I,

FORM NO. 83.

Agreement of master to give increased wages. (Paragraph 351.)

master of the

ards, out of the port of

of ——, taking into considera

tion the high rate of wages for seamen, ordinary seamen, cooks, and stewdo hereby agree and bind myself to pay, or dollars to the ordinary seamen, dollars to the

cause to be paid, the sum of dollars to the seamen, and hereinafter 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. (Paragraphs 255 and 351.)

I,

port of

-, master of the

and of the burden of

merchant-vessel, belonging to the tons, per register, do solemuly

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

the under-mentioned being part or the whole of the crew of the -, merchant-vessel, which I have heard and verily believe was on her voyage from

tons, and was owned by

seamen1 [

to

of the burden of about

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 whole -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.

1 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.

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

Receipt by Consul for effects of a deceased seamen. (Paragraph 355.)

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

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

Number of days

on board.

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 356. )

CONSULATE OF THE UNITED STATES AT

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

:

188-.

master of the

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 ve-sel, 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. Witness my hand and Consular seal at A. D. 18-.

[SEAL.]

the

day of

U. S. Consul

FORM NO. 87.

Certificate of marriage. (Paragraph 389.)

CONSULATE OF THE UNITED

STATES,

do hereby cer

in the city of

and now residing in -, and now residing in

united in marriage before me, and in my presence, by

is authorized by the laws of

were

who

In witness whereof I have hereunto subscribed my name and affixed the

FORM NO. 88.

Form for authentication of signatures. (Paragraphs 351 and 414.)

I,

UNITED STATES CONSULATE,

Consul of the United States at

-, 188, do hereby certify that the signature of —, at the foot of the paper hereto annexed, is his true and genuine signature, made and acknowledged in my presence, and that the said is personally known to me.

In witness whereof I have hereunto set my hand and affixed the seal of the Consulate at this day and year next above written, and of the

Independence of the United States the

FORM No. 89.

U. S. Consul.

Certificate that an officer is qualified to administer an oath. (Paragraphs 351

I,

and 414.)

do

Consul of the United States of America at hereby certify and make known to whom these presents shall come that before whom the annexed affidavit [oath, or declaration, as the case may be] of hath been made, is a Commissioner in the High Court of Chancery, in England, duly authorized to administer oaths and affirmations, and take deckarations in lieu of oaths, and that I believe the deponent is worthy of credit and qualified to verify the annexed affidavit. In testimony whereof I have hereunto set my hand and seal of office, at day of, in the year of our Lord one thou

aforesaid, this

sand eight hundred and

U. S. Consul.

FORM NO. 90.

Rent and miscellaneous expense account.

DEPARTMENT OF STATE, UNITED STATES,

(Paragraphs 512 and 517.)

18

Το

United States Consul at

DR.

,

For rent of Consular Office, for quarter ending this day, as
per voucher No. 1.

For postage on official correspondence to and from this
Consulate, for the quarter ending this day, as per forms
Nos. 118 and 119 herewith transmitted...

For stationery, as per voucher No.

For freight and charges on boxes and packages to and from
the Department of State, as per voucher No.

For flagstaff and fixtures, as per voucher No.

For flag, as per voucher No.

For consular seal, as per voucher No.

For consular press, as per voucher No.

For consular arms, as per voucher No.

For record-books, as per voucher No.

For binding consular letters, as per voucher No.

For blank forms, as prescribed by the Department of State,
voucher No.

For loss by exchange on the amount of this account, say
$, at per cent. as per voucher No.

CR.

By fees remaining after payment of salary account.

By my draft on the Secretary of State...

U. S. Consul at

N. B. Be careful to sign this account, and to transmit it at or before the time of making your draft.

in full, for rent, for the quarter ending this day, of rooms No. which are devoted solely to the business of the

Consulate.

street,

188-.

765 C R-39