SPRINGBROOK GARDENS 
U.S. ROUTE 20 — MENTOR, OHIO 
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Please Print or Write Carefully 
Terms: See Inside Front Cover 
(] Check 
Amount Enclosed__._—— ———SSS—SCSséC‘Csstst:CSiS Ss: Morne Order 
On all parcel post orders, please add 15% of purchase 
price to cover cost of mailing. 
- Quan. VARIETY AMOUNT 
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Subs. ofa lee ee See 
Sales Tax 
Postage 
TOTAL 
