DO NOT RISK MONEY OR STAMPS IN ORDINARY MAIL—BUY A MONEY ORDER 
Form 6001 
POST OFFICE DEPARTMENT 
THIRD ASSISTANT POSTMASTER GENERAL B1U o 
DIVISION OF MONEY ORDERS 
FEE 
Stamp of issuing Office 
*ri 
O 
The Postmaster 
will insert 
here___ 
the office drawn on, when the office 
named by the remitter does not trans¬ 
act money-order business. 
Spaces above this line are for the Postmaster’s record, to be filled in by him 
W 
33 
pi 
pi 
o 
w 
ft 
D 
0- 
0 
c 
Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
by another person for him 
Amount— 
DSE FIGURES, n 
oo not spell- Dollars 
Cents 
2 
o 
3 
ft 
<< 
0 
CL 
ft 
To be 1 
paid to/ 
ALLEN, STERLING & LOTHROP 
(Name of person or firm for whom order is intended) 
> 
33 
___ 2 
Whose 1 > 
address [ 269 Middle Street m 
is |_Street 1 
City ] ” 
and [ Portland, Maine » 
State |___ ft 
mm—T—1TT1IWWIHW mm\t\\m\\ I - in - -- ■ ----- - , ,,, t m • 
Sent by 
(Name of sender) 
City | 
and ) 
State J 
Street 
D- 
2- 
M* 
< 
ft 
>1 
•< 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) cl 6—8391 
From 
Allen, Sterling & Lothrop 
269 Middle Street 
PORTLAND 
MAINE 
