Form No. 6001 



POST OFFICE DEPARTMENT 



THIRD ASSISTANT POSTMASTER GENERAL 

 DIVISION OF MONEY ORDERS 



The Postmaster 

 will insert 



Stamp ef Issuing Office 



here.-. _ 



the office drawn on, when the office named by 



the remitter is in Alaska, and does not transact money or der business 



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



AppIicaiioE for Domestic Money Order 



Spaces below to be filled in by purchaser, or, if necessary. 



>paces 



Amo-ant 



Pay to 

 Order of 



by purchase 

 by another person for him 



._ Dollars Cents 



RAYNER BROTHERS 







(Siamo of person or firm for whom order is intended) 



Whose 



Address 



Is 



Post \ 

 Office/. 



No.. 



SALISBURY, 



state MARYLAND 



Sent by. 



No. 









(Name of sender) 



StTfiflt 



and \ 



State) — _ 



PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 

 (FOR FEES SEE OTHER SIDE) c5— 7155 



