10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishmen
Mo. Provisional and Qu
of the Colony.
Temporary.
Copy of
Medical certificate.
441
11. Whether the duties of the several offices or situations held since the Applicant entered the vil Service have been such as to require that the holder should give his whole time to the Pulle
Service.
Yes.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Publi
Money by Compensation, Half-Pay or otherwise.
Ho.
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensions Com- mutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commuted and
the date of Commutation should be inserted.
Ho.
14. Absence, beyond ordinary Vacation leave,
Mil
Goo! Civil Hospital 30th March 1889.
I
certify
that Lo mi is euffering
and
from incipient Phthisis and has been in Itospital suffering from Cough sputting blood. I think it advisable his retirement from the service should be sanctioned:
(signed) Th. B. C. Ayres
"
Colonial Surgeon.
J. M. Atkinson, Superintendent.
15. Date of Cessation of Duty, ... March 1889.
16. Date of Cessation of Salary,
17. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties wil “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
Irue copy.
Why Jodelengs Supt. Fire Brigade. 12th April 1889.
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