Salesman Dun 
Date F.C.A. 
Ship to Check or M. O. Enclosed $. 
7 Charge to 
Care of Address 
PrLOtou 
or R. F. D. Address 
Freight or 
Express Address Notify 
County State 
To Call Rail Motor Express Local Mail Parcel 
Freight Freight Express Post 
ORDERED BY FILLED BY D. CHECKED BY PACKED BY NOTIFIED 
Date Date Date Date 
DLR. WH. TER. 
QUANTITY DESCRIPTION 
CHECK 
—— 
—-——__—_ 
(OVER) RAYMOND A. FLECK Southampion, Pa. (OVER) 
