ORDER BLANK 
BOULDER, COLORADO 
Name- 
Street. 
Amount Enclosed 
Please write plainly 
P, O, Box.. 
R. D. No.. 
Box. 
Date 
Postoffice- 
193 - 
State. 
Express Office.. 
QUANTITY 
NAME 
VAEXETY 
PBZCE 
Use other side of this Order 
Blank for additional items 
TOTAE 
Carry this amount to next png's 
COLORADO Customers: Please Add State Sales Tax. Thanks. 
