C.S.O. 1883
132.)
C. O.
37454
COLONIAL PENSIONS, &c. 2 NOV 04
600
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.
2. Office or Situation.
B. Recommended for...
Janis Killain Adler Ayshe Registrar Supreme Court
Invend
A. Age St years...
5. Service in Years and Months 23
6. Annual Salary or Wages..
7. Emoluments.
of $2430. per annum!
10 months 26 days..
$ 34000
Total amount of Salary or Wages and Emoluments on which Superannuation, &c. is claimed,
* Cause of Retirement.
Ilu beurt
$ 5400.00
39. 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-ment.
Date of Termination.
Nature of Allowances, Salary &c.
Amount of Allowances, &c.
[C.O. D. No. 3
Niche statement attached.