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SEARS, ROEBUCK AND CO.
Chicago, Illinois
60607
\Sears
I
Date_ _ ______ l96_
PLEASE BE SURE TO INCLUDE
ZIP CODE
IN Y OUR ADDRESS
---------SATISFACTION GUARANTEED OR YOUR MONEY BACK----------
PLEASE 00 NOT WRITE IN THIS SPACE
•
PLEASE PRINT PlAINLY
All members o f the
some
household should order under
one name
NAM~~~~~~~~~~~~~~~~~~~
(FI RST NAME)
(MIDDLE INITIAL)
(LAST NAME)
Rural Route
Rural Box No.____ _ _ P.O. Box No. _ _ ____
Street Address._____________________ ___ _ _
Post Office___ _________State__________""zmlr"'c"'o'"b"""E
I
Telephone No.
SHIP TO ANOTHER ADDRESS? If you want this ord er shipped to another per–
so n or to a different address, freight or express station, give direction s here:
IF YOUR ADDRESS HAS CHANGED since last order, please give your old
add re ss here:
Rural
Box
Street
Route___No.___Address________________ ___
Post Office_ ___________State·------------,zmlP""CO""'b..,-e
STATE CO L OR OR PATTERN CHOICE BY NUMBER IF REQUEST E D
HOW
COLOR
SIZE
PRICE
TOTAL PRICE SHPG. WT.
CATALOG NUMBER
MANY
NAME OF ITEM
Pattern, Fi nish, Etc. Measure to be sure Ea., Yd., Pr., Etc.
Dollars
Cents
Lbs.
Oz.
- - --
--
--
--
- - -
-- - - --
•
--
- -
--
---
- - - - - -
--
--
--
-
- -
--
---
- --
- -
--
--
--
-
.
---
- -
- -
--- --
- - --
- - - -
- -
--
--
--
ILLINOIS customers add 4c tax for each dolla r of good s (3
1
/2c state,
1
/2c city).
I
TOTAL FOR GOODS
Total
I
Total
Pounds Ounces
INDIANA or IOWA custom ers add 2c t ax for each dollar of g oods.
---
KENTUCKY, MISSOURI or OHIO c ustomers add 3c ta x for each dollar of good s.
+--- AMOUNT FOR TAX
MICHIGAN cu stomers add 4c tax for each dollar of goods.
Total Weight
WISCONSIN customers add 3c tax for each dollar of aood s unless tax is not applicable.
If
credit order,
--
in Pounds
(Examples at non-taxable items: articles used exclusively in agriculture; m ost lines
we wi II figure and
POSTAGE
of clothing, paint, etc.) Any t ax sent in error will be refunded.
lill this in for you
Amount I owe Sears
Enter Parcel
HOW SHALL WE SHIP?
Post Zone No.
Pareel Post
0
Freight (Rail or Truc k)
0
on previous order
Express
0
--
TOTAL CASH PRICE
See other side
IF THIS IS AN EASY PAYMENT OR
D
a nd fill-in a nd sign
for shipping
MODERNIZING CREDIT ORDER, CHECK HERE
the form o n other side.
--
intormation
Sea rs
IF A REVOLVING CHARGE ACCOUNT, CHECK HERE
D
Do not send identification
Ch ecks
c
card or pl ate.
AMOUNT
--
MY ACCOUNT
At which
ENCLOSED
Money Order
NUMBER IS
-----
Sears Store?
or Check
Recheck to
.see
that you hove given of/ information such as size, color, pat:ern,
finish,
etc.
SEARS©
269