OOIVIBSTIC 



^Form ^.o. 6001.) 



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g Space above this line is for the Postmaster's record, to be filled by him. 



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Application for Money Order, 



S^mount 



Dollars..... 



._ Cents. 



I Sent to 



MaryJL Marti r^. 





geity or town ELORAL__EAEK,. 



Street and No. 





State 



^ent by- 



Address of sender : No.. 



.Street, 



