Use this blank if possible—It aids in filling orders promptly and properly 
a 
c 
£ 
v 
Vi 
Cl< 
Received _ 
Amount _ 
O. K.’d _ 
Filled by _ 
Checked by _ 
Packed by_ 
Pkgs- Post 
Date_ 
Our Order No.. 
ORDER SHEET 
^cteradcSeed , 6cr. 
1515 Champa Street 
P. O. Box 1345 
Phone KEystone 1351 
Date 
193 ^ 
Gentlemen: Please forward the following goods by _ (Mail, Express or Freight) 
(A 
Name ■{ IV 
(A 
Postoffic 
Viss 
lr. 
Amount Enclosed 
Irs. 
:e 
Money Order 
$ 
Cts. 
Draft 
R. F. D. or Street State 
Express or Freight Office 
if different from Postoffice 
Cash 
Stamps 
Total 
$ . 
(Do not 
write O 
in these 
two Q 
columns) W 
Quantity 
Name of Goods Wanted 
Please carry out 
the price 
Special Collection 
Special Collection 
— 
Added for oostaae where reauired 
Am 
"Hint Carried Forward. 
$ 
Have you forgotten anything? Be sure to give your name and postoffice. Read on other side 
about postage. How do you want goods shipped? (Please circle routing at top of page, or 
mark here). 
siiAcrwH) ■■ 
