ORDER NU. 20189
MOTION TO HIRE FRANKLIN E. JOHNSTON AS THE
KERk COUNTY ROAD ENGINEER, AND LEONARD RAY
ODOM, Jr AS THE KERR COUNTY ROAll ADMINIS'I'KATOR
On this the 8th day of April 1991, upon motion made by
Commissioner Halekamp, seconded by Commissioner Oehler, the
Court unanimously approved by a vote of 4-0-0 to hire
Franklin E. Johnston, Registered Engineer, as the Kerr County
Road Engineer on a full time, limited as needed basis,
effective April 1, 1y91 at an annual salary of 510, 000. 00;
and, to hire Leonard Ray Odom, .J r. as the Kerr County Road
Administrator on a full time basis, effective April 8, 1991,
at an annual salary of 532, 000. 00.
~~
COMMISSIONERS' COURT AGENDA REQUEST
*PEASE FURNISH ONE ORIGINAL AND FIVE COPIES OF THIS REDDEST AND
DOCUMENTS TO BE REVIEWED BY THE COURT.
MADE BY: Glenn K. Holekamp
MEETING DATE: April 8, 1991
OFFICE: Commissioners' Court
TIME PREFERRED:
SUBJECT: (PLEASE BE SPECIFIC) Hiring of Franklin Johnston as County Engineer
and Leonard Odom as Administrator for the Road and Bridge Department
EXECUTIVE SESSION REQUESTED: YES if needed NO
PLEASE STATE REASON
ESTIMATED LENGTH OF PRESENTATION:
PERSONNEL MATTER - NAME OF EMPLOYE:
NAME OF PERSON ADDRESSING THE COURT:
Commissioner Pct. ~~3
Time for submitting this request for Court to assure that the matter is posted 1n accordance
with Article 6252-17 is as follows:
* Meetings held on second Monday: 12:00 P.M. previous Wednesday
* Meetings held on Thursdays: 5:00 P.M. previous Thrusday
THIS REQUEST RECEIVED BY: t~
April 1, 1991 11:30 am
THIS REQUEST RECEIVED ON : ~
All Agenda Requests will be screened by the County Judge's Office to determine if
adequate information has been prepared for the Court's formal consideration and action
at time of Court meetings. Your cooperation will be appreciated and contribute towards
your request being addressed at the earliest opportunity. See Agenda Request
Guidelines.
' r
TEXAS WORKERS' COMPENSATION COMMISSION
200 EAST RIVERSIDE, AUSTIN, TEXAS 78704-1287
512-44&7900
WAIVER OF CONFIDENTIALITY
I understand all information in my worker's compensation claim file(s) is confidential urxier the Texas
Workers' Compensation Act. However, I hereby waive anyy such right of confidentiality and authorize the
information outlined below from my records to be released to the undersigned employer for a period not to
exceed fourteen days from the date of application for employment.
SECTION 233. INFORIMATION AVAILABLE TO PROSPECTIVE EMPLOYERS. (a) When a person applies for empbyn+enl, the
prospeUWe employer who has workers' compensatbn Insurance coverage Is entitled, on compliance with this chapter, to obtakt
information on the applicant's prior In)urles. (b) The employer must make the request by telephone or tits the request to wmtng
not more than 14 days after the date on which the applkallon for empbyment Is tttade. (c) The request muss Indude the
apptkant's name, address, and social security number. (d] The employer must oblaln written auttxxization from the apptkant
- ~ - before maidn9 the request. (e) K the request Is made In writing, the authorizallon shall be filed slmuflaneousry. tt the request is
made over the telephone, the empbyer shall file the authrolzallon not later than the 10th day after the date on which the request
Ls made.
• THIS FORM MUST BE FILLED OUT COMPLETELY AND NOTARIZED TO COMPLY WITH THE LAW
Telephone YES NO
April 2. 1991
• Date of Request (Must Circle One)
~ Q.r
• ~ Signature
t. Truby Hardin, Secretary
•Requesterrs Full Name and Title
2./ 7/41 •6/0/ 0!1! 419/4
Federal lax I.D. Number
3, Kerr County Road & Bridge
Employerrs Fult Name
4. 101 Spur 100
Street Address
Kerrville, Texas 78028
City State Zip
5. April 2, 1991
Date of Application
e
6. Franklin Sohn on
Print or Type Applicants Futt Name
7. /5! 0!9/-/4!6 /-~7 / 1!8! 6!
Social Security Number
8. 918 Cypress St.
Street Address
Kerrville, TX 78029-1562
City State Zip
IF REQUESTED BY PHONE THIS FORM MUST BE FECEIVED WITHIN 10 DAYS IN THE
COMMISSION'S AUSTIN OFFICE.
STATE OF TEXAS
COUNTY OF Kerr
SWORN AND SUBSCRIBED TO BEFORE ME THIS
fit ~J
Signature of tary Public
2
DAY OF April ~ 1991
Truby N, hardi_n
Printed Name of tyoia~ ~r Pu~t!ic
My Commission expires: ~~ ~ ~I
(5'eai)
R-12 (Rev. 4-90)
K'"~R C4UNTY MEDICAL REPQRT
(APPLICANT'S COPY)
a licensed pl~ysi n, hereb certify that I
have on is date, medically examined ~ ~~. '~ v ~ ~ and
find him/her to be in sound physical condition and free rom any physical defects that
co}~ld prevent or adversely act tf~e performance of his/her duties as
~.
~~
Date Sig cure of Physician ~
~~~~~~--
Physician's License Number
1_EASE GIVE THIS PORTION TO APPLICANT TO BE RETURNED TO KERB COUNTY DEPARTMENT
HEAD.
rt!_n~
7
TEXAS WORKERS' COMPENSATION COMMISSION
200 EAST RIVERSIDE, AUSTIN, TEXAS 78704-1287
512-448-7900
WAIVER OF CONFIDENTIALITY
I understand all information in my worker's compensation claim file(s) is confidential under the Texas
Workers' Compensation Act. However, I hereby waroe anyy such right of confidentiality and authorize the
information outlined below from my records to be released to the undersigned employer for a period not to
exceed fourteen days from the date of application for employment.
SECTION 2.33. INFORMATION AVAILABLE TO PROSPECTIVE EMPLOYERS. (a) When a person applies for empbyment, the
prospeclWe employer who has workers' compensalbn Insurance coverage Is entitled, on compliance with this chapter, to obtain
Intonnatkxt on the appNcant's prior In)unes. (b) The employer must make the request by telephone or file the request In writing
not more than 14 days after the date on which the appllcatlon for empbyment Is made. (c) The request must InGude the
applk,ant's Warne, address, and social security number, (d) The empbyer must obtain wrttten authortzation from the applk:ant
before maklny the request. (e) tt the request Is made In writing, the authorization shalt qe flied simultaneously. K the request b
Made over the telephone, the empbyer shall file the authrolzatlon not Inter than the 10th day after the date on whk:h the request
is made.
THIS FORM MUST BE FILLED OUT COMPLETELY AND NOTARIZED TO COMPLY WITH THE LAW
Telephone ES NO
April 4, 1991
Date of Request (Must Circle One)
s~-_ _*,~'/*~~~. ~_..~~=.~...
Signature ~ o
ti, Truby Hardin, Secretary
Requester's Full Name and Title
2L_1~/_ f 6~ 0 0~1~ 4j 9` 4J
Federal Tax I.D. Number
3, Kerr County Road & Bridge
Elttployer's Full Name
4. 101 Spur 100
Street Address
Kerrville, TX 78028
City State Zip
10/27/91
IF REt~UESTED BY PHONE THIS FORM MUST BE RECEIVED WITHIN 10 DAYS IN THE
COMMISSION'S AUSTIN OFFICE.
STATE OF TEXAS
COUNTY OF Kerr
SWORN AND SUBSCRIBED TO BEFORE ME THIS 4 DAY OF April 19 91
Signature of N ry Public
~. My Commission expires:
5. A ril 1 9	
Date of ppl' io	
	
Sig	
6. Leonard Ray Odom,	Jr.
Print or Type Applicant's Full Name
~.! 4r6i 3i-~7i4i-~	9i8i0 i7i
Social Security Number	
s. 501 Washington	
Street Address	
Castroville, TX	78059
City State	Zip
Truby Hardin
Printed Name of Notary Public
(Seal)
e-f z (Pfau. 4-90)
KFRR COUNTY MEDICAL REPORT
(APPLICANTS COPY)
I, Gd ~-~2~ . , a lic sed physician, hereby certify that I
have on his date, medically examined ~~~ and
find himlher to be in sound physical condition and free from any physical defects that
cold -prevent or adversely effect the performance of his/her duties as
-~ ~ ____
Date
~~ ,~ ~4 ~/
___ _~ ~!~~ 2_____
Signa re of Physician
~~~
Physician's License Number
'°LEASE GIVE THIS PORTION TO APPLICANT TO BE RETURNED TO KERB COUNTY DEPARTMENT
NEAD.
r.-t_n~