ORDER BLANK 
HORNBERCER’S HOME AND CARDEN SERVICE 
Clark Street Hamburg, N. Y. 
NOTE: Use soft lead pencil. 
Use prefix—Mr., Miss or Mrs. 
Write or print complete ad¬ 
dress. 
NAME 
DATE 
P. 0. 
STATE 
ORDER 
ST., ETC. 
AMT. $ 
EXP. OFFICE 
SUBSTITUTE (check one) YES NO 
MEMO 
HOW SHIPP 
WHEN 
BAL. C.O.D. 
Bags 
Cartons 
Parcel Post 
C.O.D. 
Exp. Collect 
Exp. Pd. 
Total weight 
REFUND 
Write letter on separate sheet. 
See over. 
PACKED BY 
QUANTITY SIZE 
NAME 
pr:ce amount 
SEE OVER (check) LISTS WANTED 
