(2)
(3)
281
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishments. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
of the Colony.
Yps_
11. Whether the duties of the several offices or situations held since the Applicant entered the Civili Service have been such as to require that the holder should give his whole time to the Publie Service.
Yes.
12. Whether bolding any other Public Appointment, or receiving or claiming to receive any Publies
Money by Compensation, Half-Pay or otherwise.
13. If any kind of l'ension or other Allowance has been commuted under the Imperial Pensions Com- mutation Acts, 1869 and 1871, the annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.
No.
14. Absence, beyond ordinary Vacation leave, in each of the last 10 years:-
Year.
Period of Absence.
Number of Days
Cause of Absence.
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 shall 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," and observations as to Special Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration.
Int. In: Clellan during the period for which he clains a Pension discharged his duties with
diligence
services
fidelity to
my satisfaction.
of the naval ora
Dein
ordinary nature. If thousate the Barboun
19. Computation, by the Auditor General, of the Pension, &ex
aus Brasher pre:
1875.
1876
1877,
From
To
» 11th March »
1878
1879
32
18 0
77
37
189
18 .
1883
184,
-est Libys
352
10% August. of Aug: } 366.
15. Date of Cessation of Duty,
16. Date of Cessation of Salary.....
17. Date from which, inclusively, Pension will cominence,.........
9th August 18
"Not August,
I certify that the
pension
according to the Rules of the Colonial Service, amounts to
which may be paid to the Applicant
Four hundred and
tin Dollars and sixty six ecuts, for
and I base my Certificate on the following calculation:-
aunum,
W= Milfillani second firm of Service commenced. from 12 October, 1866, it therefile extends over a perior of seventive years dud tin mouths to the 92 Auguls, 1884. His Salary is
Salary is $960 per free quarters, which is computed,
with the Instructions on
A
$960 per annum with computed, in accordanc=! page 4, head 7, $160 per annum, a one beipch
of the salary. His pace the last three year
has not been increaked or puvials during
is thus entitled to an
Annual Juvia.
of $410 being 4 of his emoluments -
18
Jot auge 18
18844-
Mumsh
Auditor General.
Instructions.