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



Name) ceo eee ee Ce es Amount Enclosed 
(Say whether Mr., Mrs. or Miss; write name plainly) 
Money, Orderiitscs-csxcnclabcden tees 
Street... 27a ee es 2 ae lide 0 he) ieee BOxi a...) 
Cagle yiis it) tae ho ie oa ee LY) 
Post. Office 5 igh lara i agi he PO) BOK cc cccsecsesdes Sharh at, us) oaeMl eee ohe te 
Cotinty sis ere reer sree BOs eg ea cece ce i024 aces aralcal le es baat BION 
Date |... ee ee ee ae 1945 
QUANTITY NAME OF ARTICLE WANTED PRICE 
TOTAL 
CALIFORNIA CUSTOMERS MUST ADD SALES TAX 3% 
Reverse side may be used for more space, Extra blanks on application. 
1942-9M. 

