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I, A.B., master of the [state the name of the ship or vessel], arriving from [state the place], do, as required by law, solemnly declare that I have, to the best of my knowledge and belief, delivered or caused to be delivered to the Post Office every mail bag, package, postal packet, or parcel of postal packets that was on board the [state the name of the ship], except such packets as are exempted by law.
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