CHIRON GLAD GARDENS 
124 NORTHLEDGE DR. 
FRANKLYN F. SCHAFER, 
JR. 
SNYDER 21, N. Y. 
Mr., Mrs., Miss (Please Print) Date 
R. F. D. or Street 
Post Office State 
Express Office Amt. Enclosed 
If We Are Out of What You Order Shall We— 
( +) Refund ( +) Substitute Nearest Size 
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