(2)

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

of the Colony.

Yes.

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

Service have been such as to require that the holder sh muld give his whole time to the Pub Service.

Ies.

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

Money by Compensation, Half-pay or otherwise.

Fil.

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

Nil.

14. Absence, beyond ordinary Vacation leave :-

(3)

145

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 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.

The applicant has discharged his

duties with diligence and

fidelity to the satisfaction of the thead officer of his Departurent.

64

worker

Director of sublic fortes

27.2-99.

Year.

Period of Absence.

Number of Days.

yrs.D.d.

Cause of Absence.

Computation, by the Colonial Treasurer, of the Pension, &c.

1837

From 27.10.87

To 10.12.87

1 (15

1839

8.7.89

"

13.12.89

5 6

1893

11

20.8.0%

17.11.9%

4 129

IN 96

11.8.98

"

4.5.97

1

1 124

I certify that the pension

according to the Rules of the Colonial Service, amounts to One thousand and fifty.

Dollars

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

which may be paid to the Applicant

18

"

2

1

14

18

18

18

18

18

21

21

Length of actual service

15 years

29 days

Deduct 1/2 of 1/2 pay leave

1

#

22

11

14

years,

Add

and under Clause &

Dara.

15. Date of Cessation of Duty,

31st. May, 1899.

21/0 of TR,000

16. Date of Cessation of Salary,.....

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

31st. Yay, 1839,

1st. June, 1299.

=

2

$1,050.00

Totel

10

5

2

21 years.

Anthomson

Treasurer.

Instructions.

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