I,

FORM No. 150.

Certificate of consignee of landing of merchandise at foreign port.

of the

of

(Paragraph 724.)

whereof

and

days of
is at presect

of- merchant, do hereby certify that the goods or merchandise hereinafter described have been landed in this [city, town, or port] between the from on board the master, viz: [Here describe the merchandise, giving the marks and numbers, kind of merchandise, number of pounds (gross, tare, and net), gallons (wine and proof), or packages upon which internal-revenue tax is imposed], which, according to the bills of lading for the same, were shipped on board the at the port of

America, on or about the or to us], by

in the United States of 189-, and consigned to [me aforesaid merchant [or by the mas

day of

of

1

T

I,

FORM No. 151.

Consular verification of consignee's certificate.

(Paragraph 724.)

Consul [or agent] of the United States of America, at the city of -, do declare that the facts set forth in the foregemg declaration, subscribed by of said port, and dated the day of

—, 189, are to my knowledge true and correct and deserv-" ing of full faith and credit; and I further certify that the signature thereto is in the handwriting of said

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

FORM No. 152.

Verification of the delivery of merchandise to be executed by American or foreign merchants, as the case may require.

--, do declare that the of the

facts stated in the preceding certificate, signed by said city, merchant, on the - day of are [to our knowledge, just and true; or, are, in our opinion, just and true, and worthy of full faith and credit]. We also declare that there is [no Consul or other public agent for the United States of America, or American merchants, as the case may require] now residing at this place.

of the city of

arrived from the port of in the United States of America, do solemnly swear [or affirm] that the goods or merchandise enumerated and described in the foregoing certificate, dated the day of —, 189-, and signed by merchant, were actually delivered at the said port on board the within the time specified in the said certificate, and as to the tobacco and snuff described therein that the weight stated was ascertained by actual weighing at the time of delivery.

Master.

Sworn [or affirmed] at the port of 189-.

before me this

day of

[SEAL.]

1 NOTE.-In all cases the oath of the master AND of the mate must be obtained. In the case of goods subject to internal-revenue tax the affidavit of the purser or other discharging officer may be substituted for that of mate.

In case of failure to execute the foregoing at the port of delivery of the goods, the same may, upon the return of the vessel at the port of shipment, be subscribed to before the collector of the port.

་

FORM NO. 154.

Certificate of foreign revenue officer.

(Paragraph 725.)

PORT OF

189-.

I, do hereby certify that the goods [or merchandise, described in the foregoing declaration, and below, imported into this country [or province] from —, were landed at this port, duly entered at the custom-house at this port on the day of —, 189—‚1 ard their value ascertained to be and that the duties imposed by the law in force in this country [or province] upon said goods have been paid, or secured to be paid:

Marks.

Numbers.

Description of goods.

Date when entered.

In witness whereof I have hereunto set my hand and seal of office this

I,

at

a citizen of the United States and an artist residing

do solemnly and truly declare that the work [or works] of art mentioned and described in the within invoice was [or were] executed and produced by me.

Subscribed and sworn to [or affirmed] before me this

189-.

day of

U. S. Consul.

1 NOTE. The value stated should be that of the goods in the foreign country to. which they were exported. Such value need not be specified if the consignee chooses to pay the maximum fee for the Consular authentication of the landing certificate.

I,

Certificate to the declaration of an American artist.

Consul of the United States at

do hereby cer

tify that the within declaration was subscribed and sworn [or affirmed]

to before me by

an artist residing at

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

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

U. S. Consul.

I,

FORM No. 156.

Certificate to accompany natural mineral waters.

of

(Paragraph 708.)

do hereby declare under oath that I am the owner [or manager] of [designate and locate the spring or springs], that the mineral water specified in the annexed invoice is the natural product of said spring [or springs], and that the same has been in no way artificially prepared.

Manifest of fish [or oil or other product of the fishery] taken by the [naming the fishing vessel] of the port of —, in the United States, duly documented under the laws of the United States, landed at the port of —, and destined for transshipment by the [naming vessel to which transferred and the route, if destined to cross either isthmus route], to the port of, in the United States; said fish [or oil or

other product] having been taken by the crew or company of said vessel, while at sea, since the

Marks.

189-.

day of

I, that said

master of the said [fishing vessel], do hereby certify above specified, was taken by the crew or company of to be shipped to the port of

said vessel and landed at the port of

-, in the United States, by the [name of importing vessel] of I further certify that the above is a true and faithful manifest of said according to the best of my knowledge and belief.

I,

FORM NO. 158.

Certificate of United States Consul to manifest of fishing vessel.

(Paragraph 717.)

CONSULATE OF THE UNITED STATES,

189-.

United States Consul [or commercial agent] for the do hereby certify that the above certificate was sub

port of scribed and sworn [or affirmed] to before me by -, master of the- of --, and that I fully believe the statements therein to be true in every particular.

I also certify that I have examined the papers of said vessel and find her to be an American vessel, owned by

master, as shown by her register license], numbered, issued at the port of

[SEAL.]

commanded by [or enrollment or

189-.

U. S. Consul.