(2)
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establish
of the Colony..
Yes
II. Whether the duties of the several offices or situations held since the Applicant entered the
Service have been such as to require that the holder should give his whole time to the Service.
yes
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Pa
Money by Compensation, Half-pay or otherwise.
to
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions ( mutation Acts, 1869 and 1871, and annual anount of Pension or Allowance so commuted: the date of Commutation should be inserted.
C-
10.
14. Absonce, beyond ordinary Vacation leave, in each of the last 10,
Year.
years:
Period of Absence.
Number of Days.
Cause of Absence,
1889
Fron
14. august 50
it to 30th Septunter 2 Noor.
18
18
18
18
2:
IS
18
(3)
331 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 Oficer, 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
bran Deen
certify that boud has discharged his duties with a
diligence and fidelity during period of service in
Computation, by the Colonial Treasurer, of the Pension, &c.
the
his
acting Supt.
I certify that the pension.
which may be paid to the Applicant according to the Rules of the Colonial Service, amounts to Three hundred and thirty three dollows, and Cents. and I base my Certificate on the following calculation :—-
x by sex.
Length of service. 17 years of mouths
Ada
22
Pension 2000 of $910.
@ 227.
22
#
years
$33366
R.
$100. - Foy 4.8.
757. 6.6.
Il mouttes
18
18
25
18
11
31
15. Date of Cessation of Duty,..
30th November, 1898.
16. Date of Cessation of Salary,
17. Date from which, inclusively, Pension will commence,.......
30th November 1895.
-124 December 195
Acting Col: Trensurer.
Instructions.