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MELROSE IRIS GARDENS | ore xo 
ROUTE 6, BOX 424 
DATESREGEIVED=== = 
MODESTO, CALIFORNIA 
DATE SHIPPED a he een 
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AMOUNT ENCLOSED $_.....-...- 
PLEASE TYPE OR PRINT ADDRESS VERY PLAINLY. REMITTANCE WITH ORDER, NO C.O.D. 
IN CASE OF SHORTAGE NAME 3 SUBSTITUTES OF SAME VALUE. DO NOT SUBSTITUTE ( 
QUANTITY NAME OF VARIETY PRICE 
On Mail Orders of $5.00 and under, add $.50 
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California Residents add 3% Sales Tax 
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TOTAL 
Don’t forget to choose your FREE PREMIUMS (See page 1) 
Continue order on other side of sheet. 
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