HomeMy WebLinkAboutResolutions - 1988.09.22 - 176941-IEEV APPROVE THE FOREGOING RESOLUTION _
1 A-7 HEALTH & HUMAN SERVICES COMMITTEE
Miscellaneous Resolution # 88257 September 22, 1988
BY: HEALTH & HUMAN SERVICES COMMITTEE-Susan G. Kuhn, Chairperson
RE: INSTITUTIONAL & HUMAN SERVICES/COMMUNITY MENTAL HEALTH--
WOODLAND HEIGHTS COMMUNITY SUPPORT PROGRAM APPLICATION
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS there is a severe shortage of safe, adequate, supervised
housing in the City of Pontiac and throughout Oakland County for chronically
mentally Hi citizens, a shortage which results in homelessness for some and a
perpetuation of substandard living arrangements for many others; and
WHEREAS federally subsidized apartment facilities exist in Pontiac which
have vacancies and which are intended for chronically ill adults and other
low-income groups; and
WHEREAS the City of Pontiac has proposed that the Oakland Community
Mental Health Division provide supervision and programming in the 197 -unit
Woodland Heights apartment building for its mentally ill residents which would
permit accepting additional clients of Community Mental Health who are in
need of permanent housing; and
WHEREAS a proposal for such on-site supervision and programming has
been developed jointly by the City, Community Mental Health, and its Pontiac
General Hospital CMH Clinic for submission to the Michigan Department of
Mental Health for funding; and
WHEREAS this proposal has been strongly endorsed by the Mayor of
the City of Pontiac; and
WHEREAS the proposal envisions a model housing unit for chronically
mentally ill adults offering furnished, federally subsidized single apartments
for 80 citizens, client services management and psychiatric supervision, a
recreation and activities program for the residents, and both on-site and
off-site vocational programming; and
WHEREAS some existing funding and staff from the CMH Case
Management Unit of the Pontiac General Hospital would be redirected into the
new Woodland Heights program, and off-setting Medicaid revenue is also
projected. This results in a net new-dollar cost of $208,868 for the program
for the balance of the current fiscal year (October-December), requiring
County match in the amount of $20,887; and $761,070 on a full-year basis in
1989, requiring County match of $76,107.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of
Commissioners approves the Woodland Heights Community Support Program
application as recommended by the Community Mental Health Services Board.
BE IT FURTHER RESOLVED that Community Mental Health provide a full
report to the Health & Human Services Committee after one year.
Mr. Chairperson, on behalf of the Health & Human Services Committee,
I move the adoption of the foregoing resolution.
REPORT TO THE HEALTH AND HUMAN SERVICES COMMITTEE
BY: FINANCE cogmmEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: INSTITUTIONAL, AND HUMAN SERVICES/COMMUNITY MENTAL HEALTH -
WOODLAND HEIGHTS COMMUNITY SUPPORT PROGRAM APPLICATION
In accordance with Miscellaneous Resolution 1186186, Revised Federal
and State Grant application and Reimbursement Contract Procedures, the
Finance Committee has reviewed the application for the Woodland Heights
Community Support Program and finds:
1) This is a proposal to the Michigan Department of Mental Health
for supervised apartment housing for chronically mentally ill
adults;
2) The proposal has been developed jointly by the City of Pontiac,
CommunitTMental Health, and the Pontiac General Hospital CMH
Clinic;
3) The program is expected to be approved by the State for the
fiscal year beginning October 1, 1988;
4) Full year cost for the program is $969,273 Which would be funded
by reappropriation 9f costs associated with the current CMH Case
Management Program at Pontiac General Hospital, Medicaid revenue,
90% State match, and 107 County match per the attached schedule;
5) The total program would be contracted with Pontiac General
Hospital, therefore, no additional County personnel are required;
6) Application or acceptance of the contract does not obligate the
County to any future commitment.
Mr. Chairperson, on behalf of the Finance Committee, I move the
acceptance of the foregoing report.
FINANCE COMMITTEE
FINANCIAL ANALYSIS
WOODLAND HEIGHTS COMMUNITY SUPPORT PROGRAM
APPLICATION
PROGRAM COMPONENTS
REMAINDER OF FULL YEAR
1988 COST COST
(10/1-12/31) (1989)
REVENUES
NEW REVENUE:
STATE - 90% MATCH $17,981 $684,963
COUNTY - 10% MATCH 20,887 76,107
MEDICAID 15,286 61,143
SUBTOTAL 224,154 822,213
REAPPROPRIATION FROM CURRENT PROGRAM 36,765 147,060
TOTAL FUNDING $260,919 $969,273
EXPENDITURES
SALARIES AND FRINGES* 109,014 436,055
OFFICE FURNITURE (NONRECURRING COST) 12,000 0
OFFICE EQUIPMENT (NONRECURRING COST) 3,600 0
OFFICE SUPPLIES 600 2,400
TELEPHONE 1,125 4,500
TELEPHONE INSTALLATION (NONRECURRING COST) 1,500 0
MOVING COSTS (NONRECURRING COST) 1,500 0
EQUIPMENT RENTAL AND MAINTENANCE 1,825 7,299
PERSONAL MILEAGE 963 3,850
TRAVEL AND CONFERENCE 600 2,400
CLIENT SERVICES 900 3,600
MEDICATION** 4,000 16,000
PROFESSIONAL SERVICES** 4,250 17,000
CLIENT TRANSPORTATION 250 1,000
RECREATIONAL SUPPLIES 1,756 7,025
EDUCATIONAL SUPPLIES 125 500
EQUIPMENT 345 1,380
PRINTING 125 500
TREATMENT PROGRAMS 77,604 310,414
CLIENT FURNITURE 38,837 155,350
TOTAL EXPENDITURES (CONTRACTUAL SERVICES) $260,919 $969,273
*SALARIES AND FRINGES INCLUDES REAPPROPRIATION FROM CASE MANAGEMENT
PROGRAM OF $28,515 FOR PARTIAL YEAR AND $114,060 FOR FULL YEAR.
**MEDICATION AND PROFESSIONAL SERVICES ARE TO BE REAPPROPRIATED
FROM CASE MANAGEMENT PROGRAM.
NOTE: THE CITY OF PONTIAC IS PROVIDING OFFICE SPACE WITHIN THE
. HOUSING UNIT AT NO CHARGE TO THE COUNTY.
PREPARED BY BUDGET DIVISION
8/24/88
OAKLAND COUNTY COMMUNITY MENTAL HEALTH SERVICES BOARD
WOODLAND HEIGHTS COMMUNITY SUPPORT PROGRAM
The City of Pontiac through its Housing Authority, currently maintains a low
income apartment complex which houses primarily elderly and physically
handicapped persons. The facility known as Woodland Heights is located on the
City's East side at 120 North Edith. It has a capacity of 197 units, however
its current occupancy rate approximates 50%. Twenty-eight (28) of the
residents have been identified as recipients of CMH Services at one or more of
our programs.
The City has suggested that they could and would accommodate an increased
capacity of mentally handicapped persons if we could provide 24 hours resident
care services with professional back-up to handle emergency situations.
It has been proven that specialized residential services can increase the
success rate of citizens living independently. Citizens that participate would
be given the opportunity to maximize their ability to succeed in a modified
supported independence.
Our proposal would be to provide though a contract with Pontiac General
Hospital, 24-hour on-site para-p-rofessional personnel with a crisis backup
team. In addition, professional staff would occupy offices in the facility to
provide on-site programming and socialization activities. This program would
give the citizens of Oakland County the opportunity to demonstrate their
ability to live more independently and maintain a quality of life that has not
been available in the past.
Representatives of the Michigan Department of Mental Health have visited the
facility and have agreed to fund a Program Revision Request for the upcoming
fiscal year.
PROGRAM REVISION REQUEST WORKSHEET
1. PRR TITLE: WOODLAND HEIGHTS COMMUNITY SUPPORT PROGRAM OF PONTIAC
2. DIVISION: [-IIKT-A I IMI-C I_IDD LIAdmin 1_14A I:IPrevntn
LI Other:
OFFICE SPACE - Do not mark For FY
PRR ID # Priority of Net DMH Funds .$
Date Written or Revised: , by
4. The population to be addressed is ITIMentally Ill Adults
l'IMentally Ill Children IIIDevelopmentally Disabled citizens
111Ethnic/Minority citizens 1Chronically Impaired LI Special
Needs group LIQuality of Care needs I:10ther
(check all that apply)
5. The need/problem area addressed is .
It has become more and more difficult for chronically mentally ill citizens to
find and keep housing that is affordable, well maintained, safe and located in
neighborhoods with accessible, clinical support. When citizens are discharged
from Clinton Valley Center, or are ready to move out of a group home or away from
their families into an independent setting. There are few housing resources
available and what is available, is often substandard or too costly. There is a
great need for housing that would enable citizens to move from a dependent
setting to an independent setting at an affordable cost and with accessible
clinical services.
6. The specific target group to be served is ... I IN/A
Citizens with a chronic mental illness who are over the age of 18 and reside in
Oakland County and have had one or more hospitalizations at CVC or other
institution and have been unable to re-integrate into the community and have an
impairment level with a GAS score average of 49.25 and range between 35 - 65 GAS.
7. EXTENT OF NEED AND NATURE OF CURRENT SERVICES: (complete at least
one)
200 persons with this need/problem are not currently served by
the public mental health system. (= UNSERVED CITIZENS)
50 persons with this need/problem are being served, but not
provided the amount or intensity of service they need. (= UNDER-
SERVED)
50 persons with this need/problem are being served, but not with the kind of service they need. (- INAPPROPRIATELY SERVED)
. SERVICES TO BE PROVIDED: 1 1 N/A
8. (EXTENT OF NEED continued:) N/A
It has been reported by Clinton Valley Center that as many as 70 citizens could
use a sustaining housing program with intensive support in the community. Local
homeless shelters report that as many as 45% of the citizens they serve are
mentally ill. Statistical data reveals that 40% of the mentally ill at Central
Case Management, live with and are dependent on their families. Less than 20%
live in a place of their choice.
9. This proposal would serve Planning Areas 1 2 3 4 5 6 7 8 9
VIThis proposal will serve all of Oakland County.
Chronically Mentally Ill Citizens
FIThis proposal will serve Living at Woodland Heights (describe area)
LO. ALTERNATIVE RESOURCES TO MEET THE NEED: 1 ) N/A
There is no program that currently offers the level of independence, support and
low cost housing that this proposal would provide.
The mission and philosophy of the proposed service will be to .
Provide low-income housing, psychiatric services, prevocational habilitation
services, 24-hour crisis intervention and recreational services to 80 chronically
mentally ill citizens residing in the Woodland Heights Project in order to
increase and facilitate their integration in the community, increase independent
living skills and reduce recidivsm at CVC.
Chronically mentally ill adults given support can successfully be intergrated
into the community at large. The philosophy of service is based on the
conceptual framework of two levels of integration. The first level of
integration is achieved in the housing project itself by combining a maximum of
40% chronically mentally ill along with senior citizens and physically impaired.
The second level is achieved in the community at large by linking the residents
to other community programs, employment and social functions. In order to
provide a continuum of services needed in the rehabilitative process of the
chronically mentally ill. A social and recreational program will be offered
during the evenings and weekends only to ensure community involvement.
111This Proposal is for expansion of the existing
program without any change in its mission or
philosophy.
12. Community resources involved in the development and guidance of
the program will include ...
1. Redirection of partial Pontiac General Hospital Case Managemehtl"
budget to care for 80 citizens
2. The Pontia6:-Housing Commission will provide 80 units to house the. citizens
and to provide office space if needed.
3. OLSHA may provide some meals.
4. New monies to provide services as outlined in PRR.
S. Senior Companion Program.
6. Residence Council.
7. Day Treatment Team.
8. SOLEC Treatment Team.
9. Sheltered Workshop Team.
10. Supported Employment Team.
11. Volunteer Council.
12. Alliance for the Mentally Ill (AMI).
13. Admission criteria for the program will be ... L_IN/A
Must be 18 years old.
• Resident of Oakland County.
• Have a diagnosis of mental illness.
• To be determined appropriate for mental health services.
• Be willing to participate in the program.
• Have demonstrated a moderate degree of functioning with daily living skills.
• Have demonstrated reliability in taking medication without supervision/or
willing to work on a plan.
. Have sufficient behavioral self-control in order to act appropriately in
public settings.
• Clinical assessment should not indicate acute suicidal or homicidal
potential.
• No bizarre or anti-social behavior. -
. Be stabilized medically and psychologically with his/her current medication.
Not be actively involved with substance abuse in the last year.
Additional criteria as required by HUD.
This proposal is for expansion of an as noted
under item 11 and admission criteria
14. Specific service activities to be provided wi:: _:-.:.-:_7ie (check all
that apply) Licse finding j_jiden:ifi:a -_ii7 .:reeni:-.g 1/1assess-
ment/diagnosis - lirevention lo _ ,_ 13--(:rls:s e i :X;clnt ser-
vice management-CSM Ix clinical therapies s.-7 -ialization 1 -1single•
entry single exit _community npatient care Xj•ommuniTy _c on-
sultation 1x1skill training rilhealth care ;)( ir.-.home support 'Warn -ily support
Ill training: (specify) I '(work activity 1 -jsheltered work _ --
I IsuppOrted em21. ntransitional empl. j -Irespite care: (specify) I 'crisisI Isch -e-duled 1 -1in -home _
1 lout -of -home _1 igroup _
lijshelter: (specify) klindep. 1 I -.-IP I jAIS 1 -1Gen AFC 1 -1nursing - - _ _ ...... home LjLevel II I 'Level III I 'Level IV
Illother:
Staff Mileage
Travel & Conference
Client Assisting Funds
Medication
Medical, Lab Fee, Dental
$ 3,850
2,400
3,600
16,000 (Redirection)
17,000 (Redirection)
$42,850 Sub Total
- 33,000 Redirection
$ 9,850 TOTAL
(FOR NON-RESIDENTIAL PROGRAMS)
15. STAFFING NEEDS AND QUALIFICATIONS:
Redirection from:PGH Case Management
No. of FTE's Discipline
I:1 No staff requested
Recommended Staff:Citien Ratio
2.0 Case Managers $ 57,181
1.0 Psychiatric Nurse 34,033 ,
.2 Clinical Support 22,846
New Staff Requested $114,060 Sub-Total (Redirectional)
2.0 Recreational Therapists 56,964
1.0 Coordinator 38,420
.3 Clinical Support 34,354
2.0 Clerical Support 42,420
1.0 Vocational Rehabilitation Specialist 28,000
1.0 Research Coordinator 32,300
3.0 Residential Care Aide (RCA) 78,537
On Call Time 11,000
$321,995 Total
16. SPACE REQUIREMENTS: 171 None
Office Space Provided by Pontiac Housing Commission
17. FURNITURE AND EQUIPMENT: 0 None
Office Furniture (for 7 new FTE l s) $ 12,000 (non recurring)
Office Supplies 2,400
Office Equipment (copier, typewriters) 3,600 (non recurring)
Beepers 400
Maintenance contracts for equipment 449 $18,600 non recurring)
Phone tie-in 1,500 (nonrecurring)
Monthly phone 4,500 ,
Lease one (1) van 5,100
Upkeep, gas 1,350
Moving costs 1,500 (non recurring)
$32,799 TOTAL
18. OPERATING ITEMS 1:1 None
PONTIAC GENERAL HOSPITAL
COMMUNITY MENTAL HEALTH CENTER
(ACTIVITY PROGRAM)
Supplies
1. TRANSPORTATION (rental of bus for special events $ 1,000.00
II. SUPPLIES
A. Occupational Therapy
B. Horticulture (Rental & Supplies)
C. Music Therapy (Instruments & Instructional
Material)
D. Activities of Daily Living (Cooking & Grooming)
Ex: cookingl utensils, grooming appliances
& equipment
III. EQUIPMENT & TOOLS
Fitness Equipment
Equipment Rental (Cross Country Skis, Ice Skates,
Canoes)
1,475.00
2,950.00
600.00
2,000.00
$ 380.00
1,000.00
IV. EDUCATIONAL MATERIAL
Training Modules for Coping Skills $ 500.00
V. PRINTING (Newsletter) $ 500.00
$10,405.00
$9,200 per slot per year x 7 = $ 64,400
$293,708
OFF SITE PROGRAM SLOTS
1. Day Treatment--,Eighteen (18) slots
Six weeks of stay:430 days x 158.00 per day - $4,740 x 18) = $ 85,320
2. SOLEC - Five (5) slots
$6,769 - : per slot per year x 5 . = $ 33,846
3. Sheltered Workshop - Twenty (20) slots
$105.50 per week x 52.2 weeks x 20 =$110,142
4. Supported Employment - Seven (7) slots
ON SITE PROGRAM WORK PROGRAM
1. In House Volunteer Program - Eight (8) slots
Linked to Community Volunteer Program - Eight (8) slots
Four hours per week x 52.2 x 8 Slots x $4.00 per hour
2. Gardening Group - six (6) slots
Four hours per week x 52.2 x 6 slots x $4.00
= $ 6,682
= $ 5,012
3. Recreational Aide - Four (4) slots
Four hours per week x 52.2 x 4 x $4.00 = $ 3,342
4. Housekeeping Aide - Two (2) slots
Four hours per week x 52.2 weeks x 2 x $4.00 $ 1,670
$ 16,706
TOTAL $310,414
50 x $350.00
50 x $200.00
50 x $ 75.00
50 x $100.00
50 x $ 50.00
100 x $ 25.00
100 x $ 25.00
50 x $600.00
START-UP CITIZEN FURNITURE
50 x $15.00
50 x $15.00
50 X $25.00
50 X $15.00
50 X $25.00
50 x $50.00
50 x $ 6,00
50 x $35.00
50 x $15.00
50 •X $300.00
50 x $100.00
50 x $300.00
50 x $250.00
50 x $150.00
50 x $ 50.00
50 x $ 30.00
50 x $200.00
KITCHEN
Toaster
Coffee Pots
Set of Dishes
Set of Glasses
Set of Utensils
Pots and Pans
Wastebaskets
Iron and Ironingboard
Clock
DINING ROOM
Table and four chairs 50
BATH
Shower Curtain
Towels
Toilet Set
BEDROOM
Mattress, Box Springs
and Frame
Chest of Drawers
Night Stand
Chair
Lamp
Pillows (2), Linens (2).
Blankets (2), Mattress
Pad (1), Spread (1)
LIVING ROOM
Sofa
Chair
End Table
Coffee Table
Lamps (2)
Drapes (2)
Pictures (2)
Entertainment Center
with Equipment
ESTIMATED COST
$ 750
750
1,250
750
1,250
2,500
300
1,750
750
$10,050 Subtotal
$15,000 Subtotal
$ 5,000 Subtotal
$15,000
12,500
7,500
2,500
1,500
$10,000
$49,000
$17,500
$10,000
$ 3,750
$ 5,000
$ 5,000
$ 2,550
$ 2,500
$30,000
$76,300 Subtotal
$3,107 per unit x $50.00 - ($155,350 TOTAL)
$ 28,515
60,499
22,150
10,713
77,604
2,601
38,837
$.:260, 919
- 36,765
$ 224, 154
- 128E
$208,86-8 GROSS
187,981 DMH 90%
$ 114,060
321,995
14,199
42,850
310,414
10,405
155,350
$ 969,273 GROSS
-147,060
- 61,143
$ 761,070 GROSS
684,963 DMH 90%
TOTAL COST
PHASE IN
10/88 - 12/88
Redirection of PGH staff
New Staff
Furniture & Equipment
Operating Items
On & Off Site Programming
Supplies for On and Off
Site Programming
Start-up Furniture for Citizens
PGH Redirection
Projected Third Party
Revenue
$ 20,887 CMH 10%
FULLYEAR COST
01/89 .- 12/89
Redirection of PGH Staff
New Staff
Furniture & Equipment
Operating Items
ON & Off Site Programming
Supplies for On and Off
Site Programming
Start-up Furniture for Citizens
PGH Redirection
Projected Third Party
Revenue
$ 76,107 CMH 10%
(FOR RESIDENTIAL PROGRAMS)
15. This proposal is for. .
II -bed Level home(s).
Iii —SIP beds.
Other: Hud Low Income Apartments (80 beds)
16. SPECIAL F:UIPMENT/ANCILLARY SERVICE, DAY PROGRAM AND TRANSPORTATION
NEEDS:
See Non Residential
Ancillary Services:
1=1 a) Clothing
1:1 b) Medical care
111 c) PT/OT
d) Psychiatric services
e) Psychological services
1:1 f) Nursing services
1_1 g) Other
17. ADDITIONAL MONITORING STAFF REQUIRED:
No. of FTE's Discipline -Reciended Staff:Resident Ratio
See Non Residential
18, IMPACT ON PUBLIC INPATIENT FACILITY:
prcposal would serve community-based citizens in need of
resider.-.1a1 placement.
This prci:csal would impact to reduce the census of
by 25 beds and 9125 resident-days on a fuIl-
year bal-ls_
CVC
19, PLANNED SERVICE REVIEW: Service Review N/A
PART II
100 80 cases will be served at any one time (static capacity).
cases will be —Served over the fiscal year (dynamic capacitvt. 10,400
units* of dir ect service will be delivered per year, and -4160 units
of indirect service. (This equates to 1300 units of direct service
per FTE, and 520 units of indirect service.) The average length
of stay expected in the program is I - 3 yrs. and the average
number of contacts per case is expected to be 130 . The average
number of indirect service hours per case is expected to be 52
20. The expected outcomes of the service for citizens are . .
1. To provide low income housing not to exceed 30% of citizens income.
2. Increase level of independent living skills.
3. Maintenance and stabilization of psychiatric symptoms,
4. Reduce recidivism at CVC.
5. Increase integration into the Community.
21. These outco.es be reviewed through -
1. Percent of apartments occupied within the first year.
2. Pre-test, post-test, variance in ADL skills.
3. BPRS, Brief Psychiatric Rating Scale - Decrease.
4. Decrease number of hospitalizations in a year. Decrease number of days
hospitalized.
5. Number of contacts with the community at large by the residents, monthly
contacts in the community.
22. The progra 7ec:ves will be to achieve . .
1. 100% occupancy within the first year.
2. An increase of 30% in the ADL scale.
3. Maintain or reduce the BPRS Scale.
4. Decrease number of hospializations by 30% and number of days by 30%.
5. To increase contacts in community by 30%.
(II. PLANNED SERVICE REVIEW continued)
23. Program performance against these objectives will be measured by ...
1. Data collection gathered from HUD statistics on occupancy.
2. Administer ADL test to all chronically mentally ill residents
entering and leaving Woodland Heights Project.
3. Administer the BPRS scale at admission & annually.
4. By comparing number of hospitalizations for 3 years prior to
occupancy at Woodland Heights, one year after residency. Days,
same.
5. Community participation scale, pre and post test, annually.
24. Key performance indicators for the program will include .
...an acceptable range of static capacity from 60 cases to 80
cases;
• an acceptable range of dynamic capacity from 60 cases to 100
cases;
...an acceptable minimum of 7000 for units of direct service de-
livered; -
• an acceptable case load range per discipline of 1 to 40
for Case Managens 1 to 80 for Nurse I to 40
forRecreational And. to 80 for PsT.71ir.
...an acceptable range of average length of stay (ALOS) from 52 to 156 weeks;
an acceptable average number of contacts per case from 52 to 130
• an acceptable average for hours of indirect service per case fror. 1 to 2
Other:
25. Revenue
1. The number_pf citizens eligible for Medicaid is esti-
mated at
2. The number of citizens eligible for Medicare is esti-
mated at
3. The number of citizens eligible for Blue Cross/Blue
Shield Outpatient or Selected Outpatient Psychiatric
Programs is estimated at
4. The number of citizens eligible for other outpatient
psychiatic insurance programs is estimated at
5. The number of citizens with ability to pay is esti-
mated at
Projected net revenue from third party and other source
funding is estimated at
_ 40%
60%
0
0
$ 61,143
26. The cost per slot in the propos,ed service will be $ 10,557
the cost per activity will be $ 58.00
27. IMPLEMENTATION:
12 This proposal will require months for full implementation
from the time that CMH has final State and County approval of
funding,
Resolution #88257 Sep.teMber 22, 1 988
22nd this . day of
LAW
tember 188
Clerk/Register of De
Moved by Susan Kuhn supported by Rowland the resolution (with positive
Fiscal Note attached) be adopted.
AYES: Caddell, Calandro, Crake, Doyon, Gosling, Hobart, Jensen, R. Kuhn,
S. Kuhn, Lanni, Law, Luxon, A. McPherson, R. McPherson, Moffitt, Page, Pernick,
Rewold, Rowland, Skarritt, Wilcox, Aaron. (22)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution (with positive
Fiscal Note attached) was adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lynn D. Allen, Clerk of the County of Oakland and having a seal, do hereby certify that I have compared the annexed copy of the attached
resolution adopted by the Oakland County Board of Commissioners at their regular
meeting held on_ September -22, 1988
with the original record thereof now remaining in my office, and
that it is a true and correct transcript therefrom, and of the whole thereof.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County at Pontiac, Michigan