ORDER SHEET 
C. W. BROWN, Ashland, Mass. 
Amount Inclosed $ 
Please forward to 
NAME R. F. D. No. 
STREET P. 0. BOX 
POST OFFICE STATE 
DATE OF ORDER 19 
Please write name and address plainly. If we are 
sold out of an item, shall we substitute? 
QUANTITY 
VARIETY ORDERED 
PRICE 
Dollars 
Cents 
* 
- 
- 
—11— 
