here write plainly name and address 
Name. 
Post Office 
. 
Street or R.F.D. No. 
State 
Be sure and fill out above* 
Before Mailing 
PUT 
STAMP 
HERE 
Pine Tree State Seed Co. 
P. O. Box 168 , 
Seeds Adapted to 
New England Soil and Climate 
Portland 
Maine 
Form 6001 
POST OFFICE DEPARTMENT NO. .-. 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Office 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
here.....-_ 
the office drawn on, when the office named by L__ 
the remitter is in Alaska, and does not transact money-order business. 
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 
Dollars_Cents 
Pay to \ 
Order of J_ 
(Name of person or firm for whom order ia intended) 
Whose | 
Address > 
Is J No. ____Street 
Post \ 
Office]- 
State 
Sent by_ 
(Name of sender) 
No.___Street 
City ] 
and \ 
StateJ___ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c5—7156 
