ORDER BLANK — Continued 
Quantity 
NAME 
Price Per Each 
Price Per Dozen 
Price Per 100 
Total Price 
Amount of Order 
Pi 
0 
Pi 
a 
fd 
■a 
£ 
rH 
PQ 
CO 
•rH 
u 
o 
"d 
0 
r-Ci 
O 
E-h 
< 
H-4 
CA 
• H 
rG 
0 
H 
CO 
CO 
0 
r—H 
• H 
0 
0 
V . 
• rH 
s 
rH 
TJ 
in 
O 
-+—» 
r d 
M 
< 
0 
3 
8 
<0 
01 
pj 
O 
01 
o 
a> 
(d 
© 
55 
0 
■B 
o. 
B 
Pi 
-4-» 
rd 
O 
CO 
£ 
Jh' 
o 
Pi 
•iH 
0 
>-• 
s 
Remittances should be made by Post Office Money Order, Express Money Order, Bank Draft on Chi¬ 
cago or New York or by personal check. When mailing currency or coins seal and register the letter. 
Wrap coins securely in strong paper to prevent slipping and enclose in this blank. 
