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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 master, was built atof

tons,

the year Given, etc.

and is owned by

State of

U. S. Consul.

FORM NO. 79.

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

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he being

r order, what might be due to him for his voyage in said
his day discharged at this port by mutual consent. The said

is entitled to the

lay, the ship having been out, and he hav

months and

barrels of whale oil

ng served in her, at the time of his discharge, ays, and the quantity of oil and bone taken, including that held and hipped, as well as that now on board, being pounds of bone.

nd

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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.

FORM NO. 82.

Certificate of shipment of seamen or marines attached to crew-list aud

shipping-articles.

(Paragraph 188.)

I,

CONSULATE OF THE UNITED STATES OF AMERICA AT

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Consul of the United States of America for the dependencies thereof, do hereby certify that the seamen or mariners hereinafter named have been duly shipped at this port, before me, upa the terms and conditions set opposite their names, respectively, viz:

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tion the high rate of wages for seamen, ordinary seamen, cooks, and

(Paragraph 188.)

master of the

of

—, taking into considera

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inafter named, belonging to the said vessel, as increased wages, begin

ing from the

day of

and continuing until the termination the voyage, agreeably to the contract of shipping-articles signed by em, a certified copy of which is hereto annexed, dated

189-.

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Master.

Attested: [L. S.]

U. S. Consul.

FORM NO. 84.

orm to be used when shipwrecked seamen are picked up at sea and

conveyed home, or to any other port.

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mnly and sincerely declare that I received on board the said vessel at

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3

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of

of the bur

-].

I further declare that I landed them on the day or days, place or laces, set forth in the statement underneath, and subsisted them the umber of days against each person expressed, making in the whole? -days; and that during the whole of such time I had my full comlement of men and boys, viz: men and boys, exclusive of the inder-mentioned seamen, for whom I now claim subsistence; and in ›roof of the justice of the claim I am willing (if required) to produce ny log-book and the declaration of the mate and carpenter; and I make his solemn declaration, conscientiously believing the same to be true. I further declare that 4 were saved from the wrecked vessel.

1 The words between [] must be repeated for every wrecked vessel, when moro han one, to which the seamen belonged.

2 The number here is to be inserted in words at length.

* If the full complement not on board, state how many were deficient.

Here insert the words "not any provisions," or (as the case may be), "the provi dons specifically stated, and the value thereof."

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Receipt by Consul for effects of a deceased seaman.

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I certify that the above-named master has paid me the above-named sum, and has delivered to me the above-named effects, as the money, goods, and effects of the above-named deceased, which he left on board

Number of days

on board.

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