_ Take it to your Postmaster and procure a 
ey Order office send remittance by registered mail. - 
y use this application. 
If not a Mon 
ig Us mone: 
Money Order. 
\Vyhen sendim 
Form No. 6061 
Post Office Bepartment || (Reseed oe 
THIRD ASSISTANT POSTMASTER GENERAL _ Stamp of Issuing Gffice 
DIVISION OF MONEY CRDERS 
the office drawn on, wher the office named by the 
femitter in the body of this application is not a Money Order Office. 
Spaces above this line are for the Postmaster’s record, to be filied in by hine 
Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
by ancthér person for him 
Amount 
Bee iecrore lo en Are RUEMEERT ESS oie Cents 
Pay to WM. HENRY MAULE, INC.., 
UDP Oi [eee ts ee ae ee) ee eee —— 
(Name of person or firm for whom order is intended) 
Tugs |) ol as = 
is IS Dec A I a ee Street 
ae p PHILADELPHIA, 
eee ow | Pennsylvania. _ 
COE AT a ae ee = 
(Namo of Sendar) 
Tei 7 0°" "Saas a ee io 
of } 
MEM OR RRON Oise? igs cs Se aS ee Strees 
PURCHASER MUST SEND GREDER AND COUPON TO PAYEE 
C5—7155 
