Fees for Money Orders Drawm 

 ©^ Domestic Form 



Payable in the United States, including Hawaii, 

 Puerto Itico, and the United States Virgin Islands, or in 

 Guam and Tutuila (Samoa) ; also for orders payable in 

 Antigua, Bahamas, Barbados, Bermuda, British Guiana, 

 British Honduras, British Virgin Islands, Canada, Canal 

 Zone, Cuba, Dominica, Grenada, Jamaica, Montserrat, 

 Nevis, Newfoundland, Philippine Islands, St. Kitts, 

 St. Lucia, St. Vincent, and Trinidad and Tobago. 



For Orders From $0.01 to $2.50 6 cents. 



From $2.51 to $5.00 8 cents. 



From $5.01 to $10.00 11 cents. 



From $10.01 to $20.00 . 13 cents. 



From $20.01 to $40.00 15 cents. 



From $40.01 to $60.00 18 cents. 



From $60.01 to $80.00 20 cents. 



From $80.01 to $100.00 22 cents. 



Memoranda of Issuing Postmaster: 



If order is purchased through Rural Carrier, he will fill spaces 

 below: 



Carrier's receipt No. 



Carrier. 



NOTE. — The maximum amount for which a single Money Order 

 may be issued is $100. When a larger sum is to be sent additional 

 Orders must be obtained. Any number of Orders may be drawn 

 on any Money Order office on any one day. 



Applications must be preserved at the office of issue for three 

 years from date of issue. 

 (Edition June 1938) cie— S391 o. 



