"ees for Money Orders Drawn on 

 Domestic Form 



Payable in the United Staters, including Hawaii, Porto 

 lico, and tiie United States Virgin Islands, or in Guam and 

 ?utuila (Samoa) ; also for orders payable in Antigua, Baha- 

 aas, Barbados, Bermuda, British Guiana, British Honduras, 

 British Virgin Islands, Canada, Canal Zone, Cuba, Dominica, 

 jrrenada, Jamaica, Martinique, Montserrat, Nevis, New- 

 oundland, Philippine Islands, St. Kitts, St. Lucia, St. Vin- 

 cent, and Trinidad and Tobago. 



For Orders From $0.01 to $2.50. - 3 cents. 



From $2.51 to $5.00 Scents. 



From $5.01 to $10.00 8 cents. 



From $10.01 to $20.00 10 cents. 



From $20.01 to $30.00- 12 cents. 



From $30.01 to $40.00 15 cents. 



From $40.01 to $50.00 18 cents. 



From $50.01 to $60.00 20 cents. 



From $60.01 to $75.00 25 cents. 



From $75.01 to $100.00 30 cents. 



Memoranda of Issuing Postmaster : 



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



.o.a 



Carrier's receipt No. 



— -, Carrier. 



Note. — The maximum amount for which a single Money Order may bo 

 issued is $100. When a larger sum is to be sent additional Orders must ba 

 obtained. A nj'' number of Orders may be drawn on any Money Order officft 

 on any one day. 



Applications must be preserved at the office of issue for three years from 

 date of issue. 



c-5— 7155 (Edition JtjNe, 1924) ootei»-ment peiktikg omcu 



