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 ___ - 
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 1 Carlton Nursery Co. 
Order of/....... 
(Name of person or firm for whom order is intended) 
Whose ] 
Address}- 
Is J 
Post \ 
Office/— 
No. 
Carlton 
State 
Oregon 
Street 
Sent by____—.— - 
(Name of sender) 
No.__- Street 
Oityl 
and > 
State]_______ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c5 ~ 7155 
BUSINESS REPLY ENVELOPE 
NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES 
-POSTAGE WILL BE PAID BY — 
CARLTON NURSERY COMPANY 
CARLTON 
OREGON 
