Labels:text | font | screenshot | line | number | receipt | parallel | diagram OCR: Order Form Mail to: Richard J. Wald 1901 S. Goyer Rd. Disks - $7.00 each Apt 51 Quantity Total Kokomo, IN. 46902 Disk 1 - Animals Disk 2 - People Name and Address: Disk 3 - Assorted Disk 4 - Assorted *2 Total