f 
ORDER BLANK 
I VERNE C. FUHLRODT 
FREMONT, NEBRASKA 
I 
* 
I Name------ Date.. 
I 
' Street or R. F. D. No- 
‘ City or Town--- State_ 
Express Office------ 
If different from P. O. 
Date Delivery Wanted______ Amount Enclosed $ 
Do you want us to send an equal or better variety if sold out of kind ordered?-. 
Quantity 
Size 
Name of Variety 
Amount 
1 
1 
Balance Forward 
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