Form 6001 
POST OFFICE DEPARTMENT fe 
THIRD ASSISTANT POSTMASTER GENERAL 0. rer 
DIVISION OF MONEY ORDERS Stamp of Issulng Office 
oy Ly eR ioe 
ONEY ORDER 
BS IME Gie re Sees n oe er eee 
f2 the office drawn on, when the office 
named by the remitter does not trans- 
= act money-order business. 
= Spaces shore this nn are for the Postmaster’ s record, te be ice in by him 
s = Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if mecessary, 
by another person for him 

© Amount— 
USE FIGURES, 
DO.NOT SPELL ----------- Dollar 
erie -) . Buchanan S eed Co 
a 
paid to ee person or firm for whom oe intended) 
TIVIL ULV 4epse Aouous anod pues—daadS Yor 

[ereds 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) 016—S391 
