1

Enclosure 2.

to th

(A. 132.)

COLONIAL PENSIONS, &c.

129

4546

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

ovizo, that it state

onses of Military officers

onember 2

the Cove 1201 Ad Avil Siwice, as

[f

these stazzer

Mfpicer require special.

1. Name of Applicant...

وي

2. Office or Situation

have.

(degired) Sember

berliy

3. Recommended for

4. Age..

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

S.. B. C. Ayres, C.M.G.

Surgeon...

Colonial

5. Service in Years and Months

pension.

A $3465. 088.87 3,675.

of $

"wenty-three years eight months.

6. Annual Salary or Wages...with Personal allowance $ 5,400.

7. Emoluments...

Secretary

(Fue Coppie)

40

Stervan A

Colornal Secre

centiquids frare copy

IMBO. Ander

Colonial Surgeon

touve allowance, 11/6th)

Total amount of Salary or Wages and Emoluments on which Superannuation, &c. is claimed,

$

900

$6,300

8. Cause of Retirement...

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.

Titto of Appointment. Date of Commence-meut. Date of Termination. Annual Salary. Allowances, &c. Nature of Allowances, &c. Colonial Surgeon 14.8.73 [C. O. D. No. 81 1--1.5.25. $4,800 $600 Personal $1080 vs.

Feb

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