This 22-note Autophone model was the first table-top organette produced in America. It was manufactured in 1878 by the Autophone Co. of Ithaca, NY.
It is operated by squeezing and releasing a bellows. That both forced air through the reeds and advance the paper roll one note. An interesting feature is that one hole position on the roll could double the duration of a note, effectively reducing the required roll length.
(photo provided by Harold Draper of Roller Organ Restorations)