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Date of honorable discharge under which re-enlisted..

Name of vessel from which such honorable discharge was received

Rating held, as expressed on such honorable discharge

Rating under present enlistment

Wages per month under present enlistment

Wages advanced

Bounty paid..

Name of surety, (if any)..

NOTE.-If sent from a rendezvous, it is to be signed by the Commanding Officer; but if sent from a

, receiving or other vessel, it is to be signed by the Paymaster and the Commanding Officer.

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NOTE.-If sent from a rendezvous, it is to be signed by the Commanding Officer; but if sent from a receiving or other vessel, it is to be signed by the Executive and the Commanding Officer.

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FORM No. 13.

Report of boys (enlisted to serve until 21 years of age) belonging to the U. S. S. the termination of the cruise,

187-.

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-, upon

Date of enlistment.

Date of expiration
of service.

State whether de-
serving of special
commendation.

Particular qualifi-
cations of those
deserving special
commendation.

Remarks.

FORM No. 14.
Report of the progress, standing, aptitude, conduct, &c., of the boys on board of the U. S. S.

SCALE OF MERIT-0, Bad; 1, Indifferent; 2, Fair; 3, Good; 4, Very good; 5, Excellent.

-, for the quarter ending

187

The marks between 1 and 4 may admit of expansion, expressed

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Commanding.

Approved, and forwarded to the Bureau of Equipment and Recruiting.

Punishments inflicted.

Remarks.

U. S. S.

187-.

Examining Board

FORM No. 15.

Report of men belonging to the U. S. S.

, enlisted for three years, who are about to be

discharged, and desire to receive continuous-service certificates.

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FORM No. 16.

List and description of men honorably discharged from the U. S. S.

187-.

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Feet. In.

Ship's

No.

No. of

C. S. certif.

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