1
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Enclosure 2
C. 617
9
COLONIAL PENSIONS, &c. 5912
RECY
PEGE 7 A HE
PARTICULARS required to be furnished in reference to Persons recommended for Superannuation,
Compensation or Compassionate Allowances, or Gratuities on retirement.
1. Name of Applicant.
(In filling up this Paper refer to the Instructions on page 4.)
Jos: J
J. Chapman
2. Offere or Situation at Turnkey in Victoria fare.
3. Recommended for,
a pension
of $ 2 £2
4. Ago.
5. Service in Years and Months Mens
6. Annual Salary or Wages
7. Emoluments
Quarless
and su
Achiat
Total amount of Salary or Wages and Emoluments on which
Superannuation, &c., is claimed,..
8. Cause of Retirement.
Mwalided
120
$840.
9. Dates of Commencement and Termination of the several Appointments held by Applicant, with their
Emoluments, distinguishing Salary from other Allowances and specifying such Allowances.
Title of Appointment.
Date of Commence- went.
Date of Termination.
Salary.
Allowances, &c.
Nature of Allowances,
&e.
Celoria Gav E.
1874
urkey, 2nd Class 8 Jany
8
432
Free quarter
July
ん 80
J
1979
Head Turkey 6 June
199
V July
1857
Deer/3 Ayt
ه که
boo
720
20
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