DO NOT RISK MONEY OR STAMPS IN ORDINARY MAIL—BUY A MONEY ORDER 
POST OFFICE DEPARTMENT \ 
THIRD ASSISTANT POSTMASTER GENERAL GC. 
DIVISION OF MONEY ORDERS Stamp of Issuing Office 
ee Oe ee ee 
The Postmaster 
will insert 
here03 fsie0 8. Jie. Se sth. 
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 Speut ------....- Dollars ___._._- Cents 
ae ee ee ae a a ee ee ee ew we ee ere re 
(Name of person or firm for whom order is intended) 
To be } 
paid to 
ESF ORR OOO OER ERRORS REE HESS 

SO Re SPO RK RS Re Oe ne One Be Bee eee eos ee ee eee se neon emoees 
and 
Foy A: TFs bal nea al agen aie tala ales tat abn ba oe a ed Sh Bae oe 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) ¢16—8391 
AZ@AITep jereds JIVIN NIV 7Ppz20 Avuour anod puss—QyaAdS WOs 
