Use this blank if possible—It aids in filling orders promptly and properly 
£ 
H 
4> 
•C 
o 
z 
© 
a 
Received__ 
Amount-_ 
O. K.'d_ 
Filled by___ 
Checked by_ 
Packed by_ 
Pkgs-Post 
Date._ 
Our Order No. 
ORDER SHEET 
^GdopadcrSced Ver. 
1515 Champa St. Denver, Colo. 
P. O. Box 1345 Date 
Phone KEystone 1351 
193_ 
Gentlemen: Please forward the following goods by_(Mail, Express or Freight) 
(* 
Name \ IV 
( A 
R. F. D. c 
liss 
Ir. 
Amount Enclosed 
Irs. 
tr Street 
Monev Order 
$ 
Cts. 
Postoffice State 
Express or Freight Office 
if different from Postoffice 
Draft_ 
Cash 
Stamps_ 
Total 
$ 
(Do not 
write O 
in these 
two Q 
columns) w 
Quantity 
Name of Goods Wanted 
Please carry out 
the price 
Special Collection 
Special Collection 
• 
• 
Added for oostaoe where reouired 
<mnt Carried^ggyvarci,— 
$ 
e X 
1 
] 
Have you forgotten anything? Be sure to give your name and postoffice. Read on other side 
about postage. How do you want goods shipped? (Please circle routing at top of page, or 
mark here). 
