ORDER SHEET 
Howard Uhrig, Chillicothe, Ohio 
Please forward to Amount inclosed. $ .. 
Name. R. F. D. No 
Street 
P. O. Box 
Post Office.'. State 
County. Express Office. 
Date of Order 
193 
Please write name and address plainly, and fill in all blanks carefully, attach price to each article and add up accurately. 
If no objection, we substitute a similar or better variety when out of kinds ordered. Order early. PLEASE WRITE 
LETTER ON SEPARATE SHEET. 
QUANTITY 
! PRICE 
VARIETY ORDERED i- 
Dollars Cents 
• 
- 
• 
TOTAL 
Please Use This Order Sheet as It will Aid in Filling Your Order More Promptly and Help Avoid Mistakei. 
OHIO RESIDENCE ADD 3 % SALES TAX 
