These are to certify the Principal Officers and Commissioners of His Majesty's Navy that the persons above mentioned were actually employed in fitting His Majesty's Ship [________] the number of days expressed against their Names, and that they were paid the sums against their names expressed in our presence by Mr. [________] Clerk of the Cheque (or Naval Offier) of His Majesty's Yard at [________] amounting in the whole to the sum of [________].

Given under our hands on board His Majesty's Ship [________] [________] at [________] this [________].

Approved

Captain [________]

Master [________]

Purser [________]

Boatswain [________]

Last Updated on 13/12/2009
By Paul

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