:

425

C.O

2251 1900

[C. S. Q. 7950]. (A. 132.)

Jonclosure 1.

COLONIAL PENSIONS, &c. 37935

RECE

PARTICULARS required to be furnished in reference to Persons recommended for NOV 13 ' Superannuation, Compensation or Compassionate Allowances, or Gratuities on retirement, (In fieling up this Paper refer to the Instructions on page 4)

1. Name of Applicant

2. Office or Situation

3. Recommended for

4. Age

Chan Leung Pat

Postman Pension

70

5. Service in Years and Months 3D years

6. Annual Salary or Wages

7. Emoluments

ofs Po

$

8.144

36

Total amount of Salary or Wages and Emolements on which

Superannuation, &c., is claimed,

which} s

8/10

) Cause of Retirement

Ded

aqi

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,

Dale of Commence-

Bieut.

Date of

Yuual Allowances,

Termination. Salary

Naturo of Allowances,

&c.

&c.

Postman

1863

[C. O. D. No. 8]

1913 $144 #36 Good Conduct

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