HomeMy WebLinkAbout32199 / 82-04December 16, 19bz
PURPOSE: EXTEND RETIREMENT DATES
INITIATED BY: PERSONNEL DEPARTMENT
ll 4 RESOLUTION
WHEREAS, the cicy of Oshkosh, on the 6th day of December, 1979, adopted a
Uniform Extension Policy for employees of the police and fire departments;
and
WHEREAS, the following police depar�ent and fire department personnel have
met the reauirements of said Uniform Extznsion Poltr_o and have requested a
one-year extension of their employment:
DONALD MAND - 4th Request - Police Department
Date of Birth: March 24, 1925
Original Retirement Date was: March 31, 1980
Employment E�ctension through: March 31, 1984
ROBERT HABLE - 3rd Request - Fire Department
Date of Birth: February 24, 1926
Original Retirement Date Was: March 31, 1981
F�ployment Extension Through: March 31, 1984
NOW, THEREFORE, BE IT RESOLVED by the Co�on Council of the City of Oshkosh
that the foregoing extensions are hereby granted.
SU3idIiTEL is"
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November 19, 1982
TO IdHOM IT MAY CONCERN:
This is my letter for one year extension with the Oshkosh
Police Departmente
Attached is my doctors report.
Thank you,
n o
/t�i Gy' =°� %':t.,o /
Donald Mand
P. 0. BOX 1130 • OSHKOSH, WISCONSIN Sd902
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CITY OF OSHKOSH
REPORT OF MEDICAL EXAitIN.�.TZON FOR POLICE OFFICER
This information is for offical use only and vilt not be released to unauthorized persons.
1. LAST NnME - FIRST-NAME - MIDDLE NAME 2. DA:E OF BIaTH
r%;��,� /?:-,✓,�-�,� '°-:'�-�-�.r-� -�/� Y%� �
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3. HOME ADDRESS� NUMBER, STREET CITY OR TOWN, STATE AND ZIP CODE
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tXAC11lV11VG YAI:iLl"LY UK CXAMiNER, AND ADDRESS
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CLINICAL EVALUATION
imal Abnormal Check each item in zppropriate
column; enter "N.E." if not
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inuses
. Eyes-General. (Visual
acuity and color visior
. Lungs, Chest
(Include breasts)
. lieart (Thrust, size,
rhythm, sounds)
. Vascular System
(Varicosities, etc.)
. Abdomen and Viscera
(Include hernia)
. Anus and Rectum
(Hemorrhoids, fistulae)
(Prostate if indicated)
Unper
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Feet
aities
range of mot
:20. Lower Extremities
� (Except feet)
(Strength, range
i21. Spine, Other
� Itt. iae¢cixying noay :sarKS,
`- � Scars, Tattoos
�` �23. Skin L m hatics
24. Psychiatric (Specify any
�` personality deviation)
Remarks and Additional Defects and Diseases
Notes: Describe every abnor.nality in
detail. (Enter pertinent item number
before each comment; continue in Item 39
anfl use additional sheets if necessary.
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LABOR?TORY FZNDL:IGS
25. URIAIA7.YSI5: SP. GR. %. �� - �
ALBUMIN .� SUGAR
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26. CHEST X-RAY (Ylace, date, film numbet, result) (Optional) �
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SLEi7DER 2IEDIUM
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HEAVY ,- OBESE
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DISTANT VISION
RIGHT 20/ - CORR. TO 20/ �-�
LEFT 20/ ,�_ � CORR. TO 20/ �-�
, TINE TEST (TB)
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. COLOR VISION (Test used and Resul
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39. NOTES (Continued) AND SIGNIFICANT OR INTERVAL HISTORY
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tional
paper if ne�
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41. RECOb4�NDATI0N5 - F15RTHER SPECIALIST EX��4I:iATI0N5 ICiDICATED (Specify)
42. EXAMINEE (Check)
( �-)�IS
QUALIFIED FOR r.PfPLOY`SE;IT AS LAW ENFORCE.'tEVT OFFICER .
( ) IS NOT
43. IF NOT QUALIFIED, LIST DISQUALIFYING DEFECTS BY ITEM vJMBER
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November 18, 1982
Mr. William Frueh
Members of Oshkosh City Council
City Ha11
Oshkosh, Wi 54901
Dear Mr. Frueh and 'z]embers of [he City Council,
I hereby request an extension of employment with the Oshkosh Fire
Department beyond my normal retirement date of February 24, 1983.
Attached please find a statement from Dr. Geller of the Nicolet
Clinic in Neenah dated November 15, 1982.
Respectfully,
�,�" Vt'�� , G"l��
Robert Hable
Oshkosh Fire Department
NICOLET CLINIC
411 Lincoln Street • Neenah, WI 54956 • 727-4200
ADDRESS
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REFILL TIMES BNDD #
FORM N0. 17 REV. 7/ffi THIS PPESCRIPTION MAV BE FILLED AT THE PHARr.�ACV OF vOUR CHO�CE
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