Document Mqkka5NvbMvRNMngDY1YL56M
X
INDUSTRIAL ACCIDENT COMMISSION
state or California
JOHII FAULKNER; QEE ATTACHED SHEET;
Applicant
Case No. &3 LS 221+6?
Order Approving Compromise and Release
Defendants
The parties to the above entitled action having filed a Compromise and Release herein, on
I.. I'' JUNE S. 1961+
thc ibovc C1SC for S $7,300
i i J.:
__
_
_
l., * in 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 ia hereby approved, payable as follows:
THE FOLLOWING AKOTJWTS ARE PAYABLE DIRECTLY TO THE APPLICANT BY THE
FOLLOWING IIISURAiiCE COMPAJIIES:
Flrcrum's Fund Insurance Ca,....
$1,700
Pacific Employers Insurance Co.,
1,500
Industrial Indemnity Co,,.......
600 pc'
Anorican Employers Group Ins. Co Eup. Mutuals of V.'ausau..........
U50
Z'j--bcmpll1 a Itucual Insurance Co. Arconauk-Insurance Company............
150
loo V <
(SEAT.) DATED AT LONG BEACH, CALIFORNIA
Ddtr
'*
tnio 11th day of Juno, 1961+
INDUSTRIAL ACCIDENT COMMISSI^*'
I'lTificFand Address of Persons Served
--/ff/~PEnmrTaotrr
: Referee
$2,500 payable by Aetna Casualty and 3urety Co, as follauai
Credit for advances................. ........... ,,,,.,,.,,,..,..,..,$400.00
Aetna Life Ina, Co., lien claimant........................................ 310COO
llcn.'allc Concunity Hospital, lion claimant565*61
E.L. Coudloy, H.D., Lien claimant,................................... .. 1913*00
Silver, UcWllllLns 6 Sherman, lion claimonto.. 320,00
" " , as attornoye' fees.,,, JC000
Jahn Pflultoior, applicant...............................
6,39*
02,6oo.(ju
*'' >
fatpluytes
UNITED CORK FIBERGLASS ENGINEERING AND SUPPLY COMPANY
J.T. THORPE AND SON, INCORPORATED THORPE INSULATION COMPANY J.T. THORPE AND SON , MARINE ENGINEERING AND SUPPLY COMPANY COAST INSULATION PRODUCTS; CAL STATE INSULATION COMPANY THORPE INSULATION COMPANY
ARM5TRQZC CORK COMPANY C.F. EllAUN AND COMPANY
JL
RCmfcE LYNCH dba LY;JC^ jHT0S C` METAL CLAD INSULATION COMPANY
INSURANCE CC'-PA-'ir. .
LIBERTY MUTUAL INS, CO. a corporation; AETNA CASUALTY AND OUKFTY CO., A carp, PACIFIC EMPLOYERS INS. COMPANY;
AMERICAN EMPLOYERS INS.
firemans fund insurance
COMPANY, a cor noration; ARGONAUT INSURANCE CO., a corporation;
EMPLOYERS MUTUAL CF WAU SAU, a corporation
LUMBERMANS MUTUAL INS CASUALTY COMPANY:
INDUSTRIAL INDE'NIT. COMPANY, a corporatio;