730
!
(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixel Establishment
of the Colony.
Eses.
11. Whether the duties of the several offices or situations held since the Applicant catered 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 Public
Money by Compensation, Half-pay or otherwise.
No.
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.
No.
14. Absence, beyond ordinary Vacation leave:-
(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,"
66
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.
al
certify
that Eman Been has discharged
his duties with diligen.
ce and
fidelity during
his period of service in the Gaol.
Acomson
Acting Superintendent
Year.
Number of Days.
Cause of Absence.
19. Computation, by the Colonial Secretary, of the Pension, &c.
|
Period of Absence.
14 Aug. 30th Sept 2 mos.
I
1889
From /
18
18
3་
18
ד
18
"
you
18
18
፡፡
+
18
"
18
23
18
25
77
15. Date of Cessation of Duty,
30th
4 November, 1895
16. Date of Cessation of Salary,
30th November, 1895.
17. Date from which, inclusively, Pension will commence,... 1th December, 1895.
I certify that the pension
which may be paid to the Applicant
Three hundred and
according to the Rules of the Colonial Service, amounts to nineteen dollars and cents three. and I base my Certificate on the following calculation :-
Length of Service
of Service 17 years 6 months Ada
22
Pension = 22
-
60
6
of $870.10
7319.03
at 22780 = $100 = 724.3
Mewartbochtent Colonial Secretary.
Instructions.