QUANTITY 



ARTICLES 



PRICE 





Amount brought forward. 









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Total amount of order, 







Route shipped by 



(PLEASE DO NOT WRITE IN THIS SPACE.) 

 , Date Shipped- 



.19U 



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



The following articles will be sent later. 



Laid out by ,• Checked by ,- Reply required by ______^. 



