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Resolution No. 4270 10 11 12 13 14 15 16 17 18 19 20 21 22 23 " . 1 2 :3 4 5 6 7 8 RESOLUTION NO. 4270 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF VERNON, CALIFORNIA, REQUESTING THE.WORKMEN'S COMPENSATION APPEALS BOARD OF THE STATE. OF CALIFORNIA TO DETERMINE THE ELIGIBILITY FOR RETIREMENT OF A LOCAL. SAFETY "MEMBER (JAY R. BROWN) THE CITY COUNCIL OF THE CITY OF VERNON RESOLVES AS FOLLOWS: WHEREAS, the City Council of the City of Vernon is advised and believes that JAY R. BROWN, a Local Safety Member, should be retired for disability, and WHEREAS, neither the City of Vernon, as Employer, nor the Member have agreed upon the effective date of the disability retirement, or whether said disability is permanent and stationary, 9 NOW, THEREFORE, BE IT RESOLVED: SECTION 1: That the City Council of the City of Vernon does hereby request from the Workmen's Compensation Appeals Board of the State of California a determination as to whether JAY R. BROWN, a Local Safety Member, has received a work-incurred disability, and whether the same is permanent and stationary and, if so, the date when said disability became permanent and statio- nary. SECTION 2: That the City Council of the City of Vernon authorizes the filing of an application on such form or forms as may be necessary with the Workmen's Compensation Appeals Board to request a determination as to whether JAY R. BROWN'S disability 24 25 26 27 28 29 30 31 32 is "industrialH. SECTION 3: The City Clerk of the City of Vernon shall certify to the passage of this Resolution and thereupon and there- after the same shall be in full force and effect. ADOPTED AND APPROVED this 16th day of Ju1v , 1974. ATTEST: ~itY Clerk . ,. ...- .--,.. 6il 711 . II 81 91 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 I I 1 I STATE OF CALIFORNIA I i 21 31 I 41 5 .... ) ) COUNTY OF LOS ANGELES ) ss. I, F. A. ZIEMER, City Clerk of the City of Vernon, do hereby certify that the foregoing resolution, being Resolution No. 4270 ,was duly adopted by the City Council of the City of Vernon, and approved by the Mayor of said City, at a regular meeting of the City Council held on July 16, 1974