OFFICE RECORD 
ORDER SHEET 
A. E. KUNDERD INC., Goshen, Indiana 
Please Forward to 
Name . R. F. D. No. 
Street...P. 0. Box 
Post Office . State . 
County .Express Office . 
Date of Order . 
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 
:>ki 
Dollars 
CE 
Cents 
— 
....- - 
.. 
rnnr-,, ,, 
Correspondence on order sheet cannot be answered promptly. Please use separate sheet. 
(OVER) 
Date Order Received 
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 
Rater ed.___.. 
