(2)
(3)
148
Yes
R
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establish 18. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
of the Colony.
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 shall be but one, together with "such a statement as will exhibit the "merit, and value, and labour of the services of the Per on recommended, embracing as long a 'period of his public service as can be authentically stated," and observations as to Special Services, Suspension, Reprimand, &c., with full particulars of any injuries received on duty, or other claims or matters for consideration.
11. Whether the duties of the several offices or situations held since the Applicant entered the Ci Service have been such as to require that the holder should give his whole time to the Puk Service.
Yes
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Pa
Money by Compensation, Half-pay or otherwise.
No
13. If any kind of Pension or other Allowance has been co.ninuted under the Imperial Peasu Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commute. and the date of Commutation should be inserted.
Duties discharged with diligence and fidelity and to my
entire satisfaction. Save generally I am unacquainted with the cir-
cumstances attendant on resignation.
WT. I. Nestings
Acting Police Magistrate.
14. Absence, beyond ordinary Vacation leave :-
Year.
18
From
18
18
18
33
18
ور
18
"
18
11
18
18
18
Period of Absence.
ΤΟ
}
NIL
"
No
Number of Days.
Cause of Absence.
15. Date of Cessation of Duty,
............. ist.November, 1897.
16. Date of Cessation of Salary........
1st. November, 1897.
17. Date from which, inclusively, Pension will commence,
1st.November, 1897.
19. Computation, by the Colonial Treasurer, of the Pension, &c.
Pension
which may be paid to the Applicant
Four hundred & twenty
I certify that the
according to the Rules of the Colonial Service, amounts to
six dollars & sixty six cents.
and I base my Certificate on the following calculation :---
Service,
C. O.D. M. 260 of 1898. 271898
20 years Pension 36 year $1152
A
20
10 year
10 months
$42666
NHhomson
Ag.Jishours
Instructions.
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