21

(2)

10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishment of the Colony,

No

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

Yes

12. Whether holding any other Public Appointment, or receiving or claiming to receive any Money by Compensation, Half-pay, or otherwise.

No

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

14. Absence, beyond ordinary Vacation leave :

Year.

No

(3)

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 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.

I hereby certify that Mr Wm. Thomson has discharged his duties with diligence & fidelity to my satisfaction.

Whitt.

Actg : Director of Public Works.

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

Year. Number of Days. Cause of Absence. Period of Absence. 1899 18 sickness 18/12/99 to 2/1/1901 1901 9 11/0

15. Date of Cessation of Duty. 31 August 1901

16. Date of Cessation of Salary,

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

12 September 1901

I certify that the Gratuity which may be paid to the Applicant according to the Rules of the Colonial Service, amounts to Two hundred and forty dollars.

and I base my Certificate on the following calculation :

Length of service years 3 months' pay.

5 Gratuity under Rule 1 (4)

The applicant is $3780 $240.

draw his pension at the rate of

Chathur

Colonial Treasurer,

[Instructions.

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