
Order Blank DISTINCTIVE GLADS _ order No. 
EVERETT A. QUACKENBUSH 
and 
EVERETT F. QUACKENBUSH 
NEW CUMBERLAND, PA. 
Mr. 
BAY Ut Sa et AMR A ALA A Si AARNE SIRS Ss i RN RR Lye I FY aaa ar wee oe a ome Raa 
Miss (Please Print) 
R. D. or St. 
PostiOiice ee eee eee ey eT 
Ship When Amt. Enclosed $ 
If We Are Out of What You Order Shall We— 
( ) REFUND ( ) SUBSTITUTE NEAREST SIZE ( ) SUBSTITUTE NHAREST VARIETY 
VARIETY Size || Price 



Quantity 
| 

a 


Balance Forward 
bon 
tS) 
2 SB 
merrier 
(Continued on Other Side) 
~ Sarwar VV A A TVIVTCITIN, I 
