Form No. 6001 
POST OFFICE DEPARTMENT NO.- 
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 L________ 
the remitter is in Alaska, and does not transact money order business. 
Spaces abo?e 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 
Pay to 1 
Order of J 
_Dollars_Cents 
PIEDMONT PLANT CO. 
(Name of person or firm, for whom order is intended) 
Whose 
Address 
Is 
Post \ 
Office/.. 
State_GEORGIA 
"ALBANY;' 
.Street 
Sent by_ 
(Name of sender) 
No._Street 
City | 
and > 
State) _ 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c5—7155 
