Document Ed3NwNL8njnNK10JMGVzag4Ng

FILE NAME Mundet Cork MCK DATE 1964 June 5 DOC MCK103 DOCUMENT DESCRIPTION Legal - Order Approving Compromise & Release . . eee owe re, ce ee mR tal Ne WT teed Oe 1104 1104 - . i ry lee ' a o, tee . wy Nee INDUSTRIAL ACCIDENT COMMISSION os ; one : a STATE OF CALIFORNIA JOHN FAULKNER : VS. QEE ATTACHED SHEESHTEET | NO CASE 22467- Applicant : Order Approving Compromise and Release Defendants a , f fee ** uxt in The parties to the above entitled action having filed a Compromise and Release herein on JUNE 5 1964 settling the above case for $ 7,300 addition to all sums which may have been paid previously and requesting that it be approved and this Commission having considered the entire record including said Compromise and Release now finds that it should be approved and GOOD CAUSE APPEARING THEREFOR IT IS ORDERED that said Compromise and Release be and it is hereby approved payable as follows THE FOLLOWING AMOUNTS ARE PAYABLE DIRECTLY TO THE APPLICANT BY THE FOLLOWING INSURANCE COMPANIES Fireman's Fund Insurance Co. 1,700 1,700 Pacific Employers Insurance Co. pec .. 1,500 Co ..... Co 600 . American Industrial Indemnity Ins American Employers Group Ins Co 450 . . Eup Mutuals of Wausau ..... : 450 . 1de i A Mutual Insurance Co Lumbermen's Argonaut Insurance Company ... 150 200 A A of dl SEAL DATED AT LONG BEACH CALIFORNIA , Date Date . this 11th day of Juno and Address of Persons Served wee bite 1964 INDUSTRIAL ACCIDENT COMMISSION PERRY THOUT advanccs : Referee 2,500 payable by Aetna Casualty and Surety Co. as followust Credit for .... .... 400 Actna Life Ins Co. lion claimant 310000 Herwalk Community Hospital lien claimant 565.61 E.L. Condloy M.D. Lien claimant 198.00 Silver McWilliams & Sherman lion claimants 320.00 17 1 , as attorneys fees 900.00 John Faullmer applicant 6.39 ichu ok emey -431 2,500.00 Were eeeeew roe ey EMPLOYERS INSURANCE COMPANIES UNITED CORK FIBERGLASS ENGINEERING AND SUPPLY COMPANY J.T. THORPE AND SON INCORPORATED THORPE INSULATION COMPANY J.T. THORPE AND SON AND SUPPLY COMPANY , MARINE ENGINEERING COAST INSULATION PRODUCTS LIBERTY MUTU^ LINS C. a corporation AETNA CASUALTY AND SURETY CO A corp PACIFIC EMPLOYERS INS COMPANY _______-___._ -- - -. * : CAL STATE INSULATION COMPANY THORPE INSULATION COMPANY AMERICAN EMPLOYERS INS . FIREMANS FUND INSURANCE COMPANY a corporation ARGONAUT INSURANCE CO a corporation ARMSTRONG CORK COMPANY C.F. BRAUN AND COMPANY Recce Recce noufation noufation RODERICK LYNCH dba LYNCH ASBESTOS CO METAL CLAD INSULATION COMPANY Tew ores Se aeycey EMPLOYERS MUTUAL OF WAI , a corporation LUMBETMANS MUTUAL IN CASUALTY COMPANY INDUSTRIAL INDEMNIT COMPANY a corporati Say le wees + wee, SILVES SILVES : ,, SHERMAN M L OWI II ALM IAS MS && SSHHEREMRANMAN 70 MAS ; AR0 14. GJ VANG WIENINGERNE WIENINGERNE Tkivivi 30361 ETRATION ETRATION 5177NCE SALZO SALZO * < gect ernp et kon 499 AS AN MATA IEEE **** tAU : as Bundes Bundes * Siity Three Asbestos . Tesu abeA t cr hy e Momelergsn O. o, . East -3 Was . _ 6 -3 East Was vege . Bisong Beach stove . * 7 . - Re 14-1 s ear) as . ae? eis . eof aw! Gentl.sida Gentl.sida : Pleas * G. s join thea pective petiola indicated with their res- carriers hereint application photocene of the to the attached list list together with ai . Casualty Arte Casualty & City Piensensie atbuchelatbuchel 240M VI IchireBlvd . ry COURT NOZ16 CABLE ADDRESS ALEX^ TELETYPE PO O97 AND ALEXANDER AGENCY INC INSURANCE WIDE SINCE 1853 316 FOURTH AVENUE PITTSBURGH PA 15222 Februar1y01964 Monday 2/12/64 2/12/64 | 2/12/64 Mr. Wallace Hofferth Armstrong Cork Company Lancaster Pennsylvania Dear Wally Just for your records report was received showing and legal fees asbestrisd asbestrisd asbestrrisd Ret John Faulkner asbestr isd Case asbestrisd Case I wish to advise that a closing a payment of 125.00 for expenses Very truly yours BRS Beverly R. Shriver OUR SECOND CENTURY OF INSURANCE SERVICE CIyky 1-0816 CABLE ADORES ALEXCAND TELETYPE PG 891 ALEXANDER AGENCY INC INSURANCE WIDE SINCE 1853 316 FOURTH AVENUE PITTSBURGH PA 15222 February 4 1964 Tuesday 2/5/64 Armstrong Cork Company Lancaster Pennsylv^nia : Gentlemen Re John Faulkner Enclosed you will find copy of received from our Los Angeles Office showing that the Standard Accident Insurance Company has no interest in the above Claimant because that Company did not insure your South Gate Plant BRS Very truly Yours 7 , 4G s fs Si, Beverly R. Shriver Enclosure OUR SECOND CENTURY OF INSURANCE SERVICE LOLE ADU ER HERANDHER Co) _) J HERLIHY & HERLIHY ATTORNEYS AT LAW SUME 334 octaw CENTER BUILDING BUILDING 10 WEST OCEAR BLVD LONG BEACH CALIFORNIA 30802 TELEPHONE HEMLOCK S.1439 LOS ANGELES OFFICE SUITE 36 PARK CENTRAL BUIL 413 WEST 118TH STREET LOS ANGELES CALIFORNIA TELEPHONE MADISON 7.49 January 14 1964 Standard Accident Insurance 548 So. Kingsley Drive Los Angeles 5 California Company Attention Re Gentlemen V. C. McDonald Manager Claim Dept. 654031 Jolt~-n Faulkner vs. Armstrong Cork Company This matter came on for trial on January 14 1964 at Long Beach before Referee Wood The applicant was present represented by his attorney Mr. Berson Your company was represented by this office Various defendants were also represented DISPOSITION Standard Accident Insurance Company was dismissed as a party defendant CONTENT CONTENT : As adviced in your recent correspondence it appears that your company did not have coverage of Armstrong Cork Company at the South Gate plant We advised the Industrial Accident Commission and applicant's attorney of this feet and made a motion for a dismissal Applicant's attorney made no ob- jection and the above disposition was made It is anticipated that an Order will issue in the very near future of which we will keep you advised Very truly yours HERLITY & HERLINY : Douglas C. Tipton January 31 1964 Mr. D. J. Dalebroux Exployers Mutuals of Wawau ; 3540 Wilshire Boulevard Los Angeles California Dear Mr. Dalebroux Subject John Faulkner VB Armstrong Cork Company A42-57862 IAC No. 63 LB 22467 According to our records Mr. Faulkner was never employed by the South Gate Plant It is conceivable that he worked at the South Cate Plant during 1950 but this would not be as an employee of the plant Mr. Faulkner my have been employed by our Contracting Division in the performance of an insulation contract at the South Gate Plant but all records for this division prior to 1957 have been destroyed and we have no way of substantiating such employment We are sorry that ve cannot be more helpful to you Very truly yours Hallace B. Hofferth Assistant General Manager Insurance Department ale ig Employers Mutuals of Wausau 350 WILSHIRE BOULEVARD > LOS ANGELES CALIFORNIA - DUNK DUI NKR IRK K 1-2151 Armstrong Cork Company- 120 North Lime Street Lancaster Pennsylvania January 23 1964 k k / 1 fe 101 101 Gentlemen John Faulkner vs. Armstrong Cork Company A42-57862 IAC No 63 LB 22467 We are one of several defendents in an action brought by the applicant for recovery of workmen's Compensation benefits as the applicant alleges that he was an asbestos worker and cluims injury to his respiratory syster because of exposure to dust Our records indicate we were the Workmen's Compensation carrier for your South Gate California plent from January 1 1944 through December 31 1951. At a hearing recently social security records were produced indicating that Mr. Faulkner worked at the South Gate plant from March 1950 to December 31 1950 We checked with your Soulk Gate plent end your personnel department there alvisei us that they have no resoru or Mr. Faulkner ever being employel at the South Gate plant We uiso checked with the and Supply Company here and they were also unable toAmlsotcraotnegaCnoyntrreaccortdinogf employment of fir Feuli They suggested that we contact your office oi all past employces which also indicated indicating that you had records the pluce of employment We would like to know exactly when Mr. Faulkner was employed by your , and at what plant he worked we would also like a compa job description Your suistance in this case will enable us to better defend for our period of exposure your company For your convenience in reply a addressc stamped envelope is attachet Gincerely yours DUxlebrou - 4 s s ; ; b b b b o n Ciffin Examiner C Robert Uni tl INSURANCE EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN EMPLOYERS MUTUAL FIRE INSURA INSNURCANECE COMPANT - HOME OFFICE WAUSAU WIS an te CAE ce seme EEA UMA MOTE Tierra ase He ra DONE TE ad beeee eee CALIF THE INDUSTRIAL "1 |BEFORE : ACCIDENT COMMISSION OF THE STATE OF F CASE NO 63 LB 22467 JOHN FAULKNER JOHN FAULKNER Arbiters Arbiters a a os VS | ' Do Applicant , ; . i Fet IBEal RGLAS , ENGINEERING AND SUPPLY a FUNTHER ) MINUTES OF HEA OFF.CALE TAKING 1 ORDER OFF.CALE AND . , ORDER DISMISSING PARTY DETEIDANTS ) rr ae DETEIDANTS te ~ a 7 Defendants ) 10 oT THIS CAUSE came on for hearing at 9 a.m. January 14 1964 California Referee Commission Long Dea in Department A of the Industrial Accideng 12 WOOD before the Honorable CARLETON CARLETON E. 7 Ie os . 15 ; 16 7 17 ft PRESENT i John Paulkner Applicant Silver McWilliams for applicant Sutton Reporter 7 ae ae tt , by Louis Bercon attorneys oo, 18 om 19 Fhleger and Sciaroni Jr. omBrobeck Harison Harison by Rinaldo a i . attorneys for Plant Rubber and Asbestos forks and Fibreb Paper Products Corporation both insured os . Hai W:eingand Kondig Stockwell and Callanan by ClaudeH. attorneys for Blue Diamond FiberglasFiberglas Engineering and Su WRAoberts Thomason for andThemaron by James C. . Facific Employers Employers ; attorneysattorneys - Herlihy andHerlihy by Douglas C.Tipton attorneys for Firmen's Fund Insurance Company , Argonent InsuranceCompany Company StandardAccident and a GOOD CAUSE CAUSE AFFLARINAFGLARING THENLFOR 27CE IS ONDERDONDERD that STAIIDARD ACCIDENTINSURA^CIESNSURA^ CES COMPARTZ COMPACROTMZPARTZDE 28 STRO CORT PANY AND BLUE DIAMOND CORPORATION ys dien : 29 ve as party defendents to this action ce No testimony . . " 1 FORM ***** ** on ae oct . : . : St . . tg . SERN eRe ea et, cemen seems Ra geen ee tea % \e ; e ? a oh Me : . cet who Ths att i DISPOSITION a 2 Cae nettlementnet lementof ^' - It appearing that serious negotiations for matter are being pursued and - " mse GOOD CAUSE APPEARING TILEREFOR _ me calendar t*o: IT IS ORDERED that this matter be placed off recet on written notice Notice waived . DATED Long Beach California SEAL SEAL JAN 10 10 20 1964 B CARLETON_BRefereeWOOD a INDUSTRIAL ACCIDE^ FTCOMHIGSION 14 15 15 16 16 17 1718 1919 2020 2121 24 ; 25 26 2627 28 28 29 29 30 30 From 279 ... ...pet... one 1 ' rae cS t J SO SR Ti CPR ECE cr Oa ee BEFORE THE : " INDUSTRIAL ACCIDENT COMMISSIONCOMMISSION . OF THE STATE OF CALIFORNIA Case 63 13 22467 15.1963 ... JOHN FAULKHER Applicant VS. ATEISTRONG CORK COMPANY et al THE TRAVELERS INSURANCE COMPANY STANDARD ACCIDENT INSURANCE COMPANY EITPLOYERS MUTUAL INSURANCE COMPANY Defendants Asbestose | Order Dismissing Defendant Good Cause Appearing Therefor wn rr IT IS HEREBY ORDERED THAT a .< p* The Travelers Insurance Company be dismiassaead ta as party defendantin the above entitled case ne . eee . . . | Gaohar trsienrcr Referee INDUSTRIAL ACCIDENT COMMISSION Copies mailed ... November November 12- -19-63 a Armstrong Cork , Liberty & CharlottoCharlotto Sts The Company Lancaster Beach Travelers Insurance Company 110 W. Ocean Blvd. Long Standard Accident Insurance Company . Beach 2 Employers liitual Ins Company Paramortal J. Faulkner Cammonia 14036 in Silver 303 11. Avalon Wilmington Paramoun Hopliny & Topliby 110 W. Occan Long Beach 2 . THoop'linsy Blvd. Angeles , Bromfield Blvd. , FORM Chan & Calth 3540 Walchire Walchire Walchire To's To's To's To's Peterson 3460 Wiichiro Blvd. Suite Los 5 21 LYS RL: . " 021ek PG TELETYPE 891 oes a vee ALEXANDER AGENCY INC INSURANCE WIDE SINCE 1853 316 FOURTH AVENUE PITTSBURGH PA 15222 November 14 1963 Thursday Mr. Wallace B. Hofferth Assistant General Manager Insurance Department . Armstrong Cork Company Lancaster Pennsylvania Dear Wally Thanks for your course send it on to in Los Angeles Ret John Paulkner letter with enclosure the Standard Accident'Ac isdent's I will representative ERS eh Beverly R. Shriver OUR SECOND CENTURY OF INSURANCE SERVICE Mr. Beverly R. Shriver Alemnder Agency Inc. 316 Fourth Avenus Pittsburgh 22 Po : 2 \ oear o ra .* Dear Bevi Subject John Faulkner Claimant fe Your tht: J - California Workman's Compensation Case 63 LB 22467 Enclosed is a Notice of Time and Place of Further Hearing on the workmary compensation claim of John Faulkner The hearing is scheduled for 9 A.M. on January 14 before the Industrial Accident Commission at 236 That Third Street Room 237 Long Beach California Please pass this notice on to Standard Accident Insurance Company since it insured this exposure for us in 1950 and 1951 Sincerely yours Enclosure Wallace B. Hofferth Assistant General Hanagar Insurance Department " ACCIDENT COMMISSION . : 2 : STATE OF CALIFORNIA CALIFORNIA So : . ad atheer rr a aeNo os fake 3 v fe sab. ar pan VS. Shae te ~ wee Notice of Time Appiwant \, and Place of Further Hearing . Defendant . Yi POLL oar NOTICE TO ALL PARTIES . ; You are hereby notified that further hearing will be held in the entitled action at . + 236 EAST THIRD STREET 237 LONG BEACH CALIFORNIA Dated at Long Beach 7 6 oS, toe a t. INDUSTICAL ACCIDENT COMMISSION NOTE CONTINUANCES AND FURTHER HEARINGS HEARINGS ARE NOT FAVORED NAMF AND AUTRESS OF PERSONE ORVED DATE 21/6/63 21/6/63 te COUNT1.0216 ~ CABLE 7 CABLE ADDRESS ALEIGAND . 891 TELETYPE PO ALEXANDER AGENCY INC Faulkne INSURANCE WIDE SINCE 1853 . FaulkneFaulkFnauelkne 316 FOURTH AVENUE PITTSBURGH PA Vf in : Faulkne Faulkne Faulkne Faulkne Faulkne ____ September 25 1963 Wednesday Mr. William L. Hughes Armstrong Cork Company Lancaster Pennsylvania Dear Bill Asbestin Asbestin Enclosed you will find copy of my letter the Standard Accident Insurance Company Claim in Los Angeles which is explanatory to Department If and when I hear anything further I will let you know of course With kindest regards I am BRS Enclosure OUR SECOND CENTURY OF INSURANCE SERVICE .i 0) COURT 1-0216- + CABLE ADDRESS ALEXCAND TELETYPE PO 891 ALEXANDER AGENCY INC INSURANCE WIDE SINCE 1853 316 FOURTH Avenue pitt9BURGH 22 PA : ree eR in September 25 1963 .- . Wednesday C Standard Accident Insurance Company 548 S. Kingsley Drive Los Angeles 5. California C Attentions Claim Department , , 0 . . . = Re 654031 Armstrong Cork Company Claimant John Faulkner ae : 0 Gentlemen 0 J I have for acknowledgement your letter of the with reference .. to the above case wine . ae P 1. T`talked with Mr. Hughes of the Armstrong Cork Company by telephone . P today he advised me he understood that the South Gate Plant of the .- . Armstrong Cork Company was insured by the Employer's Mutual Insurance Co P P and that all other operations of his Company in California were insured |: | your Company **. ay destroyed 7 He further advised that records going back 1950 had long since ~~ been He further stated that he could not see how the f " j cidimant would suffer respiratory trouble while employced at the above mentioned Plant eee won be ; sorry long very been = I'm that our records as of that date have since ~ _ been destroyed and no further information can be given your office Very truly OUR BECOND CENTURY OF INSURANCE SERVICE * .t QU" TT520 + CABLE ADDRESE ALEX^ AND- . TELLTYPE PO 89+ - ALEXANDER AGENCY INC INSURANCE WIDE SINCE 1853 316 FOURTH AVENUE PITTSBURGH PA August 30,1963 Mr. Wallace B. Hofferth Assistant Insurance Armstrong General Manager Department Cork Company Lancaster Pennsylvania Dear Mr. Hofferth 7 et ee Re California Faukner California Claimant Workmen's Comoensation Case This will acknowledge receipt of your letter of August 29th enclosing Notice of Time and Place of Further Hearing in connection with the above captioned claim 63 LB We have this day forwared the papers to the Los Angeles Claim Office of the Standard Accident Insurance Company for the necessary attention . S. Verytrultyruly yoursyours . oo A.HuyA.Huy H. OUR SECOND CENTURY OF INSURANCE SERVICE Hr Beverly R. Shriver Alexander Agency Inc. 316 Fourth Avenus Pittsburgh 22 Fa Dear Revi ; cote May le Subject John Fhullmer Clairent California Workmen's Compensation Case 63 LB 22467 Armstrong Enclosed is a Notice of Time and Place of Further Hearing on the worlmen's -"., - compensation claim of John Faulkner The hearing is scheduled for A.M. J. . on Ceptember 18 before the Industrial Accident Commission of California 0 at 236 East Third Street Room 237 Long Beach California Corls Company is named as a defendant since the applicant alleges . employment with us during 1950 and 1951 . MT re, Standard Accident Insurance Company was our insurer in 1950 and 1951. | Plcaco pass the enclosed Notice to Standard Accident so that it can ot: os appear in our behalf sone met Unfortunately all of our payroll records prior to 1956 have been destroyed ae and it is impossible for us to determine if John Faulkner was employed by us et the times he alleges oo - te ov We have enclosed copies of all . to Standard Accident Insurance ed om 1. uN correspondence in Company Sincerely yours our claim claim file for forwarding " ne) ee wet ee OT : an nT : wo ; pb , Too - ** Enclosures Wallace B. Rofferth aan Assistant General Manager Insurance Department . m be . a: Soa s oa oo as . 1 ate so INTER OFFICE COMMUNICATION To R. D. Gage Personnel Administration | 7 From C. G. Patterson South Gate Plant = : Subject Workmen's Workmen's Compensation . Lancaster Armstrong Armstrong , August 19 1963 a Soba ge a 3 ws me eM ao Dear Bobs a ae . on, e . - -., an _,. . ' " systam I'm can ing enclosing the attached papers to you in the hope that through you they find their rightful answer The applicant a John Faulkner is claim that we and several other employers caused injury to his respiratory - ; . respiratory h, have This situation came to my attention some few weeks ago when we received ' a letter from Employers Mutual requesting information about Faulkner an * if he were one of our employees A check in our files revealed that he oo! _-- . was not and I called Mr. Dalebroux to see if a mix in names might have ee occurred During our conversation it developed that we as a company are also involved I asked him to send 48 any pertinent papers and this is the result oe j -"" ) Let me know if I can help in any vay . Os i Enclosures 2 a! uo 77 " Poo show raden a Sy 4 fy - a FORM 1992 2-42 . 1 wr NO ENVELOPE REQUIRED - * - tie ws Be ju Employers Mutuals of Wausau . 3840 WILSHIRE 80ULEVA LOS ANGELES I CALIFORNIA DUNKIRK 1-2181 Armstrong Cork Company 5037 Tatata Street Los Angeles California August 14 1963 Gentlemen John Faulkner vs. Armstrong Cork Company A42-57682 We have received an application alleging that a Mr. John Faulkner was employed by you from March through December of 1950 in Lancaster Pennsylvania We are sending you a copy of the application alleging these . facts As we did not carry your Pennsylvania coverage we at . will be unable to represent your interest in this case : . We would be glad to hear from you should you have any questions Sincerely . DDalebroux - 1 Dalebran Dalebran Dalebran Dalebran DalebranExaminer Dalebran . WAUSAU EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN EMPLOYERS MUTUAL FIRE INSURANCE COMPANY - HOME OFFICE WISCON ME me Per PRVAKAR SILVER JA : =~ JA . a . Fo, JA PRVAKAR . AINGE WIFT * Lote 3235 Wak ttamba 2 Odd J SHERMAN . we , GGIVIAVRAERE : . RI KIA . : . er TCarc 81311 ner Y, ; 4 yet - we aren nen wp ven " Eeuje : a eE : hn . .. te os ; an John Faulkner 12328 Carmenita Whittier Californis ; a . ; Oe, moos Engineering & Supplyet i Re John Faulkner va .2ccule - - al - 63 LB 22467 063-43-1 5111633 5111633 * : vi 7530 C7303 4 C730334 Dear Siri . ,. oe intereasstds ee I believe that it in trential to your a interst . ote cs: in the entitled watter that you have en - " ois; examination by a doctor of our chalca I have . 2) _2 taken the liberty of traging care Please report | Wilshire ts to the office of Surat note Low M.D at 6010 ifursdaY Q Wilshire Blvd 9:45 lo te ie eM eae en at " Auntha Mph 9:45 2 sees wo, "+ ae) ' Boe By copy that vere of this letter to the defendants I request + arranginta they make arranginta for all rays which taken of the apacant apacant at their to be extphenese cevail- able of abov forwarded to the tortu 10 that they be at the time of hemination hemination hemination we io truly applicoante Ree TD you very noe Sic bw. te SILVER HCHILLINIS & SHERIAN mage, re zy ILI BEZZON . ae + lp docvg Fat HEARING DATE 50 ce cer (b, 19:53 APPOINTMENT PLEASE NOyTIeFY conern.laviler Elened SS Cfo Cy ey de TO IF YOU ARE UNABLE AF TEIS TALS OFFICE IMMEDIA . ay ie bach. P.S.Dr. P.S.Dr. Coodley y Elened please find Budical eee ars* file concern.laviler concern.laviler concern.laviler entitled ae fz, of the concern.laviler . ey oe ono Kendig S. 21 Doe of Weingand ae ae "3 Industrial Indery Indery Co. ; - Se " yee is Dit, our fw 2 63-43-11365 63-43-1 63 35 -43-11365 yt fics Enterprise Ins Co. or Iployers Tae, 117163 ey mod v Mission eS hy ae Pacific Employers Lus .. Ins ( Iployers Mutual ofKILAU Cup oR Cup fan Equitier C Fireman's Fund F530 739034 Fireman's 739034 fe a ; : ay i tine oaks o, Vem Applicant_ ne SEE ATTACHRO CHERTS 7 ve Wet Youa Co EI _ Defendant_ | NOTICE TO ALL PARTIES 236 EAST THIRD STREET 237* LONG BEACH CALIFORNIA Dated at Long Beach J _ NOTE CONTINUANCES AND FURTHER HEARINGS ARE NOT FAVORED - NAME AND ADDRESS OFOF PERSONS SERVED ma Fork 400.LD PEY 3.11 . _? iat oe G TEND Oe See gee ther PP va ea * -1-4 -1-4 SS OFA tied wae war, whe Sa " Oe TOR ee 8 eS Be wie. - meee ee PES welts ooyw, DEFENDANT FIBRIGLASA . be LOLTEORTSERS FIBRIGLASA BEIJNTANNI JUVE FIBRIGLASA PAGIGEERINPAGIGGEERING & B FU LY 2s RAKOT BLATIOBLATN ION ' MUNJET INZULATION Se AQT INSULATION Ge PINCHER INTALATION INTALATION yt Je IMUNTSIAL IMUNTSIAL BUILDINU * 11 12 13| PLAN #3 CO WITH AGOES LANT KVBKAN A TOO WZASO 1% SAGIES SAGIES RING & JURIT JURIT GO FI^ DOIR FAIR ior ICF LYACH 1515 4. GALTA . 10 17 J. T. THOR # & RISE , I's WILLIAMWILIAM J. PELUH , 20 C. F. P U3 09 2% TE THTOOBHU~LLOIM~rAY~r~ ODASID le By 3. OBULLIMAY 100 Q Us.r2 A.SK ODASID ODASID IINSVLNITIOSN VLITIIONSNVLITION INSVLITION Crt ANIES SCASTY ATTDI CASUALTI & FIGKRANER FIGKRANER BUND ZN7 T RI CO Se ie IRINANCI 9 1891/15 1891/15 1891/15 a e iawt: TALER IRINANCI IRINANCI Dig ie > tr Se e KANAPUN KANAPUN KETHALT 07 Arens : . ; . ro ~ on , ~ ok ae , os ne ' an . > aoe es : sagt % . . a . 1 on - a , an bd . + . " . > . . rs . ot - oan oe berry wy ; . s, . noe - ' a , . L we dae arene COMMISSION INDUSTRIAL ACCIDENT . a _ STATE OF CALIFORNIA * Sts wo Pa oo - Te Ambertonis Applicant . FIBYAGLASS ING & SUPPLY CO ALTNA JA SURFTY CO NOTICE OF HEARING . Case No. Looe me Defendent__ : . wo . . been wich has a 4 You are bereby notified that an application for compensation 1 copy of which is stercked kereto has blad the Industrial Accident Commission of the State of California You are further notified that nid application be ae 1. for as hang ot a ' yoo 236 EAST THIRD STREET 237 ms . a Long Beach California eee: . |: 5/27/63 JUNE 17 1963 ,>. Californis ,". a nama 5/27/63 bear and and that at said time and place the Industrial Accident Commission of the State of Californis will proceed to +24 dispose of the said application in the manner prescribed by law and all wridcare, Now The partim si reported sa rubmit all inom in contruserty for decision it this heuring therefore arzon witemms, madi~ ereport^payrolla and other samtal proud most be avalable and seady for subame at the bearing oo orm, oe Dated LONG BEACH CALIFORNIA INDUSTRIAL ACCIDENT COMMISSION , a JOHN L. STHULTTI STHULTTI . a | Auckland Leng foregneoitnigce attached or The undersigned certifies that at an employee of the Industrial Accident Commission she served the netics on the parties hereinafter menrinned at the time set opposite their respective names by depositing copy of mid to a copy of the application therein mentioned in a sealed envelope in the United States mail on said day at Long Beach | California with the postage thereon fully prepaid and addressed to the said parties at their lust known places of busisem residence as follows to wit . . busisem kL : * Nanse and Address of Persons Served a 7 J. PAULKISH E. Silver 305111. _ Fiberglass _ Aetna Cao 17320 Carmenita ihtr 305111. " alon in ing * Surly 5933 Telegraph Rd & Surety 24,04 tilshire LA 54 - - Date a 4-16-63 1p oan 22 o ue . . 39 Form 61-4 61-4 61-4 - Parson Sand Sand Serving Notice = . , lea Moe, an ia ton - mewe , . ty Teme RAN oP mene em ARON Smt ye C. . . ve . r ' . : tee he ar i ae _ Beforethe Industrial AccidentCommission " ofthe State of California FIBERGLASS RAGINEERING & SUPPLY a ve et.al et.al ta Sn no Applicant Defendants Oe Good Cause Appearing Therefor IT IS HEREBY ORDERED THAT aes SEO ATTACHED SKRET POR FARTIES JOINED on be defendant . ; joined as a party in the above entitled cause Se , ce . 63_1p nanes OL STAYED03 63_1p ee Sea noti^'sof hearinhg earing for Referee Referee | & Adds F INDUSTRIAL ACCIDENT COMMISSION oo Boe ry ya ey vee . awe G icaeteety ne mre, . - BRA . wo eet eae ~ RUIN sented Neb eee a a ee JOINED PARTIES a es Blue Diamond Corp. me 21 7 5.Aleneda LA 1651, Ashosters PaperS.F. Eng .. Suppl Suppl Eng & Sup.ly - ed 2 FlanFtlant Rubber & 537 BramanSte 5. ~ Fiberboard Paper S.F. - 1789 Montgomery s 001 EE Medicon Medicon Pux Arg 7. Hyd Toca & Equip a 11010 Center Equip Hollyd 9 W.J. lson Insulatin 00 4718 Sunset LA27 LA 60 EoterickEoterick Lynch A 2152 Sacramentok 2 Thorpe 8 J.T. &Son a* 948 B. 204 St. LA 12 10. J.T. Thorpe & Son * 12 11. C.F. Braun & Co. 1000 S. Fremont Alh , : 13. Armstrong Larenster Cork Lib & Charlotte Str Larenster Penn 15. Thonge Incul . 2741 5. Yates LA 22 27. 27. . 19. Fibergigos Incul 5933 Telegraph Rd LA 22 Muncot Insul 12 Metal Cind Insul * 14. United Cork 9 Kearney Central Ave. 16. Plant Insul nen 22 LA 2741 Iatos Ave. ad Recce IncultIncultIncult 4563 Velloy LA31 21. 6116 lelker Ave. Maywood Kircher Insul Rox 6652 Fun Ariz LA 23 Col St. ATT J. Roid 023023 Hottler Elvd 3 25. Indust Indem Box 2251 Emp 27. in Emp ue DubDub Inn - - 3540 Milchirs LA 27. uo 5E0n3t0erHp.6Itnho St. LA Lacy St. LA31 20 Const InsuInlsul 2624 22 Indust.Bldg.2 Indust.BldIngdu.st2.Bldg.2 2 22 2545 Yates LA 24. PacificL 2484 26. Trav Inc. oe - 110 Daenn LB o 28. Firman's Fund St.LA . 3223 8. 6th 54 | | STATE OF CALIFORNIA " INDUSTRIAL ACCIDENT COMMISSION we tt ; APPLICATION . FILE SIGNED ORIGINAL AND SIX COMLES . . . oe FLEASE FRINT OR TITE HAMIS AND ADDRESSES CASE NO FAIRESER 6PM et Call Whittier W1hit2tie3r 78 CormCaollnita om ree ne #RUTKAY #RUTKAY 8 #RUTKAY erent ee pepe a) ee #RUTKAY ADDUES #RUTKAY 516-12-7601 . Sxial Security Na o.. ceo 516-12-7601 bee etrne FIFEROLASENGINESHIAN SUPPLY CASUALTY & AUTTA CASUALTY | SUTET GIAIPANY . aa a - SEMATE 8 284693bet Cab948 forniafornia 5933Telegraph Road Angeles2222 16 220 Contgomery Street San Francisco CollColl" Street . | i or John Faulkner Lk employed on Decmber Decmberbe . asbestos asbestos 1018 28worke asbestos worke AUD1 89 FIER UP 18.581 we ee 5-15-23 5-15-23 5-15-23 a alleges that while oot JAN DAB .. . Oe ceectece cme ss 2 LOWE ( 121 28406 LORENI OSA8QJJO wre sh ees eens _ California Fiberglas Laginezaidi u employment folk as C TE 703 % vostrimed mngary sising out of andin the course of the exposure to cebestes die NAGO NAGO PRIDES WAT ORFEITED jajdryjajdry tu sospiratory sospiratory system 44946 kom4 6,542 6,542 20 2400 342m stavra 809 680103204 Casualty 1. Acta Suraty CompanHy BO ^n of inji * Wtuseft Wtuseft rentab & 1. SUPLA 944 987 MASJID MASJID 418 | DELP CHARONO DO . was the employer's insurance carner date U . a . . . BOOL 3 sinceDecember 8 1962 PERIODA PERIODA MET but ta tu prodnat en MTOTO ARTOU to ures Ce NOT SWEDICAL SWEDICAL TORSIMT 4. Was compensation paid n e See | 415 QF b 1962 1962 61 JELLT UTE HATE OF LIGY FATWEST - T'arnings at tume of injury Rax oo... Mow. 4.9 en 114 2 6. Was medical treatment needed 180 +1 + | Tho furnished treatment a The basis of pay was : .. procureprodcured Blatt & PERIODS OF BOUND & BAY DATE DATE , . . ae boasts Me SMO SZAFE 16 1341200 076 9317151 365 JO9201 OUT 23416 SIMONA SIMONA | STR is 7. This application is filed to determine bability for 1. + Tenpooortary berg disability -.. Teb 720 .. 720 ae Permanent disability . FINMedical FINMedical treatment Visit Visit 1 Ou ee Litigation expense e noe f vee wens : ot STATE & STEL BEA309 74 beteutaderet , WI^ DNEFORD is requested that it is , that made relif gr^,nting the award be sidersider - . + tee 699 os As LIST CAM 69062369066236 or 699 988 POLICE PRO ' time and place be fixed for bearing and that an Compeniation Lent of Californu such a proper Workmen's ey Compeniation Compeniation rahsuch :. amt Dated Nilzington a yaad ta a re. Califomis ... 33 utt TITS GELVERILUZLLT " G ty Wilmington WilmingtonWilmngton * . ; ter CalifoCr alifor sc C _areantr opaecest sss teurecre ad we. ot . fet - .- ~ Lone ; - INFALKEAGLE SO 418-46E 2649 1998 to Je DER ATT 96 4654488 1984 401 6,8 2666ta M klimaatse klimaatse RT ee Ser Be ere tg Ps 1946 thru June 1947 i Pacific Insurance Pacific : Employers EmpElmployoers yers ; . Insurance Co. . o - 1947 7 Blue Alamed a Diamond :" 1650 SouthAlamed C16 Los Angeles 21 Angeles C16 C16 Rubber Ruber & : Plant . Worko a Bp 537 BranzFrancisco, San Francisco Asbestors Marine Los CoCmomppaannyy 941. E.fl`ecand E.fl` ecEa.ndfl`ecand Angeles 171 CG Angeles Faper x datiFaFranpcisceo r Cal SanFranciscFroancFirscaoncisco11 Asbestors Engr oe TN SS ah Sree cag hele EY ei, a - _ irch 1950 thru DecemberDecember1930 Tacific zen1950.chru Ca o F Bro 1000 South Alhor,a a8 2H te tye aw Se ae ihecca te Shae ce FloatFloatInsiInsi car. ae tower Tire>nan Fund 8. roy .^' , A Q t 4 aan - 1 bP? Cs a Oe me ow PRI 1 a 4 { NOTICE OF HEARING i : . ri at t , LI LI . " i t he cranes J ' a ae toe nae to , bea a novel hoorn^ has ben Sled wich bag, . ee da schner that rari appvation appvation kits bera set * oho ks, 237 we mardukat mardukat mardukat mardukat Cospita of ot ear prevailed by ou Do vam viste of Cy fermia will proceed to hear and 4. ey HM Ger ge 8 . preto vakt nor Ar^za preto ju znali ul vakt nor ef Tete under under seremy LINA mat she devine devine sheriaer al seremy the grievous ^ ac the branng : I v dacamesc Sheath Oe BRAG ML INI UNTRIAL UNTRIAL ACCIDENT COMMISSION - . ety cation Galiforno Galiforno with the sinon ot 1-1 tendecor ia teliva 87436 7 a TOTTOT aoe oe a ww Anatomi Secretary je the Vasarat 414 2 ********** : a ter Vasarat Guardent Commission Commission she served the foregsing narice on sapu tive cantes by depositing a copy of sud votice attached i sew e in s^i the sad nited States mail on sant day Inny B ach partes d their Lst known places of buuness Nanx an Ad =! Tereee Service Date . Fiberglass . & pony rebecca, 14. MA 22 yung yung fawang ma eg a: a 7 ey an ne an . . . ne) : . * a wt . . sen... eans . . t . . te ete ae, . ve i Sertung Signature of Peeran Sertung Sertung Netke - . - - , -