251037� ORIGINAL TO CITY CL6RK � ���4 � /
. ' CITY OF ST. PAUL �uNCa NO.
- ' OFFICE OF THE CITY CLERK
CO CIL RESOLUTION—GENERAL FORM
PRESENTED BY -
COMMISSIONE ATF
RESOLVED, that Verlyn J. Bourgoin be paid thg sum of
$1,386.00 out of the Worlanen's Compensation Account of the
General Fund in full settlement of his claim agsinst the
City of Saint Fau1 for compensation resulting from injuries
he received on ATovember �6, 1969, while employed by the
Department of Public Works, whereby he suffered a 10� permanent
partial disability to his leg, and that $1,386.00 is now due
and payable.
. - fOR A APPROVED ��
....._-
As�t. Cotparatian Coua�el
��.
NOV 31�7�
COUNCILMEN Adopted by the Council 19—
Yeas Nays
Butler N�V 31��9
Carlson App _19—
Levine �In Favor
Meredith
Sprafka U syo
Tedesco A8'���t
Mr. President, McCarty 19�0
�ut�sttEO NOV 7
�
���U ��
M E M 0 R A N D U M
FROM: Kenneth A. Skrien
RE; Resolution - Workmen's Compensation
DATE: November 2, 1970
Verlyn J. Bourgoin, an employee of the Public Works
Department, was injured on Novernber 26, 1969. He twisted
his left knee when he tripped over a compressor hose. His
doctor indicated he sustained a tear of the medial meniscus
in the left knee which required surgery. Following the
surgery, his doctor indicated he ha.d a 10% permanent partial
disability to his leg as a result of the injury at work.
This resolution authorizes payment for tha.t disability.
DYrLICAT�TO PRINT6R . • . ��1��� .
_ � 1 ` CITY OF ST. PAUL �uNp� NO.
- ' OFFICE OF THE CITY CLERK'
COUNCIL RESOLUTION—GENERAL fORM
���
COMMISSION� �ATE
RES4LVED, thnt Verlyn J. Bourgoin be paid the sum of
$1,386.00 out of the Workmen's Compen�ation Ac�o�unt of the
General Fund in full settlem�nt of hi$ claim against �he
City of Saint F+i�l for comp�nBation re�ulting from in�uries
he received on November �6, 1969� vhile �ploqed bq the
Department of Public Works, whereby he suffered a 10� permanent
partial disability to his leg, and that $1,3$6.00 ia now due
and paqable. "
�
NUU 3 �
COUNCII�MEN Adopted by the Council 19—
Yeas Nays �v 3 ���
Butler
Carlson �PP�°� 19—
Levine
^ Tn FAVOP
Meredith
Sprafka MaYor
Tedesco �gainat
Mr. Preaident, McCarty
�9
�