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COLONIAL PENSIONS, &c.
399
25014
Deck
A
PARTICULARS required to be finished in reference to Persons recommended for Sipicinado Compensation or Compassionate Allowances, or Gratuities on retirement.
(In filling up this Paper refer to the Instructions on paye 4.)
409
1. Name of Applicant.
Ng Kau
2. Office or Situation_
管理
8. Recommended for
Boatuan, Barbour Department
a Gratuity commuted at 5 years )
4. Age 51 years
5. Service in Years and Months.
20 years
6. Amual Salary or Wages...... per annum
7. Emoluments.
Total amount of Salary or Wages and Emoluments on a bich
Superannuation, &c., is claimed,
8. Cause of Retirement ill health.
>
*
of $100.
99.
} 98.
9. Dates of Commencement aud Termination of the several Appointinents held by Applicant, with their Emoluments, distinguishing Salary from other Allowances and specifying such Allowances.
Title of Appointment.
Date of Commence- Ref.
Date of Termination.
Ánanal Salary.
Allowances, &e.
Nature of Allowances,
&c.
Boatman
1. 6. 78 31. 3. 98
398
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