D

a. s. o. 11 (C. S. 86.)

279

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 Francis Alfred Cooper.

Lirecta of dublic works. Pension

2. Office or Situation

3. Recommended for

1. Age.

5. Service in Years and Months

6. Annual Salary or Wages

of $

9 years, I months and 22

actual $6,660.

dary 30

Je

7. Emoluments

Total amount of Salary or Wages and Emoluments on which Superannuation, Kc, is claimed,

8. Chuse of Retirenient....

6.660.

D. 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

Sanitary Surveyou,

Date of Commence. went.

Date

of

Ammual Allowances,

Termination. Salary.

Jkt.

Nature of Allowances,

&c.

Sanitary bepartment, 18.11.87, 12.5.90. $3.000.

Inspector of Buildings,

$288. For chair coolies.

Public tabs beht. 9.6.$8. 23.5.89. # boo. $288

acting Assistant

Suave you General. 24.5.89. 12.5.90 $1,680. #288.

Resident Engineer,

water and brainage bepartment.

birector of Public Maby.

13.5.90. 9.10.91 $5,400. $288

15

10-10-91 6·5-97. $ 6,660 480. Conveyance allowance.

[C. O .D No.2]

#attack to Dublic roche beparing in conjunc the duties of venitaly surterm and hard from

wn

conjunction with.

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