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HomeMy WebLinkAbout30622 / 80-03r�rcn zo, 19so � 3 PLTRPOSE: E}CL'II�7D RETIRE��PP DATES � �� : •�.• � • •a �� •, • •� Sv�',AS, tr�e Citp oi Oshkosh, c,n the 6th r.ay ci :zcu���, �97S, udcp.r� a Uniform F�ctension Policy for enployees of the oolice and fire departrTents; and WE�RF'.7�5, the following fire de�art-mPnt personnel have r.�t the requiresrents of said Uniform E:ttension Policy and have rec��sted a one-year extension of their e�loyr�nt: NEIL STARKE - 6th Recfiiest - Fire Departrnent Date cf Birth: June 22, 1920 Original Retirer�nt Date Was: Jur.e 30, 1975 Eag�loym�nt E;xtznsion 7.7imugh: June 30, 1981 ROBERT H. FSMER - 2nd Re�uest - Fire De�xlrt�nt Date of Birth: rlay 23, 1924 Original �tire�nt Date P7as: Jtme 30, 1979 �loy�nt Exta_:�sion Thmugh: June 30, 198Z AL,OIS KR� - lst Request - Fire Departi'rnnt Date of Birth: Jime 19, 1925 Original Retir�nt Date Is: June 30, 1980 �r�lo;�rznt E�ctension Through: Jun2 30, 1981 NUrI, ZiIER�'Or.c,, BE IT RFSOLVED by the Co�ion Coimcil of the City of Osh_icosh that 'rhe foregoing ext.erLSions are here�y g*_�anted. S'iFSidITTL:i BY _. `� � i �. �-� R �G�. _ � i - 3 - --- . _ __�����_. � � M � � Januarj 2�� 19g0 i:ayor Schiefelbein & Council tiembers: t•sy na��e is Rob2rt Elr:�er a m�;,b�r oF the Csh}cosn Fire Depar���enc, I am pr.e;�ntly serving as a Lieu- tenant, I have been a Fire Fighter for ?_9 years, I s•�ill be 56 years o1_d rIay 23, I98p, I�;� I2nU25t1i1C{ � 1 ye�r extension� to my 57tit birth- day on Atay 23, 1981. t%y i�in�3ica1 report is enclosed, Respnctfully yo��rs, -, T r.-, ; „' . . c:—:.-: � -�. C _ �-; � � �'� P.oSert Flmer 1' TH� tv9��li��s EX����1f��'��+��J R���D�tT PO�ICE AND FIRE DEPA2iZ'1dENT' _��- - .���oo rot__ �-�`' -- �—�_-� ����— l /P ��� (clan ude) / Date 1. Name (priai) � �CO ,� � �'! � �2'-�Z, Dare of bi . /'�" �3 / %L � AS_ V C �p c_�: �_ 4. Signamre of applican � �'- ( �� � �t ��� 5• Heighc_� / 6. We;Bhr .� 3 0 ✓ 7, Chest�,.�_ Wichoue ahoea Scripped � �Ordiouy clMhn � 8. Eyes;ghc: Snell;n Tesc: Lefc 20/�._° Rig6c 20/�� . - Correcced m: I.eft 20% - ltight 20/— U Bo[6 20/ �v Both 20%._,SZ Colot tesc . /�'.�?�^-��" 9. ilearin R ear /� � S : � 5 � . S� L. ear�l,t_Discharge? ��� 10. Nocn �/L-_ � 11. Dental sun�ey: Dfark teetfi "O" iE capped or pivor, '7" iE missing; "X" iE carious; "E" if false. R 8��!�Cij � 4 3 2 1 1 2 i 4(� �y, 7 8 L Perfen a�ixyr Good cepair�q �tk� 8�.i� C3'i `� f� _2 1 �: 1 2 3 4 5 G�� Py�orrhe+ . - - Neal deania.g 12. Tonsil �-�!�� ��`"Or- � � 13. Throa� ���=`�"�-- 14. T'hyra.l �2""-" 15. Speec 7-'"'-�-^�—'- 1G. Lungs: Check for aschma, rubercvlosia broochici9, chest %-ray fiodingn .� __ /�'� �i` � 17. FIeart: Cardio-vascular ryste . Pulse tata �1�� Blood pressure: Sysrolir �� DiastoUr . `�� _. . . .. 18. Gastro•intestinal tratt: Checl: appendi< Check foi gas[ric ulczr � Gall bladder _ p � 19. Geni[o-urinan•: vener�-i1� diseasz � �'-s"�� 20. Wassezman -- l u..,t...,-.,�,. �-^---=-v--' . (vore form) 21. V8[icose . _ 22. Hnnd� � . ^� 2-� . . . 23. Feer �l� . `(fiat oc aher co�irion) 24. Booes aod join: ���G'"'�`� � 2j. Spine�� 26. Disabili[ies: (a�ronic catarrh, sinus, fistula, rettal diseases, ataaeous diseases, ecc.) _ _. 27. ILlnrss and injurie '`��'��-r . . � 2B. Operacion� ,:" c ��L-c�--.. °%" .L-y ��y--"' 19. Neuroec tendenciea � J��-c,Z.. � �— 30. Could this man perform duty involviug being on his feet fot 12 hou�-s continuonsly?_�_ 31. Could chis man erform du '� P ry involving lon� hours of duty involving sitting or iiding? �' �� ---� 32 Remark� - � � - i I HERiBY CERTIFY THAT THIS 7S AQTRUE RF.CO� O�� 'fIE 1fEDICAL EXluYfINATIO�i O�THE� ABOVF. EXAhIINEE AND THAT I HAVE FOI7ND Hf�f � UALIPiED� IC�II.LY Tt THE DUTIES OF ^----�� QUALIFIED l/ `� '��"`"'"''" /1\ �y��. (cLxa [i�le) C-l. -7/ n � /� ./�^{t/X� ������ I G�i J C % � /�j�.'%W� bfedital Examinet {. D. (. ��?J �� �� �; � ': r'' ; - ..r > �_ , s � `� '' � _> � ; �;r �.., i y ' � z� :.�% `��iZc :�.,,�i ..:;.;.• �'iZ?�:`(�;\: _": �*� _ 1� i'� � - �'_1 �t� � 'y i (`�,-r:t i: , `,t ''(:::-=U.'�:T'j 2�� Zj�� ?:s. ii::n_-e�_� Sc"�i<:lelbein .^.yCi Ci �}i.. vi��, Ol' VS�:-::G511 Gi� C_!A�.`C.^. nVG1U� ��':,YI.�:U:,i1� ':JI �%'�t�'�l ?±or.or� ble ;:�a�cr Schie=el�•ein anc '=e�:;;�ra ci �he ��..�.�..on .;oi�:,c; i : I �u�� li c co a loc 2^. �. �-���o-� oi autZr i:',S 3.ia '�-::�� C�i:.c? Cf L'112 ii� � � Gi (i� _u O�i'� �a'1n6 .v�C:i �.:�ii=._8Y3�• -� r.o_^::_�l re�ir�r:ea� uata .;ould ce ,:�s.;: 1-, S jUy� I �:iCL'.11 .1.1Y:E9 �::c 8Z �3!2�:iJi? ^v.f Clu�i��' LO c_i:�i:1_G "f:U cjLL!lB _L� f 1'��'_. � _� /j.l�a�il.: �y0u iOS J017�.' ,.J1�@.,iG='ii 11.. ..:.1:..: :c(:L.:C:-. �.. �:s=!C;�J'_'i3.<<� 7.:'.'_ . ..� . . ./i- _i. i..y�.� s-"�� �1./'✓-=% -f...i_ t1 I ,.i S i_'1i'.... DR. WARREN V. HA9-!N 101-A Alfl�e Bouiavard OSHKOSH, WISCONSIN � �0 �. L�.�-s-.,._�: e � ' _ . ,,•'✓ J.u/ �,i+c��., ) � �;' a- i - d"�i / � .' ,�%,C'.�:. �Jt��_ �J ;' . � .� � :. /,=2c4fiC. � . ' . � • - , ' . J �� �.�-.w...�r�_ �.; � .e:�_: �. ��� � <:� _r.��� �' t:-L, � - ��.K..�_�:.� �,�� � �� J._�.�..�e �� _ .,�_. _��_ �� �.h_..�__�_�r.. ; �'."�.f'- ✓G.2c...-c._: i/ L.��(�� ��"�� ...C.. c: i/ . �.rC C �-[`t. <. -� i`J ��..-l�..-ii.:.lL�L � ��c., ,_ / � ; J ,_ r_;. /{ • 1 / i �, �G�.c..... (:..✓_./.t �'�G ? c.c�s-C.f:..�y- C-'-1/' � �-u_' �f.:�t.< .�1,<.- :f��:�. - l L L� ' i. -�-�'•`r-c. � . °� ,���� �. � �, � �� �v�� ri1:,; s ���i_i�; �� January 21, 1980 Mr. 6Jilliam Frueh Members of Oshkosh City Couneil City Hall Oshkosh , lIi 5�+901 Dear Mr. Frueh and members of the City Council, � .,� I hereby request an extension of employment with the Oshkosh Fire Department beyond my normal retirenent date of June 30, 1g80 to June 30, 1g81. A statement from my Doctor will be forth coming. i9y appointment for an examination with him is scheduled for February 5, 1980. Respectfully, /? - /(L`_/. ,,r � f i l >4"'' _ Neil C. Starke Captain of Inspection Bureau Oshkosh Fire Department �� ����� �: �D'p ADELMAN PA D. t OSH�(OSH, tyISCONSIN 54301 � ^"` - 23I-6800 Starke .�%----- Date 2�5___/80 Y'he above is physically able to perform the3uties of a fire fighter. NON REP. � REFlLL _ TIMES Thls prz,cripl��on can be fl!ed at MU�IIEA�POlTER ��JG STOR:S IOrh 8 Oregon $;s. _ CUO Caape Ave. 410 N. A+.3in y. _ � 17 N. Sawy=r St. � � /� '�� 1 � a,�^ y - �------ M. �. �. D. Adelman , i�l. D. ,; o3�s ��a� .�: a �'��� '•.='���.: � � _ N�� _�:C1Y �� � \ '�, M � ,,, r'''- � -, � � � � � � a� �, +-1 N N i. ro a � -F> x � � r� vi O +i O +� N ri �za O F-i '� rl O C, 1� 4-� cCi � r-1 V] f-i O N Sil � N � �',r,�f�'� W `�l x +> s� � A O � �� z. �+ �s s. .� x � � m � � a � o a ro d O �d E a� .� � t� G � O U 7-I N O � �: 0 N � U Ci N � x c� a� � U � � ,-I U