ORDER BLANK 
CARL PURDY, Ukiah, Calif. 
Please forward the following OEDEE for amount enclosed. 
Name 
(Say whether Mr., Mrs. or Miss; write name plainly) 
Street.R. D. Box. 
Post Office.P. O. Box . 
County.State. 
Date.193. 
Amount Enclosed 
Money Order. 
Cash . 
Stamps .. 
Check .. 
QUANTITY 
NAME OF ARTICLE WANTED 
PRICE 
TOTAL 
1.1D40-10H. 
CALIFORNIA CUSTOMERS MUST ADD SALES TAX 3% 
Reverse side may be used for more space. Extra blanks on application. 
