Gambar halaman
PDF
ePub

Form 5.

[ocr errors]

records, papers, and other property which shall come to the hands of the said or to the hands of any person for his use as such under any law now or hereafter enacted, and that he will faithfully perform all other duties now or hereafter lawfully imposed upon him as such then this obligation to be void;

otherwise, to remain in full force.

[merged small][merged small][ocr errors][merged small][merged small][merged small][merged small]

Joint Certificate of the outgoing and incoming Officers. (Paragraph 70.)

OF THE UNITED STATES AT

day of

[Date.]

We certify, on this the the services of A B ceased, and he is entitled to his salary, or fees, including said day; and that the services of C D commenced the day following, he having received the archives, a full and complete inventory of which is hereto annexed, as required by the Consular Regulations, Chapter XXIII.

[merged small][ocr errors][merged small]

Form 6.

FORM No. 6.

Form for the first (or outside) page of a Dispatch. (Paragraph 86.) [For the form of the same dispatch, see No. 7.]

[blocks in formation]

Ship lost at sea Aug. 10, 1870; crew saved by British brig London. An acknowledgment recommended. Master's protest inclosed.

Forms 7 and 8.

FORM NO. 7.

Form for a dispatch and inclosure. (Paragraph 86.)

[This dispatch should commence on the 3d page of the 1st sheet.]
UNITED STATES CONSULATE,

[No. -.]

Hon. ASSISTANT [OR SECOND ASSISTANT] SECRETARY OF STATE,

Washington, D. C.

SIR: I have to report that on the 10th instant the ship Boston, of New York, bound for this port, took fire at sea in latitude —, longitude miles distant from this port. No passengers were on board. The officers and crew took to the boats, after vain efforts to save the vessel and cargo. They were rescued and brought into this port by the British brig London, John Fox, master, whose conduct on the occasion was such as to lead me to recommend that it be suitably acknowledged by the government of the United States. The details of the loss will be found in the protest of the master, a copy of which is inclosed. The crew are entirely destitute, and have been relieved at this Consulate. They will be returned to the United States by the earliest opportunity.

I am, sir, your obedient servant,

[merged small][ocr errors]

Consul.

1. Copy of protest of master of ship Boston, dated August 30, 1870

FORM No. 8.

Address of Envelopes. (Paragraph 91.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

To the

Secretary of State,

Washington,

D. C.

The words "Commerce," "Accounts," should be written in the left-hand lower corner when the dispatch relates exclusively to either of these subjects.

Forms 9 and 10.

FORM NO. 9.

Consular Passport. (Paragraph 103.)

CONSULATE OF THE UNITED STATES OF AMERICA.

To all to whom these presents shall come, greeting:

Age, -years.
Stature,
Forehead,

Eyes,

Nose,

Mouth,

Chin,

Hair,

Complexion,
Face,

I, the undersigned, Consul of the United States of America for and the dependencies thereof, hereby request all whom it may concern to permit safely and freely to pass a citizen of the United States, and, in case of need, to give him all lawful aid and protection.

[ocr errors]

Given under my hand and the seal of the Consulate at this day of A. D. 18-, and in the year of the Independence of the United States

[SEAL.]

FORM No. 10.

Form for a Visa of a Passport. (Paragraph 104.) CONSULATE OF THE UNITED STATES OF AMERICA AT

[merged small][ocr errors]

Good for [the place to which the holder of the passport is going.]

United States Consul.

Forms 11 aud 12.

FORM No. 11.

Qualified Passport under the Act of February 10, 1855. (Paragraph 116.)

CONSULATE OF THE UNITED STATES OF AMERICA.

To all to whom these presents shall come, greeting :

Description.

Age,

[ocr errors]

years.

Forehead,

I, the undersigned, Envoy Extraordinary, &c., [or Minister Resident, &c.,] hereby request all whom it may con

Stature, · feet, — inches, Eng. cern to permit safely and freely to pass a citizen of the United States, and, in case of need, to give him [or her] all lawful aid and protection; but the right of the said

Eyes,

Nose,

Mouth,

Chin,

Hair,

Complexion,

Face,

[Signature of the bearer.]

to ask of the United States, its officers
and agents, such aid and protection, is
limited and qualified by the obligations
and duties which attach to him [or her]
under the laws of the Kingdom [Empire
or Republic] of
in which he [or

she] was born, (his [or her] father being
then a citizen of the United States,) and
where he [or she] now resides.
Given, &c.
[SEAL.]

FORM No. 12.

Certificate to be used in prosecutions of masters of vessels for refusal to deposit papers. (Paragraph 121.)

[blocks in formation]

SIR: A penalty is supposed to have been incurred by [James Johnson, ] of [New Orleans, commander of the brig Jackson, of that place,] for a violation of the section of the act of (— U. S. Statutes at Large, p. -,) for [refusing to deposit the papers of the said brig with such Consul,] and for which he is liable to be prosecuted in my name, as Consul of the United States for this port.

You, or the proper law officer of the United States, are authorized, at their proper costs and charges, to institute in my name a suit to recover the same for their use and benefit, and the same to control, and to discharge, according to law, in such court having jurisdiction thereof, as you or he shall deem proper.

Witness my hand and consular seal.

[L. 8.]

U. S. Consul.

Hon.

Secretary of State.

« SebelumnyaLanjutkan »