Form No. 6001 
POST OFFICE DEPARTMENT NO. 
THIRD ASSISTANT POSTMASTER GENERAL 
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 
Stamp af Issuing Omca 
J 
_Dollars_Cents 
to i The STORRS <5c HARRISON Co. 
(Name of person or firm for whom order ia intended) 
SEEDSMEN, FLORISTS, NURSERYMEN 
Whose ) 
Address > 
Is JNo. 
Post \ 
Office/_ 
State 
_Street 
PAINESVILLE, 
OHIO 
Sent by___ 
(Name of sender) 
City ]" 
and > 
State)_ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c 5—7155 
