Form 6001— Rev. 7-50 
POST OFFICE DEPARTMENT No 
ASSISTANT POSTMASTER GENERAL 8 -------------—----- 
BUREAU OF FINANCE Stamp of Issuing Office 
DIVISION OF 
MONEY ORDERS 
Fie ss > Di 
The Postmaster 
will insert 
ee eer oe 2 ee ee ee 
the office dr drawn | on, when the office 
named by the remitter does not trans- 
act money-order business 
Spaces abeve this line are for the Postmaster's record, to be filled in by him 
Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
by another person for him 
Amount— 
USE FIGURES, Dollars 
paid =a (Name BO. "BOR hom ze i 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) 16—8391-7 
