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2,500-7-6-1902.  All Blanks in these Three Columns to be filled in by Shipper.  The form of Invoice on the other side to be used.

[FORM No. 140.]
CONSULAR CERTIFICATE

I, the undersigned, Consul of the United States, do hereby certify that, on this4 15th day of January, A.D. 1902, the invoice described in the indorsement hereof was produced to me by the signer of the annexed declaration.

I do further certify that I am satisfied that the person making the declaration hereto annexed is the person he represents himself to be, and that the actual market value or wholesale price of the merchandise described in the said invoice in the principal markets of the country at the time of exportation is correct and true, excepting as noted by me upon said invoice, or respecting which I shall make special communication to the proper authorities.

Witness my hand and seal of office the day and year aforesaid.

Received the equivalent of $2.50 in gold  10/4

R. Manning
United States Consul.

Directions.

1. Full names of Deponent
2. Address.
3. 'Purchaser' or "Seller"
4. Date.
5. Name of town.
6. Port.
7 Deponent.

[FORM No. 138].

Declaration of Purchaser or Seller

I, 1 Leopold S. Swan the undersigned, of2 90 George St. Edinburgh do solemnly and truly declare that I am3 agent for the seller of the merchandise in the within invoice mentioned and described; that the said invoice is in all respects correct and true, and was made at 5EDINBURG, whence said merchandise is to be exported to the United States; that said invoice contains a true and full statement of the time when, the place where, and the person from whom the same was purchased, and the actual cost thereof, price actually paid or to be paid therefor, and all charges thereon; that no discounts, bounties or drawbacks are contained in said invoice but such as have been actually allowed thereon; that no different invoice of the merchandise mentioned in said invoice has been or will be furnished to any one, and that the currency in which said invoice is made out is that which was actually paid or is to be paid for said merchandise.

I further declare that it is intended to make entry of said merchandise at the port of6 New York in bond to Detroit, Mich. in the United States of America.

Dated at EDINBURGH, SCOTLAND, this 15th day of January, 1903.

7Leopold S Swan

PURCHASED BY IMPORTER.

Invoice No.} 36
(leave blank)

Here mark the forms "Original," "Duplicate," & "Triplicate" respectively:
Quadruplicate

Issued in} Triplicate Quadruplicate.

Consulate of the United States,
AT
EDINBURGH, SCOTLAND.
Date 15th January, 1903
Sellers J.J. J. Cowan
Address 38 West Register St.
Purchaser Charles L. Freer
33 Ferry Avenue, Detroit, Michigan
Name of vessel "Teutonic"
Port of Shipment Liverpool
Port of arrival New York
Port of entry [[Strikethrough]] New York [[/Strikethrough]] in bond for Detroit Mich.
Value £ 1002 - 0 - 4
Contents One framed oil painting & one japanese colour print.

CUSTOM-HOUSE INDORSEMENT.*

No.
Importer
Vessel
From
Arrived

Kind of Entry:

Marks, Quantity, and Contents:

*Consular officers will leave all of above indorsement blank.  It is to be filled in only at the custom-house at the port of entry.

Transcription Notes:
Number next to word refers to directions.