✨ Salary Abstract Form
THIRTEENTH SCHEDULE
ABSTRACT OF SALARIES.
Abstract received in Wellington
ABSTRACT and Acquittance of Salary of Department, from the to the , 19 , inclusive.
NEW ZEALAND.
Payable by cheques to be drawn on the Bank of New Zealand at .
NOTE.--The spaces enclosed by a line are to be left open for numbers to be filled in in the Treasury.
Treasury Books.
No. of Item.
Office held.
Name of
Officer.
From To
Date.
Rate.
Amount of
Salary.
Public Service
Superannuation Fund.
Per Cent.
Amount
payable.
Amount to be
paid to
Public Trustee
under the
Civil Service
Reform Act,
1886.
Amount
to be paid to
Government
Insurance
Office.
Amount
payable to
Officer.
I, the undersigned, do
hereby acknowledge to
have received from the
Paymaster-General the
sum opposite to my name,
being in full payment of
my salary for the period
specified in this Abstract.
R.Date of Payment.
To be charged to Vote No
(Approval Stamp.)
Total, £
No. of Cheque
NOTE.--The Officer authorized to certify this Abstract is to sign the "Provisional Certificate," and forward the Abstract to the head of his Department, between the 1st and th of the Month to which the payment relates. No Salary Abstract is to include salaries payable by cheques on more than one branch of the Bank. BEFORE COUNTERSIGNING THE CHEQUE FOR ANY CLAIM INCLUDED HEREIN THE OFFICER AUTHORIZED MUST SIGN THE FINAL CERTIFICATE AT FOOT.
I certify that the individual named in the above Abstract actually employed in the situation and during the period specified opposite the name of each respectively.
Provisionally certified:
Finally certified:
[Regulations 67, 91, and 104.
Thirteenth Form.—Abstract of Salaries.]
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NZ Gazette 1911, No 24
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💰 Abstract of Salaries Form
💰 Finance & RevenueSalaries, Abstract, Treasury, Public Service, Superannuation, Government Payments