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 [_______ 
the remitter is in Alaska, and does not transact money order business. 
Spaces 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 
Order*of} -.-Alexo4ider-Fx>Jcbes-&-Ca _ 
(Name of person or firm for whom order is intended) 
Whose 1 
“ (no _ -487-Washington _ 
office}_ Newark, _N. .J, _ 
Street 
State 
Sent by 
(Name of eender) 
No. _ 
City ' 
and 
State 
Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) cfi—7155 
FIRST CLASS 
PERMIT No. 506 
(Sec. 510, P. L. &. R.) 
NEWARK, N. J. 
Business Reply Envelope 
NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES 
4c. - POSTAGE WILL BE PAID BY 
ALEXANDER FORBES & CO. 
487 WASHINGTON ST. 
NEWARK, N. J 
