OOIVIESTIC 



O rt 



{Form No. 6001.) 



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



^ .„™..»« .^ 



I Application for Money Order. 



a 



Amount Dollars , Cents. 



Bent to ^^^ CONARD 81 JONES CO., 



iK . WEST GROVE, 

 5 t..ity or town.. 



Street and No 



State Pennsylvania. 



aO 



pent by 



^Address of sender : No. 



Street. 



