ORO-03

Regd. No. of Claim: 1303

55B Falls Road,
Belfast,
20^th Nov., 1917

Sir, I have received for investigation and report a claim to Separation Allowance made by Mrs. M. O'Rourke of 38 Clonard Gds. in respect of Patk O'Rourke (now serving with H.M. Forces) who is stated to have been employed by you. To enable me to verify statements made in the claim, I shall be obliged if you will furnish me at your early convenience, with the information specified below.

I enclose an official paid addressed envelope for reply.

I am, Sir,

Your obedient Servant,

W. Craig
Pension Officer

To Belfast Corporation
City Hall

REPLY

1. The dates of employment and termination of his employment by you:

Employed in Belfast Public Library from 7^th February 1913 till 12^th November 1917.

2. His average total weekly cash earnings (including overtime bonus &c.) during the last six months of his employment by you:

£1:6: 6

3. Particulars of any definite and permanent change in his earnings during this period of six months:

None

4. The nature and estimated value of any earnings in kind, e.g. meals or lodging:

None

Signature: J.B. Goldsbrough
Date: 21^st Nov. 1917