Quantity 





PRICE 





Amount carried forward 











































' 

































































































































































































Total Amount of Order 







(PLEASE DO NOT WRITE IN THIS SPACE) 



Route shipped by Date shipped ..... 



In Pkgs Bundles Boxes Crates Baskets Bbls. 



The following articles will be sent later 



Laid out by Checked by Reply required by 



..1939 

 .Bags 



