MELROSE IRIS GARDENS 
ROUTE 6, BOX 424 
MODESTO, CALIFORNIA 
DATES SHIPPED Gameece or se ee 
AMOUNT? ENCLOSED? Saat 
PLEASE TYPE OR PRINT ADDRESS VERY PLAINLY. REMITTANCE WITH ORDER, NO C.O.D. 
IN CASE OF SHORTAGE, NAME 3 SUBSTITUTES OF SAME VALUE. DO NOT SUBSTITUTE (  ) 
QUANTITY NAME OF VARIETY PRICE 
On Mail Orders less than $3.00, add. 35 
California Residents add 3% Sales Tax 
TOTAL 
Don’t forget to choose your FREE PREMIUMS. (See page 1 and 2) 
Continue order on other side of sheet 
