Document Gm1JVRXvKvjmYnD0V6zZeGk6V
FILE NAME: Contract Unit Workers Comp Claims (WCC)
DATE: 1962
DOC#: WCC038
DOCUMENT DESCRIPTION: Workers Comp File - Knopp, Samuel P Contains all documents found in the Claimant's file, with one blank page between each separate document
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the i'acf -.u-y evorker f r o m fha i i u n e r in this regru -!.
\.* ! jt-i-.-n fine n{.->-u'point of defend ing the c-ccnp >Ucn'>! c i n r : . : a U e g a il f m in ildn
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C h e m i c a l C on-many in B a l t i m o r e s o m e f if t e e n y e a r s .:;;n .ind t h e y have
paid quite p fe w r ' neo ' . . ' s e a O r Hio othnr l u n d , it w o r l d pccw fa ir arid
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j u s t that ih i s r.houirl ho s o . The Mutual C h e m i c a l C o m p a n y 'r, o r p c r ie n c 'i wan r o t out)redy v o l u n t a r y s i n c e 1hc .survey "war; iv. tcie by (lie Public: Health " S erv ice and wan published repardlosa of the rleoirc rutho company.
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1 b e l i e v e y o u should tUt'cuns with, your p r i n c i p a l s the conduct of such a study at c o m p a n y e x p e n s e with the unders.undine, th n/ would have the c h o ic e a:; to w h e t h e r <hr> r e s u l t s v/cro p u b li s h e d . M e a n w h il e , I s u r p c c t tiiio c m n wi l l be l o s t f>.inc t we have no e v i d e n c e to r ef ut e a h : .;h i n s t a n c e oi lun;> e r n e o r in t he e m p l o y e e " oi thin c o m p a n y and t h e r e in coo:,; i-wablo m e d i o el H l c r a t u r e i n c rim inn l !r. y a ".bord a a .
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Mr. Blaine
Baltimore
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W .1..Mhoc-makei'/ml Upper Darby Eng
r. Knopp Vs: Leroy Insulating Company CD Cuncei'-Asbeotoals
T!jc following Information was available to me In the Baltimore
Claim File, reviewed for advice to Mi*. Wray.. The* deceaoed
started to work fox* the* risk March 18th, 1937, loft their*
employment on July 7th, I9 6 I and died on August 11th, 1 9 6 1 .
Nov/herc could 1 find the ago of the deceaoed - the file was
in the office of Attorney Forth. The deceaoed. v/ao a foreman
for our- rink and for fifteen yearn prior to our Innui'cd's
employment had been a foreman for the Standard Insulation
Company, Baltimore. There was no information os to the
opex-ations of the Standard Insulation Company, nor did our
,
lawyer know at the time of my call. A medical report by
Sylvia fussmun, M. D. stated that the Insured had been
known to smoke two packs of cigarettes per* clay for the
Just twenty _jor rs. Other evidence In a statement from the
deceased'n sister said that he had hr! quite a cough for
years. The'above physician gave a final diagnosis, "Carci
noma of the lung with matastascs disease to lymph nodes and
liver, kneumoconcosis of the lung
1 am attaching photostat of letter by Funnel1 S. Fisher, M.D., Chief Medical wxamlncr, City of Baltimore scut to Attoniey forth on February 3rd.
Mr. Blaine ask'd that I talk with Attorney forth regarding possible defense of such a claim. Mr. forth showed me the products said to \>o applied by this risk, rind the majority of them woix* of a synthetic nature, such an PVC or rock
wool. ihc onl;; two asbestos product? *;ej*e corrugated pipe car.i.i-l 1 g, made on paper plus what appr-arod to be magr.osLa sect! oral piping, both of which products, only contain from ten to fifteen per cent asbestos.
I concurred with Mr. forth that the reforcncos I'efciToJ to by Doctor Fl/thex- are certainly In existence although JIdpor sees cancer uo irl.alrig from almost everything, is riot res pected by Ills colleagues even though he 'litrf^rHren a physician in the National Institute of health.
However, there v;ere doubts in my mind as to './hat competent person had made a diagnosis of aslentosis. There is no asbestos industry to speak of In Baltimore although nat
Memorandum to Mr. Dlulno ' He; S. P. Knopp
via.
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ally, they do have highly qualified physicians. The Doctor Fisher inquostlon I f. a professor of Forensic Medicine both at the Unlvcroity of Mary land and Johns Hopkins. While lie In no doubt highly qualified In the field of legal Medicine, in the last paragraph of hio letter It surprised mo to nee him r.ettlingyfor deciding Mr, Blaine's cane for him - I thought the man was asked for medical advice and not. for local advice.
Therefore, I suggested to you thntT Doctor Kenneth W. Smith, Medical Director, Johnn-Manvllle Corporalion, Bast Fortieth Street, New York 16, N. Y., whom I have met on several occasions.. At the roquent of Mi'. Blaine, I phoned Doctor Smith thin morning and he nupplled the following information.
(1) Doctor Smith would suggest that the tissues and slides be examined for other toxic materia In. lie suggested that a necLlo of the lung be made for nueh an examination - I could not. tell him from the Information 1 had whether nuch a section v;as 1n exi otcno c .
(2) Medical author!tier, should be unable to pin down asbestos exposure as the cole cause of the cancer which lo raid to have killed the man - no one knows the actual cause of cancer. This is the .reason for identifying other m.ttcrlaln in the available tissues. The matter of hcav:, smoking should be built up although no evidence may remain In the lunge of the effects of smoking.
(3 ) Doctor Smith cannot testify in defence of eueh ear.cn he cays he has tried it and has always had his testimony dincounted' an being in the employ of a large asbestos producer.
( i) Hi.' suggested for expert medical testimony the use of
A. J. Han/.;!, M.
Haw York University ikxU'enl Center, LpO
i'list A'.euue, New York 16, H. Y. Doctor Lanza in one of the
pioneers in Industrial Health, retired an Medical Director
for t.hc Metropolitan Life Insurance Company. Doctor gtnilh
advines that Doctor Laura has Just completed a study in an
asbestos bx'nke lining plant In Manhe.tm, fj. in order to de
termine the incidence of cancer among, asbestos exposed
workers. I believe you can rest assured that Doctor I,ansa
must not, have found much cancer in this plant or Doctor
.Brnlth would not be recommending him. Doctor Lanza is on
international figure In the Industrial Health Field.
Doctor Smith offered the following information on their own experience with asbestos and cancer. In Hew Jersey they operate plants employing some 6,000 employees exposed to asbestos and in the last'- ten years the employee group have reported sixteen cases of cancel'. Tills lo be nvi r Mr.
flomorandum to - Hr. 131aInc
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He i u. P. Knopp
oi' development of cancer on would bo expected among the population v;ho have nob been exposed to asb.outon. Of par ticular intercut In the fact that among WOO unbent on textile workers, no canon or cancer have developed - all the cancel' hen been elnowhere. The reacon this la of particular interest lr, that the major exp on ore to anheulon dust, at leant Jn my experience, ban alwayo been in the textile end of tho buninesn.
He said that where a claim for lung cancer among the above cuocn did urine, they have only paid for lb on the Ixuiio of the employee showing evidence of advanced ologon of anbentonis mainly becaune of what they feel to bo their moral rceponalbility although, of courne, with the oolflnh reason of making a quiet settlement rather than having the case recorded In the low Journals.
PI cane understand that I have no fixed opinionn about thlc cane, particularly an there occmo.lto be very limited infor mation available when I wan in Baltimore. However, it did appear important to me that a doctor having previous ex perience in the onheoton trades be given a look at tho lung >"-rays o.n well as the tissue material. Years ago all the large mutual casualty companies Issued the following state ment by their committee on occupational disease in regard to control of claims In foundries, "It In recommended that x-ray Interpretation: be made only by physicians who are qualified to interpret x-rayu and who have training and v.ddo experience in the diagnosis of silicosis, tuberculosis and othci' respira tory ailments." Aobc-otonlo la an even more rare disease than silicosis. It Is true that there miy he asbestos particles in the tissues examined by the doctor but i have no doubt but '.hat such bodies could bo found in the lungs Of our engineers serving a larg/; nsbesLer, producer i.n the Philadelphia area, l.i'. years back when considerable quantities cf asbestos were bundled, they employed ns many as J ,000 people and so far, in rpite of the development of a number of as' autorlselnlmn, wo u'so h.iu; had no el-aima for cancer arising from such exposure as yet.
( it 1 Industrial Hygienist
cc: Hr. Wray, Baltimore Hr. Skinner, Home Office Engineering
February 10, 1981
Feta Nioholl, Esq.
Dear Fete,
I*m afraid several of our projects aren't going as well as hoped.
The Medical Board has eorae up with a state's attorney who is arguing
that the Medical Board records are not open to public view. While
the lawyers argue that out in the state's attorneyefafilces, maybe
you can inquire after the records ojKjjamuel P. Knopp. Records just
produced in discovery show that Mr. Knopp was an insulation worker
who died with asbestos!*, lung cancer -- and filed a compensation
claim
by attorney Alfred M. Forth of Baltimore. The
defendant was Leroy Insulating Company, and in addition Mr. Knopp
had worked for Standard Insulation Company. Diagnosis m s made by
Dr. Sflvia Sussman and Dr. Bussell 3. Fisher, Chief Medical Examiner
for the SiA#e Department of Foat Mortem Examiners at ?00 Fleet Street
in Baltimore. The man died In 1961, and the claim was almost definitely
filed the following year (in the first quarter).
Apparently, this oase sent a shock wave through the industry. A troubleshooter for Keasbey and Mattison, an insulation manufacturer, contacted Dr. K.W, Smith of Johns-Manvilla, and was sent to Dr. A.J. Lanza as a possible medical expert defense witness. It would be fas cinating to examine the claim file for that case? and possibly quit useful in the asbestos litigation. Therefore, I hope you can make use of your pleasant acquaintance with the public servants in the Medical Ssaxrii office. If you get the chance to photocopy that file, please do so.
Still looking these new documents over, I see that Mr. Forth was the
defense attorney, and that it was the defendants who consulted Dr, Usher
of the Medical Examiner's Office. 1 can't tell who obtained Dr. Sussman's
opinion.
Interestingly enough, there are telephone listings for Dr.
Fisher
and Mr. Forth (?27~ll64), although not Dr. Sussman. It
would be Interesting to find the plaintiff's attorney, if he is around, and
ask what contact he had with various members of the industry and those they
referred to as the "medical fraternity", etc. Could Mr. Forth be coaxed
into telling us the plaintiff's attorney's name, in the event that we have
trouble getting the claim file at the Medical Board! (Actually, the actual
claim file may be held by other offices of the Workmen'a Comp Commission)
Our friends the Springfield Hospital maintenance workers are being forced to the wall on their refusal to strip out asbestos. How that the fools at the hospital administration have dropped this well-publicized hot potato on their bosses in the state health department, hopefully a favorable resolution will be forthcoming. However, the stakes are much higher for the state, with the possible repercussions in other etate buildings. How that Grace and I have played our cards, it may soon be time for you to let the powers that be know in no uncertain terms that the men are represented by competent, tenacious counsel with ample resources to see it through. A leaflet by the Asbestos Workers is enclosed, copies of which I request that
you send to Bob Rldgely and (return) to me.
DISTRICT OF COLUMBIA
LEE C. ASHCRA FT M ARTIN E. G E R E L LEONARO J. RALSTON, JR . LAW RENCE J . PASCAL JA M E S A .M A N N IN O T H O M A S F. S A N T E R J . HUN T B R A SFIE L O MARK L. SC H A FFE R RO BERT B. ADAMS WAYNE M. M A N S U L L A JA M E S F. G R EEN WILLIAM F. M U L R O N E Y DAVID M. LaCIVITA ALLEN J . LOWE PETER M. SW EENY TIM OTHY F. X . CLEARY R O B E R T G . SAM ET WILLIAM C. BU RG Y PATRICK S . G U ILFO Y LE KEV IN B . BYRD M ICHAEL H. FELDM AN M IC H A EL V. KOW ALSKI KARL N .M A R SH A LL ROBERT A. TAYLOR, JR .
A s h c r a f t 6c G e r e l
Attobneys and Counsellors at Law SUITE 8 0 5
IO EAST B ALTIM O RE S TR EET
B a l t im o r e , Ma r yla n d 21202
(301) 539-1122
W A SH IN G TO N , D. C. 2 0 0 3 6 SU IT E 7 0 0
2 0 0 0 L S T R E E T , N- W.
(2 0 2 ) 7 3 3 -6 4 -0 0
R O C K V ILLE, MD. 2 0 8 5 2 SU IT E 1 0 0 2
O N E C EN TR A L PLAZA 1 1 3 0 0 ROCKVILLE PIKE
(301) 7 7 0 -3 7 3 7
A LEX A N D RIA , VA. 2 2 3 0 A SU IT E 2 2 0
4 6 6 0 KENMORE AVENUE
(70 3 ) 7 5 1 -7 4 0 0
LAN D O V ER , MO. 2 0 7 8 5 M ETRO 4 0 0 BLOG.
4 3 0 1 G A R D E N CITY D R IV E
(301) 4 5 9 - 8 4 0 0
February 23, 1981
MARYLAND
M ARTIN E .G E R E L LEONARO J . RALSTON, JR . THOM AS F. SANTER MARK L ,S C H A F F E R ROBERT G. SAMET DAV ID M . La C IV IT A ALLEN J . LOWE PETER T. N ICHO LL JO H N E. SUTTER M ICHAEL H . rE L O M A N C LIFFO RD B. SO B IN BARRY M .C H A S E N ALAN B G R O S S
VIRGINIA
LEE C .A S H C R A F T LAW RENCE J. PASCAL J . HUNT B R A SFIELO PETER M. SW EENY WAYNE M. MANSULLA BARRY A .S T IE F E L MARK T. DALY, J f t . JU LIA H. BUTLER
Mr. Barry I. Castleman Environmental Consultant Box 230A Valley Road Knoxville, Maryland 21758
Re: Samuel Knopp
Dear Barry:
Enclosed please find copies of everything in the file on Samuel Knopp.
There were no medicals at all in the file except for the short letter from Dr. Lynn. As you can see, the claim was settled without a hearing. However, Henry Newburger, the claimant's attorney, is still listed in the Maryland Lawyer Directory. His address is 1014 Court Square Building, Baltimore, Maryland (Phone number is 727-1677). V
We didn't have any problems getting our hands on the file but then I suppose the machete I was holding may have had something to do with that.
I trust some of this information is useful. Please let me know if I can be of any further assistance.
Thank you for your kind attention to this matter.
Very truly yours,
PTN/cet Enclosures
PETER T. NICHOLL
fj
**
l
X.,
kv>
ttAY *2*21962
- I a i n No.
c ilimant:
:lnp l a y e r : Insurer:
A 3037*$ Samuel F. inopp, deoeased
Helen N. Knopp, widow Waiter W. Leroy t/a Leroy
American frktual Liability
U ... .
rccMrcMAruM* w -4iSSiQf j Insulation Company Insurance Company
WHEREAS Helen N, Knopp, claimant, Has riled a claim x;
with this Cotulselon on her own behalf and on behalf of Nancy
Jane Knopp, Elizabeth Carole Knopp and Elaine Ruth Knopp,
infants* alleging that they were dependents of Samuel P. Knopp,;
deceased* and further alleging that the death of Samuel P. Knopp
which occurred on August 11, 1961 was causally related to
occupational disease he sustained in the course of his employ-
j*.
ment with Walter W. Leroy, trading as Leroy Insulation Company
on or about July 7* 1961; and
WHEREAS the employer and insurer dispute that the
death of Samuel P. Knopp was causally related to his occupation,
and further dispute the claim on other grounds; and
WHEREAS the parties desire to make a final compromise
settlement of the oase rather than to submit the issues Involved
to the determination of the Workmen's Compensation Commission,
and have agreed upon a final compromise settlement, subject
to the approval of the Commission:
NOW, THEREFORE, IT IS STIPULATED AND AGREED by and 't
between the parties hereto that this case be finally comprom ised
and settled by the employer and Insurer paying to or for the#/'
benefit of the claimant, Helen N. Knopp, for her own use md.il
for the use of Nancy Jane Knopp, Elisabeth Carole Knopp sad^#. V
Elaine Ruth Knopp, infanta, the sum of Seven Thousand, FSt###
Hundred Dollar ($7,500.00) in the manner provided for iSithei
Order approving this agreement, in full and final e a p m lte
settlement of all claims now existing or which may harmi'ti&f;_
arise for compensation, medical, surgical or hospital tartsfrnent
funeral aaoenses caused by or In any manner arising out of
the alleged occupational disease and death of the said Samuel P.
:inopp.
5 WITNESS the hand and seal of the claimant and signatures
of counsel for the claimant and counsel for the employer and
insurer this
day of May, 1962.
{SUL}
and on behalf of Krncy Jfeae Khopp, Elizabeth Carole Knopp aad Elaine Ruth Khopp, infants. Claimant
OTrSaTTTTbHET Attorney for amplo. er and Insurer
ip
ORDER
The undersigned member of the Workmen's Compensation
Commission hereby signifies this
"`day of May, 1962,. the
/
approval of that body to the within Pinal Settlement Agreement,
and directs the employer and Insurer to pay the sum of
Seven Thousand, Five Hundred Dollars (47,500,00) in full and
fInal settlement of their liability as herein set forth,
as follows:
TP Henry 'i. Newburger, Attorney, for fee 4 1,500*00
To Helen N. Knopp, Claimant, for her own use and for the use of Nancy Jane Knopp, Elizabeth Carole Knopp and Elaine Hath Knopp, infanta, at the rate of$ 35,00
per week beginning Augaat 12, 1961________L).BCQ.CP ,
Total
$7,500.00
Ml
'/b r u t 'V. 3 . X .
Mti,
SXJSDAMD F O R M FO R
empuwets first bepobt of injury
I w i i u i U k v 1. 4 . Ii 4 A f t
*m MnmmI mam M p f k H B iM A M y U
SX.LT U O M M S I A L ACCIDENT COMMISSION
t*i
atnuKKO, m u w o a & mod.
^w^toDm.oruBO*iMDcam,
tt >,MCliDWIBTaBMEt MtilMM 1,MIX
Send tm ainM iM Ud* rep o rt to
___
A M 1U 1CAM MUTUAL LIABILITY INSURANCE CO.
AMS1CAX MUTUA1. BI3UMXO
) IOU KOAJV BALTOtOM U.MAHYIJtKD
S ta le '
OOftiier S K j m d
.....................
Emp lay er'................................... ......... .. .'2 -- ,.
C arriers Pi1T Nits
........ - - --/..i
(The spaces above not to be tilled In by X otployarl
U .%. i**i^JhAax-3U.J49ri7 t/x fcrtiy InanO-aUga C9----------- - .
'x Qftetiditrw No.irMIff Y4XQ Hyalaflu Awn- ^*7 orTbwnJiBR i N R --X7
.. ..i--
X Insured tv
HntlU. UAJUUTT JNMXRANOB COMPANY '
V ' - V|
4. GhNi M t m ot twiaMi (or articii na^aifsrftimtl
Ytfil
Jitidw
i ,,,1,
(ai L o w tta i of plant or place w here aoddant occurred
--*
n ^ p a g trM W i
S o mxtciima t o c c a r r n d JU U ) If m ptoyor t
<b> g Injured ta a m inetdid accident occur, on urfac^ ^ t t a i r ^ u i ^ . ih a i , drill o rjiO ar e in o f Jahuar-.______-- _ ______ -- IX-- _ D w of w * -- "T .-- Ho u r of day-- ZZ-- --A.
In ju re d
a.
tx,
IX ; Chech <>^) M arriadX an !* -... Widowed--, Widower-- D ivorood_; Ma a X r* a la _ .; V h fte l. C e lts' !--.
14 rNetioneiity-.JU*A.___________ ;______ Citimn of,a.S .-a T i .---- ------ --- peafe KagBafcXSSLro.w ,,
1A. jA g e . _______ Did you have on d ie em ploym ent certificate o r perm itis.;'ra r Occupation when tajurwdJU U M eJIM t-JfcOtiU UC-- _(t>> Wm thin Ms or h er regular ocrBpaSisna-X.f'S----
( a not, sta te la w hat departm ent or branch of work regujerty em ployed).
1T. (a> Bow loo* employed by you__iiZ j M M L ifc) P iece o r tim e w arharJfclS ft-- fe) W eas p e r h a X-
IS. <a) No. hour* worked per day.......... S ...... , __________ <h) W agee p er dao fi
le t No. days worked per week...........3.................._________ (d> A verage w eefc'r e a rn in g
i* O t ,,hoard, lodging. tael or other advamtagae w ere fanUehed ia eddttt o i t? vogaa. fiiee ttin aaait aafiae p e r 4hj- ~
s e a k h r w n b .,,
* ,. t 1,0 ,..
-- tv
'. f . .
... - ................................... - ......... - 1 T T ....... ,
Oz
&Ma*r
19. t M achine, toed or thing:
~~
!lectriral. de m , etc.)__ ___________ 3X Part af 1
70. ':txi "Wte aafMy appttaace o r tig u la ik w psrkledL-ass=sLL-
23. W aa aorident caused by Injured's failu re to tn e or
34 T in erA rtu B y hew ae J t a l y Y , t f lf iti, t h e Inarfe A n y t h e
< f w*1 1 d W M ts il t e t a k e a d f t h e M t t y s te tly -- *ded le e l S e e p lta l ed d ie
SL N am es aad addreeeea of
3fi N ature aad location of bajury (describe fully enact
-g rP OA T # ensm rreA .
.tM M to r* fit vaa M One : 1 infiulafliffff,.
tfiend. ftbfW
adimitna
A-ilmestiLmtete U tor * U i fffnlf^Lpe^.
#
1IMIS
27. Probable length of dhatdhtyIf *
29. At w hat occupation-- 30- <al Name end edrtrem af ;
<bl N am e aad addrasa ef I d g W .
jut vsem A_
seat- Mheatn.
..I * ..
-Man.
Date o# this M m O ts te b n r 2 0 , l u e i
... f-* x -iix w t
'
-Pltaa aaamr'^S
--- -.fffltwhE
.fAtthcAS**|T
Nk 3 . . 1 -U N - .
STAa\DAI> f o k m f o b
EmOYEirS FIRSTREPORTOFINJURY1
i n m < k l U JU 4& Cumpiet and toad mm MW h u in UMi ll to
jlin iM D O S m U . ACC1DKNT COMMISSION
L1l
m y y 1" " 1* m u j h n ba^t w ow b.am.
u m m w ! D B r t o r u B o a a k o w b it .
u & MMiBWMIT ''; a A L I U O U i . MXh
Sand tw o o p la a of this report to
___
AMEUOAN MVSUAL LIABILITY INSURANCE CO.
AXKJUCAN m i l BCOLDtNG
i m y o u tkMB m i .i w u m u, mjU H U N
yO/ ' x^ / C/
oe s z o z z :.)
N um ber
P o ri
Em ployer:................. .............. ...............
C arrier's 111 Nirt.
-
(The sptioM above not to he filled in by Em ployer) ", ' ....... ............. ..... -- -....................... '!"..................
w Injured
- J. N am e *d Ito g tirw 2. OAec addrem t No. and 3 t,.14 M I B M IdM H LJflB B n---- City or T:
3. i-- 1 it *m -- mi w n m lUBtun ummAxae oonnun
4. t2ve n atu re of boaiaaae <or artleir m anufactum l)X R JlM B iJP lM l.JtlM M
5. . Lom thrn of p u n t or
w itore ecddm tt
________________2 __________ D epartm ent -------- 2 2 ------------------X Sate tt u n p i y o r t pram lew
<\ti XX ta ftrw i a wine, did a e d d ra l occur on *urU c% uadar*row *i,ihan^driU 9 u itt-
4.
r*r1l,,..-22.____ ______ .19-- -D ay of wook 2 ? -----H our of day- "
7. D ue
....... **** ------- .............. ,a_ M______ P . U . 9.W ae Injured pain taa fa ll fo r th is d ay -
3. W h w iild y o u o rto re tn a n lin t know of In ju ry ,
l a llam a o f. forw nan-
Nm m of Injured.. A itm m i #o aaagp
IMMKfiUiif 8Mf {Bltlaii
<T-a.tfc
, Addram : N o. and S t
_____ City o r Town
mrmr _JSodL: Security Voi
*ir *____ Stotu
Check (v> M arriedX, S in g le.., Widowed-- Widower--. Divorced--; 3Ca]J( r* loir_; WttO, CotaudL^
NartcmaHty lie A * -- .........-- .. . . ............ Citlaen of J BUJLt .. .Jfca ......... ---
.Speak EnetMJQBL-- ^
Age--* * - '-............. Did you have on file em ploym ent certificate or perm it --.- ,-9B 5- . - -- -- .
r*> Occupation when in ju red ..jb B lW B ^ M I..-;^S ^ * ?___ (t>) W ar ta la hi* o r h er T egular ownpattwa.
(If not, Mato ia w hat departm ent or branch of work regulariy em ployed)-- J25L -- (a) Bow loot employ <d by you_ftJHBW W L. (b) Piece or tim e w o rto rftftB # -- (c)
TOT ------.......................
V lM M lta W i
^ *) No. hour* worked per day-- f t________________ (b) W tg p per day 3------
<ci No. day worked per week_____ S ________________ <d) Average w eekly MmX'W
or
,;) j
lu). J f board, lodging, fuel o r other advantage* w are furahhed to drill low to wngea, J*
sgfe.___ .... . -- .....-lAi-^tc-------------
19. |i M achina, toot o r thing eai
i electrical, team, e te J
3L ? v t C
XL:" fk ) W krtafM y vppiianoe o r Tego h tfterrprovided.
23. Wee accident caused by In ju red ^ tafiu re to uaa or
2*.
%9tem wiff m M tn * im * to m fi m
35. Namaa and
.a
'* `
X3"* otS,
b it m T
tk
safety appliance o r ragni
f ySS'SS'f'fensFi^?
i
ijpn ipB a pan
. V-'? vvV
* Nhtorw and locatlou at Injury (
fiiiiy H M fcicatlna at
or fitndh .a. iktttrbd).
37. Prohabto length of
tf n , date and hour______ /
. At w tat
___
y
--
3 a 'a> Name and addreaa ef jihjelninnLj j a r r - . . "J ' 1` " r" " " ....... '
<b> Name and editreee of
' ^
. .
31. Hhe tattered died................ . .
too to rt * a . 28T a t lg*T
> -j-A-J r^ v a
, '-..v *, y m # ................
o..-
.m - L L v JSssa.....
a -- .." s b J S a s J a s H ------
Lt o i $/a U m ^nsiiltlw fcTfl-- rl
1416 W i n > At .. glto>g
---------
AA^rlcftQ Mattai Llab. In Co-___ (Insurer)
3 o r g * a lm lf l 5722 T o r S ft< U . B a l t a -------
NOTICS TO XMPLOYXK AND DfSUBANCE CAEBI2B
OF DKP1NDSNTS CLAIM
j -ft
FATAL CASS
" Oetobay 1/1____
-,-yfes^ f
- *
-.5J! $!'!*
J
Henry I* Sewberger
111 .Charlea St*,
Sia
Atty.Tr Clalaaat* }' M &K1
Ti* U lo a o t i f y you t h a t th a o rfc a e a 'a C o a p e n sa tio n C e s a ia s o n h a s r e c e iv e d a t ' l t 5^
8a lt ia o r * m o t , th a a b o sa e n t i t l e d o a l a f o r c o a p a a s a tio a f o r d e a th due t o a n a o c id e o t
to* .
day o f
.
19___ a r i s i n g o a t o f and i n th a c o u rs e o f
--p lp y a e n t by th a abosa aaaad e a p la y e ro f d ao aasad , oho d ie d o a th a
llth L
dar -t -,Ansaa.tL.... it .til
Ul&P-
I was
W1
COFT o r QB2*SMD8MT*3 CLAIM: o f th a d a o a a sa d e a p lo y e e axid w as d e p e n d en t' npoa th e da--3.?$;-:
f o r s u p p o rt a t th a t i a a o f d e a th , who c o n tr ib u te d a b o u t %............ ......... ,-- w eakly to*-ay...
s u p p o rt. I waa a t t l s a o f d e a th o f d a o a a sa d r e c e iv in g s u p p o rt a l s o f r o a ---------------------------
nf |
w eakly, and a s s t i l l re c e iv in g th e sane a a o u n t. I a s n o t; ^
p o s s e s s e d of an y o th e r Beans o f s u p p o rt e x c e p t a s f o llo w s :............-- ,, .
...
....
I haws no aoney d e p o site d in any bank o r tr u s t cospany e x c ep t a s fe llo w s:.
X do n o t own any r e a l e s ta te , s to c k s , bonds n o r s o r t g ag es e x c e p t a fo llo w s :.
A verage w eekly w age o f d eceased was $ --
NAME
Harr totjasm-- .
g tla a b a tf c C u r la S uopo
gvwtvMi anth. gnor
I h ave th e fo llo w in g a a aa d o h ild r e n who wwrw; ;..2; a lso dependent upon ceased fo r su p p o rt:
DAI* O f 8XXXH `' %
iVg A i?
>34-
^
..
.| .
.
- ._.j
b at. c la im a n t u n d e rs ta n d s o a u se d th e i 5 ry * C a r s I n r s >0 jgftjgIjlg*J > O Q W > to usbaste dnsfewhlls
lvrnr
V r sstom stnslr^
: v
R ssarks:
-
` `
-
v-
- 5 -a
: ABWMLiJ^COOCAllWttfilAJt XJl MjOyAlUWhAjggc A :h s a r i n g h a s b e e n r e q u e s t e d b y t h e A t t w M
req u est fo r b earin g s h a ll ta ts w ith p a rtic u la rity th s le a s e s o r l t s t and l m
p r opo sed t o b e r a is e d a t th e h e a r in g ,"..--.
.
eW w m < -- * t
4%g|t '- ' - y :ii-M-h-'S
US HAW
- 'rf ;.r\' -
EMPLOYER'S REPORT
- :
' ;y. >
read-"
Nonae i.-isaJL:';
..y-'. ,^eeie-ayfefta^.-,
VSm
r
7 -it QUITA!.* BUILDING. BALTIMORE - 2 . " H O T ' "m
^
...................... . hrby mak* el*i for compnat!flaate
Cha t*, Art* at IM4. My ci! aria out of tbo <J*U o
who 4M n
11th
day o-..i.UgU*i
QCTasgait s j s m j h j ^ ^ re
.. ,..X,,*aamMtafhtey ..... . I.. . in th* -- flay
( N i l < !<>
1416 ihdlaoa I m . Baltlaara, JfaxrlAPii.
y yt iji niiiiaufnil M tb*tajwyt ...CArolacte..ft.laag..<auMi..ly,,ABhartoal
J VS3L
J ,
M*
___ wif
"(jf.i.H M .iat
oi tb* ded
(Kmm MDm...-4')OPP.
adIa* dopaadaatapontbadudforupportattb ta*o .. J*A....... tetb.
I b*r tb ollowin* ehdna who w*r abo dapoadatil upoa ded for apport
NAMXS
DATS8 QW BO T8
JwagL
______ ___ _
2aiabfth..w^b..,fcW^...... .
__UrSBot___ ._____ .12r24NX~.__,,.. ..
SUlMi.Jnth..Xaepp.... ..... ...
.. 4*0L954.-~
r'vv
iaUw City<mTaam fttei --------
STATI W XAXTLAM&, Chy rTw* f
Oa ite
13th
-A *W B9m
J li
. '* "'rfe/;s
. - -
;
5;,
- bd m -- " WCTJni - ranay
BW M. **
WORKMEN'S COMPENSATION COMMISSION -
im I. uxtNevoN snw n. u u w o h . i ,
^ _ .7
v -
' ^
??***** n * a L a. C. Claim A *
/
Statement of Compensation' FkM 'oj
C w rltf'i No.
HEAD CAREFULLY BEFORE
Thb m a mtrmfnt of compon-ticn already paid, and signing
The
however, ia subject to review by the State Induatriai Accident
-k. the ew up promptly with theCumuli-- ion ifanything furtherdevetopa.
Smmd at
-doOm and
w ith wvwUy paym anta rvenvad by dm, th a to tal aoia od_
aants (f-y^OQp g ^ w id payaaaat sow viae th a aatowata -- foOowai
T anporary T otal
i~
Tataporary P artial
t-
-nr
JoUa* i
PvfWunHMA TMU thasaidampaaaatMn M -- cohjaattora^iaw a yraatoadby Law, aa m iadbhdw ar<
day ad.
T u ap arary total lilashOHy i X rataraad te w iah aa
-- th a.
-M y adday ad .
N toahar
C ity a r Taw*
ffp i m M V to**
U&sIS-
F aaa ral
A!Appaenhfa Bhuri Hot Be Fifed. A
iit
" H T S H n ^ h the
,yi=?;.V!
Workmen** CompeoMtion Commission m m o i u MAiTuuto
Ceriifkatura of Stufttaiue
FATAL
cuua Ik
.A tJQ3.73H__ Samuel P Knopp**0 c * d
cuuMAirr--------- HeIajo-.JII*..^aa|)flWLdow
at* or outnrr
SMPtOYBK----
.WaJLtr....W.....Lerox..t/a L e r o y I n s u l a t i o n C o m p a n y
on* ascoco
1V8UBAMC& CAMUS*
American Mutual Liability Insurance Company
m m ...
w iB M ?
fevri-
, / "I.
WtLUAJ* D_ UYNN. M. >. i n t YOWC HOAD
M.TMOM I k m.
1 1" MAY 5o
. * > ii
WILLIAM O. LYNN. M. D.
37Z2 YOHX ROAU
aA L T tM O M 1 i. M M f U N D
wxm r
rfn n i
\^ _
Bos Swni<l P. Kaopp, docoaaod V: Loroy Insulation Compsay
Aces 7/7/61 6Q-C-528549-C46-63667 - MAJOR
In ay opinion, and I fool tluit thin wou .d bo b o m out by the majority of nodieal suthoriti**, .bis man's diseaso would not arise from his occupation
I
4. D.
medical depajcment
WDL: jmj
Orig. & cc. AAfrod M. Perth, Esq.
cc. H.O.C.D.
ce. Salto. Claim
m/
HiNKY t. NKWSUfKICK
ftw w i T *r u * *UT 1*0
m *, cm*m m Teet
M .T 1 M O II I I . M M ) W M M
SAMTOM >t|J1
CF : > ;32
WOKKJMtA * QommuKH*
September II, 1962
autaea's C-- peasatiea Co-- laelon 10 I. Lexlsston Street, leltiaoro 2, M.
Bo1 Claiaant S-- l Xnopp (Dee-- d) Stolaa I. fcpp (lidce)
Clala So. A-3C3>98 Saployar* Leroy Insolation Co. Insurert ii-- rluin Itatual
Liability Co.
Gentlemen;
I encloae "Application f Seal Ssta'e Contract of Sal*.
I respectfully requoat a deterire this issue.
h
Copy - Alfred V. Perth, Ksqaire, 300 St; Paul Place,
. 1 Baltiaore 2, S.
?-r*** #/ */''s
?*
Mm
' MT UM
M.11MOW I.>ITMI* aw000 XOT*
April 4, 1943
-S*/.-'
Wf&ev1-\
< -1- .. v , 1
-, -,
'-
IC test L*d|t*i Stmi, M t t a m 2)
Jtei C ia ta so - S sa u el P* la o p f (Am 1* ) O U S.- A-30379
Xaplegnar - L eroy U s a r le t i n s C s, Iasn ro r - A series I s tm i
L ia b ility Co.
This sa* m s Mhedaled fer saris* * Mfsb 20f 19(2, Ai ths B e i M n k 1 rogami li m s p w t p m i as as 111 probeVty
This Is m i fair is tha ids, Bps elsa ttspp
v
-
vhs Is Is orgeat ass sf ftaAa for hsrsslf sai bar threo sisear afeilixm
-' "tu-
-
' '
I thsrsJfm o reapsetfSUj rogassi that yoaaet this
aertteardeo* as qaiefcly as possiti* Is arder is Mais possiti fissa si
r e lls f f r th s ssssssf* ld ss.
"-T 1l - V V - -
'"';7-\ * /_,
t
_
_, '-`/c , -
/ -l'*?.?.. - - ' _ ,f ;?.'-yi-- ?
y ' ? :;
Tours ms? traly,
.v| IlItlB
6*6* * A lfred P o r ts /X s q a irs ,
Corn er e i ! C re d it I s i lA ia*
; e ltia e r o 2 , lu rjria a d
* , I / .(,r
t:'
.
-r *,;>
x -^MP.
' . 'V-p Ci*.,-
4>/X ;I r,',r-
WORKMEN S COMPENSATION COMMISSION
ilatM N*. A-iCjT*^6
,1.___ _ SmmurnX ?. K n a p p (D e c 'd ) H l* a 3 R aopp (W idow)
V e l ta r y . U r o y %/a -- Leroy t a b u l a t i o n Caapooy ..,
Attorney aummit
lHMnr AMNrloaa l u t . L i a b i l i t y l a a . Cilioraey
Henry I. g:wbrftar.
. ..
..........................
Cleorge V, Blalna
A lfrad Jir-Farth-
r^n-Ti *
DIGEST OF CASE
PM-. .................... ......X 9*x m z z ..& .* -- ii>2.
DewriptHm of Accident Carelaana oflnng eeuaad by asbaatoatadua-ta mma-y-
yaara axpnanr ta aabafcaa duab -uMila- la tba aploy"a^-I,tray-
*
...t l m Canpany*...... ........ ........................ .. -- ...
V.'j; # -L-
E m p lo y m e n t .
.......... Aabatoa. Workar.
A ccid en t occu rred , w h en
................... ........................
Disebility from what date: daim d ie d on A u g u st 1 1 ....1 9 6 1
Average Wages:
C laim ........................... S o t., o ta .ta d .....................................
Employer's R e p o t.......$ l 6i|..QQ.,,........................................
Nature erf injury from physician's report...........H o t . n i a d ...................
Special attention called to
^ -if
SIHPO &>A
W orkmen s Compensation Commission
IO V L E X IN O T O N S T R S S T B A L T IM O R E
MD
>L
C* M
A 3Q3T36 '3&WJM1 ? . Snopp, m um 4 !1*b K. iCaupp, widow
> SU8P0&N
To Jbph C*
The Sheriff of
Bftltlaor City
We COMMAND YOU, That you summon ............ .............................................
Sr* * 1 1 1 1 D. Iy n a
W d io m l Xtopartrait
JbamrUmn Wfcrtl. L ia b . 2&a. Co.
5722 York Boad
B a lt i n o r * 12 M trylaiad
... Grecia*.
a il b u s in e s s and excuses laid aside, to appear and attend before the Workmen's Compensation Commis
sion o r .
........... J J J M A W at ....X ^ ...3 ..J ^ a g 1 ^ . . J3lrit0.t.......... . in -he
city o f .................................. .9tJ.t3S>P3Pt................................. on the ...........2 9 t h ................................. scay
of .........................HWf...................... 19,...$2 a Z t ....................... ............o'clock in the ...aJttmXi........noav
to testify and rive evidence in a certain hearing or investigation pertaining to the daim of ................ .. ....
itoPPPa ihfl.V d....................... for ........jQCMpWnaHlftton.................................... ......... HeJUm 3 . E a o p p , w id ow
from .....TP 1 t 1On ..C oapw ax........................................................................................ . employer, wwt
..... A ao^ !^ JfatM iU ...L iftfr.iIl.tq g..IiM itxrn o4> ...C cn p > n y.................... insurer.
In witness whereof
WOttKMKNTf COMrKNlMTlOM COWIMBUy
P e r ______ 3 u
Issued th is .............. . day o f _
fSheriff Ut AUin elwrx** of* rtvtrn **dm nd
Hhlttmor '1 M<i- J
request of
toW pHdm.'i Cwnwwstiee CwnttoUM, lasC.Lssteefcaetlf,
' tv V \
!
W o r k m e n 's C o m p e n s a t e C o m m i s s ^ n
__ '' 'li"____ _ _<' ~~~
<08 L E X lN G T O V *>T rtT 3AUTJM ORE 2. MQ.
>
unTiZ^Z
^
-- >i 1
i l
<-i r? l
Cla.oi ., A 3U51J ..
Uw
Clarence. 'klxoalary
SUBPDBNA^-^?:^*^
To rh e S h e r d f o f ................ ......................................................................................................... G re e tin g .
U r t U M M A ,N D Y O U , T h a t yo u sum m on ...................................................................................... ~ .................
................................................................. .............................................................................................
................... ^lleiniYillaj^^^lani.............
a ll b u sin ess an ti ex cu ses la id asid e , to a p p e a r and a tte n d b e fo re th e W o rk m e n 's C o m o e n sa tio n C o m iria -
sum or
city of
of .
Baltiaora May
........... C o m m issio n er a t
................. in t i
,19 62 at
..on the....29th........ (Liy .*?...............................o'clo ck in th e .At>ar........ noon.
to te s tify an d g iv e e vid e n ce in a c e rta in h e a rin g o r in v e s tig a tio n p e rta in in g to th e cla im o f
.......... .................................................................................. fo r ..........P i M p a n M i t l o n . ......................
fro m .. .........^ . ^ . C t r a c t i ^
J n f l u ....................... .... .......................... employr. ami
...... PjNKJNUI?..................................
in *u .r*r.
In w itn e ss w h ereo f
woHKMExstoai'idsanye <;i>wiiw*u*
Per
Issued ;his .. Xlth' 0f....Jiay...... 19.62 A t reiiM u t of
iSherifftr>AM infiiarst*onrfvnidandrttBrntoW^rkikrw*mi*CMnpMuMatwn
Hi<
Md.)
Workmens Compensation Commission
ID* a. LliXINUTON STRUT. 9ALTIMORK 3. MARYLAND
CUuttt No. A-iG} s'-Vv'
Ca** i
1`. Ki'.api. i-ec'd)
"M a ia n N , Stxnpp (W idow )
1112 K*awio< doad
Saltiaore 11, Maryland (KmpJoysr)
y r l t s r W. L e r a # t / a
li-roy Insulation Company xiiln W* Madia on Avenue 3altiaore 5 Maryland
Ajfterican Mutual Liability >722 York Hoad Baltimore 12, Maryland
(Insurer)
Insurance Co*
Majp-'T,
19J& .~
Henry I* Nowbergar 111 3. Chgrlaa Street B a l t i a o r e 1 , Maryland
George W. Blaine 5722 York Hoed Baltinore 12, Maryland
_ AND itfrod M. Forth 300 St* Paul Place Baltimore 2, Maryland
A henna in this ease has been requested by some of the parties interested, on the folios* in f grounds:
Issue No.
()
ployment.
( ) Is the dnubility of the employee the result of an accidental personal injury arising out o f uid
in the course of employment
{ )> Did the employee sustain a compensable hernia within the meaning of the Compensation Act
c)
()
1
( 1. > result of personal injury arising out of and in the course of hie ssploynjenfc *
< 2. >
()
C >
( 3, ) Such other amt further
.-/Is>V' '^Kr: ' i;V .> .?'.'4
m s y he rxia*d at th* tnae 1
This hearing will be conducted at 109 C.
May 29 19&2, at 2 P. M., before th* Medical Board,
- -
-- :-- ---- ;------------ --------- -
No conttnasaes win be granted within three days prior te date e f men* of sB parties.
m-
'<Ah-z` - 'A/ :;4
liiaasiagte---
''
?. Knapp !l*a 3. S**pp (rfldow)
lt* y * L aroy t/* Lr^ iMuIatlon CaMptay
o. D, :>n**fcj ? ii*M*i x o x n m i u x m
Irntrlaitn Jfttt**! LUbllitj ! Co*
R #ary I* la w b arg ar 1 tty
0*siM*a '! H a l m Pf Ptwth p'ln* tty
(3XS HKAJU30 HOTICS)
>
i j : I> t1 1
Hi 5; ' \
'* >**T*
(k CASS
*.**>.-**% *? ..AS*
4 '4
JO O * T WW flU C I
8AiriMor a
***** c
is lO.itffig-
'0M 0**S
2t>*-wfMltnMMA MC
r,, > * * O N . M O . '* .* ! * * *
V A w U T - 4 7
-.*>.1 **Mwm"c.iiiw^wi
torch 15 1962
Cl.il Mo. Clnimant:
3ap loyer: Inaurer:
A 30379 Samuel P. Knopp, daceaaed Helen M. Knopp, widow Walter W. Laroy t/a Laroy InsulatIon Ccapany American Mutual Llablllty Insurance Company
Workmen's Compensation Commission Od E. Lexington Street Baltimore 2, Maryland
Gentlemen:
I previously advised the Commission I was engaged In the trial of a court case In the Circuit Court for Baltimore County on torch 20, 1962. Would you pleas continue the scheduled hearing.
Very truly yours, x
L ' C ' t / s L^ J / / } / / c C l ^ _ _ Alfred M. Perth
AMP: VXD
co: Henry I. Newberger, Esq
/
X\4-~M i O n m K ki * CAi * 1*4
4kTf* **.*' *<H> ** N lv i *\ a< t 9,n4<| a n*MO
-'*.*an* ' **<
"' / . /
November <3, 1961
Claim Mo. Claimant:
ihtplojer: Insurer:
A 303T9 Samuel P. Knopp deceased Helen M. Knopp widow Leroy Insulation Company Aserican Mutual liability Inaurano Company
Vkjrkmen* s Compensation Commission led K. Lexington Street Baltimore 2 Maryland
Gentlemen:
Flea* enter *y appearance as attorney for the employer and Insurer in the above-captioned cane and keep me advised of proceedings.
Vary truly yours. y'/ /
" M ^JC Alfred M. Forth
AMPlYMD co: Henry I. Newburger, Esq.
V ^1
5 sm
l:i If;
:V .
*V** ul * s >
W O * * * * * 1* C O M B I N A T I O N COHMISHQH* Hit L IjuajjUMi Stmt, Bultimow 2, M i
Claum N'> UliMM
ISSUK5
&mual F. Knopp
'leeeased ido* Helen I. Kaopp 5112 Xeswick Hoad Baltimore, Mary 1and
10-2^-61 li
Ally, for the Claimant
Nan* * He.ary I. Newberger
Address
H i H. diari** Et.
Baltimore, Maryland
Walter tf. Leroy %/mm Leroy Insulation Co.
1*16 V. Madison Arenas Baltimore 5, Maryland
* ***~*
^r-io^ auru^ U.bUlty
Inaurane* Co, 5722 Tork Bd.
Addrw
Baltimore 12, Md.
'"^ r g . W. Blaia. 5722 York load
Baltimore, Maryland
The fo llo n * iasoee were hereby rawed by the
Claimant Claimants Atty Employer Employer's Atty. Commission
( ) Insurer
(X
( ) Insurer's Atty.
(
( ) Non Insurer
(
( ) Non Insurer's Atty.
(
( )
Important: All previous issues raised by this party are hereby withdrawn.
Issue No.
( ) Did the employee sustain an accidental personal injury arising: out of and in the roars* of employment. -
f ) Is the disability of the employee the result of an accidental personal injury ariing oat of and in the course of employment.
{ ) Did the employee sustain a compensable hernia within the meaning of the Compensation Act?
f ) Nature and extent of disability.
< ) Average weekly wage. .
A x * Is the death of this employ* of the Leroy Insulation Co.: tha ' ? result of personal injury arising out,of and in the couraa of his
3 . employment.
fe- * Dependency. ... -
. ..
. :w i TM
( )
-lv S & Yf?J
.if ,
i
)
.
'
V - * *' s,
, IV*. t >' - ,v ' - - ;
( ^ ) Such other and further issues as may be raised at the time o f hearing.
'^ 7
i-
-
ai
if hi* This is to certify that a copy o f the above issues have been served ttpoa aO parties Vated above bf mmSb* *
copy to the ADDRESSES SHOWN above, this , 2 * th d a e o f .0 e t o b - r
te n v
W r
> .-ISSUES
Belli i i i z i Hf i
C lau n No.
i_ .
Claimant's N<t:iut jAMUki. ? . KNCFP, d eceased ,
A Address
HEUHI M, SUCH, id ,
J i l l Keswick Head,
B a ltin ere, M.
Cotab1 1 3 , 1961
Atty. for the Claimant
19 ____
Nam 4
Address
H a n ry I# ita w b u rg a r,
m North Chari S tr t, I3altior 1 , Sbrylanl
Sznpioyer a Nam* Leroy Insulation Coapany,
^ Address
I4I0 ^sdiaen Avenua,
Baltiaor, Nkrylaai
Insurer's Name & Address
Atty. for the Insurer Name 4 Address
The following sautes were hereby raised by the
Claimant Claimant's Atty Employer Employer's Atty. Commission
(x ) ( X ) () () ()
Insurer Insurer's Atty. Non Insurer Non Insurer's Atty.
Important: All previous issues raised by this party are hereby withdrawn.
() () () ()
Issue No. ( } Did the employee sustain an accidental personal injury arising out of and in tho courts of employment. { ) Is the disability of the employee the result of an accidental personal injury arising n it of and in the
course of employment. ( > Did the employee sustain a compensable hernia within the meaning of the Contpemation Act? ( ) Nature and extent of disability.
( ) Average weekly wage.
( 1 ) H earing to determ ine*! t e widow o f deceased worker who d ied kmmu
occupational d isea * , A sb esto s! .
1 v -j n } ^ _.gy t
f an
( 2 ) Such other and furllwr IflUea aa may be raised at
This is to certify that a copy of the above issues have been served uj copy to the ADDRESSES SHOWN above, this U t h day of
aO partite Bste J ah* we bjr
Ocrtebar >, 1 fit.
This is to certify that the iesnee indicated above were these beard and derided by me at * bw
day of
19
***# .%****>*
- t-/*'W'. \ \..1(<
' ", -Lii '
V /. >c
HENRY I. NEWBUROl i t
at u w SUIT SOt tit N. C W M M I *TO*T ALTIMOM , WAYLMO
8An*TOOA 7*177
Oct I? Il U Mt 1
M ; ` #.V, - '.:`J ,i
%f , 'fi
K t . < 'wi s
a. Octobar U > 1961 "fell
Vorkuta's Coapanaation CoaaAstion, 108 Saat Lexington Stract, Baliinora 2 Shrylaad
HR* Cala of Hsian V* Knopp, widow of 3AVPSL ?. DCPP, a r u m - Lsroy Inoulatien Coepexy DATI QT DEATH - 8-11-61
C ontienen*
*|fl
I with to tor ^ appearance in tho abo entitled aattar as
fAttorney for K*s. Halan I Xnopp, widow of Sanai ? Knopp who died
onAnguatll, 1961.
>.|^r ;
;V"
Our eonfcaatioa i s th a t h is d e a th was catatad bjr a a O ccupational
fcDiaaaaa, A sb a a to sia, wbioh brought e a e o ro in eak af tb a langa
-'j,.AHfi 30*
; I ro e p o o tf lly r a jo a it th a t' t i ril i a a tt a r- he p e t down f o r a -HopriaE _
a*t^ th a t a r i i t r t p ra c tic a b le com oaianco '
*
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`^<fe" 'J*1* y'** Hlitin ,
-ui
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v . .)-VyV%S/''--34.e'S1,>*f*---.,Cf.;,
ikf; crics-leroy Ineulatioa CoopoRr,
L .6M sditoaA T tiw a>
V'ii'
B altim ora 17, M aryland
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s
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otig'f
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i
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cgz& r
> t
r**u * *
A * * flM
WnRKXKN S COMPENSATION COMMISSION
h, '. n i* * toc U * * i. H c llim o r 2, M d.
OSn No. v -rnrjw*
<d
? , inopp, CUCM**ti
Hl*a ?nopp, idea
A**' O
Married? idem....
A r * yo u w o rk in g ?
no
APPLICATION
FO* LUMP SUM.
How many children under 1# yre. ...oae.dfBgbtar..
With whom? ....................... i
What a rt you making per w*tk? aoa*
How mochpropcrty did you accumuicU up to timo of injury?
How much do you wont in a lump
-pi
(Givo ciompi** ad dttaikd
.?*** ..**?.j.*s*s*** dAMfefaX**..
17l.. .aS Slain* Sa^.JUmpp*..ai*..Sf .,.h.oadMt..isL.aonkr.hrt.tha wtWtwawr* la cmmli l.Ml.U..pap..Mh.A.a.JMMr #5,000.00 la all aid than ^ ataman ill.. Aiti:*.*
^Via* am giuPtyyfrst w wyyw> w
ww >
seated to tha Commiaoicm for tmtimony and mridoration.
Contract ef Sala for pureimaa of 60$ Sardlag Placa, Baltimore, tfcryLani, attaohad herewith
h l d L ~ ......a*. Helaa 9 Xaopp
(DO NOT USB SPACB BELOW) Sworn statements before
Baporter...... DECISION :
3^2 faawlc> H>aHii..Baltlaojk,t7
(p O y
<
//
Balance dot Claimant * * 3 S
Insurer notified
...-- ----- ....
Obja^Tfcfll/^ B Grayson, IHAfrict^lalsa
r% 43& 4s?....... S u p u rrls o j^ ,- A|t)A rlr a n Kn tn a l
-- Liability inorane* Co
Upon tha abora application sod teatlaony la pport tbaranf,
it la tharafora, thia 5* day of Ootohar, 192, tip tha Varkraaa'a
Coapanaation Coamiaio, OBD83UED that Pram tha closing; weak af
cempennation appremd andar tha Sattlaaaat
et. dated,
Map 23, 1962, thn atza of $4000.00, ba and tha
la- haret p ^
converted and ORDERED paid hy thaSaploywr and
nata
Olainant, In a lamp Sun, without discount
.;r " '-W
ATTEST:
DwI*acoay 8,lorim a r Secretary
57*Tm * c
3i?a A*jr?canini uf
** u* --
tuoimo hundred ad . -l iR te t---------------- b*mwn
d*y of
V M M - h U \ 4 i.m %k ;
m m M w u w Sm S me * ^ i ii
.eie* a iMfeavlNlnl)|i
Om i i 4 m i (i
tea*ette;m 4 th*dt1
to te * * * * * * rf
\MMi
`-AJf1
, Wa; - :
'-^S<- Jf