ORDER BLANK 
CARL PURDY, Ukiah, Calif. 
Please forward the following ORDER for amount enclosed. 




Amount Enclosed 
money /Ordelx....otee.0 re 
Peet et eww tomes es ceweene sce ewe se ccnceeececccs +ss2ce 




QUANTITY NAME OF ARTICLE WANTED 






















eed 
| 
CALIFORNIA CUSTOMERS MUST ADD SALES TAX 3% 
Reverse side may be used for more space. Extra blanks on application. 

1941-10500 
