Forms 17, 18, and 19. FORM No. 17. Certificate and oath of a new master appointed by Consul. (Paragraph 147.) I, do solemnly and truly swear that I am a citizen of the United States of America, having been born in naturalized, as the case may be.] Sworn and subscribed to this [or CONSULATE OF THE UNITED STATES OF AMERICA AT I, the undersigned, Consul of the United States of America, &c., do hereby certify that -, having taken and subscribed the oath required by law, is at present master of the the former master. in lieu of of Given, &c. U. S. Consul. FORM No. 18. Receipt for two-thirds extra wages. (Paragraph 151.) 18-. United States Consul at Received of the sum of dollars, being the amount (or residue, as the case may be) of the two months' extra wages to which I am entitled under the acts of the 28th of February, 1803, and of August 18, 1856, on my discharge from the of master. FORM No. 19. Order to send seamen to hospital. (Paragraph 161.) CONSULATE OF THE UNITED STATES OF AMERICA AT SIR: You will please admit into your hospital 18-. an invalid destitute American seaman, requiring medical aid, for account of this Consulate. I am, sir, your obedient servant, M. D. U. S. Consul. Forms 20 and 21. FORM No. 20. Certificate given to masters whose seamen leave hospital against physician's advice. (Paragraph 161.) CONSULATE OF THE UNITED STATES OF AMERICA AT 18-. of I, the undersigned, Consul, &c., &c., do hereby certify that who has been duly shipped before me in the master, was sent to the hospital at this port by me upon his own application, and, after being examined by the attending physician of the said hospital, was pronounced a fit subject and duly admitted to be cured of the disease. That, contrary to the advice and opinion of the said attending physician, the said left the hospital a few days thereafter, insisting that he was well and able to do seaman's duty and return home. That, in consequence of his ill health and liability to go upon the sick list at sea, several masters of American vessels refused to ship him before he entered on board of the said; and this certificate is granted to Captain own request, to protect him hereafter should the said in consequence of the disease aforesaid, be unable to perform the duty required of him as a seaman on the voyage from this port to Given, &c., &c. as afore at his FORM No. 21. U. S. Consul. Certificate given to masters when required to take to the United States destitute American seamen. (Paragraphs 164 & 171.) CONSULATE OF THE UNITED STATES OF AMERICA, 18-. I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that I have sent to by the, whereof is master, A B, C D, and E F, three destitute American seamen, and have agreed with the said master that, on presentation of this certificate at the Treasury Department, bearing an indorsement of the Collector of Customs at the port of aforesaid, that the seamen herein mentioned have arrived in said vessel within his district, he shall and will be entitled to receive the sum of thirty dollars for their passage, being the sum of ten dollars for each seaman, in conformity to the laws of the United States made and provided for the relief of destitute American seamen. Given, &c., U. S. Consul. Forms 22, 23, and 24. FORM No. 22. Certificate given to masters when required to take to the United States more than two seamen for one hundred tons burden of a vessel. (Paragraph 167.) CONSULATE OF THE UNITED STATES OF AMERICA, 18-. I, the undersigned, Consul, &c., &c., do hereby certify that I have sent to by the whereof is master, GH and I J, two destitute American seamen over and above the number said vessel is by law required to take, and have agreed with the said master that, on presentation of this certificate at the Treasury Department, bearing the indorsement of the Collector of Customs at the port of aforesaid, that the seamen herein mentioned have arrived in said vessel within his district, that he shall and will be entitled to receive the sum of dollars for their passage, being the sum of dollars for each seaman, there being no other American vessel now in port bound for the United States in which to send home said seamen, in conformity to the provisions of the laws of the said States made and provided for the relief of destitute American seamen. Given, &c., FORM NO. 23. U. S. Consul. Affidavit or certificate of attending physician. (Paragraph 168.) I hereby swear (or certify, as the case may be) that A B, C D, and E F, sick American seamen, were attended by me during the quarter ending the day of 18-, and that the health of the said named persons was such during that time that it would have endangered their lives to have sent them on their homeward voyage. M. D. FORM No. 24. 197 & 241.) Request to local authorities to imprison seamen or mariners. (Paragraphs Forms 25 and 26. cently arrived in this port from -, having conducted themselves in an improper and insubordinate manner on board, and positively refused to do duty, I have the honor respectfully to request that you will please cause the said named persons to be arrested, brought on shore, and imprisoned until I can find it expedient to give them their liberty. I have the honor to be, sir, your obedient servant, To U. S. Consul. Captain [or authorities of the port.] NOTE. See section 541 et seq. of the Regulations. FORM No. 25. Request to same to release same from prison. (Paragraphs 197 and 241.) CONSULATE OF THE UNITED STATES OF AMERICA AT 18-. SIR: I have the honor to request that you will please cause to be released from prison and Certificate of oath and declaration of master to desertion of seamen or mariners. (Paragraph 203.) 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 of master of the ship and made oath, in due form of law, that the seamen or mariners hereinafter named, and who are noted on the crew list of the said vessel as deserters, absconded from the said ship —, at the ports or places hereinafter named, without his knowledge or consent, at or about the times. hereinafter placed opposite their names respectively. And the said -, master, further declared that the said Form 26. seamen or mariners, deserters as aforesaid, were duly shipped at the time and place and for the monthly wages and advance hereinafter stated, and as per contract of shipping articles; that the wages advanced abroad, expenses incurred on account of desertion, goods supplied to said seamen or mariners, as hereinafter stated opposite to their names respectively, were honestly, justly, and truly advanced, expended, incurred, and supplied, as stated, to and for account of said seamen or mariners; and he doth likewise declare, that the balance of wages due on account of said seamen or mariners, deserters as aforesaid, placed hereinafter opposite their respective names, as aforesaid, is the true, correct, and just balance which the said seamen or mariners would have been entitled to had they been duly discharged and paid off, for the period of time mentioned, and for which he has to account to the collector of customs of the port where the crew of said vessel are accounted for, as forfeited wages, to become the property of the United States. And I, the said Consul, for myself, do hereby certify that master aforesaid, exercised due diligence, with my co-operation and assistance, to recover and secure such of said seamen or mariners as deserted at this port, but without success. |