Form No. 6001 
POST OFFICE DEPARTMENT NO.- 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing OIBca 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
here..__ 
the oflace drawn on, when the office named by t , 
the remitter is in Alaska, and does not transact money order business. 
Spzcss 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 
_ _ Dollars Cents 
Pay to \ 
Order of/_ 
Alexander Forbes & Co. 
(Name of person or firm for whom order is intended) 
Whoso ] 
Address > 
Is j No. 
. .. . _ _ Street 
Post \ 
Office/ _ 
Newark, New Jersey 
State 
Sent by 
(Name of sender) 
No. _ 
City 
and 
State 
Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) o5—7155 
