C

I hereby Certify,

1st, That the above leave was granted to commence on the

of April, 1800,

of

April, 1861.

Fifteenth Day

and end on the 14

A

on the ground of ill

Day

health, and that the Medical Certificate -

evas

。 produced, of which a

Copy is annexed.

2d, That The Honble Freak Henry Alex? Forth, Esque,

has served the Crown for

Three

years, one month,

and & 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 1859.

One month

4th, That provision has been made for the duc execution of the Humble Freak Henry Alexander Borth, Esquire's Office during his absence by

the appointment of J. C. Power, Empe, Chief Clerk in the Surveyor Generaló Establishment.

Governor,

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.

Copy.)

Luce Copy.

The

Victoria, Honghong

228

29th Febulary 1860..

several certificates which the Honorable Mr Forth has received from

his

former Medical attendants testify to

Diarrhoea, te the repeated

of

cated attaches

which he has suffered in this Colony

from wh

Since

my

arrival last April Shave

been in almost constant attendance

ви

hine

for

the same complaint

accompanied Liver.

During my

by congestion of

the

temporary

absence in

July he was attended by

attack

are

such

OL

of fever,

weak state.

his immediate

پسر

Dr Kane for

which left him in

that Irecommended.

proceeding

to Japan to

I me

recruit ; advice which he informed

Mo

hesitation in

could not follow :-

I have - he ought

he

I

saying that

V

not to remain in the colony another

recommen

dation

may

entail

Summer without a previous returse to Europe - Neglect of this fatal consequences (Signed) J. J. Murray M.D. Colonial Surgeon.

1

Je cretary

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