VAN BOURGONDIEN BROS. 
Babylon, N. Y. 
Order for SPRING Planting Material 
Subject to Catalog Terms 
DO NOT WRITE 
IN THESE SPACES 
Zone 
Rec’d 
M 
SHIP TO: M 
M 
STREET . 
r. 
rs. ... 
DO— 
iss 
Shipped 
POST OFFICE ........ 
STATE ___________Amount Enclosed $... 
Via 
Remittance 
Quantity 
Name of Variety 
Price 
$ 
• 
• 
! 
Use Other Side to TOTAL 
List Additional Items or Am’t Carried Fwd. 
r$— 
