Form. 6001 
es POST OFFICE DEPARTMENT i 
FS THIRD ASSISTANT POSTMASTER GENERAL 0 Ake a i 
& DIVISION OF "MONEY ORDERS Stamp of Issulng Office a 
v] 
s EER eames w 
© The Postmaster 4 
= will insert i 
< 
hereteesie. seuee eonaeansene dt cte if 
the office drawn on, when the office ® 
named by the remitter does not trans- 3 
‘ act money-order business. Au. 
S Spaces above this line are for Postmaster’s record, to be filled in by him § 
ee ee 
g © Application for Domestic Money Order : 
iS Spaces below to be filled ir: by purchaser, or, if necessary, 2 
fe by another person for him “ 
to) 
., Amount— q 
ne eS aor eee Dollars Cents 4 
E tere, OROL LEDDEN & SONS 
paid to} ~~" GNiame of person or firm for whom order is intended) A 
ER AP Ht PLE ES a = 
© Whose > 
address = 
S| Ga So Se ee Street 
Set} SEWELL, NEW _ JERSEY 3 
Ma B 
AC Se BOI be SS oh o. 
4Name of sender) ® 
ad ie 
Se Street 3 
aay q 
Btate ) 2 ooo ee eae ee eee eee eee cot 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) c16—8391 
