ORDER BLANK 
CARL PURDY, I ikiah, Calif. 
Please forward the following ORDER for amount enclosed. 
Name . 
(Say whether Mr., Mrs. or Miss; write name plainly) 
Street...R. D.Box 
Post Office.P. O. Box. 
County.State. 
Date 
193 
Amount Enclosed 
Money Order. 
Cash . 
Stamps . 
Check . 
QUANTITY 
NAME OF ARTICLE WANTED 
PRICE 
V 
TOTAL 
Reverse side may be used for more space. Extra blanks on application. 
1935 10M 
