Quantity 





PRICE 





Amount brought forward 

















































































- 































































































































































Total A mount 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 



.1947 

 .Bags 



