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he being

or order, what might 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 hav

is entitled to the

months and

barrels of whale oil

ing 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

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

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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 its particulars, and to be his voluntary act and deed for the purposes therein mentioned.

Given, etc.

U. S. Consul.

FORM No. 82.

Certificate of shipment of seamen or marines attached to crew-list and shipping-articles.

(Paragraph 188.)

I,

CONSULATE OF THE UNITED STATES OF AMERICA at

189-.

— and

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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tion the high rate of wages for seamen, ordinary seamen, cooks, and

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inafter named, belonging to the said vessel, as increased wages, begin

ning 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

189-.

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Master.

Attested: [L. S.]

U. S. Consul.

FORM No. 84.

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

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

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to

of the bur

,

of- -].

and verily believe was on her voyage from den of about 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, 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 that 4. 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.

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

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

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

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Receipt by Consul for effects of a deceased seaman.

(Paragraph 255.)

U. S. Consul.

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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

Nunber of days

on board.

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at his death, I having considered it expedient that the said money, goods, and effects should be delivered to me.

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To the district judge of the United States for the district of

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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 days' sight for the balance to my debit; and to say that I hold myself ready to render any further account which you may require.

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