QUANTITY 



ARTICLES 



PRICE 





Amount brought forward, 









































































































































































































































Total amount of order. 







Route shipped by.. 



(PLEASE DO NOT WRITE IN THIS SPACE.) 

 , Date Shipped.. 



In Pkgs.; Bundles; Boxes; Crates; Baskets; Bbls.; 



mo 



Bags 



The following articles will be sent later _ 



Laid out by ; Checked by ., Reply required by.. 



