ORDER BLANK 
J. A. HULLIBARGER 
R. 3, Stop 19 Elyria, Ohio 
Clem OimOTOCT HE wee ewe eee eee. 
ei ee ee DITCCLH ieee atone ee 
OO ee ee DEC TOPs eee eee ee 
eee eo eC CO fee ee ee 
If out of size or variety may we substitute in smaller or same color 
some other variety? Yes [J] No[] 


QUANTITY | SIZE NAME AMOUNT 



