Free Exhibit - District Court of Connecticut - Connecticut

Case 3:03-cv-00674-WWE Document 35-8 Filed O2/11/2005 Page1 of 2
Exhibit 21

Case 3:03-cv—00674-WWE Document 35-8 Filed 02/11/2005 Page 2 of 2 if
· TOWN OF STRATFORD
I APPLICATION FOR RETIREMENT
PENSION FUND »
V Name df Employee Richard D. Schirillo
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_ Date of Request 2/19/99 Requested Effective 2/22/99
V ‘ ` date of retirement
Date of birth l/26/46 Date employed by Town IO/25/66
Number of years service 34 U
Reason for retirement Regular suggrannuation without prejudice to
- pending disability pension application `

. Signature of Employee
Action taken by Pension Board I
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Date of Action -
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E Chairman, Pension Board ‘
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