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Date. No.

Form 94.

FORM NO. 94.

RECORD OF TREASURY FEES, (Seaport Consulate.) (Paragraphs 315, 362, and 401.)

Fees received at the United States Consulate at

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before me, the undersigned, perUnited States Consul at

sonally appeared and made oath that the above and foregoing account or report of fees is a full and perfect transcript of the register which he is by law required to keep; that the same is true and correct, and contains a full and accurate statement of all fees received by him as such Consular Officer, or for his use, for his official services, to the best of his knowledge, during the period of time therein mentioned.

Sworn to before me,

U. S. Consul.

NOTE.-This Form is to be followed by Consular Officers residing at seaports, and a transcript thereof transmitted to the Secretary of the Treasury, when the Consular Officer is entitled by law to a salary, otherwise to the Secretary of State, with quarterly returns of statement of fees, as per Form No. 96.

Remarks.

No.

Form 95.

FORM No. 95.

RECORD OF TREASURY FEES, (Inland Consulate.) (Paragraphs 315, 362, and 401.)

Fees received at the United States Consulate at

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(Same oath as in No. 94.)

NOTE.-This Form is to be followe 1 by Consular Officers residing at inland places, and a transcript thereof transmitted quarterly to the Secretary of the Treasury, if the Consular Oficer is entitled to a salary, otherwise to the Secretary of State.

Fees.

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FORM NO. 93.

Quarterly statement of fees received at the United States Consulate at, from the to the, inclusive.

(Paragraph 363.)

Tons. Burden.

No.

Am's.

Inward.

No.

For.

No.

Am's.

Outward.

No.

For.

No.

Discharged.

Amt.

No.

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without being numbered. aggregate amount of fees received under the head of "Total of fees received on account of this vessel." under the head "date of clearance," as "in port." These vessels so remaining over will head the list in the next returns Vessels remaining in port at the end of the quarter, and over to the succeeding quarter, must be noticed in the returns under different heads must be added up in their columns respectively; the additions of the several columns will show the included when they refer to the goods discharged from, or shipped by, the vessel named in the return. The fees called for invoice, and currency certificates, which, although generally paid by the merchant and not chargeable to the vessel, will be is to be included therein not chargeable to, or paid on account of, the vessel for such official services, except debenture, NOTE. The above form is intended to embrace only the fees received on account of vessels for official services, and no fee

Amt.

No.

Amt.

No.

Amt.

No.

Amt.

No.

Letters to authorities; seal and signature of Consul to clearance and papers, roll, bill of health, &c.

Orders to send and release men from prison.

or

Acknowledgments of masters merchants to bottomry bonds, bills of sale, and other instruments of writing.

Declarations and oaths of masters to ship's bills, inventories, &c.

Total of fees received on account of this vessel.

Amt.

Dols.

Cts.

Mo.

Date of clearance.

Day.

Remarks.

Form 96.

Forms 97 and 98.

FORM NO. 97.

Extract from transcript of fee book of those fees not enumerated and contained in return of fees prescribed in Form No. 96, received at the Consulate of the United States at (Paragraph 364.)

to

inclusive.

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NOTE. The number inserted in the above Form must correspond with the number of the fee in the transcript of fee book.

FORM No. 98.

to

Aggregate return of fees at the Consulate of the United States at
and Consular Agencies connected with it, from
(Paragraph 365.)

sive.

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Remarks.

U. S. Consul.

NOTE. This Form is to be transmitted to the Department of State, with the blanks properly filled, at the close of every year.

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