RETAIL ORDER BLANK . Office No. 
Please use reverse side of order sheet to ex- G LADL AND A C RE S 
press bonus preferences or for additional in- ~ LEBANON, Sale caap Date Shipped 

formation you wish to give us regarding order. 
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SRL SRR IRC eS ee a, oS ae GAN Fat 

Express Office if different from mail address 
Desired Shipping Doe ee Amount remitted ee eee ae eae a 2 Post 
If total remittance is not included will d will you remit be remit before fore shipment or do y or do you wish shipped C.O.D. for balan wish shipped C.O.D. for balance?____ 
fae EL int NAMES Se NAME 
VARIETY NAME Quantity Size Rate Amount oe ae, Quantity Size Rate Amount 
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