182.)

ENCLOSURE

COLONIAL PENSIONS, &c.

144

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

(In filling up this Puper refer to the Instructions ou page 4.)

APR

Name of Applicant hack 21istian Velcat

Office or Situation Sua CALL of Crean Lend.

Recommended for a sedan

of $ 1,050

Age 55 years

Service in Years and Months 15 year and 20 Baya

Annual Salary or Wages...

Emoluments

88.000

Total amount of Salary or Wages and Emoluments on which

Superannuation, &c. is claimed,

یابی

Cause of Retirement Cerolia of 50 yea

* %.000.

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 Commence- meut.

Date of Termination.

Annual Allowances, Salary.

&c.

Nature of Allowances.

&c.

Jerk of works

3.F.84

31.8.84

$1,300

$146

JonveyancE

asinboat Enginger

3.0.0

71.19.37

ac.

1.1.89

30.

1.1.99

31.18.00 *2,130 21.15.00 as 920

2144

10.

1900

de.

Lee? Surveyor

1.1.01

94.19.01

pihundent of Croze

Lands

1.1.9%

to dete

8,000

2200

C. O. D. No. 41

I

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