GRATUITIES.

PARTICULARS required to be furnished in reference to Persons recommended for Gratuities on retirement.

1. Name of Applicant Fong tha

2. Office or Situation Watchman at Mountain Lodge

3. Recommended for a Gratuity of $200

4. Age Over 55 Years

5. Service in Years and Months 20 Years and 5 Manth's

6. Annual Salary or Wages.

7. Emoluments.

8-120

Ait

8.120

443

Total amount of Salary or Wages and Emoluments.

8. Cause of Retirement & Advanced age and ill health

it

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- micut.

Date

of

Salary.

Allowances, &e.

Termination,

Nature' of Allowances, &c.

Watchman al Mount? Lodge 1 Actiber 16 May off to prmarth Nil

1860

889

Al

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