« SebelumnyaLanjutkan »
-rintend the shipping and discharge of seamen engaged in merchantis belonging to the United States, and for the further protection of nen.” And I do certify that the said A B, etc., each for himself, nowledged that he had read or had heard read the said agreement , understood the same, and that while sober and not in a state of xication he signed it freely and voluntarily for the uses and purposes rein mentioned. tiven under my hand and the seal of this consulate the day and year t above written. SEAL.)
FORM No. 17.
rtificate of discharge of seamen, to be attached to crew lists and ship
1894, ip's name,
Character, ficial number,
Capacity, aman's name,
Height, ort of registry,
Color of hair, escription of voyage,
Color of eyes, aman's age,
Date and cause of discharge, lace of birth,
Place of discharge, I hereby certify that the particulars herein stated are correct, and lat the above-named seaman was discharged accordingly. Dated at
this day of —-, 189—.
Seaman. Given to the above-named seaman in my presence this
day of 189— [SEAL.]
U. S. Consul.
FORM No. 18.
Certificate of discharge of seaman.
Name of ship,
189Date of discharge,
1894 Place of discharge,
I certify that the above particulars are correct, and that the above named seaman was discharged accordingly.
eighteen hundred and ninety
FORM No. 19.
Certificate and oath of a new master appointed by eonsul.
(Paragraph 216.) I,
do solemnly and truly swear that I am a citizen of the United States of America, having been born in (or naturalized, as the case may be).
CONSULATE OF THE UNITED STATES OF AMERICA AT
189— , the undersigned, consul of the United States of America, etc., do eby certify that
having taken and subscribed the oath uired by law, is at present master of the of -- in lieu of
the former master. tiven, etc.
U. S. Consul.
FORM NO. 20.
(Paragraphs 586,587.) itement showing the declared value of exports from the consular district of
the United States during the four quarters of the year ended
Total for the year.
Septem- December March 30, ber 31,1884. 31, 1885. 1885.
U. S. Consul. NOTE.—This form is to be filled up and sent to the Department of State at the end f each fiscal year. The articles of export are to be arranged in alphabetical order.
FORM No. 21.
Certificate for cancellation of crew bond.
189— Sir: The accompanying list contains the names, places of birth, residence, and description of persons composing the crew of the —, of
-is master, granted in the district of — on the day of , 189—, and shows who of said crew have her discharged by me, or who have died, absconded, or been food impressed into other service. New articles have been certified in pala of those certified at your port. Respectfully, yours,
U. S. Congel To the COLLECTOR OF CUSTOMS,
Port of United States of America.
FORM No. 22.
Order to send seaman to hospital.
189 an inval
SIR: You will please admit into your hospital destitute American seaman, requiring medical aid, for account of ti Consulate.
I am, sir, your obedient servant,
FORM No. 23.
Certificate given to masters whose seamen leave hospital agains
1894 I, the undersigned, Consul, etc., do hereby certify that who has been duly shipped before me in the -, of
master, was sent to the hospital at this port by me upon his own a plication, and, after being examined by the attending physician of the sai hospital, was pronounced a fit subject and duly admitted to be cured the disease. That, contrary to the advice and opinion of the sai attending physician, the said
left the hospital a few day
ereafter, insisting that he was well and able to do seaman's duty and turn home. That, in consequence of his ill-health and liability to go on the sick-list at sea, several masters of American vessels refused to ip him before he entered on board of the as aforesaid; and this rtificate is granted to Captain
at his own request, to proct him hereafter should the said
in consequence of the sease aforesaid, be unable to perform the duty required of him as a aman on the voyage from this port to Given, etc.
FORM No. 24.
Yertificate given by consular officers to masters of vessels transporting to the United States destitute American seamen.
189— I, the undersigned, Consular Officer of the United States of America at -, do hereby certify that I have sent to on board the American tons burden, whereof (full name)
is master, the following-named destitute American seamen:
Names of seamen.
Name of vessel on which
they last served.
Port belonging to.
and have agreed with the said master that on presentation of this certificate at the Treasury Department, bearing an indorsement of the collector of customs at the port of aforesaid, that the seamen herein mentioned have arrived in said vessel within his district, he shall and will be entitled to receive the sum of - dollars for passage, being the sum of — dollars for each seaman. But if the voyage shall continue beyond the period of thirty days from the date of sailing, and it shall be so certified by the collector of customs, the said master shall and will be entitled to receive the sum of dollars for their