DO NOT WRITE IN THIS 
SPACE 
ORDER BLANK 
THE CLARKES 
BOX 440 
CLACKAMAS, OREGON 
Date Rec d= = 
Amount 
Date Sent — 
Index Catalog _ 
PLEASE SEND TO: ; DATE = 4 oe | 
NAME a ¥ SSeS 33 = 
Rabe) 2s OR? STREET NO. 
CULY. SATE abe Tete 
| AMOUNT ENCLOSED $_ 
QUANTITY VARIETY AMOUNT 
Bn LG 
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dWVLS AGNV TIV4dS ‘A104 
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For any variety sold out, may we substitute another variety of equal value? Yes [| No [] 
