اپ اسے پالے میں عمرہ
Enclosure S.& S. Deep: N.265-
44. Nov. 1891.
COLONIAL PENSIONS, &c.
0.0.
11961
PARTICULARS required to be furnished in reference to Persons recommended for Superannuation,
Compensation or Compassionate Allowances, or Gratuities on retirement 44 JUN 32
1. Name of Applicant.
(In filling up this Paper refer to the Instructions on page 4.)
Maria Simmons
2. Office or Situation -Fersall Keeper, fumatic Asylum
3. Recommended for...
4. Age.
an annual persion of $ 157.
کوک
91
15. Service in Years and Months.
6. Annual Salary or Wages.
years.
17 year
actual
Rations
$360 120 Lo
80
7. Emoluments Light #poel Free Quarters.
Total amount of Salary or Wages and Emoluments on which
Superannuation, &c., is claimed,......
8. Cause of Retirement
Debilitated health-
560
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 Commenco-
ment.
Date of Termination.
Nature
Salary.
Allowances,
&c.
of Allowances,
&c.
Lunatic Asylum
1875
1892
prit
Female Keeper jetfanget $360
Rations and
free quarters
* 3
22
of
की
$157 per
60