56
[Forin H.]
(COLONY)
[Rule 77.]
[Form K.]
(COLONY).
57
[Rule 135.]
PENSIONS.
{ NO.
Voucher
}
(District or Station).
To
For Pension due to me for the month ended
DR.
Report of a
Survey of the Treasury Chest.
19, at the rate of £
S.
d. per annum £
5.
d.
19
I hereby declare that I am entitled to the above amount, and that I at present hold no public employment.
Signature or Mark
Declared and subscribed before me this
day of
19____.
RECEIVED from the Treasurer the sum of
_day of
Shillings and
19
Pounds
Pence, as above, this
• Declarations can be attested by a Head of Department, a Justice of the Pence, or a Minister of Religion.
[Form I.]
Head No.
(COLONY)
Subhend
Pay List of Labourers employed on the
from
No
NAMES.
Date
Date
[Rule 98.]
Voucher
To
In accordance with Your Excellency's instructions, We, the undersigned, proceeded this day at
o'clock,
to the Treasury, and there examined and counted the moneys produced by the Treasurer as being Public Moneys in his custody, and we have the honour to report that the sum so produced amounted to
Pounds
Shillings and
Pence, which, together with the sum of
Pounds
Shillings and
Pence, being the balance in the Bank, less the amount of Cheques
drawn, but not yet presented (as shown in the Certificate annexed), and the balances in
the hands of Sub-Accountants, makes the sum of
Pounds
Shillings and
Pence, which agrees with the balance shown by the Treasurer's Cash
Book at the date of the survey.
to
19
Total
Rate per*
#.d.
Cash in the Treasury £
I certify that the above Pay List is correct,
19
·
I certify that the above Labourers were this day paid in my presence.
19
| Witness to
payment.
Head of Department.
• These spaces to be filled up according as the employment is by the Day, Hour, Task. Piece, &c.
Bank Balance
Sub-Accountants' balances (according to the Treasurer's Imprest Ledger).
'Total
...
...
£
.22 20
H
PUBLIC RECORD OFFICE
Reference :-
‛│ ༴། ། ‛। ། RICO. 885
PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH—NOT TO
[Form K.-Annex I
SURVEY.
!!
Period from the
[Rule 135.]
19.
Paper Currency.
TOTALS,
Sterling.
Foreign Coins.
$
o.
to the
STATEMENT OF THE TREASURY RECEIPTS AND DISBURSEMENTS.
Receipts from that date to
Balance on
(COLONY).
19
19
Disbursements from
Totals
British Currency.
58
Date
19
Colonial Treasurer.
of the Funds remaining, at the commencement of that day, in the custody of , to be inspected, and, having examined the Report of the
I have caused a Survey to be taken on the the Treasurer, and the Bank Account for the period ending the as they are shown in this Return by the Treasurer. officers appointed by me to that duty, I hereby certify that I have found their results in strict accordance with the statement of the balances day of
:
Colonial Secretary,
Dated this
, 19
•
Governor.
to
19
19
In the hands of the Treasurer
In Bank, as per Certificate annexed
Balance on the
و انار
Total
く