aS ees cae ee es es em ee es ee we se ew we we eee a 
ORDER BLANK 
DILL GARDENS 
1118 SUTTER AVE. 
UNIVERSITY CITY 14, MISSOURI 
Ce ee ee eee ae ee ee eee pe BUN ee ea, 
NM EB Pd NG oc ee Sh a alt on aly a a A inlet lier 
SCree ta Oty [OU L Camus tare eee ee we Re ees ek ee 
Poste Off ic citecearee tc eee ae Dre ee ew peed es ae 
DateWofm@onipmen tee. ese re eee ee eee 
AMOUNT 
QUAN. 
VARIETY WANTED 
DOLLARS | CENTS 
MO. CUSTOMERS ADD 
2% SALES TAX 
TOTAL 
