Portland Camellia Yursory 
3307 N. Williams Avenue Portland 12, Oregon 

(Mailing Address) ; (Please Print Name) (Shipping Address, if 
different from mailing address) 
Name Name 
SUTOtm ie. L: SiOl LE ene. 
City & State City & State 


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May We Send an Equally Good Variety if We 
Are Sold Out of the Kind Ordered ? 
Amt. Remitted $ 

