Money Orders Blank

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MONEY ORDER

Pay to the Order of:

Tracking No.:
-00001-MO
31 December 2008: DATE
for

Pay:

and 00/100

.00

DOLLARS

From Account No.: 123456789


Autograph By: _________________________________
Authorized Representative

STRAWMAN
Address

Processor:

COPY FOR
RECORDS

IRS Technical Support Division


C/O The Treasury UCC Contract Trust Department of the IRS
Department of the Treasury
1500 Pennsylvania Avenue, NW
Washington, D.C. 20220

Memo:

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on line

MONEY ORDER
Pay to the Order of:
Pay:

Tracking No.:
-00001-MO
31 December 2008: DATE
for

and 00/100

.00

DOLLARS

Account No. 123456789


STRAWMAN
Address

Original
Memo:

Autograph By: _________________________________


Authorized Representative
Processor:

IRS Technical Support Division


C/O The Treasury UCC Contract Trust Department of the IRS
Department of the Treasury
1500 Pennsylvania Avenue, NW
Washington, D.C. 20220

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