Declaration and oath of master to ship's bills and vouchers for disbursements and repairs. (Paragraph 248.) CONSULATE OF THE UNITED STATES OF AMERICA AT I, the undersigned, Consul, &c., &c., do hereby certify that on the day of the date hereof, before me personally appeared master of the to of —, and made oath, in due form of law, that the bills and accounts hereunto annexed, numbered from 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. Master. Subscribed and sworn to before me the date above written. Consul's certificate for custom-house or authorities, in cases of the deviation of a vessel from the voyage. (Paragraph 248.) CONSULATE OF THE UNITED STATES OF AMERICA AT 18-. I, the undersigned, Consul, &c., &c., do hereby certify that the of arrived at this port on the master, bound from to in a damaged state and condition, and in order to repair the said it is necessary to discharge the cargo, as appears by the note of protest of the said master, made before me the day of 18-, 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, &c. U. S. Consul. Forms 71 and 72. FORM No. 71. Certificate of ownership of a vessel. (Paragraph 248.) 18-. I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that the of of the burden of tons, mas Given, &c. U. S. Consul. FORM No. 72. Roll or list of crew when required by the captain or authorities of the Forms 73, 74, and 75. FORM No. 73. Certificate to shipping articles. (Paragraph 248.) CONSULATE OF THE UNITED STATES OF AMERICA AT of 18-. I, the undersigned, Consul, &c., do hereby certify that the shipping articles of the -hereto annexed, were made out and signed in this Consulate, and that the same were read and explained by me to the parties whose names are subscribed thereto, comprising the crew of said each of whom personally acknowledged that he fully understood the same, and had signed his name thereto of his own free will and accord. FORM No. 74. U. S. Consul. Order to pay, at home, seamen's wages or voyages. (Paragraph 248.) 18-. , pay to On the termination of the voyage of theor order, what may be due to him for his voyage in said he being this day discharged at this port by mutual consent. The said is entitled to the lay, the ship having been out, and he having served in her, at the time of his discharge, months and days, and the quantity of oil and bone taken, including that held and shipped, as well as that now on board, being barrels of whale oil and pounds of bone. Witness: FORM No. 75. Master. Master's acknowledgment to the same. (Paragraph 248.) 18-. I, the undersigned, Consul, &c., 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, &c. U. S. Consul. Forms 76 and 77. FORM No. 76. Certificate of shipment of seamen or mariners attached to crew list and shipping articles. (Paragraph 248.) I, CONSULATE OF THE UNITED STATES OF AMERICA AT 18-. Consul of the United States of America for 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: Given, &c. FORM No. 77. U. S. Consul. I, Agreement of master to give increased wages. (Paragraph 248.) master of the of, taking into con sideration the high rate of wages for seamen, ordinary seamen, cooks, and stewards, out of the port of do hereby agree and bind myself to pay, or cause to be paid, the sum of ordinary seamen, dollars to the seamen, and dollars to the dollars hereinafter named, belonging to the said vessel, as in day of and con to the creased wages, beginning from the tinuing 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 18-. Attested: [L. S.] U. S. Consul. Master. Men's names. Form 78. FORM No. 78. Form to be used when shipwrecked seamen are picked up at sea and conveyed home, or to any other port. (Paragraph 248.) merchant vessel, belonging and of the burden of I, master of the to the port of tons, per register, do solemnly and sincerely declare that I received on board the said vessel at the under-mentioned part or the whole of the crew of the seamen,1 [- —, being merchant vessel, which I have heard and verily believe was on her voyage from of the burden of about tons, and was owned by to 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,3 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 that1 sel. were saved from the wrecked ves Declared before me at this day of Master. 18-. U. S. Consul. 'The words between [] must be repeated for every wrecked vessel, when more than one, to which the seamen belonged. 2 The number here is to be inserted in words at length. 3 If the full complement not on board, state how many were deficient. 4 Here insert the words "not any provisions," or (as the case may be) "the provisions specifically stated and the value thereof." |