MELROSE IRIS GARDENS | onote no. 
ROUTE 6, BOX 424 
MODESTO, CALIFORNIA DATE RECEIVED nt . 
DATE SHIPPEDS MRA 2. ee 
ROAD UN SMS 2b EE a Saosin sa OS <A ae RD oe eee 2 
SIRES eM, a A aS UR CR faa la A NO, OR Re 
BSS OE NC re a rN es Ee STATE aol Sa 
AMOUNT ENCLOSED © 28a meee es 
PLEASE TYPE OR PRINT ADDRESS VERY PLAINLY. REMITTANCE WITH ORDER, NO C.O.D. 
IN CASE OF SHORTAGE NAME 3 SUBSTITUTES OF SAME VALUE. DO NOT SUBSTITUTE (_ ) 
QUANTITY NAME OF VARIETY 
On Mail Orders of $5.00 and under, add $.50 
California Residents add 3% Sales Tax 
TOTAL 
Don’t forget to choose your FREE PREMIUMS (See page 1) 
Continue order on other side of sheet. 
