Leave 
Blank 
Quantity 
Catalog 
Number 
Name of Seeds, Etc., Wanted 
Price 
Rate 
Extension 
of Cost 
$ Cts. 
1 
1 
Amount Brought Forward 
. 
1 
. 1. 
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_ 1 ... 
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1 
1 Extra order forms mailed on request. Total [ | 
SoutK Dakota customers, please add 3c for each dollar's worth ordered for South Dakota Sales Tax. 
Be sure to give your name and address and keep a copy of your order. 
We will consider it a special favor if you write below the names of your friends who you think would 
like our catalog. 
NAMES 
POST OFFICE 
STATE 
