No. 



Form 6001 



POST OFFICE DEPARTMENT 



gj THIRD ASSISTANT POSTMASTER GENERAL 



g DIVISION OF MONEY ORDERS Stamp of j„ u | n j Qfflce ^ 



C 

 £ FEE 



1 % 



~ The Postmaster p 



will insert P 



5 here C/ 



OP the office drawn on, when the office g 



I named by the remitter does not trans- g 



_j act money-order business. & 



a : •< 



g Spaces above this line are for the Postmaster's record, to be filled in by him 2 



/ = T =t 



| Application for Domestic Money Order | 



§ Spaces belov/ to be filled in by purchaser, or, iS necessary, © 

 by another person for him " 



° Amount — ^ 



S »s E Wjwwf^ Dollara Cents I 



I t„ l. > RAYNER BRO THERS | 



f_ paid to/ (Name of person or firm for whom order is intended) 



B&£1 MARYLAND 1 



State 



S2 Sent by 8" 



DC (Name of eander) P 



5 Street % 



g City 1 << 



and • 

 g State J 



PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 



(FOR FEES SEE OTHER SIDE) oi6-839i 



This M. 0. Blank Is For Your Convenience 



