Ship to Check or M. O. Enclosed $ 




Charge to 
Care of Address 
P20. St. 
or R. F. D. Address 
Freight or 
_ Express Address Notify 
County _ State 
Mail Freight Express Boat Parcel Baggage Local Deliver To Call 
Post Master Express 
ORDERED BY FILLED BY D. CHECKED BY PACKED BY NOTIFIED 
Date Date Date 
DLR. WH. TER. 
CHECK 
er QUANTITY DESCRIPTION PRICE TOTAL 










(OVER) RAYMOND A. FLECK Phila. 24, Pa. aa 
