Document B2GKOGQRGe5d1xXO5e4VmKz8

o- V NAMC K?rh.0.v5";-' | UATC or INJ. natu( or Winn, Jchn Harvey AGt Thlllp Qhrtiy 'JS&. co. . C,T7 U^cklbud . OUtT Puimtnary emphysema .due .to M ~ CLAIM no. ' 0D-4OC6l oowHo.'j -r7T * ' NtTUMMCP* r*ii ?' *>* V- * O" o a- O-l ooo 02 OATC ; -- - - -- "^--7-7^7----. ' 1684- manual J052 f ohm OJJ-4 * : OATC HlC O; ^* : LST. I ft MO. MEDICAL AMOUH>T || OH OH MOl*lTAL OATC _ o* p insation pchioo AMOUNT U ns-. P VMf Wr/r \ .*/J I2*l =*4L -------------- ----------------------- NAT* | AINU !'"`/-'/fy.. , ir '-* Z "/'Str..)"." - _ j&JLl .. | &**-i*V>,ri . ,. jT^"^ o- O rf O2 >' O2 O- 7 / - V >'<* < I.VNi It HJ IV it*4 I* iMihi?v4Si!i ~JClt- s I '/iS-S -i 4 &C~* <2**^-*/&-S J, i7 ') i/, ' / .: ./________j_______J______ 1 (V IA..............II * 1 1 1 * 1 ` I * IWftNVH ci 1 lAI r.( . l1- . ojo oo v) V C c c. v t ( ; i v. .4^:. `-A y,$r -r` , t. .'.kr'*.py* **- }, 'v " ' ' Y--*` EXHIBIT . t: - " : 'fe; 7" . 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J t ^ . - . *V... ..*V- _____________________ r-. - - : {' w 4ATC 8 i! ^ i; .Js I ** ; 1-4 1L { * "L v I v ^, A < l.VN) IV >1 | 4 IV /V`I< va"\"** * r1* ' 'iiiiivn*e 1 || liiwja- .1- JS- "'ll - -i*--ivn- 1M^-xi J I c I i| . | .1 * I r *1* f|l j * 1 i I 1 oj!ojoy\"A1ojo o `(q l/V|o| .4piiv' o IV' W 4: v .r*. * V j. * ' r tV-Je. ' '' . *V 'J " *4 ' :"'y y < v 4 V`v'V- i\'T- . .- , V 4 '* V dotir.ron^ a i fc-i't o.- u. rhilip. Carey '.-'.Cg. Co.. _ 3PQXIJ3X pied 3724/9 OUIT 2/Z./49 - ...> ,, _ cut LocVland ' .. .'c.onwm. HOUA "v '" * AtTUWMCO V . - ' f <. .i ' ' . j! HTU<K or INJ. Aabestoala and heart failure due to > - l .... .. Worked a8 Utility Kan in Inrulution Division and also as helper on Ho. 3 ComnAtcr s |_Machlne used to Jiwdcecorru^ated paper . _ _ > <l-.' yt?: ; _ ] tj RISK: ' ^ 1684 MANUAL 1852______ OHM Op -2 *;>. date WIC O. T71/49 ' * li* _______ ^ . 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