2
3
217
Cause of Retirement, [with annexed Medical Certificate, if from infirmity of mind or body, and under 60.}
Abolition of office.
Dates of Commencement and Termination of the several Appointments held by Applicant, with their Emoluments, distinguishing Salary from other Allowances, and specifying such
Allowances.
See Itatement annoseed
Whether holding any other Public Appointment, or receiving or claiming to receive:
Money by Compensation, Half Pay or otherwise.
any Public
Nil
Absences during each of the last 10 years
Date of Cessation of Duty 124 Oct. 1865,
NUMBER OF DAYS.
Other cause
YEAR
Illness
1864,
Octop
1866,
Date of Cessation of Salary/
11240 et 1872 1868,
1867⋅
Mil.
1869,
1870,
September
1871,
1872,
1898,
Statement in terms of sec. viii of the Superannuation Act, of 1859, that the Applicant "has discharged his duties with diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Department," to be signed by any two of such Head Officers, if there shall be more than one, or by such Head Officer, if there should be but one, together with "such a statement as will exhibit the merit, and value, and labour of the services of the Person recommended, embra- cing as long a period of his public service as can be authentically stated," together with obser- vations as to Special Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration.
It will appear from the foregue Summar
of services that
that effe Bolt haft filled the Offices of Judge of the Court of Jums Jurisdiction, and
time, that of.
for
ec
Chief Justice
during the of lectively have.
administered the Lovernment of this Colony W Ball had Colon beat at
alls had
cc
Member
of the Legislative Council. Der all there offices M Ball has performed his duties withe freat ability, diligence, and fidelity
Sor
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