ORDER SHEET 
Charles H. Tom Company, Madison, n. j. 
Date Fnrmarff hy (State Express) 
Name 
PLEASE DO NOT WRITE HERE 
Gardener 
Street, - P. O. Box or 
Rural Delivery 
Post Office 
Express 
County 
tit\ 
r> p 
State 
- - State whether P. O. Order 
AMOUNT ENCLOSED Express Money Order, Draft, 
Postag^e Stamps or Cash 
Quantity Wanted 
Articles Wanted 
Price 
» 
- - 
‘ 
i- 
Amount 
