Form No. 6001 
POST OFFICE DEPARTMENT NO. ._ 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Offlca 
DIVISION OP MONEY ORDERS 
The Postmaster 
will insert 
here....... 
the office drawn on, when the office named by __________ 
the remitter is in Alaska, and does not transact money order bu siness. 
Spaces above this line are for {he 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 
___Dollars_Cents 
} — W.--2 ark—Seed—Co.- 
(Name of person or firm for whom order ie intended) 
Whose ] 
Address / 
Is jNo _Street 
Post \ n J 
office)-iireenwofid,- 
_ State_ S-C- 
Sent fcy_ 
No_ _ . 
(Name of sender) 
Street 
City | 
and > 
State) _ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) o5—7153 
