ORDER SHEET 
REGU sieaae ees R y/ Glad Gardens DATE 
W. H. RoceErs 
IN ONS oe ieee 
SHIPPED ist t: siemens! 
GREENLAWN, LONG ISLAND, N. Y. 
Mr. 
Shilpw Co glvitser ote teas cree Yeats eee eRe corey cme ie) (us 8 Daten site. Neyer eae ‘ 
Miss Please Print Name and Address Plainly 
Streetecm Noe oes Mal); akc hee oe awe eS Shipy Winer: 2) eearene 
Poste@iuce meme ne met Neem en rey ekg als Staten: ye ee eas 
Toxpress: Cfiicey mea. ce ate Wat ae Ship via express (_ ) Parcel (am) 
If Different from Post Office Post 
IN CASE I AM SOLD OUT OF ANY ITEM, SHALL I 
a Refund {_] Substitute Nearest Size Substitute Nearest Variety 
PLEASE BE SURE TO INDICATE 
QUANTITY SIZE VARIETY NAME RATE AMOUNT 
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