Amount Brot. Forward 
lowa State Sales Tax 
| 
Total Amount Enclosed 


Please give names and addresses of friends who like glads. 
Nae ae eeececesssnrensccnerssstbonpacbudnijin- can loncncensidcaintbecc tas en etn 
PX: {e |) TENNENT inane aes 
Sol AN CECA al 
Address 


