ORDER SHEET 
C. W. BROWN, Ashland, Mass. 
Amount Inclosed, $ 
Please forward to 
NAME-- !>. p j> No _ 
STREET-p. o. BOX_ 
POST OFF TOE ST*TE 
DATE OF ORDER T9 
Please write name and address plainly. If we are sold out of 
an item, shall we substitute? 
QUANTITY 
VARIETY ORDERED 
PRICE 
Dollars | Cents 
