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E 
NAME OF SEEDS OR ARTICLES WANTED ras Col. Blank 
Quantity sabre Doilars 
x x 
x 
x 
x 
X Amount Brought Forward 
SS EE ET 
ES ES SS SS TS SS SE LS ES EY OE SS RS SN ET 
Please Do Not Write in Spaces Below 
Total $ 
_ SS SS SS TS SN SE SE Sr Sonera, 
ES) SAR RE RE I TE Oe SS SA Aerenerene sean Seance 
Date 
P & R Checked Filled by 
Checked by 
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Correspondence on Separate Sheet 
(With Your Name and Address) 
Date 
Date Shipped 
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Postage 
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Insurance 
¢ 
a 
