Forms 138 and 139.

FORM No. 138.

Table of sterling currency, with the equivalents in United States currency. From the official copy in use in the First Comptroller's Office, Treasury Department, Washington. (Paragraph 485.)

Verification of the delivery of merchandise at a foreign port, to be executed by a Consul or Agent of the United States. (Paragraph 496.*)

I,

at the city of

(Consul or Agent) of the United States of America, do declare that the facts set forth in the pre

ceding certificate, subscribed by merchant, and dated the

day of

just and true; or, are, in my opinion, just full faith and credit.)

of the said city,

are, (to my knowledge, and true, and deserving

In testimony whereof I have hereunto subscribed my name and affixed the seal of my office at

[SEAL.]

this day of

18-.

Consul.

* See Forms Nos. 143, 144, 145, 146, for exportations of tobacco and snuff.

Forms 140, 141, and 142.

FORM No. 140.

Verification of the delivery of merchandise, to be foreign merchants, as the case may require.

residing in the city of

executed by American or (Paragraph 496.*)

do declare that

We, the facts stated in the preceding certificate, signed by of the said city, merchant, on the day of are, (to our knowledge, just and true; or, are, in our opinion, just and true, and worthy of full faith and credit.) We also declare that there is (no Consul or other public agent for the United States of America, or American merchants, as the case may require,) now residing at this place.

Dated this

day of

at the city of

[Signatures.]

* See Forms Nos. 143, 144, 145, 146, for exportations of tobacco and snuff.

FORM No. 141.

Certificate of a consignee, declaring the delivery of merchandise at a foreign port. (Paragraph 496.*)

of the [town or city] of

I, merchant, do hereby certify that the goods or merchandise hereinafter described have been landed in this [city, town, or port] between the and

days of

from on board the

-, of

whereof is at present master, viz: [here describe the merchandise,] which, according to the bills of lading for the same, were shipped on board the

United States of America, on or about the consigned to [me or to us] by

merchant, [or by the master of said

at the port of

day of

in the ~, and aforesaid,

-]

this

Given under my [or our] hands at the [city] of

* See Forms Nos. 143, 144, 145, 146, for exportations of tobacco and snuff.

FORM No. 142.

Oath, or affirmation, of the principal officers of a vessel confirming the landing of merchandise at a foreign port. (Paragraph 496.)

We,

master, and

PORT OF

mate, of

lately arrived from the port of in the United States of America, do solemnly [swear, or affirm] that the goods or merchandise enumerated and described in the preceding certificate, dated

Form 143.

the

day of

and signed by

of the city of

merchant, were actually delivered at the said port, from on board the within the time specified in the said certificate. Sworn [or affirmed] at the city of before me, this day

of

in the year

FORM No. 143.

Certificate of consignee, declaring the delivery of tobacco or snuff at a foreign port. (Paragraph 496.)

I,

of

do hereby declare that the goods or merchandise hereinafter described has been landed at this port, between the days of, from on board the

and

whereof

is at present master, viz:

of

Marks and numbers. Description of goods. Pounds. Rate of tax. Am't of tax.

Which goods or merchandise, according to the bills of lading for the same, was shipped on board the

at the port of·

in

the United States of America, on or about the

day of

aforesaid. 18-.

(Signed)

Forms 144, 145, and 146.

FORM No. 144.

Oath, or affirmation, of the principal officers of a vessel, confirming the landing of snuff or tobacco at a foreign port. (Paragraph 496.)

18-. mate of the steamin the United States of

PORT OF

master, and

of

ship (or other vessel) America, do solemnly swear that the goods or merchandise enumerated and described in the preceding certificate, dated the of ———————, 18—, and signed by

day

of the city of consignee, was actually delivered at the said port from on board the said steamship (or vessel) within the time specified in the said certificate.

Verification of the delivery of snuff or tobacco at a foreign port, to be executed by a Consul or Agent of the United States. (Paragraph 496.)

I,

(Consul or Agent,) of the United States of America do declare that the facts set forth in the fore

at the port of going declaration subscribed by --, of said port, and dated the day of 18-, are, in my opinion, true and correct, and deserving of full faith and credit; and I further certify that the signature thereto is in the handwriting of said

In testimony whereof I have hereunto subscribed my name and affixed the seal of my office at this day of

(Signed)

18-.

Consul. [SEAL.]

FORM No. 146.

Verification of the delivery of snuff or tobacco, to be executed by American or foreign merchants, as the case may require. (Paragraph 496.)

of

We, merchants, residing at the do declare that the statements made in the preceding certificate, signed by merchants, on the day of

of the said

are, in our opinion, correct

and true, and worthy of full faith and credit. We also declare that

Form 147.

there is no Consul or public Agent of the United States of America, now residing at this place.

nor

Given under

day of

hands at the

18-.

of

aforesaid, this

The above certificate is to be used only in cases where there is no United States Consul or Agent residing at the foreign port of landing and delivery. And in all such cases this verification is to be signed by two American merchants, if any such reside there, stating themselves as such; and in failure of both of these, by two respectable foreign merchants; in which case the last blank must be filled up with the words "nor American merchants."

MISCELLANEOUS UNOFFICIAL FORMS.

For the convenience of Consuls the Department adds the following miscellaneous forms, which have been contained in previous regulations. The attention of Consuls is particularly called to the fact that the Department is in no way responsible for their correctness, and that the Consular Officer using them must, at his own peril, satisfy himself that any particular form is proper in and applicable to the particular case in which he seeks to use it. The laws of different States vary essentially in requirements as to the form and mode of execution of such instruments, as to the number of witnesses necessary to their validity, and in other respects.

to

of

-and

for and in consideration of in hand paid at or before the

the receipt

the sum of ensealing and delivery of these presents by whereof is hereby acknowledged, have granted, bargained, sold, assigned, transferred, and set over, and by these presents do grant, bargain, sell, assign, transfer, and set over, unto the said

gether with

executors, administrators, and assigns,

to

her masts, yards, sails, rigging, anchors, cables, boats, tackle, apparel, and appurtenances, as she and as she

is more particularly described in a certificate of register granted her at the port of -, in the following words:

[Here insert copy of the register.]

executors, ad

ministrators, and assigns, to the only proper use and behoof, and as the proper goods and chattels of the said