FORM NO. 138. Declaration to be made by the purchaser or owner, where merchandise has been actually purchased. (Paragraph 654.) I, in the county of of --, do solemnly i truly declare that I am the [purchaser, or owner, as the case may be] of the goods, wares, or merchandise in the annexed invoice mentioned and described; that the said invoice is in all respects true; that it contains a true and full statement of the time when and the place where the goods, wares, and merchandise therein mentioned, and which are subject to any ad valorem rate of duty, or to any duty regulated or directed by law to be estimated, or based upon the value of the square yard, or of any other specified quantity or parcel, were purchased: and the actual cost a21 quantity thereof, and of all charges thereon; that no discounts, bounties, or drawbacks are contained in said invoice, but such as have been actually allowed thereon; that the currency in which said invoice is made out is the currency which was actually paid, or is to be paid, for said goods, wares, and merchandise; and that no different invoice thereof has been or will be furnished to any one. I further declare that it is intended to make entry of the goods, wares, and merchandise mentioned in said invoice at the port of United States of America. Dated at this day of -, in the FORM No. 139. Declaration to be made by the owner or manufacturer, or duly authorized agent of such owner or manufacturer, where goods have been procured otherwise than by purchase, and to be indorsed on, or attached by seal and tape to, each of the triplicate invoices. (Paragraph 654.) I, of, do solemnly and truly declare that I am of the goods, wares, and merchandise in the within invoice mentioned and described; that the said invoice is in all respects true; that it contains a full and true statement of the actual market value of such of the said goods. wares, and merchandise as are subject to any ad valorem rate of duty, or to any duty regulated or directed by law to be estimated or based upon the value of the square yard, or of any other specified quantity or parcel, at the time and place, when and where, the same were manufactured or procured. of the actual quantity of said goods, wares, and merchandise, and of ail charges thereon; that no discounts, bounties, or drawbacks are contained in said invoice, except such as have been actually allowed thereon; and that no invoice different from the one now produced had been or will be furnished to any one. I further declare that it is intended to make entry of said goods, wares, and merchandise at the port of in the United States of America. (Signed in triplicate.) Dated at this day of 188-. NOTE. After the word "I" insert the name of the person making the declaration; after the word "of” insert the name of the place; after the words "I am," the corresponding designation as manufacturer or owner; after the signature, insert the designation. This form should not be used in cases of actual purchase, but Form 138. FORM NO. 140. Certificate to be indorsed on each of the triplicate invoices. (Paragraphs 637 and 643.) I. that at -, on this invoice, numbered of the United States at do hereby certify day of ―, anno Domini 18-, the within in which are mentioned and described certain [here insert a general description of the kinds of merchandise mentioned in the invoice], amounting, with the charges thereon, to the gross sum of was produced to me by in person, the [owner or otherwise] of the goods, wares, and merchandise therein mentioned, who thereupon declared in writing, in my presence, that it was intended to make entry of said goods, wares, and merchandise at the port of in the United States of America. I do further certify that I am satisfied that the person making the declaration hereto annexed is the person he represents himself to be; and that the actual market-values or wholesale prices of the goods, wares, and merchandise described in the said invoice, in the principal markets of the country, and at time of exportation, are correct and true, excepting as changed by me and set forth in the column of consular corrections of estimates. Witness my hand and seal of office, at said. [L. S.] the day and year afore NOTE.-Insert after the name in the first line the proper title of the Consular Officer, and after the word "certain" a general description of the kind of merchandise mentioned in the invoice. On the [L. s.] place the seal of the Consulate. FORM NO. 141. Receipt of master of vessel for invoices to be delivered to the collector of customs at the port of entry. (Paragraph 668.) 188 I acknowledge the receipt of a package of invoices made up and sealed with the consular seal of the Consul at this port, directed to the collector at, which I promise to deliver on the entry of the [ship or other vessel] under my command, at the said port of (Signed) SIR: In pursuance of instructions, I transmit herewith triplicate (or quadruplicate) invoices, properly indorsed, of goods, as per descriptive list, hereto annexed. I am, sir, your obedient servant, FORM NO. 143. U. S. Consul. Descriptive list of triplicate or quadruplicate invoices. (Paragraph 668.) No. of invoice. Name of the shippers. Consignee. Amount of By what ship. I, FORM NO. 144. Certificate of the value of currency. (Paragraph 664.) Consul of the United States of America, do hereby cer tify that the true value of the currency of the of currency the annexed invoice of merchandise is made out, is estimated in United States gold dollars. in which cents, FORM NO. 145. Declaration to be made by the owner or manufacturer, where goods have been procured otherwise than by purchase. I, of (Paragraph 654.) in the county of do solemnly and truly declare that I am the [owner or manufacturer] of the goods, wares, and merchandise in the annexed invoice mentioned and described, and that said invoice is in all respects true; that it contains a true and full statement of the actual market value of such of the said goods, wares, and merchandise as are subject to any ad valorem rate of duty, or to any duty regulated or directed by law to be estimated or based upon the value of the square yard, or of any other specified quantity or parcel, at the time and place when and where the same were procured or manufactured; of the actual quantity of said goods, wares, and merchandise, and of all charges thereon; that no discounts, bounties, or drawbacks are contained in said invoice, except such as have been actually allowed thereon; and that no invoice different from the one now produced has been or will be furnished to any one. I further declare that it is intended to make entry of said goods, wares, and merchandise at the port of · —, in the United States of America. And I make this solemu declaration, conscientiously believing the same to be true, and by virtue of the provisions of an act made and passed in the fifth and sixth years of the reign of His Majesty King William the Fourth, intituled "An act to repeal an act of the present session of Parliament, intituled 'An act for the more effectual abolition of oaths and affirmations taken and made in various departments of the State, and to substitute declarations in lieu thereof, and for the more entire suppression of voluntary and extrajudicial oaths and affidavits, and to make other provisions for the abolition of unnecessary oaths.'"' A Commissioner to administer oaths in chancery in England, and to take declarations in lieu of oaths. NOTE. This form is to be used in Great Britain when the declaration is made before a commissioner, whose qualification must be certified by the consul. If the oath or declaration is made before a justice of the peace, notary public, or other competent officer, the proper term should be used instead of commissioner. 765 C R-41 FORM No. 146. Declaration, under oath or affirmation, to b made by the owner, agent, or consignee of merchandise, or conductor of a railroad car, to manifest of merchandise imported from foreign t rritory contiguous to the United States. graph 673). (Para I, A B, owner (agent or consignee) of the merchandise laden on board, or conductor of [here insert the name of the railroad company] car, numbered-. now about to depart, and destined for [the port of destination], do solemnly swear (or affirm) that this manifest contains, to the best of my knowledge and belief, a full and complete list and description of the contents of the said car, and that the quantities and value of said contents are in this manifest faithfully and correctly stated. Subscribed and sworn (or affirmed) to before me this 188-. day of Consular No. of the invoice. Marks and No. of the packages. Name of the ship per. Name of the consignee. Kind of merchandise. Width of merchandise. Invoiced price. Discount. Date of the invoice. No. Remarks. FORM NO. 147. Sample card. (Paragraph 650.) do certify that the sample hereto annexed is a fair and true sample of piece contained in the package No. going statement is in all respects true. above mentioned, and that the fore |