238

(2)

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

of the Colony.

Yeo

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.

Yes

12. Whether holding any other Public Appointment, or receiving or claiming to receive any

Money by Compensation, Half-pay or otherwise.

No

Public

13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Commutation Acts, 1869 and 1871, and 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:

(3)

18. Statement, if the circumstances warrant it, that the Applicant has discharged his duties with "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.

I certify that Sandor

auty with diliguier

perform fidelity in this deporti

Mhomson

Arty. Sexperinkak

Victoria Garl

Year.

Period of Absence.

18

From

To

18

17

12

18

??

21

18

3:

18

18

Nil

18

18

18

"

19

15. Date of Cessation of Duty,

16. Date of Cessation of Salary,

17. Date from which, inclusively, Pension will commence....

19. Computation, by the Colonial Secretary, of the Pension, &c.

Number of Days.!

Cunse of Absence.

which

may

be paid to the Applicant Ninety. Chris Bolle

I certify that the ersion. according to the Rules of the Colonial Service, amounts to

Cents Thirty, stirre aly

and I base my Certificate en the following calculation :------

Servin 15 years Add

20

20/60th of $280

30+ April 1895

30th April, 1895

1th May, 1895

*93.33 (at bate of

Pas 2977

[ #100)

Wlewachhockhart

Colonial Secretary

Instructions.

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