Order Blank 
CHAMPLAIN VIEW GARDENS 
ELMER E. GOVE 
BURLINGTON, VERMONT 
Name (Mr., Miss or Mrs.).Date 
Please write plainly 
Street and No., P. 0. Box ) 
or R. F. D. | ... 
Post Office....County. 
Express Office...State 
If different from P. O. 
Ship when. 
Write letter on separate sheet of paper. 
AMOUNT ENCLOSED 
Money Order 
$. 
Check 
$. 
Cash 
$. 
Stamps * 
$.. 
Quantity 
VARIETY 
Size 
Rate 
Amount 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
Balance Forward 
In making out order please give price from latest price list. Continue order on other side. 
