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Amount of

Whether the Principal he allowed a House

Fees during for his personal

the

Year 1875, in

Sterling Value.

£ s. d.

1,504. 5. 01

Residence;

or what Allowance,

if any, for House Rent or Quarters.

Whether the Office be held by Principal In conjunction with any, ani what other Civil, Military, or Naval Offer, or Appointment,

or Place of Profit, in any Colony, or on the Establishment of the Vilted Kingdom.

If the Othee be held by a Military or Naval Officer, whether upon Full or Half Military or Naval Pay, the Total Amount of Pay and Allowances of

every kind actually received by him in addition to the Profits of his Udice.

Period during which the Officer

has been Absent from the Colony during the Year 1875.

Whether the

Principal enjoy uny, and what other Advantage or Profit, not required to be stated in the preceding Columns.

Date of First Appoint-

ment under the Colonial Government.

Quarters.

Do.

Do.

....

Do.

...

Do.

Do.

Do:

....

Do.

....

Do.

Do.

Do.

---

Do.

Do.

£1,504. 5. 01

Do.

Do.

REMARKS.

Nil.

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