Account of payments to masters and seamen of foreign vessels for rescuing American citizens, crews, etc. U. S. Consul. [Voucher to accompany Form No. 170.] -, consul of the United States at -, the Received from sum of in full payment for services in connection with the rescue of the crew of the American 189-. Witness: on the day of Seaman of the FORM NO. 171. Statement of manufacturer to be annexed to invoice or to statement in the form of invoice of merchandise consigned for sale by him or on his account to a person in the United States. I, of (Paragraph 674.) do solemnly and truly declare that I am the manufacturer of the merchandise mentioned and described in the and that the actual cost of production of such merchandise, including cost of materials and of fabrication, all general expenses of each and every outlay of whatever nature incident to such production, together with the expense of preparing and putting up such merchandise ready for shipment, is as follows, viz, Manufacturer.j I, United States C at do hereby certify that I believe the person who signed the foregoing statement is the person be represents himself to be, and that he this day signed the same in my presence. Witness my hand and seal of office at 189-. [L. S.] this day of C of the United States. 1 Certified invoice (or statement in the form of invoice) No. dated FORM NO. 172. Statement of consignor, other than the manufacturer, to be annexed to invoice or to statement, in the form of invoice, of merchandise consigned for sale by him on his account to a person in the United States. I, (Paragraph 674.) of, do solemnly and truly declare that I am the consignor of the merchandise mentioned and described in the1 and that said merchandise was actually purchased 2. day of 189-, at dise is consigned to from at on the and that the merchanfor sale on my account, and that I actually paid therefor the prices hereinafter detailed and set forth, viz, Consignor. I, United States Consul at -, do hereby certify that I believe the person who signed the foregoing statement is the person he represents himself to be, and that he this day signed the same in my presence. [Certificates of disinfection of hides are prescribed by the Secretary of the Treasury (see Paragraphs 381-384), and as they are subject to alteration by him from time to time, they are not included herein.] 1 Certified invoice (or statement in the form of invoice), No. 2 By me or on my account. - dated Fee for passport FORM NO. 176. Application for passport. (Paragraph 151.) NATIVE. Fee for filling out application in duplicate No. -.] a native and loyal citizen of the United States, hereby for a passport for in the State of apply to the legation of the United States at myself, accompanied by my wife — I solemnly swear that I was born at or about the day of, 18-; that my father is a ——— citizen of the United States; that I am domiciled in the United States, my permanent residence being at in the State of —, where I follow the occupation of — ; that I left the United States on the day of 18-, and am now temporarily sojourning at —; that I am the bearer of passport No. —, issued by on the -day of --, 18-; that I intend to return to the United States within - with the purpose of residing and performing the duties of citizen ship therein; and that I desire the passport for the purpose of Oath of allegiance. Further, I do solemnly swear that I will support and defend the Constitution of the United States against all enemies, foreign and domestic: that I will bear true faith and allegiance to the same; and that I take this obligation freely, without any mental reservation or purpose of evasion. So help me God. LEGATION OF THE UNITED STATES AT Identification. I hereby certify that I know the above-named ally, and know h― to be a native-born citizen of the United States, and that the facts stated in h- affidavit are true to the best of my knowledge and belief. [Address of witness.] NOTE. This form is to be filled out in duplicate, one copy being retained on the files of the legation and the other forwarded with the quarterly returns to the Department of State. It may be so filled out by the applicant, in which case no fee therefor is chargeable. I, a naturalized and loyal citizen of the United States, born at on the day of 18-; and day hereby apply to the legation of the United States at I solemnly swear that I was born at on or about the 18-; that I emigrated to the United States, sailing on board resided at before the on or about the day of 18-; that I years, uninterruptedly, in the United States, from to ; that I was naturalized as a citizen of the United States 18—, as shown by the accompanying certificate of naturalization; that I am the bearer of passport No. -, issued by day of on the —————, 18—, which is returned herewith; that I am the identical person referred to in said certificate and passport; that I am domiciled in the United States, my permanent residence therein being at -, in |