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RELEASE (late M).

or of Death.
of leaving this Ship,

Date, Place, and Cause

Date. Place. Cause (t)

Wages Paid

Balance of

on

Discharge.

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George William Duncan
Joseph Kay, John William Mansfield,

We, the undersigned Members of
the Crew of this Ship, do hereby
release this Ship, and the Master
and Owner or Owners thereof, from
all Claims for Wages, or otherwise
in respect of this Voyage, and I, the
Master, do hereby release the said
undersigned Members of the Crew
from all Claims in respect of the
said Voyage.

Signatures of Crew (each to be on the
Line on which he signed in Col. 1).
Signatures or Initials of Official
before whom the Balance of Wages
was paid, Release signed, and Date.
Reference No.

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