DO NOT RISK MONEY OR STAMPS IN ORDINARY MAIL—BUY A MONEY ORDER 
Form 6001 
POST OFFICE DEPARTMENT 
THIRD ASSISTANT POSTMASTER GENERAL 
DIVISION OF MONEY ORDERS 
No. 
stamp of Itaulnt Office 
FEE 
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 
Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
by another person for him 
Amount— 
USE FIGURES, 
DO NOT SPELL- DoUars 
Cents 
T. b. 1.THE I. W. SC OTT CO. 
paid to/ (Name of person or firm for whom order is intended) 
Whose j 
500 LIBERTY AVENUE gt^eet 
City 1 
and 
State 
PITTSBURGH, PA. 
Sent hv 
(Name of sender) 
City ) 
and > 
State 1_ 
f 
_ Street 
PURCHASER 
MUST SEND ORDER AND COUPON 
TO PAYEE 
(FOR FEES SEE OTHER SIDE) 
016—8391 
FOR SPEED—Send your money order AIR MAIL special delivery 
