Form. 6001 
Pe POST OFFICE DEPARTMENT i 
THIRD ASSISTANT POSTMASTER GENERAL 0. ao 
a DIVISION OF MONEY ORDERS Stamp of Issuing Office 
SI REPL 
S The Postmaster 
= will insert 
|efcyns SMM OMS a Me 2 Sik Mh fal SS a 
the office drawn on, when the office 
named by the remitter does not trans- 
act money-order business. 
ee 
<= Spaces above this line are for Postmaster’s record, to be filled in by him 6 
nofé pueg—qantds You 


= 
ce 
op! ° e e 
= Application for Domestic Money Order g 
A Spaces below to be filled in by purchaser, or, if necessary, 4 
= y another person for him t 
(eo) 
> Amount— q 
Pet tt ere Dollars =____-_.- Cents % 
= tobe) BOBBINK & ATKINS __& 
Fes spadel b0 i ceataae “oP person to tnas foe Whoa Grdse is Intended) >= 
eee ee ee Nursorymen®)-  . < 
(<) Whose > 
5 oo =| athena 588 Paterson Ave. street & 
= 3 
y ey 
pan en orca ee a Spe feo a & 
etal coe ae to ee ie A Atrwot a 
a Oity } q 
eo and 
Qa TR | Gees ies, ne SARC SESS Ue OS. ee eae eee ee ee 
PURCHASER MUST SEND GRDER AND COUPON TO PAYEE 
(FOR FEES SEE, OTHER SIDE) 016—8391 
