ORDER BLANK 
-Humphrey-Coker Seed Co. 
Hartsville, S. C. 
Date aoe ee ee eee eee ee 
Deliver 
Shy: the esis Seed To: 
Posts OniCe 5 re oe Seren ees eee re ear 
Shipping -Pomt.( 2 ee ee er Ce ee 
Date:Ship. Sea ee eee 
‘Draft Through i< . Al Agohe Seis) ne Nb te aed 
(Bank) | 
QUANTITY | CERTIFIED & SELECTED SEEDS e ne a eel pone 

TOTAL AMOUNT OF ORDER 
AMOUNT PAID 

BALANCE DUE 
