FORM NO. 71.

Acknowledgment to assignment of bottomry bond. (Paragraph 303.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

188-.

I, the undersigned, Consul, etc., do hereby certify that, on the day of the date hereof, before me personally appeared one of the firm parties to the foregoing assignment, and executed and acknowledged the same in my presence to be the act and deed of the said firm for the purposes therein mentioned.

of

Given, etc.

U. S. Consul.

FORM NO. 72.

Indorsement of bottomry on ship's register. (Paragraph 303.))

CONSULATE OF THE UNITED STATES OF AMERICA AT

I, the undersigned, Consul, etc., do hereby certify that master of the —, of

day hypothecated the said vessel,

in the penal sum of $

Given, etc.

described in the within register, has this

unto

FORM NO. 73.

Indorsement on register on the payment of a bottomry bond. (Paragraph 303,/

CONSULATE OF THE UNITED STATES OF AMERICA AT

I, the undersigned, Consul, etc., do hereby certify that, on the day and date hereof, before me personally appeared and acknowledged before me the receipt of the sum of dollars, called for by the terms and conditions of a bottomry bond executed by thethe day of 18, said bond has been this day duly canceled according to law. Given, etc.

of

at

-, master of

and that the

U. S. Consul.

FORM NO. 74.

Oath of master to death or loss overboard at sea of a seaman or mariner. (Para

graph 351.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

I, master of the

law, that

of

do hereby make oath, in due form of died at sea [or was lost overboard at sea, as the case of 18-, on

may be] on board the said ship, on or about the the voyage from

to this port.

I,

Oath of master or mate to correctness of log-book. (Paragraph 351.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

[master or mate, as the case may be], of the

188-.

of

do hereby make oath, in due form of law, that the journal of the to voyage from commencing on the and ending on the and embraced within folios from contains a

to

true and faithful log, written by, of the transactions on board the said -, day by day as they occurred.

Subscribed and sworn to before me this [SEAL.]

day of

188-.

U. S. Consul.

FORM NO. 76.

Oath of master to ship's bills and vouchers for disbursements and repairs.

in due form of law, that the bills and accounts hereunto annexed, numbered from

to

do hereby make oath,

inclusive, are the true and genuine vouchers

relating to the cost of the repairs and disbursements of the said ship at this port, superintended by himself.

Subscribed and sworn to before me the date above written. [SEAL.]

Master.

U. S. Consul.

FORM NO. 77.

Consul's certificate for custom-house or authorities, in case of the deviation of a vessel from the voyage. () (Paragraph 351.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

I, the undersigned, Consul, etc., do hereby certify that the

port on the

master, bound from - instant, laden with

dition, and in order to repair the said

day of

188-.

of

to --, arrived at this in a damaged state and conit is necessary to discharge

the cargo, as appears by the note of protest of the said master, made before me the 188-, 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, etc.

U. S. Consul.

FORM NO. 78.

Certificate of ownership of a vessel. (Paragraph 351.)

I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that the of master, was built at of State of

of the burden of

the year Given, etc.

-tons,

and is owned by

U. S. Consul.

FORM NO. 79.

Roll or list of crew when required by the captain or authorities of the port. (Paragraph 351.)

Order to pay, at home, seamen's wages. (Paragraph 351.)

188-.

SHIP

AND OWNERS:

, pay to

On the termination of the voyage of the order, what might be due to him for his voyage in said this day discharged at this port by mutual consent.

is entitled to the

or

he being

The said lay, the ship having been out, and he havmonths and 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

and

Witness:

pounds of bone.

barrels of whale oil

Master.

FORM NO. 81.

Master's acknowledgment to same.

(Paragraph 351.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

188-.

I, the undersigned, Consul, etc., 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, etc.

FORM NO. 82.

U. S. Consul.

Certificate of shipment of seamen or mariners attached to crew-list and shippingarticles. (Paragraph 351.)

I,

CONSULATE OF THE UNITED STATES OF AMERICA AT

Consul of the United States of America for

188-.

and

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: