order sheet 
Date .1941 
Dakota Improved Seed Co., Mitchell, South Dakota 
Amount Enclosed 
Currency . 
Bank 
Draft . 
Money 
Order . 
Gentlemen: Please send the following seeds. 
Check. 
Total. 
iName. 
Street and 
P. 0. . 
Mr., Mrs., or Miss. Please write distinctly. 
No....-.. 
Space Reserved for Office Use 
Date 
Received . 
South Dakota Sales Tax. 
Amount 
Received. 
Mail 
Freight or 
Express 
No. of 
Packets . 
No. of 
Packages . 
• 
State here if wanted by FREIGHT, EXPRESS or MAIL. 
Nearest Railway Station. 
if different from P. O. 
Is there a freight agent at your railroad station? . 
If there is no freight agent at your shipping point, money must be sent 
with order to prepay the freight charges. 
Date sent . 
Put up 
by . 
Checked 
by . 
Leave 
Blank 
Quantity 
Catalog 
Number 
Name of Seeds, Etc., Wanted 
Price 
Rate 
Extension 
of Cost 
Dollars Cts. 
Vegetable Collection, Inside Front Cover 
.50 
Vegetable Collection, Inside Front Cover 
1.00 
Vegetable Collection, Inside Front Cover 
2.00 
Have you 
ordered In 
oculator foi 
your Alfalfa or Clover? 
Have you 
ordered Semesan for 
your Corn? 
r 
| Amount Carried Forward to back of this sheet. 
South Dakota customers please add 3c for each dollar's worth ordered lor South Dakota sales tax. 
How ordered 
No, 
