/y 
Form No. 6001 
POST OFFICE DEPARTMENT NO- 
THIRD ASSISTANT POSTMASTER GENERAL Stamp cf Issuing Office . 
DIVISION OF MONEY ORDERS p———— 
■Tho 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 Ailed in by purchaser, or, if necessary, 
by another person for him 
Amount 
_ Dollars_ Cents 
Pay to \ ' 
Order of/ __ _____ 
(Name of person or firm for whom order ie intended) 
Whose ) 
Address > 
Is J No_Street 
Post \ 
Office/_ 
State 
Sent by 
(Name of Bender) 
No. ... 
City I 
and > 
State] 
Street 
PUP.CH.ASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) C&-7166 
BUSINESS REPLY ENVELOPE 
FIRST CLASS PERMIT NO. 328A, SEC. 384^ P. L^& R., TULSA, OKLA. 
Binding-Stevens Seed Co, 
First & Boulder Sts. 
P. O, Box 2041 
Tulsa, Okla. 
