CO129-357 - Governor Sir Lugard - 1909 [7-9] — Page 536

C. O.

.900

[[C. S. O. 1351] ((A132.)

33971

COLONIAL PENSIONS, &c. REC 529

(REGE 16 OCT 09)

PARTICULARS required to be furnished in reference to Persons recommended for Superannuation, Compensation or Compassionate Allowances, or Gratuities on retirement.

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

1. Name of Applicant....

2. Office or Situation

3. Recommended for

4. Age

Dania Doyle

Warder Pension

48 years

of $

2 months 425 day

3. Service in Years and Months 14. Yrave & monds &

6. Annual Salary or Wages.

7. Emoluments

Value of Free quartere

$

1080

180

до

$

which} s

1381260

00

Total amount of Salary or Wges and Emoluments on which

Superannuation, c claimed,

8. Cause of Retirement

1. alth

9. Dates 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-

Date

of

Inent.

Annual Allowances,

Termination. Salary.

&c.

Nature

of Allowances,

&c.

Warder

13-1-964-6-9987.

Principal Warder 5-6-9925-1-01-$960

Warder

26-1-0131-12-01-4840 1-1-036-4-10 #1080

[C. O. D. No. ]