ORDER BLANK 
Humphrey-Coker Seed Co. 
Hartsville, S. C. 
cu * 

Dat 
ae the Following Seed To: m he 
Name 

Post Office 
gs Sat ae lee ei SS Se a 
Date Ship 
Draft Through 
(Bank) 
QUANTITY | PEDIGREED SEEDS | PRICE | VALUE 
SELECTED SEEDS | | | 
TOTAL AMOUNT OF ORDER | | 
AMOUNT PAID | | 
BALANCE DUE 

