Forms 61 and 62.

this

day of

also the said vessel, her tackle, apparel, and furniture, firmly by these presents. Sealed with my seal, at in the year of our Lord one thousand eight hundred and Whereas the above bounden hath been obliged to take

up and borrow, and hath received of the said for the use of the said vessel, and for the purpose of fitting the same for sea, the sum of lawful money of the United States of America, which sum is to be and remain as a lien and bottomry on the said vessel, her tackle, apparel, and furniture,

at the rate

or premium of for the voyage. In consideration whereof, all risks of the seas, rivers, enemies, fires, pirates, &c., are to be on account of the said And for the better security of the said sum and premium, the said master doth, by these presents, hypothecate and assign over to the said heirs, executors, administrators, and assigns, the said vessel, her tackle, apparel, and furniture, And it is hereby declared, that the said vessel is thus hypothecated and assigned over for the security of the money so borrowed and taken up as aforesaid, and shall be delivered for no other use or purpose whatever, until this bond is first paid, together with the premium hereby agreed to be paid thereon.

Now the condition of this obligation is such, that if the above bounden shall well and truly pay, or cause to be paid, unto the said the just and full sum of - lawful money as aforesaid, being the sum borrowed, and also the premium aforesaid, at or before the expiration of days after the arrival of said vessel at then this obligation, and the said hypothecation, to be void and of no effect; otherwise, to remain in full force and virtue. Having signed and executed

bonds of

the same tenor and date, one of which being accomplished, the other to be void and of no effect.

Signed, sealed, and delivered, in the presence of—

[L. S.]

master of the

Consul, &c., do hereby certify that

of

the party to the aforesaid bottomry bond or instrument of writing, personally came before me, and executed the said bond in my presence, and in presence of the witnesses

Forms 63, 64, and 65.

thereunto, and acknowledged the same to be his free act and deed for the purposes therein mentioned.

Given, &c.

FORM No. 63.

U. S. Consul.

Assignment of bottomry bond. (Paragraph 246.)

We hereby assign our rights in the within bond to merchants, of

that it may be paid to them or to their order

FORM No. 64.

Acknowledgment to assignment of bottomry bond. (Paragraph 246.) CONSULATE OF THE UNITED STATES OF AMERICA AT

I, the undersigned, Consul, &c., do hereby certify that on the day of the date hereof, before me personally appeared one of the firm of parties to the foregoing assignment, and executed and acknowledged the same in my presence to be the act and deed of the said firm for the purposes therein mentioned. Given, &c.

FORM No. 65.

U. S. Consul.

Indorsement of bottomry on ship's register. (Paragraph 246.)
CONSULATE OF THE UNITED STATES OF AMERICA AT

I, the undersigned, Consul, &c., &c., do hereby certify that master of the -- of

18-.

described in the within reunto

gister, has this day hypothecated the said vessel,

merchants of

Given, &c.

in the penal sum of $

U. S. Consul.

Forms 66, 67, and 68.

FORM No. 66.

Indorsement on register on the payment of a bottomry bond. (Paragraph 246.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

18-.

I, the undersigned, Consul, &c., &c., do hereby certify that on the day of the date hereof, before me personally appeared and acknowledged before me the receipt of the sum of called for by the terms and conditions of a bottomry bond executed master of the, of

the

dollars,

day of

by 18-, at "" and that the said bond has been this day duly canceled according to law. Given, &c.

U. S. Consul.

FORM No. 67.

Declaration and oath of master to death or loss overboard at sea of a seaman or mariner. (Paragraph 248.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

18.

I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that on the day of the date hereof, before me personally appeared master of the

of

,

and made oath, in due form of law, died at sea, [or was lost overboard at sea, as the of

that
case may be,] on board the said ship, on or about the
18-, on the voyage from

to this port.

Given, &c.

FORM No. (8.

U. S. Consul.

Declaration and oath of master or mate to correctness of log-book. (Para

On the

graph 248.)

Consul, &c., personally appeared

- day of - ; A. D. 18-, before me, the undersigned, - [master or mate, as the case may be,] and made oath, in due form of law, that the journal of the voyage from

and ending on the

to

and embraced within folios from

--, contains a true and faithful log, written by himself, of

Declaration and oath of master to ship's bills and vouchers for disbursements and repairs. (Paragraph 248.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

18-.

I, the undersigned, Consul, &c., &c., do hereby certify that on the day of the date hereof, before me personally appeared master of the ——, of and made oath, in due form of law, that the bills and accounts hereunto annexed, numbered from inclusive, are the true and genuine vouchers relating to the cost of the repairs and disbursements of the said ship at this port, superintended by himself.

to

Master.

Subscribed and sworn to before me the date above written.

U. S. Consul.

FORM No. 70.

Consul's certificate for custom-house or authorities, in cases of the deviation of a vessel from the voyage. (Paragraph 248.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

18-.

I, the undersigned, Consul, &c., &c., do hereby certify that the

of

master, bound from
instant, laden with

to

arrived at this port on the in a damaged state and condition, and in order to repair the said it is necessary to discharge the cargo, as appears by the note

day of

of protest of the said master, made before me the 18-, and the report of survey of the said vessel filed in this Consulate. I further certify that it likewise appears, from said report of survey and protest, that a part of said cargo was thrown overboard at sea on the voyage from to this port.

Given, &c.

U. S. Consul.

Forms 71 and 72.

FORM No. 71.

Certificate of ownership of a vessel. (Paragraph 248.)
CONSULATE OF THE UNITED STATES OF AMERICA AT

18-.

I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that the of

ter, was built at

of the burden of

in the year

State of

tons,
and is owned by

mas

U. S. Consul.

FORM No. 72.

Roll or list of crew when required by the captain or authorities of the