페이지 이미지
PDF
ePub
[blocks in formation]

SIR: You are requested to deliver, agreeably to contract, on board the revenue on or before

necessary for the public service.

at

rations of provisions o'clock, the same being Captain.

[merged small][merged small][merged small][merged small][ocr errors]

contractor, the supplies specified in the

above requisition.

Lieutenant.

No. 7, bis.

Form of requisition for ship chandlery.

SIR: There are required for the use of the United States revenue lowing articles, the same being necessary for the public service: Very respectfully,

the fol

[blocks in formation]

Captain.

I certify that the above-mentioned articles have been received on board the United States revenue

18-.

Lieutenant.

No. 8.

Form of receipt for rations delivered on board United States revenue vessels.

The following is a list of the rations received on board the United States revenue for the ending

:

[blocks in formation]

I hereby certify that I have this day received from articles of provisions for the use of the revenue

the above-named and that the articles are

of good quality, in good condition, and that I delivered two copies of this receipt and certificate to by whom the articles were delivered.

Number of days rationed

[ocr errors]

Number of persons rationed..

Total number of rations received.
Price of ration per contract.....

Total cost of rations received on board

No. 8, bis.

Form of indorsement of rations-receipt of United States revenue vessels.

[blocks in formation]

Vinegar.

GALLONS.

Molasses.

[blocks in formation]

No. 9.

Form of muster-roll for United States revenue vessels.

Muster-roll of the officers and crew of the United States revenue

[blocks in formation]

, for the month of

, 18—.

Height.

Inches.

Certified to be correct, and that all casualties, transfers, deaths, desertions, and discharges that have occurred since the date of the last muster

roll are duly noted.

Approved this

day of

18-9

at

[IN DUPLICATE.]

[blocks in formation]
[blocks in formation]

Number.

Names.

No. 10.

Pay and receipt-roll of the officers and crew of the United States revenue

[merged small][merged small][merged small][ocr errors][merged small][merged small][ocr errors][ocr errors][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][ocr errors][ocr errors][ocr errors][ocr errors][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small]

-, for the month of

We, the undersigned subscribers, acknowledge to have received from

the several sums set opposite
our names, in full for pay due for
services on board U. S. revenue
-; and we do hereby certify
that we have not paid, deposited, or
assigned, nor contracted to pay, de-
posit, or assign, any part of such
compensation to the use of any
other person, nor in any way, direct-
ly or indirectly, paid or given, or
contracted to pay or give, any re-
ward or compensation for our offi-
ces or employments, or the emolu-
ments thereof.

Witness to marks and signatures.

revenue

I hereby certify that the above-named officers and rated persons have been attached to and performed duty on board the United States under my command, for the periods of time and at the rates of authorized compensation respectively set opposite their names, in conformity to law and the established rules and regulations of the United States revenue service. Captain U. S. Revenue Marine.

[SIGNED IN TRIPLICATE.]

[ocr errors]

18-.

[blocks in formation]
[graphic]

No. 10, bis.

Form of indorsement for pay and receipt-roll of the United States revenue vessels.

[blocks in formation]
« 이전계속 »