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| Title | Application for International Money Order |
| FormNumber | 6701 |
| Revision | (02) |
| Division | |
| WhereUsed | |
| EKU | |
| LKU | |
| Notes | c1938, similar to other listing. "16-13215" on front and reverse.
Typeset in slightly smaller text than other c1938 edition.
Note: "Czechslovakia (Bohemia and Moravia only" and "Surinam" |
| Source | JohnB |
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