OFFICE RECORD 
ORDER SHEET 
A. E. KUNDERD INC., Goshen, Indiana 
Please Forward to 
Date Order Received 
Name....R. F. D. No. 
Street...P. O. Box..... 
Post Office.State. 
County 
.Express Office. 
Date of Order.19 
Please write name and address plainly, and fill in all blanks carefully, attach price to each article 
and add up accurately. If no objection, we submit a similar or a better variety when out of kinds 
ordered. Order early. PLEASE WRITE LETTER ON SEPARATE SHEET 
Quantity 
Variety Ordered 
PRICE 
Dollars 
Cents 
Amount of Order. 
Postage or Express. 
Total Amount . 
Amount Paid 
Balance Due - . 
Refund nr Discount. Allowed 
Ralance Paid . 
ORDERED BY 
Substitute 
Filled by 
Shipped 
Via 
Do Not Write 
In This Space 
(Order may be continued on back of this sheet) 
Correspondence on order sheet cannot be answered promptly. Please use separate sheet. 
SEE SPECIAL OFFERS ON OTHER SIDE. 
Entered 
