CO129-424 - Governor Sir May - 1915 [9-10] — Page 230

[C. 8. O. ] (C. S. 86.)

52203

REC

225

COLONIAL PENSIONS. & INGV15

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 41

1. Name of Applicant Katharine Elizabeth Stallard, 2. Offce or Situation filer, Civil Hospital,

3. Recommended for........nsion.

1. Age.........

5. Hervice in Years and Months....10 years..

6. Annual Salary or Wages

7. Emoluments......

Quirters.

.of $.

:

3 months 23 days...

$.1080

.S...

180.

}:1260

Total amount of Salary or Wages and Emoluments on which Superannuation, &c, is claimed,

Cause of Retirement......

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.

Nature of Allowances,

1

Title of Appointment,

Date of Commence-

ment.

Annual

Date

of

Lister.

4.5.49

Termination. Salary.

24.3.00 $660.

Allowancee,

&e.

Free quarters.

do.

25.3.00 24.3.01 780.

to.

Jo.

Do.

25.3.01 31.4.01 900.

ato.

1.8.01 31.12.01 960.

Do.

Do.

1.1.02 26.8.09 1080

So.

[C. O. D. No. }]