_ ORDER BLANK 
Humphrey-Coker Seed Co. 
a Hartsville, S. C.. 
Date 
ake Wer ( the Following Seed To: 
Ship 
Name 
Post Office 
Shipping 12a amebiasis inflict dui 
Date Ship 
Draft Through— 
(Bank) 
QUANTITY | PEDIGREED SHEDS | PRICE | VALUE 
SELECTED SEEDS | | 
| era 
TOTAL AMOUNT OF ORDER 
AMOUNT PAID 
| | BALANCE DUE |” MACHA GATARST GRR aA | piGaA 
