ie 1k Cain an 
a | aia 
Weiser Park ° 
Date 
Ship to (Name) 
Street or R.F.D. No. . 
Town or City 
Ship by Parcel Post Express Deliver 
Charge to, Name (If different) 
Address 
VARIETY 
Quantity |. 

30 day terms to established credit 
Pennsylvania 
—" 
94 
State 
I Will Call 
=z 
PRICE EACH 
TOTAL PRICE 
F 
(Over) 
