(2)
(3)
537
Yes.
10. Whether each of the Appointments held by the Applicant has been on the Fixed Establish Statement, if the circumstances warsant it, that the Applicant "has discharged his duties with
of the Colony.
* diligenes 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 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,
11. Whether the duries 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 Pub
Service.
Yes.
12. Whether holding any other Public Appointment, or receiving or claiming to receive any Pay
Money by Compensation, Half-pay or otherwise.
None.
13. If any kind of Pension or other Allowance has been commuted under the Imperial Pensio Commutation Acts, 1860 and 1871, and annual amount of Pension or Allowance so commud
and the date of Commutation should be inserted.
M. Machell has discharged his duties with. diligence and
to the satisfaction Note Hand
Alfies & may.
iopfor.
officer of the Department
14. Absence, beyond ordinary Vacation leave :—
Year.
1898
رگمه
18
18
Front.
Period of Absence.
Number of Days.
Cause of Absence.
won pot augt, in dot marchi lide attended paper.
38
N
33
18
مجھے
IN
IS
15. Date of Cessation of Duty,..
16. Date of Cessation of Salary...
53
לל
A
1900.
Computation, by the Colonial Treasurer, of the Pension, &c.
I certify that the
Gratuity.
which may be paid to the Applicant
according to the Rules of the Colonial Service, amounts to. Are Thousand Five-
hundred and Eighteen Collars and conto Seventy five only
and I base my Certificate the following calculation :-----
Service.
8 years 3 months.
Walf-pay leave 16 months 1⁄2 of which -8 mon
37
の
*
Total service
Salary...
for pension - 7 years, 7 months. $2,430 or $202.50 per mensen.
7/1⁄2 x 202.50-81/578.75.
for
Archonson
Treasurer.
17. Date from which,inclusively, Pension will commencc..........
Instructions.
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