Document KVbrodO76ZLD0QxyYV4R9MGr

JohmT.Cumt AmDMw r. MimmUMM CTCtk M. HcOwiltf Clary, Mimnaugh & McGonigle.P. C. AnoKNCYt at Law SwtTC 05 CONTtKCNTAk ButkOm AOO MaakCT StkCCT PmIIADE LAMIA, PCMMSTlVAHtA 19106 December 6, 1979 Am* ( P*'. * URL 12674 Referee Jerold C. Klevit 1509 State Office Building Philadelphia, Pa. 19130 REt Haasey vs. Pnlroyal, Inc*, WOOD Claim 166-22- _i Dear Hr. Klevitt The above matter, which has been scheduled for December 11, 1979, conflicts with my present trial schedule which requires me to be in Hew Orleans, Louisiana on that date* In addition, X will need some further time to compile the statistical evidence since this is an "occupational" disease claim* Therefore, X request that the hearing scheduled for December 11th be continued to a date in the last week of January, I960* X have contacted Spencer Manthorpe, Esquire, counsel for Uniroyal, Xnc*, and he has no objection to the continuance. In addition, X am enclosing a copy of the Amended Employee's Petition which remains unchanged except that the Occupational Disease section has been coapleted (the dates weri omitted in the original) A true and correct copy of this Petition has been served upon counsel for Uniroyal, Sincerely yours. ANDREW F. MIMNAUGH ATM/ak end, ccs Spencer A* Manthorpe, Esquire Harry R* Hassey * comowsalts or Fsn2?LVjutu CEPARTKEMT OP LABOR ARC nCCSTKT BUREAU OF WORKERS' COHFBISATXO* >607 Derry StrMt EMPLOYEE*} CLAIM PETITION FOR COMPENSATtOt UNDER THE PENNSYLVANIA WORKMEN'S COMPENSATION ACT OP tf IA AS REENACTED AMD AMENDED larrisbur*. ? ITU* CTTPV OR PRINT CLEARLY) *AMENDED* MAMS as CLAIMANT _ Harry R. Hassey ITKCCT SMC NWMttS OH AS HtMtlt 3230 *A* Street vatu sir eooe ehnsdslahia. *a. ______15114_________ sect aw saewHtTv mo. 166-22-6901 11/19/29 vaunoMOMS r*r. ! 1 # Uniroyal, Inc* Oxford Kgt. & Research Center CtTTOaVOHN STATS Middlebury, Ct. sip coos 06749 TO YOUR HONORABLE REFEREE: Self-Insured STaeeV AMD NWttn Same Sane Tbc above basted cttimw itipctful!)r all(|ei tbc following fact*: L tu euurr w m, h.,u... rnanufacturing of vinyl aphol.tery A naintenanea. colander operator_________ s 1- c-. J. TLf dat* *Jt m OCtCHiaC Vault OOHK IMCkUDlN* TITUS, *V ***t (datedisovered) 9/14/79 A tfy iajury occwted oe eafdoyrf** premises &. . .................. If , state exact location, iocludiog count; or <. *,, My 7ury ev disease occurred in the following mv working environment contained .. exposure to cancer-causing chemicals. Psscniec vwbWT tms tvtNTi wmCm atiutTta iw vou wjuat e* ^ 6. Tbe nature of ay injury or disease is lu^g cancer ------------ eetcaist ewuLV. mcvuD'N* pv soot sreecrce ?. tf dote ) ht OCCUPATIONAL DISEASE under Soetioo YM( ceoflet* he latlewtag odditiannl InfarmuHem a. I Leeante (totally) (partially) disabled as a resale of (be above occupational diaeaae an September 14 19X2-- L Ny last exposure after Jar 30, 1973* N <be baxard of tbe above occupational disease vm ham .T11T y 1 f - - . . _ T 19-XL, so August ,31-------------------* 2f-. * euployed by .r.Tni royal, Tnr., -------------------------------------------------------------------------------------------- t. Prior so June )0. 1973. I %ns rgoicd to die hazard of tbc above acci^etiooal disease vLJt employed by. PAOC ALL tUOLOYtai DSTCS OV CMPLOVWKNT enou to Uniroyal. Inc. Masland Duraleather, Inc, 1/1962 9/1951 fi/1972 1/1962 Cveiplet# femaising qvestlor or otf rt side i treated by the following doctors eod/or bospirals: rr. Fi-ShffT- r MnrfKascam Hnsp r AT 1 twa. S. Tulip Sfr.._ Bh < 1 W . r Pa.----- - __ _ tivc Miun *mo teeatiiti, it mdmi. to mri. ,, __ Cr. Leonard . svick, N.E. Med. Ctr., Roosevelt Blvd. * Welsh Rd., Fhila, F l.'r. Sucha Asbell, Einstein Med, Ctr., York * Tabor Rds,, Phila-, Pa, *>. a. } Lrrfwn ay coplyrr it foaiA the abtve aedical ad labial scrricM* b. The employer did not these terriers* c. Tbr aatouat spent by me lor all or part of bear services u f in gxeesft.of $500* And COUtinuin J vss disabled due.to my injury o* disease boat -Tuly T W> 70 -- 19------ i I Ktvr --not--------ttfotd to wfc at my previous occupation aad at ay hiuer iragca which tore t 35ft A*-------- ! Notice of myinjury or disease was served upon my employer M ?i, 1979 fdatcl hV Srrrtyarj V . Hi wmmugH f Beiyi4 vm__________________ the fallwing Banner: bv sending written notice to; Hasland Puraleather Co.. Div. of Pniroyal. Inc., Collins & Willard Sts., Phila., Pa., Attn: Lee Pawluch, AND TO bniroy&if Inc., oxford ligt. 6 Research Ctr., Hiddiebury, ct. Attn: R. gT Havener 1 beHere the following additional facts to be iaportut: . ------ IHEKEFORE, I ask that your honorable Referee issue an avard of coftaietion in at in accordance with the provi sion.-* of the Pennsylvania Vorknen'l Compensation Act. V'j/,. iL-H / i/ DeD r-- Oi\jj 05 Subscribed nod s non ID before >e on this 6th Pennsylvania day of . December____________ to79ar Philadelphia. 6LL (This affidavit nay be sworn before n compensation referee any person authorized to administer an oath.) t* exandra Zielinski ffy Coca. Expires LL/22, :.!.A>r- ENTER MY APPEARANCE FOR PETITIONER: ATTOSNKV soonest ANDREW F. MIMNAUGH, E5QDIRE Suite 805, 400 Market Street Philadelphia, Pa. 19106 jotu:e . % petition should be liled In originol and fi** esoct copies either typed er printed, ft is only necessary to r.ake affidavit to the original petition. ___ -- LISO- 374 ( COMMONWEALTH OP PENNSYLVANIA DEPARTMENT 0? LABOR AND INDUSTRY BUREAU OP WORKERS' COMPENSATION 3&>7 terry Stroat Harrisburg, Pennsylvania 17111 HARRY R. HASSEY --- ~ " niPi-Bvr DEFENDANT'S ANSWER TO CLAIM PETITION UNDER PENNSYLVANIA WORKMEN'S COMPENSATION ACT Tr>* w Vtiit CUartf "AMENDED" 166-22-6901________________ EMVLOrri KCIAL ItCURITv MUM Bin CLDMMT IP OTMCM THAN KMVLOVI 3230 "A" Street_______________________' 1 iooacu Philadelphia, PA 19134 CITY OB TOWN STATS vs. SIB UNIROYAL, INC. DEFENDANT BMW L~C V I* Oxford Management & Research Ctr. Middlebury, CT Cl fr"on TOWN ADOBCSS GC749 STATE 2IB December 7, w 79 self-insured INSUBANCE CAMIIH CITY OB TOWN AODBCSS STATf ZlW TO YOUR HONORABLE REFEREE: In answer to lb* captioned claim, tbe Defendant raapactfuliy ploods as fallows: (Answers must bo identified by numtricol order in direct response to corresponding numbered ollogotions on cloim petition.) \ \ t I C 3r~D rCoT) J -wj Admitted. 2. Denied. To the contrary, claimant's occupation was , ^feTgjy~n the maintenance department. 3. Denied. After reasonable investigation, defendant is without sufficient information to form a belief as to the truth, or falsity of this allegation. 4. Denied, as more fullyset forth, in the answer to par. 3 hereof. 5. Denied, as more fullyset forth in the answer to par. 3 hereof. 6. Denied, as more fullyset forth, in the answer to par. 3 hereof. 7a. Denied, as more fullyset forth in the answer to par. 3 hereof. 7b. Denied. On the contrary, claimant was not.exposed to any hazardous substances during the period of employment. 7c. Denied. Claimant was not ex posed to any hazardous substances during the dates alleged. 8. Denied, as more fully set forth, in the answer to par. 3 hereof* 9afib. Ad mitted. 9c. Denied, as more fully set forth in the answer to par. 3 hereof. 10. Denied, as more fully set forth in the answer to par. 3 hereof. 11. Denied. It is admitted that claimant has not returned to work? proof of wages is demanded at trial. 12. Denied. Notice * s *dm' t-tpd, but it is uch notire wa *s A* o farther matter of defence, the Defendant respectfully etote* the following: Defendant has no knowledge as to the truth or falsity of the averments of certain paragraphs of th^ claimants petition, and after reasonable investigation, has been unable to obtain such knowledge and, therefore, demands proof of the same, if material, at -the trial of the case. WHEREFORE, the Defendont prays that the claim petition he dismissed or in the alternative disallowed. UNIROYAL, INC. Spe^eeer iSMATUftC A. Manthorpe 7 URL 12678 ATTOMNKV 2000 Two Penn Center Plaza AOORCSS Philadelphia, PA 19102 This enswer should be filed directly with the office of the Referee to whom the cose is essigned. Answers must be filed within 15 days. Every fact alleged in the claim petition not specifically denied by this answer shall he deemed to be admitted. NOTE Answer should he filed in original and throe copies, either typed or printed, Affidavit need only be node to original.