HomeMy WebLinkAbout28956 / 77-18�
June 29, 1977 # 18 RESOLUTION
PL'RI'QSE : TO TRANSF'ER FCRQllS FOR 4�R�R' S COMP�ISATION INSLJRANC�
LN�TED BY: CITY ADMINISTRATION
ir�, the City of Oshkosh has applied tor and received authority
to ent�r into the StatQ Wbrker's Carr�aensation Pool,
NC)G•7 �`f-iEREFORE, BE IT RESOLVED by the C.cxr�nion C.ouncil of the Gity of
Osh'�sh that the proper City officials are hereby authorized and directed
to transfer the sum of $68,1.21.00 from Accoimt Nc�. 310550, General Fund
Fnuity to T�ccount No. 012613, Worker's .Com�e.nsation Ir.surance Account.
- 1° -
��
V�ISCQP�SIi� COP�PEP��AT{pf� RAiEi�dG BUREAU
733 N. VAN BUREN STREET — P�11L6VAUKEE, VJISCONStN 53202
PHONE (474) 276-5476
(1+iRS.) JOAN TITTtE
Sr_ Und Su�rvisor
City o� Osh�:osh
2? 5 Ci!urch Bvenue
es:�{osh, ;�isconsin 54901
6-23-77
RE: WI5CONSIN REJECTED RISK POQL
d" �. .
s` �'u �
_ Dear Sir:
Ans��r i ng ya.�r appl i cat i on dated 6-20-77 , sub ject �o the con� rac�
conditions, a policy ��rill be issued upon receipt of a certifieci check, bank
draft, or money o;der} in the amount of $�63�7.27 •�� �r�� �n favar of this
Bureau. -
Very truly yours,
��G����4
(Mrs.} Jo�n Tittie
• Sr. Unit Supervisor
JT: sak .
cc: Departrr.ent of Industry, l,abor and Human Relations
n ti
ct \� �
�
(7 � �
� �
(D �
fi
x �
�
�
�
m
0
�
r•
�, o
� �
�
K
� O
�
.. ¢
� O
� �
m �'
u� •
rn
o cD
n ��
�' o
cD �
n�
- c+
Ul Y•
O
O �
� fi
� O
a �W
� �
Y• UI
�rn
n
H
�n G
H �
a�
�
��
m o
. n
` 1
���
�
�
�,
0