Model A (1). Model A. DOMINION MONEY ORDER. DOMINION MONEY ORDER. N°· "'· N0. —-. Date _ _ ____Y .
A of H l` Sum of Order. E, Drawn by the above Omoo upon the Omoo st Stun? °f _____ *·* Issuing I gl
Office. l 2
-~ —-— 8 -. im uw dw °f · 1 7 Issue Stamp. For Psy Stamp. gi
J
"“ U Mm vf Nw Ofdvf- [S e e Instruo· _ tions on the C1 Dollars Cents. bick-] C
~*-. W ¤
<l Tk P°V°°‘ Amount of E Viz: The person to whom the Order is psytble. Orw W uw P°“°n' m'm°d in Advi°° p.]
¤··*
O Christian name. Surname. l Ou. Dough nd cmu E
—-—-- —t.-—-, v--- l>
Residence · Z
Pog¢1ygagf¢y_ of g
The R",w,,,_ To the Post Office p> viz; Tha Person who paid in the Money and obtained the Order. at ‘ E Christian name.Surname. \ Residence. M i The party to whom this Order is made paéyable Received payment, 5 must sim here his or her Christian name an Sur- '"""""'”"" "' name at full length, except in the case of firms, c_‘ [Signature of Postmaster who draws the Order.] whose usual signature wil snfhce. 5 Postmaster. `;__ Stamp of g Wg This Advice must be signed by the Postmaster who draws the Order, and N. B.—Payment of this Order will be made according to the regulations of 9 “°· the Postmaster upon whom it is drawn will carefully preserve it on file in the Department. Second Stem his OBEOe. After once gaying a Money Order, `bv whomsoever presented, the OBice of Paying ol"? will not be ha le to any further claim. If this Form be clipped or mutilated, dce, w h e r e No·m.-A separate Advice must invariably be sent for eaeh Order; and there may be difficulty as to paying it. ··Pey sump" no Order can be given for over $100, though as many Orders of $100 each may is in use. •·~`l , be granted as the applicant needs. (See back.) | . Q1
__._. . - sl
