Form 6001—Rev. 7-50 
POST OFFICE DEPARTMENT No 
ASSISTANT POSTMASTER GENERAL 
BUREAU OF FINANCE Stamp of Issulng Office 
DIVISION OF 
MONEY ORDERS | Syd Si ean tp ta 
The Postmaster 
will insert 
TBE ee 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, 
by another person for him 
Amount— 
USE FIGURES, 
DO NOT SPELL_____________ Dollars... Cents 
To eal 
res} 
1S 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) 09 —16—8391-7 
