Stamp at tsstrioi Oifltt 



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Bollars 



Cents 



5 







Form No. 606K 



DOMESTIC 



Tea 



cents 



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Space above tliis line is for the Postmaster's record, to be filled by him. 



.4 



Application for Money Order. 



a Amount 



Sent to 



z Street and No. 



Ed 

 CO 



H City or town 



to 



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_ Dollars. 



t B0LG1AN0 & SOS, 



Cents. 



light & Pratt, 



BALTIMORE, 



State. 



Isent by 



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tz 



ArlHrpt'-, of sender : No. 



Street 



