Know all Men by these Presents, That we [space for insertion] Are held and firmly bound to [space for insertion] President of the Congress of the United Colonies of New-Hampshire, Massachusetts-Bay, Rhode-Island, Connecticut, New-York, New-Jersey, Pennsylvania, the Counties of New-Castle, Kent, and Sussex on Delaware, Maryland, Virginia, North-Carolina, South-Carolina, and Georgia, [inserted above: in the Sum of] to be paid to the said [space for insertion] or his certain Attorney, Executors, Administrators, or Assigns, in Trust for the Use of the said United States [crossed out: Colonies]: To which Payment well and truly to be done, We do bind Ourselves, our Heirs, Executors, and Administrators jointly and severally, firmly by these Presents. Sealed with our Seals, [space for insertion] dated [space for insertion] Day of [space for insertion] in the Year of our Lord [space for insertion].

The Condition of this Obligation is such, That if the Above-bounden [space for insertion] who is Commander of the [space for insertion] called [space for insertion] belonging to [space for insertion] of [space for insertion] in the State [crossed out: Colony] of [space for insertion] mounting [space for insertion] Carriage Guns, and navigated by [space for insertion] Men, who hath applied for a Commission or Letters of Marque and Reprisal, to arm, equip, and set forth to Sea, the said [space for insertion] as a private Ship of War, and to make Captures of British Vessels and Cargoes, shall not exceed or transgress the Powers and Authorities which shall be contained in the said Commission, but shall in all Things observe and conduct himself, and govern his Crew, by and according to the same, and certain Instructions therewith to be delivered, and such other Instructions as may hereafter be given to him; and shall make Reparation for all Damages sustained by any Misconduct or unwarrantable Proceedings of Himself or the Officers or Crew of the said [space for insertion] Then this Obligation shall be void, or else remain in Force.