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HomeMy WebLinkAbout2000-05-25 - Agendas - Final SPECIAL MEETING OF THE POLICE PENSION AND RELIEF FUND BOARD AGENDA MAY 25, 2000 A special meeting of the Fayetteville Police Pension and Relief Fund Board will be held on May 25, 2000 at 1 : 30 p.m. in Room 313 of the City Administration Building located at 113 West Mountain Street, Fayetteville, Arkansas. 1 . Angela Munson- Medical Retirement 2 . Tim Helder- Washington County Sheriffs Department Time I r r� Diplomats of the American Board of Onhopeedc Surgeons' FeOws of the American Academy of Orthopaedic Surgeons+ Co aylor, M.D. 19wa f0ZMK Tom Phillip Coker, M.D. '+ ORTHOPAEDIC AND SPORTS MEDICINE Sports Medicine CLINIC' LTD. Trauma Reconstructive Surgery . of the Knee. Ankle & Foot James F Moore, M.D. ' + Surgery of the Hand W. Duke Harris, M.D. *+ Sports Medicine Surgery of the Hip & Knee Arthroscopy Peter R. Heinzelmann, M.D. '+ - Surgery of the Upper Extremity and the Hand April 26th , 2000 General Onhopaedic Surgery John P. Park. M.D. •+ _ _ . . . ....__._.r..s:. .,. Arthroscopy Sports Medicine ._ Surgery of the Shoulder & Knee RE : Angela K . MUNSON ; DOB : 09 / 28 / 50 Tom Patrick Coker, M.D. •+ Trauma & Fracture Surgery To Whom It May Concern : Sports Medicine John D. Mertz, M.D. •+ ' Sports Medicine Angela is a patient of mine who ' s had significant AC Arthroscopy arthrosis involving the right shoulder . She underwent Orthopaedic Surgery surgery for this on 10 / 07 / 99 where she underwent partial B. Rayec urgery M.D. •a claviculectomy , acromio-plasty in an a ( the Spine ttempt to ce decompress the shoulder and take pressure off the rotator Spine acuff . She had a very thickened bursa along with . dorsal il M. Hendrick, M.D. •+ Conservative Spine Care surface abrasions on the, rotator cuff . General Orthopaedics Scott S. Cooper, M.D. •+ I think it best for her to consider changing occupational General Orthopaedics status or cessation of her present status because of Sports Medicine chronic rotator cuff symptoms that have much higher Mark M. Afford, M.D. •+ chance of recurrence especially with any type of sudden Fractures or forced upper extremity usage which can occur in police Sports Medicine Total Joint Replacement work . James P. McAnally Administrator Sincerely , 3317 N. Wimberly JXhP ark , M . DNorth Hills Medical Park P.O. Box 1608 Jr - Fayetteville. All 72703 (5011521-2752 180019052752 Fax: (501) 444 6942 101 North 37th Street Rogers, AR 72756 (5011636 9607 FA 63 7 F 1;9607 830 1G7 W. Jefferson. Suite D Siloam Springs, AR 72761 (501) 524 61SS • APPLICATION FOR PENSION PURPOSES DATE May 01 , 2000 , 19 Board of Trustees Police Pension and Relief Fund Fayetteville , Arkansas Gentlemen : I , Angela K . Munson have been employed by the Police Department of the city of Fayetteville , Arkansas from June 1st 1981 I hereby request all of the benefits due me from the police Pension and Relief Fund as of May 28 2000 My beneficiary is My reasons for retirement are medical SignatureIAg ' 40 9 W s: Subsc to before me this S� day of api ` via NOTA ) f M_ . 1OUgLIG .°er Notary Public �/ • My co B+ Fn i ` .. day of �� • City Treasurer ' s Office The monthly salary of the above applicant for pension purposes is : a $ 101,07 Computation of Retirement Benefits axemhwtf- of applicant ' s salary - - - - - - - - - - - - - - - - -- = - - - - -- - - - - - $ Additional benefits per Arkansas Act 396 of 1987 - - - ---- - - - - - $ Total Retirement benefits - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - $ City Treasurer Subscribed and sworn to before me this day of , 19 Notary Public Sy commission expires : day of , 19_ KENNETH MCKEE t+911ER/fp P . Washington County Sheriff 114 N. COLLEGE • FAYMEVILLE, ARKANSAS 72701 PHONE: (501) 4441850 • FAX: (501) 444-1859 May 25, 2000 Re: Timothy T. Helder DOB 01 - 14-59, SSN 431 - 17-3572 To Whom It May Concern: This is to verify that Timothy T. Helder was employed by the Washington County Sheriff's Office as a certified Patrolman from July 1 , 1980, until his termination of employment on February 15, 1982. He first was hired as a Dispatcher on August 13, 1979, then was promoted to NPatrolman after attending Basic Training. If additional information is required, please do not hesitate to contact me. Kenneth McKee, Sheriff KMc:sh cc Subscribed and Sworn to me, a Notary Public, on this a � day of May, 2000. My commission expires: ,_. SNIRLbV n . H1NO5 NOTARY PUBLIC — ARKANSAS . ` ; EXPIRES. 1l 212001 MY COMM. f I Personnel 0 Employment Change Notice - ❑ Termination _ _- �Change ~� L ' Effective Date . — — gL.00; a paaL Fre4 Nkldle) / Soc Sm Dlp LDJ--"I Gate DroDered rep (CiIY) (aM1le) - ' .. imp Code) P Pkom rA . Employment ❑ New Hire ❑ Re-Instate ❑ Replacement For: ❑ Re-Hire ❑ Addition Brm D.b Sea Mvilal SLwe anDloyee ShWv b4 Cave bgepe Ci,e, SM1iX 4el f Ntludiny Termination '(ewe Reasons In Remarks) Der Waked pay. Up To ft k M ❑ Voluntary ❑Involuntary , _ ❑ Yes ❑ No - anpwrrnpe Dal, - Wnuon Auru,d Soren Pay omen Change 111ppprrr Leave of Absence Period of Absence 11`Promotion . . ❑ Military . , ❑ Sick Leave C] Layoff --. t4 /Salary Change /❑ Transfer' ❑ Maternity ❑ Vacation ❑ Peisoriai :From Thru L hle New bdrpa/Pkona Na - . . . Status Job Title Department " Shift Location Rate/Salary . New � //���d�PE' ✓� ♦ � ��- / y3 7 4 • 6-0c . . Present 3. r� Remarks , . � 1� P�// T � ����e r{./„- -r 1./✓LL,/M1�/ a�.rl�C` �' �f+CiS./ L . ! Approval , mu, Orb ' 4 By rW I � � a Personnel ❑ Employment Change Notice ❑ Termination ® Change Effective Date 10/ 1 / 80 Nar..e fWt Fiat. Middle) soc. Sec. No. LD:Sales Date Repared ;detder , Timothy- T . 431 - 17 - 3572 79034 12 / 5 / 80 Address !Step icry :state) Zia Code) Phone bx Routel2 , Box 434 - A Weat for- {c , L• ^ . . . . 72774. 839 - 0104 Employment ❑ New Hire ❑ Re-Instate ❑ Replacement For: ❑ Re-Hire ❑ Addition 5tlb Date Sex i1i Stilus rm>toyne status lob 0698 6- nae Criss. Laxi Da - Worked Pay up iD Q Inclodnp, I Re Hire Termination (Give Reasons In Remarks) ❑ voluntary ❑lnvoluntary ❑ vas D No FTptormenr oats C'F. Ae:ruue se.e..npx PBr other I Change Leave of Absence Period of Absence ❑ Promotion ; ❑ Military ❑ Sick Leave ''DLayoff .e/Salary Change D Transfer ❑ Maternity ❑ Vacation ❑ Personal From Thru nployment Date New AtldnxelPM1one No. 8 / 13/ 79 Status Job Title Department Shift Location t Sela ry �5; . . New Patrolman 441 . . . . . i Present Patrolman Trainee . . . . ] , . .441 _ . . . . , . . Remarks ?lake retroactive to. Approval Avatars 'B, ` Dare `� I. y _ r f to Approved By _ _ Date ❑ Employment ~ Personnel Chan e' .., Notice ❑ Termination 9 Change Effective Date 7Wai= e UK Fm% wdnei - soc Sec No LD./W" Date, Repand MUMMt" TDOW,?. -17-3572 1--27-81 bdreee (SneeU - IGtyl ' ISutel QV Oodal f - DMne Np Borate 2 Hoz 434A West fork Arkansas 72774 839-8104 Employment : . r . ❑ New Hire ❑ Re-Instate ., ❑ Repiacemenf For: ❑ Re-Hire -❑ Addition OR Date Sea W W ftwx 6npwyee SNWa bh Oaea . ' 6penee qua Shia . a . . •. Le My vbeed Pry Up To 6 Nd inS Re Km . . Termination (Give:Reasons in Remarks) . ❑ 'Voluntary ❑Involuntary - t . . - s C] Yes Cl No 6nPla"a t Data r. l� :. . vacation Ac W _ sevennoo Pry Other. . , Change - '. - Leave of Absence Period of Absence . 11 Promotion 0 .Military. .. . ❑ .Sick Leave- - ❑ Layoff. to/Salary Change , ,�, ' }'Transfer . . ❑ Matamity ❑ tiacatlon ❑ Persbnaf ' From gFnem Dat . ' New bdreee/Plwne No. $tatUS ; Job Ttle Department Shift Location Rale/Salary VIA New Yatsvl Offie�r 441 $452.25 Present r s 3'atrol Officer . 441 ,4413. 88: c RemarksP'. t rh Lst w 17 G . Approval d1 bo� ed .. Personnel ❑ Employment : Change Notic El Termination xW Change Effective Date Nal Fret, wee) Sac Sec. Flo Le./Saks Date Raw" Helde : Tbiathy T. 431-17-3572 4-10-81 Address Mtmetl ;; l : ,.-, IGty) - (statO . . P+p Cade) Pnona Fb. Route`" 2` Bos 434A West Pork At 72774 . 8394104 Employment ❑ New Hire ❑ Re-Instate ❑ Replacement For: ❑ Re-Hire ❑ Addition Birth Data Sax - WWW shove anployee Shins bb fineExpense Chea , Shill Wt Def PbrL'ed NY Up To A Induding ae.tgre Termination (Give Reasons in Remarks) ❑ Voluntary ' ❑Involuntary - ❑ Yes ❑ No anpldyment Date Membra Accrued severance Ry Change Leave of Absence Period of Absence ❑ Promotion ❑ Military ❑ Sick Leave C] Layoff: e/Sala Chane ❑ Matemit Salary g ❑ Transfer . . y : .. ❑ Vacation _ ❑Personal ' From' Thru OWI Date Nsw Adarees/Pliom Na - - 8-13-79 " statUS ' Job Title Department Shift Loca4lon Rate/Salary �. .' New Patrolman 441 5466. 00 Present Patro2aaa 441 $452 .25 Remarks . . .. .. .. . . O if at Approval Awaveodl 4-10-81Adak . . Data , ACpmeed By Dere . Please complete all applicable sections. Personnel El Employment . Change Notice 19 Termination ❑ Change Effective Date 2-15-82 M Mot First Mddlel sac Sac IN I.D. No. Dare AeperW Helder , Timothy T . 431-17-3572 79034 Addrest areet) CCJryI (Stere) Q+V Cove) Prom tAa Route 2 %lest Fork AR 72744 839-8104 Employment ❑ New Hire ❑ Re-Instate ❑ Replacement For: ❑ Re-Hire ❑ Addition Binh Data Set MedW Slow emEpbyee 9Mew YA Qus SM No. Stint O Promtsm '• pert Time • Permanent ❑ Fun Time ❑ Temporary Wt Day W d Pay Up To A Ndudinp Would yep r=No Terminatl0n (Glue Reasons in Remarks)Voluntary ❑Involuntary 1-31-82. ' 2-15-82 Ye anployment Date Vautbn Aaarved Seeereme NY Omer 8-13-79 10edays (Give rmsem m Rema.ks) - Leave of Absence Period of Absence 1! ❑ Promotion ❑ Military ❑ Sick Leave Layoff Rete/Salary Change ❑ Transfer Cl Maternity ❑ Vacation ❑Personal From Toru EWareent Date New Addrss✓Mme Nd Status Job Title Department Grade Step se�ry Semi-monthly Present Patrolman 441 VI 5 9495 . 17 New Remarks • DEMOTION Left for Employment at the Fayetteville Policd/Department • MERIT INCREASE • PROBATIONARY PERIOD COMPLETED • LENGTH OF SERVICE INCREASE - • RE-EVALUATION OF EXISTING JOB • RETIREMENT • LAYOFF • OTHER GIVE REASONS - Appmaed by Elecbd ONkMI Deet MMaed by (Personnel Officer) Deft y .' `AW k,0 DEPARTMENT OF PUBLIC SAFETY r ARKANSAS LAW ENFORCEMENT TRAINING ACADEMY Cr` y • \ l P P. O. Box 3106 Aq.,`�p6F EAST CAMDEN, ARKANSAS 71701 ^•�Mp AGr Telephone 501-574-1810 May 8 , 1980 Deputy Tim Helder Route 2 Box 434 A West Fork, Arkansas 72774 Dear Deputy Helder : Congratulations on your Graduation May 2 , 1980 , from the Arkansas Law Enforcement Training Academy (ALETA) Basic Police Training Course , Class 80-C . Your overall grade was 91 . 70 percent . Your firearps qualifications score was 97 . 66 percent . We look forward to a continuing association with you and to your participation in future ALETA Police Training Courses . Best wishesl Sincerely , P1j.4e- ? a - Philip Hannant Director PH : sw /cc: Captain Ray Ward , Under Sheriff u _ --- -.�/��_i-7i_ •-' � L(i/i - - " ` �!i!�^.tGfili�J .:_�GCc�j_ _ . �-T�P� -w(�, . _ C,C�.,i.I�h-�. . . _ =e i • s I � _ z � i - z. ` , � v _ .� - � _ •� _ � � � , - '� - - > a - - -- - -- -- - _. _. _ .._ � �. � . _ � . - � -- -� . , - - T- - -�-- -- - � . _- -- - .... _ _ 0 t�� • -i :� \ \ � - . _ a _.. �� _- _ . . — � _ _ _ _r i _ _ _ _ _ � . � . � _ _. . _ . _ . . ._ a _ Y— _s __ _ _ _ . _ _ _ _— T --- . . .. . — ' . y: - elt Joe do 00 -lot _.- - _� .- .ems � r \ - 1 ` � 1 v n - , - '1 \ 1 _ - J