ORDER SHEET 
FORM 35 
R 
LAKEVIEW PONDS 
R. G. DOLLE, Proprietor 
5579 COLERA1N AVE. (U. S. ROUTE 27) 
"AMERICA S OLDEST FANCY GOLDFISH FARM ' MT. AIRY, CINCINNATI, OHIO 
Date .Forward by* . 
(See Note below) 
Name . . 
(Please prefix Mr., Mrs. or Miss.) 
Street, P. 0. Box or R. F. D.. 
Post Office 
Express Office ( IF F So"" o NT ) . -.-. 
STAM PS 
CASH 
M- O. 
CHECK 
SENT DATE 
1 
FISH 1 
HYAC. 
State Here when you would like us to ship 3t3^0 
PLANTS 
Ship 
Make Checks payable to Lakeview Ponds. 
More Order Blanks will be sent on request. 
Please write letters on separate sheet. 
LILIES 
SCA V. 
SUP. 
PLEASE DO NOT WRITE IN ABOVE SPACE 
A ■ Y? 1 1 STATE WHETHER P. O. MONEY ORDER. (fr* 
Amount UlOCiOSGO EXPRESS MONEY ORDER OR CHECK 
*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 and supplies only are 
ordered they may be sent by Parcel Post in which case add 10% to cover the postage. 
QUANTITY DESCRIPTION AMOUNT 
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. .. LI 
(Mark X in one of the above places) (Over) 
