A. 132.)
Enclosure 2.
COLONIAL PENSIONS, &c.
175
6000
PARTICULARS required to be furnished in reference to Persons recommended for Superannuation, Compensation or Compassionate Allowances, or Gratuities on retirement.
1. Name of Applicant,
2. Office or Situation
5. Recommended for...
(In filling up this Paper refer to the Instructions on page 4.)
Luis & Francis Flores.
Hospital Warders Victoria Gaol
annual pension.
an
4. Age 44 Years
5. Service in Years and Months 17 years
6. Annual Salary or Wages.
7. Emoluments.
and
Rations
other
Quarters (fody)
of S
8.308
Total amount of Salary or Wages and Emoluments on which { Superannuation, &c. is claimed,
9. Cause of Retirement.
Ill health.
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 Commencement Date of Termination Nature of Allowances, Salary, &c. Annual Allowances, &c. Asst Sguard 4. 13 To 31. 50 300 Ward Jurnkey 1. 8 Burnkey 80 25. 4. 55 Saospital Wardet 1.3.83 31.7 85 hospital In of boshilal Wardet 1.8.85 -97[C. O. D. No. 81
30.-1.8.95]
A. 132.)
Enclosure 2.
COLONIAL PENSIONS, &c.
175
6000
PARTICULARS required to be furnished in reference to Persons recommended for Superannuation,
Compensation or Compassionate Allowances, or Gratuities on retirement.
1. Na of Applicant,
2. Office or Situation
5. Recommended for...
(In filling up this Paper refer to the Instructions on page 4.)
Luis & fares! Flores.
Arapital Wardes Victoria Goo
annual pension.
an
4. Age 44 Years
5. Service in Years and Months If years
6. Annual Salary or Wages.
7. Emoluments.
and
Reno
othe
Quarters (tody)
of S
8.308
Total amount of Salary or Wages and Emoluments on which {
Superannuation, &c. is claimed,
नूँ
8. Cause of Retirement.
Ill health.
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-
Theur.
Date of Termination.
Nature
Avenal Allowances, Salary.
&c.
of Allowances,
&c.
PHO
fit blusa Sguard
4. 13 To 31. · 50
300
ad Olact Qval Jurnkey 1. 8
Burnkey
80 25. 4. 55
Saospital Wardet 1.3.83 | 31.7 85 hospital
In of boshilal Wardet 1.8.85
-97
[C. O. D. No. 81
30.-1.8.95+
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