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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__._.___+-__+-_+_+___ [] Money Order 
On all parcel post orders, please add 15% of purchase 
price to cover cost of mailing. 
Quan. VARIETY AMOUNT 
eS SS ee | ee ES ee eS, ee 
CR SSS eS eS) eS — EEE 
i_ 
| 
= 
OHIO CUSTOMERS ea 
PLEASE ADD 3% Sales Tax 
SALES TAX be 
TOTAL 
