AL'S GLAD PATCH 
AL AND JESSIE AMSLER 
4052 MADISON STREET SIOUX CITY 6, IOWA 
Name Date 
R. F. D. or Street 
Post Office State 
IN CASE WE ARE SOLD OUT, SHALL WE 
Refund [] Substitute Nearest Size? [] Substitute similar or better Variety? [] 
Quantity | Size | Variety Price 
ik 
9 
ae 
3. 
4, 
5. 
6. 
ast 
, 
DELBETAR 
TOTAL 
ee a iT cea 
Towa residents add 2 per cent sales tax. 
15 
