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( Fon~1 No. 50)
FOR THE lJSE OF THE PUBLIC.'
APPLICATION FOR THE ISSUE OF A DUPLICATE ORDER.
PARTICULARS OF ORDER.
Date of issue, /Z
Number ~~ Order, /2 s-" -
Amount ~f do ., £ s. d.
:~_ . · - :/ - 6
Where issued, · ~ 4- ~ ~ .
Where payable, ~ ~ '- Y~
Towhompayable, #":" 7 ~ C:.~a~~
Bg whom remitted, ~ .:;z( ~~
Sir,
I request a Duplicate of the abcve-desc1·ibed Money Order, the Original 01·der
' //.
h~w!''9 bee n ~ and I enciose lzm·ein 'l ~
P ustag1 ' Stamps in poymenl of ~l:e additionr1l Co111mission charged in such cases.
(Date .)
The Secretary ,
I am, Sir,
Your . obedient Servant,
~ p ' (Signature.)
I /I~ -~ ~ przz_
r - ~
,j l (Address of
#' ~ ' ~ ~ ' t Applicant.)
)
G eneral Post Office, Cape Town.