CO129-220 - Governor Sir Bowen - 1885 [1-3] — Page 37

Enclosure 3.

C.sonaro

(22.)

COLONIAL PENSIONS, &c.

C. O.

2752

35

PARTICULARS required to be furnished in reference to Persons recommended for Supernuation,

REGDIG FEB 85,

Compensation or Compassionate Allowances, or Gratuities on retirement.

-

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

1. Namo of Applicant Antonio Leivia,

2. Office or Situation Clerk in the General Book Office,

3. Recommended for

4. Age.

Superannuation

Forty eight years.

5. Service in Years and Months

6. Salary

or Wages (

7. Emoluments

of $1,003.10

2 years (on 30th April 1885)

• Average prev.

cm)$ 1626-66.

Vil

Total amount of Salary or Wages and Emoluments on

which Superannuation, &c., is claimed, ($...————

8. Cause of Retirement

Ill health

$1626-66

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.

Date of Commence-

ment.

Date of

Termination. Salary.

Allowances, Nature of Allowances,

&c.

de.

Previous to 14 Thay 1860 the Postal Establishment Previous to 14 that

under the Imperial Control.

лого

Change

Clerk

Toclay, 1855 Emprenent

1860

Taker 1ottay

1864

01883

4885

30

1:200 mil

1.440

por Jony Apr 1440 and $240 personal Aller

fom what state,

j