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10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment of the Colony.

11. Whether the duties of the several offices or situations held since the Applicant entered the Civil Service have been such as to require that the holder should give his whole time to the Public Service.

12. Whether holding any other Public Appointment, or receiving or claiming to receive any Public Money by Compensation, Half-Pay or otherwise.

13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Commutation Acts, 1869 and 1871, the annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.

14. Absence, beyond ordinary Vacation leave, in each of the last 10 years :—

Year From To Number of Days Cause of Absence 18 18 18 18 18 18 33 $1 18 39 Mone. 18 18 18

15. Date of Cessation of Duty....

16. Date of Cessation of Salary,

17. Date from which, inclusively, Pension will commence,... 28th February 1895.

"diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department," to be signed by any two of such Head Officers, if there shall be more than one, or by such Head Officer, if there shall be but one, together with "such a statement as will exhibit the merit, and value, and labour of the services of the Person recommended, embracing as long a period of his public service as can be authentically stated," and observations as to Special Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration.

Mr. Gutierrez has to the best of his ability during the past five years discharged the duties of his office with diligence and fidelity. His advanced age has not rendered it possible for him to render meritorious service. There are no services of special value, suspension, reprimand, or injuries received on duty on record in this department.

19. Computation, by the Auditor General, of the Pension, &c.

I certify that the annual pension which may be paid to the Applicant according to the Rules of the Colonial Service, amounts to eight hundred and fifty-one Dollars and twenty cents.

Director of Public Works.

and I base my Certificate on the following calculation :-

Mr. Gutierrez entered the service on the 7th April 1864 as Assistant Clerk in the Surveyor General's Dept. and has been promoted to 3rd and 2nd Clerk. When the Land Office was transferred to the Supreme Court, the 1st Clerk of the Survey Dept. was also transferred and appointed Deputy and Officer, and Mr. Gutierrez was styled 1st Clerk (24th April 1884) and a personal allowance granted. His service amounts to over 30 years and 1 month. The periods of absence have never obscured his service, therefore no deduction is made on his pension. He is thus entitled to a pension of $812.40, being 60/80ths of his emoluments of $2,208. But if, as seems under the circumstances reasonable, he be considered to have completed 29 years' service, his pension will amount to $1,251.00.

14th January 1893

Statement of Instructions.

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