ORDER BLANK 
PASQUALE VASATURO 
18 MILLER STREET 
MEDFIELD, MASS. 
Date of Order 19 
Name Street 
Post Office States 
Date Delivery Wanted 
| 



QUANTITY |SIZE NAME : EACH | Total Amount 
so esd eee 
a Sees 
| Feces cd 
. Gae acs 
Be eee er 
ia pp 
feel ener eee 
PO ReMi 2 AA gel | amen p ae | 
a 
ee eee 
2 cane 
[occ et aa 
ee eae cee rece ee 
Pes eee ee Ee eee 

