ORDER BLANK 



Date 1911. 



J. T. L.OVEXX, 



Luittle Silver, New Jersey. 



Enclosed find the sum of $ for which send the follow- 

 ing goods: 



Quantity. 



VARIETY AND SIZE. 



Amounts. 



DOLLARS. 1 CENTS. 





























■ 1 

















: 









i 









! 

 1 

 1 









1 

































i 









! 



1 









































^ 



^ 1 





























i 





[OVER] 







