Form 6001—Rev. 7-51 
POST OFFICE DEPARTMENT No. 
ASSISTANT POSTMASTER GENERAL 
BUREAU OF FINANCE Stamp of Issuing Office 
DIVISION OF 
MONEY ORDERS FEE 
wae wecnreoece 
ee eee 
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— 
USE FIGURES, 
DO NOT SPELL-_________- Dollars _____-- Cents 
ROBERT BUIST COMPANY, 
aa Meat oy 4 South Front Street, Street 
PURCHASER MUST SEND ORDER TO PAYEE 
(FOR FEES SEE OTHER SIDE) 16—8391-9 
