ORDER SHEET 
Charles H. Totty Company, madison, n. j. 
Date. 
.Forward by 
Name. 
Gardener _ 
Street, P. 0. Box 
or Rural Delivery. 
Post Office _ 
»-r rif differentl 
Express Lfrom p. oj 
County^ _ 
State. 
AMOUNT ENCLOSED Ezpreu Money Order, Draft, 
Postage Stamps or Cash 
PLEASE DO NOT WRITE HERE 
Quantity Wanted 
Articles Wanted 
Price 
Amount 
