ORDER BLANK 
WATERLOO BULB FARMS 
RAY V. MOSS, Prop. 
Waterloo, Iowa 
Nome 
Please write plainly 
Street . 
P. O. Box.R. D. No.Box. 
Postoffice . 
State, 
Express Office 
When shall we ship? Date. 19 . 
Please remit by postal or express money order, bank draft, 
or personal check. We can use small amounts of three-cent 
stamps. Do not send large stamps. Do not send currency. Make 
all checks and money orders payable to Ray V. Moss. 
Iowa residents must include sales tax on bulbs and seeds. 
QUAN. 
SIZE 
NAME & VARIETY 
PRICE 
/ 
Iowa Sales Tax 
TOTAL 
CARRY THIS AMOUNT TO NEXT PAGE 
— 25 — 
