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 in 
Antigua, Bahamas, Barbados, Bermuda, British Guiana, 
British Honduras, British Virgin Islands, Canada, Canal 
Zone, Cuba, Dominica, Grenada, Jamaica, Montserrat, 
Nevis, Newfoundland, Philippine Islands, St. Kitts c 
St. Lucia, St. Vincent, and Trinidad and Tobago. 
For Orders From $0.01 to $2.50_ 6 cents. 
From $2.51 to $5.00_ 8 cents. 
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 belowi 
Carrier’s receipt No._ 
_, Carrier? 
Note. —The maximum amount for which a single Money Order ma5 
he issued is $100. When a larger sum is to be sent additional Orders 
must be obtained. Any number of Orders may be drawn on anj 
Money Order office on any one day. 
Applications must be preserved at the office of issue for three years 
from date of issue. 
(Edition July 1937) c5 —7155 U. Q. GOVERNMENT PRINTING OFFICE 
Have you signed 
your name and full address? 
