Signed by undred and

In witness whereof the said parties have subscribed their names hereto n the days against their respective signatures mentioned.

master, on the

NOTE.-In the place for signatures and descriptions of men engaged after the first

departure of the ship the entries are to be made as above, except that the signature of the Consul or Vice-Consul, officer of customs, or witness before whom the man is engaged, is to be substituted for that of the shipping master.

TABLE D.-(To be inserted in agreement.)-Scale of provisions to be allowed and served out to the crew during the voyage.

(Here any stipulation for changes, or substitution of one article for another, may be inserted.)

SUBSTITUTES.

One ounce of coffee, or cocoa, or chocolate, may be substituted for one quarter ounce of tea; molasses for sugar, the quantity to be onehalf more; one pound of potatoes or yams, one-half pound flour or rice, one-third pint of pease, or one-quarter pint of barley, may be substi tuted for each other. When fresh meat is issued, the proportion to be two pounds per man per day, in lieu of salt meat. Flour, rice, and pease, beef and pork, may be substituted for each other. and for potatoes onions may be substituted.

FORM NO. 16.

Acknowledgment and indorsement on shipping agreement between master and crew.

(Paragraph 189.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

On this

day of - A. D. 189-, appeared before me,

-, consul of the United States at- A B, etc., all personally known to me, and in my presence signed the within agreement with my sanction, and in all respects complied with the requirements of the act approved June 7, 1872, entitled "An act to authorize the appointment of shippingcommissioners by the several circuit courts of the United States, to

perintend the shipping and discharge of seamen engaged in merchantips belonging to the United States, and for the further protection of amen." And I do certify that the said A B, etc., each for himself, knowledged that he had read or had heard read the said agreement d understood the same, and that while sober and not in a state of toxication he signed it freely and voluntarily for the uses and purposes erein mentioned.

Given under my hand and the seal of this consulate the day and year st above written.

[SEAL.]

U. S. Consul.

FORM NO. 17.

ertificate of discharge of seamen, to be attached to crew lists and ship

I hereby certify that the particulars herein stated are correct, and hat the above-named seaman was discharged accordingly. Dated at

this day of

189-.

Given to the above-named seaman in my presence this

Master.

Seaman.

day of

U. S. Consul.

I certify that the above particulars are correct, and that the abovenamed seaman was discharged accordingly.

Seaman.

Given to the above-named seaman in my presence this

Master.

day of

I,

Certificate and oath of a new master appointed by eonsul.

(Paragraph 216.)

do solemnly and truly swear that I am a citizen of

the United States of America, having been born in ralized, as the case may be].

[or natu

CONSULATE OF THE UNITED STATES OF AMERICA AT

189-.

I, the undersigned, consul of the United States of America, etc., do ereby certify that having taken and subscribed the oath

quired by law, is at present master of the

of -- in lieu of

the former master. 9

Given, etc.

FORM NO. 20.

Declared-export return.

(Paragraphs 586,587.)

U. S. Consul.

tatement showing the declared value of exports from the consular district of the United States during the four quarters of the year ended

to

NOTE. This form is to be filled up and sent to the Department of State at the end of each fiscal year. The articles of export are to be arranged in alphabetical order.

FORM NO. 21.

Certificate for cancellation of crew bond.

(Paragraph 197.)

CONSULATE OF THE UNITED STATES AT

189-.

SIR: The accompanying list contains the names, places of birth, residence, and description of persons composing the crew of the

of