HomeMy WebLinkAbout29737 / 78-16SeptemY�er 21, 1978
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Wrs�r�AS, �ttie City ot Cyshkosh on the 21st �ay a� ��9arch,. 1974 F adopec� an
Uniform �tension Palicy for er�layees af the Police and Fire Depart�nts,
and
W�'.AS, the follaaing polioe personnel have met the x°equire.rnents of said
Uni�orm �tension policy and have requested a one year extenaion af their
e�layment :
RICHARD PHILLIFPS - 5th Request - Poli.r,� JDepar�nt
Date of Birth: November 2, 1919
Original Reti.rement Date Was: Deoember 31, 1974
Fmp3o�mez�t F.��te.a�sion Through: D�cember 31, 19i9
ROB�ERT HO�IEIIV' - Sth Rer��est - Polic� Departinent
Date of Birth: Nov�mber 15, 1919
Original Retirement Date Was: Deoernber 31, 1974
F�loyment Fxtension 'I'hrough: Decembe� 31, 1979
ROSERT NICHOLL - 4th Requ�st - Pqlice Departxrent
Date of Birth: October 29, 1920
O?-iginal Retir��ment Date Was : Dece�nber 31, 1975
�].oyment Exte.nsion Through: D�c�nber 31, �979
Iv'dW, Tf�RE�'ORE, HE IT 'tESOL'�7ED by the C�non Council of the City
of Oshkosh that the foregoinq extensions are hereby granted,
SUBt�ITTED $Y
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OSHKOSH s�tISCOiJSIt�3
JULY 29� z978
10. � MEI�BEBS 4F THE OSHKOSH CIlY COUNCIL -
F'�OM: OFFICER AOBERT J. NICHOLL
SUBJECT: EXTENSTON OF DUTX, ONE YEAR -
HON013ABLE COUNCIL �IEMBEfiS :
The undersigned Offieer, a, ffienber r�� the dshkash
Police Department for the past twenty-four yearsf hereor�
respectfully requests consideration of an extensian of' one
year of service� from December 3�-, �.97$ T� Decemb�r 31 �979�
� Encl.osed. you will fine a full Medica�. F�epor� from
Doctor James E. Hinchen, 400 Ceap� Ave, The Oshkosh Clinic,
reporting thE undersi�ned to be in the ver;% best o.f health.
Trusting the above wiil meet with your favorable
approval; .
I �emain
8 p?ctfully ours.
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DG`�S�I' ../G�f���
Aobert . Nicholl
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JAMES E. HIiVCHEN M.D.
400 Ceape St.
Oshkosh, 1rV1 54901
Office: (414) 231-6800
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DEPARTM_NT OP POIICE
August 4f 1978
Qshkosh City Counci�.
City Hall
Oshkosh, Wiscorisin .�4901
Members:
COUNCIL-MANAGER ADMINISTRATI
�eA
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a POL[C .
August 4, 1978 I was examined b�r D�a Becic.er and he found
me in good physica� condition,
I request. a one year extension and ta be a�.1c��ved to work
for the:Ci�y of Oshkosh thru 19790
Sincerel.y,
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. � G' � l%' ' .
4��
Robert Boheen
Capt. of Patrol
CITY HALL � 215 CHUftCH AVEhUE • P. O. BOX 1130 s OSHKOSN, WISCONSItV 54901
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DEAN B. BECKER, JF2.. M.D.
400 CEAPE AVENUH .
OSHKOSH. WISCONSiN 54901
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. August 7t5, z978
To Aierabers Of The Oshkosh Common Council
I Respectfully Reques�. a One Year Ex�ensi.or� As AN Active M�rber Of The
Oshkosh Polic� Dept.. I ti'lould Appreciate if T Cou1d (ret a One Year
Extension Frora January l� 19?9 Until December 31' 1,�79,� "'-
Attached is a�er�if�.cat� From A Licened Physician.A
��.ncerly Yonrs, �
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THE M�DltAl EX�tNAT10�I REPORi'.
POLI�E AND FIRE AEPARTMENT
TuaminaCion fot
{c2asa sicley
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'!���� �� ��tl�-�r�
1. Name (print) • � ' ,/�� T
4. Signacure of applicaa� � �= �-.� V`� �� �. �� ' %�/
�` II'' ;�
�a lH�i�h* 60 �€i�r
Wichout s6oa Stripped Ordinxry
8. Eyesight: Snellia Tesc: Left 20/
Cotsected to: Lef�t 20/ ;�' � '
Color
Date of birrh r' (_Z I,
,
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A8"�----.... :..F. •
7a �� = L . 3_" � y a
� Mobilit� Namrs!
Righs 20/ Aot� 20/ ' .
Rigb� ?.0/ t \l }3otb 20/�. -
9. Heariag: R�� t� G, L, ear„�,�„�5,,,.._DisCharSeP - �? ______.....10. N� _C? � �
........,.. � �...:. �...... .
21. Deatal su;v • Diark teeth "O" if rn . -:-_ .
eY• Pt� or pivo� "I° i£ missing; "X•• i£ caaious; "F" if falx:
R 8 7 6 S 4' 3 2 1 1 2 3 4 5 6 7 8 L •. Per#ect._,,,r... , C,asies slig}t* �,.,....
.' Good tepaur--- � Cariex ms�tk��
8 7 6 5 4 3 2 1 1� 3 4 5 6 7 8 Pyorr�= r, Need deaaing_,.,...�..,.,......,.
iZ Tons•t� � �G ' ' ' Y3, Thtoa* !� %z-
14. Thyroi� - �- � � , �S, Speecti �LZ •
16. Lungs: Check for asthma� tubemnlosis, bronchida, chest X-rag findings ,_�� „ -
17. Heart: Catdio-saxt�lar systert► - ��- �
Pnlse rar� �� ftlood presstue; Sgstolic j,� r>>astolic � d
18. Gastro-intestis�al cract: Check apgen ' •
Check for gascric nlcer d�f Liver ..�� '
---�^:
G�i bZac�der /� C�
19. Genito-urinary: veaereal dis�� ..�1 �i �, . W�sserm�+--
VazicocelP_ C� Hytlrocel@
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x�aa�q 6 4 �
Generat.____._ [1 `�, '
20. Hemia_.._ �-�+� , 21. Vaticosce Vp+ne �, ..
(noce form) , •
22. Hand� �� . 23. Feer ,�l �n
/ (flat or othez coodition)
24. Bones ana ;oia« _ �� 25. Spia� D L(
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26. Disabilities: (chronic catarrh, sinus, fiuttcla, rectat diseases, cutaneous diseasp, etc.j— � ��4,
27. IIlness and iujuries_` U I
28. Operatione � . � ' .- .' 'y.— �
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29. Neuroric tendenci� •� • -
30. Could thxs maa perform dutp involviog being on his feec for 12 honrs contiauously? �.T
I
31. Could this man perfor� duty iavolving long honss of duty involviag sittiag or riding?�� .
32. Rema,rk4
I HEREBY CERTIFY THAT THIS IS A TRUE RECORD OF THE DiEDICAL EXAMINATION OF THS ABOVE EXAMINEE
AND THAT I HAVE FOU,,'D HIM �QUALIFIED p p�,SICALLY FOR THB DUTIES OF -�� �?C��^-��'^-
QUALIFIEI3 �'
(clau cirte)
/J c� � b G�,.d r��.. M Ii'
DSedical F::+�.��,,..
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