Daily evening star. [volume] (Washington [D.C.]) 1852-1854, 1854-03-14
10 be signed by au.hehticating officer !
Form ofreceipt If claimant.


Form efreceipt Of claimant
Received this day Of -, Is ,of-
-, navy agent at Washington, D. G., the sum
vices rendered By he on board the United States
ship -, in the Pacific, ON the coast of Mexico
and Calf 'rnia, in the years -, for which
wees extra pay is granted by the act of Congress en-
ttlet An act making appropriations for the naval
service for the year ending June 80, lS5 -
ITO be signed in duplicate by claimant.
Form Of acknowledgment of -.cets.
e esa 81, 90 - as{ a S. lad. 49, ,.tor.
me. in and for the county and
State aforesaid, personally appeared --,
who signed the foregoing receipt. in duplicate, in
my presence and l certify that he is the same
= who claims to have served Cd board the
United States ship -, in the Pacific, the
coast Of Mexico and California, in the years -.
To be signed by authentcating efficer.]
Duplicate receipts in the foregoing form are re
qured for each vessel, and for each act, when pay
msnt Is claimed under more than one, to be signed
by the claimant, or his attorney in his name. When
he to be paid through third party, in lieu of his
receipts, he must execute, substantially in the fol-
lowing form, power of attorney, in which, if there
be q valuable consideration named, it must not b.
recited at the commencement, as is often done, or
over the top, but prescribed in the body Of the
C0wer
Form for poWer of .4ttorney.
Know all men by these presents that i, -,
being entitled to extra pay, under the act of Con-
sTess entitled San act making appropriations for the
naval service for the year ending June 80, 1855 -
approved --, ls5 amounting to - dollars
and - cents, a. from - Is =, to
Is -, on board the United States ship -.
which served in the Pacific ocean, on the coast of
California and Mexico, since May IL, 1885, for and
in consideration of the sum of - dollars to me
in hand paid, do hereby appoint - my attorney,
for me, and in my naue, to demand and receive
from the navy agent at Washington, d. c., other
m Al. Ck.t~
extra pay herein before recited aud to receipt there
for, hereby confirming all that my said attorney
may lawfully do in the premises, as fully as if done
by myself.
Signed and sealed in our presence, this - day
Of 1856
Two Witnesses
s' CUNT, O. IS,
On this day of--,A.D D. 1856 before me,
an officer having authority to take acknowledgment
Of deeds, personally appeared -, to whom read
and fully explained the foregoing power OF attor-
ney, and who signed and acknowledged the same in
my presence to be his free act and deed; and fur
ther certify that at the time OF taking such aeknow.
edgment the power or warrant of attorney aforesaid
contained neither blank, an interlineaion, nor an
alteration. Tor if it did, describe the same according
to the facts,l and that have annexed hereto spe.
cifying the papers he may affiix.
Justice of the peace, or other maeistrate.I
A certificate OF identity from commissioned or
warrant officer Of the navy viii be REQUIRED In ALL
eases where the discharge Is lost misaid. in the
following form: G
certify that the signature to the within, re.
going. annexed receipt in duplicate, power of
attorney, as the case may be. ia witnessed ty me;
that it was signed In my presence by, who
is well known to ms the Identical Fersnp who
served By that name on board the Unit. d States
.sbip -, in the Pacific, as -, in thu year
-, aud who is named in the Discharges herewith
40 nexed. Ii the discharge be not produced, the
officer win vary the certificate as 10 suit other
acfs within his knowledge In reference to his dis
charge of service. sz-.q --.- ISL Z. =
ITO be dated and signed BY the officer, subjoining
his rank. 49,. - 'c2 Is