Quantity 



PRICE 





Amount brought forward 









- 







l 



■ 

 i 



i 







1 







i 























































■ 

















































































































i 























1 







1 



i 







I— ■ 



i 







i 







































Total Amount of Order 







(PLEASE DO NOT WRITE IN THIS SPACE) 



loute shipped by ,, Dale Shipped 



In.. 



-f.-gs.. 



Bundles Boxes Crates Baskets.. 



Bbls. 



1945 

 ■ Begs 



The following crtidss will be sent h-ter.. 



Lsid oat by- 



Checked by - Reply required by.. 



