RALPH W. STERLING 
TEL. 55 PECONIC CUTCHOGUE, L. I., N. Y. 
Amt. Enclosed $.. Date..... 
Name.!...._... 
Post Office__ 
County and State- 
Town to Ship Express to_ 
Rural Route No. ..„.. 
Ship by . 
(Express or Mail) 
Ship about . .. 
(Date to be shipped) 
Amount 
Cat. 
Number 
DESCRIPTION 
Dollars 
Cents 
1 
Add Postage 
May I substitute if out of any kinds ordered? 
