A. E. KUNDERD INC., Goshen, Indiana 
Please Forward to 
Date Order Received 

Name R. F. D. No. Amount of Order 
Streshan me eres a ee eek ee WEP QO: Box |Postage or Express 
Post Office Week Sighs acre Ne Ne tet Total Amount 
Coccyees eee ee eee ee xpress a Office Amount Paid 
Date of Order. tg, sd Balance Due 

Refund or Discount Allowed 
Please write name and address plainly, and fill in all blanks carefully, attach price to 
each article and add up accurately. If no objection, we submit a similar or a better va- 
riety when out of kinds ordered. Order early. Please Write Letter on Separate Sheet. 
Quantity Variety Ordered Benes er cates ORDERED BY 
Balance Paid 

Do Not Write In This Space 


Correspondence on order sheet cannot be answered promptly. Please use separate sheet. rey 
é ; : A ntered —___ 
