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FORM No. 152.

Verification of the delivery of merchandise, to be executed by American or foreign merchants, as the case may require. (Paragraphs 681 and 686.)

residing in the city of

We, do declare that the facts stated in the preceding certificate, signed by of the 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. Dated this

day of

at the city of

[Signatures.]

NOTE.-The above certificate is to be used only in cases where there is no United States Consul or Agent residing at the foreign port of landing and delivery. And in all such cases this verification is to be signed by two American merchants, if any such reside there, stating themselves as such; and in failure of both of these, by two respectable foreign merchants; in which case the last blank must be filled up with the words "nor American merchants."

FORM No. 153.

Oath of master and mate of exporting-vessel. (Paragraph 681.)

PORT OF 188-. We, -, master, and mate, of the -, lately 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, 18—, and signed by of the city of -, merchant, were actually delivered at the said port on board the Iwithin 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 188-.

before me, this

day of [SEAL.]

*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. (Paragraphs 681 and 684.)

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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 —, 18—,* and their 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:

value ascertained to be

Marks.

Numbers.

Description of goods.

Date when entered.

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

[SEAL.]

188-.

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Collector or Chief Revenue Officer.

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.

FORM No. 155.

Declaration as to works of art, the production of American artists. (Para

I,

graph 675.)

the undersigned, a citizen of the United States, an artist, residing at 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, and that it is intended to ship the same to the port of there to be entered, duty free, as the production of an American artist, under the provisions of section 2505 of the Revised Statutes of the United States.

Subscribed and sworn (or affirmed) to this

day of

188-.

U. S. Consul.

*In shipments of tobacco or snuff, under the act of February 8, 1875, the following will be added: "And their weight ascertained to be

FORM No. 156.

Certificate to be indorsed on the declaration of an American artist for the free entry of works of art. (Paragraph 675.)

I,

Consul of the United States at

-, do hereby cer

tify that the within declaration was subscribed and sworn (or affirmed) to before me by who is known to me to be an American citizen and an artist residing at -, and that the statements therein are true to the best of my knowledge and belief.

In testimony of which I have hereto subscribed my name and affixed the seal of my office this 188-. "

day of

(The above is to be printed on the back of Form 155.)

FORM No. 157.

Consul.

Manifest of cargo of fishing vessel. (Paragraphs 671 and 672.)

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 day of

Marks.

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188-.

Packages.

Port of entry in United
States.

Consignees.

Value.

I,

that said

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

Master,

Sworn [or affirmed] before me this

day of

188-.

United States Consul.

FORM No. 158.

Certificate of United States Consul to manifest of fishing vessel. (Paragraphs 671 and 672.)

I,

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United States Consul [or commercial agent] for the port of do hereby certify that the above certificate was subscribed and sworn [or affirmed] to before me by master of the

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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 commanded by master, as shown by her register [or enrollment or license], issued at the port of 18-.

numbered

[SEAL.]

FORM No. 159.

U. S. Consul.

Quarterly transcript of the record of notarial services at the consulate at

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I certify that the foregoing record of notarial services is a full and correct transcript of the record of this Consulate, and that the same contains a true and accurate statement of all the fees received at this Consulate for such services during the period named.

U. S. Consul.

FORM No. 160.

FORM OF AVERAGE BOND. (Paragraph 383.)

Average bond of steamer (or schooner or ship, as the case may be).

Whereas the steamer

whereof

is master, having on

board a cargo of assorted merchandise, left the port of, in the State of on or about the - day of one thousand eight hundred and eighty--, bound for the port of in the of

intermediate ports.

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and And whereas, while in prosecution of said voyage, the said steamer did meet with a disaster, by which means certain losses and expenses have been incurred, and other expenses may hereafter be incurred in consequence thereof, which, according to the usage on the western inland waters, constitute a general average to be apportioned on said steamboat, her earnings as freight, and her cargo:

Now we, the subscribers, being owners, shippers, or consignees, or agents or attorneys of owners, shippers, or consignees of said steamboat cargo, or freight, do hereby, for ourselves, our executors and administrators, severally and respectively, but not jointly, nor one for the other, covenant and agree to and with each other, and also separately, to and with the master, or other legal representatives of said steamboat and cargo, that the loss or damage aforesaid as shall be made to appear to be due from us, the subscribers, or from those whom we represent, shall be paid by us respectively on demand, according to our shares in the said steamboat, cargo, or earnings as freight, and that such losses and expenses be stated and apportioned, in accordance with the established usages and laws upon the waters of --, by at the of · of· or some other competent adjuster of marine losses. For the true performance of which we do severally bind ourselves, our principals, heirs, executors, administrators and assigns, to each other, and separately to the said steamer master, or representa

,

tive of the said steamboat and cargo, as the general representative of all parties at interest.

In witness whereof we have hereunto set our hands and seals on this day of - in the year of our Lord one thousand eight hundred and eighty--.

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NOTE. Parties signing the bond will produce the invoice of goods and insert amount of the same on the bond.

Name of consignee.* Number of articles.* Invoice value.f

By whom the average

bond is signed.t

* Clerk of the boat or vessel will fill this out before leaving. To be filled out by signer of the bond.

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