Document 7MedVD6Rn50xGk20Oe4jKOgxo
FILE NAME Insulators Workers Comp Claims IWC
DATE 1968 DOC IWC076
DOCUMENT DESCRIPTION Tyler John - Worker's Comp Claim
INTERSTICE /
OM UNICATION INTERSTICE OMMUNICATION
To F. L. Gardner Lancaster
.
closed
-
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aan
:
From W. A. Maggio Los Angeles
of i
Subject
Compromise Order Approving
Case No. 67 LB 36087
and
Appeals Workmen's Compensation
John Tyler
1
Release Release Board
this Attached for your information is the October 24 1968 award in
_
case
_
1/11/20 attachment
:
|
. :
FORM 1501 Printed in U.S.A.
+
DEPARTMENT .
fy, ,
OF INDUSTRIAL RELATIONS
.
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DIVISION DE INDUSTRIAL ACCIDENTS
ee
WORKMEN'S COMPENSATION APPEALS
soe
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4
STATE OF CALIFORNIA
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*
!* JOHN TYLER Deceased
(. DOROTHY TYL~ Mand IOROTHY TYLER
2
a's Guardian od Litem and Trustco
a
f^rCLAUDIA KAY TYLER and
Cass Na 67 LB
BOARD
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36007
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Order Approving
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Defendants
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The herein parties to the entitled action have filed a Compromise and Release
:
requesting October 24 1968
seitling this case for $ 20.000.00
requesting +, in addition to all sums which may have been paid previously and
iitt be
approved ea and this Board having considered the entire record including said Compromise and
Release _ !.. finds that it should be approved and
on
now
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5 cae
Release Compromise IT IS ORDERED that said
and
i
is approved
Award and TYLER is made in favor of DOROTHY
:
DOROTHY TYLER 08
et
Guardian ad Litom and Truotos for
.
,
wteck (4, 9. 4s CLAUDIA KAY TYLER and TERNIK LEK TYLER
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pre
^ ETIACASUALTY & SURETY
COMPANY ARGONAUT INSURANCE COMPANTY ree PUUMAN'S FUND INGuralice coMPANY
epee
.
271
US
PACIFIC EMPLOYEES INSURANCE COMPANY
, AMERICAN KOTORISTS INSURANCE CONTANY |
PIBREBOARD CORPORATICH AND PLANT - f
). KUZZISH AND ACBESTOS Wonks a
; -THE TRAVELERS INSURANCEINSURANCE COMPANT on
4 .INDUSTRIAL RIDANITY COMPANY . GENERAL ACCIDENT GROUP .
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BY AETNA CASUALTY AND SURETY CONPANY / DOROTHY TYLER and DOKOTHY TZLER 68
Guardian ad Litem end Truston for
cs
a
me
CLAUDIA KAY TYLER and TERRIE
.
LEE TYLER applicanto 5,328.00
'
ROSE KLEIN & HARIAS
As attorney feao ateve se
sesesees
2,000.00 2,000.00
.... BY ARGONAUT INSURANCE COMPANY ....
.
400,00
INSURANCE wo.) BY FIREMAN'S FUND
INSURANCE COMPANY ...
Poe My
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INSURANCE COMPANY MOTORISTS - BY AMERICAN AMERICAN
. AND
BY FIEREBOARD CORPORATION AND PLANT RUDDER AND
848.00
1,466.00 Oy
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Me, vat ac
ASBESTOS WORKS
4 960.00 960.0 0
FUND Socks
#0 BY BY
STATE COMPENSATION INSURANCE INDUSTRIAL INDENITY COMPANY ... cescoenvenvesvscuccersec^'
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DY GENERAL ACCIDENT
nq et. TO DOROTHY TYLER and DOROTHY TYLEN as ~
.
or Guardian ad Litem and Trustee for
CLAUDIA KAY TYLER and TEHRIE- .
LEE TYLER applicants :-..+ 12,672.00
ax
720.00
604.00 604.00 .902.00 .90 2.00
.
3 Dated at Long Beach
October 30 1960
me
/ MAYNONDLEAVER
1610200
California
COMPENSATION COMPENSATION
re ve ee
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Served by mail on persons shown
on the official addrean record
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EMPLOYER & ADDRESS
Hundet Corp Corp.;
Fiberglas Engineering &
Supply Company now o Jivision of Owens Corning
Fiberglas Corporation 5933 Telegraph Rond | Los Angeles California
Const Insulation Company
2684 Lacey Street
Los Angeles California
Thorpe Insulation
2741 So. Yates Ave.
.
Los Angeles California
J. T. Thorpe Inc
948 E. Second
a
Los Angeles California
Marine .. Engineering & Supply
941 East Second St.
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Los Angeles California Insulations Inc. 532. So. Monterey Pass Rd Monterey Park California
Thorpe Insulation
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Fiberboard Corporation
& Plant Rubber &
Asbestos
1789 Montgomery Street San Francisco California
Armstrong Contracting & Supply
4340 District Boulevard
Los Angeles California
John Monsville Sales Corp
Leonis Street
Vernon California
Accurate Insulation Co. 900 South Cypress La Habra California Lee R. Ekins Company 4933 Valley Boulevard Los Angeles California
Inc.
Plant Asbestos Compony 1300 64th Street Emeryville California Bechtel Corporacion 220 Bush Street San Francisco California
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J. T. Thorpe Inc 948 East Second Los Angeles California California
Philip Carey Mfg Co. 532 So. Monterey Pass Rd
Monterey Park California
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CARRIER & ADDRESS
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KETNA CASUALTY& SURETY CSURETYOMPANY
2404 Wilshire Boulevard
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. Los Angeles California
4 why .
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Argonaut Insurance Company 443 Shotto Place
Los Angeles California
Fireman's Fund Insurance Company
3223 West 6th Street
ot
Los Angeles California
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Pacific Employers Insurance
Compony
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4050 Wilshire Boulevard *. .
Los Angeles California ..
it
Insured
Travelers Insurance Company
3600 Wilshire Boulevard
er
Los Angeles California
my
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State Compensation Insurance
Fund
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Place
600 South Lafayette Park Place .
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Los Angeles California 1
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Industrial Indemnity Company
505 South Virgil Avenue Los Angeles Colifornia
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American Motorista Insurance .
Company
Boulevard
3545 Wilshire Boulevard
Los Angeles California
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- General Accident & Life AssuraUG~
3535 West Sixth Street
Los Angeles California 90005
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con ad
Fog,
Mr. Mike Tonnesen Claims Reprosentative
2404 Wilshire Boulovard ;
Los Angeles California 90054
J oo . cS
Not Claim No. T M 33 CC 215709 MR
Employer - Armstrong Contracting and Supply Corporation
Claimant - John Tyler
my
A - 3/21/66
Ho have copy of your letter of Soptember 18 addressed to the Los
,
Angolos Office of Armstrong Contracting and Supply ro the above
ot
alain
.
On Thy 1 1967 ve sent to your office information regarding tha
_
carnings of Mr. Tyler Two cupion of our letter of May , 1967 and
all attached information are enclosed You will noto a different ^ stna
a
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ol;
olain numbor was assigned at that time
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mo
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The only additional information va onanings for the year 1966 and two alno enclosed
havo now is a breakdom of his
oT
copies of this data shost are -
ares
Very truly yours
;
NaboEl. Barnet
Enclosures
.
:
W. A. Maggio 4078 Los Angeles
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TYLER as
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the above the ACES
3-17-66
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breakdown year Also 1,029,60 in an 1956 F have 3
1,029,3/627/60 Also oP breakdown which EC to Epp geet elres 234
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pe 1,029.60 vale PoP ai trp aa i
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AcordingAcording STRONGtLleaioksletrwHilonagridnfoir1wCmea,tOitoo6CMa0lu4Pi.fAlo2rfN5nbdiYCoaaelifrlornoiasuwbstantiate50 -0rav9el-ora4525saupaorhrem7einratiConorkaweCaomkpeenlsatyionweaklypCaoympany numLESTDDRiiOvvNGissioibnon e$drfatys NdustriaDlISswensCoewrrvpportatiAcident1s956 o2n Acording
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50-9452 Ted S.SS..S.
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TYLER Ten ATeadS 4/25/67 a employes California employes fd Corporati Fee
John worked the cunts Contracting Contracting listed substantiate please periods
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we received
AGCo
AGCo
employes
Tyler
Forkman's
listed
remineration
substantiate
those factsHowever No However
please
please
ASBESTCSIS ASBESTCSIS
Compensation Appeals
that
what
us
|
have
informatio Retention when Tyler worked
ACKS
give tell reakdown breakdown Armstrong breakdown
could earningsby number a breakdown
of
and periods worked it
be
would mosthehellpfulpful
=
reraseoanson much tell
these3 years
reason
the reason reason
his
leaving
leavinlgeaving
Thank not js fad
Hariet eeri Hariet
4 6
4504 vets
oJ
Ac ident 1960 1,158
1,158
9:
chpayIon nm
$1,604.25 1,604.25 P| E /aub- ecto SUE 1.339.75
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Thank Thank you very much
LESTRONG t 1
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12/31/60 187.0187.70 12/31/60 uy @
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STUY ony ETnoa THIS ISTING ISTING
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CONTRACTING
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INTER INTER OFFICE COMMUNICATION
Ta F.L. Gardner Lancaster
From W.A. Maggio Los Angeles
Subject
Request For Information Aetna Life & Casualty
Claim Number T M 33 CC 215709 MR
John Tyler
October 16 1968
Attached is Aetna'a September 18 1968 letter requesting information in regard to Mr. Tyler's earnings while in our employ Such information is requested for the insurance claim that Tyler has processed
We have reviewed Los Angeles branch files as far back as they are presently at this location and find that any earnings Tyler had prior to
1966 ere not here
We have attached all of the records pertaining to dates termination and would hope that you can have the proper Lancaster research the necessary information for Aetna
of hiring and department in
We have informed the local to the home office and you
Lancaster
Aetna office that this matter is being referred may feel free to answer them directly from
CS
M.C. Sweet Los Angeles
wann
wann wann
we
ot
orBtt Le Marah |
Casualty & Surety Division
2404 Wilshire Boulevard ,
visptiierssy
Los Angeles California 90054
|
LIFELIFECASUCALATYSUALTY
382 5401
September 18 1968
!
art
1407A
Armstrong Contracting &
4340 District Boulevard
Los Angeles California
Supply
Gentlemen .
CLAIM NUMBER EMPLOYER CLAIMANT
ACCIDENT
T M 33 CC 215709 MR
ARMSTRONG CONTRACTING JOHN TYLER
3/21/66
& SUPPLY
Mr. Tyler has filed an Application with the Workman's
Compensation Appeals Board applying for Workman's |
- Compensation benefits
Ho alleges that during his employment for you he tained a pulmonary disorder due to his exposure
asbestos
sus-
to
-
'
%
-
To assist us we would like you to provide information regarding Mr. Tyler's employment On your Company letter-
following head stationery would you please provide the
information
1. Dates of employment during
worked for you and whether he
porary or permanent employee
which Mr.
was hired
Tyler
as tem-
and 2. Type of work Mr. Tyler was hired to do
:
a detailed description of his duties Please pay ..
exposed special attention to whether Mr. Tyler was
to asbestos fumes or not
3. We will need a week by week resume of Mr. Tyler'sTyler's
earnings while in your employ
Please use the wage i.
statements that are enclosed for your convenience "
The above information will enable us to properly defend your
firm and determine what benefits if any are due Mr. Tyler
information Your prompt response in providing us with this
will be greatly appreciated
.
Yours very truly
oo
he " :
.
_ Mike Tennesen Claims Representative oo oe ee Workman's Compensation Claims
Standard st MT ig
dekje dekje Corripative The tra Casualty and Surety Cornoany The
a
aul yak
Standard ae Insurance
Fire InsuranceInsurance Insurance Camps
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ar eaneeale,
7"
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Name
Address
.
Address
Address
. :
Pyler John 4333 Deanwood
,
EMPLOYEE RECORD CARD
S.S. No. 500-80-4525
;
Telephone Number
Lakewood
Date |
Date
6-28-65 6-28-65
RECORD OF EMPLOYMENT
Hired
Hired
Terminated
Terminated
Reason
Terminated
Data
62-7-635-13-65 62-27-635-13-65
62-27-635-13-65
62-27-635-13-65
Address
Date
:
OCCUPATOCUPATIONION
HOURLY | EFFECTIVEFEECTIVE CXPIRCXPIRAATION TAPIPROOVNED |
TE
DATE
DATE
BY
W CLASS
CLASS
DATE
AW Mechante 5.25 16 28-61116 28-611
RIH RIH 2
K . oe
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5.55 8.1-651 8.1-651
CC.U
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UNION AFFILIAT
5
Form 4715 8/63
DEDUCTIONS
TYPE
AMOUNT
Pension
Vacation
Local Tax
Bond
Xane
Ty6ler333 Address
Tyler
Address
EMPLOYEE
, John
I.
I.
Dashwood Jekewood _
RECORD CARD
5.3
Dato Dato
__Date
500-09-4525 500-09-4525 No.
500-09-4525
500-09-4525
500-09-4525
3-29-6 3-29-66 3-29-663-29-66 3-29-663-29-66
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EMPLOYMENT RECORD OF
Hired Terminated
Reason
Terminat
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3-21-6643.-21-64.171-16 37-21--6641.176-16 nelt
Address Address
OCCUPATION
AWM
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HOURLY RATE
| | 15.55
| EFFECTIVE EXPIRATION
DATE
DATE
13-76-66
APPRQYCD
|CLA 4 SS CCLLAASSSS
CLASS
DATE
2
3-23-222--16 163-2-16
en ae
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AFFILIATION
UNION AFFILIATION AFFILIATION AFFILIATION
DEDUCTIONS
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TYLER JOHN I.
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Tyler John
6333 Dashwo d Dashwood
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500-09-4525 500-0950--09-44525 525
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OFFICE COMMUNICATION
To F.L. Gardner Lancester,
.
From
Subject
M.C.
John Case
Sweet Los Angeles
.
Angeles Tyler
No. 68 LB 36087
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Attached is copy of a Notice of Hearing and Application For Adjudication of
Claim from the Workmen's Compensation Appeals Board for the subject former
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FORM 1501 Printed in U.S.A
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. DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF INDUSTRIAL ACCIDENTS
SOARD WORKMEN'S COMPENSATION APPEALS
-
STATE OF CALIFORNIA
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JOHN TYLER
III JOHN
TYLER
TYLER DOROTHY
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DECEASDEECEASED DDECEASED ( WIDOW
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SEE ATTACHED LIST
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Applicant ApplicantApplicant
Defendant
Case No.
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68 LB 36087
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Notice of Hearing *j
ONE FULL DAY
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Apprais You are hereby notified that an application for compensation has been filed with the Workmen's Compensation
Board of the State of Californis You are further notified that nid application has been set for hearing at
no
230 EAST FOURTH STREET ROOM 302 LONG BEACH CALIFORNIA 90812
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OCTOBER 3 1968 AT 9:00 A.M.
Ob.
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at said time and place the Workmen's
in
in the manner prescribed by law
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Appeals Based will proceed to hear and dispose of the
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WORKMEN'S COMPENSATION APPEALS BOARD 40
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by JOHN L. STRUETT
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Referen
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wineuet erichnet and acher prol NOTE The partimes are expensed en skonis all disputed insem drar decisium at this bearing All
medical reports payrolls
be must
availakar at the hearing CONTINUANCES WILL NI GRANTED ONLY UPON A CLEAK SLIDVING OF GOOD CAUSE Requries for
continuances are to be made malin 6 dayn sef c"~m ^yoef this noien
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IMPLOYERS NOTE TO INSGELD IMPLOYERS IMPLOYERS
Your strundance at this haaring may nm bu supermary Bak your susurance compaf-
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MUNDET CORPORATION
AETNA CARUALTY & SURETY CO S. MCKITTRICK COMP ANY
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ROYALINSURED SSEELLFF
INSURED
INDEMNITY
INDEMNITY
COMPANY
_ AMERICAN NOTORISTS NOTORISTS INSURANCE
COMPANY
PACIFIC EMPLOYERS INSURANCE COMPANY
MOBIL OIL CORPORATION SELF INSURED
MARINE ENGINEERING & SUPPLY COMPANY
PACIFIC EMPLOYERS INSURANCE COMPANY
PLANT RUENER & ASBESTOS WORKS
SELF INSURED FIBREBOARD CORPORATION
SELF INSURED
HUGH A. ELSDON
PLANT ASBESTOS COMPANY INDUSTRIAL INDEMNITY COMPANY
MULDOON COMPANY INC
SELF INSURED
INSULATIONS INCORPORATED
.
PACIFIC EMPLOYERS INSURANCE CO
THERMAL THERMAL ENGINEERING INCORPORATED
HOFFMAN & SON
.
INDUSTRIAL INDEMNITY COMPANY
DAIJWIN EHRET INCORPORATED
INSURANCE COMPAITY OF NORTH AMERICA
THE PHILLIP CAREY MFG COMPANY GENERAL ACCIDENT FIRE & LIFE
ASSURANCE CORP
SUBSEQUENT INJURIES FUND
BECHTEL CORPORATION INDUSTRIAL INDEMNITY COMPANY
THORPE INSULATION COMPANY
SELF INSURED
EMPLOYERS FIREMANS FUND INSURANCE COMPANY
PACIFIC EMPLOYERS
INSURANCE COMPANY
ARMSTRONG CONTRACTING & SUPPLY COMPANY TRAVELERS INSURANCE COMPANY AETNA CASUALTY & SURETY COMPANY
FIBERGLASS ENGINEERING & SUPPLY COMPANY A DIV OF OWENS CORNING FIBERGLASS CORP AETNA CASUALTY & SURETY COMPANY
RELIANCE INSURANCE COMPANY
JOHN MANSVILLE SALES CORPORATION
TRAVELERS INSURANCE COMPANY
COAST INSULATING PRODUCTS PACIFIC EMPLOYERS INSURANCE SELF INSURED GUARANTEE INSURANCE COMPANY ARGONAUT INSURANCE COMPANY
COMPANY
LIE R. EKINE COMPANY
STATE COMPENSATION INSURANCE FUND
ACCURATE INSULATION COMPANY
SELF INCURED STATE COMPENSATION INSURANCE
INC FUND
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GOOD CAUSE APPEARING
The application herein .
is taken ot~ calendar
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Department of Industrial Relations
Division of Industrial Accident Workmen's Compensation Appeals Board
State of California
APPLICATION
FOR ADJUDICATION OF CLAIM Death Care
.
Pleuse filo signed original and six copies and print or type names and addresses
CASE
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IT IS CLAIMED THAT
1. Deceased employee born
1
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1/9/1967 1/9/1967 1/9/1967
on 1/9/1967 1/9/1967 1/9/1967
Anqbatz Anqbatz or injurtj
2/25/1919 2/25/1919
86TE OP Z BTB
while
at
Various
CITY
employed is a AsbestosWorker
ExtratioN
AT TINS Sz inavolj
Calif
Calif
by the employer sustained injury
164898
arising
out
iy
.
of and in the course of employment
to
Pulmonary Disorder
TETATE WHAT PARTS OF DO~ EWITE IRIN
2. The injury occurred as follow
AshortotAo shors tos Ashortos
ETPLAIN WRAT DEPLOTTE DEPLOTTE DAI GRIME ET TIRE OF INJURE
HOW river wat BEEGIUMI
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3. Actual earnings at time injury were
ARINA
Marti VL~ IATAN VL~ IATAN VL~ IATAN DANfULT DANfULT bak^^ ^^ 484kst484kst Bill
s^/^lukkl^47
i 4 76 64LTER PER WELLI
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1/19/57 1/19/57 _ 19 02_ 4. Theinjury caused disability as failowes
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IDAZTE ESPECIFY ESPECIFY LAST BAY OFF WERE DUS 10 154 1Njub/dan gidrone abnu skolan FA^ ERDO ALL POLINOS POLINOS OTO QUE TO THIS
of
1. Compensation was paid 1000
TTA
150+
3
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ITOTAL PAIDI
52.50
BEHALF BAT
June of 1968
CATE OF pant ENTI
Lo:
or
& Medical treatment was received ...
...Wo...6/3290
All treatment was furnished by the employer or insurance
41400
59
matt of Laur tot^TOR
wc
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company 2 ee other treatment was provided or paid for by
: cenanas
1100
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Doctor not provided or paid for by employer os insurance company who treated or caamined for this injury acer eee |
09816 84661 AUG ABURL696h ABURL696h or jych wartoni wartoni ana marka a^ vaspitala vaspitala 18 wuich even DOCTORS SUNITTES
7. Defendants have paid burial expense
+9561
a2. date
TOTAL PAID
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1. The employee left surviving him the following dependents
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NAME
he DATE OF BIRTIS
RELATIONSHIP
"
if under 11
THI TH-HTLYE
. ADDRESS
.
tet Lakewood
6333 Deshwood Lakewood Dowekhe T Mylo
Wife Wife
Daughter tamesedma tbe lane
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15
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WHEREFORE applicant requests a hearing and an award of Death benetic Burial expense Compensation
Unpaid accrued and unpaid
Medical bille Other_
Specify
2
and all or^ ier appropriate benefits provided by law
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California June 1962 Hearing requested at Santa .
Ana
Dated
Santa Ana
Me
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ITT
Number of witnesses ame trial wanted
:
14117
1906 1001
Estimated time of trial
1 Full Day
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Oa, HARIAS .
JAIN &Coble a Howard 412 Sony Ana PELIPNano 29 al
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North BroadwayBroadway SuiteSuite
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California
huot Ar t ta e 52701
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ENPLOYER & ADDRIDAS
CARRIER & ADDRESS
CARMINGS
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Hundet Cork Corporation
Avenue
6116 Walton Avenue
California
Maywood California California California
riberglas Engineering Supply Company Xow a sion of Owens Corning
&
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Fiber-
gias Corporation 5003 Tolograph Road
Los Angeles California
Aetna Casualty & Surety
2404 Wilshire Boulevard
Los Angeles California
Company
90054
Aetna Casualty & Surety Company
$ 19,976.60 16,669.02 16,669.02
Coast Insulation Company 2694 Losey Streat Los Angeles Colifornia
se
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Argonaut Insurance Company 443 Chatto Place Los Angeles California 9000
2,032.20
Phorpe Insulation Company
2741 South Yates Avenue
Los Angeles California
Fireman's Fun Insurance
leat 3223
Sixth
Street
Californ^>a
Los Angeles Californ^>a
Companies
.
4,246.75
5. T. Thorpe Inc. 948 21st Second Street Los Angeles California
Pacific Employers Insurance Company 4050 Wilshire Boulevard Los Angeles California
700.00
Marine Engineering & Supply Company
941 East Second Street Los Angeles California
Thorpe Insulation Company
2741 South Yates Aveaus
Los Angeles California
Pacific Employers Insurance Company
5.186.07
ee
Pacific Employers Insurance Company 2,067.38
Insulations Inc. 532 South Monterey Pass Road Enterey Park California
Pacific Employers Insurance Company
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6,366.6,363.30 0-
Fibreboard Corporation
Insured
1709 Montgomery Street
San Francisco California
7
Plant Rubber & Asbestos 1300 - 6th africt
Emeryville California
Works
Insured
1,466.00
Armstrong Contracting a Supply Company
4340 District Zoulevard Los Angeles California
Travelers Insurance Company 3600 Wilshire Coulevard Los Angales California
19,117.00
John Hansville Sales Corporation
Leonis Boulevard Vernon California
Mbil Oil Corporation
612 South Flower Stroot
Los Angeles California
Travelers Insurance Company
Insured
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2,058.50
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Accurato Insulation Com-
pany Inc.
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900 South CypressCalifornia +
La Habra California
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State Compensation Insurance Fund 600 South Lafayette Park Placo Los Angeles California
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Carrier & Address
Plant Asbestos Company 1300 - 64th Street
Emoryville California
Industrial Indemnity Company
.
505 South Virgil Avenue
,
Los Angeles California 90005
Bichtel Corporation Corporation
230 Bush Strolz
San Francisco California
Industrial Indemnity Company
Thermal Engineering Raffman & South 10th Richmond California
Inc. Street
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Industrial Indianity Indianity Company
J. T. Thorge Inc.
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943 East Second Street
Los Angeles California
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J. T. Thorpe Inc.
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- Royal Globe Insurance Company
210 West Seventh Street
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Los Angeles California
The Philip Carey Mfg
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632 South lionterey Pass Road
Monterey Park California
_
General Accident Fire & Life
Assurance Corporation Limited 3535 West Sixth Street Los Angeles California 90005
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INTER
COMUNICATION
MBH
DIFICE COMMUNICATION
To F. L. Gardner Lancaster
February 13 1968
_ ,
From . W. A. Maggio Los Angeles
Subject
Workmen's Compensation Appeals Board
Notice of Time and Place of
Hearing
'
John -Case No. 67 LB 36087
Attached for your information is the
subject
appeals
board
notice
2/16/28 Bj
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DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF INDHUSTRIAL ACCIDENTS
,
WORKMEN'S COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA 1
.
JOHN TYLER
.
Case 6767 LB 3636087087
.
;
SEE ATTACHED SHEET
.
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.
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Applicant f
Notice of Time
and Place of
Further Hearing ,
NORMAL ONLY
ONE FULL 1 DAY
Defendant
NOTICE TO ALL PARTIES
_
You are hereby notified that further hearing will be held in the entitled action at
.
230 EAST FOURTH STREET ROOM 302 LONG BEACH CALIFORNIA 90012
.
e
APRIL 15 1968 at 9:00 A.M.
on
hae
ne
WORKMEN'S COMPENSATION APPEALS BOARD
nd
;
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By
.
JOHN L. STRUETT
.
Referen
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NOTE CONTINUANCES AND FURTHER HEArings are NOT FAVORED
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11 MUNDET CORK CORP
E.S. MCKITTRICK CO
3 J.T. THORPE INC
a SELP INSURED b ROYAL INDEMNITY co
c
4. MOBILE OIL CORP
SELF INSURED
|
MARINE ENGINEERING & SUPPLY CO
6 PLANT RUBBER& ASBESTOS WORKS
SELF INSURED
19
20
.
INGULATIONS INC
PACIFIC EMPLOYERS INS CO
thermal engineering inc
HOPEMAN HOPEMAN & CO INDUSTRIAL INDEMNITY CO
INS CO OF NO AMERICAN
22
THE PHILIP CAREY MPO CO
GENERAL ACCIDENT FIRE & LIFE |.
ASSURANCE CORP'
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FIEREBOARD CORP SELP INSURED
8. HUGH A. ELSDON
9 BECHTEL CORP
_ INDUSTRIAL INDEMNITY CO
10 THORPE INSULATION CO
'
SELF INSURED
:
FIREMAN'S FUND INS CO
11 ARMSTRONG CONTRACTING & SUPPLY CO TRAVELERS INS CO AETNA CASUALTY & SURETY CO
|
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FIBERGLASS ENGINEERING & SUPPLY CO
now a DIV OF OWENS CORNING FIBERGLASS
AETNA CASUALTY & SURETY CO
.
RELIANCE INS CO
CORP
13
JOHN MANSVILLE SALES CORP TRAVELERS INS CO
14
COAST INSULATING PRODUCTS a) PACIFIC EMPLOYERS INS b SELF INSURED ) GUARANTEE INS CO a) ARGONAUT INS CO
CO
15 16. 17
LEE R. EKINS CO STATE COMPENSATION INS FUND
ACCURATE INSULATICOON INC
8} SELF INSURED
b) STATE COMPENSATION INS FUND
PLANT ASBESTOS CO INDUSTRIAL INDEMNITY CO
18
MULDOON CO INC SELF INSURED
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OF BEFORE THE WONDIS CANTARASTON
CANTARASTON APPEALS HOARD
THI
CANTARASTON 2
SHAVEOF CALIFORNIA
-
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CASE NO 67 LD 36087
7
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18 19 20
21
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JOHN ANLER
,
,
Applicant
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THE
PHILIP
COTEACNOTTYEPHILAIPNPTHYILIP CAREY
GENERAL ACGITIITI
MANUTY.CHUISING
MANUTY.CHUISING MANUTY.CHUISING
FERE AND LIFE
ASSTRVICE CORPORATIOCN ORPORATION LZD, et
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FINDINGS AND AWARD
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ORDER DELTOING
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Defendants
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Roce & Klein Marias by Howard
Fire applicant
Brill Hunt DeBuys & Furby by
for Comel Accident
and
co
A. Gebler attorneyas ttorneys for
Richard L. Moomau attorneys Life Assurance Corp. Ltd.
Klempner abbormay for State
Insurance
Robert .
Compensation J. D. Henderson
representative
Merican Motorista
Insurance
Company Insurance - Ivesman & labble by John Francia American Mutual tacusHobar CompC l ompl
attorneys
for
Hobar Company EmployersPenny Clopton &
by
Insurance
Insurance G
and Insurance Com
Weingand Kondig &
k
attorneys for M
Attorneys for Pacific
\o7 liance Insurance America
by Robert C. Wreigner by by Suzate Company and
>
Arconaut
&
ees
Insura) Kelson Herly Herlihy
by Jack Sisk attorneys
) for The Tsavelein
Tues Company
.
Hecil Allen Peter & Hecil
by Bowling attorneys for
am
,
Industrial Inderuiity Colpany and Industrial Indemnity
change
;
.
Mr. Nazi zepresentative for Fireman's Fund Insurance Company <
Samuelson
Folson for Cuarantes Phleger Brobeck
attorneys cs Witchoad by Donald Gonzales 5
Insurance Company
wt
& Icon by RinaldoSciaroni Jr.
attorneys for Plant Halber & Asbestos Korka insured i i
and Fiberboard Corporation formerly Fiberboard Popor
Products
Corporation James W. Rockstratten Rockstratten
insured
by Charles R.
Indemnity for Royal Indemnity Company
Ibold
Jr.
attorneys
Sims Hamilton attorney for Mobil 011 Corporation solf-
insured
-
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27 28 _ 29
30
An Application having been filed herein all parties having
appeared and the matter having been regularly submitted tha
awards orders Honorable RATHOND LEAVER Refores now finds
60 followa
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FINDINGS OF FACT
.
2
1. John Tyler born February 26 1918 sustained a compensable
3
injury to his lunga arising out of and occurring in the course
we
4
of his employment as an astectos worker in California from 1943 ..
5
days
.
5
days
7
through January 9 1967 and while specifically to employed from
Januar1y 1967 through Jan , 1967 by Philip Carey Manufacturing
Company which was then insured by General Accident Firo and
; |
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Life Asturance Corporation Ltd.
9
2. Applicant has elected to proceed against Philip Caroy
= .
10
Manufacturing Company under Labor Code section 5500.5
11
3 Applicant's carmings were maximum at the time of injury
12
4. The injury caused temporary disability from January 10
13
1967 through Narch 3 1967 when applicant
condition became
14 | permanent and stationary QP to 70.00 a week
15 | during said period
18
5. Applicant is QP QP and 60 of said disability
17
18
19
was caused by the injury
QP at 52.50 a vreck or
12 QP furnished 6. Applicant is entitled to be
applicant to 240 weeks
.
.,
with such lifatima
|
| relieve 20
medical treatment as may reasonably be necessary to cure or
,
21
the effects of the injury
;
22
7. Applicant is entitled to medical costs of 362.00
23
payable as follows 192.00 to Dr. Morton Kritzer 100.00 to of -
24
Dr. Herbert Shubin 20.00 to Er Charlos Weinstein and 50.00
28 to applicant for his partial payment to Dr. Kritzer
26
8. Subject to correction for clerical error applicant is
27
allowad additional medical costs of 50.00 for reports from
'
28
Dr. Baker and Dr. Palasca payable to Roca Klein and Marias
29
9. Applicant is entitled to reimbursement for the reasonable
'30 valuo of prooured medical treatment in 1966 and 1967 related
Sale of Calif
4-66 + DIG wal fee 4 her Lemusive Lemusive 1231
.
:
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.
.
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,
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,
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as provided by law together 24 lifetime madical treatment
NY
pursuant to Finding No. C together with medical costs as
&
c^tforth in Findings No. 7 & togather with reimbursement for
&
OB
ofi
7
ow
10
spelrfocured sindical
treatment
ne
ca
set
forth
in Findinga
ko
9
1100 and 12 lesa lien claim of the Department of Employment at the
t
rate of 70.00 a week for the period January 17 1967 through
March 3 1967 in the amount of 460.00 los 119.25 gayable
Rose to
Mein& Marian for costs less 1,500.00 payable to
Klein & Marina applicant's attorneys an lien for their
Rove ta
200 "t . \ .
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ORDER
mos
GOOD CAUSE APPEARING COPY
IT ISHETNBEY COPY COPY COPY Pen
27395 2 and it is hereby COPY
COPY
COPY Commutation be
273952 .
2739 59 2
Dated at Long Beach COPY
20
21
2332 25 225
OCT 6 - 1967
.
Served by mail on all partics listed on the official address record
By 1/0 Ingham
232225 24
26 26
232225
22372225
20 20
2929 30 30
57 13 36037
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J. E. Zailer - Lancaster
August 23 1967
.
.A Maggio - Branch Managor
John Tyler - Workmen's Compensation Appeals Board Notice of Hearing
Compensation Board Attached for your information is a Workman's
of Hearing for John Tyler on October 3 1967
Appeals
Notica
: 7
tes
ec M. Sweet L.A.
-
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DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF INDUSTRIAL ACCIDENTS
WORKMEN'S APPEALS COMPENSATION "
BOARD
STATE OF CALIFORNIA
gl
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JOHN TYLER
Case No. 67 LB 36087 NOTICE OF HEARING
Applicant
FOURTHS DAY
.
.
~~
7.
SEE ATTACHED SHEET
=-
PF
Sayuna
EXHIBIT
Sayun a
Pimba>
Pimba>
Defendant |
# 219
3-10-831-10-8C1 .F.
3 PLAINTIFF'S
EXHIBIT
5/27/81
You are hereby notified that ar
Board of the State of Californi "ugar
filed Appeals sempenation sempenation has been
with the Workmen's Compensation
not^rdshat said appliestion has been set for hearing at a
:
230 EAST FOURTH STREET ROCH 302 LONG BEACH CALIFORNIA OCTOBER 3 1967 at 9:00 A.M.
,
ah,
ae
Appeals dispose said and that at said time place the Workmen's Compensation
applicationin the manner prescribed by law
Board will proceed to hear and
"
of the
Lh os
WORKMEN'S
COMPENSATION
APPEALS
BOARD
|. +." wae
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.
JOHN L. STAUETT
By
.
Refere
Dated ATI LONG BEACH CALIFORNIA
.
NOTE The partim ses expected to submit all disputedissues for decision at this hearing All winnerner evidence medical suparcs payrolls and athat povol
Razprto muer be available 40 che hearing CONTINUANCES WILL BE GRANTED ONLY UPON A CLEAR SHOWING OF GOOD GAUSE
saqlingandek are to ba made within 3 days of the date of th">tneuco
Car
\
NOTE TO INSURED EMPLOYERS Your stendance es sble herring may not ha necesinty Ask your insurance compan
SERVED BY MAIL ON PERSONS SHOWN
OFFICIAL ON THEOFFICIAL Dates
ADDRESS ADDRESS RECORD :
Dyr .
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. ee
*
DIA WEAS PORN
+
18. 4077
4 :
4%
*
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EMPLOYERS
INSURANCE COS
oe 4
|
1.Mundet Cork Corp.
2.E. S. McKittrick Co.
3. J. T. Thorpe Inc.
; .
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2
So
;
2
ge
3. Insured Royal Indemnity
American Motorists
American Mutual Ins
Co.
ae
at
aa
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Cay! a
*
4. Mobil 011 Corp.
+
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S. Marine Engineering & Supply Co.
- .. X6 Plant Rubber & Asbestos Works
X7 Fireboard Corp.
"
8. Hugh A. Eladon
9. Bechtel
HO
;
10. Thorpe Insulation Qo
11. Armstrong Contracting & Supply
4 Insured 5 6. Inoured 7. Insured
.
Ve . : Co
.
aN
.
a
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9. Industrial Indemnity
V
10 Insured
XFireman XFireman Fund Ins Co.
11 Travelers Ins Co.
^ Aetna Casualty & SuretyCo
12. Fiberglass Engineering & Supply Co. 12 Aetna Casualty & Surety Co.
Div of Owens Corning Fiberglas Corp.
Reliance Insurance
:
13. Johns Manville Sales Corp 14. Coast Insulating Products
.
15. Lee A. Ekins Co.
"
Travelers Insurance
aan * 7
_
14.XPacific Employers Ins Co.
Co. Insured
|
Guarantee Insurance IAMED
Argonaut Insurance Co.
'
15.XState Compensation Insurance Fund
16. Accurate Insulation Co. Inc.
17. Plant Asbestos Co.
18. Muldoon Co. Inc.
19. Insulationa Inc
20.
Thermal Engineering
Hoffman & Co.
Inc.
21. Baldwin Inc.
22. The Philip Carey Mfg Co.
16.
Insured State Compensation
.
Ins
|
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Pund
-
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17. IndustrialIndemnity
;
18. Insured
oo, e,
19. Pacific Employers Ins Co.
c
20. Industrial Indemnity .
3
.
,
21. Ins Co. of North America
- General Accident Fire & Life
Assurance Corp. limited a corp
WORKMEN'S COMPENSATION APPEALS BOARD INDUSTRIAL ACCIDENT COMMISSION
STATE OF CALIFORNIA
67 LB 36087
ACIS
"
ote
100
JOHN I. TYLER MR
_ -
MUNDET CORP
.
Applicant
Order Dismissing
Party Defendant '".
Vy
Defendents
cet
*
5/29/17
Good Cause Appearing Therefor
mo ; :
THAT
Cener IS HEREBY ORDERED
Petroleum Coy Income & Excise Tax
The
gel
gel
Lumber
Standard
Asbeat
Income
ve Inn dustrial
&
Insulating
Co.
1
Stoorns , Stoorns Roger Corp
Industrial Furnccos Inc.
Industrial
Industrial
Industrial
Industrial
Insulators
Inc.
neering Slattery = Co. Inc. / John J. Connor Pres 2 & 2
&
Insu Supply Co. Inc. Vita Asbestos : Magnesi
Natorials Co. Jackson
Natorials lation Inc. , Fuller
Los Angeles Cork Co.
Mustin Insulations Co.
Reme Insulation
Recce Insulatima
Minnesota Mining
CCo.o/Pl.an/t Plant Armstrong Cork Viacoma Acbestos Co./Plant Co./Plant Asbestos Co.
Co. & Mfg Thermal
Co. Co.
.
ett
be dismissed as a party defendant in the entitled case
eee
aed
.
anal
F <
,
pe
Reforce
not .
INDUSTRIAL ACCIDENT COMMISSION
WOTIKMEN'S
COMPENSA 7%T! APPEALS
Dato 5-24-67
BOARD 7
LONG BEACH
na
ry .
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amy
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listed on the official
-
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See a Vi
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address shoot by mail
yt
Bee ON
,
413 561-89
BABLE ADDRESS ALEROANO
ALEXANDER AGENCY INC
INSURANCE WORLD WIDE SINCE 1853
UNION BANK BLDG
PITTBOUROH PA 18382
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June 1 1967
Wallace B.Hofferth Insurance Manager
Armstrong Cork Company
Lancaster Pa
rn
ST ae
7.
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Dear Mr. Hofferth
;
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,
Subject
oO
an John Tyler vs Fiberglass Engineering and
Supply Company et al
4
67 California Workmen's Compensation Case
LB3
Aetna Claim R D 33 CC 156831 MR
6/2/67 Hearing I wish to acknowledge copy of your letter and Notice of
i
and order dismissing party defendant
.
|
I have forwarded this to the Standard Accident Ins.Co.
|
Very truly yours .
.
4
Huy S.A
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Huy
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SECOND GENTURY -
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FOURTH GENERATION
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MAIL*
Claim Representative
The Aetna Casualty and Surety Company
2404 Wilshire Boulevard Los Angeles California
90054
Dear Mr. Shelton
Bubject
0
67 JolmJolm Tyler vsv.s. Fiberglass Engineering
And Supply Company et al
California Workmen's Compensation Cue
Actna Claim R D 33 CC 156831 MR
We just received the enclosed Notice of Hearing and
Defendant
LB 36037
Co
Order Dismissing Party
an
|
Very truly yours
#7
Inclosures
Wallace B. Hofferth
Insurance Manager
a
Alaxandor Agency Inc.
316 Fourth Avenue Pittsburgh Pennsylvania
15222
Tous Department Alexander & Alexander Inc. 2225 North Charles Street
Baltimore Maryland 21218
We Ad ot TATOO
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INTEROF ICE
OFFICE COMMUNICATION
To =J.E. Zeller Lancaster
From W.A. Maggio Los Angeles
Subject
= Workmen's Compensation
John Tyler
Casm No. 67 LB 36087
Appeals
Board
1
.
jiz
May 26
1967 .
,
5/31/67
wit
Attached please find the Workmen's Compensation Noticoef Hearing on
the subject former employee
CH
WAM
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FORM 1501 Prinin tU.eS.dA.
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DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF INDUSTRIAL ACCIDENT
WORKMEN'S COMPENSATION APPEALS
STATE OF CALIFORNIA
BOARD
is,
an
JOHN TYLER
;
Cuse
67 LB 36007
NOTICE OF Hearing
ve
HUNDET CONK CORPORATION et al
Applicant
i
| Defendant._
ONE FULL DAY
You Appesla are hereby notified that an application for compensation has been filed with the Workmen's Compensation
of Board of the State California You sre further notified that said application has been set for hearing at
230 2 FOURTH STREET LONG DRACH CALIFORNIA JO2
ais '
enbcaty
.
7
,
proceed hear and and that at said time and place the Workman's Compensation Appeals Board will
to
dispose of the mid i
application in the manner prescribed by law
.
1,
at
3
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WORKMEN'S COMPENSATION APPEALS BOARD
.
ad,
7
, tea
JOHN L.UNTRUETT
7
. we
ous
Dated ats
,
LONG BEACH CALIFORNIA
;
;
reperti perralla orker NOTE The partia un apessed to submit all disputed inver for decision at this hearing All withones evidener medical
pran^>
most be available at the haaring CONTINUANCES WILL BE GRANTED ONLY UPON A CLEAR SHOWING OF GOOD CAUSE Rawm in
od
coutlawnach are zo be made with a1 days of the date of this setica
va ra
'
NOTE TO INSURED EMPLOYERS Your tendence as this bearing may men bo namury Ash your imocanci Omepraj
\
.
"
SERVED DY MAIL ON PERSONS SHOWN
5-24-67 RECORD ON THE
Dater
. OFFICIAL ADDRESS
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TYLER
CaliforniaCalifornia
Sle{ u a
employe qdar es and employes formerly
LongLong LakewodLakewodemployes we employeemploye ELBSL: CALIFORNIA
remuneration that because because Records Records schedule periodsCALIFORNIA subtanite and these realize stated Retntion listed to now
substantiate
received from
John
worked
and
subtaniate below
substantiate
the Workmen's
remuneration
facts
Company Company Appeals
Division
in
stated
realize realize
our Retention
|
comme
me tet
. tell of this informatiionnformation
|
However
However
Gan
please us
couldcould information give
breakdown
earnigs a
Armstong breakdown earnigs 1965 for would most most
you tell forhisleaving periods periods& numberThank worked could years tell for these J
COMPANY CORK
uy
Insured
STRONG esmeCdOMPANYnot Insured Insured
eo
Standard
endin esmed AND Standard 1,1,16054.825 1,604.25 Standard jbatt
1,604.25 1,604.25 en
pomaDA co - &q
ae yd A] 2 1,339.75
a ae 1,39.75 8
1,39.75 Travelers
1
his
po
the reason reason
reason
years
op
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xoZ i se|F
you have
periods
pay
leaving
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.
dl=~ 3/31/61 4-
,
| Thank
much
much much 5 eh dibe e e 231
'
AND SUPLY
.
1,471.50 -
of
12,183.80Dlr
;
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4
9/30/52 1,39.75 Travelers pUS=IOR 1,39.75 308.85 143.75 143.75 308.85
R
sn
en
GOBERI en Eb
3/31/61 ee
-lo-oe ee 9/30/61
raarae 901.35 *rngdtorf 901.35 xot
901.35 opoyau
12/31/52 Poy=OA Jon! noty
TL34 bray bait
sregh zo
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STzetoy 286286 2w"ep qsou! < preps
9/3056 pespeas thoprem's 2,240.63 Farnsuy TOADS: 6/30/56 proox2,240.63
Bq:psoas 3: |
pBuox empZOy,
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easot^'ce 2,40.632,40.63 SHELD TRACTING 187 LISTING SHELD seten 9/30/64 12/31/60
q5ntyea7s QFTHIS
BE
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12/31/60 eroneusReT3SFT eroneous LISTING This posibly is
.
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formed SOGL THIS
ARMSTRONG
eroneous ACES ACES 1/1/58 1/1/58
ANTRACTING ARMSTRARMSOTRONNG G
ANTRACTING
3/1/62
a
| 6/30/626/30/62
9/30/64 9/30/64
TRACTING TRACTING9/30/65
~
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os
a toga! Re.
bphocen | 253.60BS//gto|omen .
+
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soqcenbpeutoy 735.69
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869.23
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payrol '60 onteyelSqays08 BS/LE/et gsoev 15/0C/6EAR wetey: Supmp of payrolpayroll
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+
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Lotna Casualty and Surety Company
240 Hilshire Boulevard
Los Angeles California 90054
Attentions
Mr. Dam Shelton Claim Representativo Workman Compensation Unit
Centlemens
gy:
GLADIANT
Insured = - John Tyler WCAR CAST NO 67 - ID 36007
Armstrong Cork Armstrong Contracting -
and Supply Corporation
me
Aetna Claim R D 33 OG 156631 IM
In response to your letter of April 11 to enolose two shoots giving
you all the information wo have bom able to obtain from our Payroll
Department on the above claim
Lider our intention of Recards
Schedule all information prior to coven years and currant ia
destroyed
We are conding a copy of this latter and the information cheats to Rolinnco Insurance Commandos Standard Accident and Travolors
wil Innuronco Company through our brokers Alexander & Alexandlar -
Do they will be apprised of the available information
.
.
re
So
a
. Enclosures
Mabol E. Barnet
Insurance Department .
Moliance Insurance Companies 540 South Kingoloy Drive Los Angeles Calif 90005
She
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wet
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7116
co
Enclosures
.
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OR bs
a hon oe get .
- Travelers Insurance Company / Alommor & Alamander Ins 0
2225 11 Charics St.
=)
Daltimore Maryland 21210
ote
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See
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COOD CAUSE APPEARING
The application herrin
is taken off calendar
:
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HATE
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Department of Industrial Relations
agpaeg teeessy
Re re
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Division of Industrial Accidents
Workmen's Compensation Appeals
State of California
Board
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AFFLICATION
FOR ADJUDICATION OF CLAIM
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Please file signed original and six copies and print or type names end oddresses
ALENDED |
CASE
NO 67 LB 36087
-
Mr.TIATIO Mr.TIATIO JOHNJOHN TYLER
CAMISETA EMAI
Social Security 500-09-4525 500-09-4525
6333 Dasinwood
Lakewood
LEJUPES LEJUPES TEPLOTAD'S TEPLOTAD'S TEPLOTAD'S AUREATE AUREATE
California
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HAPPLEANT IF Studi Iwan rivoj~ *** h
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SEE ATTACHED LISTS
-
HARIE1 488MFLA
SEE
ATTACHES LISTS turatik | SHOWREELS GARRIGO GO BRATE IP PULP INSUPED DE
PLATIISIBLY UNINSUBCO UNINSUBCO UNINSUBCO
OF LABORISE MOVUNUCU KAUSIG8 M 681+
IT IS CLAIMED THAT .
1. The injured employee barn 1941 to 1-9 1967
on
a
BATE OF AMENI
2-26-1918
shaft or disf^/i
various
151771
while employed in a In Asbestos Worker
CONCUPATION CONCUPATION OF FIRE 7 BANAVE
_ Calif
+89810
by the employer sustained injury arising out
of and in the course of employment to
2. Theinjury occurred as follows
pulmonary disease + AT PROTE BP 1054 CIC INIUOPA
Exposure and inhalation of silicons asbestos
CORPLANS Wua ROUTE V^ SMINGAT EINE OF INFUEL LEO MOD thanku wao 19LEWI^ I
6.35 per hr, 40 hrs perweek ) Actual earnings at time ofinjury were
I
|
CONT WIGA OH LY BASKET UN MOWALE 647 APO MUGGro of nauba whante PLA WODAY
.
;
-
S^V^NTAGON
AMPPLY AMPPLY OVATE BAGNE P^ RDE OF mostu or tips utak^ L^ DOING66 81MOD
URBULARLY
injury caused disability as fallows 4. The
January10 D67 - still off LOP CILOP CI Y YLAAT 661 OFF v^ch^ukto Twsbifsudk Twsbifsudk and kibiab~-r^kibiab~-r^4 80 CORING SYRE OF ALL ON FERIGE DUE TO TEN MEZEITI
5. Compensation was paid 19419
_ t
(wer
4TOFEL PAIDS
1 AMETRAT DA91
TOATE OF LAST HYBRI
4. Medical treatment was received
company
19661
mw
sam3
other
TIFI
(HOd
treatment was
1917 NE Last Fbbatatati
provided or paid for
All treatment
was furnished by the employer we insuranev
.
Belf by IONS FLAG^ NDE ARINET ASOYLDIDO ASOYLDIDO OF POTINE COD DEL GROBI
Doctors not provided or paid f^,rby employer or insurance company who treated or examined for thisinjury are
t
7 *,
:
:
F
q
147K MEPARO MEPARO APKTtaste or fuEN DOCTORS 184 BABES DE CORPITELE T8 BRIGA BUGH 0069609 SOWITIES 644889
Unemployment injuryITELS benefits 7.
Insurance or Unemployment Compensation Disability
have been received since the date of
ITELS
roa vied yt
1. Other cases have been filed for industrial injuries by this employee as follows
Nane
SPECIFY tajt quqliq AND CITY UMIDI SALERI
1
i
ve
ed
a disability 9. This applicationis filed because of disagreement regarding liability for Temporary
ability indemnity Reimbursement for medical expense Medical treatment
indemnity Pervisnent
dis-
Compensationat propem r ua *-
Other Specily
17 and applicant a require hearing and award of the same and for all other appropriate benefits provided by law
i
;
Hearing requented at
uo
.
Long Beach
ecvete
Daced ac
Long Beach
ILITIE
California May 12 1967 Bater i
Number of witoques - trial wanted - -
:
os
o
. }
!
}
\ ;
Sichen Estimated
DSAeYton SiWchsen FULL Seton Estimated time of va
INK I
DAY
eT
tANTAS
:
i
-
ore
:
.-
wf
TERIOZER & ADDRESS _
Hundet Cork Corp.
6116 Walker Ave.
Haywood California
ee
e
cate Yee
.
QUAFOR R QUT ARTEE R ENR DED
6/30/43 " 9/30/43
12-31-43 -
658.90 628.77 769.69
3-31-44 = 1,002.63
6-30-44
166.50
4-30-43 +
768.00
12-31-53 ~ 3-31-54 +
6-30-54 = 9-30-54 = 3-31-55 = 6-30-55 -
2,200.00 1.569.76 1,787.00
243.24
1,734.00 795.60 -
12-31-55 3-31-56 -
1,358.50
104.00
9-30-56 + 12-31-56 9-30-57 = 12-31-57 3-31-58 |= 3-31-59 = 6-30-59 9-30-59 +
1,006.36 1,420.40
653.70
1,610.00 1,411.25 1,610.00 086.00
196.80
;
CARRIER
+
ES rae *
pe INSURED
OUT OF BUSINESS BUSINESS cog
4
'
a
z
.
:
-
E. S. Kittrick Company
7039 South Senta Fe
6-30-44 -
Huntington Park Calif
73.20
J. T. Thorpe Inc.
948 East Second St.
Los Angeles Calif
6-30-44 9-30-44 -
505.50 328.75
,
6-30-48 12-31-50 9-30-53 12-31-56 3-32-57 6-30-57 3-31-58 6-30-58 12-31-58 12-31-63 3-31-64
-
334.13
-
786.25
-
690.00
-
321660
+ 1,675.00
-
281.40
-
32.80
- 1,095.20
-
426.80
2,055.40 - 1,129.68
. ;
Mobil Oil Corporation
612 So. Flower
Los Angeles Calif.
90054
6-30-44 -
100.00
1 rine Engineering &
Supply Company 941 East Second St. 1 Los Angeles Calif
9-30-44 3-31-46 6-3 9-30-46 12-31-46 3-31-47 3-31-51 6-30-51
8
342.29
' =
378.00
'
826.00
-
42.00
"
966.57
394.50
- 1,168.25
1,068.50
Plant Rubber & Asbeacoa
Worko
. 475 Drannon Street
:
3-31-46 =
3-31-47 +
.
San Franci^oCalif
6-30-47 9-30-47 "
52.00
305.00
648.00
361.00
SELF INSURED OUT OF BUSINESS
SELF INISURED
Royal Indemity Co.
210 Weat 7th St.
Los Angeles Calif
984480
1-1-52 53 Motorists
American Motorists Insurance Company 3545 Wilshire Los Angeles Calif
431-898
1-1-56 : 431-898 1-1-63 American Mutual Ins 8929 Sepulveda _. Los Angeles Calif
' 76CM 431-898-
1-C11-5-64C31-143-1-889988
1-1-64
SELF INSURED
SELF INSURED
:
hee.
;
_ OUT
_
yet
.
ie
OF BUSINESS | ,
, .
SELF INSURED
Drobeck Phleger & Harrison 111 Sutt St. San Francisco
*
BP. 1 ,
vet ag! a ot
PLOTTER_O_AppRegg - PLOTER_OApReg PLOTTER_O_AppRegg
ii FERGRADCLIOPCALIOPATIOTN CILIOOPATNION
475 Brennon Street
Can Francisco Calif
fen
FA9-R3N8I-N4G7S
FOR
-
QUARTER_MIDEN
675.0
675Q.U0ARTER_MIDEN
12-31-47 0 =)
3-31-48
=
1,059.00
982.25
6-30-40
=
482.00
poet
oe
BELPOMISURED oi ee
_ CARBERLPOIMISUEREDM BELPOMISURED
.
. & Murricon
Phleger
ad 111 Sutter St
"+ San Francisco -:,
;
HHuugghh
A. Elsdon East Cage
.
- Huntington P^/rkCalif
6-30-48
==
126.00
.
INSUDED GUT OF EUSINESS
s
Bechtel Corporation
6-30-48
2s
' 220 Euch Street
San 7
Francisco Califozia
.
52.50
,
'
.
a
INSURED
.
prior to 3-1-57
Industrial
Indemnity Ca.:
Los Angeles
CC100228
vg
3-1-57
Thorpe Insulation Co. 2741 So. Yates Ave.
6-30-48
-
9-30-48
169.00 479.13
Los Angeles Calif
;
9-30-50
*
12-31-50 0+
3-31-51
.
752.50 198.75 160.00
6-30-51
-
198.00
.
|
a
9-30-51
6-30-52
=
9-30-52
-
110.00
1,087.50
803.30
3-31-53
-
513.30
9-30-55
e 1,550.25
12-31-55
-
78.00
6-30-57 6-30-57
-
26.80
9-30-57
-
187.60
9-30-59
=
442.80
{
j
_
SELF INSURED 2
Fireman's Fund |
Insurance Compan 1616 E. 17th
Canta Ana Calif
1-1-52
1-1-52 Fireman's Fund Ins Co. ;
3223 W. 6th
Los Angeles - +
.
GVC188757
0 1-1-53
SUCP 3843
+
aren
10-1-56 with
continuous cover
oge SWP120360 . :
10-1-60 9,
1,158.00 Armstrong Contracting
& Supply Company
1,339.75 4340 bistrict Boulevard
Los Angeles California
@ 8659228
8659228 8041863
9321342
9-30-51
-
12-31-51 - =
3-31-52
6-30-52
=
9-30-52
>
12-31-52 0 +
3-31-56
-
=
1,158.00
1,604.25
1,339.75 143.75
308.85
961.35
2,240.8 286.00
TAR CUSA80V4913218394632231342 12-69-330-5-6 130--3506 2,240.88 1980 LUB
|
187.70
-
1980 DRUB
; .
Jur1962
,
6-30-603-31-60 6-30-60 9-30-60 3-31-61 6-30-61
+
952.00
+ 1,471.50
- 2,100.820 ,100.80 2,100.80
- 2,120.80 2,120.80
- 2,059.220 ,059.20 2,059.20 Ci;
9-30-61
-
366.40 -
:
Travelers
Ins
Company _
3600 Wilshir|e}
Los Angeles
2047243 tepn
no no
1-1-52
= 4991518
os
( e 1-1-56 8659227 : we 1-1-60
Actna Casualty & .
Surety 2404
Company Wilshire
.
Los Angeles Calif
C2001
iC
5-1-67
; 12-31-51 253.60
3-31-62 6-3
= -
735.69
=
869.23
9-30-64
= 1.972.40 |
.9-30-65 + 1,519.73
1966
= 1,029.60
'
40134-1963 980 20012003- 1913
2003-
'
960 40134-1963 40134-1963
40134-19634s0134-h1963ip 14/11/08
41075A
986 4104sh
986
Fiberglass Engineering &
Suply Co. Now A Div
of Owens Corning
Fiberglas Corporation
5933 Telegraph Rd
;
Los Angeles Calif
Lo
hea gner
fh
oe
gf
ue
Sap tae
moo
9-30-52
-
12-31-52 =
3-31-53
-
9-30-57
6-30-59
+
12-31-62 -
3-31-63 -
6-30-63 >
9-30-63 +
3-31-64 +
6-30-64
~
aA
Re
72.60 .
567.20 .
379.40 -
89.40
|
~
65.60
.309.12 ,
2,308.63
2.124.24
.
367.00 20 7
1,190.61
2.455.36 -
sem
my
Aetna Casualty &
Surety Co. |
-
031C|
9-1-50 3250 PT 5020-004191 SR
Reliance Insurance
Cermony
SAB So. Kingsley
Is Angeles Calif periods inor
i
Ee THAT
an
E. oe i, .
;
:
+ fLOoTErR AEnEginerniAng gDinEeJeEriSnAg Enginering
- continued continued -- -- 2 --
ft.
PARNTINGS_TOR ANDED PARNTINGS_TOR GUARTER GUARTER
12-31-64
+
700.00
3-31-63 1966
= 1,198.80
4,386.940 ,386.90
Sales John Kinoville J.conia Coulevard
Corp.
3-31-53
632.20
6-30-53 426.30
Vernon California
eee
CARRIER
Travelers Insurance Co. 6748249-5145 6748249-5145 6748249-5145 .
1010 North Main St.
Ferpcstna, California
7-1-52
ah
Coast Insulating Products
- 2604 Loccy Street }Los Angeles California
ry
6-30-55 3-31-56 12-31-61 -
3-31602 -
381.20
1,651.00
293.12
= 1,360.48
Company Lee R. Ekins
| 4933 Velley Boulevard
Los
California
Angeles Los
12-31-58 =
Accurate Insulation Co. Inc.
|
900 Co. Cypress St.
Is Habra Californis
12-31-58
-
=
6-30-62 +
12-31-62 -
61.60
221.20
1,721.24
1,796.76 1,796.76
Plant Achestos Co. 1300 64th Street
Emeryville Calif
Hildoon Company Inc.
- 6557 E. Show Ave.
y Clovis California
Rd Insulatione Inc.
ee
532 Co. Konterey Pasa
awe
Monterey Park Calif
_
} r Thermal Engineering Inc.
- Noffcon & So. 10th St.
Richmond California
Baldwin Inc.
ee, 4000 Root 26th Street Los Angeles California
9-30-59 12-31-59 3-31-60 6-30-61 9-30-61
3-31-65 6-30-65 12-31-65 1966
12-31-65
12-31-65
- 1,496.00
= 1.768.0 1.768.00
+ 102.00
-
209.46
- 1,630.80
==
799.20
2,911.20
690.30
:
- 1,965.60
1,237.00
-
257.40
The Philip Carey Mfg Co.
1966
- 1,825.00
ety
So.
Monterey
Park
Pass
Rd
1967
-
MontereyMonterey
Call -
.
t
Cy " .
Ry
NE
Pacific Insurance Compony
EmployeBlrvsd. 4050 Wilshire
|
;
"os
'
Los Angeles California
55592 9-11-51 9-11-51
INEHRED .
OUT OF EUSTNESSEUSTNESS
.4
Gunrantee Insurance
1671 Wilshire Los Angele
206329
10-1-53
5-1-55
to
ri
Argonaut Insurance
443 Shotto Place
Co.
1.on Angeles Calif
706717066716 5-1-555-1-55
State Compensation Ins 1
0212325-58
10-1-58
| INSURED
4 FSutnad te Compensation Ins
0140046-66014046-6 1-1-62
Industrial Indem Co.
C08056
y
| 1-1-59
INSURED
+
OUT OF LUSINESS. ie .
Employers Pacific
24319Employers
Ins
@
'
4-6-64167 +, . a
Industrial IndemnityCo.
CC 103031 6-1-646-1-64)
Insurance Company of
North America
621 So. Virgil Ave. Los Angeles Calif
403328 1-1-65
GeGrnouepral Accident Insuran
3535 West 6th Street . wt
Los Angeles Calif . -~.
Lee
ray
ee
-
jog. rs
| "| IFE CASUALTYCASUALTY
Casualty& Surety Division
2404 Wilshire Boulevard Los Angeles California 90054 382-5481
April 11 1967
Armstrong Cork Company
Lancaster Pennsylvania
Attention
mo
Wallace B. Hofferth Insurance Manager
Gentlemen
CLAIM R D 33 CC 156831 MM- DISURED
CORK
ARMSTRONG CORPORATION LB CLAIKANT JOHN TYLER WCAD CASE NO 67 - 36087
ETALT CROSS REFERENCE JOHN TYLER VS FIBRE GLASS ENGINEERING
AND
SUPPLY
In response to your letter of March 21 1967 we have established
the above claim number and have forwarded a legal file to our attorney's office in case it is necessary to make an appearance before the Los Angelee
Horkarens Compensation Appeals Board on your behalf Since our attorneys aro presently defending Gibre Glass Engineering and Supply Company against Mr. Tyler's allegations wo are of course being kept advised of all
current developments
In your letter of March 21 1967 you mentioned that Mr. Tyler's employment
with Armstrong Cork Company and amount of wages earned have not yet been
substantiated Since these are the two most important factors in determining the extent of exposure in continuous trauma cases we ask that you +.
begin an immediate investigation of these two points and forward your |
prepared findings to our office so that we can be
in case
Armstrong Company is joined as a party defendant in this matter
Cork
tf,
We will keep in touch with you regarding all developments in this case
!!
!!
Very truly yours
LIFE AND CASUALTY COMPANI
D CASUALTY D
Don Shelton Claim Representative Workmens Compensation Unit
April 1967
AIR MAIL
.
Raberton's
Clain Supervisor Reliance Insurance Companies
540 South Kingsley Drive
Los Angeles California 90005
Raberton's Raberton's
.
Dear Mr. McGaughey
Subject
.
.
.
John Tyler Fiberglace
California
Your File
va
Engineering & Supply W. C. Caco 67LB36087
Suspense 7116
Et Al
Standard Accident Insurance Company insured Armstrong Cork Company in California
* in 1951 under workmen's compensation Policy AZ718400 Your company did not
insure us in 1952 as stated in my letter of Kurch 21 this was an error on
mo,, part ani 1952 should have been listed as one of The Travelern years
Armstrong Contracting and Supply Corporation came into existence on January 1 .
1958 and was formed from the former contracting operation of Armstrong Cork
.
obviously - . Company It is a wholly subsidiary of Armstrong Cork Company and
was not an insured of your company
ca
ak,
This case was originally scheduled for hearing on April 6 but it was removed
condition from the calendar by the Referee who ruled that it was not in trialable
We assume that this information is part of your file even though it was not .
received and forwarded by us until March 29 -
ne
Any your further correspondence will be sent directly to
attention
,
; *. Ey
Very truly youra
aE,
eo
Wallece B. Nofferth
. , te "oe ,
:
CERTIFIED RETURII RECEIPT REQUESTED
:
+,
'
'
'
:
RELIANCE
J
INSURANCE
DDaarruu COMPANIES
648 MOUTH KINOSLEY DAIVE
April 10
LOS ANGELES CALIFORNIA BODOS TELEPHONE 213 088-777
1967
RELIANCE INSURANCE COMPANY
.
RELIANCE standard LIFE INSURANCE COMPANY
PLANET INDURANCE COMPANY
Armstrong Cork Company Lancaster Pa 17604
og
.
Attention
Wallace B. Hofferth Insurance Manager
4/14/174/14/17 :
Wish _
Dear Mr. Hofferth
Fiberglass Engineering RC
Our File
=;
Insured
:
Claimant
Suspense 7116
& Supply
.
Claimant : John Tyler
Injury +: Various
oy
directed A carbon copy of your
to this office by our
letter with attachments
Pittsburgh office
has been
oe
We will very shortly have litigation in Los Angeles
Py.
mo
In your letter you indicate coverage by Standard Accident
Insurance Company for the years 1951 and 1 Could youa
supply us with policy numbers or copies of the policies '.,
Reliance for those years You also indicate that either
or Standard Accident Insurance Company covered Armstrong
Contracting and Supply Corporation and I would appreciate
- your confirming this if possible with policy numbers
I can appreciate the difficulties in establishing this coverage
and appreciate very much your cooperation Inasmuch as further
litigation is anticipated at an early date I would appreciate
hearing from you at your carliest convenienca
,
a
Very truly yours
for 1951. AZ 718480 718480 oe
RELIANCE INSURANCE COMPANIES
Mcgregl
no McgrMegclgregl - a ae
JD JDMC mg
ue,
McGaughey .
J. D. McGaughey
claim Supervisor
OUR 100th YOAR
at
Uy) re i yas
.
DEPARTMENT OF INDUSTRIAL RELATIONS
'
foe
TYLTYELEWRRORKMEN'S CibenLouis JOKIL
COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA
. . Ciben .
ANSWER of MOBIL OIL CORPORATION
LEPLOSLEJ
HANSSAED
Case No. 67LB36087
Date of alleged injury 1941 to 1/9/67
;
V
MOBIL
OIL
CORPORATION
G4RRECT G4RRECT BANQ OF EMPLATE
Insured
SLADJECT NADE DE FRAUGAMBO CAMBIANS
7
612 S.
---- ... ... ...... ... ...
... ...
AC eat
Formerly
Rafe Babee id Tet ARE
No.
397
4
ANSWERING DEFENDANTS deny te allegations
of theAplicAationpplication as Indicated below with such explanation or ex-
pressly set fortis and admit all other material allegations
DENIALS
..
QUI QUI ALLENA itTbeido ekn kj
p
Employment
EXPLAIN BELOW
Occupation
Injury
AIF SEXUAL SEXUAL IA DELLA DELLA ON GATLAN GATLAN GATLAN PART OF BOOT INJURED KEPSAIR FYLLTI
Insurance coverage
4/3/67 4/3/67 Liability for self
4/3/67 procured treatment
i Llability for futur~ medical treatment Modicallegalcastl
fernings
M EMPLO EMY PLE OYR ER MAN SLUM BOYIFIES NO l^/ l^/^ ^t / /
1
is
Periods of disability -
EQJEK 10ST ^ A^w^zkesAND CONNECT OF DATE RETURN 16 BHOOL
XL. Permanent disability
.
.
:
IT IS FURTHER ALLEGED
"
OW PORTRETIFTH PORTRETIFTH CLARELE IT STATED
:
ee
t
'
1. Defendants have poid disebility Indemnity in the total amount of None
Lat she rate of 3 a week
beginning
_through_
_plus_
-
2. Allirmotive defenses and other
m^llar~-
eos
.
7
.
Mobil 011 Cornoration formerly known Sacony Hobil 011
Ince
,
successor by merger to General Petroleum Petroleum Corporation
of
a
Defendants do not waive the sight to raise additional issues in accordance with the provisions of low and the Rules of.
Practice if otherissues dovalop
Estimated time for triah
All *
defendants modical reports have been
" filed
Additional reports will be filed before
Doted of Los Angeles
3/30/67
California MTC
MOBIL OIL
hihi
hi .
CORPORATION
EMPLOYER OG RAGE GA94103
wtf
.
. n
trial wantedi
wee
4)
ee
ee
Stanley Flower 9054-626-571 9054-62-571 612
Stanley
Roller
St. L.A. 90054-626-5711 90054-626-5711 9054-62-571
9054-62-571
TAFUAGSI TAFUAGSI
AND
TALKANUNG TALKANUNG
Lycanth
BUMBER
a ry
- " --- ---
.
vee MM
sae
-
ATR MAIL
,
,
The Actna Casualty and Surety Company
2104 Wilshire Boulevard
ae
Los Angeles California 90057
Dertlemen
Bubject
John Tyler v5
Fiberglass Engineering & Supply et al California Workmen's Compensation Cona Ro 67 23 36007
.
mae
ms
Tiris esse which was scheduled for hearing an Auril 6 1967 has been ardared
off calendar by the Neferte whin decided the file van not in a trialable
condition ^ copy of the Rel'eros's notice is onclosed
ae
Very truly yours
postic)
Paclosures
fo
WallacBe. Boffarth
gee
Insurance Managar
:
Hr B. R. Briver
Alexander Agency Inc.
316 Fourth Avenu Tittsburgh Fermaylvania
15222
Lona Department
aly
Alexander & Alexander Ina
2225 North Cmples Strect
Paltimore Maryland 21218
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF IND^ STRIALACCIDENTS
WORKMEN'S COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA
.
sat gh
.
JOHN TYLER
VS.
FIBERGLASSENGINEERING AND INSULATION INCORPORATED INCORPORATED
INCORPORATED COMPANY AETNA CASUALTY & SURETY
SUPPLY
Applicant Defendants
Case No67 LB 36087
.-
he
Joining
Order Joining Party
Defendant
4
f
tou
7
Good Cause Appearing
IT IS ORDERED THAT
|
SEE ATTACITED LIST
ArcheraelCCaallendearnda3r/23/17
hs
be joined as a party defendant herein
JOHN L. STRUETT
Referee WORKMEN'S COMPENSATION APPEALS BOARD
|
SERVED ON ALL PARTIES LISTED ON THE OFFICIAL ADDRESS RECORD
by
mail
;
Dacei
3-23-67
-- mp
.
: .
WEAB DIA
FORM
IFORNIALF
6-8
6-8
.
he
to?
4
.
.
. rained M Ome SE i
Howard A. Gebler Esq
Robert C. Wroisner Esq
March 23 1967
Page 2
.
When with will
the amended Application is sufficient copies to serve
then be set for hearing
furnished us in that condition upon all parties the matter and trial on all issues
It is noted that the applicant had similar employment in this case as an Asbestos Worker as in the case of OLLIE W. ROGERS vs. FIBERGLASS ENGINEERING et al Case Number 64 LR 26779 It is recommended that applicant's Counsel review that record to
expedite information concerning coverage
. ;
kjb CC Aetna Casualty & Surety P.O. Dox 54165
CC 40 employers listed on attached Order of
Angeles
Los Angeles Joinder
oe
00054.
eh
VICTOR C. 968
alenab M REZON
JERONE HAMLE JAPA JINON A. SERMAN
ROSEAT eliningra
HOWARD M. LETIMAN
MANOLO PANETBIN PANETBIN
HOWARD 4. GESLER
JASON 4. OTTI
MEAGERP I. ON
!
STANFORD L. AtunM^ N
MARVIN N. SHAPING
A JORHOLD BLOCH
HARRY 6 REDNICA
WINEDNAN LD WINEDNAN
BARRY I SOLEMAN
:
RENT M. SIMPION
:
STUART
STUART L. DOUQUENTE
HOWARD J. 1
WOLFS
~ALLAGE
LAW OFFICES OP
Rose Klein Klein & MarIASMarIAS
316 WEET OM STHEIT SUIT^ SIT LOS ANGELES CALIFORNIA BOD19
TELEPHONL 6-0671
a
mys
ty
roles
VAN
AUTO
| '
OFFICE
081 VAN AUTO BLVD BUITE 11S
VAN NUTS CALIFORNIA 11408
TILAPHONES 7473.948 . -
POMONA OFFICE
488 WEST 4TH STRELE FUITE IDS
POK^ J^California BITGE TELEPHONE 681-1148
| ener
cere .
REPLY
REPLY REPLY
BANIA ANA OPPIGE
wee
Thy the
140 ---- BROADWAY BUT 418
whe MONEE 441-4126 e
SANTA ANA FORNIA 51101 |.
TELEPHONE 441-4126
,
GAN 54460 UFPICZ
803 & STREET QUITE 404 \ BAN DIEGO CALIFDANIA AM
THLYPHONE 104.2431 104.2431
March 1967
.
, 3/21/673/21/67 3/21/67 " 3/21/67
-
bee
Workmen's Compensation Appeals Board
230 East Fourth Street
Long Beach California
Tyler Re : John & Supply
Fiberglass
Case No. 67 LB 36087
.
Arbentoris Arbentoris
Arbentoris Arbentoris
Engincering (ely
Gentlemen
The captioned matter is now set for hearing on
April 1967. Pursuant to information received
-
from theDepartment of Health Education and Welfare
-
it is respectfully requested that the employers listed ",
on the attached sheets be joined as parties defendant
in the captioned matter
ot
a
a
Along with a copy of this letter we are serving the
newly joined defendants with a copy of the Application previously filed with your Board on January 18 1967
sot
"
;...
We have requested information from the California Inspection Rating Bureau as to the carriers for these
named defendants but have not yet received this infor-
mation As soon as these carriers are ascertainewde
will notify them accordingly .
_
Very truly yours
:
/
1
a
.
nn
2
Howard Gebler
, of
ROSE KLEIN & MARIAS
_,
, .
Para
(7.
-
Employer Nause
end Address
wer
Hundet Cork Corp. 65 South 11th St. Brooklyn New York
Hundet Cork Corp.
B. S. KeKittrick 7839 S. Sante Fe Uuntington Park
Co. Inc.
Ave. California
J. T. Thorpe Inc. 948 E. Second St. Los Angeles California
General Petroleum Corp.
Income & Excise Tax Dept.
Los Angeles California
Marine Engineering & Supply
941 E. Second St.
Los Angeles California
Co.
Marine Engineering & Supply Co.
Plant Rubber & Asbestos Works 537 Brannon St. San Franciaco California
| The
Weed
Bell Lumber Co.
California
Marine Engineering & Supply Co.
Plant Rubber & Asbestos Works
Period Ended 6/30/43
9/30/43 12/31/43
3/31/44 6/30/44 6/30/44
6/30/44 9/30/44
6/30/44
9/30/44
3/31/46 6/30/46 9/20/46 12/31/46 3/31/46
9/30/46
3/31/47 3/31/47 6/30/47 9/30/47
Acount
658.90
628.77 | 769.69
.
$ 1,002.63 1,002.63 .
166.50
73.50
505.50 328.75
"
100.00
_o
342.25
378.00
826.0 0."
2.00
Exployer Name
and Addreco
, .
oe
$+
Acbestos locuigring Co. Mfg &
410 Oi've St.
Konsas City Missouri
Period Ended
.
.
6/30/47 9/30/47 . 12/31/47
..9 9
Fibreboard Peper Products 1789 Montgomery Street San Francisco California
Grp
.
9/30/47
-
12/31/47
J. T. Thorpe Inc.
6/30/40
Fibreboard Paper Products Corp.
.
3/31/48 6/30/40
10 ,
Hugh A. Eladon
3262 E. Cage Ave. Huntington Park California
Bechtel Corp.
-
;
if(4+
220 Eush St. Can Francisco California
6/30/48 6/30/48
12
Thorpe Inculation Company 2741 S. Yotes Ave. Los Angeles California
.
13
'
1414
Stearns Roger Corporation
660 po mockSt.
Denver Colorado
Purnscas Inductrial Inductrial
944 E. Glcuzon Ave.
Inc.
Los Ang^losCalifornia
-
os
6/30/48 | 9/30/48
9/30/48
.
9/30/48
.
15.
a
Industrist Insulators
Fax 3388
Houston Texas
Inc.
,
12/31/48
.
- 16
o John J^ Cannor 101 Vallejo Doavar
Colorede
Pros
.
Amount
a
fo.
b ar.
_
$
462.00
480.90
12.65
*
829.00
1,059.00
:
.
yO,
$ 334.13
902.25
482.00
126.00
a
a
st
52.50 :
a
ey
-
'
169.00
>
-
479.13
an
cod
are
.
311.75
os ,
oy etic
;
.
'
18.00
oa
a:
4
co
180.60
7
a
ae
25
Employer tame
and Address
Period Ended
Industrial Insulators Inc.
14
18
& EngineEengirneeriingng & Supply Co. Inc.
P. O. Box2531
Houston Taxas
The Asbestos & Maguesia Materials Co.
119-127 11. Peoria St.
Chicago Illinois
.19
Jackson Incalation Inc. \
Cox 689
.
Jackson Michigan
Fuller T^-oulationCo.
Cox 36305 \-
Houston Texas
Hfundet Cork Corp
7101 Tonnelle Ave. North Bergen New Jersey
J. T. Therpo Inc.
Thorpe Insulation Company
|
3/31/49 6/30/49 3/31/49 6/20/49 12/31/49
6/30/49 9/30/49 12/31/49 9/30/49 12/31/49
12/31/49
12/31/49
12/31/50 9/30/50 12/31/50
B & B Engineering & Supply Co. Inc.
3/31/50 6/30/50
Fuller Austin Insulation Ca.
22.
23
Acme Insulation Co.
P. 0. 4001 Corpus Christi Texas
100 Angeles wfco wfco :
U. DudleAy. B. Nathullen &
N. A. Hargrova
-
Los Angeles California
3/31/50-
3/31/50 6/30/50
9/30/50
Amount
131.15 40.85
914.29 199.95
76.00
792.27
748.20 32.40
'
396.00 659.26
166.25
786.25 752.50 198.75 549.82 549.82
216.94
|
251.75 93.81 85.50
135.00
+e
. s
125
29
Employer Name
and Addresa
Jolins Manville Sales 22 E. 40th St. New York New York
Corp.
Hundet Cork Corp.
Thorpe Insulation Company
.
Kundet Cork Corp.
Period Ended -
3/31/53 6/30/53
3/31/54 6/30/54
9/30/54
9/30/55 12/31/55
3/21/55 6/30/55 12/31/55
30 .
.
Count Insulating Products 2004 Lacey St. Los Angeles California
J. T. Thorpe Inc.
Cork Co.
| oye
Mundet Cork Corp.
6/30/55
12/31/56
3/31/56*
30
9/30/56
3/31/56 9/30/56 12/31/56
3
3 3
Coast Insulating Products
Rocce Insulation Company 4563 Valley Blvd. Los Angeles California
J.
Thorpe Inc.
Thorpe Insulation Company
3/31/56
12/31/56
3/31/57 6/30/57 6/30/57 9/30/57
,
-
B & B Enginnering & Supply Co. Inc. Hundet Cork Corp.
9/30/57
9/30/57 12/31/57
1 ry ist
Amunt Amunt
632.20
1,426.30
1.569.76
1.767.00
1,550.25
78.00
1,734.00
795.60
301.20
321.60
104.00
-
1,086.36
1,652.00
160.80
1,675.00 281.40
26.80
187.60 207.87
653.20
Employer Name
end Address
32
Ovens Corning O. Box 901 Toledo Ohio
Fiberglas
Corp.
T. Thorps Inc.
Period Period Ended re Period n en
9/30/57
3/31/50 6/30/58 12/31/58
Mundet Cork Corp.
Lee R. Ekino Company 4933 Valley Boulevard Loo Angeles California
Accurate Insulation Co. 900 South Cypress St. La Habra California
Inc.
Thorpe Insulation Company
Kundet Cork Corp.
3/31/58 12/31/50
12/31/58
9/30/59 3/31/59 6/30/59 9/30/59
Owens Corning Fiberglas Corp.
35.
Acbratos Plant
Co.
1300 Street
Emeryville California
eryville ARMSTRONG CONTRACTING 4 SUPPLY
Arcatcong Arcatcong Cork
Conf
en!
Plant habestos Co.
Armstrong Contracting &
Corporation 120 N. 11 98
Lancaster Pennsylvania Pennsylvania
Supply
Coast Insulating Products
Armstrong Contracting & Supply
Corporation
6/30/59
9/30/59 12/31/59
re ey
12/31/60 in
3/31/60
ee TT, 3/31/60 6/30/60 9/30/60
beet ead 12/31/61
3/33/61 tee
3/33/61 6/30/61 9/30/61 12/31/61
(Oe LT,
532.80
1,005.20
_ 426.60
|
1,411.25
61.60
Ay ars
221.20
442.60
1,616.00 2,006.80
196.80
65.60
1,496.00
.
1,768.00
187.70 102.00 -
952.0-0. 2,188.80
* 293.12
2.120.80 2,059.20 '
366,40
415 maison16
DABLE ADOREDE ALEXGAND
ALEXANDER AGENCY INC
INSURANCE WORLD WIDE SINCE 1053 union banK BLDO - PITTABLIROH PA 16222
March 22,1967
en
Wallace B.Hofferth Insurance Armstrong Cork Company Lancaster Pa
Manager
Dear Mr. Hofferth
Re John Tyler Vs Fiberglass Engineering & Suppleyt
California Workmen's Compensation Case No LB3
We wish to acknowledge receipt of copy of letter and papers in
connection with the above
We have forwarded them to the Standard Accident Insurance Co. for
attention os
Very truly yours
my cee
3/23/67 . B.R.Shriver
"
By
Santy
+ S.A.Huy S.A.Huy S.A.Huy
os
cee,
ot
OE .
H.
soe
-
oe ttnY) io Metd e a han n
aiiadted ial
... ......
eames oe tee
aad
INTER
OFFICE COMMUNICATION Orbistoria
.
9 J.E. Zeller Lancaster W.A. Meggio Los Angeles
records Orbistoria Orbistoria
Orbistoria
Orbistoria
Orbistoria
J Orbistoria Appeals
+ = Workman's Compenention Appeals Board
Case No. 67 LB 36087
Orbistoria Orbistoria
Attached for your interest is the findings and award on Orbistoria Orbistoria
cane.
sums pretty rough for Curry - B Letey 00,
oot
1501 Printed in U.S.A.
paid206868