CO129-305 - Governor Sir Blake - 1901 [5-7] — Page 118

18. Statement, if the circumstang warrant it, that the Applicant "has discharged his duties with

K

Ailigence and fidelity, the satisfaction of the Head Officer or Officers of his Department,"

be signed by any Wo of such Head Officers, if there shall be more than one, or by such ad Officer if there shall be but one, together with "such a statement as will exhibit the

herit, and valde, and labour of the services of the Person recommended, embracing as long a led 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, o other claims or matters for consideration.

112

2. C. W. Duggan has performed his duties with

Heb. W. Giligence & fidelity & to the satisfaction.

of the Sanitary Board

M. Chatt.

President : Banitary Brand

5.

کی

mputation, by the Colonial Treasurer, of the Pension. &c.

I certify that the eusi.....

which may be paid to the Applicant

$6

ording to the Rules of the Colonial Service, amounts to $1789

d I base my Certificate on the following calculation :—

Length of Service

Deduct 1/2 of 1/2 pay leave

گی

Years mos dys

3/

20

4

30:5: to

Add

5- 35

26 of $ 306722 - $1789

to

– $78 propemin

Clu luceses

Actg : Frisu

|—21950-6009-7-1900 35516-90000 17-1500

bsequent Paper.

945

Exation

Instructions.