Failed to appear on the receiving-ship-enlistment not perfected.

Rejected at receiving-ship.

(In alphabetical orde-sur- Rating. names to the left.)

Date of rejection.

Date of enlistment.

Where born.

Age.

UNITED STATES RENDEZVOUS,

187-.

I certify that I have carefully examined the Recruits agreeably to the Regulations of the Navy, and find that, in my opinion, they are free from all bodily
defects and mental infirmity which would in any way disqualify them from performing the duties for which they are intended.

Examining-Surgeon.

I certify that this return shows the names of all persons who have enlisted at this rendezvous for the week ending at the date hereof; also the names
of such as have failed to appear at the receiving-ship to perfect their enlistment, or who have been rejected at the receiving-ship; that I did inspect the
Recruits previouslyto enlistment, and that they were not intoxicated when enlisted; that, to the best of my judgment and belief, they were of lawful age,
or, being minors, had lawful consent; and that in accepting them I have strictly observed the Regulations which govern the Recruiting-Service.
Recruiting Officer.

Forwarded by-

Commandant.

FORM

RETURN OF THE RECEIVING

As this sheet will become the Reference Record of the Navy Department, great care must be taken na ues must be alphabetically arranged, surnames to the left, and they must exactly correspond with correctly stated.

Return of Recruits on board the United States receiving-ship

Whole number of Recruits on board at this date.

Number unfit for duty...

Exact number of each grade available for general service at this date, and ready for immediate transfer. Exact number of each grade available for Coast Survey, or duty other than "General Service".

Names.

DEATHS.

Date of death. What disease or accident. Where deceased. Latest service, &c.

Names.

Date of arrest. Date of surrender. By whom arrested. Whence deserted.

I certify that this return shows all the changes of Recruits that have occurred on board this receiving. week ending at

Forwarded by

Commandant.

To the CHIEF OF THE BUREAU OF EQUIPMENT AND RECRUITING.

that the information called for under the several headings is correctly given and plainly written. The those given at the rendezvous. Dates of enlistment must, in each and every case, be distinctly and

ship, whether by deaths, desertions, discharges, apprehensions, surrenders, or transfers, during the the date hereof.

-, Paymaster. Commanding Officer.