P
C.A.Misc.
(
OFFICE OF THE CROWN AGENTS FOR THE COLONIES, 4, MILLBÁNK, WESTMINSTER, London, S.W. 1.
MR. SPENCER KELLY
Date
This form must RECEIVED of THE CROWN AGENTS FOR THE COLONIES the sum
be left one hour
for examination
if presented in
person, and one of
day if presented
through a Bank.
FIFTY-TWO POUNDS
Leave salary
19/7
being thexpension due to me for the
•
cannot be as 31st October
This allowance from 33rd September19380
signed as a
security for a
loan of money. appointment as Sanitary Inspector.
Full Sum
...£52
,, 197
period
of the
473 478
£
£
British Income Tax
in respect of my babexx
Finl. year 19 /19
SUM PAYABLE
£
...£52, 19, 7
I solemnly declare that during this period I have held no paid
Exd.
If presented
in person this form must be
signed in the
presence of the employment under the Crown.
Paying Cashier.
Account
HONG KONG.
Certificate.
8. Kelly.
Signature and date.
A s
indicated above the form
must be pre-
I hereby certify that M.
pencer Kelly
whose
sented in person signature is affixed above, is living, and to the best of my knowledge and
at this Office,
or
passed belief is the person entitled to the payment.
through a Bank
for collection.
In the latter
TO BE SIGNED by a Justice of the Peace, Notary Public, Com-
case this Certifi- missioner for Oaths, Minister of Religion, Medical Practitioner, or
British Consul or Vice-Consul, before being passed for payment, or był
cate must be completed.
a Manager of a Bank or Brap Bank, when passing on for payment.
Address...
Qualification..
FORM P. 24. 2,000/5/26. W.
Misanulton
Sydney 7010
Sub. Treasury Sydney, fushes of the Place,
Ko. Ltd.
Date.
31-10-30
For Crown Agents' use only.
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