.X

[0. S. 0.11 (C. S. 86,)

10595

REG 21 MAR 14 COLONIAL PENSIONS, &c.

355

to admond 9,

mivel two, al gnirtelsa

gritty who? ive Jammu limito® of bedostih me 1 (\TES

mol mol", TL, to poleg niej mi noivres eit to stali itan

onliney ku monoqrug tot Ntină

sng Jind aquagga Ji

3*

no pon. and Bunyi PlaY

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 Thomas Sercombe Smith.

Police Magistrati.

2. Office or Situation.

of $

3 Recommended for

wil, o Jahrg

4. Age.

Jeans.

J

to (Ejua Pu” ***.. tiw nbr queI-

5. Service in Years and Months 24

*10. JNJ MOET LØVÀ Renic din

luz puofað nið♪ ni moives siuncolanny Dog Shot (dar onel Jirny ola

י

reth Il buja 2. stron BIFe of

TIMATING, ON To me food in vant e.. soivres fiowa

TA

years

17 mouths

and at

days.

6. Annual Salary or Wages

7. Emoluments

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

}

of the balcites ni y

Get more. ng eda,b\3

vivron te

2

r

19% 81. cd bebre e drum exert .18 ¿ 0:5,813

moirnugong axil a grozinoli

·

8. Cause of Retirement....__

tige.

E

Deng Adar one at ninyo mulaƆ så ở ni soivuma nin se

.todomilu İno¿qui mi snemo Iquo

(B)

9). Dates of Commencement and Termination of the several Appointments hold by Applicant, with

their Emoluments, distinguishing Salary from other. Allowances and specifying such Allowances.

Title of Appointment

badet.

Date of Commence-

ment.

Date

of Termination,

Amund

Salary.

Allowances,

Nature

of Allowances,

Ke

Passed & adet · Assistant Reg.

27-10*1882, 1. /1584.

2+/- 1884, 30×9-1686. $1200 110.1886. 3/12/894p # 1800 /

istrar General. 1.1.1991. 30-11-1896. $3,240, Colonial Treasurer. 1.12.1896.25-7-1898. $ 4,500, Police Magistrate

and Coroner 26-7, 1898. 25.7.190k $6,000.

6.

br.

26·7-1901. 25·7.1907.$6,600

76-7.1907, 16-10-1907- $7,200 16-10-1907-$7,200

[C.O.D No.]

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