Document Xzn4RD98ROw12BxJoLbXDeDRB

OFF ICE OF PRICE ADMINISTRATION WASHINGTON, D. C. ICON HENOERSON - ADMINISTRATOB In o u s t r y Qu e s t io n n a ir e on Pa in t a n d p a in t p r o d u c t s NAME OF C OMPANY 8 ,,JgjXQ, IL, -gUS ft A-Sl UM_____________________________ a d d r e s s o f c o mp a n y ; 206 Jefferson (s t r e e t ) Burlington_________Iowa (c it y ) (s t a t e ) NAME OF THIS PLANT; ( _____________________________________________________________________ ADDRESS OF THI8 PLANT; {s t r e e t ) (c it y ) (s t a t e ) RECOROS KEPT AT; Burlington. Iowa__________________,_____________ - t y p e o f Or g a n iz a t io n - CORPORAT I ON PARTNERSHIP OTHER (SPECIFY) (_) (__) () Th e OFFICE OF PRICE ADMINISTRATION IS AUTHORIZED TO OBTAIN SUCH INFORMA TION AS IS DEEMED NECESSARY TO EFFECTUATE THE EMERGENCY PRICE CONTROL Ac t o f 19l|2. (Pu b l ic l a w 1|21 - c o n g r e s s ; Se c t io n 202.) I HEREBY CERTIFY THAT THE ANSWERS ANO OTHER INFORMATION CONTAINED HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE ANO BELIEF.___ 7>? * Sig n ed -c.. Tit l e Da t e -Bactofiir. July 3, 1942 N 4715