To view an example of a money order from Western Union, click here. Fill in the recipient's name.Money Order Sample - Free download as Word Doc (. This money order document is from an account numbered 123456789 to an unnamed payee for an unspecified amount. When completing the form, note the following: 1. You must have the full names and street addresses for all parties. Legal document preparation websites may claim to offer free fill-in-the-blank template deeds or quick deed creation. Take cash, a debit card, or a traveler's check. You cannot pay with a credit card. You may need to print this form and hand draw the diagram portion in order to complete the form.