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Dec. 31

By amount of my draft No.- on the honorable Secretary of State,
at 15 days' sight, in favor of

268 50 52 50

321 00

U. S. Consul.

FORM No. 101.

RECORD OF TREASURY FEES (Seaport Consulate). (Paragraph 538.)

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day of

On the peared and made oath that the above and foregoing account or report of fees is a full and perfect transcript of the register which he is by law required to keep; that the same is true and correct, and contains a full and accurate statement of all fees received by him as such Consular Officer, or for his use, for his official services, to the best of his knowledge, during the period of time therein mentioned.

before me, the undersigned, personally apUnited States Consul at

U. S. Consul.

Sworn to before me.

NOTE. This Form is to be transmitted to the Secretary of State and the Secretary of the Treasury.

FORM No. 102.

RECORD OF TREASURY FEES (Inland Consulate). (Paragraph 538.)

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NOTE. This form is to be followed by Consular Officers residing at inland places, and a transcript thereof transmitted quarterly to the Secretary of State and Secretary of the Treasury.

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Power of attorney to verify invoices. (Paragraph 656.)

I do hereby make, constitute, and appoint

of

in

-, my true and lawful attorney, for me, in my name, place, and stead, to prepare any or all invoices of merchandise, intended for exportation to the United States from in which I am or may be interested or concerned, and to take such oath or oaths, or to make and sign such declaration or declarations, as my duly authorized agent, which I might do if I were personally present, in the manner prescribed by the laws of the United States, for the purpose of verifying invoices of merchandise, in order to secure the requisite triplicate or quadruplicate certificates thereto; hereby ratifying whatever my said attorney may lawfully do, under and by virtue of his power of attorney, in my behalf; and this authority, hereby conferred and delegated to said attorney, shall remain in full force until revoked by me, by written notice on the U. S. Consul at

In witness whereof, I have hereunto set my name and seal, at the

day of

188-.

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Signed, sealed, and delivered in the presence of—

[SEAL.]

To

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FORM No. 105.

it, from

to

Aggregate return of fees at the Consulate of the United States at
Consular Agencies connected with
(Paragraph 539.)

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U. S. Consul. NOTE.-This Form is to be transmitted to the Department of State, with the blanks droperly filled, at the close of the fiscal year (June 30th.)

FORM No. 106.

Form of a consular account for compensation while receiving instructions. (Paragraph 540.)

GOVERNMENT OF THE UNITED STATES

Consul of the United States at

For compensation for the period, namely,

days, from

to -, actually and necessarily occupied in receiving instructions, as per certificate hereto annexed, agreeably to Form No. 107..

Received payment,

To Hon.

U. S. Consul.

Secretary of the Treasury.

DR.

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and

inclusive.

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