ORDER BLANK— Continued 
Amt. Brought Ford |, Amt. Broaght Fer'd 
Quantity Name of Variety Prices Net 
| 

| 
ee 
a || a 
a 
ee 
———j}}) ——_—_———. 
—————————— | ——___— ||] —_______ 
—_—_—_——— 
——$— || ——_—— 
—_—_ 
SS SS |) 
——}$!_————— | ——————— pA 

Total Amount Enclosed ===» 
NOTES OR SPECIAL INSTRUCTIONS. 5 
