Form No. 6001 
POST OFFICE DEPARTMENT NO-- 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Office 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
hero_ 
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 m by purchaser, or, if necessary, 
by another person for him 
Amount 
Dollars_Cents 
Pay to 1 
Order of J_ 
HOLMES SEED CO. 
(Name of person or firm for whom order is intended) 
Whose 1 
Address > 
Is jNo_ 
SSU. _ CANTON. OHIO 
State 
Sent by_ 
(Name of sender) 
No._Street 
City ] 
and > 
State)___ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
c5—7155 
