(Form No. 6001) 
Post Office Department Special fe 
2#HIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Office 
ae DIVISION OF MONEY ORDERS | 
Be 
= Fhe Postmaster fo Pt _oeNTS 
= will insert | 
dF as, ie) | 
Sh 
pa) t 
So here PIs ee ny Sanh ts Pe a hes oe St ea 
a the office drawn on, when the office named by 
2 fhe remitter in the body of this application is not a Money Order Office. 
22 Spaces above this line are for the Postmaster’s record, to be filledin by him. 
=Application for Domestic Money Order 
= Spaces below to be filled in by purchaser, or, if necessary, 
a by another person for him 
2A mount 
Ret eee oe 7] loa ieee, Ered Cents 
= Pay to \ JOHNSON SEED COMPANY, 
Bt Ea ne oe 
= = (Name of person or firm for whom order is intended) 
a> 
eee iat oe nose aaa anon = Ser aa anon se aeecaceneemcer aati penweseewa sc apacesseenr=sccceecnaoe 
3 hose 
 Badress 2 21 7 Market St. and 206 Church St., est 
Bm a Pe a eS ee ee ee ee re eee ne oe ee eee 
Saat PHILADELPHIA 
a EE ee ee eee 
-~ 7d 
ct 
z State, _PENNSYLVANIA, 
i 
22 ? 
gaooe ~ Sse SE Gm rmetet ee it ee 
S 
Address ) ORES SBE? A A Se BE ae AOR Lola all 
Pee EERE DR Migs ee gt ee ee ee ee Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
