HONGKONG.

18

CERTIFICATE of Leave of Absence for.

Mr.

granted to

4842) Enclosure 4.

COLONIAL PENSIONS, &c.

C. O.

248

4600

RECP

MAR 32

an a

PARTICULARS required to be furnished in reference to Persons recommended for Compensation or Compassionate Allowances, or Gratuities on retirement.

1. Name of Applicant

(In filling up this Paper refer to the Instructions on page 4.)

George Rogera.

2. Office or Situation Aliward Storcheeper of livb stoppital

and Steward & Clerk of Lake Hospitals.

3. Recommended forn Annual pena.

of $ 400.

4. Age.

5. Service in Years and Months.

12

years

and I emon the

$

1140

120

7. Emoluments

6. Annual Salary or Wages $900 + # 180= Actual

Free quarters valued at Allowance for Collecting bills.

Total amount of Salary or Wages and Emoluments on which

Superannuation, &c., is claimed,...

8. Cause of Retirement

Ill health-

240

1,500.

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-

ment.

Date of Termination.

Anual Salary.

Nature

Allowances, &c.

of Allowances,

&e.

$

480

Free quarters

Police Constable 18.10.79 31.8.83

Steward & Stone repair 1.9.83 31.8.87

of Civil Hospital.

720

1.9.821 31. 8.837 1.9.83

870

900

also. Steward relatin

18.1.92

of Lock Strapital.

1.11.86

180

For collecting

Hospital bills

1.10.90; 18.1.92

240

LLL L

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