(2)

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

of the Colony.

Yes.

11. Whether the duties of the several offices or situations held since the Applicant entered the Ci Service have been such as to require that the bolder should give his whole time to the Pub

Service.

Yes.

12. Whether holding any other Public Appointment, or receiving or claiming to receive

Money by Compensation, Half-pay or otherwise.

No.

any Pul

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

Nil.

14. Absence, beyond ordinary Vacation leave, in each of the last 10 years :---

Year.

27

Period of Absence.

To

18

From

18

19

>

18

18

18

18

93

18

18

18

11

">

Nil

}}

#!

15. Date of Cessation of Duty,...

16. Date of Cessation of Salary,

و"

"

27

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

Number of Days.

Cause of Absence.

31et

14 July, 1898.

et

310t July, 1898.

pot August, 1898.

(3)

292

18. 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 signel by any two of such Head Officers, if there shall be more than one, or by such Head Officer, 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.

MW. Machaus has discharged his duties Willi diligenes and fidelity, and they satisfaction

in aihtumsey

Mubom Insoles be

19. Computation, by the Colonial Treasurer, of the Peusion, &c.

I certify that the Pension

which may be paid to the Applicant

according to the Rules of the Colonial Service, amounts to One thousand six hundred and ninety six dollars.

and I base iny Certificate on the following calculation :-----

Length of Service

Add

Years mouths days

38

2.

10

5

43

2

10

Pension 40/60 of $2544 - $1696.

An home.

Acting Treasurer

Instructions.

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