ORDER BLANK—Continued 
QUANTITY DESCRIPTION SIZE PRICE 

AMOUNT BROUGHT FORWARD 
LAVEEAAANOATUSAITESUAETTONE 
UTSRUNSTMRRERESSOEEE 27"? 
3% MICHIGAN SALES TAX (ON ORDERS SHIPPED 
TO MICHIGAN CUSTOMERS ONLY)........-.00- we vesccece eeevecees 
TOTAL |$ 

