ORDER SHEET 
HART & VICK, stone and Ely Streets, ROCHESTER 4,N. Y. 
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Money Enclosed 
Post Offic State 
How do you want this order sent — Parcel Post, Express, Freight ?________ Check 
THIS SPACE IS FOR OUR RECORDS 
DATE ORDER RECD.| FILLED BY | CHECKED BY| SHIPPED BY AND DATE 
Amount of 
Order. 
if your address has changed since placing your last order, please write your 
old address at the bottom of this order sheet. 
PRICE 
Quantity NAMES OF ARTICLES WANTED Dollars | Cents 
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We are required to collect from residents of Monroe County, New York State, 
a 2% sales tax. AMOUNT OF TAX 5>—> 
Carry this total over to the next page 
If we are out of any of the varieties ordered, may we substitute others equally as good? Ans. 
All items listed in our catalog are sent postpaid to you, without additional charges. 
