Form No. 6001 
POST OFFICE DEPARTMENT NO.-- 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Office 
DIVISION OF MONEY ORDERS H 
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 Ulled 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 GOOD l«CK GARDENS 
Order of J___ 
(Name of person or firm for whom order is intended) 
Whose ] 
Address > 
Is j No_ 
Post \ 
Office 1 
_ .. _ _ Street 
PARADISE 
State PESiSSYlVANIil. 
Sent by_ 
(Name of sender) 
No__ 
City ] 
and > 
State]_ 
_ _ _ _ _Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) o6—7156 
COOO LUCK GARDENS 
PARADIS E.FA. 
