ORDER FORM 
California Retail Sales Tax 3% 
Please include amount of SALES TAX 
leith your remittance as follows; 
$0.01—$0.14—No Tax 
.15— .49—One Cent Tax 
.50— .83—Two Cents Tax 
.84— 1.16—Three Cents Tax 
1.17— 1.49—Pour Cents Tax 
1.50— 1.83—Five Cents Tax 
For Exemption 
See reverse of this Order Form 
F. LAGOIVIARSINO & SONS 
SEED GROWERS ★ MERCHANTS 
721-723 J Street, Sacramento, Calif. 
Nctme- 
Street. 
(Mr., Mrs. or Miss ; write name plainly) 
.R. D 
Box 
Amount Enclosed 
Do Not Write in 
This Space 
Money Order. 
Cash - 
Post Office ....r. O. Box 
Express or 
State ... Freight Office . 
Forward goods by Parcel Post . Express . Freight. 
Check how ^oods are to be sent. 
Date ........... 
Stamps - 
T otol --- 
NOTICE — Remittance by 
Postal Money Order is a 
guarantee against loss. We 
prefer them for our mutual 
protection. Use them if con¬ 
venient. 
F. LAGOMSRSINO AND SONS GIVE NO WARRANTY, EXPRESS OR IMPLIED, AS TO DESCRIPTION, QUALITY, PRODUCTIVENESS OR ANY OTHER MATTER OF ANY SEEDS. BULBS. 
PLANTS OR TREES THEY SEND OUT, AND WILL NOT BE IN ANY WAY RESPONSIBLE FOR THE CROP. 
Lb. 
Oz. 
, Pkt. 
NAME OF ARTICLE WANTED 
Price 
_ , 
r 
.. 
.. 
. 
Total 
(OVER) 
