Form No. 6002 
Yost Office Department eee 
4 
THIRD ASSISTANT POSTMASTER GENERAL _=tamp of Issuing Office _ 
DIVISION OF MONEY GRDERS 
‘The Postmaster 
Will insert 
0) a ar ey ee eae 
fhe office drawn on, when the office named by the 
remitter in the body of this application is not a Money Order Office. 
Spaces above 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 
Se eee eee ee Dollars _______________ Cents 
Pay to Peter Henderson & Co. 
PDR CS OY 8 fe ee Ee ee 
(Name of person or firm for whom order is intended) 
Liges| | _ 385 & 37 Cortlandt Stee 
is INO ses ee nee aaa eens Street 
Past New York 
State sss ee ee N Ye 
Bent by. :- === 122s aS ace (Ro Sane sae ees aeaeea one =a 
(Name of Sender) 
jaa) 
oO 
oo < 
pw & 
o 
Le 
ia¥ 
Peter Henderson & Co., 
35 and 37 Cortlandt Street, 
NEW YORK, N. Y. 
