CO129-432 - Governor Sir May - 1916 [3-5] — Page 235

C. S. O. ] (C. S, 86.)

0

232

20260

RES

Ree 116

COLONIAL PENSIONS, &c.

C

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 How no @ Mitchell-Imes

Colovical Treasurere

Pension

2. Office or Situation...

3. Recommended for .A..

1. Age....

5. Service in Years and Months

6. Annual Salary or Wages

A.

Poyro

of $

2.4.800

7. Emoluments..

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

$4.800

s. Cause of Retirement (T-Lupferred to Home Civil fervise 1.13.159€

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.

ment,

Date

of Termination,

Annual Allowances.

Salary,

&c.

Nature of Allowances,

&c.

leader

Seacher's

1/1/50 18/7/84 1.200 59 Al Amin

Aust. Reg General 10/7/814 30/12/30 5240

d. Treasures 1/1/91 30/1/96 4.800

1