my despatch to 254 of the 10th November.

I have the honour to be,

Liv, Your most obedient humble servant,

Willen Robing Robinsy

25233 D (A. 182.)

COLONIAL PENSIONS, &c.

b. s. 6. No.: (230 196. 2608 Rack 74)

PARTICULARS required to be furnished in reference to Persons recommended for Superannuation, 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.)

James Robson Brass Jamee Principal Warder Victoria Gaol Gratuity years 5. Service in Years and Months 2 years and 451 months 6. Annual Salary or Wages $960 per year 7. Emoluments. of $186.66 $960- Quarters (furnished) $160. Total amount of Salary or Wages and Emoluments on which Superannuation, &c, is claimed, 8. Cause of Retirement Ill health 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 Commencement Date of Termination Nature of Salary Annual Allowances, &c. Warder 1.8.92 9.2.95 $840 Quarters Head Turnkey 9.2.95 31.12.96 $1080 Principal Warder 1.1.97 $960

[C. O. D. No. 1]

1).1.5.25,

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