Quantity 





PRICE 



Quantity 





PRICE 





Amount brought forward 









Amount brought forward 

























































































































































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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 . 



1937 



.Bags . 



