ORDER SHEET 
LAKEVIEW AQUATIC FARMS 
(LAKEVIEW PONDS) 
AMERICA’S OLDEST FANCY GOLDFISH FARM 5579 COLERAIN AVE. (U. S. ROUTE 27) 
_ R. C. DOLLE, Owner _ MT. AIRY, CINCINNATI, OHIO 
Date...Forward by*. 
(SEE NOTE BELOW) 
Name.... 
(PLEASE PREFIX MR., MRS., OR MISS) 
Street, P. O. Box or R. F. D.... 
Post Office. 
Express Office ['-TpT).- 
State... 
Make Checks payable to Lakeview Aquatic Farms. 
More Order Blanks will be sent on request. 
Please write letters on separate sheet. 
PLEASE DO NOT WRITE IN ABOVE SPACE 
AMOUNT ENCLOSED $ 
*NOTE: ALL FISH MUST BE SHIPPED BY EXPRESS. WHEN PLANTS ARE ORDERED WITH FISH THEY WILL BE FORWARDED IN THE SAME 
SHIPMENT WITH GOLDFISH WHENEVER POSSIBLE. IF PLANTS ONLY ARE ORDERED THEY MAY BE SENT BY PARCEL POST IN WHICH CASE 
ADD SUFFICIENT FUNDS TO COVER THE POSTAGE. 
WATER HYACINTHS ARE SHIPPED FROM FLORIDA BY EXPRESS ONLY. 
STATE HERE WHEN YOU WOULD LIKE US TO SHIP 
SHIP 
STAMPS 
CASH 
M. 0. 
CHECK 
FISH AND 
SCAVENGERS 
PC o 
HYACINTHS 
AQUATIC 
PLANTS 
FORM 41 n 
LILIES 
NURSERY 
SUPPLIES 
QUANTITY DESCRIPTION AMOUNT 
CARRIED FORWARD 
SUBSTITUTES: l. if out of any item on this order you may substitute a similar item provided it is of 
EQUAL OR BETTER QUALITY AND VALUE-□ 
2. PLEASE DO NOT SUBSTITUTE WITHOUT NOTIFYING ME---□ 
(Mark X in one of the above places) 
(Over) 
