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FORM NO. 21.

Return of persons enlisted at the United States naval rendezvous the week ending at the hour of closing, Saturday,

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White. Colored.

Commanding Rendezvous.

has this day been disand from the naval service.

Paymaster.

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"as a testimonial of fidelity and obedience," is this day "honorably discharged" from the United States naval service of the United States.

and from the Now, according to the provisions

of the second section of the act approved March 2, 1855, if within three months from this date the above-described

shall

present this his "honorable discharge" at any United States naval rendezvous, and if found physically qualified, and shall re-enlist for three years or longer, then he shall be entitled to pay during the said three months equal to that to which he would have been entitled if he had been employed in actual service.

Approved:

Commanding Officer.

Paymaster.

FORM NO. 24.

SURGEON'S OFFICE, NAVY Yard,

186 .

SIR: I have examined, [state the name in full,] who states that he was born in, [name of town and State,] on the

day of

18, and find that he is [not] physically qualified to perform the duties of a [name the grade] in the Navy of the United States, [if not qualified add,] because he has [state the disability.]

I am, very respectfully,

Το

Commanding U. S. Naval Station.

Surgeon.

Name.

Rank.

Squadron.

Division.

Vessel.

FORM No. 25.

Report of commanding officers of squadrons, divisions, and vessels belonging to the

-, for the quarter ending

- fleet, commanded by

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Qualifications for

command.

Professional skill and attainments.

Remarks.

Name.

Rank.

Report of line officers attached to the U. S. S.

FORM No. 26.

commanded by

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-, for the quarter ending

186-.

Infantry drill & evolutions.

General information.

Languages spoken.

Commanding U. S. ship

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