ake this application to your Postmaster and procurt a Money 
OMESTIC. 
(Form No. 6001 . 
Space above this line is for the Postmaster’s record, to be filled by him. 
Application for Money Order. 
Amount..Dollars_Cents.l 
Sent to S. Y. Haines & Co., 
City or town. 
MINNEAPOLIS, 
Street and No_ 
J05 Boston Block, 
State Minnesota. 
Sent by. 
Address of sender : No.. 
..Street. 
