Jf S©S 



Money Orders Drawn 

 on Domestic Form 



Payable in the United States, including Hawaii, 

 Puerto Rico, 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 Tabago, 



For Orders From $0.01 to $2.50 6 cents. 



From $2.51 to $5.00 8 cents. 



From 85.01 to $10.00 11 cents. 



From $10.01 to $20.00 13 cents. 



From S20.01 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: 

 Carriers 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 JULY, 1932) c5 — 7155 Vm s . government protono office 



