ORDER BLANK 
Humphrey-Coker Seed Co. 
Hartsville, S. C. 
Deliver 
Ship ! the Following Seed To: 



IN eur © sets eT OO oo eae ee aa eats era vol ere oR eae asec 
Post: Office fo ee ee a ee ee eee eres 
Shipping sou see ee eal eres ae aaa ae ee ete senor 
Date :Shipiicnscs tae Sai ere eee ree eae 
Drattc Throneic Ga eee Pe ears 
(Bank) 
QUANTITY Pr ee VALUE 








TOTAL AMOUNT OF ORDER 

AMOUNT PAID 

BALANCE DUE 


