[0.5.0. #88] (A. 132.)
C.O.
26904
RECO
269
COLONIAL PENSIONS? &c.
PARTICULARS required to be furnished in reference to Persons recommended for Superannuation, Compensation or Compassionate Allowances, or Gratuities on retirement.
(In filling up this Paper refer to the Instructions on page 4.)
1. Name of Applicant: Maria Chan
2. Office or Situation: Class Desistant Harder
3. Recommended for: superannuation
4. Age: 35 years and 10 months.
5. Service in Years and Months: 13 years and 10 months
6. Annual Salary or Wages: $6720
7. Emoluments: $216 + $366 + $259
Total amount of Salary or Wages and Emoluments on which Superannuation, &c. is claimed:
8. Cause of Retirement: ill health
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 Commencement Date of Termination Nature of Allowances, &c. Annual Salary Allowances, &c. Police Constable 29.3.90 31.12.92 $150 1.1.93 1.7.96 $192 3rd Class Warder 1.8.96 1.5.99 $192 1.6.99 18.2.02 $210[C. 0. D. No. 1]
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