[C. S. O. H (C. S. 86,)
730
FG 11 SEP 12, COLONIAL PENSIONS, &c.
C
PARTICULARS required to he 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.j
1. Name of Applicant. Archer Weiboll Brewin
2. Office or Situation
3. Recommended for......
Registrar General
Penzion
4. Age 45 years
5. Service in Years and Months 24 years
6. Annual Salary or Wages.
of $
and
78 days
$7200
7. Emoluments
329
Total amount of Salary or Wages and Emoluments on which ? Superannuation, &e, is claimed,
8. Cause of Retirement Al. healthy
1387200
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 Commence.
Dale
of
ment.
Annual Allowances,
Termination. Salary.
&c.
Nature of Allowances,
&c.
leadet
1-11-1888 17. 12-1870 $12.00
$540
Pazua Carit
18-12, 1890, 14. 8-1877 $1800
$540
10.
Registrar General
Inspection of Schools 15-8-1897.14 3. 1901 $4050
14. 3. 1704 18. 3. 1701 1-6.000 to
A%
15 3 1964 28 2.19077 #66000
ARD
1-
3.1907 28-11-
·1912. $7900
[CO.D No.31]
}