Order Blank 
GILBERT H. WILD & SON DATIE ee 022, cos cies Reed nie shee 
SARCOXIE, MISSOURI 
Nes csS AER e ore Fs erie rg fe ening oc Fd Une eel e be ws ved cie'vaviescaccceveceshecess 
NAMB 
«gaan ‘axta' iecaks ee eee en aed caves ewy 7 ees Wie¥nin ess nov esse eseas eet sennig**° 
WU ARN SS cy ees voce bevaseccese PVA has oe en) ee ae ay ek 
AMOUNT ENCLOSED $............ 
CHT SHH SESH SHOT HOFER EHH HSH HSH SEE HO HED ORS 
SUBSTITUTIONS will not be made unless you request. If supply of a variety you have ordered 
is exhausted, may we send you another, of equal or greater value? Please answer yes or no.... 
THE FOLLOWING 
QUANTITY || _ ITEM AND UNIT PRICE Il TOTAL 
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