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Home My WebLink About32330 / 83-13March 17, 1983 Ik 13 RESOLUTION (CARRIED PURPOSE: INITIATED BY: LOST LAID OVER EXTEND RETIREMENT DATES PERSONNEL DEPARTMENT WITHDRAWN ) WHEREAS, the City of Oshkosh, on the 6th day of December, 1979, adopted a Uniform Extension Policy for employees of the fire and police departments; and WHEREAS, the following fire department and police department personnel have met the requirements of said Uniform Extension Policy and have requested a one-year extension of their employment: ROBERT ELMER - Sth Request - Fire Department Date of Birth: May 23, 1924 Original Retirement Date was: June 30, 1979 Employment Extension through: June 30, 1984 ERWIN BORST - 2nd Request - Fire Department Date of Birth: April 9, 1927 Original Retirement Date was: June 30, 1982 Employment Extension through: June 30, 1984 FRED STELZNER - lst Request - Fire Department Date of Birth: May 16, 1928 Original Retirement Date was: June 30, 1983 Employment Extension through: June 30, 1984 DONALD UTECHT - 2nd Request - Police Department Date of Birth: May 15,1927 Original Retirement Date was: June 30, 1982 Employment Extension through: Sune 30, 1984 SUBMITTED BY APPRO'✓ED — 22 — RESOLUTION # 13 January 24, 1983 Mr. William Frueh� City Manager Members of the Oshkosh City Council City Hall Oshkosh, Wi 54901 Dear Mr. Frveh and Members of the City Council, I hereby request an extension of my employment with the Oshkosh Fire Department beyond my normal retirement date of May 16, 1983 to May 16, 1984. Attached please find a statement trom Dr. Zmolek dated January 19, 1983. Respectfully submitted, �) � `��tihti- ��e! i�, Fred Stelzner Equipment Operator Oshkosh Fire Department Name �RS• ZMOLEK & MqTHISON, S.C. « <�.�,EO ,o . .��,. OSHKO'Z DOCTpqg �QURi REG. NO qZ3561877 SH' W�SCON5IN gqy�� /-� � � C I PH�!'�i 235-6960 \� REG. NO. AM3573607 � 1 / % � K Y �.ddreu � (�L L� �J Dofe \ /�� 2i �J�' GZ� ��L ' U �� L-C�t-r�t�� vz !Lc �� , -�-��{ �. �r� C REFILL FOg _ ' rZ�(p� � �_ /'._!:ThS � Y./// t :�4�-E-�� _ � - -z3- M p :� � J c RESOLUTION # 13 CITY OF OSHKOSH REPORT OF MEDICAL EXAMINATION FOR FIREFZGHTER This info �ation is for offical use only and will not be released to unauthorized persons. 1. LAST NAME - FIRST NAME - MIDDLE NAME 2. DATE OF BIRTH _ -i i-i- - �,. , /� � / / �/ /-/ � < G- .- �/�� ; / � .'iG- , . 3. HOME ADDRES: ��_ . . „_; . EXAMINING NUMBER, STREET L - � _ /' EXAMINER, AND ADDRESS CLINICAL EVALUATION Normal Abnormal Check each item in appropriate column; enter "N.E." if not evaluated. L� 5. Head, Face, Neck and Scal L 6. Nose ✓ 7. Sinuses ��- I 8. Mouth, Throat, and Teeth L� j 9. Ears `, � 10. Eyes-General (Visual I acuity and color vision) �� i 11. Lungs, Chest (Include breasts) : 12. Heart (Thrust, size, �� rh thm, sounds) � �� 13. Vascular System I (Varicosities, etc.) I � j14. Abdomen and Viscera � (Include hernia) 15. _lnus and Rectum .� � (Hemorrhoids, fistul.ae) � (Prostate if indicated) �- 116. Endocrine System � �17. �U System . i18. Upper Extremities �� j (Strength, range of motion �- � j19. Feet i20. Lower Extremities �- - ' (Except feet) � (Strength, range of moti 21. Spine, Other � Musculo-skeletal � 22. Zdentifying Body Marks, Scars, Tattoos ✓ 23. Skin L hatics 24. Psychiatric (Specify any v ersonalit deviation) Remarks and Additional Defects and Diseases CITY OR TOWN, STATE AND ZI � � ; �/�i� / Notes: llescribe every abnorma]Sty in detail.. (Enter pertinent item number before each comment; continue in Item 39 and use additional sheets if necessary. � �� .�� Cy �t.c-�c,«-.� Y`- %iL'-t�f�( ��ti.l�F �-�% . . /'�-e-�-�-�-Lfc `-� .. �-�-t/�t!�`�`�`e ( Z�'�'"""C�� CS T� -24- ontinue in Item RESOLUTION # 13 LABORATORY FINDINGS 25. URINALYSIS: SP. GR. � . CHEST X-RAY (Place, date, film number, result (Optional)' C� ��.�oA, - i�„t-¢-�-c-�-� �''r'�%-j_, C'� % - �%6 -,5 / 27. EKG � // ir �� SLENDER MED SURE � MEASUR&`fENTS AND WEIGHT 2� S HEAVY OBESE � ) � ) cyg //O RIGHT 20/ V;7� CORR. TO 20/ /S LEFT 20/ �� _ CORR. TO 20/ �,� __ 18. HEAI2ING (Test used and Score) i. �- . ' _ 'r '� � . � � :l L-:�µij- . _ . _ _ �'--� , 19. NOTES (Co¢tinued) AND SIGNIFICANT OR INTERVAL C'�-o-k-� ZiS. 'LLNY� 'LCS'L ER FINDINGS 31. COLOR HAIR �� nr9S. �0 . COLOR VISION (Test usea and Resul �2 - �-�-K-� i._. . . -_ �\.: i �- - ._ it� ' 1 > � t� � � i�� .. �. • I-��. it-L, ' (Use additional. sheets of ptain paper if necessary) 40. SUPPfARY OF DEYECTS AND DIAGNOSES (List diagnoses with item number) l `i , � \ Z�-e-�✓�.�-c� � 41. RECOMME:IDATIONS - FURTHER SPECIALIST EXAMINATIONS INDICATED (Specify) I r t, �.��_,�,�1�a-c�t� 42. EXAMINEE (Check) � ( iy IS QUALIFIED FOR &`fPLOYMENT AS FZREFIGHTER ( ) IS NOT 43. IF NOT QUALIFIED, LIST DISQUALIFYING DEFECTS BY ITEhf 1'UMBER PED OR PRINT� NAASE OF PHYSICIAN ✓, � . /y1 �8-rr�r s �% , � i SIGNATURE -z5- UA'1't: i/� 4�k-� RESOLUTION # 13 January 17,]983 Oshkosh City Hall 215 Church Avenue Oshkosh,�i 5�901 Dear Mayor Pung: I am e�ployed with the Fire as a Lt. I will be 59 years old wish to extend my e;�ployment with to my 60th birthday, Nay of 1984, Department serving on h4ay 23,1983. I the City of Oshkosh Attached is my r�edical report. Yours truly, �. ! � . . '"ic'�L4'L� <��z�zc�l 11 Talbot Ln. Oshkosh,wI -26- Examination 1. Name (ptint) 4. Signature of applicanL 5. Heighr 7 � ? ` 6. Without �hon 8. Eyesighr. Snellin Tesr. Corrected to: . Color [es�' RESOLTUION # 13 THE MEDlCAL EXAMINATION REPORT POLICE AND FIRE DEPARTMENT <#f/]__S�"i1��l�OY" • C7t.iliG/ �C�!li�f' . Date f�7�/J �i .. t. i 2. Date of binh (� yL2J �'�C,� !��/ i 3. Agp a�i}� Weighr -�--�': 2.�/ / 7. Chesr � � /'t�.:.�C_- �\_ S[ripped Ordinaq dcehn EzDaoded Mobilip Navur�l Left 20/ 3 D Right 20/ s� Both 20/ <�'.; LeES 20/- Right 20/_ Bot6 20/- .✓� i 9. Heariog; R. ear / 5 �� ' L. eaz ' S��- �ti Discharge? �� 10. NosP �- 11. Dental survey: Mark teeth "O" if capped or pivot; "I" if missing; "X" if carious; "F" if false. R 8 7 6 5 4 i 2 1 1 2 3 4 5 6 7 8 L Perf Cazies slight Good repa�Caries marke�l 8 7 6 5 4 3� �2( 1 I 2 3 4 5 6 7 8 P;�orrh Need deanin� 12. Tonsilc j�'� 0 � Dear Sir; c RESOLUTION # 13 823 Preepect Ave.� Os�kesh, �i. 54901 Jan. 21, 1983. At this ti�e I woula like c• app1T for a 1(��e) �edr eztension os Capt. •n the Oahk�sh Fire Dept. E�cl�sei are �� aedical pepera. � ank �su % _ ,� �/— "�'L� :.�z : i A j ��,! £J '! Erwir, B. B�rst - 28 - RESOLUTION # 13 CITY OF OSHKOSH REPORT OF MEDICAL EXAMINATION FOR FIREFIGHTER This information is for offical use only and will not be rel.eased to unauthorized persons. 1, LAST NAME — FIRST NAME — MIDDLE NAME 2 DATE OF BIRTH �l_ ' t� \ ^ \� S 1... �\t' � v \ 3. HOME.�IDDRESS NUMBER, STREET � � � , - _�_} -��-, _\�.- � _ - 4. �EXAMINING FACILITY OR EXAMINER, AND ADDRESS ` r ` . _\'• \� '-� �I�t �c. L \: \� �I CLINICAL EVALUATION rmal +Abn�rmal Check each item in appropriate � column; enter "N.E." if not 1 evaluated. �' S. Head, Face Neck and Scal ✓' I 6. Nose ✓ 7. Sinuses v� I 8. Mouth, Throat, and Teeth ✓i � 9. Ears �i ✓ , ✓ ' ✓ i ✓ ✓ � ✓ V ✓ ' v acuit and color vision 11. Lungs, Chest (Include breasts) 12. Heart (Thrust, size, rhythm, sounds) 13. Vascular System (Varicosities, etc.) i14. Abdomen and Viscera (Include hernia) 15. Anus and Rectum (Hemorrhoids, fistulae) (Prostate if indicated) 116. Endocrine S stem 17. �U System �18. Upper Extremities � (Strength, range of mot ;19. Feet � 2U Lower Extremities (Except feet) (Strength, range of motio Spine, Other Nusculo—skeletal I22. Identifying Body Marks, '� Scars, Tattoos .%" 23. Skin L m hatics ✓ 24. Psychiatric (Specify any persona]ity deviation) �emarks and Additional Defects and Diseases • l � CITY OR TOWN, STATE AND ZIP CODE �� fi'_ . �� . - � �' , � i \— l -f`.. i� v .'l' ) Notes: Describe every abnormality in detail. (Enter pertinent item number before each comment; continue in Item 39 �...1 �.�c �AA{Hnnnl chcutc if ncroccnrv /� - l�G,/rc.s�u� tGy�f�' /l'-� . S �r<° �n1�.� , �/ ��s=c� - 29 - � i RESOLUTION # 13 LABORATORY FINDINGS 25. URI�`7ALYSIS: SP. GR. •�'m 5 26. CHEST X- 27. EKG (Opt 29. HEIGHT G' 33. BUILD: SLENDER ( ) 35. BLOOD PR RL'� HLDUI'11L\ � (Place, date, N�/L y��F-. MEDIUM number, resuLt , WEIGHT � ;� 1 t,� HEAVY OBESE < �) ( ) SYS. ! i�p DISTANT VISION RIGHT 20/ ^I�` CORR. TO 20/ _ LEFT 20/ -� CORR, TO 20/ _ HEAI2ING (Test usGd a� Score) %�'� f,7 `�rLC�ac.-� Q ptiona TINE TEST (TB) �L �� t� FINDINGS COLOR HAIR 32. COLOR � - ��y,K, G3iK�- 34. TEMP. 9.� � �� COLOR VISION (Test used and Result) � � �'� � �� v�tti.i; ,��-..,�� (�\.��."�."� --C�1C�� ontinued) AND SIGNIFICANT OR INTERVAL HISTOKY �_-�,��' • .�lyl� ��s«u. � �1'-�i rk�Qi, (Use additional sheets of p7ain paper if necessary) 40. SUMMARY OF DEFECTS AND DIAGNOSES (List diagnoses with item number) �•as G--. 41. RECOPII�tENDATIONS - FURTHER SPECIALIST E&iMINATIONS INDICATED (Specify) i� /�i�t.C•��l-�= - 42. EXAMINEE (Check) ( ✓) IS QUALIFIED FOR EMPLOYMENT AS FZREFIGA?'ER ( ) IS NOT 43. IF NOT QUALIFIED, LIST DISQUALIFYING DEFECTS BY ITEM NUMBER . TYPED OR PRIN�TJi� NA,`� OF PHYSIGIAN ( UAlr. ///� /� `'�"/��9'/H GT- lZ�E��`' fi— .�'i p� . __._. - SIGNATURE -30- ;.QTT �` OF OSM[OtN TO: City Manager City Council FROM: Don C. Utecht Chief of Police RESOLUTION # lj COUbC 4 NAN<3Ld AuN::`.:5%RPTICN March 9, 1983 May 15, 1983 I will have reached the age of 56. requesting a one year extension of my retirement. �— e �� ?,��.% -•�� Don C. Otecht Chief of Police - 31 - gqper'f 3!�',..:)Iry� - qo0 J.4CK.5�� ^i ;iT. ^� iSNK.`;5�9, Nil S:��Jt I am RESOLUTION # 13 CITY OF OSHKOSH REPORT OF MEDICAL EXAMINATION FOR POLICE OFFICER This infozmation is for offical use only and will ¢ot be released to unauthorized persons. 1. LAST NAt4E - FIRST NAME - MIDDLE NAME 2. DATE OF BIRTH UTECHT DONALD C 5-15-Z7 �. u,,.... � ............. ...,......„, .,--�---- ---- -- -- - • - — 1909 GEORGIA ST. OSHKOSH, 47IS. ,, Syq01 �-, 4. EXAMINING FACILITY OR EXAMINER, AND ADDRESS � DR. -SCH�UERMANN lppp �"'..aPE AVE. 69HKOSH, WIS. 54901 ✓ ✓ i/ ✓ � ✓ :/ i/ L� (/ ✓ C/ -- Notes: Descr e every a norma.i y detail. (Enter pertinent item number CLZNICAL EVALUATION before each comment; coatinue in Item 39 and use additional sheets if necessary. column; enter "Y.E." if not evaluated. 5. Head, Face, Neck and Sca 6. Nose 7. Sinuses . Ears icuity and color vision Lungs, Chest (Include breasts) 3eart (Thrust, size, rhythm, sounds) �ascular System (Varicosities, etc.) Abdomen and Viscera (Include hernia) Anus and Rectum (Hemorrhoids, fistul.ae) (Prostate if indicated) �� j ll. G-U System :18. L'�oar Ex*_remities � �St.-eagt:, -ange -�,19. reec y2U. Lower Extremities � � (Except feet) � (Stren th, ran e 21. Spine, Other Musculo-skeletal 22. Identifying Body Scars, Tattoos 23. Skin. Lvmnhatics o[ �otio of mo . L 14. Psychiatric (5peciiy any personalitv deviation) Remarks and Additional Defects and Diseases �. �i' c�..�—P �-�—�(�-('��. � .12.a.,.,..e�., �3�v.A — 32 — J . �.._ . ,�.�._ \ , RESOLUTIOPd # 13 �. � LABORATORY r^INDINGS 25. URINALYSIS: SP. GR. ' ALBUMIN SUGAR �. ��1,4�� y.� � ' " � , 26. CHEST X-RAY (Place, date, film number, result) (Ontional) 27. EKG (Optional) 28. TINE TEST (TB) • MEASUREMENTS AND OTHER FIWINGS -� rr 29. HEIGiIT 30._ WEIGHT -, 31: COLOR FiSIR 32. COLOR EYES J- � ��,� . . �, 33. BUILD: 34. TEMP. SLENDER MEDZUM HEAVY OBESE 9�� i) ) c) c) 35. BLOOD PRESSURE SYS. DIAS. � 36. DISTANT VISION 3. COLOR V SION (Test used and Result) RIGHT 20/ ao CORR. TO 20/ y%M �i�c.,� LEFT 20/ �_ CORR. TO 20/ 38. HEAI2ING (2est used and Score) � ._.,/�Q �. � Q � �tL4- �."t'`""C�t---a X --J�—� u 39. NOTES (Cont3nued) AND SIGNIFICANT OR INTERVAL HISTORY 1. sheets of plain paper if ne� SES (List diagnoses with item 41. RECOMMENDATIONS - FURTHER SPECIALIST EXhMIiVATLONS IvDICATED (Specify) `-1 �t�i �....�2� 42. EXAMINEE (Check) (�) zs QUALIFIED FOR EMPLOYMENT AS LAW ENFORCE,�fENT OFFICER ( ) IS NOT 43. IF NUT QUALIFIED, LIST DZSQUALIFYING DEFECTS BY ITEM MJ�ffiER 44. TYPED OR PRINT� Ne1hiE OF PHYSICIAN DATE Nyal N. Scheuermann M.D. 3 i� i g� SIGNATURE�� %��GCR�.� o n...i.,�._ � � �.._ R�. ` 1 — 33 — p,� . _..�.._. .... _ ,.. 1 � ._. _...._.._>�._.._. ._F .. . � �.w � ��. � � : .� �c�. � ,_�. � � v x (" � W �, �� : / '� , � �+ � H O .. � ��9 � � a v N v �' �' rt � � rt � O N 'y-D y� C N >S N a O rn .� ;� .+i .� � F� W