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' � ' ' . � . . . . , ' 1 ' . . . , . . . � . . i k . � #:. ' j , � ' . � ` � .. . ' , ; � � .. . . , . , � • � . � � .. . ' . . ' ' . � ' ' , � . ' � . . . . .. . i . � �� �. ,.. . # . � . . , � . , , � . � � . � • . • . ' > � . }. . , e , • . , . . . . . t., :, . � . . . ,� „ .. . .. ACTiON /�GENDA � , . . ' . .f . . - '. , � ' • ; � Board oi Trusteos of the �mploye�s` Pensian.Fund . ' � � � , : ,:, . :., � . � , :�� ,� ,� . ' . . Tuesday, :lanuary 17; 1995 , � � , � . . � . ' . f� . � � . � � � � � � . . . , � � � "� � ., ,�'.' . � . . . � , .. ' � , . �. - ' , , � . . , �. . . , � . . , ' ��� . . r . . , . ; , ; , , �� �.�, . . . , � . , • . � .. ;< . � . . � . , `�:. : . � . : 1. , Catt to arder ` � . 1. 9:23 a.m. � � . . '�� : _. , . , . . � , . � - � . : � 2. ; i4pp�oval of Min�ttes ., � ..,� 2., A�praved as submitted. � � � . . . �. . . ,at.1J3195 � . .� : � ' „ . , f' ' . ' , � ' . � . . ' ' � , � � � � � , 3.� ' � Req�e�t for accept�nce � � . , � ' 3.. APpraved. � ��� . � . - . � . , , � inta'triembership:' � . , �� , � � ; ' ,' , , � '. . . , a] �ludith-Zdchar • • ' . � , ' ` � � ' . . � . . . . . ; : ' b) � Mary Re6scca, Park • � � � . . � ' � , r� . • � � � • c� Nancy K. F'gckham .. . � . , , . . .. . . ' ,.. „ � . � . � . . ��� �' 4. '' ReQ�lar Pen'sion tfl be granted; �• 4: Granted. ' � << - , . , , � ;. - ' � , , Zans. G. Cecil � ' . ' . . . . . � ' � ' . � 5. Regular Pensior� ta be granted: . . 5, � Grantsti. . � � � � . � � Gearga A. Lsslie � . , . � ' . 6. Other Business: 6. Nane. � 7. Acijaurnment: . . . 7, 9:27 a.m. � � � � , � ,' : ' , � , F , . � . ' , ., . . , . ' � , .� ' � . . i. , . ` �� , . � . , � ' � � ' �; �i �\• . e . . , • . . . . . . . . . , " � � ! , ' r . .i , . � . , � .�<,`.= ��� `'�i',.,jr. ` . '1'.1's,�,.�, ,'j..�.. , � �• � � �: f i.' ' . ' . ' ' . �F� . ��,'.... . , � . „ , � , , , • � ,�',, " . . . ' ' � , . . �. . � �• r . � F ' TRUSTEES QF TH� EMPI,QYEES' pENSIOIV FUND ��em � '� � Meailn� Date: 1! 1 71 g 5 � Agenda Co�er Memorandum , � . S�bjoct: • ' . , Ms:mbcrship in Emplayecs' Pension Pi�n . RecammencfatianlMotian: . t. Emp�oyee(s} li�tec! betow &e accepted ir�to ti�e Emp9ayees' PC�35�Dt} Plan �2s rccommc�dec� by thc ' Pensic�n Advisory Committee. • C] s�nd ihat the �pprapriat� ofiicials be authorized to exec�te same. • � ' BA(�tGROUND: , Seniority � Pe;nsian I��me �ir�c1 Job_Class '� ��_pt./Di��, Dnte Effective D�te , � dudit� Zachur, Staff Assist�nt II Central Permittin� 12/1 Z194 I 2/ I 219� ' Mary Rebecca Par(c, Staf�' Assistant II Fir�anec/i7t. Cust. Ser. 12/12I94 . 12/12/94 N�ncy K. Pcckham, Slaff Assistant I En�inceringlWAC 3/21/94 12/27/94 Reviewed hy: Orlgina rig DQpt: Hu R sources l.ogal NA eudget NA Purchaskng �lA User DQpt.: Risk Mgmt. � CIS �� _ AGM Ad�ertised: Otner Dato: 't� Paper: " � Not reyuired 5uk�mitted by: Atfected parties , ❑ Notitiea ❑ Not requirad Citv Manaqer �t;� � Costs: Cammissian Aati�n: 7otal Q Appro�ed ❑ Approved w/candiliorts Current FY ❑ Danled ❑ Contfnued to; �unding Saurce: ❑ Capt.lmp. ❑ Operaling ❑ .Other Attachmenis: Appraprlation Cade; Letter(sj . ❑ None ,'.,r„ '''-, . �� „ . :�,. : - , .. ; ,, ' ., ,� ' . . 1 ' . ' '. � � ' � , . �`, "... ', . � .. ,. . . . �: . : t.. . . . �, . ' , , : . . � ; , .. ' � � � ' �}' ' . � ' , .�. .� , �, � � , � • .' � . , ''; �. . , e� : , . '}�. �,�:,'�,'. . ' , .�., . . , . `�. . � .,� '..' ' ' ' , , � , ' • � ' . , • .. . . .! .''�} .i •1.. .}i' .:.. � � 1 � �� ` :,1. a�l"..:... �til' . . 1 i . 6t, . 'f ',S�i.,.,� 0��.�a�i1sE�tF�'i� :F,i:f: ��. ',ti� .i�,�..ei.'li'y:ff�i"o;`s`�`'_:r''• r:tY'':��. .i ;i !• . � . . � ' . j�..,� � ,i1.�R�� ti�:el� F�t f.Yi�:� i1r�d:: f,r 'f:,�: (:.r 1>�' �:!` :4"'�°. i� �i'��', ,3. �y��+.�..2`4,i! :��`�s.. �5.�, 3��r.E:.� . ''i��±. .. , ,.:`.. .� � ,.,�: •�i;i�"� ' � . � ' . ' . . . `�� - . . . � . • , � . ^ . . ,r � ,.r ' • ,.. ' , � . R ' � � , . ' 1 . ' � . f � . . . . , , s `�': .' ` . ' ' , CITY OF CLEAiLWATER � . � � � � ' . � ' . '� � • � . , � � ,� . . �M�'LnYCES' PENSION PLAN. , , , ' , ,,. � , ' . , �• PEN5IOi'�i ADVI50KY CUM1�iYTTEP: : � , �� � . . , � ' �t; , � TO: � Aension Trustces � � � � . � FROM: . � Pension Advisory Cninmittee � . � . , `�` � SC]DJEGT: •� 'Recommendvtion far Acceptance inta � Pension Plon � . � • � , DA'TE't ' � Dccember 21 � 1994 ' � , � � As Trustees nf chc City af Cle�rwutcr �mplayces' Pensian Fund, you �re hereby notif'sed that chc � ' erriployee{s) iisted. b'elow� h�ve been duiy ex�mined by u locai . physiciun as�d cach hus becn .. � designuteci us. tt "first CIil55 risk". � � � ' : . , ' ,� •. Thesc employees nrc ciigible iar pensiaif inerr�bershig us ttiated in the Pensinn �ligibility Dntc column belaw, �nd it is thc reca�nmcndAtion oi the Pension , Aclvisory Cammittcc that they be" ' � � �cceptec� �inta membersliip.' � . . . � � � . � . ' � , . Pcnsion Etig. , •,. Hpm�� f��. Clnss. & Dc�t./Div. Birth bntc %lire'DE�te � . Dntc � . . �.. , 1 , � rndith ZnchBr, SS#482-52-9972 . Staff' Asst. II,�, Ccntrnl Permitting Dept. 3/4145 I 2/ 12/9�3 • - I 2/ I 2/94 Mary Rehecca Purk, S5#593-32-7766 � � '' � � � S � � � ' � StafF Asst: Il� Finnnce/Utility� Cust. 5vice, 4/21/G8 12/12/9�4 12/I2/94 .' Nancy K. Peckham, 55#26'1-52-6777 . . 5taf�' Assistunt I, Engineer'ing/WPC . . 12/26/37 3121194 � 12/27/94* ' *E:ngloyee hired t'rnrn tempor�ry , , , . to full-time perinanent status. , � �, Hire datc ref3ects •dnte hired us tempornry. _ � , � " .� '. --- r.�r..�,r,����...e�.��e ., � '�°� .• � � • ' . � � � . � ' .. � , ' . .• • � {� � � .' ��. ��� . .' . ' •r , . , , � 6 . ' m �t � �` " TRUSTEES Or THE EMPLQYEES' PENSI�N FUND Item # � � � � � Meeting �aie; 11LZ!�� � . Agenda �o�er Memorandum su��ect: � . � Fens�an to Ue Gr�nted, Recomma�datianlMotian: . Zanc G. Cecil, Parks & Recre�tian Department, be gruntcd u r�:gulur gension under 5ectiun(s} 2,39G of the Em�loyces' Pension Plan ��s recommended by tt�e Pcnsian Advisory C'ornmittce. ' ❑ and that th� a ro riate officials be �auihorizad to �xecute same. BACKGROUND: � . Zune G. Cecil, Mafntenunce `Yorker IZ, Parks & Recrcation De��rt�nent, wtisemployed by tP�e City on 5eptembcr . 16, 1974, and bcg�n participsting in the Pensiari PIRn on that date. H.is retireine:nt wi�) be effective on March 1, 1995, at the bc:ginning ni' thc day. Mr. Cecil's pcnsion was �pprove� by tl�e Pension Advisory Committee at �its mecting of - Deccmbcr 21, 199�. II�sed nn an u�erage sal�ry of apprnximately $21,42Q ov�;r thc past five ycurs ' and tl�c � Farmul� for camputin� rc�ulnr pensions, ttiis pension will apprnxim�te $10,9'18 nnnu{illy. � Charts frarra Fsnunc:e .whicY� take into considcration mortaii�y rates and ugc rcflcc� tt�c "�3i'CS�IIi val�te casc af iinancing" this pension wi11 be ap�raximately �133,256. 1'tze estimatec� peritiion cost (cash payoui aver the life of the pc�nsioner and his spoUSe) is $279,939. Re��ewed by: Logal Budget � NA Furchasing , NA__- _ Rlsk MgmR. NA CIS NA ACM Olhnr ,,,_, _HA_ _ Submifted by: C�tv Ma �riginating Dept: User Dept.: Advortisad: Date: P�per: � Nat required Atiected p�rlies ❑ Natified �i Not roquired Costs: $133,2,�'if Tota! Commission Actlon: ❑ Approvocf ❑ Approved wlconditians Currant FY ❑ Denled ❑ Continuad to: Funding 5ource: , ❑ Capt. Emp. ❑ Operaiing � Other Pon��� Attachments: Appraprlation Coda: Letter(s) �g�:,47�10-53�195?-�Q� ❑ Nans ,i ... . '� . r' . . ' • ., . ' .> � .. . . � . , . . . . ' ' ' • . . ' .. � . . '' , .. � ' , . . • ' A . . . , . �' . � � • , . , ' .. . ' . . ' � � . ,' . ' ' .. . �' . � . . ' �. ' � . , , ' . � . ' � � ' . ' ' . . .. .' �. �. . � . . " � � � � . . ' ... , • ` ' . 1 . � ' ' ' . ' � ., . , ' � � _, � , . � . ' ' . ' , - . . , ' . . . � '. ' , . .... . . . . . ' . . . ` /; . , . , � , t :r`•. '- .;i . � . . '� .� ' .�' � � . � ' � ' . ' . i , ,' , � ' ;i .. � r.` . , . � . . � .. ,r � � , . . ' .. ' . . �����k�:i��•` �?4i',�i!�t���'`:�;t � e �s�. •t `F.I' • �, .. ' 1 ' . ' , '� � 1' :.5 .f�y: � ' � �.. .. ' �: I.•�• .�5: .i; . .�.t.;�.,..''x.� a . �,.%� ;1:k'..�I}�I��`t�.!i•y. �4•.� e��"; .. , � �., � . . . � •• • . . . . . . . t.. ' . _ . . ' Human Resourcas Duparlrnan! 6131462$97Q C I T Y' � �.� .I, , ��: O F. C� E A 1� W A T E kt , POST OFFIC� 80X �748 C�ERFtWAT�f3, �Z�R�I}A 34&48•4748 TC} Honorable Mayor and Mcmberti of' the, City Commission us Trustccti af the : �mplovees' PGRSIQR Plan . FROM: Pensio�n Ari�isory Cvrrzmittee . � C�PIFS; DeY►bic Bailey, Payroll Scrvices Manager : Em�rlvyce's �ile SUBJ�CT: Regul�r Pcnsion-7ane G. Cecil DATE: Deccmb�r 2 f, 1994 T��; Per�sion Advisory Camrtzittec rec�ived ur� it�pltc�ti�r� for � regu)�zr per�sion fram "Lane G. Cecil an December 20, 1994. Mr. Cecil was emplaycd by t�ic City on September IC, 1974, �rid �lii5 been :� participant in the Pension , Plan tiince t��ut clate. Tlie umount af Mr. Cecil's pension \V1I� be com�titcd by tlic Finance Dcpartrnent at such timc as his last 4'i�c years of servicc and sulary can b e calculatcci. By mntion made and duiy carried ��t its �mecting nf Dece�r�ber ?I, 1994, ttic Pcnsian Acivisory Cornmittee approvedlrecommcndcd a re�ular �ensivn based on years nf' scrvice for Zune G. Cecil in accorcianec witi� Scetion 2.39G of ki}e City Code. This pensinn will be cff�eciivc on Marc}2 l, ! 995, at �hc beginning of thc day. I t��rcby. certity thut thc Pension AdviSOry Cr�mmittce hus appravccl tt�e �r.Enting of a regular rctirement pension for Zane G. Cccil and thc �ibavn datcs arc corrcct. �-a v Ch�irmUti, I'cnsinn Advi. c�ry Committce ��� "�qua! Employmtinl nnd Aflirmolive Actlnn �mployer" ' � � ;f . . . , , . , � . - � ' � . ' � . � ' e f.. ' ' � , i . 1 � � ' . � . . . e. � � - , . ' • . � 1 . ' ' � . . . . ' � � . �' y . . � . . , � . . . . , ': . ' . r' ' '.' . , ` . ' , , I. . . .' , � , ' • , � . j. . � , , • , `�� ' , ' .. ' . . ' , ' i'� : , � . � � ' .,. . ' : . :. r i ; � . . • 1 .,5 � ' . , . ` . � , � i . . . � ' � . '� � . . , . , � . . . , �;, ���4n{ � '�'ti �•r'� ��:,1�;., 'i, ,�, � � ' . ' � ' . � . , . ' .,:x', .. . . • , ... , r , . , , • •t. . �,.... •..... �. . .. . . � .... r . �� . . . 't , .. . . . " . . ` . � , , i . . . • � , � PENSY4N R�QUEST r�?RIvI , � .�� � . Zar►e G. C�cil . da hereby apply fflr rettrem�nt From, th� City af Ciear�vatar Gener�l Employ�es' Pension Plan.. • • . . My bet�efiis date is sep�, z6, 1974 (Entry dat� into �ension pianj � 1+1 y date of . t�ire is S�pt. 16, �974 . . \+Iy birthday is MaY i0, 1933 � � � � � , l�iy job classificatior� i5� �t3in��r�ance worker TT �nc� I �t�ork in �• the Parks & Recreation D,ep�;rtment, �arks � p��visinn. � `' . ��I y resignation date is �'enruary 28, .1995 � • ' : The type of pension for which I am applyin� is (�heck only one): , , '� Regnl�r Pension based on y�ars of service ' �J'o�»conr�ected Disability Pension � ' i�ion-jab-connecte�d Disa,�ility Pensian � � �iy spo�se's name is: ���zabeth I I - 3)e�enderit childrerx under the� �ge a€ 1S and residing in n:y liou�LSnici nre: I � {Print Chiicf's �ul1 �lam�� (Ciiild's Date of Birtti) ; „ _ ----.,,^ -- �-- � _ - ' . � � I � I h�reby �er�ity :�11 ot the �hove to b� true ar�d correcr. I ,,,�, �•' . ' r�� ' �� /.? f I� r r' ! . ' ./ , (St�t]�IUfCj . December 30, I.99-� i . � f Datz j � ST:�T£ 4F FLORIDA Tite fnrcg,oing instrumer�[ was a�:hno.y�i��;r�7 t�arc�r� m� this � � CO UNTY t3C PINLI,L.1S • • � � �-" `'�`�- by ��•. --• � r• ( � ` � � , wkti� is ners�n�lly � . i:nown to me: or wno ha5 prac�uce:d :` - -t.. ' ��_ , �s.._ irlentification anti r�vho �i�ldid not t�4:� an v��f^, . ' , ; -i•-�- �; r {�..r: �. < �.,, . ( :..� : '.,, �' l �l��t�rv P�blic � , (Signature) C R � ,,� �, a�-�--�t,—� . QEi301Z.�E{ Y;;TRLiT ' � ' � , , � l�a, . � • . r ti� '' �.� : ; r�ri3'�t�� f o��'���'a"tr[%�� t�"rht�til�n ' ' ° i3'.f!.Il��lf:; ti ti (:C:'1.�+,132:? . W v�^"r, i�,� i:�:in �ti r. Y r, !.� n•,• _:+ t n+rr �� . �. . .. , � . • � . , . . . ' , ti ' . . . � �. . ' • ' � . � . . � . . , ' � i ..f ; � .i ' � � � ',. . � '. ' . . �� � ' ' � � .. . . , . . � ' . 'i� . � ' ' .,i. � , �. .. + � ' , , , . , � � . '• ' . � ' • ., � . . `' ' � . �t . � ' � � , , . . • . ' � � ' . � , �. . , . f , . . , � .� , � ' . � ' . � • . � w.!3. _ .. .�r. .�v , ....i. r ',r-,. :`•!r: .'�.. +�° .. ..{ . . . . . .�,. i . . . �. � . .. , . �!. . , ,. . . . � . , , , , � (,� . � � ' ' ' � � . � � CITY OF CLE�R'SV�.TER � � ' ' . ' . . . . G�NE�`:#L E�1PI.OXEES' PF�i5I(?N PLAN ' �.;' ' ' � � � � � UPTI�NS - GEV�RAL EiLi�'LQYE�S � � I OPTiON' #1: �� . Err�ploy�es car� receive a lurnp sum �payr�ent for vACatian and � • . holiday Pay and ll? � of accrued S1Ck leave at the , time oF ' < separatio�t frarr� the City. Th�rc wil� . be t�o d�'o dedt�rtion „for pension fram this' lujnp surri payment nor wii! this umount caunt � �s earnings in the catcuj3tian of the pensio�t, Tlte t�st � clay of . work will be the terminatian. date and gensiQn bene#'its wiZl b�Uin � . • the folEOwina day. . OPTTON ,��:. � �• �,Emplaye� can � extend � termination date by th� time c{ue for �� , , ' . v�catian, halicfay pay, and 1/2 of accrued sick leave, Termination ' d�te �wijl be the fin�l d�y of extended timc. Pensio� benefits will� ' begin the foliowin� day. ' . , (Only ava�isab�e kn emplayees hered Qriar to 1011.19Q.) ****�**�«.�*.x*��*�:,����*M*���,w��.���*:�*�«��:�*���******�*�**:�*****�*�**�* Zane G. Cecil � � i, �_ ,_„__��,�` _ _ ___ _ __ _, an employee af tl�e City of Clearwat�r, hereby apply far pension benefits and�r the City's Employees' Fension PI�n. � � [�ereby certify � that I fuily understar�d the two options nffer�d ta rne. I choase to reti�e using Op�ion # Z� and wish my benefits ta be calcutated under . this opcion. I�ncterscand chat once this form is si�ned, my decistoR is irrevoeable. tiVi'��tE5S�5: �� �' �� �� �;� �1 �� ' �.�, �: ��,`-!�cc�•<-- .-1'� - .1 _ . L.� .... , w ; �.�. � :� � . - _s�'_� 1.,.��.�,, � _ �1+�.� , — ��' . . . , � Ey(�LOYEF'S SIGNATURE:_��-��-� � -� - � �� .' y ' SOCIAI. SECi1RITY �: 2������$95� �DDR�SS: 31Z So�ith Betty Lane , a���. 39 R" Clear*sa��r � r"L 3�i616 Dec�r:Ebe� zo , 1994 � DA'T'�: �.. '� . � �+. :'.,. r.� , , , ' ' ' , . . , . . - , ' ; . . , �c 0 � ' . � , • �••� � TRUSTE�S �� TH� EMPLOY�ES' P�N510N �UND Agen�a Cover Memorandum � a Itom # � Meeifng Date: � L 1_7_I_9 fi ...�._.. SubJect: ' Fcnsinn to be GrnRted. • � RecommendatlonlMotion: Ceorgc A. Les�ic;, Public Warks Department, bc grnnied a regulnr pension undcr Section(s) 2,396 of the Employecs' Pensior� Flan Us recommended by the Pension Advisory Committce. CI and that the a ropriate oitEcEals i�e authorized ia execute same. BACKGROUND: � GCpt'�C A. Leslie, Utilities Niec�anic I, Public Works De�artment, w�s eniployed hy t h c Ciiy on .�uly 28, 19fi4, � n�id began participatinfi in the: P�nsion Plar� on thAt date. His retircment will be effe�tive on Ja�nunry 2, 1945, at the beginning of the day. Mr� I.eslie's pensi�n wus approved by t�ie Pension Advisory Commictec at , its mcetin� of December �1, 1994. Dased on an uvcra�e saiary of np�roxim�teiy $35,333 over the �ast fivc yeurs vnd t�te farmula far computin� re�;ular pensions, this pezisian wi�l approximate �2G,942 annuaiiy. Ch:�rt,r• frorn Finance which tuke into corisider:�tion rnortality rates and �ge rcflect the "�rescnt vulue cost of finaneing" this per�siar� wiYl be appraxir��ately $338,443. Tlie estimatcd �ension cost (casli payout over thc Iife of the pensiuncr and his s�ouse) is $754,376. , Reviewed by: Lega1 NA Budg�t NA 1'urchasing NA Rlsk Mgmt. _N.�._ CIS , N�_ ACM Other NA .._._ 4 � �, Submlttad by: i Oi•Iglnating Dept: Huma�Aesource: User Dept.: Ad�ertised: Da1e: paper: � Not requlred Affecled parties ❑ Notified � Nal raqufrod Casts: �3�_8_ 4__4_� Tatel Currer�t FY Funding SourcQ: ❑ Capt. (mp. ❑ Qperaiing � Other Pc�nsln�_ Appropriatlon Code: 64fi-07410-�Q'�{�0•585 Commissian Actian: ❑ Appro�Qd ❑ Appravod w/candilions ❑ Denied ❑ Contlnued ta: Attachments: Letter(s} ❑ None , � . . ' • I ' . I } ' ' . � � � . , . � .. , , ' , ' . � f ' . . I�f � '� .. . . . �..'.o '' . ' ' . ' ' - 1 ' , ' • . �1 � ' . � . - F . ' , . . � ' � . � ' , ' , . . • . . . . , . , . .`..i'' �..., � � � . ' '.,.��' .'' . .. , .'r l � • ' ' . . ' . , �' ;. �II' 4. ',..'�' .. � '.' � •. , � ... � '4 , •. I ' � 1. � . ' � , . • � • .�' e . � t' ' .� Y [ . . l . � . . I � . , , � i�. . ., . • ' . ' �` � lf , 't .. ,r` ; '': �{ . � ' �. � . , � y . ' ; � � � � �� � .� � ,1., � . . !, . � . �� �� . , ,. � [ •.i . .ic . � ; . . " . . . , � . � . . ' . � ' , � .r �1` ��' � ' ` - • �• , . �. . � + r , . • , . ' . • ' �,rj;! �'� .h'1::����''r'��.:: '•,��;es:t;��i'��i4i�_ •:riin;t•�'' � , , . � �. , . . . . . ' . , . . ' �t"L�'r��, :.f''�?� .9+ .�. �. . ,, f�t' i' �''j. ',"t;`., .,I� LPi-' jr:.' .�,, � ._�. .�.,�. . .' • .� �.'' ' ' . . ' 3��'. 11y ' • ' , , �f? � '�.� ' �� s�. 'j•. 't•' ;i :5' �t. 'j .'� � Humen Reaourcee qaparimo»t � . , f31314$2�6870 C I T Y..O F C L��1 R W A.T E R , � � P05T OFFICE BOX b7�9 � CI.�AF�WATER, FI.DHIDA 3bfr18•4748 'IY}. HonorAble Mayor anci Mcmbers af the City Commissian us Trz�Stecs oC the � E�nployces' Pension � Plan FRUM: I'ension Advisory Cvmmitte�: , COPIES: Dehbie Bniley, �Pnyrall Scrvices Manager Entployee's Filc � SUB3ECC: R�gular Ycosion---George A. Leslie Dr1TE: Uccc:mber 21, 1994 Ti�e PensiorF Advisory Committee received an lpplicntion. for rc�ular pcnsion from Geor�e A. Leslie � on Decembcr 20, 1994. Mr. Leslie w�s empluyed by the City on .�uly 28, 196�1, and I�as �ecn �� p�irticipunt in the I'er�sian PIaR since th�t cinte. The umount af Mr. Lcslie's Qension wil! be eomputed by the Finance Depa�rtment �t such time as his lust five yenrs nf service and sul:�ry can U e c;�lcuiated, . By �ziotian xn�ide �nc� cluly carried at its meeting of December 2i, 1994, the Pei}sion Advisory Co�nmittee ap�roved/recou�me��ded a• re�ul:�r pension based on years nf service for George A. Leslie in �c�ordance with Section 2.396 of the City Code, T�115 pensian will b e effective on Junuary ;,t�, ��95, zt the t�eginning of ttle day. a I itcreby certify that t�c I'ensiort Ad�isory Cc�mmittce has approved the branting of a regul.ir rttir�ment pension for Gcorge A, Lesiie and the above d�tes ure rorrect. � � � � �i• Chairman, Pension Advi ory Cornmittce ��� ','Equa! �mploymant And Ai�irmntive Aclian �mplaynr" -i- • . . ' . .. f ( . , . ' .. 11 . ' ' . . . . . ' � ' ' � . 1' , . . .E . � ' i ' � . , � � J 1 . ' r � ' . , ' � . .. • , ' • . . t , , ' "' , . � r� ' . ' . . ` • . 3 , . . , . . . � ' E . � ' . . � ' , . . ' � , , . , - .,.w. 1�..... ,� �.. ; ,�.r�'1�... �'�'. .. , . . . . t., . � , . .... � . . F . ; , ' ' • ' ' , � . , , , � . . . � ` . . , � � � � � PENSIQN REQUEST FORhI ' , ' � �f Geozge A. I�e�l�.e ' � , �.,, do hercby apply fQr reticement from the City af Clearwater � � �eaera�i Empioyees' Pensian �'[an. , �i benefits datc i5 ���'y �$' �'9�`� Y (Enkry ciate i�nto pens4on� ptan) \+1 y date af hire iS ' `�u'�Y �8' ��64 � � .l�iy birthd�y is _ oecember 12,19�4 � � �� ' y[y joh cla�ssifi�axion is ��il.iti.es Mechanic z �nd Y wark in the ' Pub� i.c works D e a r t rrt e n t, � , �a g�. Div�sion. , ,l�t .y re5igna�tion date is Januazy �?/1, l.gg5 Th� type of pensi4n for� w[�ich I am ap�lying is (checfc oniy an�): x Re�ular Pension based on years of" sarvice . __�___�.,�.Jab-cannccted Disability Pension �' � _.�1�n-jnb-connected Disabllity � Pensian Yfy spouse's name is: � ,'Elepenr3ent children urider Khe age af I3 and residinb in my househo�d :�re; �,atvya Leslie Ju3y 30, Z980 aevon ,�n�re� Les�ileuil V�me) Auqust �� �ild'�S�Da[e o[ Biirth) I iiereby certi�y aII vf t�ze �bave to be tr�e and c�rre�r: 0 �T�►TE OF FLORID� � CnUNTY 4F PiNELL�S YKIf� . "r � A ! • // ' (Siena�ure� ' Deceml�er 20, ��9� � �~� (Dsce} � The f�re;oing ins�rument was �c'.{nawlecE;ed 'oerar� �.... ►.•"•�� L�.:rh�._�., by � �,u -•, •_ �•. � . : , who is personally knawn to me or who has~ produced �-=. 1%� '�''> L�'' '`' . as identifie�cion �nd w�c� did/dici no� take an oach. i ��_... (..—.�� �.....�:! , � � � , ��� � � , a�.� (Sfgrt3tiire) ��i�t�x.»-1 x �T�Lrrr L�l�Y�'�iadc�ar� o� E�ohi�A i r C041ht1SSl0, ti�7. , �_..f'?� �lJl •C�• ✓� ��. ` ; �� ��� t '± � !<YCC7Mhi1�n1fa�7 CYP. ti4AY:'!,1'Jtry E ► � } ' , . � � . � i � . ?.. ; � t , � . , . , ' , . ' . . � • • 1 � . � . . .t , ,s ' , e . � ' ' , . ' . ' ' ' • .{f � ' � . � e ' . - � i• ' � ,t • • . � - ' . ' . . 1(aR/iF1lr`. ' . •..<.. .�.�1 l l�f. �Ki:^ ..n;h:f:r :.0'.•���' � r r . � . . . � � ' . . e . � . '. i . . , .1 . .. , , . � e� `S r . � , , �.l i • . ' . CXTY QF CLEARtiV�►T�R � . ' � . , � � GE�IERAL E�VIPLt�YEES' PENSI�N PLAV ' . � , ' � � OPTIONS �- GENERAL E�i�LOY��S , OPTION #1; . Employecs car� receive a lumQ - sum payrrtent for vacatia� � and �� �� ' ��►oliday pay and 112 ' oF accrued sick ieav� at the time of . , � � . separacion from the City. There will be no 6°la deductian far . pension fram this lump surn pay ment nor wii! this umount c o u n t � as enrnings in ti�e caiculation af tf�e gension. The last dny of , � � work will be � the termination d�te and pension benefits will begin , ' � " . the folIowing day. .OPT�4N #Z: ' � HmQEayee c�rc excenc! tercninatior� date by_ the time due for . � � � vacation, ho1iciay pay, and 112 oF accrued sick leave, ' Termination � . , date wilt be the final day of extenc�ed time, Pensia� benefits. wi�t . ' ` begin the foIlowin� day. � . � '� {Only avaiiable fio empioyees hir�d prior to I�f11��.) *,���***�***�*�e*********�**�**�**M:�**�:����*:�***��*��*r�*�*�*:�*�k��x*��+ . � , � G�orge A. Les�ie x, ,.,,,, _, ._ ..,., ._ ,� _ _,,,,, w �.�n �mpioyee of ti�e City of Ci�arwater, hereby appiy for . pension benefits under the City's Empioyees' Pension E'Ian. , I hereby cwrtify tha� I fully understand che twa oQtians o�fered to me. I choose to retir� usin? ' . �ption �� � and wish my b�nefi[s [a be calcu[ated under this option. I und�rstand that ance this form is signed, my decision is irravocabi�. � � '% �yIPLOYEE'S SIGNATLI�tE:.s .�,..�� U � ��,�. - — SOCIAL, SECG'RiTY n: - `�1�"� '�0�5 WI'i'NESS�S: �DDEtESS: ].559 S. �Iashington . C, C„---- - Clear�a��r, FL 3�G�&-2�45 E �,i��,� � c._l., tC ,'��. �.,� _ � � ���'�ti��l..��.. _','��S `�'�'�-�:�_ DA�: Decer�e= Z0, 199� �. ' . , l '