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Captain [________] of His Majesty's Ship the [________] Dr. to [________] For the Hire of the [________] Schooner of [________] Tons [________] Master, with [________] Men employed between the [________] and the [________] in [________] at [________] a Day, or Month, as the case may be. This is to be signed by the Officers, and certified by the Governor, Consul, or two or three Merchants, and to contain any receipt for the payment.
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