SHIP VIA: 
ALBERTS & MERKEL we 31512 
[] ExpRESs COLLECT 
- BROS., INC. [] ExPRESS PREPAID 
[] AiR EXPRESS COLLECT 
Orchid Nurseries [] Air EXPRESS PREPAID ORDEHGNS: 
ROUTE 6, Box 77 —] AIR MAIL PREPAID 
SOUTH JACKSONVILLE 7, FLA. [] PARCEL POST PREPAID DATE ORDER RECEIVED 
0 R 1) R R N i r RT C] ie PARCEL POST a 
| “ORDER CONFIRMED 
DATE 
aA HGP, SSSR SUGGES eT SE SIS See cosa IU ERE TN PI IS DINE ON IN SPACE ABOVE | 
GIVE ONLY IF DIFFERENT FROM P. O. 
SE ee eee ——— 
QUAN. CATALOG | DESCRIPTION POT | UNIT TOTAL 
SHIP 
To APPROX. DATE SHIPMENT 
(PRINT AND PREFIX MR., MRS., OR MISS) R.F.D. NO. 
STREET. P. 0. BOX ORDER COMPLETE 
POST Neen cc EEE 
OFFICE ZONE BACK ORDER 
OO pian Sa a AS Te a ec 
PAYMENT RECEIVED 
STATE 
ee.” BS: Hoe IE en 
Pe Oneee PLEASE DO NOT WRITE 
NUMBER | | wer. fo PRICE |DOLLARS CENTS 
| 
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| 
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| 
: 
TOTAL | 
SHIPPING AMT. FOR 
WEIGHT | PLANTS 
[] PLANTS SHIPPED IN POTS TOTAL BR'T. 
: FROM 
[] PLANTS SHIPPED OUT OF POTS OTHER SIDE 
PACKING 
[] SEND ADDITIONAL ORDER BLANKS | CHARGE | 
[7] CHECK OR MONEY ORDER ENCLOSED SHIPPING 
CHARGES 
(DO NOT SEND MONEY UNTIL ORDER IS CONFIRMED) ; 
AMOUNT | 
DUE BO LD 
Li DUES ea ee eae 
TERMS: CASH UPON CONFIRMATION 
a 
REFUND | “| 
| TOTAL | | 
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