Form 6001 
POST OFFICE DEPARTMENT 
THIRD ASSISTANT POSTMASTER GENERAL 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
the office drawn on, when the office named by 
the remitter is in Alaska, and does not transact money-order business. 
Spaces above this line are ior the Postmaster’s record, to be filled in b y him 
Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
by another person for him 
Amount 
Ho. 
Stamp of Issuing Office 
___ Dollars...Cents 
Pay to | 
Orderof/ . The; Kilgore Seed Go. . 
Whose | 
Address! 
Is ) No._ 
Post \ 
Office/- 
Plant City 
Street 
State 
FloiT d ff 
Sent by_ 
(Name of sender) 
NO. .. 
City 1 
and 
State! 
Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c5—7156 
Fees for Money Orders Drawn 
on Domestic Form 
Payable in the United States, including Hawaii, 
Puerto Rico, and the United States Virgin Islands, or in 
Guam and Tutuila (Samoa); also for orders payable in 
Antigua, Bahamas, Barbados, Bermuda, British Guiana, 
British Honduras, British Virgin Islands, Canada, Canal 
Zone, Cuba, Dominica, Grenada, Jamaica, Montserrat, 
Nevis, Newfoundland, Philippine Islands, St. Ivitts, 
St. Lucia, St. Vincent, and Trinidad and Tobago. 
For Orders From $0.01 to $2.50_ 6 cents. 
From $2.51 to $5.00_ 8 cents. 
From $5.01 to $10.00_ 11 cents. 
From $10.01 to $20.00_ 13 cents. 
From $20.01 to $40.00_ 15 cents. 
From $40.01 to $60.00.. 18 cents. 
From $60.01 to $80.00_20 cents. 
From $80.01 to $100.00_22 cents. 
Memoranda cf Issuing Postmaster: 
If order is purchased through Rural Carrier, he will £!1 spaces below: 
Carrier’s receipt No. 
____ Carrier. 
Note. —The maximum amount for which a single Money Order may 
be issued is $100. When a larger sum is to be sent additional Orders 
must be obtained. Any number of Orders may he drawn on any 
Money Order office on any one day. 
Applications must bo preserved at the office of issue for three years 
from date of issue. 
(Edition July, 1933) os—7155 
D. 9. 90 V MM M ENT PRJNTENO OVTIOI. 
