་ master of the said --, having deposited in this Consulate the extra wages as hereinafter set opposite to their names, respectively, viz: Date of discharge." Name of seaman or mariner. Number of months' extra Amount. wages. Given, &c. FORM No. 18. Certificate given to seamen at the time of discharge. (Paragraph 136.) CONSULATE OF THE UNITED STATES OF AMERICA AT NOTE.-Duplicate discharges will not be granted to the seaman or mariner in the event of the loss of the original. FORM No. 19. 147.) Certificate and oath of a new master appointed by Consul. (Paragraph I, do solemnly and truly swear that I am a citizen of the United States of America, having been born in naturalized, as the case may be.] , [or Sworn and subscribed to this day of before me. U. S. Consul. CONSULATE OF THE UNITED STATES OF AMERICA AT I, the undersigned, Consul of the United States of America, &c., do hereby certify that the oath required by law, is at present master of the 18-. having taken and subscribed of the former master. U. S. Consul. FORM No. 20. Receipt for two-thirds extra wages. (Paragraph 151.) CONSULATE OF THE UNITED STATES OF AMERICA AT 18—. the Received of United States Consul at sum ofdollars, being the amount (or residue, as the case may be) of the two months' extra wages to which I am entitled under the acts of the 28th of February, 1803, and of August 18, 1856, on my discharge from the of master. FORM No. 21. I, Waiver of two-thirds extra wages. (Paragraph 151.) a seaman, citizen of the United States, this day discharged from the United States merchant-vessel with my own consent, do hereby waive any and all claim to the two months' extra wages which would otherwise be coming to me by law, and do authorize Consul of the United States at to remit the same. Dated at this Order to send seamen to hospital. (Paragaph 161.) CONSULATE OF THE UNITED STATES OF AMERICA AT SIR: You will please admit into your hospital 18-. -, an invalid destitute American seaman, requiring medical aid, for account of this Consulate. I am, sir, your obedient servant, M. D. U. S. Consul. FORM No. 23. Certificate given to masters whose seamen leave hospital against physician's advice. (Paragraph 161.) CONSULATE OF THE UNITED STATES OF AMERICA AT 18-. of I, the undersigned, Consul, &c., do hereby certify that who has been duly shipped before me in the master, was sent to the hospital at this port by me upon his own application, and, after being examined by the attending physician of the said hospital, was pronounced a fit subject and duly admitted to be cured of the disease. That, contrary to the advice and opinion of the said attending physician, the said left the hospital a few days thereafter, insisting that he was well and able to do seaman's duty and return home. That, in consequence of his ill-health and liability to go upon the sick-list at sea, several masters of American vessels refused to ship him before he entered on board of the said; and this certificate is granted to Captain own request, to protect him hereafter should the said in consequence of the disease aforesaid, be unable to perform the duty required of him as a seaman on the voyage from this port to Given, &c. as aforeat his FORM No. 24. U. S. Consul. Certificate given to masters when required to take to the United States destitute American seamen. (Paragraphs 164 and 171 ) sent to CONSULATE OF THE UNITED STATES OF AMERICA, I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that I have by the- -, whereof is master, A B, C D, and E F, three destitute American seaman, and have agreed with the said master that, on presentation of this certificate at the Treasury Department, bearing an indorsement of the collector of customs at the port of aforesaid, that the seamen herein mentioned have arrived in said vessel within his district, he shall and will be entitled to receive the sum of thirty dollars for their passage, being the sum of ten dollars for each seaman, in conformity to the laws of the United States made and provided for the relief of destitute American seamen. Given, &c. -- U. S. Consul. FORM No. 25. Certificate given to masters when required to take to the United States more than two seamen for one hundred tons burden of a vessel. (Paragraph 167.) CONSULATE OF THE UNITED STATES OF AMERICA, I, the undersigned, Consul, &c., do hereby certify that I have sent to, by the whereofis master, G H and I J, two destitute American seamen over and above the number said vessel is by law required to take, and have agreed with the said master that, on presentation of this certificate at the Treasury Department, bearing the indorsement of the collector of customs at the port of - -, aforesaid, that the seamen herein mentioned have arrived in said vessel within his district, he shall and will be entitled to receive the sum of- --dollars for their passage, being the sum of dollars for each seaman, there being no other American vessel now in port bound for the United States in which to send home said seamen, in conformity to the provisions of the laws of the said States made and provided for the relief of destitute American seamen. Given, &c., V. S. Consul. FORM No. 26. Affidavit or certificate of attending physician. (Paragraph 163.) I hereby swear (or certify, as the case may be) that A B, C D, and E F, sick American seamen, were attended by me during the quarter ending the day of —, 18-, and that the health of the said named persons was such during that time that it would have endangered their lives to have sent them on their homeward voyage. M. D. FORM No. 27. Complaint by crew of bad quality or insufficient quantity of provisions or water. (Paragraph 192.) , a mer The undersigned, three or more of the crew of the chant-ship of the United States, complain that the provisions [or water] [or both] for the use of the crew of the said vessel are of bad quality and unfit for use [or are deficient in quantity,] and request an examination of the sime according to law. Dated at the day of 187-. [Signatures.] FORM No. 28. Notice to master of result of examination on complaint of crew. (Form 27.) (Paragraph 192.) 'To CONSULATE OF THE UNITED STATES AT master of the -, a merchant-ship of the United States, now in this port: I hereby signify to you in writing that on complaint made on the day of by , and a part of the crew of the said vessel, I have this day examined the provisions [and water,][or either of them as the case may be,] for the use of the crew of the said vessel, and have found then to be [or not to be] of bad quality and unfit for use, [or deficient in quantity.] Given under my hand and the seal of the Consulate this day -, A. D. 187-. of - Entry of result of examination in log-book of vessel. (Paragraph 192.) CONSULATE OF THE UNITED STATES AT Report to the district judge of the United States. (Paragraph 192.) CONSULATE OF THE UNITED STATES AT To 187-. district judge of the United States for the district of In compliance with the provisions of the 36th section of the act approved June 7, 1872, I have the honor to report that, on the day of, 187-, and a part of the crew of the a merchant-ship of the United States then in this port, bound for the port of ——, made complaint to me that [recite complaint;] that thereupon, on the day of -, I examined the said provisions and water, and found them [recite finding,] and signified the same in writing to the master, and entered a statement thereof in the log-book of the said |