ORDER BLANK 
For High Grade Tested Seeds 
WRITE YOUR ADDRESS PLAINLY AND IN FULL in 
the blanks below, and use another sheet for other matters you 
wish to write about. This enables us to FILL ORDERS 
RAPIDLY and correctly, and your inquiries will not be so 
apt to be overlooked. For full instructions about ordering, etc., 
seé directions page 120 of catalog. 


D. V. BURRELL SEED GROWERS CO., Rocky Ford, Colo. 
In accordance with terms of your Descriptive Catalog, please forward to: 
Check how goods 
are to be sent: Date 192-5 
Name 
Bae [| (First Name) (Middle Initial). 
Express or 
Postoffice _ Freight Office 
Express Rural nee 
Route____-————SCNoo. State _ 
t 
Do Not Use Space Above or 
Space Below 
OB? a bys ae ees ciss sasrrce ass 
Shipped via ............+-e000 
Date: ree’ isin. cccletee acts ctensre 
Date sentisitess psec ecume 
Filled: by-. 25, adev sn apepreeoas yas 
Packed by ........ epee ata aia etn 
Postage sc iv caine s-srers ees 
(Last Name) 
(If different from postoffice) 

Freight & iret 
Sie nee eee 2A sa ee = : 
Please give both your Route Number and Box Number if on a Rural Route 
CLIC fer ee eS 

QUANTITY NAME “VARIETY 
a 




Amount carried forward other side: 
———————————— 
EXTRA SEEDS FOR THE NAMES OF THOSE WHO GROW GARDENS. SEE OTHER SIDE. 
Dollars 





PRICE 

NOTICE: Special Prices to Market Growers are F.O.B. Rocky Ford, Colorado. 
