Transcription of us EXPRESS MONEY ORDER Money Order Claim …
1 :us EXPRESSMONEYORDERM oneyOrderClaimFormRev. SeptlORefundIPhotocopyRequestUS EXPRESSWILLNOTPUTA STOPPAYMENTON LOSTOR STOLENMONEYORDERSIN REFUNDIS ISSUEDONLYIF PHOTOCOPYOF THEMONEYORDERWILLBE PROVIDEDIF THEMONEYORDERWASCASHED. Purchasermustcompleteone ClaimFormfor copyof claimformfor yourrecord. OriginalPurchaser'sReceiptmustbe includedwiththe claimformto receivea refund. A $20 non refundableprocessingfee mustbe includedin not included$25 will be deductedfromthe refundamount.(Makemoneyorderspayableto US not sendpersonalchecksor cash.) Includea your claimallowup to 30 dav s for resultin the delayor returnof your (1)withclaim:PleaseMailRequestto:Afterst andardprocessingtime,Wouldyou likeo OriginalMoneyOrderUS ExpressMoneyOrderyourrequestsent overnightfor an additional$25D OriginalPurchaser'sCopyPO Box 762fee?Norcross, $PrintPurchaser'sNameTelenhonesFull CompleteAddressArea() orderto induceUS ExpressMoneyOrder(USEMO)to refundthe faceamountof the abovemoneyorder,and in considerationof the paymentto me of the faceamountofthe abovedescribedmoneyorder,I(we)authorizeU SEMOat its discretionto stop paymenton this moneyorderand agreeto reimburseUSEMOfor the face amountof the moneyorderand toholdUSEMO harmlessagainstany and allloss,damage,expense,and/orliabilitywh ichit maysufferor to whichit maybe subjectnowor hereafter,hy reasonof said paymentto me, by reasonof my allegedloss of moneyorder,or by reasonof the negotiationof the ~S~ig~n~a~m~re~Date~/~/_(OFFICEUSEONLy)$ 20 In / DeductCashed/ Not CashedStop Pay DateRI96RI98 CopySentRefundSent
