Form No. 6001 
POST OFFICE DEPARTMENT 
THIRD ASSISTANT POSTMASTER GENERAL 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
here_____ 
the office drawn on, when the office named by_ 
the remitter is in Alaska, and does not transact money order business. 
Spaces above this line are f®r the Postmaster’s record, to he 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 
_Dollars_Cents 
RfS.*. 0 -,) Henry A. Dreer, Inc. _ 
(Name of person or firm for whom order is intonded) 
Whose | , _ 
13 0 6 Spring Garden St. 
SSL}_ Phi ladelphia _ 
Hfarfe P 611 " 3 - 
Sent by_ 
(Name of Bonder) 
No._Street 
City 1 
and > 
State] _ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) o5—7165 
