COLONIAL PENSIONS, &c.
2265
Rec Ded 7 396
PARTICULARS required to be furnished in reference to Persons recommended for Superan- muation, Compensation or Compassionate Allowances, or Gratuities on retirement.
1. Name of Applicant.
2. Office or Situation
3. Recommended for
4. Age
(In filling up this Paper refer to the Instructions on page 4)
George Thomas Michael River (Monial Secretary Storykong. Pension
of £
Fifty years on 5th. hod. 1094.
5. Service in Years and Months 28
6. Salary or Wages (
8 years, one months, £27 dags.
$9720.
7. Emoluments Mil, exclusion of salary
Total amount of Salary or Wages and Emoluments, on
which Superannuation, &c., is claimed
8. Cause of Retirement
Stealth.
) 5
t
508
Nr 1800 in Ceylon, i $9720 and trusting.
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
Ahoaiko
01000 11179 H & S 8441)
Date of Commence- ment
Date of Termination
Salary
Allowances, Nature of Allowances,
kc.
Ste.