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day of

the said vessel filed in this Consulate.

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in a damaged state and it is necessary to dis

charge the cargo, as appears by the note of protest of the said master, made before me the 18-, and the report of survey of I further certify that it likewise appears, from said report of survey and protest, that a part of said cargo was thrown overboard at sea on the voyage from to this port. Given, &c.

U. S. Consul.

188-.

FORM No. 78.

Certificate of ownership of a vessel. (Paragraph 383.)
CONSULATE OF THE UNITED STATES OF AMERICA AT

I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that the of of the burden of

the year Given, &c.

tons,

and is owned by

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master, was built at
of

State of

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U. S. Consul.

FORM No. 79.

Roll or list of crew when required by the captain or authorities of the port.

(Paragraph 383.)

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FORM No. 80.

SHIP

Order to pay, at home, seamen's wages. (Paragraph 383.)

AND OWNERS:

On the termination of the voyage of the

is entitled to the

-, pay to

188-.

or

he being

order, what may be due to him for his voyage in said this day discharged at this port by mutual consent. The said lay, the ship having been out, and he having served in her, at the time of his discharge, days, and the quantity of oil and bone taken, including that held and shipped, as well as that now on board, being - pounds of bone.

and

Witness:

months and

barrels of whale oil

Master.

FORM No. 81.

Master's acknowledgment to the same. (Paragraph 383.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

188-.

I, the undersigned, Consul, &c., do hereby certify that, on the day of the date hereof, before me personally appeared

the

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master of

of -, who, in my presence, and in presence of the witnesses thereunto, signed the foregoing order, and acknowledged the same to be correct in all of its particulars, and to be his voluntary act and deed for the purposes therein mentioned.

Given, &c.

U. S. Consul.

FORM No. 81.

Certificate of shipment of seamen or mariners attached to crew-list and shipping-articles. (Paragraph 383.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

188.
- and

I, Consul of the United States of America for the dependencies thereof, do hereby certify that the seamen or mariners hereinafter named have been duly shipped at this port, before me, upon the terms and conditions set opposite their names, respectively, viz:

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I, master of the ation the high rate of wages for stewards, out of the port of pay, or cause to be paid, the sum of dollars to the seamen, and· named, belonging to the said vessel, as increased wages, beginning from the --, and continuing until the termination of the voyage, agreeably to the contract of shipping-articles signed by them, a certified copy of which is hereto annexed, dated

of ——, taking into considerseamen, ordinary seamen, cooks, and do hereby agree and bind myself to dollars to the ordinary seamen, dollars to the hereinafter

Attested:

day of

188-.

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Master.

[L. S.]

U. S. Consul.

FORM No. 84.

Form to be used when shipwrecked seamen are picked up at sea and conveyed

I,

port of

home, or to any other port.

master of the

and of the burden of

(Paragraph 383.)

merchant-vessel, belonging to the tons, per register, do solemnly board the said vessel at

and sincerely declare that I received on the under-mentioned

the crew of the

seamen1 [

believe was on her voyage from

to

being part or the whole of

; merchant-vessel, which I have heard and verily of the burden of about -].

of

tons, and was owned by I further declare that I landed them on the day or days, place or places, set forth in the statement underneath, and subsisted them the number of days against each person expressed, making in the whole days; and that during the whole of such time I had my full complement of men and boys, viz: men and boys,3 exclusive of the under-mentioned seamen, for whom I now claim subsistence; and in proof of the justice of the claim I am willing (if required) to produce my log-book, and the declaration of the mate and carpenter; and I make this solemn declaration, conscientiously believing the same to be true.

I further declare that1

were saved from the wrecked vessel.

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The words between [] must be repeated for every wrecked vessel, when more than one, to which the seamen belonged.

2 The number here is to be inserted in words at length.

3If the full complement not on board, state how many were deficient.

4 Here insert the words "not any provisions," or (as the case may be) "the provisions specifically stated and the value thereof."

Number of days

on board.

FORM No. 85.

Receipt by Consul for effects of a deceased seaman. (Paragraph 387.)

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I certify that the above-named master has paid me the above-named sum, and has delivered to me the above-named effects, as the money, goods, and effects of the above-named deceased, which he left on board at his death, I having considered it expedient that the said money, goods, and effects should be delivered to me.

Dated this day of ——————-—, 18-.

U. S. Consul.

day of

FORM No. 86.

Consular quarterly remittance of seamen's effects. (Paragraph 388.)

CONSULATE OF THE UNITED STATES AT

To the District Judge of the United States for the district of

On the
United States vessel

188—.

:

I received from
master of the
goods and effects, the property of

a seaman on said vessel, deceased, and gave therefor the inclosed receipt. The deceased had also within the limits of my Consulate other effects not on board said vessel, as shown in the inclosed inventory. I caused the effects to be sold at auction, and now have the honor, in compliance with the provisions of section 4541 of the Revised Statutes, to inclose a statement of account, together with a draft on

for

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