(2)
(3)
150
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establishing. Statement, if the circumstances warrant it, that the Applicant "has discharged his duties with
#H
of the Colony.
Yes.
11. Whether the duties of the several oflices or situations held since the Applicant entered the lis
Service have been such as to require that the holder should give his whole time to the Pu Service.
Yes.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Publi
Money by Compensation, Half-pay or otherwise.
No.
13. If any kind of Pension or other Allowance has been commuted under the Linperial Pensions Commutation Acts, 1869 and 1871, and annual amount of Pension or Allowance so commute! and the date of Commutation should be inserted.
diligence and fidelity, to the satisfaction of the Head Officer or Officers of his Departinent,” 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 Person 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.
Duties discharged with diligence and fidelity and to my entire satis-
faction. Save generally, I am unacquainted with the circumstances attend-
ant on resignation.
DR. H. Barking,
No.
Acting Police Magistrate.
28/5/93.
14. Absence, beyond ordinary Vacation leave
Year.
Period of Absence.
Number of Days.
Cause of Absence.
19. Computation, by the Colonial Treasurer, of the Pension, &c.
18
From
To
I certify that the pension
which may
be paid to the Applicant
18
ያን
18
»
18
18
18
J
18
"
39
18
18
18
31
N 1 1.
15. Date of Cessation of Duty,
1st November, 1897.
16. Date of Cessation of Salary,....
1st. November, 1897.
17. Date from which, inclusively, Pension will commence,... 1st. November, 1897.
according to the Rules of the Colonial Service, amounts to One hundred and Ninety- four dollars and Twenty-nine Cents.
and 1 base my Certificate on the following calculation :-
Lernice,.
C.O.D. to 360
No 260 7 1898
yours Pension
12 yeme
30
60
years 11 $85266 = $194 32
:
R
Freasury
Instructions.
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