,

Victoria Gaol.

Conelos. 2.

27th Nov!

1895.

I enclose the usual_____Conelos. !_ paper of particulars together with a medical certificate to Cuales 2 the effect that this officer is unfit for further duty.

Mr Hodge will draw his pension through the Crown Agents at 4/22 to the dollar.

I have the honour to be,

Sir Your Most Obedient

Humble Servant, William Robings

(A. 132.)

Enclosure 1.

C. O.

1453

COLONIAL PENSIONS, &C. RECT 73

RE 20.96

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

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

1. Name of Applicant....I ames stodge.

2. Office or Situation read Juriskey, Lictoria Gave

3. Recommended for an annual pension of 8 472.30.

years

4. Age

62

5. Service in Years and Mouths 6 years and 4 Mouchs 6. Annual Salary or Wages (average)

7. Emoluments.

Quarters (16 of sulary!

$1156.66

8 192.77

Total amount of Salory or Wages and Emoluments on whic}$/349.43

8. Cause of Retirement.

Superannuation, &e, is claimed,

I'll huch

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-

mout.

Date of Termination.

Nature

Annual Salary.

*

Allowances, &c.

of Allowances, &c.

2th Class Turnkey 1.8.79 2.7.80 480..

4

حمول من

Quarters

3.7.80 20.6.82 540..

1.7.82 30.11.84 600..

+

2*3

4

1-12.84 12.8.857 720.. 13.8.87

31.12.68 720

7

4

7

1.1.89 31.12.90 960..

1.1.91 31.12-4, 900..

92 31.12.98 10 8 0.

1.1.94 30.11.98 1200..

7

4

4

[C. O. D. No. 3)

$0.-21.3.95.

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