be refined

thin usual

Amphing, y april

Mr. Mercer

to

The Re Strüble R. Cardwell.

22.

/ Inclosure.

Mr Cleverly's

Received

Pension

18. think to. Sir. He i

the writ pe

Fuß

22.-

415

PARTICULARS required to be furnished in reference to Persons recommended

for Retiring Allowances.

Name of Applicant Charles St. George Cleverly Surveyor General-

Official Station

Recommended for*

Age

48.

Pension.

Service in Years and Months

14 months and 4 Days.

20 Gears, 4.

Actual Salary, if 3 years have elapsed since last promotion; but if not, £), ovo.

f not, then average Salary for the last three years.

* Here state the description of allowance for which the applicant is recommended, viz., Superannuation, Compensation, or Gratuity. In the case of persons claiming under the 4th Clause of the Act of 1859, this should be stated, and reference should be made to the Warrant or Order under which the claim is made.

EX

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