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Home My WebLink About31552 / 81-11September 17, 1981 PURPOSE: INITIATED BY: EXTEND RETIREMENT DATES PERSONNEL DEPARTMENT N 11 RESOLUTION WHEREAS, the City of Oshkosh, on the 6th day of December, i979, adopted a Uniform Extension Policy for employees of the police and fire departments; and WHEREAS, the following police dep=_rtr,;�nt ar,d fira department �:ersonnel have met the requirements of said Uniform Extension Policy and have requested a one-year extension of their employment: RICHARD PHILLIPS - 8th Request - Police Department Date of Birth: November 2, ig19 Original Retirement Date Was: December 31, 1974 Employment Extension Through: December 31, 1g82 RAYMOND LUTHER - lst Request - Fire Department Date of Birth: December 2, 1926 Original Retirement Date Was: December 31, 1981 Employment Extension Through: December 31, 1982 NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City of Oshkosh that the foregoing extensions are hereby granted. : _ _ _.,, ; `-,. _ _ , - — L — ��,�/�� _ . . - n �l �� l _7 Septe�ber 3, 198� To [•Sembers Of T.".e Oshkosh Common Council I Respectfully Request a One Year Extension As An Active Member Of The Os�osh Police Dept. I uould Aopreciate if I Could Get A ONe Year Extension From January 3, 1982 until December 31� 1982. Attached Is A Certificate From A Licened Physician. Sincerely Yours� �?�� . ��.� � , , 1 Ezamimuo� for_ i. NeClt ('�]:1IIL S. Signature �of/ 5. Heigh��. (cLn & Fyaighc: Suellin Test: Lefc Corrected to: LeLy Color TNE MEDItAL EXAMINATION REPORT POLICE AND F1RE DEPART'MENT 2. Date of 3. � � �C) 7. Chn• `�� -`r . _� _ f� d �c.oa�a � Mon:un x.m..t Right 20/— Bo[h 20% Right 20/� Bat6 20/� 9. Heatiag; R ear r?� L eac �' � Discharge? �� b 30. Nos� �� Il. Dea[al survey: Mark teeth "O" if npped or pivoc, "I^ if missing; "X" if carious; "F' if false. 2 8 7 6 5 4 3 2 I 1 2 3 4,. S 6 7 8 L Perfrc� Carin slig6• Good repiir a' Cario muk-a 8 7 6 5� 4 3 2 1�7 � 1 2 3 4 5 6 7 8 Pyorr6� Nced desuing IL Tom:�• �--��`� 13. Throa* '��- 14. Thyroih t'/",+ r��— ( 15. Spee�ti �� ' 16. Lungr Checic for anhma, mbem'losis, broachitia, chat %-cay fiading• ;v,��--^ / 17. Hnn: Cardio-vascv(az ryste�* �� ° ""` � PnLsc rata Q U Rlood prasucr SYnoli� / Y v Diasmli� �`f . 18. Crdstro-iatescinal tract: Chec]c appeadi= - iJF � Check for gasu;c ulcez �G` liver Q�'- Gall bladder �� - 19. Geaito-urinary: venereal diseas � d Varicocd � x;aII�y d 4 1 20. Hydzxele 21. V1tiCO5e VCin� ��.� 22 Haad� �� 23. Fce� d4 ftlaa or wLer condirioo) 24. Bonn and joian O�` 25. Spin� �� 26. Disabili�in: (chcoaic mrur6, sinus, fssnila, rectal diseasee, cvtaneou� diseaus, e[c.) �V�u ° 27. Illaw and iajuri•� f`fa r 28. Operarioa� �v � '� ' 29. Neuiouc teadrncin � � 30. Could thi� mau perEorm dury iavolving being ou his feet for 12 houn continuouslyl �`� 31. Coald this man perform dury involring long houts of duq iuvolving sitting oc ridiag? >�`- 32. Remaz d r.. I HFREBY CERTIFY THAT THIS IS A'IRUE RECORD OF THE MEDICAL PXAMINATfON OF THE ABOVE EXADfPIEE UNQUALIFIED ❑ %��; fr,� �,,.. Ari'D THAT I HAVE FOUND HIM QUALI£IED �g' P�SICALLY FOR THE DUTIES OF �� u`_`� � � Q n � —�---`��-�T t�t. D. McdiW Fsaminer � � � MEDICAL HISTORY STATEMENT �I1(C) (To be rakea in presence of examining physician.) Do you-belierryw-att-sound�and wcll uowt�Are you subject co dizuneas7��To serere headacLe?� To paia in the breasdl.�To fluaeriug of the 6eard�_So �6ortans of breatb?�To rnug6st� To diarrhesl—�v�% To pila?��To rheumatism?�Have you 6ad wre eyes or any defecc of vision?� �Runaing from ri�her nd� Is your smx of hnring good2�Yl2 Have you had Sn oe conwlaiona?� / If w, how frryuendy? Uncooscious spells? n IE so, how frequendy? Aschma.'_��lppeadicitisl .�I�r� •f sq were you openced uponl Goaorrhm? R/n �� A wre of any kind upon your peais? �d Mhm? Any swdGng about or oF youc [eaides? �� A boil near che aous? (fu[ula)? �� Have you been NpN[e�� /✓ d Do you drink iatoxicacing liquocs to exca�? �+' � .j If noc, �n what ez[eat? Do you use or have you used opium, morphinq cocainq or a¢y other ¢arcotia?� When? Whac was the cause of your fathei a deach? y�� Y' ��y wK�Q6'' What wa� the caux of your mo�6er's deatL? �'�� =!1J Has any membtr of pour family had tubeiculosis, insaniry, epilepry, ot inAamma[ory Have you ever spit blood? �� Have you ever beea hur� upon �Le head? N� Answer Have you had a sprain?�A sciff joind ��> A bone or joint ouc of placc?�A bove 6roken?� Whac boad brokm? ll�hen? Caux7 Are you subjea [o ptinful rnrat or wre feeN. �� fention nrefiilly iajuries or surgical opencioos yom m�y have had npoa any pazc oF your body, upecially bura; cuts, xvere bruises, or war wound• �a �� W6a[ hospicali�tion have you had for U. S. war xrvicc? �r �� Give aame and addres� of physidan who lu[ attended you, for wha[ ailmeny whenl I hereby certify tha[ [fie foregoing s[atemrnu ue crue io [he bac of my knowledge and belief. Signature of Applicanc .�,�'�� ,D�.� c5�go n�u n��t _J r..i 0 September 4, 1981 Mr. William Frueh Members of the City Council City Hall Oshkosh, Wisconsin 54901 7 a : N�n_� ,. r �j4J' -, ,:_� �� Dear Mr. and Members of the City Council, I hereby request an extension of empioyment with the Oshkosh Fire Departmen[ beyond my normal retirement date of December 2, 1981 to be extended to December 2, 1982. A statement from Dr. Scheuerman, my family physician, is forecoming. My appointment is scheduled for September 9, 1981. I respectfully submit this request for your consideration. Sincerely, �.2�.�-. ��c�uT /� � Raymond Luther Captain Oshkosh Fire Department $z1ID3If1[i00 1. Nnme (PrinQ� �. Sigaature oi appiicanLi S. Hdgh� G � �� 6. Wiehoua �hoe & Eyesight: Saellin Ten: Correcced to: Color 9. Hecing: R nu THE MEDICAL EXAMINATION REPORT POLICE AND FIRE DEPARTMEN'I' (cLn [irte) �C � . Da« , Date of bir[h /.? -�-�� 3. ABe�_ wagnn � � . 7. Chac . Striyped Ordin�q cldhe E=panded Mobiliq � N�mN I.eh 20/_ Righ[ 20/_ Horh 20/_ Leh 20/� Righc 20/�C? _ Both 20/� 10. Nos� �`"-- I1. Deanl survey: Mazk tee[h "O' if capped ot pivot; "I' iE mis�ing; "X' if tarious; "F" if fa(sa R 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 S L Perf•c* Cacin slig6r � Good repair Caria muk.ra 8 7 6- 5 4 3 2 1 1 2 3 4 5 6 7 8 Pyotrh� Need dranin �1 8 12 ionsits c�Y 13. Throae nQ 14. 23yro;� /� 15. Sp�h � . - 16. Lunga; Checic for aschm; tubemilosis, broachitis, chac %-ny findin� ��/` 17. Hearz: Cardiovauvlar rysc� v� A�i f S� % T �.Q � Pdx rac� � S� Rlood prasure: Sy�roli� �� Diascoli� �° o 1& Cras�ro-intesciasl tnct: Check Check for gastrie ulcer_ Gail 19. Geaito-uriaary: venereal dis�v -- Wuserma.. � Varitxd� "'� �+ Hydrxele /� 20. 21. Vazicose Vein• � (nom torm) � . 22. Hand• ,. O— Z3, g�� 9 (claa o. o.ner com;don> 24. Boaa and joinn 25. Spin 26. Disabiliria: (c6ronic tatur6, sinut, fisnila, rectal diseaset, rnIDncou� diseasn, err-1 '^/i�`"� o�'�c�lL� O c 27. Illnev aad injuri� �� 28. Ox�rio�• f �f ,_�� -a��T 29. Neurotic cendrnti� � , 30. Could chit man perform dury involving beiag an his fee[ for 12 houn conciuuoiuly) f 31. Could [his msn,�`rform dury inrvolviag long houre of duty invoiving sittiag or ridiug?�� f 32. Remaz�< "/' a v ✓vo cf � I F�REBY CERT'IFY THAT TfiIS IS A TRUE RECORD OF THE hfEDICAL EXA,�[INATION OP THE ABOVE EXAIKINEE AND TfiAT' I H}.VE FOUND HIM �QUAL�I� 0 P ICALLY FOR THE DU'I'IES OF QUALIFIED �� I� <dm ur�e) � ��;%��L D. A%dicil Ez�miner // l MEDlCA1 HiSTORY STATENIENT (To be taken in presence of examining physician.) ��r�� Do you believe you ere wund eod well nowl�Are you subject to dizziness7 �'� To severe hcadacbe? �� To paia in the breud '�', To HuReriag of [he hdcd �� To ehortnas of brnth?��-To toagbaT �-� To diurhea? ✓K� � To pila.� ^'r-•e - To rheumatism? �-!� Have you had sore eyes or say defect oE visiont_L�L� 6 Auming from either etr?_��Z-^ Is youc smx of hnrivg goodl�Have you had 6n or wawbions? -�2=�� If so, how frequen�ly7 Unconsciom spells? �� - If so, how fcequmdy? As[hma_� f°1�'" •ppendicitiw? �-d Tf w� were you operaud upov7 G000rrhn7 �� Whm? A sore of any kiad upon your peais? �� (� �b�o� Any swelliag about or of your tacicies? �J � A bail near the anu�? (fiscula)? �-�� ' Have yau been .iN_D you driek in�oxicacing liquon co excess? ��r� i If noq co whac extmct Do you use or have you used opium, morphioq cocaiat ot any - otber natcotia? �� Whte? ��'What was the came of Y�r fathezs deach? -�� - �a�� What was the cause of your mocLet's deacL? �u-`�r � • Haz any member of your family Lad cuberculos'u. insaairy, epilepsy, or inAammatory rheumacism? �!Z--d ' Have you ever spic blood? -�� Have you ever been hurc upou [he hred? ✓%�"d Answer tully Have you had a spnio? �� A sciH Ioiad `� A bone or joint oue oE placd Q�hac boees Wbea? �� A bane brokea?�' you mbjecc �o U painfiil corm ot sote feet? ��=� �m[ian carefully injuties or surgical open[iom you may have had upoa any parc of your body, espetially buras, cua, severe bruius, or war wound�� '��"S �� . �Ea —5yv�'O�i ' v �.1.r�C Whu Sospinliucion have you had fot U. S. waz xrvice? Give name >nd addcess of p6ysirian who (asc artended you, fot w6ac ailmeoc, w6en2 � �� ' I hereby certify tha[ che foregoing statemena are true to the besc oE my knowledge aad belief. Signacure of Applicant � , 4-�^ G��C�C� C�'—�A.J (sign full name) - .. .. ._._._._._...... ... �. ....... ._... _...... � �f� q N � � � � � � �J �^ \,'; w� r V .. .� ; � p' � n :J � � C •ri o ^ f♦ J + � C C O �i _ I U .� O � '„'� N 1y 1� � W � � � � rn � r � � +� \ ^ � � N � : N � U � .,� V � Q�a �