[SEO LE beee ee rr ee reneeeceer Ses cl ea < 3 
en DO NOT 
@ We.-----ccccnennce TR ce Oa a er iia = FORGET 
Statens Ae. ae a POSTAGE 
STAMP 
Peter Henderson & Co., 
35 and 37 Cortlandt Street, 
NEW YORK, N. Y. 
Form No. 6002 
Wort Ofice Depariment a eae >: 
THIRD ASSISTANT POSTMASTER GENERAL _ Stamp of Issuing Office 
DIVISION OF MONEY ORDERS 
[ie caBere et ore Se re ee 
the 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 mecessary, 
by another person for him 
Amount 
Seo) ae a Peter Henderson & Co. 
(Name of person or firm fer whom order is intended) 
Whose 
Add 
a 5 & 37 Cortlandt = 
Cae ee ee New Work 3. 
Staton re eles aa INC YS 
(TEI Geet eet oe re RE I a 
(Name of Sender) 
Address): siiGs 4, teen tan Sumter aan aya beak aan SOG Bate aa ar a a 
\ of } 
perider, } NO \. aoa e none eee a eee Street 
“3 “TASER ata SEND ORDER AND *>2-~OQN TO TET 
ane \ - 
5 See 
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