ORDER SHEET 
Howard Uhrig, 
Chillicothe, O. 
Please forward to 
Name. 
Street. 
Post Office. 
County. 
Amount inclosed $ 
.R. F. D. 
.P. O. Box. 
.State . 
Express Office. 
Date of Order.193 
Please write name ancf 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 
VARIETY ORDERED 
PRICE 
Dollars 
Cents 
- 
• 
TOTAL 
Please Use This Order Sheet As It Will Aid In Filling Your Order More, Promptly 
and Help Avoid Mistakes. 
OHIO RESIDENTS ADD 3% SALES TAX 
