ORDER BLANK 
(§MB4NY~ 
BOULDER, COLORADO 
Amount Enclosed 
Please write plainly 
R. D. No. 
Box. 
Date 
193 - 
Express Office.. 
3 
2 QUANTITY 
NAME VARIETY 
PRICE 
B 
• 
i 
1 
■ 
% 
1 
■ 
■ 
) 
| 
1 
* 
p 
1 
i 
> 
i 
■ 
) 
: 
i 
■ 
. 
■ 
* 
total 
Use other side of this Order 
Blank for additional items Carry this amount to next page hum. 
>■ 
COLORADO Customers: Please Add State Sales Tax. Thank; 
