ORDER BLANK 
THE I. W. SCOTT CO. 
SEEDS 
FARM MACHINERY 
500 LIBERTY AVENUE 
113 DIAMOND STREET 
POULTRY SUPPLIES 
PITTSBURGH, PA. 
Name_ 
Street__ 
Post Office_ 
Freight or Express Office_ 
Please forward by_ 
(Exp., Frt. or Parcel Post) 
-Date_ 
_P. 0. Box_ 
-R. D. No._ 
_State_ 
I enclose_for $_ 
(Check, Money Order or Stamps) 
Quan. 
Articles 
Price 
-- 
• 
% 
— 
y' 
Amount forwarded 
