Form No. 6001 
POST OFFICE DEPARTMENT NO- 
THIRD ASSISTANT POSTMASTER GENERAL Stamp ei 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 
Amount 
Pay to \ 
Order of J 
_Dollars_Cents 
GOOD LUCK GARDENS 
(Name of person or firm for whom order is intended) 
Whose ) 
Address > 
Is JNo.. 
Post \ 
Office/_ 
State 
_Street 
PARADISE 
PENNSYLVANIA 
Sent by_ 
(Name of sender) 
No._Street 
City ] 
and > 
StateJ _ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
05—7155 
