Form 6001 
POST OFFICE DEPARTMENT No 
THIRD ASSISTANT POSTMASTER GENERAL . s 
DIVISION OF MONEY ORDERS Stamp of issulng Office 
The Postmaster 
will insert 
PI OE Oreste ere ee a ee ee 
the office drawn on, when the office 
named by the remitter does not trans- 
act money-order business 
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— 
OSE Se orizen | | Dollars ........ Cents 
To be \...RAYNER BROTHERS Ri sea 
paid to (Name of person or firm for whom order is intended) 
er We coe aan 
a Ss 
te vis pe eS ee S ALISBURY, Bey eh ae ae Street 
ity 
= ee MARYLAND __ 
SD] Sgt esl TEL peu TES Pe fe ae rel fig RR ON Dare SE Pees eed 
{Name of sender) 
a eae oN aA Whey ad escort gh Ra ed a A ha VR Street 
City 
and 
[SUITE | cn aye Sieh Ree) Gs Pia et Ia Ree tial Be AOS LT ile cy a Rage SD 
PURCHASER MUST SEND ORDER-AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c16—2391-2 
This Money Order Application Blank Is 
Enclosed For Your Convenience 
