TITATIVE TTT TT TT 
T Wl 
NAME T Date Rec'd__ T 
a ae me ean cn ee ee ee te eae 
ADDRESS ‘I Amount Rec'd T 
q 
How Paid = ene SE 
Shipped T 
Quantity Variety Price 
oe es 
oe cf 
e ee 
ee eo 
eo oe 
se ee jee co 
ee ee ee 
Total 
Ssles Tax 
Postage 
Amount Due 
a ee es eae ae ee 
REMARKS : 
a eee ons GROEN CRESS 9 neat S oe cee 
ee MR PE | ee a ORES SEERA La ESI OR ST TE CE OS EE REE) ORES ARES OY RS FS ERE ERR RS SEES 1 OSE NO 6 SR RRS | CUS Ca a rn ee 
