﻿Form 
  No. 
  6001 
  

  

  POST 
  OFFICE 
  DEPARTMENT 
  NO. 
  

  

  THIRD 
  ASSISTANT 
  POSTMASTER 
  GENERAL 
  Stamp 
  of 
  Issuing 
  Office 
  

   DIVISION 
  OF 
  MONEY 
  ORDERS 
  I 
  

  

  The 
  Postmaster 
  

   will 
  insert 
  

  

  here 
  _ 
  

  

  the 
  office 
  drawn 
  on, 
  when 
  tne 
  office 
  named 
  by 
  ' 
  

  

  the 
  remitter 
  is 
  in 
  Alaska, 
  and 
  does 
  not 
  transact 
  money 
  order 
  business. 
  

   Spares 
  ahore 
  this 
  line 
  are 
  for 
  the 
  Postmaster's 
  record, 
  to 
  be 
  filled 
  in 
  by 
  him 
  

  

  Application 
  for 
  Domestic 
  Money 
  Order 
  

  

  Spaces 
  be'ow 
  to 
  be 
  filled 
  in 
  by 
  piirchaser, 
  or, 
  if 
  necessary, 
  

   by 
  another 
  person 
  for 
  him 
  

  

  Amount 
  

  

  Dollars 
  Cents 
  

  

  p 
  a 
  y 
  to 
  \ 
  Henry 
  A. 
  Dreer, 
  Inc. 
  

  

  Order 
  of 
  j 
  „ 
  

  

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

  

  1306 
  Spring 
  Garden 
  

   Phiiadeiphia 
  

  

  State 
  ..... 
  p 
  en 
  na. 
  

  

  Whose 
  

   Address 
  

   Is 
  

  

  Post 
  \ 
  

   ~ 
  e/.. 
  

  

  Office/ 
  

  

  Sent 
  by 
  

  

  (Name 
  of 
  Br 
  nrier) 
  

  

  No. 
  Street 
  

  

  City] 
  

   and 
  > 
  

  

  State) 
  

  

  PURCHASER 
  MUST 
  SEND 
  ORDER 
  AND 
  COUPON 
  TO 
  PAYEE 
  

  

  (FOR 
  FEES 
  SEE 
  OTHER 
  SIDE) 
  06— 
  7155 
  

  

  