DO NOT RISK MONEY OR STAMPS IN ORDINARY MAIL—BUY A MONEY ORDER 
Form 6001 
POST OFFICE DEPARTMENT |f« 
THIRD ASSISTANT POSTMASTER GENERAL S1U a- 
division of money orders Stamp of issuing 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 Blled 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, i-s ir 
do not speli- Dollars 
Cents 
To be 1_ 
paid fco/ (Name of person or firm for whom order iB intended) 
Whose ] 
address > 
is J. 
City | 
and ^ 
State L. 
Street 
Sent by_ 
(Name of sender) 
City 
and 
State 
Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) 
0X6—839] 
FOR SPEED—Send your money order AIR MAIL special delivery 
