SPR mk em Uy PAN. Sl foed Fe Sep fed (Aap AR bom ie (al ab ie Um irs A Rs en Pa IS ASS Pk RY mo HOD Oi oA ay ew Oh al fa ning NS ogee th ln op ke 
ORDER BLANK 




For High Grade Tested Seeds la ti yi 
o 
WRITE YOUR ADDRESS PLAINLY AND IN FULL in Say Space Below 9 tt 
rad poutien Ti Biart Sea aeiaedl sheet for other matters you ES 
wish to write about. is enables us to FILL ORDERS ; 
RAPIDLY and correctly, and your inquiries will not be so od bys bier elotaln eleterainistavetelelsipisieie 
apt to be overlooked. For full instructions about ordering, etc., Shipped via ...++.0-ssreeeeves 
AN see directions page 120 of catalog. Datevrec’d (succes opesss scene 
= Date sent jcccsccctcscscesccsar 
D. V. BURRELL SEED GROWERS CO., Rocky Ford, Colo. Etled by ieee cero 
Gentlemen: In accordance with terms of your Descriptive Catalog, Checked by «....¢-s2-++-+r0+0 
please forward to: Packed ‘by... ccccidesesss cess 
Check how goods Number packages .........+++ 
are to be sent: Dinh sitet raid ct 19 Postage actcc.sseccesecsse secs 
Names re ee 
Saree eee] (First Name (Middle Initial) (Last Name) 
Express or 
Postoffice = —C—CSC—C—SC—C—CSCS WFrreighhtt Office er = ae 
(If different postoffice 
Exp Tass Rural Box 
Route=- = Now State 
Please give both your Route Number and Box Number if on a Rural Route 
Freight [x] Street: 
Address : 






QUANTITY NAME VARIETY 

a | | | 
ae fn a ey a | es 
nr rf ff ————E EE 
IN 
os 
eee ee) ————— ee Ee mf 
M 
oo 
| 
LU 
os 
Ee a ee 
CO 
| a bd eset —EEES —— SS 
robs 
IN 

NO|T | WIRI/TE 


DO 
PLIEA|SE 



Amount carried forward other side: 



| 

EXTRA SEEDS FOR THE NAMES OF THOSE WHO GROW GARDENS. SEE OTHER SIDE. 
NOTICE: Special Prices to Market Growers are F.O.B. Rocky Ford, Colorado. 
