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 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 necessary, 
by another person for him 
Amount 
No_ 
Stamp of Issuing Office 
_Dollars_Cents 
5S£W}E,. W, TQWNSEND.&SQNS 
(Name of person or firm for whom order is intended) 
Whose ] 
Address > 
Is J No_Street 
Office}_ SALISBURY, _ 
State MARYLAND 
Sent by_ 
(Name of sender) 
No._Street 
City 
and 
StateJ _ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
c5—7155 
