RETAIL ORDER BLANK 

Office No. 
LANG - BAR GARDENS ee 
14740 Roscoe BLvp. 
VAN NUYS, CALIFORNIA Date Shipped 
Dolejse = POs. - 
pe Pe gp eto el GE aa AE on AY dala BN Ad NN cE SEU BVO | 
SIFEEGHIOF“RGULO INO. ya Se wees ete ee et State Seen 
Express Office if different from mail address 

Desired Shipping Date ———_______ ~~ Amount remitted $ 
lf total remittance is not included will you remit before ship- sea ara 
EXPRES L POST 
ment or do you wish shipped C.O.D. for balance? 



VARIETY NAME | QUANTITY Size RATE 
































