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passage, being the sum of dollars for each seaman, in conformity to section 9 of the act of June 26, 1884, and section 18 of the act of June 19, 1886.

And I further certify that the regular charge for a steerage passage or said vessel from this port of in the United States is $ that the distance is — miles. Given under my hand and seal of office this day of

189

U. S. Consul!

CUSTOM-HOUSE, COLLECTOR'S OFFICE,

189— I hereby certify under seal of my office that the seamen, to the numbe of — named in the within consular certificate, have arrived with:1 this district in the within-named vessel, of tons burden, as per register on file in this office, and that the voyage from — covered period of days, and that performed no duty on the voyagi by reason of inability: [SEAL.]

Collector.

FORM No. 25.

(Omitted.)

FORM No. 26.

Affidavit or certificate of attending physician.

(Paragraph 284.) I hereby swear (or certify, as the case may be) that A B, CD, and EF sick American seamen, were attended by me during the quarter ending th day of

189—, and that the health of the said named person was such during that time that it would have endangered their lives to have sent them on their homeward voyage.

M. D.

1 If the vessel is a foreign one its nationality must be stated in this certificate b the consular officer, with the reason for engaging passage thereon instead of on a American vessel.

Whenever a seaman is unable to perform duty the consular officer must state a this certificate the nature and cause of his disability, and what in his opinion will b a fair and reasonable allowance in addition to the rate fixed by law for the passag of a seaman who can perform duty.

FORM No. 27.

mplaint by crew of bad quality or insufficient quantity of provisions

or water.

(Paragraph 316.)

Consul of the United States at The undersigned, three or more of the crew of the a merchant cip of the United States, complain that the provisions (or water] [or sth] for the use of the crew of the said vessel are of bad quality and nfit for use (or are deficient in quantity], and request an examination the same according to law. Dated at

the
day of
189—.

[Signatures.)

FORM NO. 28.

Notice to master of result of examination on complaint of crew.

(Paragraph 316.)

CONSULATE OF THE UNITED STATES AT

189—.

го

master of the a merchant ship of the United

States now in this port: I hereby signify to you in writing that on complaint made on the lay of , by

and

-, a part of the crew of the said vessel, I have this day examined the provisions (and water) (or either of them, as the case may be) for the use of the crew of the said vessel, and have found them to be (or not to be] of bad quality and unfit for use (or deficient in quantity). Given under my hand and the seal of the consulate this day of

, A. D. 189— (SEAL.]

U. S. Consul. 17824 CR- 46

FORM No. 29.

Entry of result of examination in log book of vessel.

(Paragraph 316.)

CONSULATE OF THE UNITED STATES AT

1894 On complaint made by

and a part of the crew of the - I have this day examined (as in form 3

U. S. Consul,

FORM No. 30.

Report to the district judge of the United States.

(Paragraph 316, Appendix V.)

:

189–

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CONSULATE OF THE UNITED STATES AT

189— To

District Judge of the

United States for the district of In compliance with the provisions of Title LIII of the Revised Stat utes, I have the honor to report that on the day of

and

a part of the crew of th a merchant ship of the United States then in this port, boun for the port of —, made complaint to me that (recite complaint] that thereupon, on the day of — -, I examined the said provision and water, and found them [recite finding], and signified the same i writing to the master, and entered a statement thereof in the log bod of the said Witness my hand and the Consular seal at

the day A. D. 189— [SEAL.]

U, S. Consul.

FORM No. 31.

Request to local authorities to imprison seamen or mariners.

(Paragraphs 299, 320, and 353.) CONSULATE OF THE UNITED STATES OF AMERICA AT

189— and

part of the crew of whereof

is master, recently arrived is port from - having conducted themselves in an improper insubordinate manner on board, and positively refused to do duty, ve the honor respectfully to request that you will please cause the named persons to be arrested, brought on shore, and imprisoned 1 I can find it expedient to give them their liberty.

I have the honor to be, sir, your obedient servant,

U. S. Consul.

Captain (or other authorities of the port].

Form No. 32.

Request to same to release same from prison.

(Paragraphs 299, 320, and 353.) CONSULATE OF THE UNITED STATES OF AMERICA AT

189—. lir: I have the honor to request that you will please cause to be eased from prison

and

the men or mariners belonging to the

master. I have the honor to be, sir,

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Form NO. 33.

Oath and declaration of master to desertion of seamen or marinera.

(Paragraph 300.) CONSULATE OF THE UNITED STATES OF AMERICA,

sof

I,
master of the ship

—, now lying in port of —, do hereby make oath, in due form of law, that thes men or mariners hereinafter named, and who are noted on the crew of the said vessel as deserters, absconded from the said ship — at ports or places hereinafter named, without my knowledge or consent or about the times hereinafter placed opposite their names respective

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Request to local authorities for the arrest of deserters.

(Paragraphs 299, 306, and 320.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

189_SIR:

and

three of the men belonging to the

whereof

18 mast

i of

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