279776 WMITE - CITV CLERK •l. ll)����
PINK - FINANCE GITY OF SAINT PALTL COURCIl I'v�J
CANARV - DEPARTMENT File NO•
BLUE - MAVOR
Council Resolution
Presented By �,� �
Referred To Committee: Date
Out of Committee By Date
RESOLVED, That the proper City officials are hereby author-
ized and directed to execute an agreement with the St. Cloud
Group Health Clinic, said agreement providing for the City' s
furnishing of inedical testing services according to the terms
of said agree�nent, a copy of which is to be kept on file and of
record in the Department of Finance and Management Services.
COUNCILMEN Requested by Department of:
Yeas Nays
Fletcher �
Levine �O M M y,.i,T� 5��2✓���S
In Favor
Masanz � ,
Nicosia e'�
scne�bei _ __ Against BY `�'"�-��
Tedesco
Wilson
Adopted by Council: Date
FEB �- 1983 Form pproved n
Certified P�;-e Council S reta BY
B � �'
t�ppr v by : avor: at —
F�B 2 1983 Approved b for Su iss' n o ouncil
By _ _ By
PUBLlSNED FE B 12 1983 �
� FILE COPY
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-- WHITE �- CITV CIERK � �(9��
COUnCiI ��
PINK � - FINANCE GITY .OF SAINT PALTL 1 �
CANARV - DEPARTMENT � '
BLUE - MAVOR � . . Flle NO. �
� Council Resolution
Presented By
Referred To Committee: Date
� Out of Committee By Date
RESOLVED, That the proper City. officials are hereby author—
ized and directed to execute an agreement with the St. Cloud
Group Health Clinic, said agreement providing for the City' s
furnishing of inedical testing services accordixig to the terms .
of said agreement, a copy of which is to be kept on file and of
record in the Department of Finance and Management Services.
COUNCIL'�VIEN Requested by Department of:
Yeas Nays
Fietcher
�ev�ne in Favor
Masanz
Nicosia
scnetne� Against By
Tedesco
Wilson
Form Approved by City Attorney
Adopted b}� Council: Date
Certified Passed by Council Secretary By
B�
Approved by 1lavor: Date _ Approved by Mayor for Submission to Council
i ��� ��
Community Service� ,.j)�PARTf,1ENT
Gary J. Pechmann CONTACT ����
292-7711 PHONE � � .
December 14 1982 DATE ��/��
(Routing and Explanation Sheet)
Assign Number for Routing Order (Clip All Locations for Mayoral Signature):
�Department Director
<2� City Attorney
,,..�'�� ' /Mayor Q� �fJ"` �Z/��/a� ��.C�I����.�..�,
�Fi nance and Management ervi ces Di rector DEC 1 b 1982
City Clerk r;� -,,,�;._
5 Budget Director ��.���� ' �Y���C-:�
i�hat Will be Achieved by iaking Action on the Attached Materials? (Purpose/Rationa��e�
�
The Ci'ty will anblyze blood samples submitted by St. Cloud Group Health� Clinic for zinc;�
erythrocyte protoporphyri n.
i;
Financial , �udgetary and Personnel Impacts Anticipated:
The Clinic will pay the City $2.75 per specimen analyzed assessed as a handling charge. ��: No
additional personnel will be re�uired by the City to comply with the terms of this Agreemql�t.
Funding Source and Fund Activity Nurt�er Charged or Credited:
Activity code 33239
Attachments (List and Number all Attachments): ,_
AgrQement - original and two copies
UEPARTMENT REVIEW CITY ATTORNEY REVIEW
n i R sol ion Re uired? solution Re uired? ti/ Yes No
Yes No Cou c 1 e ut q Re q
Yes No Insurance Required? Insurance Sufficient? Yes _ No /1��'
Yes No Insurance Attached?
Revision of October, 1982
(See Reverse Side for Instruction�)