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Forms 79 and 80.

FORM No. 79.

Receipt by Consul for wages and effects of a deceased seaman.

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I certify that the above-named master has paid me the abovenamed sum, and has delivered to me the above-named effects, as the wages and effects of the above-named deceased.

Dated this

day of

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Certificate of marriage. (Paragraph 277.)

Consul.

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years, born in

and now

residing in

presence, by

A B, aged years, born in

and CD, aged

were united in marriage before me, and in my

to perform such a ceremony.

who is authorized by the laws of

In witness whereof I have hereto subscribed my name and affixed

this day of

the seal of the Consulate, at
18-, and of the independence of the United States the

A. D.

Consul.

Forms 81 and 82.

FORM No. 81.

I,

Form for authentication of signatures. (Paragraph 309.)
UNITED STATES CONSULATE,

18-. do hereby

Consul of the United States at 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 personally known to me.

is

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

ten, and of the independence of the United States the

FORM No. 82.

U. S. Consul.

Certificate that an officer is qualified to administer an oath. (Paragraph

I,

309.)

Consul of the United States of America at

do 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 declarations 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 aforesaid, this in the year of our Lord one thousand eight hundred and

day of

Consul of the United States of America.

Forms 83 and 84.

FORM No. 83.

Rent and miscellaneous expense account. Paragraph 340.)

DEPARTMENT OF STATE, UNITED STATES,

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18. 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. 12 and 13, 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 $-
per cent., as per voucher No.

at

CR. By my draft on the Secretary of State..

U. S. Consul at

DR.

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

FORM No. 84.

Voucher for rent. (Paragraph 341.)

Received of

sum of $

rooms No.

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which are devoted solely to

in full, for rent, for the quarter ending this day, of

street,

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Form 85.

FORM No. 85.

Exchange voucher. (Paragraph 355.)

I, the undersigned, do hereby certify that I have this day purchased from his draft dated for the sum of·

dollars, ($

100

TUU,) and have paid him therefor the sum of the same being the net proceeds of said draft after deducting the current rate of exchange between this place and New York, at this date, of cents to the dollar upon its face, and as set forth in the following statement, namely:

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NOTE.-In all cases of the sale of drafts, this form of voucher must be trans

mitted.

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Form 86.

FORM No. 86.

Exchange voucher. (Paragraph 355.)

I, the undersigned,

do hereby certify that I have this day sold my draft for

dated

for

Consul of the United States at

Too dollars, ($

therefor

Too dollars ($

have received from

Too) to and making in United States TOO;) the difference between

currency
which sum and the amount of said draft, namely,

being the

loss actually and necessarily sustained by me in the negotiation and

sale of the same.

And I do further certify that the said foregoing certificate

this place.

who ha- signed the residing and doing business as such at

U. S. Consul

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