Order Blank DISTINCTIVE GLADS Order No. 
- EVERETT A. QUACKENBUSH 
and 
EVERETT F. QUACKENBUSH 
NEW CUMBERLAND, PA. 
Mr. 6 
a eal AR Dal Od TN a a GEOG 0 "5 SSA Re ME BENE SOMERAES SD, 
Miss — (Please Print) 
R. D. or St pe ereie) Leey 
tage TSI SS SSD A eA Aa een AE Sintered PRANOTI 
cnteme et ee Ae Boniclosed Sec mae 
If We Are Out of Any Item You Order Shall We— 
( ) REFUND ( ) SUBSTITUTE NEAREST SIZB ( ) SUBSTITUTE NEAREST VARIETY 


Quantity | VARIETY Size Price 
: kal 7 
Sa 
oth s AMR dlewe eee 
3 | | 
cae 
| ti ei 2, 
MM ae on ee eee | 
6. 
pa wal 
8. | | 
Cee eee ela 
ari 
wig 
EN EE RE ER LD SE NE AE RTE ce Fa 
| 


Balance Forward 
— 
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(Continued on Other Side) 

