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g==> Use other side of this order blank first. 
AMOUNT BROUGHT FORWARD | 

Clerk 
Chk. 

Quantity 
ARTICLE WANTED 


Size 
Price Each 




TOTAL 
ween eee eeeeeeeee | eececenseene 



(For Billing Dept. Only) 
TOTAL AMOUNT 

a/c 
c/s 

You 
s 

