ORDER BLANK 
PRINT WILL CALL EXPRESS PARCEL POST 
YOUR NAME si i ——r—“‘iéOOOOO SHIP rae ce) (a05 
YOUR ADDRESS 
SHIP TO DATE DESIRED 
(If Different Than Above) 
mntity | j Kind Price Per 1000 | = Amount 
Quantity 
= 
PRICES F. O. B. RIMERSBURG, PA.—_INCLUDE POSTAGE $1.50 PER 1000 
State Sales Tax 
(SPECIALS PREPAID) : TOTAL 
