Form 6061 
POST OFFICE DEPARTMENT NQ. _.... 
DIVISION OF MONEY ORDERS 
af 22 ileatimioe eines 
The Postmaster 
will insert 
NOES. nena tat daeins ee ee 
the office drawn on, when the office named 
by the remitter is in Alaska, and does not 
transact money-order business. 
Spaces abovet his 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, 
BO NOT SPELL } ~--------- Dolan Cents 
To be ROBERT BUIST COMPANY, 
CPR tga a aye are red eed eae Appear ee age ian ihe ens CMe eh gM Sa ue ae Uk S 
paid'to (Name of person or firm for whom order is intended) 
ee ee ee ee ee ee ee a a ee ee ee ee ee ee ewe eee eee ee ee ee 
Whose 
address 
is 
eee ee me Oe eee ere em eee ne ee wee eee eee ew = 
ee ee oe we ee re eee eee weer eee 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c5—7155 
