Fees for Money Orders Drawn 
on Domestic Form 
Payable in the United States, including Hawaii, 
Puerto Rico, and the United States Virgin Islands, or in 
Guam and Tutuila (Samoa); also for orders payable m 
Antigua, Bahamas, Barbados, Bermuda, British Guiana, 
British Honduras, British Virgin Islands, Canada, Canal 
Zone Cuba, Dominica, Grenada, Jamaica, Montserrat, 
F » °"*" 8 S !i:™:rr S 
From $5.01 to $10.00- 11 cents. 
From $10.01 to $20.00- 13 cents. 
From $20.01 to $40.00- 15 cents. 
From $40.01 to $60.00- 18 cents. 
From $60.01 to $80.00... 20 cents. 
From $80.01 to $100.00... 22 cents - 
Memoranda of Issuing Postmaster: 
If order is purchased through Rural Carrier, he will fill spaces below: 
Carrier’s receipt No. 
__ Carrier. 
Note.-TDo maximum amount for which “ f^^^^rdeTs 
be drawn on any 
th6 ° ffiC6 ° f iSSUe f ° r thiee yeaI3 
from date of issue. 
(Edition July, 1933) 
c 5—7155 
C. s. government printing omCK 
Form 6001 
POST OFFICE DEPARTMENT ^0. -- 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Office 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
here__ 
the office drawn on, when the office named by _ 
the remitter is in Alas ka, and does not transact money-order business. 
Spaces above this line are for the Postmaster’s r ecord, 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 
---Dollars..Cents 
Order*of} The Kilgore Secd Co. 
(Name of person or firm for whom order is intended) 
Whose 1 
Address i 
Is J No. 
..Plant. City _ ... Street 
Post \ 
Office/ 
State 
Florida 
Sent by_ 
(Name of sender) 
No. ... 
Oityl 
and > 
State) 
Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c5—7165 
