ORDER SHEET 
de deblas ts 
POST OFFICE BOX 5313 
SOUTH JACKSONVILLE, FLORIDA 


DATE 
YOUR NAME PLEASE DO NOT WRITE 
VERY PLAIN IN HERE 
STREET AND No 
Ra be De AND Bax 
POST OFFICE STATE 

EXPRESS OFFICE IF 
DIFBERENT. GROM) P.O. 2 2 SENT BY 
MAIL OR EXPRESS 

AMOUNT ENCLOSED DRAFT OR CHECK. 
STATE HOW MUCH MONEY CASH eet. $ MONEY ORDER g 
YOU ENCLOSE 

REGISTER YOUR LETTER IF CASH CURRENCY IS ENCLOSED 

QUANTITY | VARIETIES | PRICE | TOTAL 
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