FORM NO. 112.

Consul.

FORM No. 113.

Certificate to accompany Form 112.

(Paragraph 375.)

18-.

CONSULATE OF THE UNITED STATES AT

I certify that I have not been absent from the district of my Consulate (or Commercial Agency, as the case my be) for a longer period than ten days within the quarter embraced in the above and foregoing account.

FORM No. 114.

Usual form of draft. (Paragraph 375.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

18-.

Fifteen days after sight (acceptance waived) of this my first of exchange, (second and third of the same tenor and date unpaid,) pay TOU dollars, the amount of disbursements at this Consulate on account of quarter ending

or order,

as per advice.

for the

U. S. Consul.

NOTE. The quarter is reckoned at the Treasury from the commencement of the fiscal year, which is on the 1st of July. In drawing upon the State or Treasury Department, Consular Officers will always insert in their drafts the words "acceptance waived."

FORM No. 115.

Second form of draft. (Paragraph 375.)

OF THE UNITED STATES,

18-.

Fifteen days after sight of this first of exchange, (acceptance waived, and indorsements by procuration excepted,) second and

third unpaid, pay to the order of charge the same to my account for

To the Hon.

Secretary of

dollars, and

United States Consul at

CR.

To fees received at the United States Consulate
at -, during the quarter ending
as per statement herewith inclosed

18-,

in account current with the Government of the United States.

By compensation of self, as established by law. $-
By rent of office at

-, as per voucher.

By stationery and miscellaneous expenses, as per

vouchers

By amount paid for relief of destitute American
seamen, as per vouchers.

By expenses incurred in sending to the United States
from foreign countries persons charged with crime,
as per vouchers..

By expenses incurred under special instructions, as
per vouchers

By amount due the Government and paid by deposit
with Messrs. Morton, Rose & Co., to the credit of the
appropriation for the compensation of Consuls.

DR.

*See No. 113 for Form of certificate to accompany this.

T. S. Consul at

FORM No. 117.

DIGEST OF THE INVOICE-BOOK. (Paragraph 377.)

[Sample.]

Statement showing the value of declared exports from the Consular District of (Leipsic) to the United States, during the quarter ending December 31, 1872.

Register of official letters received at the United States Consulate at (Paragraphs 377, 405, and 419.)

Name of writer.

No.

Place and
date of
letter.

Amount of When On what Number of postage received. subject. inclosures. paid on each letter.

Remarks.

DATE.

FORM No. 119.

Register of official letters sent from the United States Consulate at (Paragraphs 377, 406, and 419.)

Quarterly return of the arrival and departure of American vessels at the United States Consulate at

, from the

clusive. (Paragraphs 377, 381, and 408.)

to the

in