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PO NOT USE ABOVE SPACE 
BRUNS SEED CO. . 
. DAVENPORT, IOWA 
Date .. . 1934 
Name . 
Post Office .R.F.D.... 
Street No.Box No. 
"v . 
State.County. 
Ship to.State 
Shipping Point, if different from P. 0. 
AMOUNT ENCLOSED 
Money Order $- 
Exp. Order $-— 
Check.$- 
Draft .$- 
Cash.$-- 
Total $- 
Fill This in for Future 
Shipment Only 
Total amount of 
order booked $-— 
Amount of remit¬ 
tance enclosed $- 
Balance to be for¬ 
warded later $—-- 
When will you send balance 
due and have shipment made? 
Send by 
State if wanted by Freight, Truck, Express or Parcel Post 
* 
Name of Railway.... . . . . 
Is there an agent at your shipping point ?.. 
State Yes or No. 
IMPORTANT—-If your station is a 
prepaid station, be sure to include 
freight costs in your remittance. 
Also if shipment is wanted by Parcel 
Post, add enough to cover postage, 
except on items that are quoted 
postpaid. This is necessary to as¬ 
sure prompt shipment. 
■ > ,11.-»-^ .u.- 
Quantity 
Name of Seed Wanted 
Dollars 
Cents 
| 
§ 
% 
, - • ' • . ' ' . • 
■ V 
% 
• 
1 
TOTAL 
. _ 
_k.fi... 
