10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment of the Colony.

11. Whether the duties of the several offices or situations held since the Applicant entered 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.

13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Commutation Acts, 1869 and 1871, the annual amount of Pension or Allowance so commuted and the date of Commutation should be inserted.

"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 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.

I certify that Principal Werder Breme discharged his duties with diligence and fidelity to my satisfaction.

A. Blethbrick, Superintendent.

14. Absence, beyond ordinary Vacation leave:

Year From To Period of Absence Number of Days Cause of Absence 18 19 18 71

15. Date of Cessation of Duty, 24th October

16. Date of Cessation of Salary, 31st October 1925

17. Date from which, inclusively, Pension will commence,

19. Computation, by the Colonial Secretary of the Pension, &c.

I certify that the Gratuity which may be paid to the Applicant according to the Rules of the Colonial Service, amounts to three hundred and seventy-three dollars thirty-three cents.

And I base my Certificate on the following calculation:

No. of years service: 4

Monthly salary: $93.33

4 x 93.33 = 373.33

An Jhomson

16.11.97

Instructions.

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