r

{0. 8. 0.8] (C. 9.86.)

A

139

COLONIAL PENSIONS. &c.

PARTICULARS required to be furnished in reference to Persons recommended for

Superannuation, Compensation or Compassionate Allowances, or Gratuities on retirement,

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

1. Name of Applicant Thomas Sercombe Smith.

2. Office or Situation Police Magistrate..............

3. Recommended for

....of $

1. Age... 55 years.

5. Service in Years and Months 24 years 11 months, and 20. days ... ..... ...

6. Annual Salary or Wages

$...7.200....

7. Emolnments......

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

$ 7,200

8. Cause of Retirement...........

„A&P...

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,

1

Date of Commence-

Date

ment.

of Termination,

1

Annual

Salary.

„Allowances,

&c.

Nature of Allowances,

&c.

$480

Cadet

Passed Cadet Asst.Reg.General

Colonial Treasurer

Police Magistrate

& Coroner.

27.10.82 1. 1.84

2. 1.84 30. 9.86 1,200

1.10.86 31.12.90 1,800

1. 1.91 30.11.96 3,240

1.12.96 25. 7.98 4,300

26. 7.98 25. 7.01 6,000

26.7.01 25.7.04 6,600

26.7.04 16.10.07 7,200

[C. O. D. No. }]

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