Form No. 6001 
POST OFFICE DEPARTMENT NO... 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issulng 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 
Spaces below to be filled in by purchaser, or, if necessary, 
by another person for him 
Amount 
zu.) Peter Henderson & Co, 
Form No. 6001 No 
POST OFFICE DEPARTMENT 2 
Gffice 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of issuing 
DIVISION OF MONEY ORDERS 
Tho Postmaster 
will insert 
1 ey business. 
D 
ney Order 
if mecessaryy 
Application for Domestic Mo 
below to be filled in by purchaser, Or, 
ae by another person for him 
Amount 
as Dollars_--------Cents 
pete) Peter Henderson & Co... 
oS aaNesael ve thom order is 10) 
(Name of sender) 
Se ee Street 
®URCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c5—7155 
Sent by---ete ee (Name of sender) 
SEP Si SE RO ES RE egg rea Street 
Te ee 
City, lies ea gest 16 pati a08) a ARIST PS Es ek 
Bate. cr GEND ORDER AND COUFO NTO PAYEE 
SRCHASER MUST D COUPO 
PURCHASER MUST SEND ORDER AN ee 
