instant, laden with

in a damaged state and

port on the condition, and in order to repair the said it is necessary to discharge the cargo, as appears by the note of protest of the said master, made before me the day of -, 18-, and the report of survey of the said vessel filed in this Consulate. 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.

FORM No. 78.

U. S. Consul.

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

188-.

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

of the burden of

tons,
and is owned by

of
master, was built at
of
State of

in

U. S. Consul.

FORM No. 79.

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

(Paragraph 383.)

SHIP

FORM No. 80.

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

188-.

AND OWNERS:

On the termination of the voyage of the

is entitled to the

pay to

ог

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

master of

the 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 forthe 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:

I,

Agreement of master to give increased wages. (Paragraph 383.)

master of the

of -, taking into consideration the high rate of wages for seamen, ordinary seamen, cooks, and stewards, out of the port of ་་ do hereby agree aud bind myself to pay, or cause to be paid, the sum of - dollars to the ordinary seamen, Idollars to the hereinafter

dollars to the seamen, and named, belonging to the said vessel, as increased wages, beginning from the day of 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 - , 188-.

Attested:

[L. S.]

U. S. Consul.

Master.

FORM No. 84.

Form to be used when shipwrecked seamen are picked up at sea and conveyed home, or to any other port. (Paragraph 383.)

I,

port of

master of the

and of the burden of

, merchant-vessel, belonging to the

tons, per register, do solemnly

and sincerely declare that I received on board the said vessel at

the under-mentioned

the crew of the

seamen1[ -- being part or the whole of merchant-vessel, which I have heard and verily of the burden of about -].

to

of

believe was on her voyage from 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 whole2 - 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.

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.

3 If 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."

Date.

Number of days

on board.

FORM No. 85.

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

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-.

FORM No. 86.

U. S. Consul.

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

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

On the day of

United States vessel

:

188-.

I received from -, 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

master of the

for