RALPH W. STERLING 
TEL.: PECONIC 6755 CUTCHOGUE, L. |.,N Y. 
Amt. Enclosed $ Date 
NG eee ea ee 
POSIRCINCO either, Ok ie uk. ete Rural Route No................... 
County-and state soe ee Ship by ........ Gee 
| Town to Ship Express to ss Ship sbout “(Date to be shipped) 
ate to be shipped) 
Cat. | 
Quantity Number DESCRIPTION Dollars | Cents 
Add Postage 
May | substitute if out of any kinds ordered? 
