Dollars 
Stamp of Issaing Ottlce 
at 
t^The Postaiaster 
« SWlll Insert 
No. 
c^ere 
0- «the office drawn on, when the office named by the remitter In the >ody 
t this application Is not a Money Order Offlce. 
Spaces above this line are far the Postaaster's reMr<, to ke fiHed in by him 
^Application for Domestic Money Order 
X % Spaces below to be filled In by purchaser, or, if necessan. 
Ho ^1 anotlier person for him 
alVmount 
= c 
Dollars 
A. G. TILLINGHAST. 
CMktS 
■E.<1>ay to I 
i ^Order of / ., 
„ a 
Is 
(Name of p(>r«>n or firm for vtk%m order Is latenAiii 
(Puget Sound Seed Gardens) 
I Whose ) 
Address > 
Is ) No.. 
I'i'ost J 
E Offioe 
La Conner, Skagit Co.. 
State WASHINGTON. 
..JStMet 
' 3ent by.. 
(Nune of BsBder) 
Address) 
of \ 
sender ) No.. „._^fi»»e«c 
PURCHASER MUST SEND ORDER (ON BLUE PAPEK) TO PikVSB 
