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FORM No. 87.

Certificate of marriage. (Paragraph 277.)

CONSULATE OF THE UNITED STATES,

certify that, on this day of

city of ing in

residing in

presence, by

Consul of the United States at
A. D. 18-,
A B, aged years, born in
and C D, aged years, born in

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were united in marriage before me, and in my ་་ who is authorized by the laws of

to perform such a ceremony.

In witness whereof I have hereto subscribed my name and affixed the seal of the Consulate, at

this- day of

18—, and of the Independence of the United States the

A. D.

Consul.

FORM No. 88.

Form for authentication of signatures. (Paragraph 313.)

UNITED STATES CONSULATE,

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18-. do hereby

certify that the signature of at the foot of the paper hereto annexed, is his true and genuine signature, made and acknowledged in my presence, and that the said

sonally known to me.

is per

In witness whereof I have hereunto set my hand and affixed the seal of the Consulate at ——, this day and year next above written, and of the Independence of the United States the

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Certificate that an officer is qualified to administer an oath. (Paragraph

I,

313.)

Consul of the United States of America at

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do hereby certify and make known to whom these presents shall come that before whom the annexed affidavit [oath, or declaration, as the case may be] of hath been made, is a Commissioner in the High Court of Chancery, in England, duly authorized to administer oaths and affirmations, and take declarations in lieu of oaths, and that I believe the deponent is worthy of credit, and qualified to verify the annexed affidavit.

In testimony whereof I have hereunto set my hand and seal of office, at aforesaid, this in the year of our Lord one thousand eight hundred and

day of

Consul of the United States of America.

FORM NO. 90.

Rent and miscellaneous expense account. (Paragraph 340.)

DEPARTMENT OF STATE, UNITED STATES,
United States Consul at

To

18-. For rent of Consular Office, for quarter ending this
day, as per voucher No. 1..

For postage on official correspondence to and from this
Consulate, for the quarter ending this day, as per
Forms Nos. 118 and 119, herewith transmitted.

For stationery, as per voucher No.-.

For freight and charges on boxes and packages to and
from the Department of State, as per voucher No.
For flagstaff and fixtures, as per voucher No.

For flag, as per voucher No.

For consular seal, as per voucher No.

For consular press, as per voucher No.

For consular arms, as per voucher No.

For record-books, as per voucher No.

For binding consular letters, as per voucher No.
For blank forms, as prescribed by the Department of
State, voucher No.

For loss by exchange on the amount of this account,
say $.
at per cent., as per voucher No.

CR.

By fees remaining after payment of salary account
By my draft on the Secretary of State.

DR.

United States Consul at

N. B.-Be careful to sign this account, and to transmit it at or before the time of making your draft.

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FORM NO. 91.

Voucher for rent. (Paragraph 341.)

United States Consul at

the

in full, for rent, for the quarter ending this day, of which are devoted solely to

street,

the business of the Consulate.

18-.

FORM NO. 92.

Exchange voucher. (Paragraph 355.)

I, the undersigned, do hereby certify that I have this day purchased from for the sum of

dollars, ($

his draft dated

100

TOU,) and have paid him therefor the sum of the same being the net proceeds of said draft after deducting the current rate of exchange between this place and New York, at this date, of cents to the dollar upon its face, and as set forth in

the following statement, namely:

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NOTE.-In all cases of the sale of drafts, this form of voucher must be transmitted.

A. B.

FORM NO. 93.

Exchange voucher. (Paragraph 355.)

I, the undersigned,

for

Consul of the United States at

do hereby certify that I have this day sold my draft for
dated
have received from

currency

Too dollars, ($

therefor

100 dollars ($

Toʊ,) to

and

making in United States 100 ;) the difference between

which sum and the amount of said draft, namely

--, being the

loss actually and necessarily sustained by me in the negotiation and

sale of the same.

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who ha- signed the residing and doing business as such at

this place.

U. S. Consul.

FORM NO. 94.

Statement of cases of relief afforded to destitute American seamen at the Consulate of the United States at to, inclusive. (Paragraphs 357 and 410.)

from

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1 C. D. Fly. A. B. G. H Salem Oct. 1. Sick. Nov.1

2 E. F. Casn al, not discharged Oct. 2. Wr'k. Nov.2 in this Consulate.

3 M.O. Fly

Nov.1 Sick. Nov.6

Belonged to ship- lost at sea; reached this port in an open boat.

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NOTE.-This Form is to be observed by all Consular Officers, and sent quarterly to the Fifth Auditor of the Treasury, with the account-current, as per Form No. 100.

FORM NO. 95.

Voucher for boarding and lodging. (Paragraph 357.)

CONSULATE OF THE UNITED STATES AT

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Voucher for hospital expenses and medical aid. (Paragraph 357.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

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For medical aid and attendance supplied the following-named destitute American seamen admitted in and discharged from [here insert the name of the hospital] by order of for the quarter ending

at

18-.

Consul

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