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COLONIAL PENSIONS. &c.

242

PARTICULARS required to be furnished in reference to Person recoinmended for Superannuation, Compensation or Compassionate Allowances, or Gratuities on retirement.

(In filling up this. Paper refer to the Instructions on page 4)

Some of pinat. Jogae Alper Wheat.

Name Applicant

Office or Situation

ating yo

baac. Class

Overseer

Recommended for......Pension.

3.

Age

of

£119.9.5.

44 Years, 8 months 12 days..

1.9 Years, 2 months 12 days...

Average Ho49.941.700

3. Service in Years and Months

Annual Salary or Wages

Emoluments

Total amount of Salary or Wages and Emoluments on which)

Superannuation. fc. is claimed...

Case of Retirement... All health.

...$.

46699+44-1700

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 Commerce

Pistry of

Annual Alaaneet,

Naturo

ment. Termination, Salary.

&c.

of Allowances, &c.

Versees

3.6.1895-31-51998

Verveer 1.6.1898 31.12.190 512072-4

Verseer

1.1.1901306-1909 31440-

flave Verseer. 1-7.1909.30.6. 19/4 $60-

Mass

Дос

·Do 1.7.1912 4.8.194 $170:-

Reaganization

[C. O. D.No 71

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