D2030 White - City Clerk CITY OF SAINT PAUL
Pink — Finance Dept.
Canary— Dept.
OFFICE OF THE MAYOR
ADMINISTRATIVE ORDER MAY 7 4975
• Date:
ADMINISTRATIVE ORDER, that Alan Klocow be paid the sum of $2,100.00
out of the Workmen' s Compensation Account of the General Fund
in full settlement of his claim against the City of Saint Paul
for compensation resulting from his injury of June 12, 1974,
while employed by the Department of Fire and Safety Services
whereby he suffered a 15% permanent partial disability to his
right foot; that of said sum, $2,100.00 is now due and payable.
•
APPROVED AS TO FORM FINANCE DEPT. AS TO FUNDING:
As!is a City Attorney y�� AC-f ING Depar ent Head
• /s/-
Date
A imstra ' e Assistant to Mayor