ORDER SHEET 
OFFICE RECORD 
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 I Cents 
' 
• 
Amount of Order. 
Postage or Express. 
Total Amount. 
Amount Paid. 
Balance Due. 
Refund or Discount Allowed ... 
Balance Paid. 
ORDERED BY 
Substitute 
Filled by 
Shipped 
Via 
Do Not Write In This Space 
Correspondence on order sheet cannot be answered promptly. Please use separate sheet. 
SEE SPECIAL OFFERS ON OTHER SIDE. 
Entered 
