FAIRMOUNT GARDENS 
166 Fairmount Street 
Lowell, Mass. 
Amount Enclosed $__ ————sé=D ble’ 

Name 

Street or R. F. D. No. 
Post Office State 



QUANTITY VARIETY | PRICE 



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SHIPPING DATE Womot shipsbetore....-) ee 
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Orders under $3.00 must include 25c for postage. 
