(s HAROLD B. HIGGINS 
LAD - ACRE 
PRESTON, MARYLAND 
ORDER BLANK 
DATE 
NAME 
ADDRESS 
COL PAE STATE 
TERMS CASH WITH ORDER — CHECK OR MONEY ORDER. 
AMOUNT ENCLOSED $ 
QUANTITY VARIETY NAME SIZE 
| - | 
CONTINUE ORDER ON OTHER SIDE 
me a ee sw ee we ee eee ee eee ys ee ee ee ee 
