| These are to certify the Principal Officers and Commissioners of His Majesty's Navy that the Artificers above-mentioned were actually employed on board His Majesty's Ship [Name of Ship] the number of days expressed against their names, and that they were paid the sums against the names expressed in our presence by Mr. [Name] Clerk of the Cheque or Navy Officer of His Majesty's Yard at [place] amounting in the whole to the sum of �. s. d. |