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SEARS ORDER BLA
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SEARS ROEBUCK AND CO 4640 ROOSEVELT BLVD PHILADELPHIA 32 PA
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Date
195
PLEASE PRINT OR WRITE PLAINLY
PLEASE
DO
NOT
WRITE
IN THIS SPACE
All
memben of
lhe
some household
mould
order under one nome
NAME
(FIRST NAMEJ
(MIDDLE INITIAL)
(LAST NAMEJ
Rural Route
Rural Box No
P.O. Box No.
•
Street
Addren
or
highway
roule number
and
some
identifying landmarlci.
Post Offlc•
State
HOW SHALL WE SHIP?
(Mark X in Proper Square)
Poree/ Poll
0
Roll
Freight
0
Express
0
~ive
all
Mo
orTnick
0
SHIP TO ANOTHER ADDRESS?
necessary
information
If
you want this order shipped to another person
«too different address, freight or express station, give direction• here1
•
IF YOU HAVE MOVED
since last order, please give your old address here
1
Rurd1
eoa
Street
Route
Ne>.
Address
Post Office
State
CATALOG NUMBER
HOW
NAME OF ITEM
COLOR
SIZE
PRICE
TOTAL PRICE SHPG. WTS.
MANY
Pattern, Finish, Etc.
Measure to be sure Ea., Yd., Pr., Etc. Dollars Cents
Lbs.
Oz.
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We are required
by
law to collect tax on sales for the following states and cities:
Totol
I
Total
If you live In Auburn, N. Y., or Erle County, N. Y., add Ic tax for every dollar's worth of
TOTAL FOR GOODS
Pounds Ounces
---
,_
qoods you order.
If you live in Broome County, N. Y., District of Columbia, Maryland, Niagara Falls.
AMOUNT FOR TAX
---
1-
Total Weight
Syracuse, N. Y. or West Virginia, odd 2c faK for every dollar's worth of goods you order.
in Pounds
If
you live in Monroe County, N.Y., New York City, Ohio or Pennsylvania, odd 3c tax for
POSTAGE
every dollar's worth of goods you order. (Pennsylvania customers omit tax on clothing, ex·
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cepl formals or furs.)
Amount I owe Seors
Enter Parcel
o
and enclose full remillonce
on previous order
-
-
Post Zone No.
IF THIS IS A CASH ORDER, CHECK HERE
including postage and tax.
o
and fill-in and sign
fOTAL AMOUNT
1-
Set other sir/e
IF AN EASY PAYMENT ORDER, CHECK HERE
-
the form on other side.
forsMpping
AMOUNT { ....
°"'"
/nformotioa
If
you haye an open account
At which
ENCLOSED Money Order
--- --
2P
show account number hert
Sears Store•
Please recheck
to
see
that
ou have
iven oil information
such as colors,
sizes
l'f6085.8.7.57
P~od
ill
U.S.A
or Check