- -To. 6001 



post (rtffirr Drjiartmrnt nO. 



DIVISION OF MONEY ORDERS 



7>„ - at " 



w2l bM -• 



the office name-! 

 ■>iy of this application is not a Money Order Offioe. 



.S^ees above this line are for the Postmaster's record, to be filled in by him 



Application for Domestic Money Order 



Spares below to be filled in by purchaser, or. If necessary, 

 by another persou tor him 



: J&DOUIlt 



- - Dollars Cents 



| F. W. Bolgiano 8c Co., _ 



torfemf -: vhon mAm . 



\C, 



1009 B- Street W. W. 



Washington, 



State D._ C._ 



■pder | So. .... „ Street 



"TCRCHA-SER MUST SEND ORDER AND COUPON TO PAYEE 



