Form No. 6001 
POST OFFICE DEPARTMENT NO.- 
THIRD ASSISTANT POSTMASTER GENERAL SUmp 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 
J OB P. WYATT & SONS CO. 
(Name of person or firm for whom order ia int^ded) 
Whose 1 I 
__St«.t 
Itoe] __ Ra[?i3.b- _ 
State_ N. _ _ 
Sent by. 
(Name of sender) 
No._Street 
PUPXHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) co—7155 
. City ] 
and f 
State) 
