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whereof

on the

day of

9

is master, granted in the district of 189-, and shows who of said crew have been discharged by me, or who have died, absconded, or been forcibly impressed into other service. New articles have been certified in places of those certified at your port.

Respectfully, yours,

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an invalid

SIR: You will please admit into your hospital destitute American seaman, requiring medical aid, for account of this Consulate.

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I, the undersigned, Consul, etc., do hereby certify that who has been duly shipped before me in the

of

189

master, was sent to the hospital at this port by me upon his own ap plication, and, after being examined by the attending physician of the said hospital, was pronounced a fit subject and duly admitted to be cured of the disease. That, contrary to the advice and opinion of the said attending physician, the said left the hospital a few days

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thereafter, insisting that he was well and able to do seaman's duty and return home. That, in consequence of his ill-health and liability to go upon the sick-list at sea, several masters of American vessels refused to ship him before he entered on board of the certificate is granted to Captaintect him hereafter should the said

as aforesaid; and this

at his own request, to pro

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in consequence of the

disease aforesaid, be unable to perform the duty required of him as a seaman on the voyage from this port to

Given, etc.

FORM NO. 24.

U. S. Consul.

Certificate given by consular officers to masters of vessels transporting to the United States destitute American seamen.

(Paragraph 282.)

CONSULATE OF THE UNITED STATES OF AMERICA.

189-.

I, the undersigned, Consular Officer of the United States of America at, do hereby certify that I have sent to

American
tons burden, whereof (full name)
master, the following-named destitute American seamen:

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on board the is

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 passage, being the sum of

dollars for

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

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 Junej 19, 1886.

And I further certify that the regular charge for a steerage passage on 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

ard

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CUSTOM-HOUSE, Collector's Office,

-, 189-.

I hereby certify under seal of my office that the seamen, to the number of —, named in the within consular certificate, have arrived within this district in the within-named vessel, of tons burden, as per covered a performed no duty on the voyage

register on file in this office, and that the voyage from

period of

days, and that

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I hereby swear (or certify, as the case may be) that A B, CD, and E F. sick American seamen, were attended by me during the quarter ending the day of —, 189—, and that the health of the said named persons 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 by the consular officer, with the reason for engaging passage thereon instead of on an American vessel.

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

FORM NO. 27.

omplaint by crew of bad quality or insufficient quantity of provisions or water.

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The undersigned, three or more of the crew of the

a merchant

hip of the United States, complain that the provisions [or water] [or oth] 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 f the same according to law. Dated at

the

day of

189-.

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[Signatures.]

FORM NO. 28.

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

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I hereby signify to you in writing that on complaint made on the ay of

by

and

a part

f 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 rew of the said vessel, and have found them to be [or not to be] of bad uality and unfit for use [or deficient in quantity]. Given under my hand and the seal of the consulate this

day of

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FORM NO. 29.

Entry of result of examination in log book of vessel.

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Report to the district judge of the United States.

(Paragraph 316, Appendix V.)

CONSULATE OF THE UNITED STATES AT

189

1

To

District Judge of the

United States for the district of

In compliance with the provisions of Title LIII of the Revised Statutes, I have the honor to report that on the day of, 189a part of the crew of the

and

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a merchant ship of the United States then in this port, bounc for the port of —, made complaint to me that [recite complaint] that thereupon, on the day of -, I examined the said provisions

and water, and found them [recite finding], and signified the same in writing to the master, and entered a statement thereof in the log book of the said

Witness my hand and the Consular seal at

A. D. 189-.

[SEAL.]

the

day a

U. S. Consul,

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