I hereby Certify,

1st, That the above leave was granted to commence on the Fifteenth Day of April, 1860, and end on the ... Day of April, 1867, on the ground of ill health, and that the Medical Certificate produced, of which a copy is annexed.

2d, That The South Fredt. Henry Alexander Forth, Leof, years, one month, has served the Crown for Three years and 8 days in this Colony.

3d, That in the course of that Service he has been absent on leave on several occasions, at the dates and for the terms specified below, viz:

In the year 1869. One month.

4th, That provision has been made for the due execution of The North Best Henry Alex. Forth, Lage, Office during his absence by the appointment of J. C. Power, Lage, Chief clerk in the Surveyor General's Establishment.

Governor.

Copy)

Victoria, Hongkong, 29th February, 1800

Mr Forth has received ... certificates which the Honorable ... from his former Medical Attendants testify to the repeated attacks of Diarrhea from which he has suffered in this Colony.

Since my arrival last April I have been in almost constant attendance on him for the same complaint accompanied by congestion of the liver.

During my temporary absence in July an attack of fever ... was attended by Dr Kane for which left him in such a weak state, that I recommended his immediate proceeding to Japan to recruit, advice which he did not follow.

I have ... no hesitation in saying that he ought not to remain in the Colony another Summer without a previous return to Europe. Neglect of this recommendation may entail fatal Consequences.

(Signed) S. I. Murray, M. D. Colonial Surgeon

(True Copy)

NOTE.—Officers who may be under the necessity of applying to the Secretary of State for an extension of their leave of absence, are requested to annex this document to their applications; and in order to meet this contingency, it will be furnished to them in duplicate.

Colonial Secretary

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