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FORM NO. 112.

Form for stating an account for salary and fees, exclusive of seamen's wages or expenditures for them.

(Paragraphs 539, 565, 567, 568, 587.)

The United States Government in account for salary and fees with (Consul-General, Consul, or Commercial Agent), at

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Certificate to accompany Form No. 112.

(Paragraphs 565, 571, 572, 573, 587.)

CONSULATE OF THE UNITED STATES,

189-.

I certify that I have not been absent from my consular district, with or without leave, during the quarter covered by the foregoing account, except as herein below stated:

1

days' leave of absence, with- permission to visit the United States, was granted me 189-.

2. I left my post in pursuance thereof

189-.

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3. I arrived at my residence in the United States

4. I left my residence to return to my post

5. I arrived at my post and resumed duty

189-.

189-.

189-.

6. Time necessarily occupied in making transit to my residence,

ays.

7. Time necessarily occupied in making return transit to my post, days.

8. I have been absent without leave Remarks:

days.

U. S. Consul.

NOTE.-If leave was without permission to visit the United States, paragraph 1 ust so state, and paragraphs 3, 4, 6, and 7 must be left blank. If any part of the bsence was without leave, paragraph 8, otherwise left blank, must state how long. Explanations should go under the head of remarks.

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days after sight (acceptance waived and endorsements by procuation excepted) of this sole of exchange pay to the order of

dollars.

Value received and charge the same to account for

To the SECRETARY OF

NOTE.

Washington, D. C.

In drawing upon the State or Treasury Department, consular officers will always insert in their drafts the words "acceptance waived."

FORM NO. 115.

Page of consular corrections to invoices.

(See paragraph 687.)

17824 C R

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Statement showing the value of declared exports from the Consular District of the United States during the quarter ending

Articles.

189-.

Value U.S. go

NOTE. The articles should be arranged alphabetically.

U. S. Consul.

1 See No. 113 for form of certificate to accompany this.

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FORM NO. 118.

egister of official letters received at the United States Consulate at

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Register of official letters sent from the United States Consulate at

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U. S. Consul.

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