Form. 6601 
POST OFFICE DEPARTMENT No 
i} 
THIRD ASSISTANT POSTMASTER GENERAL 
DIVISION OF MONEY ORDERS Stamp of issulng Office 
The Postmaster 
will insert 
GPG (an Soon its re ee Ee 
the office drawn on, when the office 
named by the remitter does not trans- 
act money-order business 
Spaces above this line are for the Postmaster’s record, to be filled in by him 
Application for Domestic Money Order 
Spaces below to be filled in by purchaser, or, if necessary, 
y another person for him 

Amount— 
rman erate Dollars _......- Cents 
To be \ 
Paid to 
eee mee ee ee ee eo eee eee eee es Be eSB eee ee ee SS ee eS eee eS See Ses eee 
(Name of sender) 
SL ale tip ig Se I aE a 39 pe ep A a Street 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) o16—8391-2 
