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FORM No. 71.

Acknowledgment to assignment of bottomry bond.

(Paragraph 334.) CONSULATE OF THE UNITED STATES OF AMERICA AT

189—.

, the undersigned, Consul, etc., do hereby certify that on the day of date hereof before me personally appeared

one of the n of

parties to the foregoing assignment, and executed 1 acknowledged the same in my presence to be the act and deed of

said firm for the purposes therein mentioned. Jiven, etc.

U. S. Consul.

FORM No. 72.

Indorsement of bottomry on ship's register.

(Paragraph 334.) CONSULATE OF THE UNITED STATES OF AMERICA AT

189— I, the undersigned, Consul, etc., do hereby certify that laster of the —, of —, described in the within register, has this ay hypothecated the said vessel, unto

merchants E-, in the penal sum of $. Given, etc.

U.S. Consul.

FORM No. 73.

Indorsement on register on the payment of a bottomry bond.

(Paragraph 334.) CONSULATE OF THE UNITED STATES OF AMERICA AT

189— I, the undersigned, Consul, etc., do hereby certify that on the day and date hereof, before me personally appeared

and acknowledged before me the receipt of the sum of dollars, called for by the

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terms and conditions of a bottomry bond executed by ter of the -, of —, the day of —, 18—, at and to the said bond has been this day duly canceled according to law.

Given, etc.

U.S. Consul.

FORM No. 74. Oath of master to death or loss overboard at sea of a seaman or marina

(Paragraph 188.)

of

CONSULATE OF THE UNITED STATES OF AMERICA AT

1894 I, master of the

do hereby make oath, in due form t that

died at sea sor was lost overboard at sea, as th case may be] on board the said ship, on or about the — of 18—, on the voyage from

to this port.

law,

day of

189—

Subscribed and sworn to this [SEAL.]

U.S. Consul.

FORM No. 75.
Oath of master or mate to correctness of log-book.

(Paragraph 188.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

1894

I,

[master or mate, the case may be), of the do hereby make oath, in due form of law, that the journal of th voyage from

- to -, commencing on the and ending the and embraced within folios from - to - -, contains true and faithful log, written by -, of the transactions on board th said day by day as they occurred.

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day of

189

Subscribed and sworn to before me this (SEAL.]

U.S. Consul.

FORM NO. 76.

ith of master to ship's bills and vouchers for disbursements and repairs.

(Paragraph 188.)

of

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CONSULATE OF THE UNITED STATES OF AMERICA AT

189—. I, master of the

--, do hereby make oath, i due form of law, that the bills and accounts hereunto annexed, numered from to inclusive, are the true and genuine vouchers elating to the cost of the repairs and disbursements of the said ship at his port, superintended by himself.

Master, Subscribed and sworn to before me the date above written. [SEAL.]

U. S. Consul.

FORM No. 77.

Consul's certificate for custom-house or authorities, in case of the devia

tion of a vessel from the voyage.

(Paragraph 188.)

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CONSULATE OF THE UNITED STATES OF AMERICA AT

189— I, the undersigned, Consul, etc., do hereby certify that the

of master, bound from

to

arrived at this port on the

instant, laden with in a damaged state and condition, and in order to repair the said it is necessary to discharge the cargo, as appears by the note of protest of the said master, made before me the

day of

189—, and the report of survey of the said vessel filed in this consulate. I further certify that it likewise appears, from said report of survey and protest, that a part of said cargo was thrown overboard at sea on the voyage from to this port. Given, etc.

U. S. Consul.

FORM No. 78.

Certificate of ownership of a vessel.

(Paragraph 188.)

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CONSULATE OF THE UNITED STATES OF AMERICA AT

189— I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that the of of the burden of tons,

master, was built at
and
owned by

of

State of Given, etc.

the year

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U. S. Consul.

FORM No. 79.

Roll or list of crew when required by the captain or authorities of the

port.

(Paragraph 188.) CONSULATE OF THE UNITED STATES OF AMERICA AT

1894 Roll or list of the crew of the

of

of the burden of whereof

is master, bound to

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FORM NO. 80.

, pay to

Order to pay, at home, seamen's wages.
(Paragraph 188.)

1894, HIP

AND OWNERS: On the termination of the voyage of the r order, what might be due to him for his voyage in said he being his day discharged at this port by mutual consent. The said

is entitled to the lay, the ship having been out, and he havng served in her, at the time of his discharge, months and ays, and the quantity of oil and bone taken, including that held and hipped, as well as that now on board, being barrels of whale oil nd pounds of bone.

Witness:

Master.

FORM No. 81.

Master's acknowledgment to same.

(Paragraph 188.)
CONSULATE OF THE UNITED STATES OF AMERICA AT

189—, I, the undersigned, Consul, etc., do hereby certify that, on the day of he date hereof, before me personally appeared

master of he of

who, in my presence, and in presence of the witesses thereunto, signed the foregoing order, and acknowledged the same » be correct in all its particulars, and to be his voluntary act and deed or the purposes therein mentioned. Given, etc.

U. S. Consul.

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