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.]

I,

FORM No. 69.

Acknowledgment to bottomry bond.

(Paragraph 334.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

ter of the

Consul, etc., do hereby certify that

of

189-.

mas

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 the presence of the witnesses thereunto, and acknowledged the same to be his free act and deed for the purpose therein mentioned.

Given, etc.

FORM NO. 70.

U. S. Consul.

Assignment of bottomry bond.

(Paragraph 334.)

We hereby assign our rights in the within bond to
that it may be paid to them or to their order.

chants of

mer

I, the undersigned, Consul, etc., 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, etc.

FORM No. 72.

U. S. Consul.

Indorsement of bottomry on ship's register.

(Paragraph 334.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

I, the undersigned, Consul, etc., do hereby certify that master of the —

189

of —, described in the within register, has this

Indorsement on register on the payment of a bottomry bond.

(Paragraph 334.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

189-.

I, the undersigned, Consul, etc., do hereby certify that on the day and

date hereof, before me personally appeared edged before me the receipt of the sum of

and acknowl

dollars, called for by the

terms and conditions of a bottomry bond executed by

ter of the, of, the day of, 18—, at
the said bond has been this day duly canceled according to law.
Given, etc.

mas

and that

FORM NO. 74.

U. S. Consul.

Oath of master to death or loss overboard at sea of a seaman or mariner,

(Paragraph 188.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

I, master of the

law,

that

of

do hereby make oath, in due form of died at sea for was lost overboard at sea, as the case may be] on board the said ship, on or about the

18-, on the voyage from

of

to this port.

Subscribed and sworn to this [SEAL.]

day of

189-.

U. S. Consul.

FORM NO. 75.

Oath of master or mate to correctness of log-book.

(Paragraph 188.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

189-.

I,

[master or mate, as the case may be], of the do hereby make oath, in due form of law. that the journal of the voyage from to commencing on the and ending on the and embraced within folios from to -, contains a

[SEAL.]

true and faithful log, written by, of the transactions on board the said

Subscribed and sworn to before me this

day of

189-.

U. S. Consul.

FORM No. 76.

Oath of master to ship's bills and vouchers for disbursements and repairs.

in due form of law, that the bills and accounts hereunto annexed, numbered from to —, 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.

Subscribed and sworn to before me the date above written. [SEAL.]

Master.

U. S. Consul.

FORM NO. 77.

Consul's certificate for custom-house or authorities, in case of the deviation of a vessel from the voyage.

(Paragraph 188.)

CONSULATE OF THE UNITED STATES OF AMERICA AT

I, the undersigned, Consul, etc., do hereby certify that the

to, arrived at this in a damaged state and it is necessary to dis

condition, and in order to repair the said charge the cargo, as appears by the note of protest of the said master, made before me the day of 189-, 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

port.

to this

Given, etc.

U. S. Consul.

I, the undersigned, Consul of the United States of America for and the dependencies thereof, do hereby certify that the ——, of of the burden of master, was built at of State of

tons,

the year Given, etc.

and is owned by

in

FORM NO. 79.

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