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[[Printed form: Application for Domestic Money order]] Form No. 6001 Post Office Department No. ......... THIRD ASSISTANT POSTMASTER GENERAL Stamp of issuing office 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 filled 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...........Cents Pay to order of } W. ATLEE BURPEE CO., (Name of person or firm for whom is intended) Whose Address is} No, Burpee Building, Street Post Office} PHILADELPHIA, State Pennsylvania. Sent by ....................... (Name of sender) Address of sender} No. ..................... Street PURCHASER MUST SEND ORDER AND COUPON TO PAYEE [[print vertically on edge of page]] When sending us money use this application. Take it to your Postmaster and procure a Money Order. If not a Money Order office send remittance by registered mail. [[/print vertically on edge of page]]