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

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one of the

parties to the foregoing assignment, and executed id acknowledged the same in my presence to be the act and deed of e said firm for the purposes therein mentioned. Given, 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 naster of the of, described in the within register, has this

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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 edged before me the receipt of the sum of

and acknowl

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dollars, called for by the

terms and conditions of a bottomry bond executed by

the day of

—, 18—, at

ter of the, of
the said bond has been this day duly canceled according to law.
Given, etc.

FORM No. 74.

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U. S. Consul.

Oath of master to death or loss overboard at sea of a seaman or marise.

(Paragraph 188.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

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189

I, master of the ofdo hereby make oath, in due form law, that died at sea for was lost overboard at sea, as the case may be] on board the said ship, on or about the - of 18-, on the voyage from

to this port.

Subscribed and sworn to this [SEAL.]

day of

189-.

U. S. Consul.

I,

FORM NO. 75.

Oath of master or mate to correctness of log-book.

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do hereby make oath, in due form of law, that the journal of the voyage from to the and embraced within folios from

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true and faithful log, written by, of the transactions on board the said day by day as they occurred.

Subscribed and sworn to before me this

[SEAL.]

day of

189-.

U. S. Consul.

FORM NO. 76.

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

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1 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.

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

Master.

U. S. Consul.

FORM No. 77.

Consul's certificate for custom-house or authorities, in case of the deviation of a vessel from the voyage.

(Paragraph 188.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

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

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to, arrived at this in a damaged state and it is necessary to dis

condition, and in order to repair the said charge 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 port.

to this

Given, etc.

U. S. Consul.

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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.

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