Pounds Ounces Packets NAMES OF-ARTICLES WANTED 




Amount brought over 
————— |__| 
a 
| 
a 
—— J ___} _ 
nf 
e—7"e———— | | OOOO SS OS 
ee 
Se Ce ee 
rr rf rs | 
ef eee ff 
ee ey 
_=_—_—————_—_ Oe | eee 
es 
—_—_——SV4Yo | OO | 
oe 
ee f | 
a | 
——— ff 
ee 
eS OE ee ee 
a rf | meee 


PLEASE DO NOT WRITE IN THIS SPACE 
RoareS hipped: byse~ 0 ee ee Date Shipped a ea eo 
ype 2 Pk es. eS Vee Bundle seme mene Cats at Oh nee Das 
Laid out by ___________ Checked by__________ Packed by________ Reply required by 
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