PURI ERYere NURS. ERY 
PUTNEY, VERMONT 
31 
LNG: 
Date Le 
Your Name: 
RST STR RSS 52 a a A a el RI ea Ee yA 
WHEN SHALL WE SHIP? Postal Note: 
Amount enclosed: Check: Money Order: 
Quantity ARTICLE ° Dollars | Cents 
