CO129-316 - Governor Sir Blake - 1903 [1-4] — Page 464

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[C.8.0. HH] (A. 132.)

452

COLONIAL PENSIONS, &c.

PARTICULARS required to be furuished in reference tocPersons recommended for Superannuation, Compensation or Compassionate Allowances, or Grafilities on retirement.

1. Name of Applicant...

FOZ APP ORI

OF

(In filling up this Paper refer to the Instructions on page 4.)

Robert

Acbut trusway Kinary

2. Office or Situation Karbour krasta

3. Recommended for

4. Age 53 apean.

Supmamplions

or $2600

3. Service in Years and Months

19 apears

2 martes end of days.

6. Annual Salary or Wages.

$ 6000"

7. Emoluments.

Total amount of Salary or Wages and Emoluments on which

Superannuation, &c. is claimed,

8. Case of Retirement Age qualificatias.

$ 6000

DO

9. Pates of Commencement and Termination of the several Appointments held by Applicant, with

their Emoluments, distinguishing Salary from other Allowances and specifying such Allowances.

Title of Appointment.

Date of Commence-

ment,

Date

of

Nature

Termination.

Anual Salary.

Allowances,

&e.

of Allowances,

&e.

...

istant sturbows Inaster

Jeder of Light Deser

shaus Inaster

do

}outh Work bay

1884

1688

1920

480

1890

god Bray 3. Grant

4800

1891

1899

"Jany 30th Decem

1000

1904

Jan 9 9" Janry

قوی ترمیم کرنے کی

bood

[C. O. D. No. 1]

Fees for warmination of

Cand-daler Printing -

and males