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For medical aid and attendance supplied the following-named destitute American seamen admitted in and discharged from [here insert the name of hospital] by order of

Consul at

for the

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(Here name all articles of clothing furnished, including
cost thereof)

$

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For burial expenses of the following-named destitute American sea

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FORM NO. 99.

[Weekly Sanitary Report is furnished by the Treasury Department. See paragraph 380.]

FORM NO. 100.

Requisition for stationery supplies for consulates.

(Paragraph 429.)

189-.

Το

Assistant Secretary of State, Washington, D. C.

SIR: I have the honor to request that the articles of stationery named below be furnished for use at this office.

I have the honor to be, sir, your obedient servant,

Number

of item on Quantities.* schedule.

Articles

(Put but one item on a line.)

Quantities recommended by Chief of Consular Bureau.

*Quantities desired should be expressed in figures, and if less than an original package is required the quantity should be stated in proper terms, i. e., rm., M., gr., doz., lb., etc.

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