Document DDMaoKygavm358r00Ja9aVxDB
State of New Jertev
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Department of Labor and Indu; --
Ol ,'l;iON u)F WORKERS' COMPENSm.iJN
OROE R S JUDGMENT i--i Apponvihin cct
O DISMISSAL DISCONTINUANCE
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IF RE-OPENED PETITION, INOICATE FOR LASTAWARO: DATE:
PERMANENT: * .
TOM*: S ,
This mattar haring coma on bafora tha.Court on thsa _
day of
. 19 &______
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OROCRFOR JUDGMENT: It appealing that tha Patitionar tuffarad a compansabla injury on tha abora mtnticnad data whila in tha amploy o< raapondant; it
it Ordarad and Adjudgad that patitionar ba awardad compansation banafita, payabla at indicatad on Paga 2. ORDER APPROVING SETTLEMENT:
Tht partial having tattltd tha manor and a finding by tha Court having barn mada that tha tarma of tha tanlamant art fair and just; it it Crdarad that this tattltmam ba approvad and tha patitionar ba paid a indicated on Paga Z ORDER FOR DISMISSAL
Thit mattar having coma on for haaring upon tha raaoondant'i motion for Diuniital which was mada and duly larvad and thara bring good causa mown, tha claim patition harrin it haraby dismissed tor
. I. Lack of Proaacution 2
ORDER FOR DISCONTINUANCE Thit mattar having coma on bafora tha court and tha court having racaivad avidanca that this mattar should ba discontinued and
for good causa mown, h is ORDERED AND ADJUDGED that this mattar ba discontinued for tha following raisons:
It ia FURTHER ORDERED that tha paymant indicatad on Paga 2 ba mada a pan ol tha Order (or Discontinuance for petitioner-! disability. (Pereenteget and mamben involved.)
WE HERESY CONSENT TO THE ENTRV AND
FORM OF THIS OROSRANO ACKNOWLEDGE RECEIPT OF A COPY. ISign if wpUcaWal
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STENOPEEZ--J------------------------------------- BY
(PETITIONER'S AfTSRNiYiPETITIONER fWin App/ieaCwi (RESPONOchT S ATTORNEY)
_ AS-*. (HEARING OFFICIAL SIGNATUR
IDATEI
A,//LU__J__F__1_______-__ /2c yjjs (NAME OF HEARING OFFICIAL (PRINT OR TYPE)
-33" Judgt of Compantation
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GAF 15078
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--j ^ APPROVING SETTLEMENT
DIVISION Of WORKERS' COMPENSATION! DISMISSAL DISCONTINUANCE
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0<uo.Nry (Dttcnba ftrcantejgt. Sttun and axtant of Oaab&iry. and Mtmbtn Inro/vad/
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TEMPORARY:
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,iO_PERMANENT:
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PiTtTiONW (W*trt App4tc*bt*J wc-.*oo.i (d>i-a
fi ES PON O ENTS ATTORNEY
GAF 15079