Document JrQOgr6YemaN4m84Mbe1MNNra

FILE NAME: DDd DATE: DOC#: Dd OCUMENT DESCRIPTION:t&Z:D File Name Contract Unit Claim File: Lola J. Craderl Willard R. Crader Scanned? yes Source JMA: NS-JM Start Year 1966 Stop Year 1981 Contents claim Notes 1 WORKERS' COMPENSATION APPEALS BOARD 2 STATE OF CALIFORNIA 3 WLA J. eWER 4 WILLARD R. eWER, SR. (DmEASED) CASE No. 64 POM 1939 5 6 VS. 7 -C-E -R-T-I -F-Ie--A-T-IO-N- 8 9 Defen4ant 10 11 I hereby certify that the attached documents are true 12 and correct ~opies of the original documents tiled in the records~ 13 of this ottice in the above-entitled matter. 14 ~EST my hand and the Seal of the Workers' Compensation 15 Appeals Board of the State of California. 1& 17 18 19 20 Compens8t udge Compensation Appeals Board 21 22 2:5 24 Dated at ~ Francisco, 25 California t this 2; day 28 ot March 1981 27 !II. -...8 "t"O,Wft '.t7tIl, """II' . .AII'nII.-T oly...... ... 0" ' . . . . . . .A&. nteUftIIIAL A"."" .......T..... ------.... __.. _.... ..- . _ - ..- --_._._-----_. -------- ~. \'.'(j~f.mcr.s CSillron" ". p"'" ... Qu'", A;'~sa;s B~~rd I>a~_; : t': ~~S7 BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA PWONA COMPllOMIS:E AND ll:ELEASE (Dependency Clllim) s6cIAI. SECUlUTY NO.________ T.Qr,;,.T CB~nEB, wi d:i af WIT,T'r,BD B CRADER, SR.., Deceweea. .......CAM' O~'~NS-CORNING FIBREGLAS, et al. (see attached sheet) ~YU - 10603 Valencia. B)norn;ngt~n. Ca];f 5933 Telegraoh Rd., LA, Calif. -- AETNA CASUaLTY & SURETY CO., a corp. 2404 \'1ilshire Blvd., LA S4, Ca lif . et al. (see attac:hed) ....,,""_ ....... The panies - - . for eDt pwpGII of COIDpramiae OD1y, lpe .. o1IInm The .hoYe.GUUd app1icuat..- claim..!. mar 1'1ILIA RD a. CRADER. SR. "bat employed I ....... 0"..."-0..,..' . various locations in California ~etween January 1938 and 3 March 196 by various employers (see attached) ~ various carriers (see atBehed) it is alleged that exposure to irritants at work caused in jury to the claimant's lungs and other parts of his body resulting in deat. 2. The dud. of ai4 _ploy.. oeewrccI o,a.a._.:.7...:;:M::a~r..::c:::h:....::l:.:9..::6:.:6:..-_ _, 1 ' _ .. a nnlc of the clalm.d iDjwy. 3. The amaa1 wcckly wasa of the _ploy.. It the Qmc of cIaimcG iDjury were (rta=cory) wete_ _ _ _ _ __ in dispute , whilc moral" weekly W'lIp' ... P~yznmu of COIIIpmadoa. to cbc employee iD hillifcamc 011 aC:=UDt of cbc cIa.imcd. iDjury were:.-:n:.;,o;::n:.;,e=-_ _ _ _ _ __ The appliclIlt- heM claimL.. to han bcca. dcpca.dc:a.; upoa. aalci _ployee at the Qmc of cbimld iDiWY, aDd narc...i.. ch# IWDCI ISes. relaaOAShip co". aa.d'.~ nrcnr of dependeney upon said deceased employ.. co havc been II folio".: NAME AGE RELATIONSHIP EXTENT 01' DEPENDENCY L~la J. Crader adult widow total Th. plrtiC$ hereby asrce to accdc any IIld all claims of said dependent-- on ICCOlIDt of the claimed iniW'T .....! the tinth of noc employee bT pa>-ment of die I\Im of $1J.2.9_9~_ p~yablc II follows to...!p..e.licant in lur.lc sum, .__ less reasonable att?rneys' fees, less lien claim of acolicant's attorneys f~~ c?sts o;_$172.10~.__________.____.______________-------------- c ( 14. The unae.signea aoes hereby affirm and aeknowledge that he has .eaa the foregoing release or had it fully explained to him, and fully understands and appreciates the foregoing words, terms, ana their effect, ana that this ie a full, final compromise, release and settlement of all claims, demands, actions or causes of actions known or unknown, suspected and unsuspected, and as a further consideration and inaucement for this compromise settlement the provisions of Section 1542 of the Civil Code of the State of California, which reads as follows: "A general release does not extend to claims which the creditor aoes not know or suspect to exist in his favor at the time of executing of the release, which if known by him must have materially affect~d his settlement with the debtor," ana hereby expressly waived by the undersigned, who does hereby expressly agree that this release ahall extenO and apply to all unknown, unsuspecte< and unanticipated injuries an~ damages, as well as those which are now discloaed. and the undersigned hereby affirms that he has affixea his signature hereto voluntarily and of his own free will and accord. 15. This release conta1ns the entire agreement between the parties hereto and the terms of this release are contractual and not merely a recital. ,:I. .. , t'" :~ ( The pania bercby asr- (if IUda iau of expcaIC be claimIcl) Wl mecIical, horpiw wi buN! a:paa reqaind by _ _ of u: allqcd iojlll'7 &lid die datil of the emplo,."WU be bonN u loUo... all such exoenses by aoplicant. 43& W. 4th The ume &lid ~ of applic:aAl'.altOfDC7 (if &I1y): Levy,DeRO:(,Geffner & Van Bourg,Pomona,q ..bo uq_ a foe of s..L..ogQ.: 9_9__ ,,=, b.a prnioualy paid $--:.n:::.o:;;n=e___ " lleuon for c:ompromiM serious dispute exists as to the applicant' s rights to any compensation. Defendants contend that the decedent's death was neither caused nor aggravated by his employment. The death certificate indicates, that the cause of death was probably cerebral aneurism: defendants contenc that this has nothing whatsoever to do with his employment or any alleged exposure. The outcome of litigation is therefore hazardous and uncertain (over) <... " The undmipld nqll&R thet this ~ a , _ , aod rcJ.. be appro"cd. 'rt .rr-t .u 11, Upo... .pprrw.l of tim _/lromn. by o,tlw of IhI IUfIIlrU1 Acrit/mi Com""m., ;.ulthtrcof, eommmilllNr or. Refn", .nJ ~J-t .~tor",," I/Iilll IhI ;rofli_s of uJJ o,tlw oj .pprcw.l, uitl .pplic.", 1Mb of thtm tlo bn.1r "1,.,, .J ftm'fllr tluclm" ,.u _p~.u uJJ im",_ _p., of.nJ /ro1Jf.u cr.;"", tlnrl.ul, tirnrs or cam 0/ 1_ oj "'noy /Untl or ".tarr wIMtlOnllr, OIJ .ret)!"" of, or by ,,._ of IhI mjllry .U tl,.th nul....,. ., .f-it1 by IhI -Jrlo,rt fII., ad in p.,tical6r of ."" .z1.1IIl "''? cr.;", or ~.." o/.rtiOlJ whith Ih, wllllnJip,tl, Iwm, n'nUort, rr~n, or "m;";. flN/orS hw, IMI, flOW hw" or sW bttwft" h.w . , . , uJJ _~, ,.u m,"'~ c.,.,;", aJ ucb of IIwm "".1" DiIIi,;cm IV o/lUor Cod, of IhI SUI, 01 c.JIlorrn., 12. b is l!feed by all pan;. hereto that the 5l.iD, of this dOClllZlCI1' iI the Dlin, of an application on behalf of the appliC!IDt-, := that the commissiOIl may in. iu discmiOA let the matter fu harioS as a regular applicatioA, ftSUTiD, to the pania the right" put in. issue uy of the facu admitted bcnin., Uld that if harinS is beld with dlls docwncDt used as &11 application the deicod=ts .ball have anilablc to them all def_ that ""etc available u of the dau of iling of this docUJIICIlt, and that the commissioA INY thuuitcr either pprovc aid Compromilc A S - I ud Release or diapprovc the am. &lid issue ia declaiOZI after hcuin.g he boca held IIIIi the manu rep\arly nhmitted. Wnma IhI Ii",."", hrmf thh_ _ _tl" o/-------r:'--., , , _ .,._ _ _ _ _ _ _ _ _ __ " ,.l::A.!., ! ~\~/. Appl1eail C , /- - e l k :;~eys for Applicant (SEE ATTACHED) wtTN T .... 'NJURID . . .~IC'.NT". e.eNATURe Nun ... A'nr:lftD ., TWO o.alNTlItCsno ....."". OR AC,U'OW1dDD .'''ORIi. HOTA.'" pulUC. STATE OF CALIFORNIA l n, _________..c.......y.' San BernardinQ~ .'Cu"."...,.f,.1..:'3I1".'&" cC' ... P-N_= 2 IF!'\' '': ~ 'tJ., On this _.._ 20th I,y 01 -&~neva L. Stone April A... D. u.li.... bt/ort "'t. c Notnoy P.blit in tIIItl lor IhI uiJ Coatlly end SI.I" ,,,Wnl thrrrirt, ti"ly romminionrtl ,ntl 11110111, ptrtOMlly epp,orta 10' a Cracer .\MIVII 10 m, to bt th, p,rsfm 1/"bo" ".",n is 7_----svb.t.j~J t~ tbt ..it';',., 1""",,,,,,,,/, ."tle~lmow"tI"tl 10 "'~ Ih.t s hi ~"u"'r.1 Ib, ,..,.,. ' IN WITNt:Ss \t'HEJ.EOF, 1b.vr hr....",/o ul "'1 h.nti eml -ffi",tl tn;:: offin.l '".1 fhl de,: ~nti ylllr ill this enlif,,:.', first .btWe writt",. c1" /- ~ '.....,... , ..-.--.-~. - - - ( . ... .----~ - - , ~ -_._... ..... .--. -~. - -- -- ( - ... ~~.:; The various ~~ut~nce' companies listed below and t~ various self- insu~ed emplo~e.~,s V~~ below, being the workmell~ c:&~~nsation earr~ers for s,ome of the named cefendant emp1oye2:.!Frin 'tn.~s case - \i" during S:lII\e of the ,.Ptlc:od alleged as the period. of itr.i':l.rijPan this case, agree to~!'iii!'lie the follo\.,ing eontributions,j'~~arQ~Q.is settle- ment: I~<!'~ "! )-. '~>"" <,;..99~<J<> J PLANT RUSBER & ASBESTOS WORKS, a corp. (sel insured) v$ ~44.ee ~ PABCO INSULATION CORP.(self insured) 70.00 '~~ ~ PACIFIC EMPLOYERS INSURANCE CO. 1,175.00 GEl'4"ERAL ;'CCIDENT, FlU & LIFE ASSUR. CORP. LTD. 150.00, ' , E~~LOYERS ~~UAL LIABILITY INS. CO. OF WISCONSIN STATE COMPENSATION INSURANCE FUNC 225.00 20.00' ;~~RICA~ MOTORISTS INSURANCE CO. 1,770.00' GUARANTEE INSURANCE CO. 100.00 Il-."DUSTRIAL INI>EMNI'l'Y CO. 265.00 FIREl-mNS FUND INSURAlolO CO. 29S'.00","'O;/. , EMPLOYERS LIABILITY ASSURANCE CORP. LTD. CALIFORNIA CASU~LTY INCEMNI'l'Y EXCHANGE ,NA'l'IONAL AUTOMOBILE & CASUALTY INSURANCE CO. FIDELITY & CA$UALTY CO. OF NEl" YORl< 70.'00 ., f'?:'IS. 00 . "'-S~' 2O:,',()0 ~...,:' \I , ;',28: 00 RELIANCE INSURANCE CO. ~i:~~A=;~ ~N:=EcgO. TRAVELERS INSURANCE CO. ~~~:gg ~'"'<.: " 49 or:.,()O ~,250.00 Total $7,500.00 BY~a&4 R. iiEI,KENDIG & STOCKWELL BROBECK, PHLEGER & HARRISON By ~_cI, )f~ i QJ ~"". ,,\J.:! .\~ r~' Attorneys for Trauiers Ins.-- Attorneys for Plant Rubber & hsbe5~ co., Aetna Casualty & Surety Works and Pabco Insulation Corp. Co and'Liberty Mut. Ins. Co. BRILL HUN'l', DeBUYS & BURBY By _ ~-I Y""'; . ",J ~ ~ ~n-rt;-. Att neys for Gen. Accident,Fire & Life Assur. Corp. Ltd. EMPLOYERS l.ro'l'UAL INSURAl~CE CO. Z By ;;- -?1=H<r3: iIt. ' ~ ,'A.?I 77_1? Ath\. HAllNKpoPJtYc. ~ B~-r,...,...:M.J,d'[i ;.ttorneys for i\mer. 11otorists Ins. Co. Ji,FFEE, N~.LL=:RY , THOI'~SON, T.t.LBOT'l' So: LE!,l1ISTEP. I' I ' ""'- By '. . . \ '\,.\. y '.,...-,--=-~~ 7.-.:torn",ys for Employers Lial:ility ~ssur. corp. Ltd. p~~L1/ .p~ --\ By At~rneys for Guarantee Ins. Co., --- In~ustrial~demnity Co., and Firemen .t'u,90 Ins. Co. , and . ,/ .~~~~~~~~~~~~ !l.t.TL. :.UTO::OBILE & cpS. INS. CO. 13y__tL(~;,.1:I[ tfz(~~;') 1 1./ t, ----..- _ . _ - - - 1 vl0Rlcr-tEN'S COI1PEIiS.QTION APPEALS BOARD 2 STATE OF CALIFORNIA :3 4 LOLA J. CRADER, \'1idow (Willard R. Crader, Sr. Dee'd) 5 Applicant, 6 vs. 7 ARX1STRONG CONTRACTING &: SUPPLY CORP.,; 8 AR.t1STRONG CORK CO.,; S &: S ENGINEERING &: SUPPLY; CALIFORNIA HOr.m n1PROV'EI>l:!N'r 9 CO. j CALIFOR.l\j'IA VERMICULITE CORP.,; C. F. BRAUN &: CO.; CLARKS.-REECE of 10 REECE INSULATING CO.; COAST INSULATING PROD.,; C. O. SPARKS & lruNDO El~GINEERING 11 CO.; DUTTON ASBESTOS & SUPPLY CO.; LUSE STEVENSON CO. i HADDOCK ENGINEERS, 12 LTD,; HENRY J. KA ISER CO.'; H. K. EDWARDS GWBE EXTERI-tINATnm ENGINEERS; nmus- ) 13 TRIAL INSULATORS, INC.; J.A. CARl'ER CO.; ) JO~~S-l"..ANVILLE CORP. ; J. S. BARnErr; J. S. 14 THORPE, INC.; J.T. THORPE &: SON, INC.; KELLEY ASBESTOS PROD. CO.; LEE R. EKINS 15 CO.; LOCKHEED AIRCRAFl' CORP.,; L.A. CORK CO.; L.A. FOSTER CO.; L.A. RUBBER &: 16 ASBESTOS WORKS; LOOo1AN BROTHERS; RODERICK LYNCH, LYNCH ASBESTOS CO.,; McNEIL STANLEY, 17 INC.; l<lACCO r~cKITTRICK-r.lORRISON; l1ACIl\TE ENGINE Be SUPPLY CO.; METAL CLAD INSULATION 18 CO., INC.; OFFCCO CONSTRUCTION CO.,INC.; O\o7ENS-CORNING FIBERGLASS CORP. i PABCO 19 INSULATION CORP. i THE PHnIP CAREY MFG. CO. j PLANT ASBESTOS CO.'; PLANT RUBBER & 20 ASBESTOS vl0RKSj STANDARD ASBESTOS MFG. & INSULATING CO. j SYDNEY CARr-lINE; THORPE .21 INSULATION CO.; TOTr.1AN MORGAl1 CO.,; UNITED CORK COI>lPANYj FI3ERGL.t~SS ENGINEERING &: 22 SUPPLY, a corporation; THE CALIFORNIA CASUALTY INDEMNITY EXCHANGE, an inter- 23 insurance exchange; ASSOCIATED INDEMNITY CORP.. a corporationj LIBERTY !rorUAL IN- 24 ASUCRCAINDCEElfr C,FOIR., Ea BecLoIrFpEorAaStSiUoRnA; NGCEENCEROARLP., LTD. 25 aCOcIlo:?rApiIoT.raatiocno;rpToHrEat'i:'oRAnV; FPLEARCSIFIINCSUERIAtpNWCYEERS 26 II IINNSSUURRAft:N: CCEE CCOOrr-tIpPAANNYY,, aa ccoorrppoorraattiioonn;; EAMRGPLOONYAEURl' 27 i I LIABILITY ASSURANCE CORP, LTD. i AHERICAN N01'ORISl'S n:SUP.ANCE CO;jpANY, a corporation 28 i.l 'I FIRE!'1.4N'S FUND :m8'JRA~ICE CO;iPA!'!Y, a corpo- rat:!.onj I!~!)liS1'RIAL I1:DEi'i:!Il'Y COr~ANY. a 29 .:1,, co!'poratlon; GUA?..ANTEE D:SURAl;CE COIiPAHY. ., a cor,Ol'ationj STATE Cor-:?E;-JSA1'IOH mSUR- 30 ,II A!;Cr FtmD; I, I, . 'i : ,"- ," ':~." J: Ihl,uIC":J 'R C ' ' ~'':';I'!r''u ." :.~:' ..I.f ;'::t:'~ 8"!J":' -1- CASE NO. 64 POM 19 ORDER APPROVING COMPROMIS~ and RELEASES I AUG ,1 7 1;167. mmililt..___""_~ ,I J --------:(' -- --_._._--- \ CASE NO. 64 POf.! 1939 ~ 1 THE AFI'NA CASUALTY & SURETY Co:.jpANY, I a corporation; UNITED PACIFIC INSUR- 2 ANCE CQ!1PANY. a corporation; NATIONAL :; At1l'0r.10BILE & CASUALTY INSURANCE COi>tPANY. a corporation; RELIANCE INSUR- ANCE COMPANY, a corporat1on; FIDELITY 4 & CASUALTY COMPANY OF NE\~ YORK. a corporat1on. 5 6 Defendants. 7 .. a App11cant and the following defendants: PACIFIC Er1PLOYERS 9 mSURANCE COI-iPANY. a corporat1on; GENERAL ACCIDENT, FIRE & LIFE 10 .A:SSURANCE 'CORPORATION, LTD.; EMPLOYERS ImUAL LIABILITY lNStJRANCE II COlotPANY OF \USCONSlN. a corporat1on; STATE COMPENSATION mSURANCE 12 FUND; AMERICAlJ MOTORISTS lNSlJRANCE COMPANY, a corporation; GUARANTI 13 INSURANCE CO!wlPANY, a corporation; lNDUSTRIAL INDEMNITY COMPANY. a nmrr. 14 corporation; FIREMAN'S FUND INSURANCE COMPANY, a corporation; ." 15 EMPLOYERS LIABILITY ASSURANCE CORP. LTD.; CALIFORNIA CASUALTY 16 N~Y EXCHANGE, an 1nter-insurance exchange; NATIONAL At1l'OMOBIT~ & 17 CASUALTY INSURANCE CO~1PANY. a corporation; FIDELITY & CASUALTY COM- lS PANY OF NEW YORK. a corporation; RELIANCE mSURA!{CE COMPANY. a 19 corporat1on; THE AFI'NA CASUALTY & SURETY CQl.1PA!l.TY, a corporat1on; \ 20 LIBERTY MU!'UAL INSURANCE COMPANY, a corporationj THE TRAVFLERS 21 INSURAI~CE COI>1PANY. a corporation; have f1led Compromises and Re- 22 leases here1n on August 10. 1967. covering only that per10d of 23 alleged cont1nuing trau:na "lherein the above named defendants had 24 , compensat1on insurance coverage for the follo\'ling named defendant ~ 25 II employers during the period January I 1938 to !!arch 3. 1964: 26 eo.ST mSULATING PROD., J.T. TBOIiPE. me., J.T. TBOIiPF son. me., ';!OR;~Sj 27 :1 THE PHILIP CAREY r'!r'G. CO.; LEE R. EKINS CO.; LOS ."NGELES RUBEER &: 22: II ASB!::S1'CS C. F. BR..!\tr.7 co.; HENRY J. K,l1rSER co.; HE.TAL CLAD 29 :r::,SU""LATIm! cc. DW. j PLANT RUBBER &: ASBES-!OS '..rORKS; THORPE D:SU"....ATI ,; co. 30 CO. j -' .?,:".l so:~ ....... ' .... ;.. ,.'1, ; . , ~. ~ r -- e' . : .: ~ J"& ~.:.;.: ~.: LOC~IY.ZE!) AIRCRA~ CORP. i LOS AI~GELES CCR:~ i AR!';Sl'~ONG COR~ CO;iPAI:Y; OHENS-COR::lIl!G -2- CO;1PANY; LUSE STEVn! FIBERGLASS CORP.; ".::.:; r.'- - * i: *' ~ ;1 ...... If''' 5.~) ":.-::. il ~\ ;\ II CASE :10. 64 PO~'l 1939 1 FIBERGLASS ENGINEERING 8: SUPPLY, a corpO'!"ation; tn'Y!TED CORK CO:IPA; 2 a corporat10:1j AP':,:S'i'RO~1Q COr:T~~rra' 8: SUPPL CORP.; JO:mS-::AmII.. 3 CORP.; PASCO INSULATION CORP self-insured, for the sum of 4 $7.500.00, in addition to all su~s which may have been paid pre5 viout1y, and requesting that they be approved; and this Board 6 having considered the entire record. including said Co~prom1ses 7 and Releases, now finds that they should be approved; 8 rr IS ORDERED that said Compro:nises and Releases be'and they are hereby approved. 9 10 AWARD is made in favor o~: Lola J. Crader, Widow of II (Willard R. Crader, Sr., Deceased) 12 Against the follo~11ng: payable by: 13 r...fE T~VELERS D{SURANCE CO!'IPANY, a corporation 14 " 15 16 Te: Lola J. Crader, Applicant Levy. DeRoy, Gerfner 8: Van Bourg, fee and investigation expense advanced $ 77.9~ 1,000.00 172.10 17 PLANT RUBBER 8: ASBESTOS WORiCS, a corporation self-insured 18 19 TO: Lola J. Crader, Applicant PABCO INSULATION CORP., self-insured 20 . TO: Lola J. Crader, Applicant 21 PACIFIC Ef.jpLOYERS D-lSURANCE CO., a corporation 22 TO: Lola J. Crader, Applicant 23 GE:rERAL ACCIDENT, FIRE 8: LIFE ASSURANCE CO:!P. L7D. 24 i TO: Lola J. Crader, Applicant 25 \ E;:n.c'iERS r''iU'!''JAL LIABILn'Y :r:~SURANCE COl-n'A;'TY OF 26 I '11IS:0::Sml a corporation 27 i" ,j '.:'0: Lola J. Crad.erl Applicant 28 ~i S:';/:Z CO:,~El'~SA':.'IO;~ ';mSURA:'l:E FU:~D I I 23 'I ':'0: :'ola J. CraderI Applicant 994.00 70.00 1,175.00 150.00 225.0J 20.00 - , . . . . ~. - il "~i , ' t' .. : ! .. .. ':':;t:" e _ -=. -3- .-- , ;\ ~ \. (. CASE NO. 64 PQ1j 1939 \ 1 Ar!E:RICAN NOTORISTS INSURANCE CO;1PANY, a corporation 2 TO: Lola J. Crader, Applicant $1,770.00 3 GUARANTEE INSURANCE COrtpANY, a co::oporation 4 TO: Lola J. Crader, Applicant 5 INDUSTRIAL INDEMNITY COro1PANY, a corporation 6 TO: Lola J. Crader, Applicant 7 FIRE;lAN'S FUND n~SURANCE COMPANY, a corporation 10:).00 265.00 8 TO: Lola J. Crader, Applicant 295.00 9 E!1PLOYERS LIABILITY ASSURANCE CORP., LTD. 10 TO: . Lola J. Crader, Applicant 75.00 11 CALEORNIA CASUALTY INDEl'UUTY EXCHANGE. an inter-insurance exohange 12 TO: Lola J. Crader, Applioant 13 -. NATIO~AL AurOI1l0BILE &: CASUALTY INSURANCE COi>iPANY, 14 a corporat10n 15 TO: Lola J. Crader, App110ant 15.00 20.00 16 FIDELITY &: CASUALTY COMPAJo..TY OF NEVI YORK, a corporation 17 TO: Lola J. Crader, Applicant 18 RELIANCE INSURANCE COMPANY, a corporation 19 TO: Lola J. Crader, Applicant 28.00 48.00 20 THE AFl'NA CASUALTY & SURETY CO~lPANY, a corporation 21 TO: Lola J. Crader, Applicant 980.00 22 LI3ERTY r.rorUAL- INSURANCE CO!iPANY, a corporation 23 TO: Lola J. Crader, Applicant 20.00 . . . . . . 24 TOTAL $7,500.00 25 26 27 28 vlCRI:i!E;~' S COl'iP ElJ SAT ION APPEALS BOARD 2? -r .;J. t I, ~,F .... I .... ll~ . ~.', _" , ' . : - ' f"~> ..... ~.' '." :.;.u \ i'~#: . . . "'::' - !. ,'.::.3 i - . .. '. ',- -'. 5 .. 5.c:)! -4-