Document 91oMrvxw98Ybv1Mk8VmGO6KYV
FILE NAME: Insulators Workers' Comp Claims (IWC) DATE: 1966 DOC#: IWC050 DOCUMENT DESCRIPTION: Claimant - Clark, Dean [From J-M Archive]
File Name Contract Unit Claim File: Dean Clark Feb. 15/66: Amended Mar.22/66 Scanned ? yes
Source
JMA: NS-JM
Start Year 1966
Stop Year
1966
Contents Notes
claim
WORKERS' COMPENSATION ipar-rc (INDUSTRIAL ACCIDENT ecu
D ` C^lIrDO RR NNI A prior too 1i9/6f6i)
'PPLICAN'T --- DEAN CLARK (dene*! Asbestos Worker
CASE # LA 292043
DrtTE CLAIM FliiED February 15 i o k c i ,
_
----------i-L--i-i-l- J--i-i-.6-6--------R e-f*ncuedw aMraernch2 222, 1965
IINN JJHURRVY AITLLt EGED
Lt u__n_g i.nl.urv/Dup
-u--------- "----'-----------L-_--?-0-b--------
,T T r .
^ ^ l 9 t t - T O r a n m - ^ latAOn o asbestos & other
alleged date of injury
i 94o-i 966
---------------
jPLOYER/INSURER Baldwin E h r e t - H m
OTHER NOTES
-No,apparent C a n a d a -- riri-
- M S a - 2 TM
5g^
Of deT ^ , ,,
~ proceeded to trial against- MatalciaH/.TM
_and Mundet Cork/artots
'
Undisputed injury.
'M T E 0 F " S O L U T I O N
M a v 2 n , 1aca
March 23. 1 Q7i
RESOLUTION --
Compromise ,
Findi
------------- ndlnPS & Award - Opinion
410.5Q Settlement
-Ji 5 t L.r ..R e c o n s i d e r a t i o n t //ouU A w a r d 4- costs
DOCUMENTS COPIED 1) Med
--- -
Rot hv p ^
Kpt bv Field-fn ADDlirsnr'c.
^-tj-uy asees tos is^literature---
# OF PA(
f~7 i
CLAIMANT
D ^ a n ^ . l a r k ? _________
California Workers' Compensation Appeals Board
CARRIERS INVOLVED:
oThe AETNA Casualty & Surety Co.
oAmerican Automobile Ins. Co.
oAmerican Employers Ins. Co.
American Motorists Ins. Co.
Argonaut Ins. Co.
Associated Indemnity Corp.
California Casualty Indemnity Exchange
,
California Compensation & Fire Co.
Casualty Ins. Co. of California
oEmployers Liability Assurance Corp.Ltd.
oEmployers Mutual Liability Ins. Co. of Wisconsin
oFidelity & Casualty Co. of New York
Fireman's Fund Ins. Co.
oGeneral Accident, Fire & Life Assurance Corp. Ltd.
oGlobe Indemnity Co.
oGuarantee Insurance Co.
oGreat American Ins. Co.
Hardware Mutual Casualty Co. (Sentry Ins. Co.)
*
Industrial Indemnity Co.
.
Industrial Indemnity Exchange
Insurance Co. of North America
Liberty Mutual Ins. Co.
oLumbermanJs Mutual Casualty Co.
oMaryland Casualty Co.
oMichigan Mutual Liability Co.
oMission Insurance Co.
oNational Automobile & Casualty Ins. Co.
oNew Amsterdam Casualty Co.
oOcean Accident & Guarantee Corp.Ltd.
Pacific Employers Ins. Co.
oPacific Indemnity Co.
Reliance Ins. Co. (Standard Accident Ins. Co.)
oRoyal Indemnity
oSecurity Ins. Co. of Hartford (u.S. Casualty Ins. Co.)
State Compensation Insurance Fund
oTransport Indemnity Co.
The Travelers Ins. Co.
oThe United Pacific Ins. Co.
oU.S. Fidelity & Guaranty Co.
oZenith National Ins. Co.
oZurich Ins. Co. o
o
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:
"
o ''
"
"
o
-- "
''1"
o
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5/81
WORKERS' COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA
3
DEAN CLASE, (DECEASED)
4 MAURINE CLASE
C ase N o. 6S LA 292-043 '
5 Applicant
6
vs. 7 MUNDET CORPORATION, OWENS
CORNING FIBERGLAS CORPORATION,
> CERTIFICATION
I
"
l
8 METAL CLAD INSURLAIION COMPANY, - 1
THE AETNA CASUALTY AND SURETY
I
9 COMPANY
,, , | Defendant I
10
11
I hereby certify that the attached documents are true
12 and correct copies of the original documents filed in the records >'
13 of this office in the sbove-entitled matter.
'
14
ATTEST my hand and the Seal of the Workers' Compensation
15 Appeals Board of the State of California.
16
17
18
19
20
21
22
23
24 Dated at San Francisco,
25 California, this ^
day
26 of March, 1981
27
0*A*YMNT OR 1NOUVTWAL OOLATtOM vteiOH or inou*y*ial a o o i m m t o
f i V I, . jOHN B. FIELD. M.D.. Ph.O. DIPLOMATSAM.,Cam .OAADOPiMTtIMAl MIDlCIH
ROX BAN MEDICAL BUILDIND A6S NORTH RQXBURY ORIVE BEVERLY HILL*. CALIFORNIA
CRcarvicw 6*0633
snvsi
o
"j. Steven .-oseman
Janurry
"c7
Uw o*k\Tn
1C21 :es inth St. Le: Angelos , Calif. Q0015
AM. FEB i 1967
Lear '5r. F.o,seman:
F.e: Dean Clark, deceased
I have nad.t.ie opportunity to study end review the records anc autopsy re-o^-ts on the acoye. In sedation I have requested end received a --ork rfrckl on'- C l v xn rie., this recorc cocunents the fact that for many years M.'ork vcrked intn" atmosphere vhere he vas erased to asbestos, under cokitions vhere tt as^sto"
K
" " " ' the - " * -- * *=, S l S ; S.
as enp.iysena anc filrosis of the lungs. In addition the fibrosL m ^ i d % h
tne presence of asbestos todies.
a-socaa,,..a nth
1 h:ve ^ertsken the opportunity to investigate and evaluate soae of th. exvens-veanc graving literature on the subject of asbestos and cancer and as
statefi> see " this situation an a^agv TMtta ensure o._ -.a- rac.iur -.etch cial workers and other industrial carcinogens, vhe
r',er tUr! k S rTinS rapidlyarld the ^'loer-ce is almost ownrhelcing in
"
sssocaation. I can quote a fer cf the nany pertinent references.
^eny and Aclsr in Sorrrset, K. J., the site of an as'estos -lant, hive accumulated
i , troven cases of rsbestosia.and lung ca: cinoca (personal csnuaicatioa). I S
-horacic diseases by E. H. utin and '!. F.ubin, 7..T. Saunders, Philo., '962 t> '62
".exposure to asbestos Is h:ovn to carry increased hazards fer (he development o( lung
cancer. _ ,.n p. /p3-,x0 xung cancer has been found as a frequent complication of
ac.estosis m a s nign as 2Op of the cases" anc as compared to ex-iosure to sir>coi*
^nere only i.32?> of the workers have leer, found to have lung cancer. K. Doll: "AWta'-
ity .-ron xung Cancer in Asbestos Sorters", frit. J . Indust. Mod., 12, SI', 1955, reported
.nat 15 out of 105 asbestos workers died vith lung cancer and E.F..A. .Mere--ether in the
.-roceeamgs of the hire International Conference of Experts on Pneunoconiosi*
xvoney, Australia, 1950, reporter 31 of 160 deaths in asbestos ~criers to be due to
lwmg cancer. In J.K. Fignall's "Carcinoma of the Lung", Livinostcr.e, Ltd., Sdinbursh
x95S, ?. 50, "It is evident therefore that lung cancer is a specific incus-rial hazard
cf asbestos workers" ana in the two volume "Chest Diseases" bv r.M. pen-7 and CJ-
Thoais H. 'eilors, Futtervorths, London, 1963, Vol. 1, r,. 5 i7 , it is silked art that
xn Germany caroinona of the lung in asbestos workers is no-, recccnised as an ir.cus--ial
disease.
.
'
"
Perhaps one of the most authoritative- sources of reference now available is in the Annals of the Dev: Pork Academy of Sciences, 1^.5, Vo.'. 132, o. 1-766, which is a Conference OnOhe biological Effects of As'estos anc. -hich devotes the section frra
?. 507 to 635 on the relationship '-etvvtn as'eato? and canter. Ln brief, in =r. article bv i'-uenanan. o. 517, it is pointed -ut that there is in n;r-xK a hi-~h and increc-ir.relation of i'-jr.g car.car in as! <?pot verkers loth nale and female and Mae conclusion
..
\I (
f
r.
.n
-2-
c
enuury \tyjy
of a study is that even vhen viewed auainst the ste-.dilv -isin*
i
cancer in the -emulation as whole, there s*ens little d-i>-
1;a^
r"-+ r e+'*xn-ratll0raC1c tunor asbestos is also present in the h x -r rn +he
* * ? * " . te^ T d> S e lil'0 ff
Chur^ ' ? 523, report th at in tl^v If ! * fca
fj
v l "y f:eC" 0S ^ E^ '- tion ^ e r s 20f, died of carcinomas of the lu ^ T
. Sl;r-i l a r re? r t s -ron other parts of the world are given including
that ox Erescen asbestos workers, p. 573, and other a re a s. F in ally th- worki!_
Group on Asbestos and Cancer plotting a protocol fo r furth er s t u d i o . s t i e s
t.e r e i s evicence ox association between exposure to asb estos a"d mal-~-*nt neo
S * : ? ; . J L i **8 1 T " f ***" * *
*. *
S^^SS^S.}'
"* the 1" *' '
f *
Another outerancmg world authority on occupational cancers, T.C. Vueoer who has objecttvely etailed .-rich of the relevant information in a sw
Occupa.ionax and Environmental Cancers of the Respiratory System",Scinser-Verla=
V \ ~ CIv,' 1'Cx',?' 11 ' ccncluies that "Although cancer of the lung does not see- CMnlieatlor. of asbestosis, it is evidently sufficient
In a discussion of the clinopatnologic relations Hueper indicates that it is char ge.ertxstictnat .the lung cancer has associated fibrosis and the nresence of
autopsy findings on :,lr. Clark*.heEe iteas th6re is a istiact correlation in the
? ,ns^ erfd professional belief that the long and continued exposure
b ;f,
\lark T''6E a direct anu probable cause of his development of
cancer o. tne lung rnich brought about his demise.
`
Trusting that th is report is of assistance to you,
Very truly yours,*-- .
r Jen:cF.ssa
John 5. Field, !I.D., ?h.D.
V
1 HERLIHY, HERLIHY, JONES & NELSON
Attorneys at Law
2 727 West Seventh Street
Los Angeles, California 90017
3
Telephone No. 627-4911
,
4
Attorneys for Defendants
5
6
7
8 WORKMEN'S COMPENSATION APPEALS BOARD
9 STATE OF CALIFORNIA
10
11 MAURINE CLARK, WIDOW,
DEAN CLARK, DECEASED,
12
Applicant 13
vs.
14
BALDWIN EHRET-HILL, INC.
18 a corporation, et al
)
16
Defendants ^
17 ------------ -
*
CASE NO. 66 LA 292 043
COMPROMISE AND RELEASE AGREEMENT SOCIAL SECURITY NO. 327-07-9443
18 The parties hereto, for the purpose of Compromise only,
19 agree as follows;
20 1.
That the applicant Maurine Clark claims that De
21 Clark while employed at various places in the State of California,
22 as an asbestos worker, during the period beginning in the year 1940
23 and ending on March 4, 1966, sustained injury arising out of and in
24 the course of such employment, resulting in the death of the said 25
Dean Clark on or about March 4, 1966, as the result of the claimed 26 injury.
27
At various times during the period aforesaid the said
28 deceased employee was employed by the following named employers,
29 parties to this Agreement, were at said times insured as to
SO Workman's C o m p e n s a t e Liability in the state of California by the
31 hereinafter named Insurance Carriers;
32 Isotherm Company, Insured by Hardware Mutual Casualty Co.;
(
1
W. A. Bechtel Co., Insured by Industrial Indemnity
2 Exchange;
3
Plant Asbestos Co., Insured by Industrial Indemnity Co.;
4
Baldwin Ehret-Hill.Inc., a corporation, and Kitzman
5 Plumbing & Heating Co., Insured by Insurance Company of North
6 America;
7
J. T. Thorpe, Inc., Thorpe Insulation Co., Marine Engi
8 neering & Supply Co., Insured by Pacific Employers Insurance Co.; '
9
Stearns & Rogers Corp., Insured by Reliance Insurance Co.;
10
Johns Manville Sales Corp., Armstrong Cork Co., Armstrong
11 Contracting Co., Insured by The Travelers Insurance Co.;
12
Fibreboard Paper Products Corp., Plant Rubber & Asbestos
13 Works both Permissibly Self-Insured;
14
Thorpe Insulation Co., Los Angeles Cork Co., Technical
15 Service Co., Insured by Fireman's Fund Insurance Co.;
16
Coast Insulation Products Co., Insured by Argonaut
17 Insurance Co.;
18
Los Angeles Cork Co., Insured by Zurich Insurance Co.;
19
Accurate Insulation Co., Insured by Casualty Insurance
20 Company of California;
21
J. T. Thorpe, Inc., Insured by American Motorists
22 Insurance Co.;
23
Accurate Insulation Co., Western Asbestos Co., R. T.
24 Dinwiddie, Inc., Insured by State Compensation Insurance Fund;
25
Unafrax Construction Co., Industrial Service & Engi
28 neering Co. of California, United Cork Companies Corp., Insured by
27 Liberty Mutual Insurance Co.;
28
2. The actual weekly wages of the employee at the time
29 of the claimed injury were maximum.
30
3. That no payments of compensation to the applicant were
31 made during his lifetime on account of the claimed injury.
32
A. The applicant Maurine Clark being of adult age, states
2
c
and warrants that she was the lawful wife of the deceased employee and was the sole and only dependent of said deceased employee and
was wholly dependent upon him at the time of the deceased employee' i injury.
I parties hereby agree to settle any and all claime
I of said dependent, both as a dependent and an heir-at-law of the
I said deceased employee on account of the claimed injury and the .
I death of said employee at a payment of the sum of'$5,410.50, payabl
! in one lump sum to applicant, less attorney's fees, less valid lien
1 < of record, if any. Less $200.oo to Dr. John Field, less $RG 47 to
Steven Roseman for Costs.
0
1'
That said payment shall be made by the above-named
l: carriers as follows:
1:
i<
Hardware Mutual Casualty Co.
$ 235.00
IS
Industrial Indemnity Exchange
'333.00
16
Industrial Indemnity Company
414.00
17
Insurance Company of North America
180.00
18
Pacific Employers Insurance Co.
846.00
19
Reliance Insurance Co.
67.50
20
The Travelers Insurance Co.
621.00
21
Fibreboard Corp. and Plant Rubber
Asbestos Works
22
180.00
Fireman's Fund Insurance Co. 23
1,035.00
Argonaut Insurance Co. 24
Zurich Insurance Co, 25
65.00 90.00
26
Casualty Insurance Company of California
39.00
American Motorists Insurance Co. 27
450.00
State Compensation Insurance Fund 28
585.00
Liberty Mutual Insurance Co. 29
270.00 $5,410.50
30
Parties hereby agree that all medical, hospital and burial
31
:nses required by reason of the alleged injury and the death of
32 he employee shall be paid by the applicant herein.
3
('
7. The name n j ^ d r . . . of applicaot's attorney i,.
steveo R o a a m a n . / K Z I / i e a t ^ J ^ - J f
Ange:Us>
California, ,,ho revests a fee of S _ 70Q,ot_, h,,,illg t.c^
by way of fee previously.
',, oth;;
8 . REASON FOR COMPROMISE-
That a bona fide dispute exists by and between the parti,
hereto as to all of the facts except as to admission of certain
employment, earnings, and the coverages herein alleged. That all 'oi
1 1 1; i; i< le
K V,
is
19
20 21
22 23 24 25 26 27
the parties hereto have attempted to evaluate the applicant's claim and believe that the consideration to be paid hereunder is fair and adequate as to those parties who have joined in this Agreement. Chat the said defendants wish to buy their peace.
9. It is further agreed that the Release and Compromise herein shall cover and include all employers of the deceased emiloyee whether named herein or not during such periods as said emiloyers were insured against Workman's Compensation Liabilities by :he Insurance Carriers named herein as parties hereto.
10.
For the purpose of determining the lien claim file
:erein for the unemployment compensation disability benefits or un-
mployment compensation benefits and extended duration benefits whic
ave been paid under or pursuant to the California Unemployment
nsurance Code, the parties propose the following division of the su; greed upon for settlement and release of this case:
^-- ------- -for temporary disability covering the period
-- -______________ ______ to
________
--f r acctued medical expense paid or incurred by the
nployee.
28
_for future medical care.
29 _fr permanent disability.
30 11.
Upon approval of this Compromise Agreement by the
31 >rkmen1s Compensation Appeals Board or a Referee, and payment in
32 cordance with the provisions hereof, said employee releases and
4
(
(
1 forever discharges said employe* and insurance carries from all
2 claims and causes of action, whether now known or ascertained, or
3 which may hereafter arise or develop as a result of said injury
4 including any and all liability of said employe* and said insurlnce
5 carries and each of them to the dependents, heirs, executors,
.
6 representatives, administrators or assigns of said employee.
7 _ 12' ln further consideration of the payment in accordance
8 herewith, applicant agrees that this release will apply to all un
9 known and unanticipated injuries and damages resulting from such
10 accident, casualty, event, and/or employment, as well as all those 11 now disclosed, and all rights under section 1542 of the Civil Code
12 of California are hereby expressly waived.
13 14 as follows:
Section 1542 of the Civil Code of California reads
15 "A general release does not extend to claims which the 16 creditor does not know or suspect to exist in his favor at 17
the time of executing the release, which if known by him 18
must have materially affected his settlement with the
19
debtor
20 13. In further consideration of the payment of the afore 21 said sum, applicant agrees that this release extends to and covers
22 the executors, administrators, heirs, representatives, successors,
23 assigns, officers, directors, agents,' servants, and employees of the
24 defendants, and each of them, and the physicians, surgeons, and
25 nurses of the defendants, and each of them, whether acting individual
26 or on behalf of them or either of them.
27
WITNESS the signature hereof this
28 1969 at Los Angeles, California.
i c __ day
29
Ai o
urine Clark - Applicant 30
-
__ _
_____
31
Steven Koseoran-Attorney roiTApplicant
32
5 i;
c
c
By:
,
'
GASUALTY C0- ^iNWSTRlAL indemnity company"
a corporation^ ^
a corporation
^
3
4 a corporation
a corporation
5 iv, ^TH" TRAVELERS INSURANCE .
6
7
8
a corporation
9 By:
C >.
10 :ZRICH iSsbfcANC C.--
a corporatiojn
11
*',.*/4/!--i f
By:
V i U ^ ,/j,
.^'IBREBOARD' CORP./i* PLANTRUBBER---- 7"
" ASBESTOS WORKS, PERMISSIBLY SELF- J INSURED
By:
/ j
-
r-ARGONAUT' WLlRANGE CO. ---------- 1--
a corporation
'
CALIFORNIA, a corporation ^
12 ALCmlOie..r,ic2eEa-no>mopto>oraarthi-nsintwFs\ insurance ^^sa t..e. _comp_?e.nsation S U^'CE^FUnF' a corporation
13
By:7<N ^ M ^ /(L^. 14 yllBSK V `M jm L LNsi/RANCE Co.
a corporation
'
15
!'INSURANCE COMPANY OF NORTH AMERICA
16
a corporation
17
By
J2 JLj ,
18 HEkLlHY,HERLlHi\jONES
:PACIFIC EMPLOYERS INSURANC
19
a corporation
/
20
By: < f ?
q
RRRLlRi; HERLm,JONES i K 21
STATE OF CALIFORNIA
22 COUNTY', o;
23
/s'
'On this- ^ ' day o f ~U?? ,y c ,c * . j&.D. 1969 before me the
24
4 6^
undersigned a Notary Public in and for the said County and State, 25
residing therein, duly commission and sworn, personally appeared 26
MAURINE CLARK known to me to be the person whose name is subscribe 27
to the within Instrument, and acknowledged to me that she executed
28 the same.
29 IN WITNESS WHEREOF, I have hereunto set my hand and
30 affixed my official seal the day and year in this Certificate
31
32||
6
'
.
WORKMEN'S COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA
.
DEAN CLARK, Deceased, By MAURINE CLARK, his Widow, )
:
Applicant,
|
)
i
V5'
MUNDET CORPORATION; OWENS
:CORNING FIBERGLAS CORPORATION;
METAL CLAD INSULATION COMPANY;
THE AETNA CASUALTY AND SURETY
COMPANY;
1
Defendants.
CASE NO. 66 LA 292-043
OPINION AND DECISION AFTER RECONSIDERATION
On October 14, 1 9 7 1, this Board issued its Opinion and Order
:Admitting Documentary Evidence and Notice of Intention to Submit. Bj ;|that document this Board noticed its intention to resolve this con troversy by the issuance of an award based upon the calculations contained in the Memorandum of V. M. Latino of'the Permanent Disabili Rating Bureau which was received in evidence with the Board's Order of October 14, 1971. No objections or other requests have been made ,within the period of time allowed, therefor by this Board's said
Notice of Intention of October 14, 1 9 7 1. Accordingly, for the
reasons stated in the Opinion portion of our said Order of October 14 1971, the Board for its Decision After Reconsideration orders, finds and awards as follows:
ORDER
IT IS HEREBY ORDERED that, as and for this Board's Decision After
Reconsideration, the Findings and Award filed herein on March 23, 197
be and they are hereby amended to read as follows: FINDINGS OF FACT
l. Dean Clark, born December 2, 1907, while employed as an
asbestos worker at various places within the state of California
,// jI!
f
(
the Period coun t i n g W o w Harch 1966
,
" oupational aisese affecting als llJngs ,,
j TM of and ln the
or M s
e|iploy]nent
;hlch injury resulted ln hls death on ^
^ ^
y
L hie T
e"Plyee 1Cft S U r V l n n e #1" " * " * -- - t upon
" lfe> M,ur1" " art, a p p l i e s hereln
.
j
3. During said period from 1940 to March 4 logg
'
c
r
a *. _
Fiberglas Corporation and Metal clad Insulation r-n
th *4m.
insulation Company who were at
t
im of such employment insured for w o r s e n , compensation lia
! 12
y y aefe"a" >* "
Casualty a,,a Surety C B m p a v
13
,W.5500.15
\has#
P P U C " 1' PUrSUant elected to proceed
*"
PrV1* 10nS
armine*
"
"
Section
Mo s and
.
employers named in Finding
* -3
against the insurance carrier found to have insured said
employers for workmen's compensation liability.
L -5;
r atoUt ^ 20- 195 " ` <1 m t o a C=,,pro.is
L
"l`h
lnSUra"'e " " * Hardware Mutual Casual
p.,,y. Industrial IndeTMity F r i n g e , Industrial .density Conpany
C. r
" "rth te" 1Ca>
Corporal
C W y > The Travelers Insurance Company, Flbrebo.
; rporation and Plant PuPPer AsPe.tos worts, n r e n a f s ^ d Insurant,
Company, Argonaut Insurance Co.pany, lurich Insurance Conpany, casual
surance Conpany ol California, Anerioan Motorists Insurance Conpany
te Compensation Insurance Pund and . p a r t y Mutual
co^
an , sa d Co.pro.is. and Pelease agreement ... m e d n.reln Q,,
,
1969 and was approved Py this Board on August 2 T , 1969.
6 . The insurance carriers listed in Finding Mo, 5 .p0,e>,,to
entered said co.pro.lse and ,,.lease ag/ee.ent, covered ,, ,, r W s
,, : r T `blllty f0r V,'1US '"Pl07erS ll" ea ln " " egree.t. Which employers .ployed the e.ployee herein during the period or the
31
PM occupational disease as specified above.
-
-2 -
(
' (
\
*7
*
7. Said defendant. The Ae-t-no n
,
^ The Aetna Casualty and Surety C o m TM ,
entitled to credit .in.-
7 Company> is
Sainst compensation awarded herein t n +*
.--
,,f enploroent co.verea iy s a w c o T O i s ^
g eement contributed to the employee-s injury herein and to his
death resulting therefrom.
hi
~J . - - r r . r r r ; . TM z r
-
:
9. B u r U l expenses ,, r e Incurred by applicant m excess of t,,
sum of $600.00.
'
excess of the
i
" I" 0e`'ent
Pedicel treatment for tnis in,
- --
e defendants nerein.
^
i
U ' i W U C a `
ectually and necessarily incurred
;expense for report and appearance of John B. Field ,, ,, ,
15 `of $500.00.
' D' in the suffl
'tJ ! ' Thi!
f iCtl0n lS " * * - * * * --
Of u n i t ,
. is
Val"e *
S e m eS f
-- :
award
.
AWARD is MADE in favor of Maurine Clark-
and < w ,,
ag3inSt The Aetna Casuab
and Surety Company, a corporation, as follows:
(a) Death benefits in the sum of 68.98 o e r o n t .
$12 073
vn
y percent of $17,500.00 or
.
5 Wa,>le f0rth"lth> l8SS
TM Of ft,oco.oo payable to
eppueant-s attorney, Steven Bosenen, .s attorney-s fee herein
"
of
expense, in the sun of *600.00
(c) Reimbursement of medical-legal costs in
B
sts m the sum of $500 00
payable to Dr. John B. Field.
PM
-3
(
(d) Interest as provided by lav, from March 23, 19 7 1.
W O R K S ' S COMPENSATION APPEALS BOARD
.1 CONCUR.
7
iSppjj.
CONCURRING, BUT NOT SIGNING l_.JAmr g-
!T>kTM , TM " SA" TM*OSa>, CSUFOKO ,, i\uv 1i)L`71
fit-' sJ*t - ">Sr.*-V'v
/' :/
< ?;..?>
0 . ' Igg.
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