FORM NO. 138.

Declaration to be made by the purchaser or owner, where merchandise has been actually purchased. (Paragraph 477.)

I, of in the county of, do solemnly and truly declare that I am the [purchaser, or owner, as the case may be] of the goods, wares, or merchandise in the annexed invoice mentioned and described; that the said invoice is in all respects true; that it contains a true and full statement of the time when and the place where the goods, wares, and merchandise therein mentioned, and which are subject to any ad valorem rate of duty, or to any duty regulated or directed by law to be estimated, or based upon the value of the square yard, or of any other specified quantity or parcel, were purchased; and the actual cost and quantity thereof, and of all charges thereon; that no discounts, bounties, or drawbacks are contained in said invoice, but such as have been actually allowed thereon; that the currency in which said invoice is made out is the currency which was actually paid, or is to be paid, for said goods, wares, and merchandise; and that no different invoice thereof has been or will be furnished to any one.

I further declare that it is intended to make entry of the goods, wares, and merchandise mentioned in said invoice at the port of in the United States of America. Dated atthis day of

18-.

FORM No. 139.

Declaration to be made by the owner or manufacturer, or duly authorized agent of such owner or manufacturer, where goods have been procured otherwise than by purchase, and to be indorsed on, or attached by seal and tape to, each of the triplicate invoices. (Paragraph 477.)

I,

am

of

do solemnly and truly declare that I of the goods, wares, and merchandise in the within invoice mentioned and described; that the said invoice is in all respects true; that it contains a full and true statement of the actual market value of such of the said goods, wares, and merchandise as are subject to any ad valorem rate of duty, or to any duty regulated or directed by law to be estimated or based upon the value of the square yard, or of any other specified quantity or parcel, at the time and place, when and where, the same were manufactured or procured, of the actual quantity of said goods, wares, and merchandise, and of all charges thereon; that no discounts, bounties, or drawbacks are contained in said invoice, except such as have been actually allowed thereon; and that no invoice different from the one now produced has been or will be furnished to any one. I further

declare that it is intended to make entry of said goods, wares, and merchandise at the port of, in the United States of America. (Signed in triplicate.)

NOTE.-After the word "I" insert the name of the person making the declaration; after the word "of" insert the name of the place; after the words "I am," the corresponding designation as manufacturer or owner; after the signature, insert the designation.

FORM No. 140.

Certificate to be indorsed on, or attached by seal and tape to, each of the triplicate invoices. (Paragraph 466.)

I,

of the United States at

tify that at
on this day of
the within invoice, numbered

do hereby ceranno Domini 18-, in which are mentioned and described certain [here insert a general description of the kinds of merchandise mentioned in the invoice.] amounting, with the charges thereon, to the gross sum of I was produced to me by in person, the [owner or otherwise] of the goods, wares, and merchandise therein mentioned, who thereupon declared in writing, in my presence, that it was intended to make entry of said goods, wares, and merchandise at the port of --, in the United States of America.

I do further certify that I am satisfied that the person making the declaration hereto annexed is the person he represents himself to be; and that the actual market-values, or wholesale prices of the goods, wares, and merchandise described in the said invoice, in the principal markets of the country, and at time of exportation, are correct and true, (or as set forth in the column of consular corrections of estimates.)

Witness my hand and seal of office, at aforesaid.

[L. S.]

the day and year

NOTE.-Insert after the name in the first line the proper title of the Consular Officer, and after the word " certain a general description of the kind of merchandise mentioned in the invoice. On the L. S.] place the seal of the Consulate.

FORM No. 141.

Receipt of master of vessel for invoices to be delivered to the collector of customs at the port of entry. (Paragraph 489.)

18--.

I acknowledge the receipt of a package of invoices made up and

sealed with the consular seal of the Consul at this port, directed to the collector at which I promise to deliver on the entry of the [ship or other vessel] under my command, at the said port of(Signed)

To

FORM No. 142.

Master of

Transmission of invoices to collectors. (Paragraph 488 and 489.)

UNITED STATES CONSULATE,

18-,

Collector of Customs at

SIR: In pursuance of instructions, I transmit herewith triplicate invoices, properly indorsed, of goods, as per descriptive list, hereto annexed.

I am, sir, your obedient servant,

FORM NO. 143.

U. S. Consul.

Descriptive list of triplicate invoices. (Paragraph 488 and 489.)

No. of invoice.

Name of the shippers. Consignee.

Amount of
invoices.

By what ship.

I,

FORM No. 144.

Certificate of the value of currency. (Paragraph 485.)

Consul of the United States of America, do hereby of

certify that the true value of the currency of the

in which currency the annexed invoice of merchandise is made out, cents, estimated in United States gold dollars.

is

FORM No. 145.

Declaration to be made by the owner or manufacturer, where goods have been procured otherwise than by purchase. (Paragraph 477.)

I, of in the county of , do solemnly and truly declare that I am the [owner or manufacturer] of the goods, wares, and merchandise in the annexed invoice mentioned and described, and that said invoice is in all respects true; that it contains a true and full statement of the actual market-value of such of the said goods, wares, and merchandise as are subject to any ad valorem rate of duty, or to any duty regulated or directed by law to be estimated or based upon the value of the square yard or of any other specified quantity or parcel, at the time and place when and where the same were procured or manufactured; of the actual quantity of said goods, wares, and merchandise, and of all charges thereon; that no discounts, bounties, or drawbacks are contained in said invoice, except such as have been actually allowed thereon; and that no invoice different from the one now produced has been or will be furnished to any one.

I further declare that it is intended to make entry of said goods, wares, and merchandise at the port of in the United States of America.

And I make this solemn declaration, conscientiously believing the same to be true, and by virtue of the provisions of an act made and passed in the fifth and sixth years of the reign of His Majesty King William the Fourth, intituled "An act to repeal an act of the present session of Parliament, intituled an act for the more effectual abolition of oaths and affirmations taken and made in various departments of the state, and to substitute declarations in lieu thereof, and for the more eutire suppression of voluntary and extrajudicial oaths and affidavits, and to make other provisions for the abolition of unnecessary oaths."

A Commissioner to administer oaths in chancery in England,

and to take declarations in lieu of oaths.

NOTE. This form is to be used in Great Britain when the declaration is made before a commissioner, whose qualification must be certified by the consul. If the oath or declaration is made before a justice of the peace, notary public, or other competent officer, the proper term should be used instead of commissioner.

29 C

FORM No. 146.

Declaration, under oath or affirmation, to be made by the owner, agent, or consignee of merchandise, or conductor of a railroad car, to manifest of merchandise imported from foreign territory contiguous to the United States. (Paragraph 493.)

I, A B, owner, (agent, or consignee,) of the merchandise laden on board, or conductor of (here insert the name of the railroad company) car, numbered —, now about to depart, and destined for (the port of destination,) do solemnly swear (or affirm) that this manifest contains, to the best of my knowledge and belief, a full and complete list and description of the contents of the said car, and that the quantities and value of said contents are in this manifest faithfully and correctly stated.

Subscribed and sworn (or affirmed) to before me this

day of

do certify that the sample hereto annexed is a fair and true sample of

piece No. -, contained in the package No.

above mentioned, and that

the foregoing statement is in all respects true.