Form No. 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 hi 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 Tillinghast Seed Co. 
Order of J___ 
(Name of person or firm for whom order is intended) 
Whose 
Address > 
Is JNo._Street 
Post 1 La Conner, 
Office/___ 
* -mr -w -w -a a 
sta te W^hirigon 
Sent by_ 
(Name of sender) 
City"]" " Street 
and > 
EtateJ___ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c5—7155 
