Scripto | Transcribe Page

10,000.-20-12-1915. All Blanks in these Three Columns to be filled in by Shipper. The form of Invoice on the other side to be used. Here mark the form whether "Original." "Duplicate," or "Triplicate": [image of a pointing hand]

[Form No. 140.] CONSULAR CERTIFICATE. (Date) 1 I do hereby certify that the invoice described in the indorsement hereof was this day 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 prices given in the invoice agree with 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, excepting as noted by me upon said invoice, or respecting which I shall make special communication to the proper authorities. I further certify

that a fee of $2.50 United States gold, equal to 10s. 4d., (Local currency) has been paid by affixing stamps to the duplicate copy of this document. Witness my hand and seal of office the day and year aforesaid.

American Vice-Consul, London, England.

Directions. 1. Date. 2 Full names of Firm. 3. Port. 4. Date. 5. Name of Firm and Deponent's Signature and description.

[Form No. 139.] Declaration of Manufacturer or Owner or Duly Authorized Agent of Either Covering Goods Shipped Without Sale. I, 2 Stanley H. Fitch of Elmhurst, Romford, do solemnly and truly declare that I am the owner (Manufacturer or owner.) 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 LONDON, ENGLAND, (Name of place from which the merchandise is to be exported to the United States.) whence said merchandise is to be exported to the United States, that said invoice contains the actual market value or wholesale price of the said merchandise at the date hereof in the principal markets of ENGLAND ; (Name of country from whence exported.) that said actual market value is the price at which the merchandise described in the invoice is freely offered for sale to all purchasers in said markets, and that it is the price which I would have received, and was willing to receive, for such merchandise sold in the ordinary course of trade in the usual wholesale quantities, and that it includes all charges thereon and the actual quantity thereof, and that no different invoice of the merchandise mentioned in the said invoice has been or will be furnished to anyone.

I further declare that the case contains an old framed oil painting by Geo. Morland.

I further declare that it is intended to make entry of said merchandise at the port of 3 New York in the United States of America.

Dated at LONDON, ENGLAND, this 4 28th day of August, 1917. 5 Stanley H. Fitch Gentleman

NOT PURCHASED BY IMPORTER. Invoice No. (leave blank.) Issued in Triplicate, Quadruplicate.

Certified , 19 AMERICAN CONSULAR SERVICE AT LONDON, ENGLAND. Date Aug. 28th, 1917 Consignor Stanley H. Fitch Elmhurst Romford Consignee H. C. Frick 1 East 70th St. New York, U.S.A. Name of vessel or railroad Port of shipment, LONDON. Port of arrival Port of entry Amount of invoice [pounds] 550-0-0. Kind of goods one old oil painting by George Morland in frame

LONDON, ENGLAND 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.

Shippers will please leave this Column blank. Oct-1