Form No. 6001 
POST OFFICE DEPARTMENT | aR 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Office 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
the oftice drawn on, when the office named by 
the remitter is in Alaska, and does not transact monsy 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 filled in by purchaser, or, if necessary, 
by another person for him 
Amount 
Dollars 
Pay to _\ HOLMES SEED Cc Py 

Sent by 
(Name of sender) 
WO). 325- speeds dee bes 3a stele et Bee as Street 
City | 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) o5—7155 
