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ORDER BLANK 
DILL GARDENS 
1118 SUTTER AVE. 
UNIVERSITY CITY 14, MISSOURI 
A gael SIS ie opr Rss pT ee nan A 1D eee 
OH Lee O ey ee eee ee ne 
StLecteorsROULG sncecos ees eeree ee rete eee re nec eet een eo 
BGsts Ol fi Cemceeerce ren. te ee nce ae) Pe eee ones, 
Dategolenhipment yn. tec caae. oer a eee cere mes 
AMOUNT 
QUAN. VARIETY WANTED 
DOLLars | CENTS 


——_—. | | 
MO. CUSTOMERS ADD 
2% SALES TAX 
TOTAL 
