ORDER TO 
Bay State Bulb Co. 
Mansfield, Mass. 
Name . 
Please do not 
write in here 
Order 
Number 
Rec’d 
Cash 
Enclosed $ 
Filled 
By . 
P. O. Box, Street 
Checked 
or Rural Delivery. 
By 
Date 
Post Office. 
Shipped 
State . 
Via 
Cash 
Send by.Enclosed % .Date 
Quantity 
NAMES 
PRICE 
$ Cts 
Carried forward 
Be sure to fill in your name and address above 
