TABLE D.-(To be inserted in agreement.)—Scale of provisions to be allowed and served out to the crew during the voyage.

(Here any stipulation for changes, or substitution of one article for another, may be inserted.)

SUBSTITUTES.

One ounce of coffee, or cocoa, or chocolate, may be substituted for one quarter ounce of tea; molasses for sugar, the quantity to be onehalf more; one pound of potatoes or yams, one-half pound flour or rice, one-third pint of pease, or one-quarter pint of barley, may be substituted for each other. When fresh meat is issued, the proportion to be two pounds per man per day, in lieu of salt meat. Flour, rice, and pease, beef and pork, may be substituted for each other. and for potatoes onions may be substituted.

FORM No. 16.

Acknowledgment and indorsement on shipping agreement between master and crew.

(Paragraph 189.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

On this

day of

A. D. 189-, appeared before me,

, consul of the United States at

A B, etc., all personally known to me, and in my presence signed the within agreement with my sanction, and in all respects complied with the requirements of the act approved June 7, 1872, entitled "An act to authorize the appointment of shippingcommissioners by the several circuit courts of the United States, to

superintend the shipping and discharge of seamen engaged in merchantships belonging to the United States, and for the further protection of seamen." And I do certify that the said A B, etc., each for himself, acknowledged that he had read or had heard read the said agreement and understood the same, and that while sober and not in a state of intoxication he signed it freely and voluntarily for the uses and purposes therein mentioned.

Given under my hand and the seal of this consulate the day and year first above written.

[SEAL.]

FORM No. 17.

U.S. Consul.

Certificate of discharge of seamen, to be attached to crew lists and ship

I hereby certify that the particulars herein stated are correct, and that the above-named seaman was discharged accordingly.

Given to the above-named seaman in my presence this

-· 189-.

[SEAL.]

Master.

Seaman.

day of

U. S. Consul.

I certify that the above particulars are correct, and that the abovenamed seaman was discharged accordingly.

Seaman.

Master.

Given to the above-named seaman in my presence this

day of

I,

Certificate and oath of a new master appointed by consul.

(Paragraph 216.)

do solemnly and truly swear that I am a citizen of the United States of America, having been born in ralized, as the case may be].

[or natu

Sworn and subscribed to this

day of

before me.

U. S. Consul.

I, the undersigned, consul of the United States of America, etc., do hereby certify that having taken and subscribed the oath required by law, is at present master of the in lieu of

of -

Statement showing the declared value of exports from the consular district of the United States during the four quarters of the year ended

to

Articles.

Quarters endingSeptem- December March 30, ber 31,1884. 31, 1885. 1885.

June 30,
1885.

Total for the year.

NOTE.

U. S. Consul.

This form is to be filled up and sent to the Department of State at the end of each fiscal year. The articles of export are to be arranged in alphabetical order.

FORM NO. 21.

Certificate for cancellation of crew bond.

(Paragraph 197.)

CONSULATE OF THE UNITED STATES AT

189-.

SIR: The accompanying list contains the names, places of birth, residence, and description of persons composing the crew of the

of

whereof

on the

day of

-is master, granted in the district of —, 189—, and shows who of said crew have been

discharged by me, or who have died, absconded, or been forcibly impressed into other service. New articles have been certified in place of those certified at your port. Respectfully, yours,

an invalid

SIR: You will please admit into your hospital destitute American seaman, requiring medical aid, for account of this Consulate.

I, the undersigned, Consul, etc., do hereby certify that who has been duly shipped before me in the

of

189-.

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