Form No. 6001 
POST OFFICE DEPARTMENT 
THIRD ASSISTANT POSTMASTER GENERAL 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
here- 
the office drawn on, when the office named by ___ 
the remitter in the body of this application is not a Money Order Office. 
Spaces above this line are for the Postmaster’s record, to be fiHed in by him 
Application (or Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
by another person for him 
Amount 
No_ 
Stamp of Issuing Office 
___Dollars_Cents 
Alexander Fo rbes & Co. . 
(N ame of person or firm for whom order ia intended) 
SEEDSMEN 
Whose ) 
Newark. N ew Jerse y 
Post \ 
Office/__ 
State 
Sent by_ 
(Name of Bender) 
No. __ 
S 
State 
_Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
c5—7155 
