Enclosure.
COLONIAL PENSIONS.
36
pension of Seventy three dollars and
thirty three cento per
Pau No, care
locker
Mortuary.
2.
13.33
4026
C. O
3474
PARTICULARS required to be furnished in reference to Persons recommended for Superannuation,
Compensation or Compassionate Allowances, or Gratuities on retirement,
THEG 18 FEB 39,
to
)
C
(In filling up this Puper refer to the Instructions on page 4.)
1. Name of Applicant Pau No
of the Government
Jenclose the usual,
paper of Particulars.
I have the honour to be,
•My Lord,
Your fordship's Mort Obedient,
Humble Servant,
Geld a vous
Enclosu
Mestuary
2. Office or Situation
Caretaker at Public M
3. Recommended for an annual pension
d. Age 47 years
5. Service in Years and Months 5
6. Annual Salary or Wages average:
7. Emoluments
years....
of $73.33
Total amount of Salary or Wages and Emoluments on which
Superannuation, &c., is claimed,.
220
$ fil
8. Cause of Retirement.
ill health
$220
9. Dares 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.
Civil Hospital
Coolie Anice
Head Nurse.
Mortuary
Waretaker
Date of Commence-
ment.
Date of Termination.
Salary.
Allowances, &c.
Nature of Allowances, &c.
1843
10th Leptember
spajay
1st January
0 1883
96 96
nit
4
24th July
120
1886
September
240
4