Form No. 6001 
POST OFFICE DEPARTMENT NO- 
THIRD ASSISTANT POSTMASTER GENERAL Stamp af issuing Office 
DIVISION OF MONEY ORDERS 
The Postmaster 
■will insert 
here_ 
the office drawn on, when the office named by ___ 
the remitter in the body of this 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 purchaser, or, if necessary, 
by another person for him 
Pay to 1 
Order ofJ 
_Dollars..Cents 
BERRY SEED COMPANY 
(Name of person or firm for whom order is intended) 
Whose ] 
Address > 
Is JNo. - „ 
Post \ 
CLARINDA 
— j 
State_ !_9_ WA 
Sent bv_ _ . 
No. 
(Name of Bender) 
City | 
and 
State] 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
cS—7X65 
