Form 6001 



POST OFFICE DEPARTMENT 



THIRD ASSISTANT POSTMASTER GENERAL 



division OF MONEY ORDERS St2mp of Issuing 0H!« 



FEE 



Ths Postmaster 

 will insert 



the office drawn on, when the office 

 named by the remitter does not trans- 

 act money-order business 



Spaces above this lino are for the Postmaster's record, to bs filled in by him 



SI 



Spaces below to bo filled in by purchaser, or, if ncceecary, 

 by another person for him 



Amount — 



DSE IS'SSfUax Dollars Cents 



To be 1 



Peter Henderson & Co. 





paid to/ 



(Name of parson or firm for whom order is ii 



itoudcd) 



Whose] 

 address*- 

 isj„ 



35 Cortlandt St. 



_ Street 



City) 

 and > 



State! 



New York 7, N. Y. 





Sent by _ 









(Name of eender) 



SfXAef; 



City) 

 and f 



State). __ _ __ ._ . 



PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 



(FOR FEES SEE OTHER SIDE) c7— ig-8391-2 



