DAHLIA ORDER SHEET 
SUMMIT GARDENS 
G. L. PIERCE 436 S. Summit, Villa Park, Ill. 
Date 
Mr. 
Mrs. 
Miss (Please print) 
St. or R.F.D. 
POStEO Ce ree ate een State 
AMOUNT ENCLOSED 
Check | M.O. | Cash Stamps 
Date rec’d. Date shipped tal 
lf out of what you ordered shall | 
LI] Refund. LI Substitute Nearest Variety 
Quan. Variety Rate | Amount 
ee 
tit |e 
ae ter 
ils 
a 
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TAX ON SALES IN ILLINOIS Mice 
List alternate choices on other side Total 
