magistrate shall fix a time not less than 10
nor more than 30 clays from th·e date of return
for the hearing of said return. If no claimant appear, the Ardent Spirits and articles are to be forfeited to Commonwealth. Any person claiming
any of same must file a written claim stating particularly the character and extent of his interest
therein, whereupon the Magistrate shall certify the
warrant, written claim and articles claimed, to the
Circuit or Corporation Court, as the case may be,
for determination, and declare the unclaimed articles forfeited.

I

Commonwealth of Virginia

~~
2- '/

. I1111
. warrant t h.1s .. ..................... .. ....... cl ay
E xec ~;h2•1t

of

J'7~« · · :;()·. .....,lg$_.$_

within stated

2. Jf sti ll, still cap, worm, tub s, heat er, fermenters, 1
or any appliance connected with a still and used. (
or mash or other substance capable of being used ,
in the manufacture of Ardent Spirits, be seized.
the mash (after taking sample) sha ll 1Je lestroyed,
and the facts and a rticles seized reported to the
prohibition Commissioner and Commonwealth's
Attorney. (A copy of thi s warrant a1fd proper r eturn will be a sufficien t i1otice and report.) Ardent
Spirits and contain ers disposed of as in No. l
above.

3. If Ardent Spirits a re being transported in an automobile, boat, wagon, buggy, or other vehicle, the
Ardent Spirits and containers shall be preserved
and the vehicle shall be delivered to the Sergeant
of the City, the facts reported to the Prohibition
Commissioner and Commonwealth's Attorney and
Ardent Spirits and containers disp osed of as provided in No. 1 above. (A copy of this warrant and
proper return will be sufficient report.)

WARRANT TO SEARCH FOR ARDENT
SPIRITS, ETC.

: : ~ i.;;.,:;:~;.:::::: : : : :
...... 17···#;1·········· .... (/!~ .•~ ~ ~ ··· ..
A~~..... ✓.&lt;k.n~~·· ······ ....... .
Other than above stated the following are witnesses:

by searching the

~
... ... ........ ..... .
Herc state hou se, room, place

...

and by seizing the following described Ardent Spirits
and other thin gs therein found (and arresting th e
above named perso n fo und in po ssession thereof) and
by pos ting a tru e copy of this wa rra nt a nd th e ret urn

This matter se t for hea rin g on the
of

hereon on th e
H ere say place, ho use, room , boat,

... .......
. ..... •· ·· ·· ······ .. -·
auto or Baggage. or as case may be

., .,.·, ~· · · ········~··
1-fft_

• ~

See Sections 21 ½ , 22, 23, 23 ½, 57 and 57½, Acts of
Assembly, 1918, Page 578.

...... .... ....... .. ...... .day

193 ..
··· ····· ··· ···· ·· ···· ·· -·
Title of Magistrate

Written claim o f ownership or interest havin g
bee n filed to certain of the said things herein seized, this warrant, the said claim and the things in
the claim particu la rly described , are hereby certified
to the
..... ...... ... Court of this
for determination, and the said things unclaimed are
hereby adjudg ed a nd declared confiscated and fo rfeited to the Commonwealth.
Given under my hand this

of.
4. A copy of this warrant a11d the return thereo n
must be posted at the front door of the h o us e, or
on th e door of the room, or on the premises at th e
place the A rel ent Spirits may be found .

···· ·· . .. ...... ....... .. .. , 193

Given under my hand this
of

.

...... clay

No claim of ownership or interest in any of the
said things seized having been filed herein in compliance with the law, the same are hereby adjudged
and declared confiscated and forfeited to the Commonwea lth .

Description of Arden t Spirits and others things

_,.,

l

The following named officers and persons assisted me in the execution of this warrant:

.... .day

, 193
Title of Magistrate

;if;ez1der
'~?ltJl~rf?o~~~~/

. ~ ··· ~ ·
f
my hand this ... ... .. ................ ..... ... day o

~~~'~,~

N OTE.-Unless warrant issued for Ardent Spirits
being tran sported in vehicle, boat, or baggage, it is
to be returned to the jurisd iction from which issued.
If iss ued for Ardent Spirits so tran sported, it can be
exec ut ed in a ny part of the State, and r et urned to any
justice in any co unty o r city through which they arc
car ried.

�COMMONWEALTH OF VIRGINIA,
TO THE SHFBIFF OF ROCKINGHAM COUNTY:

You are hereby comman ded to summon Henry Johnso n
0

0
.....
,..i

::&gt;
•

to appear before the Gire ui t court of Rocking ham County , on
t

53

I

0

1-:f
8
•

(\j

i
e

t

p,;

first day of' the June Term thereo f, being .Tune 19 , 1933,
answe r the common wealth of a certain charge therein pend-

iffis a.ga in s t him , said charg e being contain ed in an inform aro

t :tm. filed agains t him

~

b¥ the attorne y for the Commonweal th .~

0

Cv

t::

And have then an d there this writ.

Q)

WIThTES S, .T . Robert Switzer ~ Clerk of the Circui t
Court of Rockin gham county , at t the Court H0use thereo f, this

4th day of' May , 1933.

tlr u i f J ~ .

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�</text>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
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                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>Rockingham County Circuit Courthouse</text>
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              <name>Subject</name>
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                  <text>Prohibition--History</text>
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                  <text>Prohibition--Government policy--United States</text>
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                  <text>Prohibition--Virginia--History</text>
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                  <text>Rockingham County (Va.)--History</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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                <text>posession of a still</text>
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              <elementText elementTextId="38209">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
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                <text>1933</text>
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            <name>Rights</name>
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            <elementTextContainer>
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                <text>Rockingham County Circuit Court </text>
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                    <text>COI-/lMOl ~EALTH OF VIRG HA,
COUNTY OF ROCKING~IAM , to - wit :
In the Cir cui t Cou rt of said Cou nt y :
The gran d juro rs of the Sta t e of Vir g inia
, i n and
fo r the bod y of the cou nty of Ro ckin gham
, and now atte ndi ng
s a id Cou rt at its Oct obe r term , 193 3 , upo
n the ir oath s do
pre s ent tha t Jam es "Co rkey n Hi .ggi n s, who
was he r e tofo r e , to - wit ,
on Octo ber 19 , 19 32 co n vict ed i n the sa
id Cir cui t Cou rt of Ro cking ham Cou nty , Vir gin ia of vio lati ng t he
Pro hib itio n Law, a nd
was then and ther e sen tenc ed t o serv e for
six mon ths on the road
and to pay a fin e of twe nt y-fi v e dol lars
, in said cou nty, on
Oc tob er 13, 193 3, did unl awf ully a nd felo
nio usly t r ans por t abo ut
twe nty ga llo ns of ard ent spir its, aga inst
the pea ce and dig nity
of the Common wea lth of Vir gi n ia .

Thi s i n dict men t is foun d on the test imo
ny of E. E.
Kis er and W. C. Ear ly, witn esse s s worn
i n Cou rt and sen t b efor e
the gran d jury to g ive evid enc e .

�Trans . - 2nd
Commonwealth
v) Ind i ctment
James "Cor k e y 11 Higg i n s
L(.

Felony
Octobe r tenn , 1933

True Bill :

Wi t n esse s : E. E. Kise r
W. C . Ea rly

D. W. Earman
Commonweal th ' s At torney

�Prisoners Report of Rockingham County Jail
.. .Date commi tted
..... Single ..

Marrie ~

.Tim e in C . S.

Dirnrc cd .
....... years

mo nths

Physic al conditi on
Can read ~ .:r ...
City Orcfina nce
Held for trial
Fine

........ month s ..
Costs

. Time in jail.. .. ........ ... .. .... .... Held for peniten tiary

Held as msane

..... Held for other author ities .

Behav ior

... Date of di scharg e

Arm marks

... ... ........ .. Faoe marks

Should er marks

.. .... Back m arks

Thigh marks

Knee marks

Calf of leg marks

.... Foot m a rk s .

Finger s off
Neck marks

... ... Mole ma1·k s

~ z ;/ r-··.:.

Left arm marks /
Left leg marks

i)_ .. .

.

+.~

. . .. .. .

·fa ~

. ._

...... . . ... ... ..

B:·east mark s

·5·..

Right arm mark s
Right leg mark s

v·· ... . ....... . ~ -... ..
.. .... .. .

-

.. .... .. .. ... . .. . ..

Fine after pri soneT at jail; Amoun t to State$ ....... ... .. ...........
. Amoun t t o City $ .
.Deput y and

Jailor

Sheriff .

��In the Name of the Commonwe alth of Virginia:

T o the Sheriff of Rockingh am County, Gre e ting :

You are hereby commanded to summon ...... .... .. .... ... .. .. ............ ...... . .... .............. ......... .... ... ............. .... ... ...... .

Court of Rockingham County, at the Court House ther:;.,;}"
to a~:ear 'befo:e the Judge of the ~
-···· ···· ··· ··· .. .. ... ...... . ... ... .. . 19 ... .... ,
at 9. y O o clock., a. m ., on the/J 'day of ........ ~

to te,bfy .,,J t

t,uth to " Y

~

m~~w , ~ ······· ·· ···• ·••····· •·· ·· ·· ·· •·

t ' h~

, Clerk
THE SER VICE PR ESS , H ARRISON B UR G, VA,

' No. 457

�oy ae11ver1ng a true copy

w ith in Summons to

or

tt1t

E, £ / ~

_ _ In o ~r !".nn

,

t~
~

~

\4

1
J
~

,,

t

�.::/1=///;0

OCl _ 1933
COMMONfEAL'IH

v.

)

Felony

·--·.

(Pro.)

2nd off.

\

I
I

(

/

�\

l
/

f

l

/ ~'

�</text>
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            <element elementId="50">
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
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              <name>Description</name>
              <description>An account of the resource</description>
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                <elementText elementTextId="10957">
                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                <elementText elementTextId="58030">
                  <text>Pro001</text>
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              <name>Relation</name>
              <description>A related resource</description>
              <elementTextContainer>
                <elementText elementTextId="58055">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58551">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38189">
                <text>Commonwealth v. James Higgins</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="38190">
                <text>Felony; Guilty</text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38191">
                <text>Felony</text>
              </elementText>
              <elementText elementTextId="38192">
                <text>guilty</text>
              </elementText>
              <elementText elementTextId="38193">
                <text>transportation of ardent spirits-20 gallons</text>
              </elementText>
              <elementText elementTextId="38194">
                <text>2nd offense</text>
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              <elementText elementTextId="38195">
                <text>prisoners report</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38196">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
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            </elementTextContainer>
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          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="38197">
                <text>1933</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38198">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
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              <elementText elementTextId="38199">
                <text>RcPr-box10-029</text>
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            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38200">
                <text>PDF </text>
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            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="38201">
                <text>Rockingham County Circuit Court </text>
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            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="38202">
                <text>JMU Libraries</text>
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        <name>Higgins</name>
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                    <text>COMMONWEALTH OF VIRGINIA,
COUNTY OF ROCKINGHAM, to-w it:
I n the Circ uit Cour t of sa id Coun t y :
The grand juro rs of the Commonwealth of Virg inia in
and for the body of said ooun ty of Rock ingha m and now
atten ding said Cour t at its June term , 1933 , upon thei r oaths
do
pres ent that John L. Hasl er, Jacob Mill er, and Jonn Henr
y Madden, on or abou t Apri l 27, 1933 , in said coun ty, _ did
unlawful ly
'dist
illed
and felon ious ly manu factu re arde nt spir its (moo nshin e
liqu
or),
A
agai nst the peace and dign ity of the Commonwealth of
Virg inia .
This indic t ment i s found on the testim ony of W. E.
Luca s, G. A. Laws on, and s. V. Shif flett , witn esses sworn
in
Cour t and sent befo re the gran d jury to give evid ence
.
I

'

-! !

r

J.

d .. ;

-

�;,...-

RO.
Commonw ealth
v) Indictme nt
John L. Hasler
Jacob Miller
.. /J/..
John Henry Madden

Felony
June term, 1933

A

True Bill:

~ ,c4,

~ ~

?'areman

Witnesses : W. E. Lucas
G. A. Lawson
S. V. Shiffle tt

D. w. Earman
Commonwe alth's Attorney

�COMMON VEALTH
v.
JACOB MI LLER

CHARGE TO THE JURY .
I f you f ind the a c cus ed , Ja cob t ille
r , not gui lty ,
you wil l say so and no mor e .
If you find him gui lt y of manu fac turi
ng dis ti ll ed
a rde n t s p iri ts , a s c har g ed in the ind
ict men t , the n you wil l say
so and fix his pun is hme nt by con fine
men t i n the pen i ten t i a r y for
not l e s s tha n one yea r nor mor e tha n
fiv e y ea r s , or , in you r
dis cr et ion , by con fine men t in ja il
f or not l ess tha n six mon ths
nor mor e t han t we l ve mon ths , and by
a fi ne no t exc eed ing fiv e
hun dred dol lars .

�Commonwea l t h

v.
Ja cob Miller

Char ge t o the Jury

�Commonwealth of Virginia,
Rockingham County, To- Wit:
'

BE IT R E ~ on ,h:

~~~ :~:,~:,! ~@ 1k .~ ~:J,

=&lt;y, wh~s,ifi &lt;d "'his ,ufli,iency , 1fine befoce me,

u_, ~ . /. .d..
. .. .. ..~
(J.P.

QI"

llail Commissienes.)

·..o. ../·..~. ·~·~ · · · · ·:· · ·

V...... ,of tye said County of Rockingham,

and acknowledged themselves to be indebted to the Commonw ealth of Virginia each
in the sum of.. ........ ..... ..... .. .. ... ....... ...
.... Dollars,
to be levied of their respective

($.~.J..'a ...~~ ...... ),

use of the Commonw ealth of Virginia

rendered, and they each severally waived their homestead exemption to their recogniza
nce; yet upon this condition :
That if the~

/

the Circuit Court o

~

.. .

~.~ ..

. .... ..... .... ....... ......... ...... shall personally appear before

.d"

ockingham County, at the Courthou se of said County, on the

.

Tecm ,hecoof, being ,he

J ;!f

.. ./ .. .-::.... .... ......... day of the

:,y ~

,

19 .3~... , and at such other time or times to which the proceedings may be"--contin
ued or further heard, and before any
court or judge hereafter having or holding any proceedings in connectio n with the
said charge, and then and there answer
the Commonw ealth of Virginia concernin g a certain ..
sai

.~ L ~

~ ~.~ ....... ...... ..... .. .

.. whereof the

stands charged, and be bound under said recognizance until the

ge is finally disposed of or until it is declared void by order of a competen t court,
then the above recognizance shall
be null and void; otherwise to remain in full force and effect.

IN

WITNESS WHEREO F,

I hereunto affix my signature this ..... ..

........ .. ... ...... ... ... ...... ....... .... ...... ., 19.)..1, .. ..... .. .

--.

~

/ .f .~ .... .

day

��Commonwealth of Virginia}
Rockingham County1 To-Wit:
BE IT REMEM~ERED, ,h&gt;&lt; on ,h,
.•. ~

,jj' 'i d,y o f ~

.................

~b/7·~~ .. .. . . . . . ...

.... ... ..... .. .. . . .. ..... ... ... , princip al and .

sfile&lt;y, who jwtified &lt;o his sufficiency, c,me befo,e
......... .....

.. . . ..

(J. P.

tn

... ... .. . . . ... ········• ········ 19.J.J.. ,

fi'ail '2otnmission-.:)

. ...

..

.. . ... ..... ..... ...... .... .... .. ... ...... .......... .. .. .. .. ... .. .... . .

.

., o~e said County of Rockin gham,

and a c k n o w l e d g e ~ be indebte d to the Comm
onweal th of Virgini a each in the sum of ... ... ..... .... .. .. .. ....
.... .... .. ..

.~ ·~f~f:2t1~?::::::.~~~~:~~::~a.:·~.,~.~:
rendere d, and they each severally waived their homest ead
exemp tion to their recogn izance; yet upon this conditi on:
Thar-i f- ehe- satd

.. . ... ·... ~ . .

..shall personally appear before

the Circui t Court of R ocking ham County , at the Courth
ouse of said County , on the

19 .J-3

, ,nd

,e

such oehee time o, ,,::~o•::::•

... /

.~

.. .. .......... day of the

,:::,:edi~:; d := h:~~: ,nd b:f~:, ,n;

court or judge hereaft er having or holding any proceedings
in connec tion with the said charge, and then and there answer
the Comm onwea lth of Virgini a concer ning a certain ..

.. .... ... .... ... . ...... whereo f the
stands charged , and be bound under said recogn izance
until the

sJ:i

rge is finally disposed of or until it is declared void by
order of a compe tent court, then the above recogn izance
shall

be null and void; otherw ise to remain in full force and effect.
IN WITNE SS WHERE OF, I

. ··· ·········· • .... , 19.6.'1

•

ti..

hereun to affix my signatu re this .. ..... ~.,1..~.

��Commonwealth of Virginia,
Rockingham Countg, To- Wit:
···· ······· ' 19.. .1,
surety , who justifie d to his

and acknow ledged themse lves to be indebt ed to the Comm
onwea lth of Virgin ia each in the sum of

~ ~ ~~ .
..

........... Dollar s, ( '$

..

.~ .J...??. ....;l; ....... ... ...... ),

to be levied of their resp ect~ ~~d chatte ls, lands and
tenem ents, for the ase of the Comm onwealth of Virgin ia render ed, and they each severa lly waved
their homes tead exemp tion to their recogniz ance; yel upon this condit ion:

~ -.. ..-{.~ # ~

.

........ shall person ally appea r before

am Count y, at the Courth ouse of said Count y, on the ....
................ ................ .......................................Term thereo f, being the ......

/ .7-'. ~day of .. .J. ~

/c/'. ..day of the

,. . ,. . ... .. . .. . . . . . .. . .. . ,

19 '.'?.0...t". ••. , and at such other time or times to which the procee&lt;
li!Jg7m ay be contin ued or furthe r
hea rd, and before any conrt or judge hereaf ter having or holdin
g any procee dings in connec tion with
the said charge , and then and there answe r the Comm onwea
lth of Virgin ia concer ning a certain
~ ~····················wher eof the

'L. .-:-:L.~

ai .... ..

. . . . . .... . . . .

stands
charge d, and be bound under said recogn izan e..-1:1.ntil the charg
e is fin ally dispos ed of or until it is
declar ed void by order of a compe tent court, then the above
recogn izance shall be null and void; otherwise to remain in full force and effect.
IN WITNE SS WHER EOF , I

hereun to affix my signat ure this .......

,,,,-;;;__L
;,
..7-..,?..u.
~..... day of1...&lt;
..y~·~············

................................................ ..................... ) 19.JJ...........•

(J.P. ,01

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Cwrn ·SSICIN.ii.k'.f-

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�Commonwealth of Virginia}
Rockingham County} To- Wit:

f-d

BE IT REM~ MBER E:9 , that/ °)/,. ~ g
~

/~ . .~ , A ~~ ;; ; ,

~
pcincip,l and ..f.f!.. .......~ ....... l .. .

......... ..... , 191.3.,

day oL

surety , who justified to his sufficiency, came before
me, .. .. ....... ..... .... ... .. ......... .. ... .. .... .. .. .. .................... ....

rz..... ... . ..

. . . ... . .£l. . l!.....C 2 ~ ... l . .

(J. P. or Bailj (~ ·~ission er)

.

.

.. ...... , of the said Coun ty of Rocki ngham ,

and ackno wledg ed themselves to be indeb ted to
the Comm onwea lth of Virgin ia each in the sum
of ..

~

.. .. .. .. ....... ... ..... .. ........ .

. c .~ - :c /~ 7 .

~ .4.. . 9 .... 0--0
....... ,_,

Dollac,, ($ . ..... .... ...... .. .... ....... .),
to be levied of their respective goods and chatte
ls, lands and tenem ents, for the use of the Comm
onwea lth of Virgin ia
rendered, and they each severally waived their
homestead exemp tion to their recog nizanc e; yet
upon this condi tion:

Th,&lt; if th, ,,id

.~

zf =

... .

·7·

.T~ n. .C .. . ..

&lt; '..hall pmonally app= before

the Circu it Court of Rocki ngham Coun ty, at
the Court house of said Coun ty, on the ........ k'.
.. . .. .. .. -. ......... .. .... day of the
.. ... .. ....... .... ........ :-: .. .. .. .. ..... .. ... ...... .. .... .. .Term thereo
f, being the
day of .... ..... r .:....-.. .. .. .. ._ ........ ......... .. ......... ..... . ,

.

1

.r.. .~ ..

.,.. .. , and at such other time or times to which
the· proceedings may be contin ued or furthe r
heard, and before any
court or judge herea fter havin g or holdin g any
proceedings in conne ction with the said charge,
and then and there answer
the Comm onwe alth of Virgin ia conce rning a certai
n ....../ .. .~ . s 1 '. :~....
_ "_.__ _
.. where of the

s,id .

~ ...... . ····/

' £ ~,eand, chacg,d, and b, bound
uodec ,,id recogni,aoc, un&lt;il dtt

charg e is finally disposed of or until it is declar
ed void by order of a comp etent court, then the
above recog nizanc e shall
be null and void; otherwise to remai n in full force
and effect.
IN WITN ESS WHER EOF, I

hereu nto affix my signat ure this ......).i( .

..... ......... .. .... ········· ···· ··· ··· ··· ···· ···• 19.3..~ ..... ...

. . . . . . . £1.,. . r2 . . Cl.£Lit-~ . "' ......Ct; .
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�Arrest Warrant

Commo nwealth of Virginia , } T w· .
. h am County,
o- 1t.
R oc kmg
... ..RT': ..... ., a Constab le of said County :

.. .... ...... ... .. ... ............. ... ..... ........ ..... ..... ... ... ........... ..... .... ... .. .. ........ .... ... ... .. ...

.

..... ....... ... .. .... .... .. ............. .. ... ... ...

.. ... .... .....
These are therefor e, in the name of the Commo nwealth of Virginia , to comman d
you forthwi th to appre-

Ser vice Press- 170

�STATE OF VIRGINIA- COU NTY OF ROCKINGHAM, TO-WIT:
I, ... .. ... .. ....... ........ ...... .. .... ........... ... ......... ... ....... .. ..... . ............. , a Justice of the Peace in and for the County
of Rockingham, State of Virginia, do hereby certify that ...... ..................... ..... ..... .... ...... ..... ........ .. .. ... ... ... ... ... and
.... .. .. ....... ...
. ............. .............. . .......................... ..... .. ... .. .. . ........ ... ... ............... as his suret ...... ,
have this day acknowledged themselves indebted to the Commonwealth of Virginia in the sum of
. ... .. ... ... .. ...

...... Dollars ( $ .... .. .... .... ...... ) to be made and levied of their goods and chattels, up... ...... ..... .... shall appear before the undersigned or the

on this condition: That the said ..... .

Circuit Court of Rockingham County, on the ... .... ....... day of.. .
.......... , 193 .... , and not
leave hence without leave of the said Court, to answer the charge in this warrant, or to await the action of the
Grand Jury of the said County upon the within charge.
Given under my hand this, the ....... ....... day of ............ ... .... .... ....... ....... ... ....... ... ....... .. ., 193 ... ..... .

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�Common wealth of Virginia:
You are hereby commanded to summon . .
~

11 .2:.~~. ~g:a~~~re~ti.~~:

. .... . . . . .. ··· · ;;[ ·;:z··· ·····~#· ·; ; j;/; · ~ . ·····························••· .... .

~ .~ .... ..

............ ..... .. ~

'···· .............................. .. .. . . ..

to appear before the Judge of the ~ t i t _Court o Rockingham County, at thr Court Housr thereof,
at~#ock , a. m., on the
~
19 if,1-

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' \ ; ; t:
a~~ .t~e:'.r~
~
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.

.. tt./) ....... ···· ··············· ····.

who stands charged

.. .......... shall not omit itnder penalty of £100.

there this Writ.

day of

~

?

P a L, PRESS . HMUIIS ONBUR ~ . \IA

?7

J!..J ~n!/ ndicted for a felony misdemeanor.

And this ...... ·· ····~
Witness,

. . ............. ........ .
:lf..o~~~~~~ ~~N~.

=

19

And have then and

.

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th,

~

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SWITZER, Cle~k of our said

,_

&lt;?_;!:I!.:

a! the Court Home, tlw /

. . .. . ..

�exe cu te&lt;1 )1444dJIJ-✓ • 1

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�In the Name of the Commonwealth of Virginia:
You are hereby commanded to summon .. ..... ?.1.: . . ~ ..'.

k i gham County, at the Court House thereof,
Court of ~oc~

to appear before the Judge of th~
at 9 :30 o'clock, a. m., on the

aunty Greeting:

J.

"day of .. ... .. . .. .

. . ..

_ .

......... ....... .

..

to testify and the truth to say in 'r'J:.lf of the , ommoni ealth against

· ····· · ··············· · •·•·••·• ···· · ······· ····~

. .'. .?!.(...... .... .

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. ,.

19

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. . . . ... .. ..

" . ...

···· · ··· ... . .&amp;.k.~.'. ............:... . ... ... . ..... ......... ..

who stands charged with anJ indicted for a felony misdem~lltiiQr.

~ ....... shall

... ..

And this

not omit under penalty of £100.

there this Writ.
Witness,
d,y of

J.

BERT SWITZE~

...

~

~ .... ..

15~£~ ~ •

Cle~k of our said C trt, at the Court House, the .. .

19 f7, ,.J

TH E SERVICE PR ESS, H ARRISONBURG, VA .

And have then and

,nth,

No . 4 57

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u

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�Prisoners Report of Rockingham County Jail
.~.~

.. .. ..... .. ...... . .

l.

Race .. ... ....... Sing le. , .

.. .. ... ... .. .. ..is

!2

Occupatio~

~

l\Iarried ..

.. Tim e in Li. S.

Di vo rced ....

... ... y ears ....

a drunkard ? . ~ ~ or clru
ff ence

.. .. month s

'ti ctim/

z~r~/4. .,. ~

.k

.. . .................. _.. State .. .. .... .. .. .. ........ .. ............ He ld for Granc(Jury . .. .. .... .. .. ........ ...
Held fo r trial

.. ... .. .. ... .. ... ... Sentence .. .. ...... ..... ........ .

.. .. .years .... .. .. .... ... .

months.

Fine .. ...... .. .. .. . ... Costs ... . .... ... ... Time in jail.. . .. .. .. ........... He ld fo r pen it entiary .... .. ... .. .... ..
Held as insa ne ...

........... ... .. ... Held fo r other authorities ./. .

Behavior

Heigh

.. .Date di scharged

T

Teeth marks .
Arm marks
Shoulder marks

....l.:7... .. ....

DESCRIPT ION OF PRISONER
..

\Veigh✓.... -

..

color of eye

.... ..Color of hair

.. ... ... ... .. ... ... .. ...... .. ....... .. ... .. ............. Hanel marks
.. .... ........ .. ... ..... .. ................ Face marks
........ ...... ....... .. ... ............. Back marks

Thigh marks .

.... ... ..... . .. ........... ,.. .................. .. .. .Knee marks .. _

Calf of leg marks

. .. ..... ....... ... .. ........ .. ................ ..... .. Foot marks ..

Fingers off ......... ... .. .. .. ...... .... .. .. ... .. ... ... ....... ... .. ............... Mole marks
Neck marks
Left arm marks
Left leg marks

... .. ... ..... ........... .... ............ .. ......... Breast marks
... .. .. ....... .. .... .. .. .. ..... .... ...... .. .... ........ .. Right arm marks .. ......... ..
...... ... .. ... ......... ............... ............ Right leg ma rks .... .... ...... ... .

Fine after prisoner at jail ; A mount to State $ .... .... ............. .. ......... A mount to City $ ....... ... .......... .
... ... ......... .... .. Deputy and

Jailor

.... •.. ... .. .. .. ..... . . ... .. .. .. .. .. .. ... .. .... .. .. . . .. .. ... .. . ... . ... ...... ... ... ... .. .. ... Sheriff .

•

��Prisoners Report of Rockingham County Jail

~Y / .. . . . .

Month of

d n ate cp ~itted
Sing!~

.

. Marri ed

Tim e in U. S ...
.ts person a drunkard? ...
... Occupation ...... ... ... .... Offence

.

. .. .... mont hs

... .._vears ..

, ~~ r dr~ ; ~~im ?:__.

City O rdinan ce

......... .. ... ... ... .... ... ... ...... . . State .. ..... .... .. .... ..... ...... . .. H eld for Grand Jury

F in e ..

... Costs .. .. .... ..

..... ... .... years. .... ... .... .....

.. Time in jail

Held as m sane
Behavior

. I~

Vve1ght

Heigh

.. ..

1"

..... . t:&gt;

months

1

.... .. He ld fo r p enitentiary

...... Held for other authoriti es

DESCRl~ l,-~

=·.

Con;!F .,.~ ~:....~. . .

. write?

... Sentence

. . .... .. ....... .

Divorced

Can read ?.

H eld fo r trial

19 ~ •

OF PRISONER

. color of eye

•

/~
_/ ~/
..

i1

Co lo r of

v;

hai1-/.:i.&amp;..

Teeth marks ... .. ....... .. .. ..... .... ... .. .... .... .. ... ....... .......... ....... Hanel marks
... ...... ......... ... .. ..... ..... ....... ........ Face marks

Arm marks
Shoulder m a rks

..... ......... .... ...... .. ... ... .... .. .. ..... ... .... .. Back marks .. ... ....... ................. ........ ....... ....... ... ........ .. .. ... ...
.. ... .... ....... ..... ... ..... ... ..... ..... ........ .Knee marks

Thigh mark s .

Calf of leg marks .... ..... ..... ... .. ..... ....... .... ..... ....... ..... ........ Foot marks .. ... ... .......... ...... ...... ..... .. ..... .. .... .. ... .. ..... ... .. ...
Fingers off

.... .. .... .... .... ..... ..... .... .. ... .. ........... .. ..... ..... ..... . Mole 1narks ..... .... ... ... ..... .......... .... ... .... ... ........ ............... .... .

Neck marks

.... ......... .. ....... .... ..... .. .......... ......... .... .. .. . Breast marks

Left arm marks . ...... .. ..... ... ....... .. .. .... .......... ... ....... ... ... .... Right arm marks
Left leg marks

.. .... .. . ........ ........... .. .. ... ... ...... .. ... .... Right leg marks .

Fine after pri soner at jail ; A mount to State $ .. ....... .. ....... ..... ... ...A mount t o City$
... ... Deputy and

Jailor

....... ........ ....... ... ..... .... .... ... ..... .... ...... ..... ................ ... ... ... ...... .. ..... . S heriff.

��Prisoners Report of Rockingham County Jail
Month of

... .19

£iat e co
...... ...... ......
Sing le .

,

....,.,........,,.,.,.·&lt;1.·if For eig n Born

· •·

~.

mitted

... ........... ...... .

'!.1,Ia rri ect f ? .

. ....T ime in U . S. .

·: tsz: :~unkard?. ~

D ivorce d .. .

.. . .... years ......... .... ....mo nth s

or_dru~ JP?~

Can read ~
·.·.· ..'.v..1.-·i·t··e··'····· ·· ···· -·'p.
···.f
·..J ...·.·..O
...c..c..t.1.pahorl':'.'
4,e,. .... .. . .. Offence Comm ,tt; t ;. ....
City Ord111an ce
... State .... ... ...... ..... ...... ... ... .. .... Held fo r Grand ~ , . ... .. .......
.. ... . ..
He ld fo r tri a l
... .... ..... ... .... ...... .... ... . .... .. .Senten ce .. ........ ....... ....
..... years .. ..... ... ... .... month s .. ..
F in e ... ........ .... . ... Cost s
.. .. .. .... ... .... . Time in jail... ...... .. .. ... ..... .. .. .. .He ld fo r pe
nit enti a ry .. ... .... .. ...... .. ... .. .
H eld as insan e .. .... ... .. . .. .
....... .. ...... . .... Held fo r other a uthori ti es

;7'---l_)( ...... .... ... .

0. ...

Behav ior

... ... ... .. ....... ...... .... ... .. ........ ... ....... . .. .·.. .. .D a t e di scha rged ......
......... ..... .. ... .. ..... ... ...

DESC RIPT ION OF .PRIS ONER

Arm marks ........ ......... ... ......... .......... ..... .. ....... .. ... ....... ..... Face
n1arks .... ............ ... ... ... ... ....... ..
Shou ld er marks

.... ....... ... .. ..... ..... ...... .... ... ...... .. .... ... . Back marks

Thigh marks . .... ..... . .. . .. .. ...... ... .... ... ....... .. ... .......... ..... ... . Knee
m a rks
Calf of leg marks

.. ... ..... ..... ..... .... ....... .... ..... .. ........... . Foot 1nark s .. ... .... ..... ....... ...
.. .... ... .

Finge rs off ... .. ..... .... ... .... ..... ... ... ......... ...... .... ........ .... ..... ... M ole
1narks .. .... ... .... ..... ......... .... .. ..... ....... .. .. ... ...... ... .. ...... ..
Neck marks

....... ..... .... ... ........ .. .:.......... ... ......... ...... Breas t marks

L eft a rm marks .... .. ......... ..... ....... ... .. ... .... ..... .. ... ...... ....... .. Right
a rm m a rks .
L eft leg marks ... ...... ..... .... .......... ...... .... ....... ... .... ... ... ..... . Right
leg marks .... ....... . .. ....... ...
F in e after prison er a t jail ; A moun t t o State $.

......... ... .. .... . A mount t o City $ .. .... ... .... ...... ... .
.. .... .... .. . ...D eputy and Jailor

...... ........... ..... .... ..... ...... .... .... .. . ... ..... ... .... ....... ........... ....... ... .... .....
Sherif f.

,

���-

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-;
COMMONWEALTH

v.

)

dUN-- S\
Felony

(Pro.)

m:fg.

r
JOHN 1. HASLER
t:f/ · t.
JACOB MILLER
/;. £I
JOHN HENRY MADDEN '1.

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�</text>
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              <name>Title</name>
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
                </elementText>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
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                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>Rockingham County Circuit Courthouse</text>
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                  <text>Rockingham County (Va.)--Genealogy</text>
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                  <text>1916-1933</text>
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              <description>An unambiguous reference to the resource within a given context</description>
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                  <text>Pro001</text>
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              <description>A related resource</description>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58551">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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                <text>Commonwealth v. John L. Hasler, Jacob Miller, and John Henry Madden</text>
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            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Felony; Guilty</text>
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            <name>Subject</name>
            <description>The topic of the resource</description>
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                <text>Felony</text>
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                <text>guilty</text>
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                <text>manfactured ardent spirits-moonshine</text>
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                <text>prisoner reports</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38182">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
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          <element elementId="40">
            <name>Date</name>
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              <elementText elementTextId="38183">
                <text>1933</text>
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          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38184">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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            <name>Identifier</name>
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              <elementText elementTextId="38187">
                <text>Rockingham County Circuit Court </text>
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            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
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              <elementText elementTextId="38188">
                <text>JMU Libraries</text>
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        <name>Madden</name>
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        <name>Miller</name>
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                    <text>Commonwealth of Virginia ) T · •t·
.
)
City

~~ of

In the -..Ci.r--eui..t.----- Court of the

iilNCt
~

O·Wl •

-lla.i!r .is.onb .ur.g.- ------- -

_.C..ounty_

of __ Rockingham.. ______ _

BE IT REME MBER ED That _]J..!J t~~r~J l ______ , Attorne y for
the Commo nwealth for
the sa:id -C.OU nt.Y--- ---- of Ro.ck1 ngham.. __ , and who for the said
Commo nwealth prosecu tes
in this !behalf, in his proper person comes into the said Court on this the
•_l9t.h ___ day of.June..
------- -----, in the year 191SZ, and upon the compla int in writing , verified
by the oath of ___ _

__ _J_as._.__H_.__Boi.c..e. ____ , a compet ent witness , gives the sa:id Court
here to underst and and be
informe d that _JV.111.1.e_H.ar_p_er___________ , on the __ l'Zt.h __
day of. ___ ..I.une. _________ ,
in the year !'113-, in the said _.9_Q.YP._ty___ of _JiQ.C_k1p,gba.m _____ ,
did unlawfu lly · ha.Ye____ _
~_I_! __h_~~-J2Q!3_~~§-~i9Jl_§.__h§.l.f __g_alJ.o.n.....o.f. :u11i la:U~
_ar.d .ent._ sjliri ts~--- --

_(_1!!,Q.9_I!~!t in e L_____________________ _
______________________________

-----~ -

-_. ___________________ _

.

-

'

(

.

----------

· -aigains t the peace and dignity 0f the Co:µimonwe alth of Virgini a.
i And

&amp;tM-"

Cbriht

the Attorne y for the Co monwe alth aforesa id, who prosecu tes as aforesa
id, in the
e and by the authori ty aforesa id, a d upon the compla int in writing
afo esaid, further gives
'
'
the aid Court to unders tand and be infor ed that said ------ ----------- - _______________ _
on t
__________ day of ______ ______ ______ _ , in the year 192 __ , in the said
_____________ of
___ :. . __ ------ ------ ----, did unlawfully _____________ . ______________
_____,. . ______________ _
against

e peace and dignity of the Commo nweal

And the Attorne y for the Commo nwealth aforesa · , who prosecu tes
id, in the
name and b the authori ty afor-esaid, and upon the compla t in writing
afores aid, fu her gives
the said Court -to unders tand and be informe d th at said ____ ----------- ------ ----- _____ _
on the ______ ___ day of ____________________ , in the year 19 _, in
the saiq ______ ______ _ of
______ ______ ______ ___ , did unlawfu lly ______________________________
___ against th~
and dignity of -t he , mmorrwealth of Virgini a.
1

Qi.ant

Attorne y for the Commo nwealth .
VIRGI NIA:- ___C_lj;__y __________ of _lia..r ri.sonb ur.g _________ , To-wit:
This day __J)ie.,_..H .._..Boic.e... _____ persona lly appeare d before me Paulin
.e_M .. _.AJxl nus,
a_ Notar y Publi c_ for the __Q.it~- ------ of _Ha.rr ..isonb ur..g.,-----, Virgini a, and made
compla int and inform ation on oath that

_Jiilli jLflar p.er. ______________ _, _________________ _

within twelve- months prior to -this date, to-wi-t on the -_-l.?_th ____ day
of _June ________ , 19~3,
in the -~~~~. 1-, _______ __ of RQC.kingham. __ -- :
~-

4.-0 ned and had in ______ _ .posses sion a sti

still cap, worm, tub, ' rmente r,~ d other
nd ma-sh and other subs nces capable of being~ d in t ~
an-

ufactur e ~ d e

spirits;

- · -4..laiwfully possess ardent spirits.
•
Sworn to this __ J__~t.h __ day of ____June _____ ------- -, 19'33.
~l

.---✓~
-l&amp; ~-~-1/ . (]&gt;,

�Commonwealth of Virginia
vs.

} MISDEMEANOR

\ 1:f~~~:t::;o:p;:Iation-Prohibition -Law.
Witnesses:
Jas. H. Boice

-~- ~------------------------ -------- -------

----- -------- -------------

Filed-- -------- -------- -------- -- 192 __
_________ _____ __ ____________ Clerk.

By -------- --~--- - ----- D. C.

�CO!D!ORIEAL m

/,t/ ()
~

Jj~ ,!J. 0-

_!)-C), t/ t)

~ -~'°- ?~

�r.

I

I

�</text>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
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                <elementText elementTextId="10957">
                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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              <name>Publisher</name>
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                  <text>Rockingham County Circuit Courthouse</text>
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              <name>Subject</name>
              <description>The topic of the resource</description>
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                <elementText elementTextId="58023">
                  <text>Prohibition--History</text>
                </elementText>
                <elementText elementTextId="58024">
                  <text>Prohibition--Government policy--United States</text>
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                  <text>Prohibition--Virginia--History</text>
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                  <text>Rockingham County (Va.)--History</text>
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                <elementText elementTextId="58027">
                  <text>Rockingham County (Va.)--Genealogy</text>
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              <name>Creator</name>
              <description>An entity primarily responsible for making the resource</description>
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                <elementText elementTextId="58028">
                  <text>Rockingham County Circuit Court</text>
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              </elementTextContainer>
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            <element elementId="40">
              <name>Date</name>
              <description>A point or period of time associated with an event in the lifecycle of the resource</description>
              <elementTextContainer>
                <elementText elementTextId="58029">
                  <text>1916-1933</text>
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              </elementTextContainer>
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            <element elementId="43">
              <name>Identifier</name>
              <description>An unambiguous reference to the resource within a given context</description>
              <elementTextContainer>
                <elementText elementTextId="58030">
                  <text>Pro001</text>
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              </elementTextContainer>
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            <element elementId="46">
              <name>Relation</name>
              <description>A related resource</description>
              <elementTextContainer>
                <elementText elementTextId="58055">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
              <elementTextContainer>
                <elementText elementTextId="58551">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
                </elementText>
              </elementTextContainer>
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      <name>Text</name>
      <description>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.</description>
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38164">
                <text>Commonwealth v. Willie Harper</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38165">
                <text>Misdemeanor; Information</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38166">
                <text>Misdemeanor</text>
              </elementText>
              <elementText elementTextId="38167">
                <text>information</text>
              </elementText>
              <elementText elementTextId="38168">
                <text>posession of ardent spirits-1/2 gallon moonshine</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38169">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38170">
                <text>1933</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="47">
            <name>Rights</name>
            <description>Information about rights held in and over the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38171">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="43">
            <name>Identifier</name>
            <description>An unambiguous reference to the resource within a given context</description>
            <elementTextContainer>
              <elementText elementTextId="38172">
                <text>RcPr-box10-027</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38173">
                <text>PDF </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="48">
            <name>Source</name>
            <description>A related resource from which the described resource is derived</description>
            <elementTextContainer>
              <elementText elementTextId="38174">
                <text>Rockingham County Circuit Court </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="45">
            <name>Publisher</name>
            <description>An entity responsible for making the resource available</description>
            <elementTextContainer>
              <elementText elementTextId="38175">
                <text>JMU Libraries</text>
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    <tagContainer>
      <tag tagId="230">
        <name>Harper</name>
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  </item>
  <item itemId="3372" public="1" featured="0">
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                  <elementText elementTextId="48611">
                    <text>,
COMMONWEAL TH OF VI RGINIA,
COUN TY OF ROCK I NGHA!J , to-w it:
In the Circ uit Cour t of said Coun ty:
The gran d juro rs of the Commonwealt h of Virg inia
in
and for the body of said coun ty of Rock ingham and
now atten ding
said Cour t at its Dece mber term , 19 33 , up on thei
r oath s do
pres ent that Wm. E. Flic k, who was here to f ore
co nvic ted of viol ating the Proh ibiti on Law, t ,01""1?fi t, on Janu ary 19,
1933 , in Poli ce
Cou rt of the city of Harr ison burg , Virg inia , and
then and ther e
g iven a fine of t wenty -fiv e doll ars an d cost s,
and thre e mon ths
on the road forc e, did, on or abou t November 12,
1933 , in said
coun ty, unla wfu lly and felo niou sly tra ns12ort four
gall ons of
arde nt spir its (moonshi ne liqu or), agai nst t he
peac e and dign ity
of the Commonwealth of Virg inia .

This i ndic tmen t is foun d on the testi mon y of E.
E.
Ki ser , a witn ess swor n in Cour t a nd sent befo re
the gran d jury
to give evid ence .

�Tr ans-2 d offense

Commonwe alth
v ) Indict ment
Win . E • F 1 i _c k

Felony
December term , 1933

A True Bill: .

4 'z: J/-,.~
-1&lt;
.!foreman
itnes s: E. E. Kiser

r

D . w. Earman
Commonwe alth's Attorney

�Arrest Warra nt
Comm onweal th of Virgini a, } To-Wi t:
Rockin gham County ,

Whereas, ..... .. .... . _. ...... ,_, ,_.. ... ...... ..... ...... ... .... ... ....... ...... .... ... .... .. of the said
County , has this day made complaint and inform ation on oath before me, .. .. .... .....,.. .. ..... .. , ....
a Justice of the said
County , that ...... . · ·· · ··· ·" · · 1... . .. . ... .~ . . . .. ...':/. .. . ........ . ~ .. . . ......... .... .... . .. . .... . . . ... ..
. ......... ...... . .. .. . .... of the said County ,
on the ..
.... ..... ........ , 19 .... ..,in the said County , did .. . ... ... .. ..... ....... .. .......... ...... ... ...
.. .

?. . ........... ...................... ....

'
These are therefore, in the name of the Comm onweal th of Virgini a, to
comma nd you forthw ith to apprehend and bring before me, or some other Justice of the said County , the
body of the said ..... ....... ......... .... ... ... .
'

· · ·········· · ········· ·'•• · · ·· · · · · ···· · ···· ·· · · ·· ·· · · ·"- · · ·· · - · · ······ ............
.... . ., ... ..... ..... .......
to answer the said complaint and to be further dealt with accord ing to law. ....... ........ ..... .... ..... ..... ................. .
And you are require d to summon .. ... ..... ..... ... ... ........... ....... .... ........... ..... ....... ... ...... .... ...... ......... ......... ... .. ... ......
... .. ... ..... ........ .. .. .. .. ..... .......... .. ........ .

... ··· ······· ·· ···· ··· ······· ···· ····· ·········· ······· ·· ·· ·· ·· ····· ··· ···········

··· ··········· ·· ·· ······ ···· ······· ·········· ········· ····· ····· ·········· ··· ············ · ·· ·····
to appear and give evidence in behalf of the Comm
onweal th, on the examin ation touchin g the said offence.

Given under my hand and seal this .. ..... ....... .day of.. ............... .. .... ........ ... ..
.. ...... ........ , in the year 19 .... ... ... .
..... ... .. ... .. .. .... .. .... ... .. .. ... ...... .. .. ... .. .... .. ... . .... .. ....... .. .. ... .. .... ... .J. P. (Seal)
Ser vice P ress-1 7 0

�STATE OF VIRGIN IA-COU NTY OF ROCKIN GHAM, TO-WIT
:

I, ... .

., a Justice of the Peace in and for the County
of Rocking ham, State of Virginia , do hereby certify
and
. .... .. ... ... ... .. ... .. . .... .. .. ... ... .. .
. ... . .... . .... ... ... ... .. .. ... ... . ... . ...
............... ... ............................ as his suret ...... ,
have this day acknowl edged themselves indebted to the Common wealth
of Virginia in the sum of..
..... Dollars ( $ ...... ........ .. ...... ) to be made and levied of their goods and
chattels, upon this conditio n: That the said ............. ... ..... .. ....
.... .... shall appear before the undersig ned or the
Circuit Court of Rocking ham County, on the .... .......... day of ............. .
............. . ...... .... ........ , 193 .... , and not
leave hence without leave of the said Court, to answer the charge- in this
warrant, or to await the action of the
Grand Jury of the said County upon the within charge.
Given under my hand this, the .............. day of.. ........... .
.... , 193 .. ..... .
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�Com mon wea lth of Virginia:
You are hereby commanded to summ on ..

in g ham Coun ty , G reetin g:

to appear before the Jitdge of the f ircuit Court
of Rocki ngham Coun ty, al the Court House t
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to testif y and the truth to ~ n behalf oi e Comm
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the GRA ND JU RY

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who stands charged with and i· dieted for a felony
misdemeanor.
A nd this ..
. shall not omit under penalt y of £100.
there this Writ.
Witness, J. ROBER T
day of

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And have then and

WITZ ER, Clerk

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, Clerk
P I l . ,.RESS , HMtRISON 8URt. , VA

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�In the Nam e of the Com mon wea lth of Virginia:
To the Sheri ff of Rock ingha m Coun ty, Greet
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... . ........ ....... ... ..

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th'l!!!/t

to appear before the Judge of
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at 9: 3 0 o'clock, a. m ., on th ~ . day of ... . ... .
to testify and the truth to say in behal! of t e Comm
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who stands charged
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at the Coitrt House · thereof,

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... ...

misdemeanor .
... .... . shall not omit under penalt y of £100.

there this Writ.

And hai,e then and
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Witn£'ss, J. ~ SWITZER_, p erk of our
sa!j1 ~ at the Court House, the
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THE SER VI CE PR ESS, HARR ISONBU RG,
VA .

No . 457

�cxec..:utad _. _____ ___ by dellverlng a true Copy ot t.1

within Summon s t o - - - - - - ' - - - - - - - · - - - - - - ___ In p .. r .. nn

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Felony

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2nd off

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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
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                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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                    <text>COMMONWEALTH OF VIRGI NI A,
COUNTY OF ROCKI NGHAM , to-w it:
In the Circu it Court of said Count y :
The gra nd juror s of the Commonwealth i n and f or the
body of the count y of Rocki ngham , and now atten ding said
Court at i t s Dec ember term, 1933 , upon their oaths do
prese nt that John Crai g , on or about November 29, 1933 ,
in said count y, did unl awful ly and felon iousl y manu factur e
disti lled arden t spiri ts, again st the p eace and digni ty of
the Commonweal t h of Virgi nia.

This indic tmen t is found on t he testi mony of s . V.
Shi f flett a nd G. A. Lawso n, witn es ses sworn i n Court and
s en t b e f ore the grand jury t o gi ve evide nce.

�Mf g .
Com
v) I ndictment
.John Cr a ig

Felony
Decemb er t er m, 1933

A True Bill:

mi tn esses: S . V. Sh i ffle tt
G. A. Lawson

D. W. Fa r man
Commonwea lth's At torney

(J .

�Commonwealth of Virginia}
Rockingham County} To- Wit:

fu . .... . ,
'"a2.~

T67
"m'
m
~a~f
L .. .. . . ···...
.l✓~~

BE IT REMEMBERED, that on the

cfl,-. ~ . day o ~

.... . . . . m ~········ · ·· ·· · · ·· .

P~

'"'"Y, w~ 1us&lt;,fiod

to

bi,~i,n~y.

•l

bdo«

l .../... . ..-..~........

. ..

19 .J'-1.,

(J. P . or Bail Commissioner)

, of the said County of Rockingham,

a~owledged themselves to be indebted to the Commonwealth of Virginia each in the sum of.

~~~M .. . . . . .. . . .. . .. .

Dollars,

.. .

..... ..... ......... .

($.0.~J

~ ............ ),

to be levied of their respective goods and chattels, lands and tenements, for the use of the Commonwealth of Virginia
rendered, and they each severally waived their ho?

Th,c if cl,,
the Circuit Cou
~

tead exemption to their recognizance; yet upon this condition:

,,id~ , / 1 : z ,., .~

... ......... ... ............... . ... •~""'-."'n,lly

o / Rockingham County, at the Courth( t of said County, on ~
. ..

Term thereof, being the

./ f ':::;

...~./~ .. ~.... .....

,ppm b&lt;fo«

.... day of the

day of ~ ~...... ... ,

19,J.$_. , and at such other time or times to which the proceedings may be continued or further heard, and before any
court or judge hereafter having or holding any proceedings in connection with the said charge, and then and there answer
concerning a certain ..~ ~ · • · ········ ·· ....... ... ........ whereof the
stands charged, and be bound under said recognizance until the
it is declared void by order of a competent court, then the above recognizance shall
be null and void; otherwise to remain in full force and effect.
IN WITNESS WHEREOF, I

~

hereunto affix my signature this ... ..... cJl..-:-:-:-:.. .

B..3 .....
• .... .
··· ·· ········ ······ ·· ·· ··· ·· ·•··· ·· ·· ·· ········•··• 19 .......

�. _,, .....

_

..... .

�CCJmONWEALTH

DEC

V.

Felony

)
.

JOHN CRAIG

6 ~ ·tt~ V

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'

1933
(mtg.1

(Pro.)

,..

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Y (!_ ,,- .; 1&lt;)

r}?., tJCb

�/
/

/

�</text>
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                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                    <text>~:r:i::~:~!~!_i_~!'!Q
~~~!~~~~ ~ To-wit:
In the ___ Q_i_:r9At t _.. : _ Court of the _9_0UQ"t_y _ of _Rock ing_ham -------·

First
U·
Coun_t
•'

BE IT REMEM BERED That _I;l_.__ lV_.__ ~_r.rn&lt;3-n_ ___ , Attorne y for the Common
wealth for
the said __Q.Q l1Jlt y_______ of .R.Q.9.k:t o.gh§.!11 __ , and who for the said Common
wealth prosecut es
in this behalf, in his proper per1:on comes into the said Court on this the ,__l§J;_
l:J_ ___ day of_ ____ _
.P_Q:t.PA sl~-"', in the year 1~-, and upon the c~mplai nt in writing, verified by the oath of ___ _
Q_!.. __ ~!..- ~'-Y§_QJ} _______ _ , a compete nt witness , gives the saiid Court here to understa nd and
be
infor med that ---~~!'A~!'A _Q_l_;Lff_t _________ , on the _ _g_i?j;____ day of -~~p_tember ---,
in the year 19a5-, in the said .9_Q.\Ulty ____ of _.BQ-9.:.~ :i.:D..£.00:!JL _____ , did untawfu
lly _________ _

_l_!~y__~ __i_11_.h.'.h§_.QQ§_~~§_sJ.9.n__9.n_e_ ..s~t.ill. __~t..UL_c.ap_,__ w_Ql'.fil+._t:uJ~~--t~.r.m~.n.

l~r__,_

-~:_1_9-__ ~y_her _appl i anc e s _ us ed _i n _conne c t i on_ wi th _a __s ti l l_, _and _m~ _~_p._____ _
-~§.P_~!_)}:_~ _9_f _bein_g _u s ed in t h e manfa c ture_ of_ard ent_·so i ri ts
,. ___,_______ _
-against the peace and dignity of the Common wealth of Virginia .

Second
Count

And the Attorne y for the Common wealth aforesai d, w'ho prosecut es as aforesai
d, in the
name and by the authorit y afore1:ai d, and upon the complai nt in writing aforesai
d, further gives
the said Court to understa nd and 1be informe d that said ------- ------- ------------- ------- on the __________ day of ------- ------- ------, in the year 192 __ , 1n the said
------~ ------- of
------- ------- ------- -, did unlawfully ------- ------- ------- ------- ----·--------- ------- -

-----------------------------------~---------------------------- against the peace and dignity of the Commo nwealth of Virginia .

-.

-·------------------

And the Attorne y for the Common wealth aforesai d, who prosecut es a s aforesai
d, in the
Il:ame and by the authorit y aforesai d, and upon the complai nt in writing afores
aid, further giives
the sa id Court to understa nd and be informe d that said ---:---- ------- ------------- ------- on the __________ day of ____________________ , in the year 192 __ , in the said
______________ of
------- ------- ------- -, did unlawfu lly ~----- ____________________________
against the peace
and dignity of ,the Common wealth of Virginia .
1

Third
Count

---~---- ' ~ ~ ( A ( -- '--------

Attorne y for the Common wealth.

VIRGINIA :------~!~J.:. ___ ·_____ of --- ~ -r!'_ts_~!:1-~~!'_g_ _______ , TQ-wit:
This day __ g._._:_-8...,__1.a.YIS.On ______ persona lly appeare d before meP.aul i.ue..
J.C.. _ n.d.rm s
a _ No t a r y Pub l i_s:_ for the _gj.J1y________ of ____ Ha rri s onbu :izg ___ , Virginia , and
made
complai nt and informa tion on oath that _f3_e_:rD..?c_:rg.__Ql_:lffj;______________ _, _______
_______

. .

·

___ _

.

.

.

21st

Se p tember
33
w1thm twelve months pr10r to this date, to-wit _on the ------- --- day of ------------- , 1~ ,
in the - c ounty -------- of B9_cJsj.11g h.E!.I.!). ___ -- :
--1.
_ 2
-

Ma11ll.lfaGtl:1.Pea ttndistill ed ardent spirtts;

Sola

1u dent

spmts;

3.-'fran sported ardent

,fP1~1ts;

4.-----.0wned and had in ~

,

--- po1:sessio n a still, still cap, worm, tutb, ferment er, and other
applianc es .connect ed with a still, and mash and other substanc es capable of being
used in the manufacture of ardent spirits;
--&amp;.=Un laiwtull y possess"7:trtl0nt ilpirits .

Sworn to this

--~§!h ___

day Of __Qq t_cfQ ,,.L_

~~gJ!-»_,Ji&amp; ..

~

�Commonwealth of Virginia
vs.

} MISDEMEANOR

·-Bernard_ Cli ff t _________________ ___
Information for Violation Prohibition Law.
Witnesses:

.....

G. A . Laws on
---------------------~------------------

----------------------·---- ·--------- .--,.-i

Filed ____ · _____________ . _________ 192 __

___ ___ __________ ________ ____ Clerk.
By ----------~--------- D. C.

"

�Com mon wea lth of Virginia-City, County o/,? oc- l~~ Jo-w it:
To the Prohibi tion Inspect ors, Sheriffs , Sergean ts, and all Police Officers
and Constab les of the State of Virgini a

=~:;~~~~~l~:n;~d infocmahono~o~t~ b,f~;~ ~ ~ ;; ;_ the sSict•~•~
~
N,m, o&lt; M.,;.,,.,.
of the said City /Count y that he verily believes, that in the said City
/ County a nd State:
(a) That A rdent Spirits re being unlawfu lly manufa ctured, sold,
kept, stored , po

-a--

cealed in a certain ..

If),

(b)

./ ~- --~--c_:
'="· ,o=

&gt;'----li::.---~

~ .o,m
,·,J,:,~:::;:;;;~~;:;~;:~:~;;;·a::::;,c:~~;:;:~•;}:::;::~~~:t;··~~~··~~:~:·~n~··~~:~
J

~

Hu

....,;_, ~• ,,~,,

w ,~, "

,&gt;, " " m"

&gt;,

1

and other sub stan ces, capable of being u sed , in the manufa cture of A
rd ent Spirits, are unlawfu lly in the possession 0£, and unlawfu lly u sed by one
Give name, if n ame un known , say, " \ \Those name is to the inforn1ant
unknown"

m a certin

..... ... .\ .. , ..
Here describe place as in (a) above

(c ) Ardent Spirits are bei ng unlawfu lly kept , held, stored , conceal
ed, used, sold, and unlawfu lly transpo rted in
certain baggag e or a certain vehicle, to-wit: a certain
Here describe vehicle, auto, wagon, carria ge, buggy, boa t i baggage
or what not

by one
Here g-ive name. or descrihe as in (a) ahovt"

And there being reasona bl e cause for such belief:

TH ESE ARE, THER EFORE , IN TH E NAME OF TH E COMM ONWE
ALTH OF VIRGI NIA, to command you, with all necessa ry and proper speed and assi stance, to
search the hou se, place, baggag e, boat or vehicle herein designa ted, either in day or night, and seize such ardent
spirits and their contain ers and other things
apparen tly possess ed or u sed in violatio n of law, an9 brin g the same
and the person or persons , in whose possession they are found , and also any person resistin g, impedin g, obstruc
ting, or in any manner hinderi ng or delaying you in the executi on of this warran t before me, or some other
offic er hav ing jurisdic tion of the case, to be
di sposed of and dealt with accordi ng to law; and make return, of thi
s warran t sho"vin g all acts and things done
thereun der, with a particu lar stateme nt and sufficie nt descrip tion of
the things seized and the name of the person
in whose possess ion found, if any, and if not found in the possess ion
of any one, so state in your return, and post a
true copy of this warran t and the return thereof, as required by law.
Given under my hand and seal this

.1/,.....day of .. ,.._'-__.,,_,,,.,,.

. 193~ ....

~

~

····· ·· ······················· ······ ···················

~~

.Title

of

Magistrate
(S~~I,
)

�DIRECTIONS
1. If only Ard ent Spirits and co nta iners b e seized

the Magistrate shall fix a time not less than 10
nor mor e th a n 30 days fr om th e da te o f r eturn
for the h earin g of said return. If no cla imant appea r, the Ardent Spirits and articles are to be forfeited to Commonwealth. An y perso n claiming
any o f same must file a writteJ claim stating pa rti cula rly th e cha racter a nd extent of his interest
th erein, w hereupo n the M agistra te shall certify th e
w arra nt, written claim a nd articles claimed, to th e
Circuit or Corp oration Court, as the case may b e,
for determination, and declare the unclaimed a rticl es fo r feited.

2. If still, still cap, wo rm, t ubs, heater, ferme n tcr s,
o r a ny ap plia nce conn ected w ith a still and used.
or mas h or o th er sub sta nce capab le of being used,
in th e m a nufacture of Arde nt Spirits, be seized.
th e mas h (after takin g sa mple ) shall be destroyed,
and the fact s and articles seized r epo rte d to th e
p ro hibition Commi ssioner and Co mmo nw ealth 's
Attorn ey. ( A copy of this warra nt and p rope r r e turn w ill be a suffici ent notice a nd report.) A r den t
Spirits and cont ain ers di sposed of as in . No. l
ab ove.

WARRANT TO SEARCH FOR ARDENT
SPIRITS, ET51

4l. '" "' . -~
Co,mmonw

The following named officers and persons a ssisted me in the execution of this warrant:

of Virginia~

....-s.-c.

I..
Executed th e within warra nt this ......
of

?.f ... ~".".':".?.day

. ,lWi ~

the

w ithin

O th er than a bove stated the following are wit-

"''"'~ -i-{ ;~

a nd by seizin g th e fo llow in g describ ed A rde nt Spirit,
a nd other thin g s therein fo und (a nd a rresting th e
c1 bove named per so n found in possession th ereof) a nd
by pos tin g a trn e copy of thi s wa n-a nt a nd th e return

T hi s ma tter set fo r hea rin g o n th e

... ... .. day

of

hereo n o n th e
H ere say place, house, room, boat ,

No cla im of ow nership or intere st in any o f the
said things seized havin g been filed herein in complia nce with the law , the sa me are hereby adjudged
and decla red confi sca ted a nd forfeited to the Commo nwealth .
Given un de r m y ha nd this . .. ....... ...... ...,.. ...
of

day

193
···· ···· ···· ··· "
T itle of :Magistra te

3. If A rdent Spirits a re being tra nsported in a n autom obile, boa t, wagon, bug gy, or o th er vehicle, the
Ard ent Spirits and container s sha ll be preserved
and th e ve hicle shall be delivered to th e Serg ea nt
of th e City, the fact s reported to the P ro hibition
Commissioner and Commonw ealth 's Atto r·ney a nd
Arden t Spirits and conta iners di sposed of as provided in No. 1 above. (A copy of this wa rra nt a nd
p rope r return will be suffi cient r eport.)

W ritten claim of own ership or interest having
bee n filed to ce rtain of th e said things herein seized . this warrant, the said claim and the things in
th ~ cla im particula rly desc ribed, are hereby certifi ed
to th e
.... ..... .. ... Court of this ..
for determina tion, a nd th e said thin gs unclaimed a re
hereby adj udg ed a nd declared confi sca ted a nd fo rfeited to th e Common wea lth.
Given und er my band this ... ... ....... ...... ..... .. ...... ...day
of

4. A copy of this wa rra nt and th e return th ereo n
m ust be pos ted a t th e front door of th e ho use, o r
o n th e doo r of th e roo m, o r on th e prem ises at th e
place the A rel en t Spirits m ay be fo und .
See Sectio ns 21 ½, 22, 23 , 23½ , 57 a nd 57 ½ , Acts of
A ssembly, 1918, Page 578.

193.
Ti tl e of :Magistra te

...'.'!: . .. L ..... .
T it le

N O TE. -U nless warra nt iss ued fo r A rdent Spirits
bei ng tra nsport ed in ve hicle, boat, or baggage, it is
to be return ed to th e juri sd iction from w hi ch iss ued.
If issued fo r A rd ent Spirit s so tra nsported, it can be
execut ed in a ny pa rt of th e State, and r et urn ed to an y
j ustice in a ny co unty or ci ty throug h w hich th ey a re
ca r ried.

�Arrest Warrant

These are therefore, in the name of the Commonwealth of Virginia, to command you forthwith to
apprehend and bri
to answer the said complaint an
to summon - - - -

clealt with according to law. And you are required

to appear and give evidence in behalf of the Commonwealth, on the examination touching the said
offence.
Given under my hand and seal this _

?t..

J. P. [Seal]

�Commonwealt h
Commonwealt h

vs.

~~~•
Judgment

Ane,wm-•
~ "!.d
. ~..

That the Defendant found guilty and fined

f

'Jf1/t, . ..

3--r '"'1 \ ~

and costs as follows:
Fine
Clerk's Fee
Justice's Fee

__3v9)_

Arrest

./ J-V

Executed the within warrant by arresting and delivering ·the body of

Summoning \Vitness
Witnesses Attendence and Mil age

a justice of Rockingham County, and by sum-

moning the within named witnesses in person
Total

Justice of the Pea ce.

�In the Name of the Commonwealth of Virginia:
To the Sheriff of Rockingh am County, Greeting:

You are hereby commanded to summon .. . ..... ........ ......... ... ... .. .. ... ..

~~~~~ .~o.~se :h~~ ~

:: ;~~;:,~::::~ :.h:n:,1~g:h; ; ; ~ ?:;~°.~rt.o~

~~~~.t1., .. °.~ .t~~ ..

to..t~st.i f~ .an·d·· ~~.~ ..tr·1·
·t
~°-~ 111°.~1~e~lt.h a
who stands charged with and indicted for

a

··· ·•·•················ ··: ::::::: :::::::: ..... ..

-f-ekmy-misdemeanor.

And this .... ..~ .. ... .... shall not omit under penalty of £100.

there this Writ.

~ ..

19 ..

7,-fffld m

th,

;,tb_

T}iE SERVI CE PR ES S, H ARRISONBURG, VA.

No. 4H

And have then and

11 ~/"k

Witness, J;),1,OBER'f SWITZER~ Cle~k of our said ~

d,y of ... ......

1

at the Court House, the

1::_t;_. ~

�c5.J
c.x t:1uu ceo •~

V':: '2

within Summ on s to

oy dellv ering a true Copy of the

::::17::

_e,,c_ ~~

_ _ In oerso n

i

"
~ '?
~

'

f

~

\3\

�COMMONWEALTH
-.

~

V.
J
I

Misdemeanor (Pro.)
INFO™A.TION

BERNARD CI.IFFT

t
IJ
I

'1

r

I

'

(k(. . \. ~ ,

,.9
Cl.if
3-2d-~
i ;~~

rvU..+4
2 ,,

~ vi ~1-- , Ua..( 'f- t._
/l/(!t,,t--,,...l
6~ .... -::tlr,' ~ 9~&lt;-&lt;.·c

~/t-i-

!

~ --@c;· ~ /

7.. /

Z-

J- o

1

t

Z.) r,

�I

I

�</text>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>Rockingham County Prohibition Records: Criminal Cases</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="41">
              <name>Description</name>
              <description>An account of the resource</description>
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                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>Rockingham County Circuit Courthouse</text>
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            <element elementId="49">
              <name>Subject</name>
              <description>The topic of the resource</description>
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                  <text>Prohibition--History</text>
                </elementText>
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                  <text>Prohibition--Government policy--United States</text>
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                  <text>Prohibition--Virginia--History</text>
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                  <text>Rockingham County (Va.)--History</text>
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                  <text>Rockingham County (Va.)--Genealogy</text>
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                  <text>Rockingham County Circuit Court</text>
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              <name>Date</name>
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                  <text>1916-1933</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="43">
              <name>Identifier</name>
              <description>An unambiguous reference to the resource within a given context</description>
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                <elementText elementTextId="58030">
                  <text>Pro001</text>
                </elementText>
              </elementTextContainer>
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            <element elementId="46">
              <name>Relation</name>
              <description>A related resource</description>
              <elementTextContainer>
                <elementText elementTextId="58055">
                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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              <name>Is Referenced By</name>
              <description>A related resource that references, cites, or otherwise points to the described resource.</description>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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      <name>Text</name>
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        <description>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/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="38128">
                <text>Commonwealth v. Bernard Clifft</text>
              </elementText>
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          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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              <elementText elementTextId="38129">
                <text>Misdemeanor; Indictment</text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38130">
                <text>Misdemeanor</text>
              </elementText>
              <elementText elementTextId="38131">
                <text>Indictment</text>
              </elementText>
              <elementText elementTextId="38132">
                <text>posession of still</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38133">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="40">
            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="38134">
                <text>1933</text>
              </elementText>
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                <text>Rockingham County Circuit Court </text>
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                    <text>COMUONr./EALTH OF VIRGINIA ,
COUNTY OF ROCKI NGID , to- wit :
In t he Cir c u it Cou rt of s a id Cou nty
:
The gra nd jur ors of the Sta te of Vir
gin ia , i n and for
the bod y of t he cou nty of Roc kin g ham
, and now atte ndi ng sai d
Cou r t at its Oct obe r ter m, 193 3 ,
upo n the ir oa ths pr es ent t ha t
L. P . Cla yt or, on or abo ut Sep tem
ber 30 , 193 3 , in the sai d cou nt y ,
did unl awf ul ly hav e i n his pos ses
sio n ten gal lon s of ard ent
spi rit s (mo ons hin e l iqu or) a ga ins
t the pea ce and di gni ty of
the Commonwealth of Vir g i nia .
Thi s ind ict men t is f oun d on the tes
timony of E. E.
Kis er an ds . F . Newman , wit nes s es
s wor n in Cou rt and sen t bef ore
the fra nd jur y to g ive evi de nce .

�Poss
Commonwea lth
v) Ind i ctme nt

L. P .

Misdemeanor
Oc tober term, 1933

A

Tr ue Bill :

Witnes ses : E. E. Ciser
S . F . ewman

D. W. Earma n

Commonwealth ' s Attor ney

~

�Commonwealth of Virginia,
Rockingham Countg, To- Wit:
~ l ~ t ~ a t o n t ' h : , i ~ ~ ; ~ ~ ~ d a y o f ~ • 19....
~3

s~ m itt~~
(J. P. or Bail Comm iss ion e r)

,of the :~id~o~~ ;~ of

Ro~~;:~

th mselves to be indebted to the Commonw ealth of Virginia each in the sum of

. ~&amp; ,ce, .ff/ £~ . . . . .. . . . Dollars,

($

1/'Q~

?~),

to be levied of their respectiv e goods and chattels, lands and tenement s, for the :ise of the
Commonwealth of Virginia rendered , and they each se verally waved their homestea d exemptio n
to their recognizanc e; yel upon this condition :
That if the said

'PrZ&gt;

ee£&lt;;,?~

.CZ"--,..i/ ..•..... . ... ...~

L... .. ~.....r.

...... ............. shall personall y appear before

the Circuit Court"of Rockingh am County, at the Courthou se of said County, on the ......../............
day of the

. . .~. ?..£..J..;;J. . ... .Term thereof, being the......../ . ..~day of................... ~....•.................... ,
1903, and

at such other time or times to which the proceedin gs may be continued or further

heard, and before any court or judge hereafter having or holding any proceedin gs in connectio
n with
the said chc1;rge, and then and there answer the Common wealth o ~ n i a concernin
g a certain
..... ~

.~ e r e o f the said........

c£2.. . . . ..... . . . . . . . . . .. . ..... . . . . . . . . . .

stands

charged, and be bound under said recogniza nce until the charge is final y disposed of or
until it is
declared void by order of a competen t court, then the above recogniza nce shall be null and
void; otherwise to remain in full force and effect.

~

~::::-. •;oF;;. tto affix my signature this
9

fh

day of....... __

��Commonwealth of Virginia:
You are hereby commanded to mmmon .

~e; ;Y.~?~.~;z~:. Gre~ti.~~:
~ .-&amp;~

:;;J:::;;J-i..::: ~ : : ::::::··

~r

to apte~ore the Judge of theJ;!tit Court of Rockingham County, at the Court House thereof,
atJJ,,o'clock, a. m., on the/ ~ . .. ay of

a~

19

misdemeanor .

who stands charged with n

.. ... shall not omit under penalty of £100.

And this ...

And have then and

there this Writ.
Witness, J.
day of

BERT SWITZER, Clerk of our said Court, at the Court House, the / / ~ -

.

~

P a l . PRE S S , HMII I S O NBUR i , VA

19?

5,--and in the 15 g"~ of the Comm~n7

ith.~

r~~

C/e,k

�"" :J
oy a ell ver in g a true Copy of th e

•
~

\t hin Summ ons to
.Jn nAr!'&lt; on .

5-Z.i ~

t~
"~

~
r

~

~

�In the Name of the Common wealth of Virginia:

th%~i~~~;:.;.
~~t~·•·.~~e.~~ .~~:
~4: ::~: ::::: :·. · · · · · ····. ····· ·······. ····.: : : : ::::: : : ::::::: : : ::
1

You are hereby commanded to sttmmon .. .. ~ . ~ ~.

:: ;~::a:,::::~~ :.h:/~~g:h: f ; ~1 $ ?o~rt

01..

~~ ~'.1-' . ~~.- ~~e ~~~~t..

:e:;~

~ouse 1

~ ~~e Cominonwe~/t·h·..a~.ai~s.~ .. ... ..... :: :::::::::: :: :::::::::::: .... ::: :::::::::::::

to.. t~st.if1...~~·d· ~.~.~-.~~·i·t·t~ '°R...{}!!.. ~·l·f .. ..

who stands charged with and indicted for a felony ~ o r .
And this ..........
.. .. .. ... . shall not omit under penalty of £100.
there this Writ.

~

Wilne«, ]. ROBERT SWIT? \ C/,,k of ou,
J,y of .

"id,c;,,_u,t,

And have then and

,t th, Cou,t Hou", th, ..

/ .?-;t/!=-

.f:;;r/4,!/2 . .. 19.... , .nd ,n th, 15 ~~~ Cl"k

THE SERVICE PR ESS, HARRISO N BURG, VA.

No. 45 7

�-(~~j
execute~

01 dellverlng El- tru,-, Copy

nto

~

ot t'.l•

4£/~

n

l!
' ~

~

i~
'

�.J7l.;;J- ,~. L

I
,

O~T _ 1933

f

a,t,;~/_

··-- .

t

St ~

l

}h~~M
(h -rJ,•"'- Jtf·; ·

I,
I
I

t

i

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•

i
I

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r
f

I

•

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1

1

t

1
~

f

i
t

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1
;I·

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i
b

j
•

iI

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--

l

',I

co:MMONWEAL '1H

V.

}

Misdemeanor

(Pro.)

L. P. CLAYTOR

~
/ ~,
I'

11-/ .
~- 7 0 , e)C,;

A,,t-vf!~I?

/

t:;:-

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                  <text>The first series of the Prohibition Records collection consists of all criminal case records associated with cases brought to the &amp;lt;strong&amp;gt;Rockingham County Circuit Court&amp;lt;/strong&amp;gt; from 1916-1964. Not every individual was indicted for a criminal offense and many were simply judged as misdemeanors. The cases have been separated and arranged by the last name of the defendant.&amp;nbsp;&lt;br /&gt;&lt;br /&gt;For more information on the Prohibition collection, visit the "&lt;a href="https://omeka.lib.jmu.edu/erp/findingaids"&gt;Finding Aids&lt;/a&gt;" tab in the menu above.</text>
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                  <text>1916-1933</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/7"&gt;Prohibition Records: Liquor Inventory&lt;/a&gt;&lt;br /&gt;&lt;a href="https://omeka.lib.jmu.edu/erp/collections/show/6"&gt;Prohibition Records: Affidavits for Ardent Spirits&amp;nbsp;&lt;/a&gt;</text>
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                  <text>&lt;a href="https://omeka.lib.jmu.edu/erp/items/show/4524"&gt; Prohibition Records Finding Aid &lt;/a&gt;</text>
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                <text>Commonwealth v. L.P. Claytor</text>
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                <text>posession of ardent spirits-moonshine</text>
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            <name>Contributor</name>
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              <elementText elementTextId="38121">
                <text>Craig Schaefer, Kayla Heslin, Selena St. Andre</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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                <text>1933</text>
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              <elementText elementTextId="38123">
                <text>This work has been identified as being free of known restrictions under copyright law, including all related and neighboring rights. (&lt;a href="https://creativecommons.org/publicdomain/mark/1.0/" target="_blank" rel="noreferrer noopener"&gt;https://creativecommons.org/publicdomain/mark/1.0/&lt;/a&gt;)</text>
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              <elementText elementTextId="38124">
                <text>RcPr-box10-023</text>
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                <text>Rockingham County Circuit Court </text>
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