ORDER SHEET 
FORM 34 
LAKEVIEW PONDS 
R. C. DOLLE, Proprietor 
-AMERICA S OLDEST FANCY GOLDFISH FARM ” MT. AIRY, CINCINNATI, OHIO 
Date Forward by * 
STAM PS 
_ 
— 
(See Note below) 
Name 
CASH 
M. O. 
(Please prefix Mr., Mrs. or Miss) 
Street, P. 0. Box or R. F. D. 
CHECK 
SENT DATE 
Post Office 
1 
FISH 
Express Office ( IF F gJ„ F Vo NT ) - 
--- 
H YAC. 
— 
State Here when you would like us to ship. 
Ship 
State 
I 
PL A NTS 1 
LILIES 
SCA V . 
Make Checks payable to Lakeview Ponds. 
More Order Blanks will be sent on request. 
Please write letters on separate sheet. 
SUP 
Amount Enclosed 
PLEASE DO NOT WRITE IN ABOVE SPACE 
STATE WHETHER P. O. MONEY ORDER, 
EXPRESS MONEY ORDER OR DRAFT 
$ 
-Note: All fish must be shipped by Express. When plants are ordered with fish they will be for¬ 
warded in the same shipment with goldfish whenever possible. If plants only are ordered they 
may be sent by Parcel Post in which case add sufficient funds to cover the postage. 
Water Hyacinths are shipped from Florida by Express Only. 
QUANTITY 
DESCRIPTION 
AMOUNT 
1 
1 
• 
Carried Forward 
SUBSTITUTES: 1. If out of any item on this order you may substitute a similar item provided 
it is of equal or better quality and value. __[ ] 
2. Please do not substitute without notifying me. ....j_ : 
(Mark X in ene of the above places) Over) 
