Fees for Money Orders Drawn 
on Domestic Form 
Payable in the United States, including Hawaif, 
Puerto Rico, and the United States Virgin Islands, or in 
Guam and Tutuila (Samoa) ; also for orders payable in 
Antigua, Bahamas, Barbados, Bermuda, British Guiana, 
British Honduras, British Virgin Islands, Canada, Canal 
Zone, Cuba, Dominica, Grenada, Jamaica, Montserrat, 
Nevis, Newfoundland, Philippine Islands, St. Kitts, 
St. Lucia, St. Vincent, and Trinidad and Tobago, 
For Orders From $0.01to $2.50_.-..-_. 6 cents. 
From $2.51to $5.00... 8 cents. 
From $5.01to $10.00_...... 11 cents. 
From $10.01 to $20.00_____.... 13 cents. 
From $20.01 to $40.00_..._. 15 cents. 
From $40.01 to $60.00_-...___. 18 cents. 
From $60.01 to $80.00_..__..__. 20 cents. 
From $80.01 to $100.00__..__... 22 cents, 

Memoranda of Issuing Postmaster: 
lf pOCeer is purchased through Rural Carrier, he will fill spaces 
low: 
Carrier’s receipt No. ____..._-_-_-_____ 



po eas Be LS eye Carrier. 
Nots.—The maximum amount for which a single Money Order 
may be issued is $100. When a larger sum is to be sent additional 
Orders must be obtained. Any number of Orders may be drawn 
on any Money Order office on any one day. 
Applications must be preserved at the office of issue for three 
years from date of issue. 
(Eprrion JoNE 1989) e16—8392 U. & 6OVRRXMENT FRINTING OYFICD 
