FORM No. 148.

FOREIGN MONEYS OF ACCOUNT AND THEIR VALUES IN UNITED STATES MONEY OF ACCOUNT.

Table of equivalents. (Paragraphs 376 and 485.)

The following is a list of foreign currencies, the values of which have been fixed in accordance with section 1, act of March 3, 1873.

The above rates will be taken in estimating the values of all foreign merchandise made out in any of said currencies imported on or after January 1, 1874, but will not be applied to goods imported before that day.

FORM NO. 149.

I,

FORM No. 150.

Verification of the delivery of merchandise at a foreign port, to be executed by a Consul or Agent of the United States. (Paragraphs 495-496.*) (Consul or Agent) of the United States of America, at the city of do declare that the facts set forth in the preceding certificate, subscribed by of the said city, merchant, and dated the day of

-, are, (to my knowledge,

just and true; or, are, in my opinion, just and true, and deserving full faith and credit.)

In testimony whereof I have hereunto subscribed my name and affixed the seal of my office at

this day of

18-.

[SEAL.]

FORM No. 151.

Consul.

Verification of the delivery of merchandise, to be executed by American or foreign merchants, as the case may require. (Paragraphs 495–496.*) do declare that

residing in the city of

We, 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.

Certificate of a consignee, declaring the delivery of merchandise at a foreign

I,

port. (Paragraph 496.*)

of the [town or city] of

-, merchant, do hereby certify that the goods or merchandise hereinafter described have been landed in this [city, town or port] between the and days of from on board the of -- whereof is at present master, viz: [here describe the merchandise,] which, according to the bills of lading for the same, were shipped on board the at the port of in the United States of and consigned to [me aforesaid, merchant, [or by the

America, on or about the

day of

or to us] by

of

master of said -]

Given under my [or our] hands at the [city] of

day of

18-.

this

*See Forms Nos. 154, 155, 156, 157, and 158, for exportations of tobacco and

snuff.

FORM No. 153.

Oath, or affirmation, of the principal officers of a vessel confirming the landing of merchandise at a foreign port. (Paragraph 497.)

We,

master, and

PORT OF

mate, of

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 preceding certificate, dated the day of and signed by of the city of merchant, were actually delivered at the said port, from on board the within the time specified in the said certificate. Sworn [or affirmed] at the city of

before me, this

day

of

in the year

FORM No. 154.

Affidavit of consignee, declaring the delivery of tobacco or snuf at a foreign port. (Paragraph 497.]

I,

of

do hereby declare that the goods or merchandise hereinafter described has been landed at this port, between the

whereof

and

days of

from on board the is at present master, viz:

of

Marks and numbers. Description of goods. Pounds. Rate of tax. Am't of tax.

Which goods or merchandise, according to the bills of lading for the same, was shipped on board the

at the port of

in

day of

of

aforesaid,

the United States of America, on or about the

by

18-, and consigned to and I further certify that the weight of the goods as stated above was correctly ascertained by actual weighing after landing.

Consignee of Goods.

Sworn and subscribed at the port of day of

before me, this

FORM No. 155.

I,

Certificate of revenue officer or agent. (Paragraph 497.)

PORT OF

18-. do hereby certify that the goods or merchandise described in the foregoing declaration, 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 weight ascertained to be and that the duties imposed by the laws in force in this (country or province) upon said goods have been paid, or secured to be paid.

In witness whereof Ì have hereunto set my hand and seal of office

this

(Signed)

day of

18-.

[SEAL.] Collector, (or Chief Revenue Officer.)

FORM No. 156.

Oath, or affirmation, of the principal officers of a vessel, confirming the landing of snuff or tobacco at a foreign port. (Paragraph 497.)

mate of the steamship (or other vessel) in the United States of America, do solemnly swear that the goods or merchandise enumerated and described in the preceding certificate, dated the day of ——, 18-, and signed by —, consignee, was actually delivered at the said port from on board the said steamship (or vessel) within the time specified in the said certificate, and that the weight stated was ascertained by actual weighing at the time of delivery.

-, of the city of

Master, (or Mate.)

Sworn at the port of

before me this

day of