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01"'L~  \.~  I  .  
a,.,\;~  -v-u... Cl..  

(,  ICJ.  f.  ~3  
j  .  

( 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. 
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