Form 6001 
POST OFFICE DEPARTMENT No 
THIRD ASSISTANT POSTMASTER GENERAL 
DIVISION OF MONEY ORDERS Stamp of Issuing Office 
Q 
mS 
o 
Pa PEE tees 
z 
eS The Postmaster 
will insert 
5 DG ee 
fi the office drawn on, when the office 
| named by the remitter does not trans- 
ral act money-order business. 

WIV zepzo Aeuour mod pues—quydS YO 
= Spaces above this line are for the Postmaster’s record, to be filled in by him 
te . lj ° f © 
2 Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
y another person for him 
: Amount— 
S 2 
a USE FO NOT seen... Dollars ________ Cents 
Ping 
= Tobe \ OROL LEDDEN & SONS 
fa paid to (Name of person or firm for whom order is intended) 
sescneecsnsn le ee ee ae eee > 
S Wiss F 
Has City 1 pe cee sens eee ee ci oO ee Street a 
z 0 
Sud | __SEWELL, NEW JERSEY } 
Bab 
LY Seen lay nines = =n ep ee wg . 
oe (Name of sender) = 
Sod ® 
S ae em cna pid 
and 
© State 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) o16—8391 

