Gambar halaman
PDF
ePub

FORM NO. 126.

Return of seamen who have come upon the Consulate otherwise than in the employment of vessels or by regular discharge therefrom.

[blocks in formation]

TO THE AUDITOR FOR THE STATE AND OTHER DEPARTMENTS,

Washington, D. C.

SIR: In accordance with instructions, I beg to transmit the following list of American seamen who have this day come upon this Consulate otherwise than in the employment of vessels or by regular discharge therefrom, viz:

[blocks in formation]

[NOTE. Care should be taken to note in the last column whether the seaman was sent to your consulate by a consular officer, and full explanations should be given ci all seamen reported hereon.]

[This form is to be forwarded to the Auditor for the State and other Departments on the date of arrival of the seaman.]

I,

FORM NO. 127.

Declaration of sculptor.

(Paragraph 709.)

do solemnly and truly declare that I am a sculptor or statuary by profession, and that the statuary mentioned and described in the accompanying invoice was executed by me and is a professional production of mine.

Subscribed and sworn to (or affirmed) before me this

day of

189-.

Consul's certificate thereto.

U. S. Consul.

I,

Consul of the United States at

do hereby certify that the within declaration was subscribed and sworn to (or affirmed) before me by

sculptor or statuary residing at

who is known to me to be a and that the statements therein

are true to the best of my knowledge and belief. [L. S.]

U. S. Consul.

I,

[merged small][merged small][merged small][merged small][merged small][ocr errors]

do solemnly swear that I am an emigrant from to the United States, where I intend to settle and establish my permanent residence, and that the invoice now produced and hereunto annexed contains a true and faithful enumeration and description of the teams of animals, with their harness and tackle, and the wagons and other vehicles owned by me, and in actual use for the purpose of conveying my family and personal effects into the United States; that they are not, and none

of them are, intended for sale; and that they were all in actual use y me in before I emigrated to the United States.

[blocks in formation]

the United States, 2 filled with

I hereby certify under oath that, to the best of my knowledge and belief, the , hereinafter specified, are truly of the manufacture of or were exported from the United States and that it is intended to reship the same to the port in the United States, 3. on board the -, now lying in the port of -. I further certify that, to the best of my knowledge and belief, the actual market value of the articles herein named, at this time and in the form in which the same are to be exported to the United States, is as follows: 4

of

[merged small][merged small][merged small][ocr errors][merged small][merged small]

Consular certificate and shipper's affidavit for returned American shooks.

(Paragraphs 714, 716.)

189-.

I hereby declare under oath that, to the best of my knowledge and belief, the fruit boxes or [and] barrels mentioned in the annexed invoice

1 Name the articles.

2 If the packages are empty, insert statement of the facts, as "and were exported from the United States filled with the produce of that country."

If the packages contain foreign merchandise, insert "filled with " and a description of the merchandise they contain.

4 This blank is to be filled only when the merchandise contained in the packages is subject to a duty ad valorem.

are made wholly of shooks of the manufacture of the United States, and were exported from

per

on the

it is my intention to reship the same filled with

[ocr errors]

189-, and that

to the port of

[ocr errors][merged small][merged small][ocr errors][merged small]

I further declare that the actual market value of said fruit boxes or [and] barrels is as stated in the annexed invoice.

Certificate of consul.

I,

consul of the United States at

do hereby cer

tify that the facts set forth in the preceding affidavit subscribed by 189-, are in my opinion just and true, and

and dated

entitled to full faith and credit. I further certify that the manifest and clearance of said shooks, per ship, is on file in this consulate, and recites the fact that said shooks are of the growth and manufacture of the United States, and were duly cleared at the custom-house at also a declaration, in writing, made at the time of exportation, of the intent to return said boxes or [and] barrels filled with fruit, nuts, or other merchandise to the United States, as further appears from the original custom-house certificate of export and clearance of shooks, exported per said vessel by

[merged small][merged small][ocr errors]
[ocr errors]

189-, now on file in this boxes, complete, landed at

in

In testimony whereof I have hereunto subscribed my name and affixed the seal of my office at

this day of

189-.

[ocr errors]

U. S. Consul.

FORM No. 131.

Mode of calculating consular salaries.

(Paragraph 567.)

Consular salaries must be calculated by the quarter, and for both days inclusive. The same mode of calculation must be observed with

of them are, intended for sale; and that they w me in -before I emigrated to the United S

Sworn to and subscribed before me this

ilations are giv

1st January
at the rate

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][graphic]
« SebelumnyaLanjutkan »