SHIP VIA: O 
ALBERTS & MERKEL N° 21574 








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[] EXPRESS COLLECT 
BROS., INC: [] EXPRESS PREPAID 
0 [(] AIR EXPRESS COLLECT 
chia WUursertes (1) Air EXPRESS PREPAID Sep 
Route 6, P. O. Box 77 [] AIR MAIL PREPAID 
SOUTH JACKSONVILLE 7, FLA. [] PARCEL POST PREPAID DATE ORDER RECEIVED 
[] AIR MAIL PARCEL Post Pe Raa RRR dled RS aE Ras Se SOLU CSU 
() R }) I R \\ i i I T PREPAID DATE ANSWERED 
DATE ORDER CONFIRMED 
SHIP 
TO APPROX. DATE SHIPMENT 
(PRINT AND PREFIX MR., MRS., OR MISS) R.F.D. NO. 
STREET. P. 0. BOX ORDER COMPLETE 
Post 
OFFICE ZONE Peck ORES 
STATE PAYMENT RECEIVED 
EXPRESS 
PLEASE DO NOT WRITE 
eG of ne ole alo ee IN SPACE ABOVE | 
GIVE ONLY IF DIFFERENT FROM P. O. 
CATALOG POT | UNIT TOTAL 
QUAN. | NUMBER DESCRIPTION | wer. Be PRICE | DOLLARS CENTS 
| bor Gabi ae a 
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| Leiaeind | | 
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me ee ee eee ee eee rere eee eee en SS 
TOTAL 
SHIPPING | AMT. FOR 
WEIGHT | PLANTS 
[] PLANTS SHIPPED IN POTS | TOTAL BR'T. | | 
FROM 
[] PLANTS SHIPPED OUT OF POTS Stier ca 
PACKING 
(1 SEND ADDITIONAL ORDER BLANKS CHARGES | | 
| 
[7] CHECK OR MONEY ORDER ENCLOSED SHIPPING | 
CHARGES 
(DO NOT SEND MONEY UNTIL ORDER IS CONFIRMED) | Since 
| DUE 
SS ee | REFUND : | 
TERMS: CASH UPON CONFIRMATION | TOTAL | | 
