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FORM NO. 163.

Certificate given to the master of a vessel when transporting destitute seamen to an intermediate port.

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SIR: It is hereby certified that I have, on this 189-, agreed with master of the [name and nationality of vessel] for the transportation from this port to of the following destitute American seamen [give names and name of vessel in which each seaman last served]; and that the said [name of master] will be entitled to the sum of $- --, being the passage money at the rate of $ for each seaman so transported, when he shall have satisfied you of their arrival at your consulate. The payment of this sum by you is authorized and required by the provisions of paragraph the Consular Regulations of 1888.

I am, sir, etc.,

[SEAL.]

of

FORM No. 164.

Receipt of seaman for wages.

(Paragraph 224.)

U. S. Consul.

Received of

-

United States Consul at

the sum of dollars, being the amount [or residue as the case may be] of the arrears of wages and extra wages due to me since my discharge from the [name of vessel], of ———, of which [name of master] is master.

(Date.)

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NOTE. This account is to be sent to the Department of State at the close of each quarter by all Consular Officers (feed or salaried) who are allowed clerk hire. It is also adapted for accounts for salaries of marshals, interpreters, and prison expenses.

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of $

-in full payment for services actually rendered as clerk from

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Consul of the United States at

per annum.

The services having been devoted exclusively to the business of the Consulate.

I certify that the statements in the above voucher are true.

FORM No. 167.

(Paragraphs 183,539, 574,575, and 587.)

Clerk.

U. S. Consul.

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Statement of official services necessarily rendered, in accordance with the provisions of section 12 of the act of Congress approved June 26, 1884, for the vessel master, belonging to the port

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No. of fee.

Nature of service.

Amount of fee as prescribed by the tariff.

U. S. Consul.

I certify that the above statement is correct and the services rendered were necessary.

Master of the Vessel.

N. B. Consular officers are instructed to issue the above form in duplicate, and to send the duplicate to the Auditor for the State and other Departments with Form No. 168. The original is to be delivered to the master of the vessel, who must deliver it to the collector of the district in which the vessel first arrives on her return to the United States, and if such master fails to furnish such statement he is liable to a fine of not exceeding fifty dollars.

FORM No. 168.

(Paragraphs 574,575,587, 605.)

Detailed report of official services to American vessels and seamen necessarily rendered in accordance with the provisions of section 12 of the act of Congress approved June 26, 1884, by United States

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On this before me, the undersigned, personally appeared United States at- and made oath in due form of law that the above and foregoing report or statement of official services to American vessels and seamen is a true and correct statement of the official services performed by him for the American vessels above named for and during the period of time therein mentioned; that said services were actually and necessarily rendered by him at the instance and request of the masters of the respective vessels herein named; that no services are herein reported except such as were so actually and necessarily rendered in accordance with the provisions of section 12 of the act of Congress approved June 26, 1884, and that the amounts of the respective fees herein stated are in accordance with the tariff of consular fees prescribed by the order of the President of the United States.1

Sworn to before me,

U.S.

[To be transmitted quarterly to the Auditor for the State and other Departments by United States Consular officers compensated by fees.]

Leave six blank lines between text of oath and the signature thereto.

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