HomeMy WebLinkAbout29249 / 77-13December 15, 1.977
PURPOSE:
INITIATED BY:
� �3
EXTEND RETIREMEI�T DATES
PERSONNEL DEPAR`I'�iENT
RESOLUTION
WHEREAS, the City df Oshkosh on the 21st day of March, 1.974,
ae�opte� a^ Unifor:a �xt�ns�c i no�icy ro�: emgycye�s a� the palic�
and fire departments, and
WHEREA5, the fallo�,�ing fire department personnel have met tYie
requirements of said Uniform Extension policy and have requested a
one-year extension of th�ir employm2nt:
GERALD F. SCHLENSKE - 2nd Re�uest -�'ire Department
Date of Birth: February 25, 1922
Original Re�irement Date was `iarch 31, 1977
Employment Extension Through `iarch 31, 1979
GEORGE W. 4�OLFF �- 4th �eqta2st - Fire De�artment
Date o-� �irth: riarch 30 , 1919 ,
Original Retirenen� 1�ate was ��iarch 31, 197a
Employmen.t Ext�nsi�n tnraugh '•?arch 31, 1979
NO�rT, THEREFORE, BE T`l� RE �GLVED by the Common Council of the
City of OshkoSh that th� foregoir�c� extensic�ns are hereby granted,
- 13 --
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Oshkosh C omraon C ouncil
Dear Members:
.�
P�ove�ber 16, 1977
In conformatin with previous policy taken by the Common
Gouncil pertaining to extending service time beyond age 55 for
firefighters, I am submitting a nedical examination report as
required and request a one year extention of service time be-
yond P�larch 30, 1978•
Respectfully,
f�_.c.c��( l,c.i. lJ ...�-�
�eorg.. W. Wolff
1428 Jefferson St.
oshkosh, wis. �F9o1
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R. V. KUHN, M. D.
Physician and Surgeon
�}00 Ceape Avenue - Telephone 231-6800
OSHKOSH, WISCONSIN
November 7, 1977
To '�Ihom It May Concern =
�3e : G?orge '�lolff
The above has been examined by me this date and i finci
him in good physical condition and able to perform his
present duties as u�ell as all duties pertainin� to
f i remen .
Si� e�ely,�-� -.
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,��`� ; ,, �
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' t�, V, Kuhn, Ni. D.
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0�•hkoah Gouncil President
NTr. K enneth Schiefelbein
215 Church Ave.
oshkosh, �1is. 549��
Dear Ntr. Schiefelbein;
cct. ?_4, 1g77
Once again I am requesting another extension With the OsYLkosh Fire Department. I will
be 56 years of age on Feb. 25, �978•
Enclosed is my physical report from Dr. Wm. +�eber, 515 Doctor9 Ct., Oshkosh.
�ncerely yours,
,y/�//
L',��'�'4• � l�`�C..�.,',�'y���
�Jerry Sc lenske
Equipm ent Operator
Oshko9h Fire Dept.
THE 11AE�lC�►L EXAMl�1Ail0�i R�PORT
POLICE AND FIRE DEPARTMENT
Examination for Equiptinent Operator, Oshkosh Fire Dept. Date /r.�'���'�'`' ��
cctass c;cte)
1. Name (print)
�r- r�z%t�
4. Signature of ap�licant_
� r�� �/
5. Heighr =� 6.
Wichouc shoes
8. Eyesight: Snellin Test:
!3
�
'`''��'�`�-2. Date of bitch �=' � � -' � � �� z-- 3. Age `' � �
���T
Weighr �� 7. Ches*
Saipped � Ordinaty clothes Ezpanded
Leh 20/
Mobiliq
Right 20/ Both 20/
Corrected to: Left 20/ �t' Right 20/ ��' Both 20/ dD
color cesc ��y``.".."".'-f`'
Natutal
�y�"""" �%
�� ����� .
9. Heating: R. ear �'l�^ L, ear ��' Discharge? G' 30. Nose ��2 •,
11. DentaI survey: Mark teeth "O" if capped or pivot; "I" if missing; "X" if catious; "F" if false.
R 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8 L Perfec* Caries sligh*
Good repair Garies marked.
12. T
14. T
8 7 6 5 4 3 2 1
�^�L
1 2 3 4 5 6 7 8
13.
15.
Pyorrh� Need cleaniag
Throa* �'�
c„m,.w .c�t , .
16. Lungs: Check for asthma, tuberculosis, bronchitis, chest X-ray finding� f�'� `��
17. Heart: Cardio-vasculaz system /�:.�. °; �r.�-,r - . �_l: �r� �-�'-��
� �S L• ��c'
Pulse ratP Blood pressure: Systolic , Diastolic
18. Gastro-iatestinal tract: Check appendiX C�:�'"�"
Check for gastric ulcer `r� Liver ���
Gall bladder ��
19. Genito-urinary: venereal disease '����' Wassetman �� V1 � rP_r�,(�j 3� i S� P
Vazicocelp ��` z. �/r -.
Hydrocele
Iiidneys ���-
C�rnnral l%l-.
20. Hetnia �'''° �`.
( note form )
��c: _
22. Hand� _- _ _ __
24. Bones and
�l�
21. Varicose Veias ���
23.
25.
2G. Disabilities: (chronic catarrb, sinus, fistala, reccal diseases, cutaneous diseases, etc.)
��C
(flaz or ocher condidon)
�l� .
27. Illness and in juries °�"' `�j= - c�
�----
28. Operationa ��y"`` -`'�"°��" 7
.
29. Neurotic tendencie�
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30. Could this maa perform daty involviug being on his feet fot 12 hours continuously?._���-5' .t
31. Could this man perform duty involving long houts of duty involving sitting or riding? ����
32. Remar •
/ '.'r"r"'� ----
I HEREBY CERTIFY T'HAT THIS IS A TRUE RECORD OP THE MEDICAL EXAMINATI�N OF THE ABOVE EXAMINEE
AND THA? I HAVE FOUND HIM �QUALIFIED ❑ p SICALLY FOR THE DUTIES OF aii tment O�ator. _
QUALIFIED [�-�Y , �� � (dass tit e)
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;+d�jL�� r��� �. ��� Medical Eaaminet
L�ER Mr.p,
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