
a arr Thersery Company 
Weiser Park ° Pennsylvania 
Date 
ry 
94 
Ship to (Name) 
Street - R.F.D. No. 
ree Ee tee er ee ae 
Ship ey Parcel Post 2. Express —«zDeediver Palate I Will Call 
Charge to, Name (If different) 
Address 
Quantity VARIETY PRICE EACH TOTAL PRICE 
30 day terms to established credit (Over) | 
