~, . ~. .
COMMISSIONERS' COURT AGENDA REQUEST
*pEASE FURNISH ONE ORI INAL AND FIVE COPIES OF THiS REQUEST AND
DOCUM NTS TO BE REVIEWED BY THE COURT
MADE BY: Frank Speakmon
MEETING DATE: Nov. 12, 1991
OFFICE: Maintenance Dept.
TIME PREFERRED:
SUBJECT: (PLEASE BE SPECIFIC) Employment oP Michael c. Riley
Tffective 10/15/91 Classification 7/1 (Annual salary 10,859.00; S/M 452.44) _
lie has passed the Medical Examination;
EXECUTIVE SESSION REQUESTED: YES NO x
PLEASE STATE REASON FOR EXECUTIVE SESSION
ESTIMATED LENGTH OF PRESENTATION:
PERSONNEL MATTER - NAME OF EMPLOYE
10 minutes
NAME OF PERSON ADDRESSING THE COURT: }rank Spcakmon
Time for submitting this request for Court to assure that the matter is posted in 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:
THIS REQUEST RECEIVED ON : r~
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 earnest opportunity. See Agenda Request
Guidelines.
KERB COUNTY MEDICAL EXAMINATION REQUEST
TO: Dr. Dan Bacon/Dr. Georgia Roth M.D.
1105 East Main
Kerrville, Texas 78028 (512) 257-6212
Date of
Appointment: ~~~4
Appointment
Time:
Kerr County Commissioners' Court Request a "Mini Physical" (eyes, ears, nose,
throat, hernia, blood pressure) examination be conducted on the following
applicant:
Name:
Address
City:
MICHAEL C. RILEY
428 WESTMINSTER

Please indicate by checking the appropriate box additional testing required:
^ Blood Testing ^ Drug
^, X-Rays ^ Psychological Profile
~f Urinalysis
Examination requested by and form to be returned after completion to:
~.
Department Hea FRANK SPEAKMON
700 Main Street
Kerrville, Texas 78028
The applicant understands that consenting to any/all of the above
medical/psychological examinations does not represent a formal
binding offer for employment with the County of Kerr.
Applicant's Signat Date
KERR COUNTY MEDICAL REPORT - -
(PHYSICIAN'S COPY}
I. ~' C-,c~,tig r~ ~~ a licensed physician, hereby certify that
have on this date, medically examined fYl~c.114,ti,(,. e ' acl~
find him/her to be in sound physical condition and free from any physical defects
could prevent or adversely affect the performance of his/her duties as
ran lenc~nc~. uJV~c.Y.
Dale

KEEP THIS PORTION FOR YOUR RECORDS.
KERR COUNTY MEDICAL REPORT
(APPLICANT'S COPY)
and
that
Signa a of Physician
~~
Physician's License Number
I, _ ~• UP-J`CLII(l- K.~1k a licensed physician, hereby certify that I
have on this date, medically examined 1~-~41C~k.L ~-' ~ and
find him/her to be in sound physical condition and free from any physical defects that
could prevent or adversely affect the performance of his/her duties as

to ~~•4I
Date
- ~/~~~- --/Li ~------ .
Si azure or Physician
~`f'~ -
Physician's License Number
-PLEASE GIVE THIS PORTION TO APPLICANT TO BE RETURNED TO KERB COUNTY DEPARTMENT..
MEAD. ~ .
ORDER NO. 20656
APPROVAL OF HIRING
MICHAEL C. RILEY IN THE
MAIN7'INANCE DEPARTME3.7T
November 12, 1991
Vol S, page 469