Form No. 6001 
POST OFFICE DEPARTMENT NO... 
THIRD ASSISTANT POSTMASTER GENERAL Stamp of Issuing Office 
DIVISION OF MONEY ORDERS 
The Postmaster 
will insert 
the office drawn on, when the office named by 
the remitter is in Alaska, and does not transact money order business. 


Spaces above this line are for the Postmaster’s record, to be filled in by hina 


Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
by another person for him 
Amount 
Pay to ALEXANDER FORBES & Co. 

(Name of sender) 
No} 2ie_sbenrh och arene seeing) 3o aneloceis ere Sete a_i Street 
City 
and 
State 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) e5—7155 
