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FORM NO. 140.

Certificate to be indorsed on each of the triplicate (or quadruplicate)

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—, in which are mentioned and described certain [here

amounting, with

invoice, No. insert a general description of the merchandise] the charges thereon, to the gross sum of ➖➖➖, was produced to me by in person, who thereupon declared, in writing, that entry of said merchandise was to be made at the port of in the United States

of America.

I do further certify that I am satisfied that the person making the declaration hereto annexed is the person he represents himself to be, and that the actual market value or wholesale price of the merchandise described in the said invoice in the principal markets of the country at the time of exportation is correct and true, excepting as noted by me upon said invoice, or respecting which I shall make special communication to the proper authorities.

Witness my hand and seal of office at [L. S.]

the day and year aforesaid.

C- of the United States.

FORM NO. 141.

Receipt of master of vessel for invoices to be delivered to the collector of

customs at the port of entry.

(Paragraphs 693, 694.)

189-.

I acknowledge the receipt of a package of invoices made up and sealed with the consular seal of the Consul at this port, directed to the collector at- -, which I promise to deliver on the entry of the [ship or other vessel] under my command, at the said port of

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(Signed)

Master of

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tripli

SIR: In pursuance of instructions, I transmit herewith cate (or quadruplicate) invoices, properly indorsed, of goods, as per descriptive list, hereto annexed.

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I, Consul of the United States of America, do hereby certify that the true value of the currency of the

of

in

which currency the annexed invoice of merchandise is made out, is per cent as compared with the corresponding standard coin currency, and that the value in such standard coin currency of the total amount of the currency actually paid for the merchandise is

FORM No. 145.

(Omitted.)

FORM NO. 146.

Inward foreign manifest.

(Paragraph 700.)

Railroad.

U. S. Consul.

Report and manifest of merchandise laden on board car No. of Railroad, which merchandise was taken on board at

the

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[Indorsements.]

(1) United States Consulate at fest No.

Car No..

Quintuplicate consular mani

the undersigned owner (agent or consignee) of the merchandise laden on board, or conductor of car No. —, now about to depart, and destined for do solemnly swear (or affirm) that

this manifest contains, to the best of my knowledge and belief, a full and complete list and description of the contents of said car, and that the quantities and value of said contents are in this manifest faithfully and correctly stated.

Agent (or Conductor). day of, 189—.

Subscribed and sworn to before me this And I hereby certify that this car was sealed and the manifest verified under my personal supervision.

U. S. Consul.

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do certify that the sample hereto annexed is a fair and true sample of piece No. -, contained in the package No. above mentioned, and that the foregoing statement is in all respects true.

The certificate at the bottom is to be signed by the shipper or his agent.

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