Document MwQ6x2YqepNwRMM75wQVQ9zz

FILE NAME: Railroads (RR) DATE: 1936 Sept 26 DOC#: RR027 DOCUMENT DESCRIPTION: Employer's Written Acceptance of Illinois Workmen's Occupational Diseases Act Form O. D. No. 1 EMPLOYER'S WRITTEN ACCEPTANCE OF ILLINOIS WORKMEN'S OCCUPATIONAL D ISEA SES ACT To the Industrial Commission of Illinois 205 West Wacker Drive, Chicago, Illinois Take notice that the undersigned employer hereby elects to provide and pay compensation according to the provisions of the Workmen's Occupational Diseases Act of Illinois for disability or death resulting from occupational diseases in accordance with the provisions of the said Act. Dated .at..... h.i..^E0 .......................................th is......, ? 6 t h ....... day of.-.^P.P..P^.-**.?...............193..^.. Name of E m p l o y e r . . . 9 3 .^ 7 - 'v ; Signed by.........L..Q.P...L./A.P. v:................... V ic e -P re s id e n t (State T itle or Position) Address 3.-40..Vest Harrison Street Chicago, Illinois THIS EMPLOYER SHALL EITH ER FURNISH TO HIS EM PLOYEES PERSONALLY OR POST IN A CONSPICUOUS PLACE IN THE PLACE OF EMPLOYMENT, A COPY OF THIS NOTICE OF ELECTION. For the information of the Industrial Commission state the following-: Locomotive end ca r shops a t : Location of place of employment Chicago, J o l i e t , Bloom in-tor., Jp rin cfield ,V en ice (If more than one plant, place of business or work place, state each fully) and A lton . Roodhouae, Number of employees ..................................................................................................... ....... ................. [ Approximately 1315.