Form of proxy to vote for directors of the bank of the United States as required by act of congress.

in the state of

KNOW ALL MEN by these presents, that I, A. B. of a citizen of the United States, actually resident therein, the owner of [here insert the number] shares in the capital stock of the bank of the United States, and the owner of no other shares in the capital stock of said bank, do hereby constitute and appoint C. D. of in the state of my attorney and agent for me and in my name, as the owner of said specified shares in the capital stock of said bank to vote as my proxy at any election of directors of said bank of the United States, and of any question that may be put at a stated or special meeting of the stockholders of said bank, according to the number of votes I should be entitled to vote, if then personally present.

IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of in the year of our Lord one thousand eight hundred and

SEALED and DELIVERED

in the presence of us

I, A. B. of- in the state of ——, a citizen of the United States, actually resident therein, do solemnly [swear or affirm] that I am [or that the partnership consisting of myself and are, or that the corporation known by the name of is, as the case may be] truly and in good faith the owner of the shares in the capital stock of the bank of the United States, specified in the within power of attorney, and no other shares; that no other person has any interest in the said shares directly or indirectly, except as stated in the said power; and that other power has been given to any person, which is now in force, to vote for me [or for the partnership aforesaid, or for the body politic aforesaid, as the ease may be] at any election of directors of the said bank.

no

BE IT KNOWN, that on this day of in the year of our Lord one thousand eight hundred and before me the subscriber a notary public for the commonwealth of Pennsylvania, residing in the city of Philadelphia, personally appeared the aforesaid [deponent or affirmant] and in due form of law made [oath or affirmation] that the foregoing affidavit by him subscribed

is true.

IN TESTIMONY WHEREOF I have hereunto set my hand and seal, the day and year last above written.

A mortgage of personal property.

KNOW ALL MEN by these presents, that I, C. D. of &c. for and in consideration of the sum of $- lawful money of the United States, to me in hand well and truly paid by L, M. of &c., the receipt whereof I do hereby acknowledge, HAVE granted, bargained and sold, and by these presents DO grant, bargain and sell unto the said L. M. all the goods and chattels mentioned in the schedule hereunder written: TO HAVE and TO HOLD all and singular the said goods and chattels unto the said L. M. his executors, administrators and assigns for ever. And I the said C. D. for myself, &c. do covenant with the said L. M. &c. that I have full right to sell and convey the said goods and chattels to the said L. M. and that I will warrant and defend the same and every part thereof against the legal claims of all persons whomsoever, Provied nevertheless, that if I the said C. D. my executors, administaors or assigns, or any of them do and shall, well and truly pay, or cause to be paid unto the said L. M. the full sum of $- of lawful money of the United States with lawful interest for the same, on or before the day of then these presents shall be null and void, otherwise to remain in full force, virtue and effect. IN WITNESS, &c.

Letter of revocation.

TO ALL TO WHOM THESE PRESENTS SHALL COME, The company of

GREETING:

SEND

on the

WHEREAS the said The company of day of in the year of our Lord one thousand eight hundred and twenty —, did by letter of attorney of that date duly executed, authorise and empower A. B. of the city of Philadelphia, merchant, to be their true and lawful ATTORTNEY, to ask, demand, sue for, take possession of, recover and receive of and from all and every person and persons whatsoever, as well all such sum and sums of money as migh be due, owing, payable or belonging to the said the company of within the kingdom of

or the territories, dominions, and colonies thereof, for or on account of any ships, vessels, freights or merchandises which had been captured, recaptured or taken into, or seized or detained in any of the ports, places, dominions or colonies of by vessels of or those of

or of any dominion, state or power, and to enter and prosecute all claims and appeals for the same, and on behalf of the said The company of and in their

name to appear before all or any tribunals, councils, judges, or justices, there to do, say, prosecute, claim and appeal as occasion might require, and to compound, compromise and agree for or concerning the same, and in such way or manner as he their said attorney should think fit, and on receipt thereof, or any part thereof in the name of the said The company of- and as their act to make, seal and deliver, good and sufficient acquittances and discharges, and generally to do all such other act, matter and thing as might be needful for effecting the premises with power of substitution and revocation: AND WHEREAS for divers good causes and considerations them thereunto moving, the said The company of have seen fit to revoke the said letter of attorney and authority. NOW KNOW YE that we the said The company of for the said causes and considerations do by these presents revoke the said letter of attorney and all power thereby given unto the said A. B.

IN WITNESS WHEREOF we the said The company of, have caused our corporate seal to be hereunto affixed at Philadelphia this

day of

year of our Lord one thousand eight hunhred and

in the

SEALED and DELIVERED

in presence

of us.

L. S.

-on the -day of

also last past, where he was wind bound until the day of the said month of, when he again set sail and arrived at her moorings off

Thames, this

day of

damage enters his protest accordingly.

in the river

18, but fearing

BY THIS PUBLIC INSTRUMENT OF PROTEST, &c. That on &c. before me I. M. notary public, &c. personally came and appeared A. B. master of the ship or vessel called the of the burthen of

tons or thereabouts, belonging to the port of

and

C. D. first mate of the said ship; who severally declared that the said ship or vessel being laden with

the

in

day of

on

last past, they the said

and

appearers set sail on board the said ship from bound directly to this port of that the said ship, in the prosecution of her said voyage, on the day of the said month of

was

overtaken by a violent storm and gale of wind, &c. (as the case may be) in which she shipped very great seas, the water making free passage over the said ship; and that on the day of the said month, the said storm continuing, the sea broke away one of the dead lights, which

was lost, and the said ship was obliged to go before the wind until another deadlight was fixed; after which the said ship proceeded to this port of

the Land's End on the

the wind being

day of

and

made the best of her way for

and moored at

instant, at

on the o'clock in

and made instant,

and afterwards where she arrived

day of And the said appearers did further severally declare that the said ship, at the time of her departure from aforesaid, upon the said intended voyage, was tight, staunch and strong, and had her hatches well and sufficiently caulked and covered, and was well and sufficiently manned, provided and furnished with all things needful and necessary for the said voyage; and that during the said voyage the said appearers and ship's company used their utmost endeavours to preserve the said ship and the goods of her loading from damage AND therefore the said A. B. did declare to protest, as by these presents he doth solemnly protest, against all and every person or persons whom it shall or may concern; and do declare, That all damages, losses and detriments that have happened to the said ship and the goods of her loading are and ought to be borne by the merchants and freighters interested, or whomsoever else it shall or may concern (by way of average or otherwise) the same having occurred as before mentioned, and not by or through the insufficiency of the said ship, or neglect of the said appearer, his officers, or any of his mariners. Of all which act, &c..

Protest of a ship being destroyed by fire.

-day of

vessel called the

in

of the burthen of

BE IT KNOWN and made manifest, to all to whom these presents shall come, seen, read or heard, That on this A. B. master of the ship or of and belonging to the port of tons or thereabouts, lately lying at a certain bay or harbour called ; C. D. the first mate, and E. F. the second mate of the said ship, severally came and personally appeared before me I. M. public notary of the said ; and did then and there of their own free will and voluntary accord, before me the said public notary, severally and respectively, and each of them for himself only, allege, affirm, declare, protest and say in manner following, that is to say: AND first, the said appearants do and each of them doth allege, affirm, declare, protest and say, that on the -day of they the said appearants, in the said ship or vessel called the

which was then staunch,