ORDER BLANK DATE 
Cumberland Valley Nurseries, Inc. oxocreo sy 
313 N. Chancery Street 
195 Print Clearly to Avoid Error 
McMinnville, Tennessee 
STREET ADDRESS 
RFD 
Telephone No. 2616 
FILL IN AMOUNT ENCLOSED 
TOWN OR CITY 
P. O. BOX 
ZONE STATE 
Include sufficient money for 
Postage. We refund unused 
Shipping Instructions 
amounts. [1 ! enclose  pay- SHIP TO 
Money Order ment in full. 
[] Ship Balance 
Check ts ere oR ene Le LGN SP EF 
Please give here shipping point if different from above; or other additional 
SHIP VIA [] Parcel Post [ Express [] Freight [ Truck [] Best Way 
QUANTITY STOCK WANTED 
SIZE OR AGE 
PRICE 
| | | | 
2% Tennessee Sales Tax on Tennessee orders. 
ALL PRICES F.O.B. NURSERY 
TOTAL 
K PLEASE DO NOT USE THESE SPACES 
AMOUNT RECEIVED FILLED BY 
FROM CUSTOMER PACKED BY 
DATE RECEIVED 
ORDER NUMBER 
Sia ET cin genet Sei Loe 
F 
Amount of Order 
_Amount Enclosed 
Enclosed for Postage 
Due Previous Order 
Tenn. Residents 
Add 2% for Sales Tax 
Total Enclosed 
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