ORDER SHEET 
OFFICE RECORD 
A. E. KUNDERD INC., Goshen, Indiana 
Please Forward to v 
Date Order Received 
Name . 
Street . 
Post Office 
County . 
. R. F. D. No. 
.P. O. Box . 
. State . 
.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 
Dollai-s | Cents 
. 
• 
MmwMK ' ' 1 
• 
l"’.” - ” *** "" 
Amount of Order . 
Postage nr Express .. 
Total Amount. . 
Amount. Paid . 
Balance Due . 
Refund or Discount. Allowed .. 
Ralanee 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 ansiwered promptly. Please use separate sheet. 
Entered 
