Case 3:03-cv-00674-WWE Document 35-7 Filed O2/11/2005 Page1 of 2
Exhibit 2O e
_ I I Case 3:03-cv—00674-WWE Document 35-7 Filed 02/11/2005 Page 2 of 2
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Town or STRATFORD I avee 9
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l APPLICATION FOR RETIREMENT _.-`
at PENSION FUND · ‘ · I,
‘ ` Name of Employee 0 I 6 AQ ‘_
` Date of Request M rr I? Requested Etfective Er QF Q g ·
o date_of retirement
Date of birth Date empioyed by Town "{
I Number of years service { U »
I Reason for retirement ` _
l I ` I ( I
Mwg §g§Q {;
Snignagre of Empioyeei I
_ Action taken by Pension Board
Date of Action z- I `
-2 I Chairman, Pension Board »