FORM No. 95. Voucher for boarding and lodging. (Paragraph 532.) Voucher for hospital expenses and medical aid. (Paragraph 532.) CONSULATE OF THE UNITED STATES OF AMERICA AT Το DR. For medical aid and attendance supplied the following- amed destitute American seamen admitted in and discharged from [here insert the name of the hospital] by order of the quarter ending 188-. Consul at for (Here name all articles of clothing furnished, including For burial expenses of the following-named destitute American seamen, during the quarter ending who died at day of 18-: |