OFFICE RECORD 
ORDER SHEET 
A. E. KUNDERD, INC., Goshen, Indiana 
Please Forward to 
Name.. R. F. D. No... 
Street.-.P. 0. Box. 
Post Office.State. 
County..... Express Office. 
Date of Order.19. 
Please write name and address plainly, and fill in all blanks carefully, attach price to each article 
and add up accurately. If no objection, we submit a similar or a better variety when out of kinds 
ordered. Order early. PLEASE WHITE LETTER ON SEPARATE SHEET. 
Quantity j Variety Ordered 
PRI 
i Dollars 
CE 
Cents 
• 
> 
' _ 
' 
• 
- 
1 , 
" “ " ----- ( 
: ::; . 
/ 
(Order may be continued on back of this sheet.) 
Correspondence on order sheet cannot be answered promptly. Please use separate sheet. 
Date Order Received 
Amount of Ore r. 
1 
Postage or Express. 
Total Amount .. . 
ii 
1! 
Amount Paid ..'1 
Balance Due . 
ii 
Refund or Discount Allowed |.. 
ij 
Balance Paid..11 
ORDERED BY 
Substitute 
Filled By 
Shipped 
Via 
Do Not Write In This Space 
Entered 
