ORDER TO 
Bay State Bulb Co. 
Mansfield, Mass. 
Name.. 
P. O. Box, Street 
or Rural Delivery. 
Post Office. 
State . 
Cash 
Send by.Enclosed $. .. Date ... 
Quantity 
NAMES . 
PRICE 
$ Cts 
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Carried forward 
Be sure to fill in your name and address above 
Please do not 
write in here 
Order 
Number 
Rec’d 
Cash 
Enclosed $ 
Filled 
By 
Checked 
By 
Date 
Shipped 
Via . 
