R-233 - 11/08/1977 - IMRF - ResolutionsNOV 15 1977
d ILLINOIS MUNICIPAL RETIREMENT FUND
100 South Wacker Drive, Chicago,111htois 60606
age. I.N.R.F. OMITTED SERVICE CREDIT RESOLUTION
WHERIM, tile tcolowing employee should have been but was not reported to
Retirement Fund as a participating employee for the period and earnings shown below;
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as web
sERvc.CA"il,
DAMES CLARK*
-233
S44PI aLoe V, -2,3+
the Illinois Municipal
RESOLVED, that it is the finding of this Village of oak Brook that:
(Name of Governing Body)
1. The employee was employed in a position normally requiring 600 hours or more of service in a
year, during the period shown below;
2. None of the service of the employee during this period was in a probationary position of four
months or less; and ,
FURTHER RESOLVED, that this governing body recognizes that it is obligated for the municipality and
employee contributions, with interest, payable tp the Illinois Municipal Retirement Fund, with the right to
collect employee contributions, without interest, from the -employee; and
FURTHER RESOLVED, that the authorized agent be and hereby is authorized and directed to file a
certified copy of this resolution and all other pertinent forms and documents with the Illinois Municipal
Retirement Fund.
Employee Name
Social Security Number
Earnings Paid In
Month W.
19-,
19]L
19-,
1974
19
January
---
, 8 o
o o
a, 0 0
Fe ru
o 00
s 90
.00
.00
arch
o0
30.00
0.00
s 0 0
Quarterly Total
g o. o 0
3 .6 0
o a
? 00
P
May
1 ,00
.00
ao•oo
".00
0,00
00,o0
3-6G,00
,1 .00
June
8.ag
ABit.00
0o
So .
Quir-Fe-rFY Total
o, as
9 2 R . OD
a
I S
I
July
X13 ,33
3a6.0 0
oo,op
1 ,o•',o
August
1 &0'0 0
0.00
637.0
September
a31, la
X0,00
39 .0o
G'TW.
Quarterly
lotal
%0n—Do
00
00
October rte—
1 y3,3
3a .o0
950 00
November
December
�S6.8o
to
a.2 ,00 3,00
,06 ��
0
Ebo,oi7
arterl Total _
6 , q q
Grand Total
$2,4kttta
__M521 1 k4s825.00..
4.0 7,1
CECERTIFICATION IF
Marianne Lakosil � —,the Village Clerk _ of
(Name) (Clerk or Secretary)
Villa of 0a1B_rook ^_ do hereby certify that I am the
keeper of its records and that the foregoing is a true and correct copy o "'a resolution duly adopted by its
governing body at a meeting held on the 8th day of _ Novamber , 19 77.
SEAL -�. &.
04" From 6.03 0618natm of Clerk fa )
9/71