Form No. 6001 
POST OFFICE DEPARTMENT No.2: 2904 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Office 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 

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 
paces below to be filled in by purchaser, or, if mecessary, 
by ancther person for him 
Amount 
Fyte} Tillinghast Seed Co. 
(Name of sender) 
NO Since fae Ee ee ee ee eee ce ee Street 
City 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) o6—7155 

