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Cause of Retirement, (with annexed Medical Certificate, if from infirmity of mind or body, and under 60.)

Bad health

Dates of Commencement and Termination of the several Appointments held by Applicant, with their Emoluments, distinguishing Salary from other Allowances, and specifying such Allowances.

and once as 4th Clerk in Colonial Secretary's office from October 1845 to July 1855 on £216 per annum. I within this period he acted at different times as clerk in the Registrar General's office (Joint Collector of Police Rates), Assistant Superintendent of Police and General Interpreter from August 1855 to June 1857 on £300, Acting Superintendent of Police from July to December, 1857.

Collector of Police and Lighting Rates from 1st January 1858 to 30th September 1863. was abolished: - Salary £350.

G which date this office

Whether holding any other Public Appointment, or receiving or claiming to receive any Money by Compensation, Half Pay or otherwise.

Public

Statement in terms of sec. viii of the Superannuation Act, of 1859, that the Applicant "has discharged his duties with diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department," to be signed by any two of such Head Officers, if there shall be more than one, or by such Head Officer, if there should be but one, together with "such a statement as will exhibit the merit, and value, and labour of the services of the Person recommended, embracing as long a period of his public service as can be authentically stated," together with observations as to Special Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration.

Mr. Grand Pri has, I believe, always discharged his duties with diligence and with fidelity as much as could perhaps be expected from a person afflicted with disease of the heart.

Stoughing, 26th April, 1864.

Kent. W. Hobbison

LAY.

Absences during each of the last 10 years

YEAR NUMBER OF DAYS. Illness Other cause 18.. Date of Cessation of Duty 18 30th September 1863. Date of Cessation of Salary 18 30th September 1863. 18.. 18.. 18.. 18.. 18.. 1

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