Document 44ZXLxN8rLXy3M8LGNR0o689e

FILE NAME Riley Stoker RS DATE 1957 DOC RS005 DOCUMENT DESCRIPTION Worker's Compensation Award - Munger so STATE OF MICHIGAN BETBOE STATE MICHIGAN COMPENSATION COMMISSION ote Tae TATE TATE . ' Vie . ty 4 we Me - aa Emepeloyoeree-sloTavTeeTr( _ Micbignu. wee ee SOR. a ener Eraploys sebeduted for peanug at Employe Employe Employe poviog been Application Application adjustment adjustment Application a claim boving boving at..akana and iD the infary erislog out persons! On arising That +, Deat- That , employment employmeTnthat to, 2. That I bad follows : above employe _ - personal employment receive abore named employe employer employer employe's named employer . we in the ene course Mlebigou Mlebigou Mlebigou Mlebigou course course bla ber was per common average average skilled skiled skiled common reapondent(s) receive ftomD the employe entitled to compensation 3. 3. That the respondent respondet at the rate Of B~ occupation eomnpensation one at the 17te ww. compensation fi 10 . ner per partially total from ta week week for disability trom partial _ per week S$. Of of 6t : rate and entitied to continue 0 yeceive compensation disabled totally - further that employe employe is rate entitled further per week until further order disabled and vet compensation of _ said reepondent(s) entitled entitled receive from 4. That That employe weeks respondent weeks tor for specifc period period of i MAILEMAILE MAI!LE!! per loss of MAILE MAILE !!! 221957 ee applicant an . Trac the entitled to receive from said respondent (@) 4... applicant is is are medical tenral oe medical boepital. LANSING the sum ot - dependents Specify compensation dve to ecploye G. compensation to receive of the dependents the sum and te (8) l - are entitled above employe employe dependents applicant G. That the rendered the above - and the the are full of all legal services entitied cause the date hereof respondent same and to deduct said na same ig - are hereby authorized pay the dependent en same w de payable a6 follows total compensation dependents, compensation t. per week receive the respondent respondent partial partial - dependent entitled receive at the rate of -- i rate eee dependent further order - the (6) ot Employe of the death of the abore weeks weeks from date the date until exceed exceed period period 400 of the Commission but nd named amploye . Names ages employers employers litter herer.ftar B, Lora That the #prior #prior Lora and and Travelers Travelers Insurenge herer.ftar herer.ftar to sFELtEoOe rued pay to Armstrong their employ par mante Insurance Insurance MUAL in their nun oF the MONTA Belt Lowie MUAL vents parties further suOM NGr E OON NGETMA ONTA of employ The parties the s^'crued s^'crued portioza time that m liability this res till the till tlee. Insurance forth year until such time on benefits set set the eech paid tine oo amount benefits dated 2/11/11 2/11/11 been ee ee the Leare Leare a ee paites _ ) Peet Nolan We Nolet ____.--_ - v Laid 4s. the :saz6 det of a w Fetes s SAREE Fetes Fete: ee p, 19-52 1912. AMENDED ACCORDANCE WITHIN SESSION MAILING AWARD FILED COMMISSION COMMISSION THIS aMENDED. WORKMEN'S COMPENSATION COMPENSATION COMMISSION COMMISSION COMMISSION FIRST BATRA COMPENSATION MAILING DATS. OF TEN pays FROM COHAMSSTO Sy WORKMEN'S WITHIN COMPENSATION acts. BY PUBLIC PUBLIC ACTSP. ARTY PARTY SHALLSRTEVAINEWD THE FINAL DECISION EIDTEHCIESRIOPNART TY HE OF TRI: SHALL SHALL STAND AS DECISION THIS AWARD. 1T SHALL teow? tees tea] vir? NUECES STATE OF MICHIGAN WORKMEN'S COMPENSATION GEPARTMENT GEPARTMENT APPLICATION FORFOR HEARING AND ADJUSTMENT OF CLAIM i THE NATURE OF APPATIONMENT APPATIONMENT woven ... am be 1 EMPLOYER Lewis M. Munges And EMPLOYER ARMStrong Cars Co. 110 Valana ^'ve AUBLIN MAchigan Ninel yee. Lancaster .. INSURANCE CARRIEP Travelers The applicant respe Qulir shows Insurance Company vip: ate lee a's 1. That this clasma trintas to a beinoual injury which sceusted on ur suwut OR to s deablement from occupatious disease which securred on or about August 7 Av 2. That the injury or disablement occurred at Midland Midland City Midlane Couery Michigan State and in the following This proceeding is for an apportionment of liability for medical ey manner pense in the total amount of 5,157.16 which became payable and paid by your petitioner by virtue of an Appeal Board Order dated was Janukov 1956 among pricz employers in accordance with the attached list under .- provision of Sec 17.223 of the M.S.A. being Sec..417.9 Sec..417.9 ot C.L. 1945 the Last day worked Daily Wage at were of injury of disablement Weeks La222 3. of Rature disability Mederowss pneumoconiosis Te RAITT pak ON PMU asbestosis 1 occupational occupational an asestick eile cases Date of recevUT Date of reture to work 4. If death resulted give date of death Relationship of appusant to detrased 5. Names of persons dependent upon injured emplo veon date of injury , & ! adnalment of atrofnes or medical fees or funeral esarkar je szucha perse state which and sc~"DUA Whereforeapplicant requests that he be granted such rehet se te that the Department sat thus martes das hearing so that the parves Compensation Law - entitied in usiner herein may brue a the Workmen's Compe54ation Law si M determination of their rights under the rhiganand Autemen's Autemen's Dated Detroit Michigan this 30th day ARMSTRONG CORK CORK July 59 and TRAVELERS INSURANCE 2. Jones f Segue. geri / ~ Jones ee Tmt here Attorney Address = 1204 Dine Building Detroit vw: tampensation NOTE Esther party in a dispute regarding tampensation matjera maj apply to the Deportment for adjustmest of of this application must be muied to the Workmen's Compenzauve Department Lansing 13 Michigaann Thadejuasptpmelsitcantiatstcolma^u"keTehproebeectopoipes NURCES Jackson Insulating Company Riley Stoker Company Evarts Asbestos Company J. W. Wellman Asbestor Co. Mansville Company Central Asbestos & Magnesia Co. Parham Insulation Company wN, J2De Michigan Mutual bility 72, 28 west Scams Detroit 26 Michigan Michigan Mutual 28 West Adams Liability Detroit 20 Mizhigar .. Continental Casualty 15 Ford Building Detroit 26 Michigan untoany State Accident Fund 1602 Cadillac Tower Detroit 26 Michigan Travelers Insurance Company 930 Dime Building Detroit 26 Michigan Hartford Accident & Indemnity 1000 National Bank Building Detroit 26 Michigan American Automobile Insurance 1100 Guardian Building Detroit 26 Michigan 600064 NUECES