~I': t'~.:Vr,!, ,.. 11' PL,ICA;'It'~Cd I~~'~I: "91 C,:'~'GF-~`L
{7:V}f'P: ~'S'f~a -'I'!' '~'~~-t2 4a'1 FFL:kT YCI ~'.i 1' Y,cIL>'t~". 5.
C:n i his th:- '~? L :',iv r:i- D4.ey 199, uE>:ni mgi,.ion mndr l: ,r
Ce,tumisi'..i:~u~r 11:=7~~k:zmp, .~.;~~~ns:elr~~l C,y i'oivuuie~,:;iuuri fh~aii r, rLt
(`r:~.. u-'•~ unanimously approved by a vote of 4-0-H, to ti ~.: }~i.~nve rho.
i~,l*l r,xt i::n f ,~ A9.1 i.9~ :ry G~~i'v i_c•~: C. edit: e: f': ^rP ice :'~,,y 7.'J'+•1.

i
rOMMISSIONERS' COURT AGENDA REDDEST
~ P' ce¢F FURNISH ONE ORIGINAL AND FIVE COPIES OF THIS REOUFST AND DOCUMENTS
j0 8E REVIEWED 8Y THE COURT
MADE ~~Y: BARBARA NRMEC OFFICE: TREASURER
MEETING DATE: MAY 10, 1994 TIME PREFERRED: 10:15
SUBJECT: (PLEASE BE SPECIFIC):
CONSIDERATION OF APPLICATION FOR MILITARY
SERVICE CREDIT FOR ROBERT KURT KEIDEL.
EXECUTIVE SESSION REOUESTED: PLEASE STATE REASOra I DON'T THINK IT WILL
BE NECESSARY. IT'S UP TO THE COURT.
ESTIMATED LENGTH OF PRESENTATION: 5 min.
IF PERSONNEL MATTER -NAME OF EMPLOYEE: ROBERT KURT KEIDEL
NAME OF PERSON ADDRESSING THE COURT: BARBARA NEMEC
Time for submitting this request for Court to assure that the matter is posted to
accordance with Article 6252- I7 is as follows:
• Meetings held on Tuesday: 12:00 P. M. previous Wednesday
THIS REOUEST RECEIVED BY:
THIS REQUEST RECEIVED ON:

Ail Agenda Requests will be screened by the County Judge's Ofttce to determine
adequate inform atfon has been prepared for the Court's formal consideration and actlor
time of Court m eetings. Your cooperation w111 be appreciated and contribute tow a
your request being addressed at the earnest opportunity. See Agenda Request Guidelines,
2~p~s~Ric3 Af
~ v
~ s TCDRS-3g
~6f31 Wj~S!
APPLICATION FOR MILITARY SERVICE CREDIT
No. _ _
Application for Current Service Credit for Military Service should be completed and submitted only if the follow-
ing requirements are met:
(a) The applicant was relieved from active military service under conditions other than dishonorable.
(b) The applicant is not and will not receive military retirement benefits provided by any federal law or reg-
ulation or federal retirement Act for at least twenty (20) years active duty.
(c) The applicant is not and will not be granted credit by any other retirement system or program estab-
lished or governed by the laws o/ this State for the same military service for which credit is being sought
with the Texas County and District Retirement System.
(d) The applicant's military service was active military service during the period from April 6, 1917 to
November 11, 1919, or from October 16, 1940 to October 31, 1974.
(e) The applicant must be a member of the Texas County & District Retirement System. If applying for mil-
itary service credit of three (3) years or less, the applicant must have been employed at least ten (10)
years by the participating subdivision and have at least ten (10) years retirement credit as an employee.
If applying for military service credit of more than three (3) years but not more than five (5) years, the
applicant must have been employed at least fifteen (15) years by the participating subdivision and have
at least fifteen (15) years retirement credit as an employee.
(f) The application must be accompanied by the applicant's contribution and the subdivision's matching
contribution (as calculated below).
CALCULATION OF AMOUNT TO BE PAID:
(1) Total months of creditable service with this subdivision as of
date of application
(2) Total number of months in military service for which credit is
being purchased
(3) Average monthly deposit during first year of TCDRS membership
(not to exceed $15.00)
(4) Amount to be paid by member
(Multiply line (2) by line (3) )
(S) Amount to be paid by subdivision
(Same as line (4) )
(6) Total amount to be paid
(Total of lines (4) and (S) )
CERTIFICATION BY MEMBER:
--~`~`s_~~ d'S
~1/ /~O~
$ ~3 n, ~n
{
I certify that I understand the requirements for military service credit as set forth in items (a) thru (f) above and that I
am qualified to receive such credit with the Texas County & District Retirement System.
• -
Signature f Member l
~coTtgr.r~n-; gy AUT::ORlZE^ CCUP:TY Oo J15TRICT OFFlCiF,L:
I certify that I understand the requirements for military service credit as set forth in items (a) thru (f) above and that
in my opinion the above named applicant is qualified to receive such credit with the Texas County & District
retirement System. I further certify that the total amount to be paid of $ (line (6)) is
correct.
Subdivision Official's Signature and Title
NOTE: Please do not send supporting documents such as military discharge papers, payroll records or creditable
service information in that the review of such documents should be effected by the County or District official
whose signature zppears on this form.
ORDER NO. 22010
APPROVAL OF APPLICATI~I FOR
NffLITARY SERVICE CREaIT FOR
ROBERT KURT KIIDEL