Form 6001 
POST OFFICE DEPARTMENT 
f§ No 
THIRD ASSISTANT POSTMASTER GENERAL, 
DIVISION OF MONEY ORDERS Stamp of Issuing Offica 
eee wn oe ene eee 
‘FEE _____.. a 
INEY ORD 
g The Postmaster 
will insert 
here 
5 the office drawn on, when the office 
named by the remitter does not trans- 
act money-order business. 
<S Spaces above this line are for Postmaster’s record, to be filled in by him 
= 
gi = Application for Domestic Money Order 3 
Spaces below to be filled in by oer seme or, if necessary, 3 
by anotker person for 
anok pueg—qyadsS Uo 

é & 
ros) 
z Amount— a 
BO ete oe, Dollars -_______- Cents 4 
S Tobe} The Templin-Bradley Co. _ 
fm paid to "(Name of person or firm for whom order is intended) A 
ee ee KS 
© hoes oe 
heey ase ns 5 2700 Detroit Avenue _strect © 
} oity 3 
Sas pace ee Cleveland 2, Ohio ______ o- 
i B. 
r=] NE ee eyo 
(Name of sender) eo, 
5 ne eae ee ee oes KOOL < 
= City ie § 
[o) and 
a SUC ee ee ee eee lee ee eee ee ee 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) cl16—8391 
