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11-29-1994
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' . .r: �. �� . . , . • . . . �. � ' ' '.�! ; ... . � , `• . . , , ' , _ . . , j. ., . , ., ','., . •.�..�. . 1 ;�I , . . �'� f � � . ' �• . ' 4 , l,.t. . � y' I } "1 . � .l �! el• ' ,r . .. , . . . . 3 i. .1 ' �: �i��r!' .,f ^J'� �[.� �,. "�,� " , � ' � . �� ' :a5i':`.�.7•5>{v�lr.le.'�3,{111�,:�;�' .t,:`��1.'.,`. �f., .��°�. .� �:5� . � ., �*cdi�a:�.y:i`.`•�""yit°: ;,:�:�;'�{',`+M».v�e�rr�f.�s£�5��;1;•'}���vr!f�,:.J�4�:�K(f;.l;�s-.�'.f �:,°., .''�'�:' , '�f•` . . . s ., .,i'�',� ' , . . „ . � '.�, . '' .j;, . . . . , . ��.� , . � .� ' . � . . ' � . . . .. ' . ' .. ' ' ' ' ' ° �.. . � ' . � , � . 'I � ' . , ' ' � , e � . �' �. , i ' ' ' • , � � ' , } • ' ,. ' ' , I.. . : . . . , . .. i . . . . , - � - , . . . . . � � �acr�oN �a�ENOA � . � .� ,,. . , , . � � � � � � , ; , . � Baard af Trustees af the �mployees' Pens�nn Fund , , , . � ' . . � Tuesday, November 29, 1994. , , � :i � � , ' . -. .� , . � � . ' . � , ..r . . � , . . . . _'. , : , 1; ' Call to order � � . � � � Z . 9:25 a,m. ' � , . . 2., Approval af Minutes , ; 2. Appro�ed as submitted. � � ' ' - - . . . . of 1 �1114194 � . ' , , � � ' � ' � . �s' � . . . . �. ; Rec{uest far acceptance . ., 3, Approved. . . � : . , . ,� • . inta membership: . , , � . . . � � , ,. ., • � . . . . � ' . . a� Stsphen Reid � ' � � . � ' � . . - , . bl Cathy Grimm , � ' � ' � . . � , � cj Steven Poppic% . . ' , . , ... ' , � . � d} 1N�}li�m Wright . � • . ,� ' - � � e) Heather�Grace , .� � ' ,. � . . , �' � , ' #} Cleveland Lang ' � . . , ' �' . , � g1 Bil�y. McK�ever � , - � ; � � . ' . . , � ' h1.Daniel Dsval � ' � , � . � i1 Canstance Spinney , ' , � , ; � j} Mi�hael Furlong - � ` ' . . , . . , , '� k? Rat�ert Barden r � � �� , � . , . ' , li Patricia l.a'fferty , . . ' ', . 4. � Non-Job-Connected pisab�lity 4. ' Approved. . , � Pe�sion to be granted: . � �, � j Charles Williams ' , , � , . � . � . 5. Other Busin�ss: 5. Nane. � I ` � 6. � Adjournment: ' � . fi. 9:27 a.m. � . ' �, ; ,, � � � � . . �. , {�'r� :'i." .�i' � ' '�! ... � ,., . ' , � . . � . . . : �s . . . � � � . . 't'� , . , � .� .� . � • M ' I ' �' • ° TRUSTEES O� THE EMPl.OYEES' PENSiON �UND �k�m � � � Meatit�g Date: 1112919�t,,,.,_, Agenda Co��r Memorandum � Su�ject: Membcrs�ip in Employee�s' �'ension Plan .,��R � Recammendation/Moiion: Etnp2ayce{s) 2isteci below be �cce�ted inio the Employpes' Pension P1ari �s recommendecl by ihc Pensian Advisory Committee. � � �[] and t�at the ��prapriate officials be authnriz�d ta exec�ite same. r���r�o�r �ww��.r����nnn��rrrrw��r� � HACKGFtOUND: L`��me and Job C1ass � Steghen Reid, 5urvey Assiscant I CaEhy GrimrYt, Stuff Assistant I 5tc;ven Poppick, Equipment Oper. I William Wright, Sldg. Const.� Insp. I Heather GrACe, Accnuntin� Clerk i Cteveland Lnng, Maint. Worker I Billy Mcikeevc:r, Maint. Warker II Daniel Devol, Police Recruit� II Consiance Spinney, Stnff Asst, I Michact Furlong, Cade Inspector .I Robert Borden, C�stodial Worker Pa tricia Lafferty, �roperty Guard H8V�0WBd by: Legal NA 8udget NA Purchesing NA qlsk Mgrnt. NA CIS _ ACM �' � Qther NA Submittad by: Originating Dept: Human Aesources User Dept.: Advertisfld: Dalo: Paper: � Nnt req�fred Aiiected parties ❑ Notiifed � Not requirad S�niority Dc�„�,/Div_. Date Engirieering 1D/3Z/94 Palice � t 0/31/9�4 Solid Waste I0/31/94 Central Permitting 10131l94 Ppiice 1 [l/3 1/94 Parlcs & Rec. 10/17/94 P�rics & Rec, � 0/ i 7/94 4'aiice 1 DI Z 7194 Po�ice 8/ i 5/9� Community Response I i /2/92 Parks & Rec, 7127/90 Gas 10/26/88 Costs: Totai Current FY Fund[ng Source: ❑ Capi.lmp. ❑ Operating ❑ OEher Appropriation Cade: Pension Ff£ccti�e Date 1013 i 194 ' 1013 I /94 10/31/94 I 0/31/9� ! �!3 I 19�i ] 0/17/94 1 U/17/94. 1 Ol l 7/94 1 Q/3 ! /94 14��9� 10/'31/94 I 011/94 Cammission Action: ❑ Approved ❑ Approved wlconcillions ❑ Dpnied ❑ Contlnued to; Attachtnents: Lettar(sy ❑ None . ,a� ' . , . , , ' .. �� • . , . � , , . ; • .: 'i � ,. � . . . � , �. ' � . . � . . • . �='t . � ' ' � . . . , , . . . . , . .f . . • � • . ' r � � .i �' . .�, . �. - '� !� ' � . ' � , • ,• ' �t I , . . . ' � . . � . � .1 � r � ; • ' . . 1 . . ' , .' ' . ' ` r r . . ' • , . 1 ' . . . , . . ' . . ' . ' ' . . . ' , , ' , . . ' . . .. ..• , ' ' ', , � �i <. ,' . � ' . ' , i. � . '' .•' . � . . ' ,l ' . 1 . . , 1 ' , . . . ' , � . ,1; �1 ` f . ' . ' - � ' ' , � ., . .. . ' ,. . . . . t , .,• ' • ' . � . k. . . ' ,. �, • ' . • ��', � � ` : • ' � ' . ' - � ' . . � ' ' ' , `. � i ,, � i , , ,�, . �,�; � .,, �' .< .i , . . ' .1` . j•`;d•+ �;.e�:.'i�l` ,,�, . '.t: ",v�..F�i.• � �'r�;: s ,,1�. ;t', i�r�i,.1 .. . ' . . �t' , „ ' �'L�ii�ilt r. 5�.� . ,. ....'Jr� �..i��..�t:'. . •.'���1•'. `�,1 • , � . .� � ' �." ' " . . . . . ' . . . . . . . .. .. ,r, . . . . . . , . . . , . ' � . ' � 1 , , , ' � � , . . � ' � � � CITY (lE' � CLEARWATER. ,' . • � � EMPLOYEES' �'ENS�UN PiAN . ' � �, • � � .PENSION ADVISORY, COMMYTTEE • ` . , ' � � 'CO: . • � Pension Trustces � � , � . ,� • . � . ,� � ° IROM;. � Pens'son A,dvisory Comniittee ' � ,. .. SUB,IEGT: Rccvmmendation for Acceptancc inta Pensinn Plan , � •� , DATE:, �November 2, i994 : - , . As Trustces of the City af Clearwater Emplqyces' Pension ��nd, you are herct�y notificd tliat the . e�nployce{s). listed helnw have bcen duly exnmined by a lncal �l�ysician and cactt hns bcen - designated us a"�rst cluss risk". � ' These ec�tgloyees afe eligible for perrsior� membership �s noicd in ihe Pension Eligibility DArc � calumn below,' und it is the recommendation af the Pension Advisnry Committee that they be � ttccept�d inco mcmbcrship. ' , ' Stephen keid, 55�9a5.-33-7427, � Survey Asst. I, Eng.lEng. Svcs. ' C�thy Grimm, . SS#2b4-77-91A9, Stnff Asst. I, Police De�artment � , Steven Poppick, SS#!!8-�U-3792 � Eguipt. Op. I, 5olid Wnste Dept. : . William Wright, SS##233-62-�275 . Bldg. Canst. Insp. I, Central Permitting � Heather Gruce, SS#070-7q-031 S Accuunting Cierk I, Pols`ce Dept. � � Clevelnnc� Lung, 5S#264-46-85�8 . Maintcnunce �Vkr, f, Parks & Rec. Dept. � �illy McK�ever, SS#301-3$-2284 Maintcnancc Wkr. II, P.yrks & R�c. Dept. Duniel Devol, SSNQ98-SQ-940S ' Police Recruit 1I, PoIicc D�pt. Canstanc� Spinn�y, � S5#t003-26-?.975 - � Staff Asst. I, Polic:e Depnrtment � �'�mployee hirec! irom temporary to t'ull-time per�rianctit status. , Hirc dnte r�t'lects dntc hired Us temporary. ` hir�na�i Furlang, S5#4AS-I !»765Q � Code In&�ector 1, Cornmunity Responsc Tcaiii ' • *8mploycc tiired from temparary . , ta fuIl-time permunent stutus. . H}re dufe ret�eLts d�te hired as iem�urnry. Fi irttLD�� t c 9/27161 7/24164 j 0/221GU 10/27/34 2/i�/6[ 1/9137 81 l 814 5 ! 1 ? 017 I 1123/3G 914/6 3 � ��r : . . . . . .. . �� 1 0/3 ! 194 I 0/3 l /94 1 fl13 I /94 1413 I !94 f 0/3 11}� 1011719� l 0/ l 7/9�1 10/1714a 811 SI94 1�1/D?/92 Pcnsian E�i�. , pnt� 10/31/94 10/3 I /94. I a/31/94 I 0!3 1194 I U/3 � /94 i 0/17/94 ! 0117/94 i 0117/9�4 10/3119�* a 0/3/94 * �L, i11iw\ t�i...'4t. �f�. :.'t',1.� ' 1��. • . � ' . _ �r ' . .. [ 'T. . , ' . . . � . :eliY 3 . �.jl �� ,1� ' '�, ;. .'f.�f+ >' . ��'' 3i l . . .l.. _ . .. . ' . 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's�. .sp' { ;i' +�, ,1�S.ly,1..g` J. , �t!�'.I�,is'F2i,.�, ir� T.$ �"<�':g�: '.°f- ?•- � , ..F'' ,Sl,L, %�f,� ��- �.r, i� i" i;�•��,� � 1: .sr� fi' 1� ���::'.'r"x,.r� ,S�P... .yy. �:�°�: �i` :i! �°,ES��',n�' ';"!'�! t�Sti;Lr.�, ..��'�t:<� ���,�,��rl,Y�if.�„�:•�.°jlr-,?:¢�3.,.r•%�" ,!°r. ct�:.._, . l.,;: :ar� ,:r."•.3.i:r`,. t�'•, .. . . _. , :� . ,. .. `c:' :r: , .. , .. ,. , . � i ., , . -,l� , . . . „ . , .'. �. �.,� � �, . ',. 1 i. : . . . ` ,�.. : .. ,. ; : � : F-. , , _�� � � � �,. ; � '.. ., � j , �a� � � . , , . . : �. ' � � . , , � . �. �F1 . i ' . ' .. , f ' . ' � , d . . . ' ` � . f � ':+� �• �il�8 Z ,' , . . . .. : '. .. , ' , '. , . , ' . ,. , ' � . , '� Recainmendatian far Acceptunca 'rnto Pensian•. Ptan ' � � � � � ' - . - � :` November 2, 1994 . � . . . . . . ,. �� � . , . � , , , � , . ' ; ' , ' . , . ' . . � Pensian EIiS. . . . � , � ' � . N91i1�. Joh.�Class; �,4c Dc�,4Ci2lY. . . ' Birth Date �g . . ' � �, , � � i . '. . , � : � � . . , . : . . . . '' ,� . Robert Borderi, 55#05fi ;4G-�4571 „ � , . � , . ' : . , , ' , , '. � � Custodia! Woriccr, Purks. & 'Rei. . 1Il 5/53 712719D ' '1U/31/94*. • ' � � *Employcc : hired frorn permanent' pnrt-time ' ' , • . . . � , ' . � ' ' , ' � . `, � . � to fu�l-timc permunent status. ' , . � � , � . � , � , c . � � Hire �, dnte rek7ects .d�te hired� As permArtent p�rt-time. � � � � � . ' � . •4 � . . � , , � . ' . . ' � .. . ' � , � , . ' , � . :� � ' ` Putricia Lufferty, , SS#a��-3fl-0917 � . ' " � � ,' . . . . . , . . Praperty Gunrd, Gns. System . 9/16/40 ' � 1 U126/88 l a/1194* ,' � . . �' . „ ' *Employce . �irec� fror�t p�rmanent part-time • � � �� - ' : . � A ' , to . fnll-time permanent. st�tus. � , • � � . �. . . � , � � • � � I-Iire d�te refiects date hired us � permunent part-time, ' ` � ' ,' ' . . � ` : . , � : s,; � ' . . � , '. , ' , . � . � . . � . .' � . , : . ' : •.. , � ,° . .. ,. . . .� ,, . . .. , , .. , .. • , , .. . ; , , ... .. , � . .,. .. � . . . ,,' , . ' � . � '� , . . ,� ; . ", � � . • ' � •.. . ' '.; .. . , .�., � . '� .., . ., .., .' . , : . ' . � . . ' � � . , . - . ' , ' ` � . . � , • ' . ' , ,. .. . , ; • . � . . . - , � . . � , .. , •. , , �. - i. .. , '.... . ' . . . ' . . . , ' . , � '. . . i - , . °. , . � ' ' . , .. . .� � '' " , � ,. . i . . • i . . , . . � . , • ' , , . ' ' � , ' r ' . ' ' ' ' ' '. . • � . . ' ' � , � � 5 . . . � " � • � �� � � ' � • � ', ' � � � ' �, . , . . ,. . . � i . . ' ' . ' . .. , . � � ' . . ' . ' . • � � . ' � . . ' �� .. ' �.. . ' ' ; � ' ' ' ,� ' , .4 ! � , ' . ` . . . ' . , ' � ' . ' . , . , ; , . . .. , � i . ' , . , . . . . . . , . . r � , ' � , � � ' � • ' , �; , + ' � ' . � � . ' , . . ' . �r� L�� ` • � , i i . ' � f ' � ` ' � � ' � ' '�<< '{ ' i. ` + • ,i ' ' . , ti�lt v, V �� f ��.• . TRUSTEES Ot� THE EMPLOYEES' pENSIDN FUND Agenr�a Co�er Memorandum iiam H Meeting D�ta: .�,L��!�,.,�, Subjcct: � Pension(5) To $e Granied � wuuu u i i � i^rrrrr��u �w.r�w ��o��im���wi��in�m�rrrr�wwwwwwr pecpmmendatianlMotian: Churlcs Williams, UX1il[iC5 Mechanic I, W�t�r Poliutian Control Division/Engincering Department, be �;rAnted � non-�ob-con�ected disability pension under Sectinn(s) 2.39G nnd/or 2.399 af' t h c Employees' Fensio�z Plan �s reenmmendeci by the P�nsian Aclvisory Cammittee. ❑ and that ihe appropriata afifcials be authorized to ex�cute sam�, ���ni�r _ _ _— r���� — __ _— _ - � �w�ww��i �uw���i�uui�r�r��rr �ACKGRDUND: C��rle5 Wil�ia��s, Utilit�es Mechunic I, W�ter Pollution Cantrul Division/Enginecring Aept�rtment, was employed by the City on Decemhcr 2U, 1976, nnr� began participuting � in tt�e Etnpioyees' Pensfon I'l�n on ]une 20, 1977. On September 19, 199a, Charles Williams sU�mstted a� sequest to the Pe�sion Ac�visory Committ�e (PAC) for a�on-job- cannected disubility pension. Mr. Williams suffers frorri spinal stenosis ar�ci osteoartllritss which is tlie basis for thi5 reyuest for pcnsion. Letters from Dr. Gary G. Mosko�itz, dated Sepiember 8, 199�, and Oclober 2D, l994, a�nd Dr. Robert Hurris, duced August 3, 1994, and September 27, 199A�, were 5unm�cc�� �y Mr. Williams in support of his reqUest. The �ctter from Dr. Harris states, "...this g�x�tlema�i is permanentiy disahleci due to nst�ourthritis nnd we do not believe t�e cun cngage in heavy lifting, bending, or stoopin�;." The Ictter from Dr. Moskvvitz states, "I do not sec him bein� able to do any other �ob other than u sedentury typc �f an occup�tion." and "His condition is ti�at of spin�l stenosis...In my opinion, lie is u«�ble to work in his Qrevious oecupatio�i due to his back prablcm...." B�sed on an �verage salury o£ upproximatcly $28,53� over the past five ycars and lhe formulu for camputing non-jab-connected C�15llbl�kiy �ensions, tt�is pension wil} approximat� $12,412 unnually. Cliarts frcam Finance whicfi take inta eansicier�tiaii martnlity rutes unci age reflect the "present �u[ue cost of financing" this pensian �viil bc ��proximately $1fi�,91I. Tlte esiimated pir�sior� cosi �CAS�I payauc over the lifc of the �ensioncr :lf3d LSIS spous�} is �428,220. Note: Wt�en Mr. Williams was originally e�nployed, pcnsian deductions were not taken 1'or t h e first six months and emptoyees contributed to Sociai Security. Wlien empioyees were given �i n option to b�y back their first six inonths Uf servicc, Mr, �'Villiams cliose not to BK@1'CiS� such option. Fievlewed by: Legal _ ___ ,�„ IVA , 9udget ,,,, [VA PurchasEng N/� RisEc Mgmt. N� _ CIS __ _ NA�_ — ACM "K%� fZ. Other NA Subm[tted by: ��� Driginating I]ept: Human Rosource: user oept.: Adv�rttsed: Date: Papar: Q] Not requirad Affected partles �Notlfied Not roqulrad .% Costs: . _� 1,64.91 1_ 7otal Current FY Funding Source: ❑ Capt. lrrip. ❑ �perating � �ther p�nsfon Appropripi[o� Code: 646-07410-53Q100-585 Commisalan Aatlan: ❑ Approved � �AA�ovod w/conditlans ❑ Denied ❑ Contlnued to: Attachmonts: Letier(sy ❑ EVone �''.E�'`S�'. ' : ' . . � �� . ", �. . .,' 'f ' � . �; � ' : : . . ,�� � • � . � . . ' ' . ' , , . . � � ,. � ,_ �. . . • , . � ,• . . , � ,., , ', , , ' . ' , . , ' . : ,' ` , ' ' ,: , , " " ' .. • • ... . ' '' ' ' . .' . ' r 1 • .F. � � , . ' . . �� ' .. � , ' . , ' ' i ' . . ''',�..'f e ;. .. ' : , � `' • 'b � � . � ' . . � ,1 .� . . � . ' , � , � � . ' 1 . ,. • ' ' ! • ' � . � � , . , } ' � ' " . � 1. ; . " � � '. .. , ' . ' . . . . e ' � . . � � ' � '� � � . � � � . � . � � ' ' . � , � 9 , .' �� ' i� . r � � . ' �. , ' .� , 1 . , ' ' ' � . ' . '� � . , . g � , � ' ' . � . , ' � , . � ' � � ' ' . . . � , � . � . � . �' � ' ��' . . � . � . , , . . . . �iE� E 1i il• :1� �. , r r � � , ' ^ �I••: .i . . ,�,1 � .. ..J.. '. . . :�: ' �:i�`� . . . , } , . � ,..-:am:�. ,,,i..rt".,iz:•�by.'�es••. ,rL'•'t=Y•' . .. . ..i . . .e � �. � � � , • i ,, . 1! . . ; , t . . . . , .� t • � ' . ' � . � Hur�tn Raaourcos Dapartment 8131A82$870 7� FROM: COPIES: . SUIIlECI': DA'T�: ' . � � � � Q7 F C Y, E A R W�A "T` E R pOST OfFICE �QX 47•48 CLEARWATER, �'I.DRIDA 3a81Fi-ayae Honarable Mayor and Ntembers of the City Commission as Trustees of the En�ployces' P�r�sion P��� � Pensipn .Advisory Comm�ttee , � � Debbie 6ailey, P�yroli Services Manager Empl�yee's File . Pcnsion far Cl�artes 43. Williams--Non-job-cannected Disubility Perision November 2,, 199�. � The Pensian Advisary Committee (PAC} reccivcd an applic.�tian far c�isabiliiy pension from Charles B. Williams nn Se�}tember 19, 1994. Nir. Williams ttias been cleter�r�ined by the Pensicin Advisary CQlllillll[CC to Fnect tlle r�quirements of ihe Pensian P��n for n tsott-lob-cannectec! dis��ility °pensao�. He 3v�is employed by the City on Uec�;mber 20, 197G, �nd began p�rticip�ting in thc pcnsion nlan on Jui�e 2{l, . l9'17. Further, he �ins submitted medicuE document�cioi�, copics of WPIfCiI arc �ttucttied, rel:�tive tu �iiti ciisability �vhich has been review�d and a��roved by the �'AC. By motion made and ciuly c,rrried ut its meating of November 2, l99�, the Pension AdviSnry Committee appravedlrc:commended tlie graniing of � non-joh-cnnnected disa�iility pension ta Mr. Wilii�i�us in ��cc�rdutice with prnvisions oi' Sectiar� 2.39G of tf}c City Code. Tl�is pen5ion will be effective on a date to be deter�iined. Ttze :�nfot�nt nF Mr. Williams' P�nsion wiil bc culculatcd by chc Financc: I�epurtment accarding to t�zc fnrmufa' in il�c Pc;nsion l'l�in for nan-job-cannnected disabi�it} pension at such timc �s his last Fiv�; years oF service, zir�d sulury c�sn be Cpiii�lltCC�. I hereby ccrtify that the Yension Advisary Committec i�ns a�proved thc grnnting of a n o n- }o6-conn�cf�d disaUilily P�nsinn for Ch�ir��s B. Mos�ey �nc! that tt�e ubove dates �rc �orrect. � , _�_ -f—�''-�` _ _ _� �_ __ � � Chairinun, . Pension WA isnry Comrnittcc. , .S � • ffi��Z . . ��� "�qual Empkoyment and Atfirmotf�o Actlan Emplvyer" �'. . . � � , ' �. ' . . . . ' . ' ' n . . , � , ' ,�, � ' • .. . , � � , ' . . � ' � . . '. .. � . . ' � ' . � . . ri•�.. ,� .l:. ., .... ,. � ., .. ., . ..<...0 W ... . , ..�. ��� . . . � � � . � ' i . • , � � � � � ' PENSI4N REQU�ST FORM � . - ; ' Chaz].es B. wil].iams ' dn hcreby z►pply ior retirement fram the City af ClearwAter � � . �, Genera� Empinyees' Pensian Plan. , � My benefits datc is J'�e 2a' �.g�� (Entry date into pensior�. plAn) M y date of hire, is �����'s� "'�� ��76 . � . My hirthday is __ Sen��cnber 21, 79a4 � , My jo�b . ciassiticatton is utiiiries Mechanic � and I work in thc Pt�bl,ic Works � D e g a r t rti e n t, W��=�� Po�].ution Con�xol. D i v i s i a n. " M y res6gnation date is tQ ba de��rmined ' .. Th� type af pension for which 1 um applying is (ehecic only ane): Regutar Pension b�sed on years of sErvice � . • X Job-cannected Disabili�y Pension , � `' Non-job-connecied DisabiIity Pension � Iv1y SpouSe'S nA��e is; Linda Wiila.ams Ucpende�tt� children under� the agc o� 18 and residing in my hous�hold zre: {Print Child's Full Name) . (Child's Date of Birth) I hereby csriify all af ths ahove to bC true and correcc: �, . � � � '� . Sep��m�ex 19, �9�i�ature) . � � (Date} � STATE OF FL4R�DA f regoing 'i strumznt tiv�s � a�.nowledged b�fara rne this C�UNTY OF PIN�LLAS � J� � by , ��' who is persana ly known to rnc or who has praduced . � S�- Z �`� ' irlen��'� �an and ,.�ho did/did not take att oath. � , o�r� ' u voY,����Ji� ' �� ' ..�����xr: � (Si�rt�tuCe} �;pT�y �t�&L�� ���'�� Gr i�C.ORIDP. g�bL'YZ.i.:l3�'d?C� i40155[I/tiK03AY�i CO t11iS��'h^�t�►Cji��'t `'p: c:C +�f�9 ' 649G6E3J'qN Ha1�5iN�,o� ` ti1Y CO�.ti:•t�� �I.,�•: �:.c� .: r.c �.:H.1498 I � VQliiO'13 �O 3L�1� �l'ISlI�[ A2N � �y��;��i;• y; rR��u� � � �(Name oi Notary Printeci} 'lV3S ,l4►'J.LO�i 'I V f J[�{it3 _ . . I - _ . �' .r.o : i � � � •. . . ' ,� : .. , ' ; . . , _ , ' . . ,� . ' ' .. ' ,: ' . ' , ' i . . , t . . . .� � . . . . . . � � . . . . f. . . . . i . . . . . � ' r� . . � . . ' ' . ..��. � , . ' . .. � 'I' •, ' . .. ' ' � ' . � ' . � . � . . ' � �:i' �.. .� : � . ' � . . , r � J • �i. �. . � � . . f• ' .� ;�� . . ` � ''if � ' . . � ' . ,' • ' 1 , � � ' . ' .. � ' � . �'y ' . .1 . ' . ' ' I� . . ' ' . � . ` . ' . ' ' ' . � � � � • . '� � . • '' . . . . . � , . , . . . . . .. . . ' . . . I . . � ' � . + .�.,:..w •F^ .. � iY . �. . .. r `.av •. '�-..' . ,. ..i'. . . , ,. . .: '.7•y�r . , .. , a. . _ . . •• • .,� � .. . . . . f' . . . ; - . - . . � � '� . .'',' ;i . . . .. . � 3 3 , . � , '' , � . ., , � �. � '" . { . , i �' . � � . � �CITY QF, �LEARWATER � � � � , . ' � , l• � 4 • • • � � ' �` � . � . �� � � . GENERAL EikCPLOYEES' PEN5ION PL�i,IV � � . . �• � . . , - . . , '' � � ' OPTIONS - GEN�RAL EMPLOY�ES � ' ' ! ' . , ' , . , � , ;� . ' . . � � � � �,. � � � ' � � � ' OPT'ION., #1: � Employees can receive a lump ,sum payment , for v�cation anci ' ' � hojiday pay and 112 of accrved sick -�eave at thc time of .� . , , .�, sep�ratian from the City. There wili .be , no fi% deductian far ' ��� •' � pensi�n from this lumg s�m payment nor will. this ttmount cflunt '. , as earnir�gs in the calculatian of the petisipn. The last day af. '. . ' wark will be the t�rminat#oi� d�te and pension benefits will begitt � � - � � , . the, fallc�wing day. � � � ��Ti4N #2,: .�� • Employee can extsnd termin�tion date by the time due for , ,' vacation, holiciay pay, ancE i/2 of accrued sick I�ave. Terminatian . . " • dat� will be the final da.y of extended tirr�c. Pension benefits will • ' � �' begin the fol�awing day. � • �' � EOn1y �tv�ilabl� to employees hired prior to 1011/90.) »�****��*�**********��***********:«*****��«***�**************�**�**�** Charxes B. � 41i1Z�asns � I, _— _ ____ : an employee of the City of Clear�vater,' her�by apply for . pensian bentefits uncier the City's Employecs'� Pc�sion Plan. .� � I hereby certify that I fully nnderstand the tw� optior�s affered , ta me. I chao5e to retire usin� Optinn #� � z anci wish my b�nefits to be caiculated und�r [I715 ogtion. �I understand that o�ce this �orm is sigr�cd, my deci5ian is irrevocable, . •�. EMPLQYEE'S 5IGNATURE: � . ��s-� 50CIAI. SECURITY �: 169-32-3�462 � �VfTN�SS�S: �►.DDRESS: ��ac0 iI. 5. ].9 t�orth . � Cleaxwater,FL 3g624 ` . . , . � � �,�. DATE: 5eptembex 3.9 , 1994 � i�. , . ..,. ,' , . , � , � r� .. . . . . ... .►. w�..,��..,..,..� ' � � � Ortha�_u� nter of Clearvvater P�.A. Q 1�'11 '! 0 P, i F D!C S Ul � GE I t Y IJi/�nma�r Lr7�A��re�ica�t ffarirr! l j� Ar � lx �}' x r e x if c,�'r t r g e r� � Jahn i�1. btt(;lure ii1, lt�.U. Tl�om�s 0. Schwa�. 6s.ti. Ilarry Sietnman, iti.il. Ci►arfe� �. A6rahatnsen, hS.�. nllchaeE t. Hothber�, hi.il. � � WILLIAMS, Ch�r�es B. 9/8194 . , ' , aC)B: 912� 1�0 � AGE: 53� DIAGNQSZS: •Neurogenic c�audicativn with Pf!}�lC,�,GA1CDlCW� � under�.ying, ].a�ezaZ, race�sed � AF.I1.4If111T'�!7'l�7.N - Qi�Qnosis, b�.�,atera].�.y at L4-5, with L4--5 ;.r.�q;n,;�.t�w:���r.,r+t.�r. .degenerat�ve d'isc diseuse anc� L5—S1 degsnez'ative disc disease. 2nc�.denta� �inding a� 1�ft intra- � t�ecal cyst, Sx-2 �eve1. � ' . PA,OP�SED TitEAxMEHT : The patient has 2 options. Continue wi,th curr�nt symptoms or operative intervention. HISTDItY: Mr. Wi�..�iam� is a 53 year ol,d maJ.e who 3.s here �or a second apinion in regards to hi.s low back and �.eg s�mptoms. He has a 2 month history of spontaneous onset a� right anterior 3.eg pain, a�.sa thigh discom�ort and right bu�tock discomfort . One wpek �.ater, he began experiencing s�.mi�.ar symptoms in the �.eft Zower ext�'emity� but �o a.�essor extenL-. He a1.so began experiencing 3.vw back pain and. bilatera.� buttock pain. � The symptoms have persisted and the pati,en� has noted �hat he is unable to ambulate mare than 200 �eet befote having mazked exacerbation of t�ie above mentioned symp�oms and thus, h� has to stop. He �as also expera.enced these s.ymp�oms at r�st. As�ociated with �he pa�.n a.n hze lega, are ting�ing and numbnees in the same distribution. He ttad � tris], of PT and ana�gesic medicatinn. Ha a.s not imprnving wf,��� �art�t�r.vs��.vh r�rnr�q+�r��n�. H.iB symp�om� �ava rernained relat�,vel.y tf�� same over the past mon�h. He ha� been unable �o wvrk du� to the manuall.y d�manding nature of his occ�pation. At wozk he requires qu�.t� a bit af wa.Lking, tadder c�.imb.�ng, �,nd he has to ,�ift h�avy ob�ect� such ag transto�mers and pumps, '�hat may weigh a 100 lba or mor�, o���a regular bas�.s. .' t Whenever he tries to atteiii�t any activity such ag mowing a l.awn, which takea about 15 to 20.'minutee, he has marked exacerbetian af symptoms a�terwards, and he is essentiaily la�.d up in bed �or a day. E�AMIHATrON: Today rev�a�s a p].e��ant 53 year o].d ma1P. � have aek�d him tv walk about the work �tation, �nd a.�ter about 3 minutes, o� 200 f��t, he began experiencing paan in the poster�.or Iegg and al.�o discom�ort in the pvs�erior �highs and both buttock$, and thua had to stop. His gait became markedZy slaw. Motor exam had nv de�icits detected. There was a slight sensory -Coatinued-- • - - ' l4�;� I.ik�w�i�h+� Itcri� I;�c.inti,ticr, I�Inri�t� 3�ifiiG t8�.i14Gi•(r�tZG . ��,� {g�3) �(�i•i�9z i�c ' � `� " - 1 . , �: � t"• , .. � � ' . .. pRTHOPflEDIC sURCrERY Ci71�7'�I� �F CLL�"ARH'ATE.�, Prl. ' 1528 �akcview Road ' � �learwa��r, Ffarida 3�616 , t .' (�13} 461-bQZ6 . . F�x (813) 46d�1492 ��� �II�L�..f�#MSi �har�QS 8. � , . � 9l8/9�1 contlnuvd . de:E�ci� over the media�. a�pect o� both 1eg�, lateral legs and the dorsa], a�pect of the �oot. No d�f3.cite over the p�antar a�pect of �he fe�t. Reflexes ar� bi�.at�ra�.,�y equal and apgrop=iate. Straight leg raise wa� negata.ve bi�.ateral],y. Femoral. stretch ' , t�ets were negativ�. Pa].paizon o� the I�mbar spin� r�veals , increased bi�a�eral para-ep�.nal musc�.e tone. ROM ot �he 3.umbar � sQine a.� decr�ased �o mid tib�.ag . Pal.patiun r�vea3.s sli.gh� tenderness in �he ?aw lumbar�spine area.� - 3C-RAYS: � Review of :�-rays, plain ��.lm�� - reveals , degen�rative c�isc diseas� decrease i.n L4-� di�c height and d�crense in L5--S1 disc hea.ght. There is a signi�icant amount of osteaphyta �orma��.an at the �aint o� L4-5 and L5-S1. MitZ SCAN: C�ntral di.sc bulge at L�-5 and also a�mall disc bu�.gE at L3-4 and a sma�l disc bu].ge at L5--S1. MY'ELOC3R,AI�4 GT: Markedly hypertrophic L4�5 facet joznt, causi,ng ba,lateral, la�eral, recessed stenas�� at L4-5. Adda.tional.ly. there �.s a cyst on the lef� side, approx�.mate�,y 2 cm, inside the intra--thecal at the 51--2 level an th� J.e�t side. 0 IMPRESSxQN: Thi� a.s a S3 year old male with a neurogenic claudication due to l.atera� rec�e�ed st�naais at L4-5.'The cyst on the �e£t side is an incidental finding, and S be�.ieve he has had it �or a�.ong �ime. It is probably very. minima�.].y con�ribu��ory to hzs symp�oms. Essentxall�, �he patient has �wo choices. He can continue canservative managemen�. As ha.s current ��ve3 of symptoms are not very accep��b�e �o him and � do nQt be�ieve that he is'able to per�orm his job to any �xtent. The second op��.on is to proceed with operative �.nt�rventa.on which w�.11, in gen�ral terms, r�quize L4-5 lama.nec�omy, L4-5 �asca.ectomy and p�rhaps a superior Zamino�omy � of S1 and L�4 to 57. �usion. The exact, specz�ic nature of the operation wiI.]. naed to be de�ermined by further testing and I� r�camm�nded tha� i� he ser�ously considers op�zative intervention, thaL he�ha� $MG nerve conducti.on studies p�rformed. � The aperatian would a��er.a�praximately 75 to 80� change o� improvement, about �0� chance o� no improven�ent, and abaut i/IU chance o� be.ing worse, ` , � . � A� thi.s point, the pa�ient is consideri.ng whetner to go an . disabil.ity or whethsr �o try ta seek aZt�rnate emp�oyment, but I � do n�t see hi.m b�ing abl.e to do any other jo6 other than a . s�denta�y �ype o� an occupation. Dictated b: Gar . Moskovitz M.D. /ei..i cc: David Npwsame, M.D. ��� , Robert D . Iiarri.s, M . D .. (1014 ) , , �. ; . F, .. . ; , ,. � . ' . � . ' ' � � �. , . . • , � _ � . - . , • . , ,, , - . , , �. ` '.,� ,. .. . � . . , . , �, ' � . ' . ', ; . � . ,�5�' . , , ,.. . . .. ,.; � � � . � ` , � „ . • .. , � . -. „ � � . . . . � . . . . . � . � . . ' . , . . , . i•. ' . . : ' . ' ' ' ' , . , . ' . ; , , � ' . ' ,. �• .,. ., .. , . . ,.,'. . .. , , . ..'.. .., �� .,. . , , . , .. �e,. . . , . , � . . , + . I ` ����N1�. � , , . I . , � . • ' ' � . � . . ' � . � , � . � ' � . . . � , ' . , �, V • _-�Y • . � . � .. � � . ' . . � � , OrthoPaec�c �urger�' Center of �ter P.A. � �. , . . . - OR7'7�Of'.lEDlCSUI�GEJ43' � . . � : � . �. ' • � .. • Dipk�mcrl�s (�F7beAmeri�n f�aiard Of . � � ' . . . � Orlhr�a�rficSurgczy : � , . ; John I+1.1itClure lll, �i,13. � . � - � � � ; � � 'Chom� �. 5chw�t�, �Li.D. . � . . � . j. Harry 5teinm�rt, 4S.D. pctaber 2 0, 19 9 4 ' � • , Charla �. Abrahamsen,ll,D. . '. 1�lichael L. aothbeig, i�t.fl. ' , " , Gary G. Ma�lcavitz, H.C. ' ' . � � . � • PHY51C�1L1tilEDl�iiVE , Ca.ty o� � Clearwater � .. : . � . . . �i I�NABILIT'e41 ?ON � � . : . , � � . � � � .. . ' Cralgll. Sthtw,utz,11.0.. . " � ' � ' , . ' . � � : ch�rYe� a. wi].liams . ' , , ' � SS#: 169-32-3462; ,' � '- , ;To Whom It May Conc�rn: Mr. . Chazles Williams was eva3.uated by me on S�eptembe� 8; �99� . Ha.s '� condition is that of spina�. s�enosis. (Narrowing of the spa.na� �cana�) _ � _ . � In my opinion, h� is unable to work in hi.s preva�ous occupation due to ha.s bac� grob��s�s . �.am assi,gning. him �a � disabi.lity rating at this point in ta.mE, based on Minnesota Guidelines, which are the � preva�.ent gua.deiin�s for disabil.ity in F�orida. This is undex the �ection: Musculoskeleta�. schedu�e; Back,___5223.407d, sub Qart C�, unde� spinal stenasis, (2 - I8�) .. ' � if yau should have any ather questions� regarding this patient, ' � please do not he�itate to contact me. , Sincerely, ' �� `,1�`�, . Cx-r� �1 Gary G. Moskovitz, M.D. GGM/ei� cc: Mr. Charles �dill.iams 1fi860 U.S. Hwy 3.9 N. Lot 132 � � Cisazwater, FL 34624 �, 1518 t,�kcview Raacl �..� r" Cle�.invateti Elorida 3�61b (813) 4fi1-64'�6 F�.x (81314b1-I49? � • . � �. �, � . , �: . � . • , . , ' f«•..�. . . . •... _ . . . � . . . L . .�: . . . . �ob Harris, M.D., �n.D.; F..A.C.S. � Diplomate�, Anurit�rt Barrd a/Ntur�Iagiw! Surgtry 1011 JeCfards Strect, Bnildirtg A Cltatwu�ter, FlQricia 3�i616 � . • August 3, 1994 � 0 � � .. . , ,1 �� ♦ , � � ♦ . . `� t, ���� . � � ! 1 ,. �� � � �, � . � � � � ()ffre (813} 4S2•7153 � FAX ($i3} 44�-4336 � . . . . • David Newsome, M.D. . �. . CYGN� Hea].thPlan of F],aR Xnc. ' • � . �.419 5. Be}.oher Road � . � ' C�.earwater, Fla 34524 , �� RE: . Char�.es WiZ�.iams ' � � Dear Davi.d : � � . � ' Thank �ou very much tor aski,ng � us to see Mr. Wi3.7.3ams �.n ' . neu�osurgical conse�Ztation -�oday, As you knoW, he zs the S3 year � old gant].eman who has been� o£f work sxnce .7�sne because o� back pai�n which radiates al,t;eznatel.y �,nto the �cight and l.eft legs. He works in wate� po],�utxon control with a lo� a� �,�.�txng and stai�r c�,imbi.ng and has not been able to work because o�' thxs. rt begaz� . insxdious�.y, Zt sta�tad ia the regi,on af the ri.ghf� ankl.e and radzates praxa.ma7,�.y up to the thi�gh and the sa�ae thing wi.11' occur occasional].y on the ].aft. He has pi.ns and needles se:zsati.ons restri.cted on�.y to the ankl.es and not on�o tha £eet, There is al.so throbbinc� behind �he knae. You have dons a ua,sculaz workup which showed puises that wc�re •Naak in his faet. The morni.ngs aze worse when h� a.s very stift and he �ias back spasms � and �hi.s s7.owl,y abates du�i.ng the day. He has no bladder or bowel inconti�n�nce and no weakness �r othe� sy�np�oms o� numb�ess othe� than descr�bed abo�ro. He onJ.y went to HaalthSouth �os Qne week and then he had � GI vi,r�zs wh�.ch prou�teci ha.m �rom �a,na��hing the back schvol. HB was ��ound to hava a synovi.al .cyst at Sl and a tear i.n the �.5--5� annul,us on tha MRI that you. had pertorc�ed in th� midd].e o� Ju3.y. The prvtrusion o� ,the disc is ,smal,�.. Because o� these f�.ndi.ngs, he was. �cefarred to us, He �.s anxi.ous about wheth6r or not he shou3.d ret�,re or attempt tc contxx=ue worka.ng. Th�► past medical. history i.s signif icarit �or an ana�. cyst which was removed i.n 1.98b anc� he had chest pains i.n ].991. He takgs Darv�on tor ga�n. Ha 1t�as r►o a1.l,erga.es. He says he has chroni.c pu�,r.�onary prabZe:ns. He izas. a c�,efi pal�ate rega�.r, Fami.ly hisio�y is pvsi.tive foz heart dis�ase. Social history reveal.s he is married wi.th two childson. He smokes one pack oi cigarettes per . day and does not drink. Reviaw of systems �.s unroma�kabl�. . � �en�ra7. physxcaZ examination revea].5 a we3.� deval,oped, well naur�,shed gent�.eman in no acute di�strass. Hi,s bxoad pressux�e is 120/S0. Ha weighs 158 1bs. The naura].ogxcal exa�ui.nati.on �.s entirely xn�act, Straight 3.eg zaisittg tes� �.s negat�,ve and � � • � � . � �. . . . , . , � ----�� 0 � '�jit. .'f'� � , , �f' . . ' ' .. . . ,• . . � . ' , • , , .. , . ' . , . . , ` � . . . � . . � • . , , . ' ' ' , � '. • . � ' • � . • . ' . � � � ' . . . . ., r . , , . " ' , . . , . , . . , o . ., ' � , � . . � . ' ' . ' .. � , � � . .. ' . �. � , ' , '. . . ., , . . ` � � .�! 1 �' ' � � • . '. ' • 1 � . . . ' .. , , ' ' . , r � � . ' . . , r . . .� ' �3 � i, .. �, � � r � I � � � � .. ' • . , , . , ' ' , . 3 . � � �`S � ' . . > ', ' . . � l l � Y 1 i � � . . ' : ' � � . . • , • ' . . . • ' ' . . . . , ,. ', ,11 ' • c. ' . ' ' . ' ' � � . � ' ; ' j . � . ' �. � '� � � � e . ` . ' ' .. . . 1 . ' . .4, ,. . . . , ' ' , . .. ' ' , . . � ' . " ' . • . . . ���.1...."�:y�-ry,�.��i.'iIr',xf. ' s 1 ' � . �. 1 . . , , • y . , , . . . . "}w... .... ,..... .... , . .Ilr�e.. r. a � . ,. . < . .P. i... ;F"F,. � k� — e . . � . .. ,. ,. . i �'�;. ' er . . ' � . .. . .. � . r . , . 'I ' • Y , � � . ' . . � � � . � • r • � • , , � . • • . • � � i � ., ' , ' i 1 � ' , . � �. ' . . ' . • . . . ' • ' .. . � . �; , . �David' NewBOmqN� M.D. . ,. ...Z-' . ' August 3r 1994 . ` ' ,' , ... . .,.. RE: Charl.�s Wiili.ams � . � � • - � � . � `� � � there i�� rainim.al paravertebra3� � �sc�.o spast�. . � � � � - ' � r�v�.ewet� the -filras w3,th the �patient • and hi,s wif� together. They . �' � . � Can appreciate the probleta but I a� not certain it �s surqical., '� We� d�scusse�3 tha �options open ta him whi.ch �nclude no traatment, � �.� .�a��a1 t�oat�nont and surg�ry.He understands the :uost comraon ; cv�uplicat�,ori of surge�cy 3,s �ai.Zure �o rel.ic�ve �he syzuptam.s. He zs � � �, �.ria�propriat��,� anxi,ous to have��an operati,ork� but� wa have .t�ied to �'. �� d�scourage that. We w�.3.1. pzoceed with medica3 treat�aent and I ' � ! ,� �have � 3nstructe3 him tv rdsume at , the HealthSouth 13ack Schoo]. and '� � to].d.them to add on a tz�ia3. of a�ranscutaneaus nerve stimuiator. , � ° , W� will. regroup after that. ' � , � , . � � , , " . Thank yau.very much for reterring h�m to us. . � `'I , �' ' S inc � • � . � � ;i . � � � � ' � ' ' � � � ' ' i � Robext Hasr�s; M,D., Ph.D: ; � . , ,, � RH/ LR � ' . - ' . ' . . P,S. �f he gets wo�cse, we wi.�.l ba happy to sea hi�a svoner. Ha may ne�d to coma � ta myolograru � tv sort a�.l o� � i:his out but L' would not : � , do a c�yologxasa� unl,ess we were �contemp�.ating surgexy. � ' � RH:lr � � - , . ` . i , i ' • ' . I ' i r � � ��'. . r, . . • , ," � i• � ' . S 0 .i,,�{Y �?'• ., �,.. .. . -.; , , . , � ,. � . ` , , - : , ' � . , . . x ' ' ,,. . � ` ' �L • . . � � '�. .. � ' � '� , , ��i � ` '. . . ' . � .>i ' ' . , , ' ' ` . � ' � � � ' � . .' ,' ' r ' ' � . ` � ` .. , • . ' . . ' 'r� 1l •.I �.� ''`J5' • •�r' , ' � • 4' ,� .. I , � i . ; � . ' ' , _• . � - � • , ., � ,f.� : ; . ' '� . . � ' .j . . . ' � ' . . r ' .. . . � , •� . . ' .'r ' r ..''� .. . . . .7.' � � . . • , ' ' ' ,� . . . � ' � '' , ' ' . ` ' �� .. � � ' ' . ' . .. `',' , . . , .' . ` ;r„ . �t�• �E •� s , . ' „ , . .1 , , ' , . . ' ( , , 1 , . :jfji. ,�''.s.� ° ..''r� . '. ' , . , . , s� . 1 � ' ' ,t .� '�. . . . . . . � n.' , . 1, . .. . � . ..� ' r ' ; . ' ° � 'I . � � ' . . , . . . . , �. � ". . �� " . . ,� . . w'riss'; 4r���1¢• [.l,: . , "r ��' "t�' i . _ , . ' � ' '� � � 1 � ' . ;' � ' ' � � ' . i .� �' . . ' � . .1n+M ^> >>M�o-.:1W.� ..... ..Al+il•,...��...,.. ,.... ....�ir <�r, �F,.is:t�. o .•1'.� '� � . . ��i�.. , i�' . . • .i'��.. � . _.. . .:� . . � ,��.� .� . e . .c ` � . . . . . . � . , . . ' . ' . ' ' . . • ' . . . . � ` i 1 . . , ' � � ;'Rob Harris, M.D., Ph.D., F.A.C.S. � . � ' � � � � ' . � • � ,. :� . . , . i; �. ' Dipdnnrate, Arrrrriurn �atrd of Neurologica[ Surgery • . � • • � : ' _ � ' � � �: '. ' . , . , , , . � �� . .' `�' . . . � . , . ' ' . , .10111��fard� Street, E3uilding A . ' . � Office (313) 442-7153 . � Cicarw��tcr. F�orida 3451C • . " . � . . . �AX, (813) 44b•�1336 �, • � � . ,. . , . . . . � .� � ' � Septembe�, 27, ].994: � � � � ..� , . . � . � � � ' . ' � . ' . � ' �' � � � Ra: ' Charles B. W�.�.l��ams, : , . � � i . � � 168b0 US 19 N. � . . � . • � . : : ,, . �Lot � 1323 � ' , � - . . , , . ., ; � . � Clearwater, FL � 3�624 � • . . � . . . � ,, . , , . . . �, � � , , •, . . . . ' � ', , , � TO S�JH4M xT MAY CONCERN; . . . � � . - .� , , �. ' , ' � , , • � . . , , . � . ' ' � - , . ' ' P1.aase �be 3dv.ised tha�s gentZeman is permanentl,y disab�,ed due• t4 �: � '., �, :� osteoarth�i,ti.s and we do aot beZi�eve hR can engage �.n heav� � .., I,�ifti,ng, bendi,ng, or stooping. Z£ you, have any furthe�c questi,ons �� .� ' �� in this rega�rd, y�u can address them to lzi.s pri,mary physici,an' who . � : , is managi.ng his care, � bx. David Newsome, at C�GNA.. � , . ,' We wiZX see. him one moze ti.me be�ore dxscharging hi�. from our � '� '� , care as he d4as not hav� a surgical ].esi.on at �he p�esent ti.m�, `. � Thank yau very much. ' ' � . � SincerelY, � . , . . Rob Harris, D,, Ph,D, ' , ' RH/j st . . . � . , � •_ , � • � • � . ' � . � . •, , � , :. � . - ' r . . iNi�" �' . , � � 1 . � • ,' ,; .� . . . . . , � . . . . , ,. . � , • . . . ,' ,, . ' . �. � � • .. � .. :.�.� , . , . . , ; �. .,. ,,: ,r�, ..�, ... . . . � . . , . . . � . ;. . . � . . r , ` � � . • ' ' , � Expected Penstan Ccst (Cash Payaut C3ver L3fe at Pensfoner and S�ouse) •$4�6,220 � Prasent V�lua ot Expected Pensian Cost y�,g �y .Annua� 3�terast Rate � � 0.07 • Arinu�l Pens�an Amount 12,412.16 Pensianer Sex Male � � Pensionar A�e � 54 � � Pertsiotter t.ite Expectancy 78 � . � Y�ars Remalning � 25 � ,Spause Age 45 Spouse Life Expactancy 83 � Years Remaining 39 � # Pre�ent An�ual Amo�nt Years Age Value Interest Pafd Balance' . � vl,... 1 54 ``��;r�� 64;9t:�,:'42� 11, i 0�.37 12,4i 2.16 163,6Q8.64 � 2 55 �� 1fi3,fi08.64 11,018,18 12,412,ifi 162,214.6fi �, 3 � bfi � 62,2� 4.i�8 1 �,920.fia 12,412.1 fi 160,7'23.1 Q 4 57 i 60,723.i 0 10,B16.19 12,412.16 159,� 27.13 5 58 � 59,� 27.i 3 10�704,47 12,412.� 6 157,419,44 � fi a9 � 57,4� 9.44 1 D,584.94 12,412.16 � 55,592.2� 7 Go i 55,�92.22 1 a,457.03 12,412.16 153,637.09 - � 61 ��3�637'.0� 10,320.17 12,412.16 15i,545.1� 9 62 i 51,545.1 tl 1�,� 73.73 12,412.16 149,3Q6.67 � '� 4 63 i 49�3Q6.67 1 �,017.D4 12,412.16 14fi,91 �.�6 � 11 ' 64 14fi,9i �.55 9,849.�8 12,4'� 2.� 6 � 44,348.77 � 2 fi5 144,348.77 9,569.99 12,412.16 . 14� ,606.6� � � 3 fifi � 4� , 60fi.60 9�478.44 � 2, 4� 2. � fi i 38, 672.48 •14 67 138,672.�8 9,272.fi5 12,412.16 135,532.97 � 5 fi8 i 35,532.97 9,052.8#3 12,�412.16 � 32,� 73,fi9 1 fi 69 132,i 73.69 8,8� 7.73 12,412.f 6 � 28,579,26 i 7 7� � 2$,579.28 8,5$6.12 12,412.16 124,i33.22 18 7i 124,733.22 8,296.90 12,412.i B � 2Q,617.96 19 72 � i 2[1,fi1 �.96 8,Oa8,83 12,�}12.16 11 fi,214.6� 2Q 73 7 i fi,�f 4.64� 7,700.60 12,4� �.'16 � 1�,503.08 2i 74 i� 1,5�3.08 7,370.79 12,412.16 � 06,461.7p 22 75 1(36,�461.70 7,017.89 12,4f 2.16 � 04,�67,44 23 7fi 101,067,44 fi,64Q.30 12,412.1fi 95,295.57 24 77 95, 295.57 6, 236.26 12,412.16 89,13 9, 68 25 78 • 89,1 i 9.68 5,803.95 12,412.16 82,511,47 2fi 7Q 82,5�1.47 5,t3�41.38 12,41�,16 75,440.69 27 ' i� 75, 440.69 4, &�6.42 12, 4� 2.16 67, 874.95 , 28 72 87,874.95 4,316.82 12,412,16 59,779.fi1 29 73 59,779.fi� 3,?�D.15 12,412.�& �?,��?,60 � 34 74 51,i�7.60 3,��3.81 12,4�2,16 4�,849.24 '. 31 75 �41,849,24 2,712.23 6,2Q6.�8 38,355.4� 3� 76 38,355,�0 2,4fi7.�7 6,206.Q$ 34,fi16.98 ' 33 77 34,8# 8.98 2,2Q5.�J8 6,206.08 30:61 fi.88 34 78 30,6i fi.88 1,925.97 fi,20fi.�8 26,336.77 3S 79 26,336,77 1,62B.36 6,206.Q8 2�,757.05 36 80 2�,757.06 1,3Q�.78 6,2�&.Q8 ifi,85fi.75 � 37 81 ��6,85fi.75 962.76 B,20fi.08 11,fi13.43 ;.' 38 82 i i,fi13.43 595.73 • 6,206.08 6,�03.�6 � 39 83 � 6,003.D8 �03.�0 6,206.08 0.00 , � � `�'� 428 2�19.52 � , .,.. ... . . , .... .. ... .. ... �� . . • . - - • . � � i