Stamp of Issuing Office 
Form No. 6001 
float Wtats iappartmpttt 
THIRD ASSISTANT POSTMASTER GENERAL 
DIVISION OF MONEY ORDEMS 
The Postmaster 
will insert 
here 
the oflice drawn on, when the office named by the 
remitter in tlie l>ody of tills application is not a Money Order Office. 
Spaces above this line are for the Postmaster's record, to be filled in by him 
Application for Domestic Money Order 
Spaces below to be filled in by purcliaser, or, it necessary, 
by another person tor Iiiiu 
Amount 
Dollars Cents 
p^to ,| THE TILLINGHAST SEED CO. 
(Name of penon or &rm lor whom order is inteodod) 
Wboso'l"'"' 
AddressV 
is J No Street 
MCONNER _ 
State WASH, 
Sent by 
(N»xa« of Sender) 
Address) 
of y 
Bender ) No - Street 
FUBCHASEB MUST SEND OKDEB AND COUPON TO PAYEE 
