RALPH W. STERLING 
TEL.: PECONIC 6755 CUTCHOGUE, L. I., N. Y. 

Amt. enclosed “$) ee Date Ste ree: eee Oa lets 


Rural Route No. --------— 
Ship by - 
Post Office ------------------------------------------------------------ — 
~ (Express or Mail) 
Shia spOUt 
(Date to be shipped) 
Coguvee tates ee Se ee 2 
Town taronip express tO ye es 




Cat. 


















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| 
| Add Postage 
| Total Amount 
May | substitute if out of any kinds ordered? 
