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COLONIAL PENSIONS, &c 18336
REC
JG AUC 1G
PARTICULARS required to be furnished in reference to Persons recommended for Supermnur vin, Compensation or Compassionate Allowances, or Gratuities on retirement.
(In filling up this Paper refer to the Instructions on puge 4.)
1. Name of Applicant Samuel Powell
•2. Office or Situation_Warder
3. Recommended for
4. Age_28
Gratuity years
5. Service in Years and Months
6. Annual Salary or Wages.
- of $210.
-years and 6 months.
$720
7. Emoluments.
Total amount of Salary or Wages and Einoluments on which
Superannuation, &c., is claimed,
8.
3. Canse of Retirement Ill health
} $720
9. Dates of Commencement and Termination of the several Appointments held by Applicant, with their
Emoluments, distinguishing Salary from other Allowances and specifying such Allowances.
Title of Appointment.
Date of Commerce-
Date of
Nature
Aunnal
ment.
Termination. Salary.
Allowances, &c.
of Allowances,
&c.
3rd
12 Class Turnkey
Ind
Warder
14.11.94.18.8.95$ 40 19.8.95 30.3.96 $45
1.4.96 15.6.98
60