#
8
Under 15
No. of Licence. Name of Junk
Owner
Residence of Owner Name of Master Residence of Master Agent in Hongkong
Crew Males
Cannons
(Sheet 1.)
Over 15......
Length Breadth Capacity
piculs.
of
Over 15.........
Females
Under 15......
Armament.
No.
Muskets
No.
Shot
lbs.
Bullets
the.
Rifles
No.
Revolvers
No.
Cartridges for
No.
Cartridges for
No.
Gunpowder
Jbs.
Percussion caps
Boxes.
Gingalls
No.
Blunderbusse8 No.
Swords
No.
Pikes
No.
Spears
No.
Date of Issue
Shields
19
No.
For attachment of
Receipt for Licence Fees.
Harbour Master,
(Sheet 2.)
Number Branded on..... Number painted on bows & stern.. Number repainted
...date
16
19 19 19
Alterations in Armament.
(Date and authority to be inserted on each occasion.)
(Sheet 3.)
Chinese Imperial Maritime Customs papers held.
Puss Book No.
Issued at........
Renewed at....
........date
19
19
17
(Sheet 4.)
Arus Certificate No.
Issued at....
.date
Renewed at..
19 19
#1
Amended at
10
*?
(Sheet 5.)
Changes of master, or owner, and other leading events in
history of junk.
(Sheet 6.)
Name of Station From
Date arrd.
10
Cargo
To
19
Cargo
Fee paid $
Date dep.
Signature.
219
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