Order Blank 
EVERETT A. QUACKENBUSH 
and | 
EVERETT F. QUACKENBUSH 
NEW CUMBERLAND, PA. 
DISTINCTIVE GLADS — oyder No: 

Mrs. Date. 
Miss (Please Print) 
R. D. or St 
Post Office aE" Sr ae eee een rar ee ers Tage 
Ship When Amt. Enclosed $_ 
If We Are Out of Any Item You Order Shall We— 
( ) REFUND ( ) SUBSTITUTE NEAREST SIZE ( ) SUBSTITUTE NEAREST VARIETY 
Quantity | arte VARIETY | 
As 
2. 
ae 
‘ 
Size 
| Balance Forward r 
(Continued on Other Side) 
(ST: | ERENCE GO SSN RESETS RRR «ST TEE RE ECS RE RS HE ROE Re Se SESS SES ES EY PRE SEGRE GS SEE: DEAT 
| RES SE SS 0 et SP Se ee ee See ee 
=a 
tice 
