ORDER BLAIVK 

 COOLERS GARDENS, SiLVERTON, OREGON 



Date 



Ship to 



Street or R.F.D 



City State 



Date wanted Amount enclosed 



SUBSTITUTIONS will not be made unless you request. If supply of a variety you have 

 ordered is exhausted, may we send you another, of equal or greater value? Please answer 



yes or no 



antlty 



ARTICLE WANTED 



PRICE 





















































































































































Total 



(CONTINUE ORDER ON OTHER SIDE) 







S«D S-36 I6M 



I 



