Form 6001—Rev. 7-50 
POST OFFICE DEPARTMENT No 
ASSISTANT POSTMASTER GENERAL Si a ae 
BUREAU OF FINANCE Stamp of Issuing Office 
DIVISION OF 
MONEY ORDERS 
FER Lak 
The Postmaster 
will insert ‘ 
ere eee nee nacen se aaensasenes 
the office drawn on, when the office 
named by the remitter does not trans- 
act money-order business 
pe 2 See ee OE Se et ae ee 
Spaces above this line are for the Postmaster’s record, to be filled in by him 
spt ate RIE OE LS SR 
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 
OROL LEDDEN & SONS 
To be RST Fo. ee SR. * ee eee see 
paid to (Name of person or firm for whom order is intended) 
City 
State 
PURCHASER MUST SEND ORDER AND COUPON TO PAYEE 
(FOR FEES SEE OTHER SIDE) 16—8391-7 
wee ew oo on oo nt 
OS ee ES Se Se ae eS 
