ORDER BLANK 
Humphrey-Coker Seed Co. 
Hartsville, S. C. 
Dat 
Ship the Following Seed To: 

Name 
Post Office 
Shipping Point ee a eee 
Date Ship 
Draft Through 
(Bank) 
QUANTITY | PEDIGREED SEEDS | PRICE | VALUE 
we 
aa 


| SELECTED SEEDS 
came ! 

TOTAL AMOUNT OF ORDER 
AMOUNT PAID 
BALANCE DUE 


| 
/ 
