

ORDER BLANK 
| Tie J.D. fiNe fee Gran 
BOULDER, COLORADO 


Amount Enclosed 
Name 

Please write plainly 

Street 
O. D. 
St Bone wen bower DONO oe Box « Date 
Cc 
sti tiem aa) ee erat UA ee ye en aa eh a aa 
OE ee ee ee Napress Office. Nh 
alane 
Q QUANTITY ae NAME VARIETY | PRICE 

























| TERMS: Cash with order, or 25% cash, 







Use other side of this Order 
Blank for additional items Carry this amount to next page mm 
COLORADO Customers: Please Add State Sales Tax. Thanks. 

