
Form No. 6001 
POST OFFICE DEPARTMENT NO... 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of issuing Office 
DIVISION OF MONEY ORDERS 


Tho 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 er’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 
Order of 2IeH0 (IOLMES SEED CO, : 
Name of person or firm for whom order is intended) 
(Name of sender) 
Noes 2 2 eel, Ot © PEE 2 oe See SA Sas eA Street 
City 
State 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE, 
(FOR FEES SEE OTHER SIDE) c5—7155 
