Document NKLNZpky8OJ21X2woRbDjjrQ

FILE NAME Mundet Cork MCK DATE 1954 DOC MCK110 DOCUMENT DESCRIPTION WC Claim of Gilivich INDUSTRIAL ACCIDENT COMMISSION STATE OF CALIFORNIA \ CANEO 61 OAK 7152 STETE GIZIYICH Applicant._ Applicant._ Aplicant._ VE FISLAGLAS LELING CRPANT 10DET CORY DA ENG CORNING FIBERGLASS 4 and ALTHA CAQUALIT & SURETY COMPANY et al Defendent.a Defendent.a . Notice of Time and Place of Further Hearing oe NOTICE TO ALL PARTIES You are hereby notified that further hearing will be held in the entitled action at December eoecner 19, 641964 3000 State Building 111l Jackson Street Oakland California | , : 9:0 9:00 AM Befor Befor us Abb Befor Dated at Oakland California INDUSTRIAL ACEDENT COMMISION . NOTE WANCES AND FURTHER HEARINGS ARE NOT FAVORED ' NAME AND ADDRESS OF PERSONS SERVED . DATE OCT 21 1254 Sseve sh 239 George Ave 21 Hong Fiberglas sh Paduck Claney Fiberglas & 315 Inancial Center Eldg Oakland 945 Fiberglas Engineering Co. 1200 - 17th Street Jan Francisco State Compensation Insurance Fund.3360 Grand Oakland 94610 244 Pacific Employers Insurance Co. Pine Street Francisco Attr 360 Royal Indemnity Company - 22nd Street Oakland 94612 Industrial Indemnity Company Sansome Street San Francises Travelers Insurance 1956 Webster Street Oakland 94612 Company Argonaut Insurance Company California Street San Francises Francises American Hotorists Insurance 417 Montgomery Street San Francisco General Accident Fire & Life 651 Market Street San Francisco Aetas Casualty & Surety Company Rotgenery Street San Francisco 1440 Standard Accident Insurance Co. Broadway Oakland 94612 94512 Fanza & Brophy 1540 San Pablo Avenue Oakland & 100 Sush Street Francisco Sedgwick Datert Armeld San Henry Sanford 582 Market Street San Francisco Brobeck Phleger & Harrison ill Sutter Street San Francisco EXHIBIT Hullen & Filippi 315 Montgomery Street San Francisco Mundet Cork Corp. Aetna Casualty & Surety Company Egnature et Person Serv 5149 | WC001071 SuppCloempany Brannan Inc. Plane Rubber & Asbestos Works 537 Street San Francisco Western Asbestos Co. 675 Townsend Street San Francisco Herman Lawson Company 465 Tehamn Street San Francised Van Arsdale Lumber Inc. State Compensation Insurance Fur The Paraffine Companies Inc. 475 Branean Street Can Francisce Plant Asbestes 1300 - 64th Street Emeryville Armstrong Cork Company Liberty & Charlotte Lancaster J. T. Thorpe & Son Inc. 1351 Ocean Avenue Emeryville 1. W. Lelleg Co. foot of Danforth Avenue Jersey City New Jersey Conga, Arers Ge 696 Kinnesota Streat San Francisco Francisco 1000 C. F. Braun & Company South Fremont Avenue Alhambr Owens Corning Fiberglas Corp. Box 89 Sansa Clara The Philip Carey M. Co. Leckland Cincinnati 15 Chie Phillip Hoad & Shirley Hielsen Industrial Insulation Co. 11835 Wainer Cupertine Armstrong Contracting & Supply Box 1548 Lancaster Pesuisylvania Harold G. Lorentzen 1155 - 5th Street Oakland Department of Explayzent Baz 3534 Dineon Annex San Francisco t LHfa 61 CAE 7152 GILITION WC001072 ALEXANDER AGENCY INC INSURANCE WORLD WIDE SINCE 1889 116 FOURTH AVENUE + MITTSBURGH PA 19322 March 31 1964 Mr. Wallace 3. Hofferth Assistant General Manager Insurance Department Armstrong Cork Company Lancaster Penna re tS 1 ! ry Dear Mr.Hofferey Mr.Hofferey Re File : 96 0317685 Insured Armstrong Cork Company Claimant Steve Cill /tch In 6-30-49 si* & ne ti We are enclosing copy of latter received from the Reliance Company in connection with the above claim We will keep you posted of any further developments Insurance Very truly yours yours * Ao Mey Ho enel 2 QUA BECONO CENTURY OF INSURANCE SERVIC^ WC001073  , \ YEL 81.88ad 81.88ad , ~ ~ arbadar Agency no 316 Yemy Avagus Pittsburg Pa Attention S. A. Bay 24 File 96 : Innred C 317685 ^ smytrongCert CapasY Claimant Stove 8111fich 123 6-30-49 age 11996666 ALEXANDEZ ALEXANDEZ 31 ALEXANDEZ > 31 ACENCY ACENCY ACENCY ACENCY C^ ACENCY In response to yare of Karch 2 1961 on the above mentioned this ie In Arise that s keerlag vas held before the Industris Comisaledt Gis September 18 1963 and it was agreed on a sottlese1 of 8,000 to be allocated between the nmerous companies involved la a Our exposure nd approximately 20.00 ba 20.00 mae ones SENT approximately a Ve here not received any further vord from aus etsaraer o this mtio u 30 vhethe any Ast 15 Prezzot kag boat reached betaw all. emmpanies to to the at that should be allousted betver E in order that we right p cur pertion of this clais la som u ve have been notified by air attorneys Ve of course vill notify yo kovwveI notified the Santis ve regzem that yes #lary your file for at least aasther sit warus ad vrito u egin if yos here not bad user vont from us by thos . Fiptiek { Rallenes 19supekee Company | Binagar^ ^ddidantBeauro4ge ~ i emsany Monti Neurence Campany | q ct 4? . ag CRED aT FW FW ' RABI So balk TT ERs RYO / /" /fl /en/i/ n/bignehe oo aUETRRRE FF SEP = wee , tl o - ee we hee - , RE- O ER Ome - span e DA WC001074 * att INSURANCE TH"T"RAVELERS COMPANY THE THATZLLAS IN ste b PTE Be, CLAIM DRPAS .. oy ee Pe _ J. A. Jeans Mamasen sage an February 28 1964 i . Alexander & Alexander ; 225 North Charles Street . oe a vwonemens -Balt-Baltii more -m Bao ltirmoe re , Maryland i vt Attn G. H. Malay i ; , ef . d Be Armstrong Cork CompaET , Gartlcaeni 3 , 4 3-9850922 3-98509277 =i wa, netaich netaich netaich cases and & mise the anotas of 8,000.00 8,000.00 is being submisted for approval and release This commise is Amazing parsalze to all defendants The share of 170.00 and the share of Amstrong Cork Company Amazing Supply is ment Contracting ts aef657 Tuttisment in these troubles claies _ , an . Fa ~e t . Very truly yours Wa Sale Compensather Sale Compensather Compensather Adjuster Adjuster WJS : BED < ^' os 7 Re a oe & +. * oem e . . , ; .... orrier AW 1041 18011 801603 186 0160 03 13 801603 . tg * sle ow ee . rr = a a ts WC001075 ep . > oie olin sebmnouctt Bgrctom, +. THE TRAVELERS INSURANCE COMPANY THE TRAVELERS IN TH NER COMPANY COMPANY COMPANY we FLAIM DEPARTMENT . ' J. A. Joons MINAGSI aes. : ; wy at FEB 24 NO SPMEE Gray Strunz 2424 Alexander & Alexander 2222 -th Charles Street Mazyland " Finlar Attn Q. H. Finlar . Sa Asmotrong Cork GempEAT . Gentlemen $ ' developments There have been no new in the claims of Joan Wrea 59850925 and H In the Stave Gilivich cases and 3-9850927 a compromise and reles 9850942 in the amount of 8,000.00 is being subitted for This compromise approval lament pertains to all defendants The share of Armstrong Cork Compers a, WAIL be 170.00 and the share of Armstrong Contracting and Supply is 20.0 Satisfactory settlement in these troublesme cizing ES = own . out tina MO ge, . ' ^' oe - 4 600 - oe se _ . vette . fary traiy JOUS Wande Wande Wande Wande Wande Compensation Compensation Adjuster 3 [ a ! a 7 . . . . has ae . tn - 2 emis NON 1201220 1331 1331 ' ; meer tae oN eNeriee? Pe WC001076 Sora S er SN ; mewee ef atsx vl a ae Rigcea a e mes raa yA eeeSTstig Pee : in a 88, %).2 4 WC001077 qgeed Tae 3 ten ee REST ST . : Med on Med You You then Med Med SA JAMISES Med Med 19 CAOIMIA Tia) week . heSam Albert 3. le een LOST LOST State Comparation Inverse Fund 25 Golden GraATS 9 Calif wom SALITION VO Fraspar euoswereing CAPE, HRES CLR * EN WEG GIRVIN FIRETELAS CORPORAT ge Aktell Chat & SCRETI COMPARIS et al LAG CASE HO GL GAS CA YER NO 557-03-1199 in an Prty Deferstant This Pupartaunt is receipt of Order Joining ad Order Dismissing Parties Defendant In order that you may be Rade ers of this Departemt'~-isterent in this sese attached Tu vill And a copoyf this Departorat's mediet lien filed on April 13 1962 . Be listed parties beles are also being served DETENTRITICUS Pubert DETENTRITICUS POBERT E CHAPTAN DETENTRITICUS SUPERTE . Flt aa Attesh oe Pacific Employers In Co this Fire St. 5 F Royal Indemnity Co MA ranrd and Gekland Indutrial Indutrial Indemity Co 300 rand , Oakland Industrial Indesit C6 220 Smsone Jt $ } Trevelare Ins Co 1956 Webster St Oakla a Argent carmee Co 550 California St S F en hetwists Ing Co 127 Hay St 3 7 1 Accident firm & Life 601 Market St 3 F barlard Lecident Ins Co W10 Broadrey Ceklet 2 +? Hases & Brophy 150 San Pablo Ave Oakland Henry Sanford 502 Market St 3 ? Brobeck Fig & Harrison 111 Sutter St S F Pulim & Filip DS Mentenary St = F. F. WC001078  ) G TO TO TO V V Flot Asbestas 00 1300 64th St Emeryville Mundet Gark Corp / Aaens Casucity Surety Op 220 KontgozAST St P Plant Fasbber & Asbestos Wies 537 Brannan St Western Asbestos Co 675 Townsend St S P Nerean Larson Co 465 Tahama 96 5 F Van Arsdale Lumber Co f^ e/ State $ F Fund 525 Gelden Gate Ave S P The Paraffine Companies Ine 475 Brannan St 3 ? Armstrong Cork Co Liberty & Charlotte Sts Lancaster Pennsylvania Serpe & Sea Ine 1351 Coasa 98 Beyrlile M Seling Go Took of Danfarik va Jarany Olty New Jeraw 48 Ayars Supply Co Iao 698 Minnesota 5t 5 P t Braun & CG 1000 South Frameet Ave Jason Owens Corning Mberglas Cort PO Box 89 Santa Clara The Philip Carey Mfg Co Lockland Cincinnati 15 Obie Phillip Head & Shirley Nielsen Industrial Insulation Co 11835 Nainer Cupertino Armstrong Contracting & Supply 0 Box 1545 Lancaster Pumn Hareld G`Lorentsen G`Lorentsen borentsen Co 1355 - 5KA St Oakland Todustrial Accident Commission 1111 Jackson St Oakland re) WC001079 SLL AAR ef BEFORE HES TVILZSE JUOZAJV G9620SION OF MY 34 GP CALE A CLAZI 197. 61 GAR 7132 3 3 a LEVE GILITICGILIHTICH Applicant Applicant BA et FEROZAS ENGINZERCIENGIONZERCIO COMPANY HUNDET GORE CASUALTY OKITS GORENG STATRALAS COTE ORDER ITHO PART TEBANT TEBANT ard ORIES LISSsms P andAISHA CASUALTY & SUNITY COMPANY, tt le Defendants Defendants DefendantDes fendants WARREN& FAILEY CO end AMDIRGOU & ROVE be dismisae~ na pasties Cofendant in the above cititied cititied cause 2 net Ad 6 OP AIGHLY AV Hicinwd, : : EVICE OPSIT SEP 1969 PW Brune Call Eldj Pianial Stave Glivich 239 Georgia Ave. San Smith Farsian Paduch & Clancy 2 Fiberglas Engineering Ca. 1033 = 17th St. - Center San Asi Eldj Asi Asi Francisco Ca. : State Compensation Inc. Fund al Bervice Franciscs Pac Employers Insurance Co. 243 Pine St. Dan Franciscs Dayal Indemity Co. 300 - 22nd O. Oakland Calls Calls Industrial Indemnity Co. 200 Grand Ave Caland Industrial Indemnity Co. 34 Sansome St. San Francise Francise Travele Ins Co. 1953 Weester St. Oakland Code ca Cal Faxing Faxing Faxing Faxing WC001080 WC001080 Francise Francise Barisan Insurssce Go., 553 Califorala St. San Barisan Motortacs 223. Ca. 417 Monspesery St. San Francise C eB General Accident #INS & LI7 601 601 Hartes St. 817 Froms Astma Casualty & Surety Co. 22 Hentzer St. lan yra Calis ncis & Standard Aqziden^Ins Co. 14:00 Besadway Oakland Calis 1 Decept Calif Sedgwick Hanns & Brophy 1540 San Pablo Ave. Oakland Moran & Arnold 109 Evan St. Sun 7166165 '. E op Ransom 582 Bucket St. San Francisco Cul17 *% ck Phlezes & Hartlaon 111 Sutter St. Sen FrencieSO Gall n & Filippi 315 Montgomery St. San Francised Calor Mundo Cark Com / Actra Casualty & Surety Co. San Prancis Karma Balley Ca / State Fund personal service on Plant Rubber & Asbest 2 WZ 537 Drannan 56. San Franc Ez West Abastes Co. 675 Toscand St. Francisco Calif Anderson & Rowe / State Sund personal device Hetman Lawson CS 465 T^'rSc San Francisco Calif Arsdalo Lubes 10 Van Inc. o.State Fund personal se The Paraffine Gempinier Inc. 475 Brannan St. San Francine C 12 Plant Asbestos Co 1803 ~ 64th St. Espills Calif Theupe Cart Co. Libery & Celoste Sts Lancaster Feaway 12 J. F. Theupe & Son Ind 15 Ocean Ave. Emeryville Caiss M. H. Zellos Co. Feet el De AMS c City New Jerse 13 Chas, Tax Symply Co. Inc. G25,/4,xh tin , as Franciaco ' 14 @. FP, Track & Co. 1000 Spurs Praag , Santa Alhambra , Gallf .% Owens Corning Fiberclas Cosp 8 Santa Clara Calis Lezb~ 18 The Philip Carey HIC Co. Sincinnati 15 Chis Phillip Mead & Shirley Mielken 18 , Industrial Insulation Cex, 11315 Cupertino Calls Armstrong Contracting & Company 7.0.Box 7.0.Box 156 Lenracter Penney 17 Harald G. Lorentzen Lorente Lorente Company 1155-5ch Sa. Caldand 18 Dept. of Employment P.0.25 3534 Rincon Annex San Francisce 19 20 oe ? 21 22 23 24 28 28 Who| 28 , , 29 30 WC001081 Before the Industrial Accident Commission of the State of California 2.576 GELITICH 44 GELITICH Pita fe Ldath tee oe \ Applicant FIBERGLASS ENGINEERING COMPACT AETTA CASUALTY AND SURVEY COAT etal Casa 61 OAK 7252 . Notice of Change in Place or Time of Hearing Defendents ; NOTICE TO ALL PARTIES You are hereby notified that the time and place for the hearing in the above entitled action has been changed to and will be held at September 16th 9:00 Ache ALL DAY 3000 State Building 1111 Jackson Street Oakland Califormis , , September 19th 9:00 A.M. AII Aoine Dizedst Oakland REQUEST OF APPLICANT'S ATTORNEY California os INDUSTRIAL AGEIDENT COMMISSION Notz No clativniltkuprcine ted czangs for unusual circumstanow and then only with the consent of all parties of No requents for e continuates will ha coundered unless pressed in w-riting wichum days from the data oPf urine this notice F NAME AND ADDRESS OF PERSONS SERVED DATE AUG 49 Fiberglass Engineering 1200 - 7th Street Francisco California Steve Gilivich 239 Georgia Avenue San Bruno California 3534 Annex San Department of imployment Rincon Francisco 19 Cali Plant Pubber u Asbestos works 537 Brannan Street San Francisco Calif Western Asbestos Co. 675 Tomsand Street San California Hundet Cork Corp. 65 South 11th Street Brooklyn New York Hundet Cork Corp. Terrelle Avc lorth Bergen New Jersey Harren . Bailey Co. 198 Second Strees San Francisco Califomia Anderson = Rowe 45 Belcher Street San Francisco California Cork Insulation Inc. 155 East Loch Street New York New York Co. 155. Francisco California Hewan Lawson Tehama Street San C San Califo Van Arsdale Lumber Inc. rannan Sts Francisco C Califo The Paraffine Companies 475 rannan Street San Francisco Califo Lieryville Plant Asbestos Co. 1360 - 64th Street California J. S. Thorpe & Son Inc. 1351 Ccean Avenue Emeryville California H. H. . KelloEZ Corp. of Danforth Ave. Jersey City New Jerse WC001082 Californ Chaa Ayers Supply Co. Inc 698 t^...nnesotaStraet Francisco Plans Insulation 2120 East 25th Street CalifoCar lifn orn 1000 C. F. Braun & Go South Predat Area Albachra California Owens Cornise Piberglas Corp. P.O.Box 89 Santa Clara California California The Philip Carey , Lockland Cincinnati 15 Ohio Mfg.Co. Phillip Nead & Shirley Hieisen Industrial Insulation Co. 11835 Vainer Cupertino California Califorala Armstrong Contracting & Supply Corp. P.Q.Box 1548 Lanc Lancasa ter Ps ennt syle va Pr ennsylva Partes Insulation Contracting & Supply Inc 151 Bayshore Blvd. San Francisco Califorala . Kare24 C. Lorentsen Lorentzen Co. 2257 Karket Street Oakland Calitcs 1330 vw. - -pansation Insurance Fund ' Aetna Casualty & Surety Company Personal Service ; Broadway Dakland 12 Californi Pacific Employers Ina.Co. Pine San Francisco Calif Industrial Indemnity Company 300 Grand Avenue Oakland 10 Californi Californi Indemnity Cabang Industrial Atta F. Romos 350 Sansone Street Prancises Califo Travelers Insurance 1956 Webster Street Oakland California Argonaut Insurance 550 California Street San Francised Californi Anerican Motorists Ins Montgomery Street Francisco Califo General Accident Fire Insurance & Life Ltd. California Street San Francisco California 2 t Parrish a Claney Financial Center Bldg Oakland Call Francisce Califor ' Sedgwick Datart Horan & Arnold 100 Bush Street San , Hullen Hullen 315 Montgomery Street San Francisco Calafe Filippi 1540 Twoky Hanna & Braphy 1540 San Pablo Avenue Oakland 12 California Henry Sanford 582 Market Street San Francisco California RA Se ; 61 CAR 7152 Steve Cilind : , Qe 4D - ete CADERED defendant EIDANTS IT IS COMPANY Good HEREBY be dicmissed Caus THAT as a party EIDANTS Ther CAI and GLOBE IDE defendant in the above entisled cas Referee comma A MICK MICtK o, INDUSTRIAL INDUSTRIAL ACCIDENT CONSIS . Indemnity Company California Armstrong Cork Company Liberty & Charlotte Sts Lancaster Pennsylva Globe Company 360 - 22nd Street Cakland 12 315 Montgomery R. P. Wisecarver Street San Francisco , California WC001083 64 mu and mu 1 ADES PO Taw Mar Ae mE Tb va tT 7478 67 POVPOVPHA P POH VPA HA OOS on ter OM F & | ' STEVE GILIVICH ve Appliand FIBERGLASS ENGINEERING COMPANY ATHA CASUALTY AND SURETY COMPANY otal Defradent Gene 41 OAK 7 Notice of Tas and Fince of Hamr Hamr Fnter Hamr CK JUL 1 1963 NOTKE TO ALL PARTIES Yos en burely safe due forcher bearing will be held in the shovwanded sexia ** 3000 State Building 1111 Jackson 9tz^,et August 22nd 1963 Oakland California August 23rd % 9:0A.0 M. . 9:00 N. ALL PAY ALL AN , ae? Bane} ext Oakland California L RERETELAL ACRES? cece WOT GGNTNUARTSS AMO PUSTHER RSAROGS AB HUT FAVORED. MAIR AND ADORE oe Resch Rove DATE June 25th Fiberglass Mgineering Co. 1200 - 7th Street San Francisco Califo Stove dilivick 239 Georgia Avenue San Bruno California Franciso Francisco Remax San Department of Employment 3534 Rincon Francisco 19 Cal Plant Rubber & Asbestos Works 537 Brance treet San Francises Cal Festern Asbestos Co 675 Towsond Street San Francisco California Konder Cork Cap 65 South 11th Street Brooklyn New York . Cark Grp 7101 Ferrello irs North Bergen New Jersey Varra & Hailey Co. 198 Second Street San Francisco California California Andersen & love 45 Belcher Street An Francisce California Street York Cork Insulation Inc. East Lith New York Francises California Herman Lawson Co. L65 Tebana Street Sts Jan FrancisecFrancisec Francisco Cali Street ,San EmeArvey.vLialnclaester Pennsylvania Jarsay Plent Asbestes Co. 1360 - 64th Street California Armstrong Cart Liberty & Charlotte Sts J. T. Thorpe & Son Inc. 1351 Ocean Avenue Maryville California California M. W. Kelleez Corp. Foot of Danforth City Jara Kystenof Passes batakang Motiv^ WC001084 WC001084 Plant F. Alhambra California Owens Los Insmatincoast Insmatincoast Insmatincoast 25th Street 1000 Braun & Co. South Frament Corning Fiberglas Corp. P.0.Box Santa Angeles California Clara California California Onio The Philip Carry Lockland Cincinnati 15 ; becalade Supply Phillip Head & Shirler Nielsen Industrial Insulation 11835 Wainer Cupertino California California Armstrong Contracting & Supply P.0.Box 1548 Lancaster Pennsylvani Pennsylvani Parker Insulation Contracting & Inc. Bayshore Blvd. Harold San Francisco California California Harold G. Lorentsen 2257 Market Street Oakland California ensation Insurance Fund Personal Service Company Francisco Calif wwe 4. alty alty & Surety Pacific Employers 244 Globe Indemnity Company 360 - 1330 Broadway Oakland PPiseise St. 22nd Street Oakland 12 12 Califemis Califemis Attn 3..H California Industrial Indemnity Company 300 Grand Avenue Oakland California Industrial Indemnity Company Sansome San Francisco California Attn F. Ramos Co. 550 Travelers Insurance 1956 Webster Street Oakland California Argonaut Insurance , California Street Francisco California American Motorists Ina.Co. Montgomery Montgomery Street San Francisco , Caliform General Accident Fire Insurance & Life Ltd. California Street San Francisco California : awe 3 Claney 315 Smith Parrish Paduck & Minancial Center Bldg Oakland Calif Sedgwick Decort Horen & Arnold Bush Street San Francisco Californis Mullen & Filippi 315 Montgomery Stre,eSt an CalifCao liforr nia Cn alii fora nia Mr. R. P. Visecarver 315 Antgomery Street Califo Califor rnia n Cali ifora nia Hanna & Brophy 1540 San Pable Avenue Oakland 12 California Hany Sanford 582 Market Street San Francisco California 3 Fe 61 OAK 7132 Stave Cilirich WC001085 et BET Bare a Te INDUSTRIAL ACCIDENT COMMISSION JO THI STATE OF CALIFORNIA Case No. 41 818 7 49 - VS. Applicant fowa 11 INT be ... Easdakmcml Gubal 450667 L. betas TY a. Jha Order Dismissing Party Defendant . 7/1/03 7/4 7/4 7/1/03 Good Cause Appearing Therefor IT IS HEREBY ORDERED THAT A. det S. F eee ee 10 t Kyron A uoe shot FB Ky 8 TattyA b beer Sn? were Var 177615 wma werrela "Bs. *R* P ... @ 4 Shon + + datedate date ure neh Sd pe eo t V4 ig wm SBer oeyeet ng beer beer beer beer nsu1a7l7615 ance Damityers Damityers . p Chet he 147 { fifi fl 69. afvisen afvisen afvisen afvisen oh * be dismissed as a party defendant in the above entitled esse C7 SIL SIL Sake ACCIDENT 4 * INDUSTRIAL ACCIDENT COMMISSION 68m Copies meiled i Fenlazari Fenlazari Fenlazari es nal eel Se bee a, fi ? Fenlazari 3. Fenlazari Fenlazari ... Ph * 054 do tpt hogs a et er ed We ali w 10 ieee TI IMfae, 15 T 15 TI 15 15 15 & fi fifi : Sam ' # *** *** fi fi fl fi 2fl172 ee vi fi p,, Gee oe . fi fi fi fl fi fl ** fifi fi47fl fl3fi 2fl 1fi72 fl tlm o 121 SEND WC001086 IF 61 OAK 7152 IF (Ceatinued Vestera Asbestos Ca 675 Townsend Brooklyn San Francisco Calis Calis Mundet Cork Corp. 65 South 11 St. Brooklyn York Mundet Cork Corp. 7101 Forrolle Ave. North Bergen How Jessey Warten & Miley Co. 198 Second St. San Francisco Cali Anderson ^ Rowe 45 Belcher St. San Francisco Cali - Cork Insulation Inc. 155 East 44 St. New York New York 465 Rexas Lava Co. Tehzza St. San Francised Calis A. & 7. Peters & Son 410 North 10 St. San Jose Calif Van Arsdale Lumber Inc. 5th & Baran Sts San Francisco Cal Peeesar Formatzen Co. Insulation Engines 2237 Market St. Oakland ~ 9:ine Companies 475 Brannan St. San Francisco Calif ostes Ca. 1360-64 St. Emeryville Calif Arc- Cork Co. Liberty & Charlotte Sts Lancaster Pennsylvanis J. T. Thorpe & Inc. 1351 Ocean Ave. Emeryville Calis , A. W. Kellogs Go..Corp Foet of Innforth Ave. Jersey City New Jerse Western Di Products 1301 - 17 St. San Francisco Calif Chas Ayers Supply Co. Inc. 698 Minnesota St. San Francisco Calif Plant Insulation Co. 2120 East 25 St. Los Angeles Calif C. F. Braun & Co. 1000 South Fremont Ave. Alhambra Calif Owens Corning Fiberglas 8.0.Box 89 Santa Clara Calif Carey Asbestos The Phillp Co. Lockland Cincinnati 15 Ohio Insulation & Asbestos Industry Was.of Northern California Vacation or Pund Local Ne 16 200 Querrers St. San Francisco Calif Phillip Head & Shipley Nielsen Industrial Insulation ; 11835 Mainer Cupertino Contracting & Supply Corp. F.O.Box 1543 Lancaster Pennsylv Parker Insulation Contraste & Supply Inc. 151 Bayshore Blvd. San Francisco Calif Hareld G. Leventson Lorentzen Co. 2257 Market St. Oakland Calif State Compansation Lesurance Fund Personal Service 1330 Aetna Casualty & Surety Co. Pacific Employers Ins Co. 244 Broadway Oakland 12 Calls Pine St. San Francisco Calif Globe Indemnity Co. 360 - 22 St. Oakland 12 . Industrial Indemnity Co. 300 Brand Ave. Oakland 10 Cali.f Industrial Indemnity Co. 350 Sansome St. San Francisco Rz ' American Employees Ins Co. Russ Eldg San Francisco Calir Exployers Musial Lisbility Ins Co. of Wisconsin 114 " Sansone St. San Francisco Calif Travelers Insurance Co. 1953 Webster St. Oakland 12 Call Calif Argusest Insurance Co. 550 California St. San Francisco Calif American Hotorists Ins Co. 417 Montgomer St. San Francisco Calis Accident General Employers Fire Ins & Life Btd 600 California St. San Fran Llability Assurance Corp. Ltd. Russ Eldg Francisco betort Moran Saith Parrish Peduck & Claney 315 Financial Center Eldg Calland t Sedgwick & Arnold 100 Dash St. San Francisco Calif Mullen & Filippi 313 Montgomery St. San Francisco Calif Mr. R. Wisecarver 315 Montgomery St. San Francisco Calif Calif Hanna & Trophy 1540 San Pable Ave. Oakland 12 Calif Henry Sanford 22 Market St. San Francisco Calif 61 OAK 7152 GILIVICH WC001087 December 12 1968 : S. Farth Legal partment Explayers Mutuals of Veusa Adam Grant ; Can Frascines 4 Calonia Dear Mr. Ferlily : Subject St^,ve QL14 SLA Armstrong Cork Caspany * AZT 42980 He are corzy ve cra^stermply with your request for vege and other information on Steve Cilivich but all paytali and contract records prior to 1959 havE bera destroyed There is one exception to this statement hovevar end it casos inte fl^,yto you expany's advantage He de maintain a total yessly by eargings reeard individual and these records go back to 1940. Wa vere shle to determine frm these records that Steve ~ iliviekvas not employee of our South Gate Hanfacturing Mans disring 1948 1949 or 1950 and stace this is the lecatiyoounr expany insured your defense is obvious Please let us know if you need anything further from Ts Wallace B. Hafferth Assistant General Menager 3 Insurance Degast WC001088 <n Employers Mutuals of Wausau - ADAM J~A^ BTUILDING SAN FRANCISCO ,,CALIFORNIA CALIFORNIA GAMINLO 1,830 December 1962 astrong Josk Company Abery & Charlotte Sts Sarcaster Fams venie QUB DEC 1932 7 1932 oman Steve 9311vdek v Arms Cork cappany 127-42960 127-42960 Gentlmen Va were your workmen's compensation carrier from January 1 1944 until January 1 1952 t A Steve Gilivich present address 239 Georgia Avenue San Bruno California Social Security No. 557-03-4199 born May 15 2699 has Aled an application before the California Industrial Accident Commission alleging that he suffered an injury to his reapizztery 0786ez La cx~- poause to 01 dusts while employed by various employer Allegedly he was employed by you during 2949 We would appreciate your checking your records during the entire period of our coverage and your sending us the fellowing informRAS 1. Completing the enclosed wage statement Glivich's eagnings while employed by you hourly rate . wom forms giving as itr and indicating the 2. Job Locebian or locations 3. Jeb title . a . Identity of supervisory personnel or other personnel familiar with Mr. Gilirich's work setivities halpo Any medical reports or imovdadge of rays taken would be ^r halpo Since the hearine is a promppromptt reply . PH : entho scheduled on December 17 1962 we . Yours very truly ' Yours D aa JV Horl Legal Department will 253 MPL BUTUAL LIAULLIT LIAULLIT IMBUL ^IMEBUL ^ CE OMPL^,v 8 <6Q 1676R1 MOTVAL MOTVAL PINR IQ~UR^ ~IEQ~UR^ ~B E 6A HOME Fiel GAUBAU ' WC001089 Before the Industrial Accident Commission of the State of California , ot 29 NO W.LA. MAK GAM 61 OAK 7252 STEVE GILIVICH Oe Applicant_ a FIBERGLASS ENGINEERING COMPANY AENA CASUALTY AND SURETY COMPANY atal Notice of Time and Place of Further Hearing Defendant . NOTICE TO ALL PARTIES oo - You are hereby notified that further bearing will be held in the entitled sction at . April 29th 3000 State Building Illl Jackson Street Oakland California 9:00 A.M. ALL DAY Before Hickman : Data Oakland California . al INDUSTRIAL ACCIDES COLO ->SSO | NOTA CONTINU AND FURTHER HIALINGS ALL NOT FAVORED Nasz end Ad^buaof Permes Survei Beta March 19th 1963 Fiberglass Engineering Co. 1200 - 7th Street San Francisco Califor Stave Gilivich 239 Georgia Avenue San Brune California Employment Department of , Bax 3534 Rincon Annex Francisca Cali Plant Rubber & Asbestos Works 537 Brannan Street Francisco California Western Asbestos Co. 675 Townsend Street San Francisco Mundet Cork Corp. 65 South 11th Street Brooklyn New York Mundst Cork Corp. Torrelle Ave. North Bergen New Jersey Warren & Bailey Co. 198 Second Street San California Anderson & Rowe 45 Belcher Street Francisco Califormia Cork Insulation Inc. East 14th Street New York N.T. Herma Lawson Co. 665 Tehama Street San Francisco California Son A. & J. Peters & 610 North 10th Street San CaliCaflifoorniarCanlifiornaia Van Arsdale Lumber Inc. & Brunnan Sts Francisco Lorentzen Co. Insulation Engineers Market St. Oakland Companies Comm The Paraffine Inc. 675 Brannan Street Francisco Plant Asbestos Co. 1300 - 54th Street Belle Belle California California Armstrong Cork Liberty & Charlotte Sts Lancaster Pennsylvania J. T. Thorpe & Son Inc. 1351 Ocean Avenue SheryvCalii fornialCall ifore nia M. V. Kallose Co. Poot of Danforth Jersey City New Jers Western Dairy Products Inc. 1301-17th Street Francisco Califor , S WC001090 + Ches.Ayers SupplSupply y Ine Minnesota Street Francise Califem Plant Insulation Co. 2120 East 25th Street CalifCalo ifornria Cnalii fora nia 6. 5. Begua & Co. 1000 South Fremont Ave. Alhambra Caliremia Corpe Owens Corning Fibergias P. O. Box 89 Santa Clara Califormia The Flip Flip Carey Mfg Co. Lockland Cincinnati 15 Ohio 14 Len & Asbestos Industfy Wks Northern California Tacation T Fund Local No.16,200 Cuerrero St. San Francisco Califor. Phillip Head and Shirley Nielsen Industrial Insulation Co. 11835 Wainer Cupertino California Armstrong Contracting & Supply P.O.5ox 1548 Lancaster Parker Insulation Contracting & Supply Inc. Bayshore Blvd. San Francisco California Harold . Lorentsen Lorentsen Co. 2257 Market Street Oakland Califor State Compensation Ins Fund 525 Golden Gate Ave. FrancisCcaloi Aetna Casualty + Sure Company 2330 Broadway Cakland 12 Calif 2LL Pacific Employers Ins Co. Pine San Francisco Calif Attn 12 Globe Indemdity Company 360 - 22nd Street Oakland California Industrial Indemnity Company 300 Grand Avenue Oakland Calif Industrial Indemnity Company 350 Sansome San Francisco Californi Attn F. Ramos American Employers Ins Russ Bldg Franciscs Califormia Employers Mutual Liability Ins.co.of Wisconsi11n4 Sansome Street . San Francisco Califomia Montgomery Travelers Insurance Co. 1956 Webster Street Oakland 12 California Argonaut Insurance Co. 550 California Street San Francisco Califor American Motorists Ins Montgomery Street San Francisco Call General Accident Fire Insurance & Life 600 California Street San Francisco California Employers Liability Assuranes Corp. Bldg San FranciscoC. Arnold Smith Parrish Paduck & Clancy Financial Center Bldg Oakland Sedgwick Gebert Koran & 100 Bush Street FranciCsalifoc rniao Ca Mullen & Filippi 315 Montgomery Street Francisco California Mr. R. P. Wisecarver 315 Mentgomery Street Francisco Californi Hansa & Brophy 1540 San Pablo Avenue Oakland California Henry Sanfor71d4 Hobart 582 MarkMe arkt et Bldg , Street FranciseCasl Mi 61 OAK 7152 Steve Clivick . aD WC001091 o LET o SRE pn et CHE SCSseee? REVSIEL REVSIEL REVSIEL - = 9 Commerc SFR or 3) 1 LE SENDE SENDE SENDE ~ SF 19 pungiwa pungiwa thugs STEVE CIVICH CIVICH CIVICH PRA WOTTON 6 ayy . SRrereroetis, Applicant Applicant AAplicant pplicApplaicantnt , . ~~" 1 < Chas aptalaey y % ad Waine Waine + 7S, Pwe PRTILASE find 7 * . oe .? RIGG< ER 1 SEISTO Worcs; CORPORATION KSZE 50202ESY 100 CO t dy t dy tuh^a CORK ; WAGRe & 215299 TTEaEeS K. 9 13 13 M" SULATION CO QADA } BA. ae NOWY CleAND POWERS he Ee oe | AND SON 1 TAN AX3DALE HARRISHARRIS LIBER CO .. oe SITZEN CO =~ LHSULATION THE PARAFFPINAE RAFFINE PARAFFINE CONTANTIS INC .; 40 PARAFFINE ES CONTANTIS ' AFSTRONG COMK CCIPANT AFSTRONG CCIPANT O ae ds CCIPANT zis Woe MALI >co/. , EME RY Ona, dee wa? err fi AFTS BUFFLY Ca mee, elgw oy OSAPAST wee salt ehe a BAI BAI BAI BAI BAI BAI OSAPASTOSAPAST ; tear g FB. BRAUN & COMPANY ; COMPANY FUZZERGIASFUZZERGIAS CORA ae SILZZIC She OTR CAREY FUZZERGFIUAZSZERGIAS CU NUMBERN Tee lavk awit & S524 IMISAR'I to OF Lad CALIFORITIA CALIFORITIA IP HEAD AND SHIRLEY HT SLY - Low ABRT ASSTRPCAULSMEFFRRAGA TIGGFRAT GTIGIFRAGGTIG CO; & SUPPIN Gost os } HAROLD 9. SCHERACTING STATION SCHERACTING CUNT : HAROLD 9. = HAROLD 9. CEST Y LOTENTIE Deron 2 bad spreatg v pedpemgy eS See wh oy oe 4 ics i eteeeatceh 7 7 see cooar>d 766227 766227 7766276227 ectssSeuveeertditoee AB sangre 09 Pf "WG AB* 766227 Kane ? Bubtrant 766227 7 12. 16. Aripa va Aripa mote ...... ... ... ** 57 er lane ante F . : cm ANG rare eae ot Sage mt} Gad KO ANGMG * Cree Aee mae TL ord TAS edie Sree o le S d ANSGl eeno ON e zine hehe sta61274 sta61274 Delmark *** Ttsta61274 Delmark NER EXPLG: aSrdESend sta61274 vendin ** Daddy vendin we po So sta61274 5 54 45 50 0rt TbEapSe TI rsS OY wou reer o* ... F . . ' . > -- . CCFF V V sana we Lent 13 a : ,, ," a Tee Eee 1444 ,, adenin, e " Satie Wei AD AD T n Samad fp : VV . 1444 BRGOTLTE ZTlrielea ~~ ot 3 eR Tent* ae<. Corie oney ,8 APR, #, ASSERADE As Gssik ES Ware RSS RISCh cS 0022. BAe Paugsee,: HAYS Re pracnee ee were ' 2 frbuter sues t = wv hee 4 Ag ahe oe ate o mien nt ywre , U8 >> ' ASSERADE b e ASSERADE - ASSERADE ASERADE ASSERADE 0022. , LID woop > ** mm yess wo ace QELIN SOL INS Pp 47T 5m1&9 t1h9e0e7xpe expe SPO A GREAT RED ' . + . awenew ou - , _ up mo b a ; Eefarde sce. low + FO 0 oy, cim erent ... M Hows Hows Hows BDALL. BL mam tee pet . " ty ee Vee " Se vt IS IIS S HIHIRERDY HIEREDYDY CRC ICERIR E I wE meeos em ; 46 Av4976 Av4976 ? erat rae ss . of **** **** . YY " ais . f. . . WC001092 Temes Wesson Ezlley Esple & Ezlley CE nor Anderton & Kors Goris KO728TENDE 0 Hesuan Lawson 60 Ine.; A. & J. Peters and Sen Van - Arc Lumber .g ' - CoCo 4500 - . TVhaenPazCaorimnepanies } The Pazarine Pazarine Companies Companies Companies Companies Companies , ; I I n In n; Plamt Asbestos Coffe g Carls Company; W. J Thorpe & Son ine. M. W. Kellogg Co. Corp , , . Weutem The Products IncInc.. Chaz Ayers Supply Co. Inc Pinn Instiction Company C. 7. Braun & CompaN^ ; : Own Coming Fiberglas Cerpen; . my The Philip Cages . Co puolation dustrigy ato gests; & Aste Vir. derehern v Arrstreng Clatraes A Arrstreng Centructing Philip Arrstreng Arrstreng Arrstreng Ka Clatraes uad Saisiew dustrigy Clatraes Clatraes Centructing Clatraes Clatraes fae Fy SS Been nteg SUR or 756-4 ceed } , 4 one uition Centructing ars * In Inc c JC .; .; Parker , .; Faveid @, iscstoull L State Compton The Thind Rela Covety C Susoby ComPLAT Pacific Emp insupence Compery -1 ; Globe Indepair Cell Industrial Indicate Company Lean Employers 2131 CusrTants Eaplorers tsbucl Lithtisaes Insurease Co. of Geevyelears e Gewrzny zxt 1964 Osresci; American Motors Insurance Comp Garel Accident ive Inbuss Comp 44fe 3 80401793 3380401793 7771997 7771997 BS 7771997 Dzrbensgy Corer. 2 e you wv pr pr 53 1 . . 0-2 cen eens . CSP . une SLod av e on 3 Or hslal fas " , ee ' .... # ry A Se1 g oy wl ge weeee ' 1010 lta SN LR Cae ee he . a bite Fal pe ere 5 . 78 Cd Pi . .. yy . ee ... tet .... waste Coneyes bee 50 eet Mt + r Bee % green a eno een woe . ee yee Trwep tf od hee ...' pe Laden & doo a WOLD wh " 8 oa ere ... eee sates . r 1 . moe * - fe ee ae " under " an eee undae n vrn Py . ~ ewes S Pode toate crentop ste * Clee March March March , , 1853 1853 aber le ae co. - mb et y by by by by 300-7 by by 300-7 by by by Co. Co. , 300-7 300-7 : : 1 * * Cie, ae ae 9 eee wh oer a erenees . mw PbL yL 233 Pap... Freeh 1144 oe pe fy cms he at 233 * - . ... ono rato ere wate ... wefls ge Sa) *** "ore rubs Seer vue me -40 4 4 dst 1989 1989 om We ame Co. AD best 1% 2h ee NAKA best face best NAKA QAM of ave ee best ES my 5 wan an ae mame ee a " 5 WF on " " AT P--i-- --"--,----, two *% 1 Calif . free pemagrmne = Whine 4 SIE @ best > wa vor Te Pee = > Pp ---- --"--,----, es w~ Po wh ws Shh T e PE ical T mame Baers 1 AT a6 ry , Calif SA @ | cane 2 Calif a. Seteme SA SA kee Bek #2 Yigre 2 rh 6 Ff me t & see a ee eS 8 ** a as to FO & Tn peer @ ? DF fie weak go *** es ... ms .. % . pogn a " tom Oo eR A Mgt F * + out 19 7! Bw A ro we 2, S. S. Ad Bed oma, FE 2S >a on pm - *** 3 ry %S ese abt . we . -40 g fe se 4 pum paar Calif Calif - -, ~ b 4% " wy . Cd Yin ov) a 21 as 17 th re @ hs WC001093 Andescon & Moos SS Relsher Bt., , T y cabte, 4 Insulation Co. Cork Insulation 4:65 135, bee Mite u., K gets, MP4 Ha " 4: 65 Gekasa North T .. E234c, A. & J. Peturs n^'Son 410 North 10th St San 6676 taias, YER ADLE Co. SonMOTI Ing Sb & 1000 , San Preness Goth MOTI Apt SES. The ten Co. MOTI Ee 2207 Camkes Se. 19 19 The Companies macnna &., Eas A Cebis Pere Azbance 1305-00 St. + Azbance Co. 1305-00St. Snerresise, Gailey, Cork wary ADRESS Face Co. 4 & Garrheuty Syel, 6541 "| . G A Face & Sen M. ISL sata MIDD ville, beda . C A. &. Dairy Dairy Wastern Wastern Ca., C223 Faas af Beforth Products Inc. 7ba Beforth Mae, FOPRAG Tlie, Sb Sen P ... vas A Ches Avars S. S. S. Inc. 55 7ba b., Son Feone.se a, Canes . . . where eaen Cs., 1120 25th St. for Sine. oan Irgun & 14 21.4 m- Corp. 3 o: Irgun & Co LOGe ** 14 mm .0 SeateSeate A - Insulation 15 ThPheiliPphCiloiprniCngaAssFebiebsC etr. ogsiesIndustry LocklLocklaand nd Cincinnati CHIS . Insulation Tune Insulation Phillip Insulation * Need IndustryIndusIntdurstyry Mes ofMorthernMorthern California Local No. 1 16 6 200 1636 S8 San Franciscs and Shirler Nielsen Industrial Insulation , Eset Co. 11635 Wain Calif Certino Ang Earches Co" ntact POLLEY ** ssoConntS act u & S p uSp y Om.e..Si.Ja. r. # ..11 155 5555. Fesneices, Cais. Izner 151 Pay Elve Ensaid 1. Daramtsen... 80. 2257 Korist St. Calland Calls Stabe * 4 APSTS ... SyaGnge yang Bann yang Comme seoties c te mo kn ** mp " . & SSevqiresy 0 ...3 Ir CC a ER Ted 10.y Ta = nd 575 Gulien Ozie - 1530 1 Oziegne^', thing i.) b Beanedase 3 S , Cd Calif San Francis: Cali /fi / . by Co., 233 Al~-icv.. Sand 10 dasrices D1ou 05, Ge., fles.,' Sand Sand cuits, Explore ou 86 Vi" seertan, ant Sansere 8., SE LECT " Boendites, Carle. , Gore fsspeiss Encuvanss Ceo, 2255 Hebater St. Cakland Calif Aspenaus To crise B30 ... 5., Sen 1:35 Le a2,0sn122, General Lecidens Ins. fo a2 * It , 1:35 St. Cait General Lecidens Plve page & Life It S07 02112 St. fon Soantises. --" -- --" Beplevart Ac owa... nce ... biv., Tus bik saba Prencia SALE, Pareiek, &... Cleve, - slisi2les. Cemtes Blagg. ,Caklanc, Sre^'guvies, 104 Weras t40 EA Tye G,, Lan Poeneslede, Calle thee wa i, F a NOW Besa b^igh & 11251125 1125 1125 " "" "" "" ... L, ELS g2., a:3 ET, To es eee A Sel Sou " 49 g oa Peuts " wee LENS, FLEES. SB"awe. " " Dial No Pit berg berg berg berg berg , Ala Nae nut. : St.3 fan e eee eeeKM Lod Luca ; 2 179231 179231 179231 179231 179231 179231 Eh Ql a 31 CA : 7-52 7-52 31 62 7-52 7-52 7-52 ww SSave mee C1 an . ~ ~ -ye WC001094 AQ & u West Ockland Office ms ~. APPLICATION FRR MORE GRIGENAL anh SEF BY QUE PET A TEX 14653 MY BY CASE NO detajua YIC YICH YIH CH | - Ca#n S39 worke Ce. BERG 139 0007 Av gea Bruno CHILF Justed Serarity Na 537-09-4199 537-09-4199 537-09-4199 1200 17th Streat oN gay Prom Chilforais aurns LINE rusyaneSsursort>sGpwanissys Geis 229 enLAMMEDA IBROSE , San Francicce %,PheSF cages fi fifi fl whis tabes 5 ezi 03 5/26/99 alkaya amplayyvai i that whis ezi 11 " "S an L M,, aren : fe Fermaisco > Cprtrtl heated has = San Califor ES ene Be Ena BUY, GARD ke iG GRE bye CREATED Geea ke anziand injury ericing mes of and de camem ^'de empleyawa RR) prde e Ca Ee GEA Gog chores Wad aE ... ORDOR WAHT ORT ay tener WHER CEE 6) ERRATUM RERER ABTA LOPG TMSSRA Cie 2 vu teu usabyr'~-kanununca en out^r han of pread BLAAT MY GREDKEMLEZNZAENN KE E pread CORSITOUTT SORES Pe FERIBAD GREED Free 10/5/61 to 3 SIRI td rome Eat > Fe HERE ene ) # still off cate mesa ertEmms Yo enon BAGN INTA VERETVO LA Ro 4. V apsasipaaindt + Fe ae ea ry EYKAL MAPP 5 - WEISS TH^ BO HD LAG SEN 5. Earatntii me n of bg ajas r Soutien 6. u malical praczams enetded? yes 2 ow (ae Sat TAS The batSHATofH HmO GGOOO PA^ SMER Kowed a tak AED UA Che forakhed wrens? Bsiz BA SAMPUN A^ AA 1 MENDOZA DIA AAN AAN APP ^ SYAN DES KIVE SUKAA STEGI ve 7. This sprindica la ind i descones Indility ton Temperwy dimhalkzy a a Temperwy dimhalkzy ae gz .e , is Fermmuens Giablieymerienente. eana Rap ORR GT Reems VHA 4 Shadiest Seer 2 H B & Lizen & Was BD LATRA SON Wat Ngames MET DE ANOFY ANY POWSGeee D. KRAN WHEREFIRE WHEREFIRE il iz amend that a tirar m^p^are le fond ^ er kurtag and that on mand hur enddo promorng me^ w^...rar ^ egarmudry is Ferbery~-Cragnezia Lan of Caftr Caftr 24, LES: connie, 70.6 the 58 . Hanging red Number of v^ LE . Eatienuand tone ad etel, oe o om By Pormmoned r inca boo , ; fi hl 70.6 toa GRR ETR ~ ~ 70.6 70.6 oth a BAAN PaAtwom, nct ..wLwoe EmT"une o&gy eh ore gg Cy ee APTETETS eae 4 Yar Utise 315 Fanese tertes B 2 a we o Be OW R HFS=O~G e2dsen oe onemnind eae WC001095 SPPE IVIGS menaSrTm GPeO ce IZA A Applicant... PIBER CLASS ENGINEERING CO and AXA LOPE INSURANCE COMPANY otal NOTICE OF HEARING 62 OAK 7152 Case No. No. Defendone You une haroby nacified chat se applestiam for compradaa 1 17 of which is strucked bermo has bem filed wit ths Indemnarial Accident Commis^'raaf the Sute of California You wo festher necided that mid oppliorius bes kaum er . for bearing 18 . December 17SA 1962 3000 STATE BUILDING 1111 JACKSON STREET OAKLAND CALIFORNIA 9:00 A.M. 9:00 A.M. DAY ALLDAY and thus er mi^ d^nsand pham da Indyal Aribas Commotiva of de kes of Calfent vil proned on her ,, Gyms of the old sgy-csac^>min da wenner poerfbed by keren . Aise The game eye expand u etest di b la mar by deiiga ei this bastant doaration off comeNETY mazzband parasts porrota sad never ammunal pr^adamant to preschalis mod eady der entrees s po kong 4 da di e D GARLAND CALIFORNIA DELICE By ANWAY DALAG Thas madervigamal caribes than us is employee of the Industrial Acridot Casebrim de aree da farepting pozi tha partim kmamita K^ ez the tizem mox epaia dar rayatira escom by dapmising a myy of and sec ur eOat a 1 cmpy of the sypkkatine chema moural a 1 mld makapa un the Uniead Stansa mall en m^'l41. Cellarm^'nvich the paray themes fully propaid sed alisemad on the and parum or tissir last known p^nasof bana Cell vich a fskr lewm e, G^ p w' attn HANGE AND JESUS OF PELSONI SERVER. DATE All parties listed in attached application Served on November 15th 1962 WC001096 vik a oo eta ree ery NE QS ee Cue Muy BS ee ee + " ey ws TTP . , so ety a vuom se ese ive sf wee Mae oF . ee t Range hl pt OES ory Shea Cte UNE Theme rye DS, rag - p m ed TOME oe Aplicant Aplicant Aplicant Aplicant Aplicant a . fomee - ~~ Joining Defendant Defendant apenas e e dylab 40 eae hte add ww 4w Re www 4 Therefor Good Appearing Cause Appearing Appearing ^ AFRFKY AFRFKY AFRFKY CEPFLF CEPFLF THAT ALL PART ' VNTES 780 MPN.com APPELCATION (mB 1 . a oy eeSo 1 l^,ki l^,ki l^,ki = ss" om SPQ CP o aes . . eileecstr MC- 4 witvoghibees want Betny Lptop V Lptop Eee ao Lptop * yy cose of IND SSPE AOC T ML eines - WC001097 APPLICATION FILE SIGNED OXSODNAL AND SEX COPT^ S PLEASE PRINT OR TYPE NAMES AND ADDRESSE STEVE OLIVICI OLIVICI CASE NO 2432 2432 239 deorgia Avenue Sen Bruno Californie vt. . Socul Security N 557 03 4199 1200 - 17th Street LORENCalidoral 69871669867166 San Francisco Calidorala INSURANCE COMPANY AGRAFE MAGU LAGGIUN 220 San Mont Sepeet INDB^ KLATE & CONT Franc1800 G^,lifornia : Stove Qllivich i. BRON AS GESTIONS esbostes esbostes worker en ,," #harves 64 41 39 ARBO^ I October 5/26/9 5/26/99 allego ther while employed OctobeOctrober 5 . BADE NO BAGNO : LA tee A ax San Francisco fl " fl " i A YVTAON ON KASI DAEBS LEMOT GANNUSLE . Fiber Glass Glass Engineering Co. be vartained injury seinnig oue of and in the soure of the employment M 10CLSTER . axpeoaure To h^raful dests . mn KEP BEL W MA ABA ^ TR WAS SK ASK A injury to respiratory cysten GOT 449ERS 449ERS CURES 4 nakon 49 2 1 PODARI ADID ; Company Aetna Life Insurance Life insurance the was amploper's 3, Es 11-82 OF MASSELIGE WALLET a t^matikv" 0I07 SERPUAN svat^'Sagros5 WULF G^ OMIQUES^ D Still OFF de PENZI PENZI ES POT TO YEE SHET 567 100 16YwAWAD TE VODA 4. Tu comprsuncion paid No aca. t L^ H"I 1641A PORD ey WABELT MATE insurance on date o At^'49 DAL &F . Q7 DALA ^ r maI r sews 1. Lacwings ze time of injury 162I 162I resided ann 4. Was muntical traumens 22 wee 4 BD ed QANING == ESTA The basis par vu of ae UJUA ATA 62925W 32 ADMP4 SANO SONUR 7 ter 4 | Who furnished treatment Self CUTE AAROCNF the3 ved4 th8 e346 86 TOD INJENG 464 69446 69446 WOD PALS TELETA AINAD 7. This application in Elmud ta detarmina lisbiliry far 1. Temporary diasbility Tes b Pumwet dizabilicy 891 $93 ce . e Medical treaIDEB PA ** 67 work d Medieri mum pr Tes q a Litignom Litignom Wey Ce ae t. 4964 ant #Pitas LANTES 8 16 16 asd^'st asd^'stas a^ ~ " NGK" DLINEFSOOD thuhe YHEREFORE ^is verpurt^ndthat e shume end plare by fend for bearing and that so award be anade grontnog med rebel . Celifaraja Gkland Gkland Dated proper ma^ urthe Verkman's Comprautma Comprautma a re California Moveabe 29 1964 1964 Hearing Hearing requmn a ot Number of vILAN Estimated eras of trial Oakland Oakland Oakland Oakland 1/2 housane // Steve Gilitich % 4:19 D tends 1969 . SMITH ^ ARRISHPADOCK & ACAGAGST CT NORTE COGOY 315 Financial Conter 2 41 | ACTOR 40 40 * * * came 0496 Pakland 12 Califo`tla . a _ WC001098  ss & , we ti Fy ent Out wf Out al Bete) om ache ew FY ot oe eee . _ os : Sea sn ALS Sa Skold GP AGS 6X* tr Se ceee . aol | 77 1 1 . Potias pitene vatae, e Rye vem GFL k SS Pree ht ' , Jsa tisy . tisy kalier 10-15 Coladay . wom JsaAysna Coladay L suvisuvijj Dr. kalier kalier 10-15 10-15 110 0-1-5& 15 Cy rn Nite hte seas ed Coladay a val wy 88 wee 1g tw p Lea eve ces verte 38 bch Oe Oe ae ae y a wakset SE wh Oy om ** ** ** @ if+e rae ewe Sen aerr ' bad Bal Oe ee 8 et. fee eo t ka ae mn * ee Pease akwoeFumee es afl e pe at OTE . ' thomas CSE weet ET compe , - fi > 4% ~ 196 et Be meeFS pts, ?t - 2 MM a " e SIME . " do cee " et , . . y e aes oeitiwes SRV n at ry " 7 went te . ** 111 . . pa PP Wet ** 341 111 - a. fe Yond wet i he Peak tt Be Ste K - b aot wa," 3 i $ ate . ee Sa , La Viet = AOS beet - 2 BT cs B mye we "F : 7 WC001099 , *Veaar-larestsen Cg. Gate Zakaznity Zakaznity Ca The saffian Commentes , Inc. Paltz 81481 Id feced 11-10-15 11-10-15 Fleas Asbestod Co. Paifle soployers . Ins Co. 76735 felly 76735 1-1-63 Policy 1-1-49 1-1-49 Paley 52002 1-1-50 Polley 79357 1-1-51 Policy 60 Industrial Indemnity Co. c0363 1-1-52 53 Policy 608055 1-1-59 Q Policy 6091 1-1-60 American players Ins Co. Palicy CT 19-8102-001 1-1-62 vazakar~ Gapk Bebus Employers Bebus Lich Ins Co. Palley 2210-19 1-1-49 1-1-52 Series Lasurenes Co. Fulicy 243 Policy 6483814 1-1-57 1-1-57 ^' Ise b D zevpa Cam 51377 Employers Pasific Inc. Co. Policy 1-1-49 Pelley 100-53001 1-1-30 52 Palley 77370 1-1-51 Industrial Indemnity Co. PolFolily cFolyly 255-00004 255-00004 K 19-21 1-1-52 1-1-25 53 1-1-52 ST 1. V. Ellag Ca. & Corp. - Fa Record Vestera Peter Pondust^ Ina To Rcear^ mes tirs Arponens CasureCCsaasusreusres C., Palicy Palicy Folicy < Folley a2 falley to record ice to 5-26-53 105650 , 5-5-26- 26 1-1 - 69 1-1-54 133855 1-1-55 167705 1-1-56 , 1-1-57 1-1-57 . Pass Inenletion Geaameey ' Jo " = . +? e.F& > ors & Americestitorists Americestitorists Americestitorists Yes Co. , Folley , 1-1-52 Palle 55-56002 1-1-00 Ceraing Fiberglas 310-905 9-1-34 OvOvaansns Fiberglas Casp Casualty & Surety ' Co. Palley Folley 310-905 310-905, Tolle 316-95 *eft} 316-25 316-25 316-25 9-1-35 9-1-35 8 5-1-59 wert, . re WC001100 WC001100 September 18 1562 Stradunt Accident Insurance Company N40 Heat Sen Bruzzo Avenu Sas Irino Califormia - . Geationsa : Attention Vera 7. Dovling Fi of Subject Subject : Tasured 317- 68S Gork Tasured 9ArmSstrtongeArmvsteronGg ilav^ch He are 80273 that wa aza wsble to comply with your fritest for vage information on Steve Ollivich but all of owe yrall records prior te 1955 have been destroyed Vany truly yours, , axe Wallsce B. Efforth Assistant Casural Manager Insurance Dapurimaas WC001101 hase enaea Insurance Standard Accident WBSSHAHEAHSR +085 Company CABU . SEME MABIKE , PI^ ~ LITYSUBLYY PACIFIC DEPARTMENT AIRAIR 648 W. SAN SAUNO AYE AIR SAN BRUNO CALIFORNIA AIR AIR a . eee Losier . ; > an ~ Be : September 12 1962 Mey maserang Cork Company Lancaster Pesssplvania Azea . Wallace 5. Hofferth , Cestieten Ne 96-0 317633 fast Araustrces Cork . Circ Steve Olivich agE Q koe so of Your letter August 29 1962 to the Alexander Agency web enclosures has been fordarded to us for handling In order to deterszing the exposure under you please advise us of the exeat dates Mr. Gilrien my policy corazi will location and unges of requested In order to be properly represented in this matter the shove ta required and your immediat^ sttention is Yosy truly yours Tara E. Douliag Clain Department .. Standera Accident Ingurence Campany Oomant Pilot insurance Company Torente WC001102 WC001102 SMILAHBLAIRAA SMILAHBLAIRAA SMILAHBLAIRAA INCOIFQ84189 INCOIFQ84189 INSURANCE AVERAOT ADJUST^ RS CONSULTING 407042183 2228 NORTH CHARLES STREET BALTIMORE Q September i189 1962 *s,thueug BALL STOM TELEWISTOMN4G GABLE DORES ALABL 9/12/22 Mz Wallace 3. Hofferth Hofferth Assistant Crueral Manager Insurance Department Arus trong Cork Company Lancaster Panasylvanie Dear Ms Eafferth . Steve Gilivich Applicant Applicant v Fiber GTA Ingineering Company & Aasne Life Insurance Company Ya have received an acknowledgment from the Travelers Insurance Company of the papers submicced in connection with the above casa and they advise that they are now establishing establishing establishing files on this claim and will proceed te prateet your incAR + The Travelers have assigned number # 9850927 cO the ease Sincerely ALEXANDER & ALEXANDER ING : ae; GENERAL ADJUSTER & we WC001103 WC001103 SF es EMICADO ANGRESS ANGRESS ATLAMPA ^^ T ETBUITGKEFBRAUNICGItKE9OBLEKAS SAF PILAQELDUK PILAQELDUK PILAQELDUK INSURANCE AVERAGE ADJUSTERS 2229 NORTH CHARLES CONSULTING ACTUACI^ S STREET BALTIMORE 10 MO August J~...a1962 wOhSS ReetSe 164 + 8.7 ** NA S JABLE ACCEts ALT BL Mr. Wallace S. Hofferch Assistant General Manager Insurance Deparbane Armstrong Cork Company Lances Pennsylvania fy za Draz No. Hafferth Hafferth Steve Gilivich Applicane Applicane Wu Weer Fiber Glass Engineering Company and Aacha Lida Insurance ca va closing alleged We have your laster of August 29th 1962 saPacicios se Joia Furthas Parties in connection with injusy to employee Steve Gilivich The informacion has been turned over co cha Oakland California Office of the Travelers Insurance Company fog Dacessary handling Sincerely Sincerely ALEXAJORI & ALEXANDER INC CPs ~ GENERAL ADJES ve WC001104 . bl e . o } e ' . , a ... ee wee mm me te Bile Sp 10-362-1- 10-362-1- weo r te, ES gt 10-362-1- o 10-362-1- ret. o. 19. 19. Go a dAstaseet 7311914 7311914 1 - 41 F 41 2011 A 2011 A we sie - Seas Crfi. pear b @ ot Wo 6 6 . . A rey " ot 8 aye t . . Cracfa m.eg Varets . . -- -- _ . INTE he . bos . Sree i zoey Bm weed F, AP e a os tao 3 tamole dy wy e > # 4 re - m4 oe TeyeGa lt 3 ew , ... tay nt TM 146 - ,ea er, OT ro] oe , , ? ' : tle. te & ' fi Sores - fi > wee Then ieEetottates ~ Ct 1 bet ee Sua bebe ef e b ead PUL ae Le beh Joos . a . - 46 oTn,er T 4772 Pawi 7 ty: te Mate og . 05 wed 05 Leveescsa . Aerates o pneus Aerates Aerates a an pod pod p^rpod pod pod p^r p^rbee ye . - . * p ls . p tf re tok eg - Mpa " C \ : " e Socep pae Ce i Ches Ve @ e . : : o * . . OM . - - - WC001105 5 ae worsen, ca - ons os Def Def No. a ve T. . ; at mt P . ary ne erm No. 12- DefDef * meee ' * . a te NAMON NAMON IS RAE may CT . l^gt ed , . ; . be aie ASSAL pete Phiqabandedel~ jaibandedel~jai a : a aahScie aes oneeeSseetsen ryo eas 3S%oeae ree ated aecooe TAReTEpS e wargeh atSveeatsee ailerons SE a PEAT cy 0 x +8 reac wi popes Syetmeg on, oe its A . 4 * ae , ra Pa dalton oewn, easelor : be, toy ov tyler wey wil gs fie a) Tem aoTeAS Pee 77 ert 1. 8 t 8 g # N Cy 1 31s ABE vlets Tole 13 ck, fs me so P 12f eel aa F Shah La g" ff ade FB weg B TEN tt L eapnic ian | eae mike e te Ba nA| ee ar @ 77 sia 1 AG alg vue yo - 7 Ba hea ea ial os SA a Ks re FT om te * the LeAF ea? a Bier F aos FY L Gruegeir a = ""fi " "", " " "fi " ", { ~e r ** e at a 13 ry ny DOT DOT ne rn 3 KENMANT -- PL.avte | LL-- Phot Phot Head Office Office epes oe ce 6644466444 { 200-200-7700900e9d ( 71.448 71.448 le 4Jakiem Gilivich | Sofa g ote Gilivich Steva et 5/06/99 5/06/99 . - S-eEPt, rw | o OH vise 1 aS iP eeetuesies TIWA 4, i Turs " olt ys Harket Jue @ {a a PAVQ Abastos Harket TIWA . va ate afta YP SE PAVQ TIME ) A" DIS SILL f SATE CAGE OLNACA St. * rs i taalarmbar DESIRENT to B SURYAING so ow _ : SZIGA MELIE WYD #\. i _ 6 3 of Rd fears BOUT Abestosis Abestosis Lunca Lunca eo of 35 alge od ... i." rie e of a = SE 1 mt a oivaprsaniadempel Sage eee SenQntne NG AWHITS SOAP SOAP . 7 . . % INST ^ E^ F , . ; t ' BI A AUSNIRRO pf *s md , , rama vtante me TPORANR OOF PATREO M toed o 0UDANT^ PUAUDBAL ERD,ALTTE FT, fee ? ~ Se U U Ba = a=] 8 FS fo 2 ol FINA^ B^ 1 FINA^ B^ i Fe a ota ght oh res ofse \ bee * ime a rf acy da o z(| e sangan rq venduti wien o t ^ ^PODDQUety Bio MC aCOMOtgebarion COA MOgeb arion PART stranka Anil Vim A ^zaP^ODQDUety COMgebarion 20 mani . ww CLAIMO HENAUSSU ST OMOgebarion COMOgebarion ***** 26msta b5ada bomba youA r20 An PART a A An -- hi B A Ale VAN + E whee mons P fe 36b Took ... b ...5a m...d ^Goa al, 4 MAHHe MIS ~* Sie VE seated yer * MIS om? qe"a tee aq bal Ta | 5 ry . Ses . qn rar 7 an . . a 7 , = t oO See se, . < . . Pp gps os Cots . *e .* wei . at . ", ee . " =~ t . Fy wo vy 14 7 _ - > oy : oF 7 . . oy wts . wi, , e ' : oh OS . . . + . LO Te ele OC Ot aTetee: WC001106 fg DONGENGLISH DONGENGLISH 67 antan, , , howe ' , . eaten aN fod Ad e ~~ . tad aa , gfi oo, . s _ ; aaa " " preen * . ann * * 1 hoe om a? _ Ainea Porn, ston + A a edo AR A ip Ban OBI er edna UGS Ride B< esoa0s* ae ve $ e . aaa, aha id a! Ga, E PR fi 5) : so _ BO ERecertaenece ates EROS 1 Sra . EE * Saag en HE LAG Kes 2 Sar EET nea i ee . " pa i. my es aad 32 a 6777879799 , ,1 7 6777879799 presiiteie 6777879799 6777879799 7a SSPE 20-7009 Gilfrich Stava ae te |sod me ea _ LANBree ... 3/4 EXPENSE EXPENSE DISTRIBUTION * sacansareamb pI | Aree HERSTAL ... ABD ... fof **** STPLANA STPLANA ~ ~ Peers eggs errmsg many TOTAL | 76904 1 76904411 | _. 20-7009 vo fo ' emerewrar! ' ie | ' TOTAL ~ ULES | SANTANE i - : 500.00 ig a "So e2i SERS OE RS wa Legal Legal 3 pn a evartee| ay TATE ( ity 4 LHASA a nb PS) LaSR hpfren anon . ale\ ZR Rei conoce are 9 - d cree, Lah 14 ed Realt ol. - E mrpnmahen conoce 4 Sore i Wess Ee E REL cionoce 4 * a ea Lan wali cu 7 ttle ee conoce | 4 1324 TIT * gon ok het ang Gb ial ue oLte * , en 5} pmamn ees | san | * ve eh wt % Sala 3 oo ; arin =| i gle Vt... 1324 17 ayy ---- -- wastith t =f GiaaLdES. Td . Ne madaming tabir wernh eo 5 534 ion ; toate bel = sod eel Bd ce | any a ao ~| ome fe mame tae ated " artrins partes | comme f kexee mt of @ | MLANGO - { ay cna - tm Pa) TERS * ... Rah W ta tag tiahinh | ANTEIRT ctene Ye a i an $ } : 7 e * , . # ve . , 8 . . ; 4 . . . PF - > 7 x : ; . * . z Cd i . . wa a at ' . ar ar dy a tots were, , : ,e . * a te = Sr Heme + ee ah wy tos > oe ene . oe , . -e 7 z " . nt tad ew tem *, . ; oe oy. oo . . . + * Rvs 7 ano : Ie ow . sae ye? te . Shin a Sine BIE Lae BS STO BOMO PvE Ap ApArpr a. rene - - WOR *' a WC001107 WC001107 * tai pt * aiatntag tat artatatniataiaias eo& Olivich Steve a a e. ui wl i /a2 aa] eosin J vase EXPENSE ONTAIBUTION fete, | SEPLANATICO | LIKE BOTLL | FEDE 208-7089 208-7089 208-7089 BATAEN | TAS BALTI | STOLF 500 ; - a * te 5 | Se abe, ERE [ Pal fh! . : a Mi 268 e { ht i viel YR . =) Vem 1S . g = [ee PBS .* * * iil os! aE& e Ott fe Gecaet . e383 bn ermorede ahs] 70" dubs pithe eas eid wees u Sald - - eewes ri a t ; apo) LAs. one M | Seet a Lowe Sy 4 oy ~- =r a I ] i} li rl loki 1. A cmoamrae 4 fi phe Paint ah aM pip " Re A 4 became ata) tata ta Vat g ts & Oe y oe A WC001108 WC001108 4 BPD @ | 2 @ + 4 Ba $ ** FACTOR _ ware ink PN se3aar AbEon 18 fehl tnpo ee + Bavision 18 Head AD Offica 66/9107 a ... mt TAP RO als | I, Pjapd ia is Se ols a? s Spb Si ols peticicrt) agee EUPLAYE EUPLAYE | a vf fee Siwes oy q ar ; ot m- a COCMOPMAPCDATOCSOTOVILJUG~ S Abastosis SOOVILJUG~ S Abastosi CORTA Ro W~ GR eS ~;* os BBNEY Lungs BBNEY : SEUNW GANO WA A WA ASADITION te : ~ a rout erry eer TPRHEGAPS BOT "ag Gs * a > bar aay me ^' 3 Ra + Py oaD PI^NTEQARO om PI^ NTEQARO PRODUCTO INS AEP he A creates oe fatkay Uesthe BY CA a OF Theres Ce baeE! BARZDVOJ 108AGAIN a 108AGAIN MAASTA pasar BARAZDVOJ BARAZDVOJ BARAZDVOJ 2 arr . i . j . : eyed Veta annus Sa a 4 ELAINE = ie o"y oe * f ^ bragiye MEDIA MEDIA TOMBOL rmeead)aktonyhargedEkonyEhargedEkonkyohanryghedarg^edbrag^iye^ bbrraaggviieniyysseveenissPLA MEDIA TOMBOL BOAS konyharged PERSONEN T T picSaas altgae Bite | A be tle v a pic * : B * a oe New seeaet nee ae WC001109 WC001109 se STATE OF GALLA GALLA INDUSTRIAL ACCIDENT COMMISSION ae, APPLICATION anal FILE NONZO OBJEDNAL AMO 1ST COPE ce PLEASE FRITT OR TYPE RUAMES AED ADSCENE PhatRacred AS STEVE QILINICE art's Sone he oo gorta CASE NO . 2432 2432 239 Georgie Avenue Sah Brune California Sazul Sounty Sounty No 557-03-199 557-03-199 5 7-03-19 1200 - 17th Street Oipitgre bi) Califorais San Francisco Califorais 9.akaSmak stagnkin Aflakes 220 Kents Street Prancisco Prancisco CAneOR Californik Californik San Prancisco Californik asbostes tb Stove 011vich011vich o asbostes & worker worker . he worker WEWE STAY STAY STAY STAY 5/26/99 Gord OF asus a Begur shat a hilo ceployedt San Franci800 #ITY tonm ^PL^ N~mfiaging saber ABUS October 55 OAST OF SALEM~ RD t Glass Engineering Fiber Co.Co. _ Sa sumalezi injury winiaunx god sad in the of coures the angiogram exposure to harmful dugta . SAILANT NOT HOARY VAI TOMO injury to respiratory systes 494PC THAT tDe KHSm tem del~ kSANN JUPS^ KERT JUPS^ KERTGAZDAS Stall * 3, Aetna Life Insurance Company wa NGABLUDEF s was the employer'skartusuora CANTIOS DE Senn Fe SAKIS KP LOOMANDED EDOMETEM EDOMETEM W LERONIS QUI MOLTEN STAVI UBAYAKA qtones De NGABLUDEF off Bex. * PUOKL ~ PU straE d dS ing en TES Casal Bahs Cudiesd p BECHAMRAgoDdi A wakw pa als Fa Faii tempausation p^"ttp^"tt 1" 1" 09 fous TOTAL MASE ry DOGRULO NAV - he sanded Yes 1. Earologs ar tins of fetary Su Ee) gbata ka ots The huis of BA ppaayy FFlleedd -l~ ^ ~ ^"m04 L^ ^"m04 BA L^ L^ 6. Tu nalial untman Who furnished ?. ?. Self . e to ape cok otnake, Se watts Ko Ante 45 chlupod adla sastrak saa ABOTM LES RIFLE NON MADE Quina Why ee pliusiam 7. The is Akad sa determine liably far Temporary disability 12 & TO GO Be 4. Adrigation corps corps corps a corps diesbility Yea e Modleal trapeau qu^'b d Medical con wey s^'qu^'b qu^'b BADLA 109 SV^ NOSETOD t gar di G^t t^s^ dr pikODAprendas CEO FILES and TPHERRJORE 12 Le requated that a timeansd piese be food for burning that so mused be ma^rftening tech at land land Compensation projev ander ibs Workmen's Laws of at = Califo zi~ * Deted Califozi~ 4.00 wre 4.00 required required Oakland ABO . 7 #ADES RETATIED opsk A taste PRES WC001110 _ ... ~ ' . ' : . rf fut *e Wefane ' wh - aed Feat + lees Srl oOR AER Ce PLS wbtihy Eiatity abt Sond ae roo. Find, . BAS ony oyens, Mov SHB oclt stant -25-25 105. Cary Rota Cacualey ' ate fe Ptheate te & Surety On. Pelizy Tw1 Tw1 I ae ST MICS, Wee /5 11800 12-31- Date 11800 3, Wtieshel $/25 yretstcy, WeIealrg, 2Co8TLS, TF ol G fog * be Ph dey Be wat tants _ Z Vrten & Adu ' - ^ ar^ e 1 Gots Entitled Ctrp Dt 2 alnetrte tot Bd, Biey ot wo. ' Ty hadnt. Aad bees pat dy Vecesthe ecveatens Bre 88 a oy FE fee Ye-FeurfAt Vou Ayetadiedisna, hyde uy ' 8 be ete _. a. : 1 WC001111 Szitt Praving Foduck & Cleary . ackland JE California . . . Auguas , 1962 General Film 46 Lorentsen Ca Olama Indemity Co. Pulley 810813 11-30-45 The Pruffins Companies . - Es Record Acbastos Malfie 52 Flent Co. Malfie Eployers Isa CB folley -76717 1-1-48 Polier 1378 1-1-49 1-1-31 Polley WCC 3000 1-1-50 * Policy 79353 35-00693 1-1-57 Industrial Indemity Co. Poller \ 35-00693 Policy60803 1-1-59 Polley CS 600091 1-1-65 Azerican Eployese Ins Co. Policy 19-81 1-1-62 Arztress Cork Cektury Interns Kitual Rich Ins Co. Policy 2710-39 1-1-52 1-1-49 resia memes Co. Pulley Pulley Rotgeb , , 1 3. 2. Ebospe & Cest Lue 50 Pacific Employers In2 Co. Falley Felicy 52STP 1-1-49 105-530011-1-50 . Polier 6-19370 1-1-53 52 Industrial Indemity Indemity Co. Polter Mie -03095 53 1-1-52 G 77 1-1-85 K. V. Falleg6 66. & Dax^ , La Record Lacters Dairy Products Ins Q te Reocend. Chas Myers Enqply Co. Inc .Pulley Arganet Insurezas ta 5 , 26-531-1-51-14-54 Faldey 11339391307970951-1-56 bd Folder 1-1-56 fi Tolics , 1-1-97 to weard prior to CX Hast Insulti Cy Do Reed 1-1-50 / 1-3- C. P. Ezza & Kaap Vassteen Interists Ins Co. , PPualllieeys EkUoAEOD,0112-1-50 Quand Ceraing Fibergler Cars Actan Cocialty & Paraty Melley 316-789 9-1 "fi 310-985 1 Co. Folder linyliny , 3 D fst yr be iG 25% WC001112 eaat AWLISE Qe Pate get Be leet Greaath A ghvawk Lape a fo oy, 1 see: Ke ' Feletey ne * fas de eler 11 futentry, S^,dIrak v 11 I AMVs fareant et et ay . Pa eT tte oar Cv Ufa Vetuter Teed ie 4 r^'he " hawt " BbeSo/33 Teast Pe a eho ge elses an wre tesess Jyriotiwe Sones diss & -- ban Tru tastarve CF 2 Pd Yee mens ink11-25 11-25a; WTA ASD, 11-25 Ab- Leake tina Geyer m bk Sata t dare PAT pach Esets& Llereiecen Seoj Apgr~-m~-klepurines Ch Piling$ petehefr bulbs $ ond fre atotesgrh tant reer ltas ON. Pt Comte fbi Ga wens Vo Bite LA wet a ee io , ' a i) ' tf. ' c01113 INDUSTRIAL ACCIDENT COMMISSION , STATE OF CALIFORNIA STEVE GILIVICH ec ecch ae en IRGINE RING PINA GLASS IRGINEERING CO and AETNA LIFE INSURANCE COMPANY tal Applicent.. 4 .o ar? NOTICE OF HEARING 61 OAK 7152 Case N Bm OAK 7152 = | Defendan 4 Yea tra hemby corded that an applications far ontgmuntian 1 wapy of which is ertughed buenas has bawa Slad ... the Ledererial Auci^ns Competicion al da kun of Callfemain You as farther sochind the cold epplication has bom the bearinagt December 17th 1962 3000 STATE BUILDING 1111 JACKSON STREET QAKLAND CALIFORNIA 9:00 A.M LALLD rud shes ar mid the end plans the ladunial Ansifenu Commizin of the San of Cheats will pround na bas dogeny n^she mid appl^'memla sko maan pasarted by law Town export patto es uudd d dini a potmn imletbeaa avnvasl toeendnedrerenderendveromd^'urtduetennrpo^aanlslekokaknantast~- kaantsas~~- -BaBradradnan el posary waste whaten door Daca OAKLAND CALIFORNIA The sadripad wife that u la employs of the Industiri Aceitas Cospedale du servad de korigning & the pureta barnisafer sustined si dhe thaan ma oppanter tds rempartive asses by derpumising a copy of will & eater ' mastered op i empy al tha explicacchieesiss : moled marvinge in the Claimet Segmen mail so med day et Calfornia with the portapo sherwan fully prepaid und n^/idressedm tim mii parias ou chair tam kuwaa phama et ban Funet d fola lowsm we e will WC001114 INDUSTRIAL INDUSTRIAL AQUULNT AQUULNT AQULNT COMMISSIO COMMISSIO 198 STATE OF CALIFORNIA a tee 10 Mat ce ing oR Case Nu BI tw wre on, Poe) a e MP Ete STE Lo tT 207147974 192 MMao 18EIA NGAO20 0ak 615S 16 49,8 192 * { t d~fiplirent . oe At | Order Order Joining Joining PPaarr Nofradant Nofradant t Wendzer Wendzer tam wee bane oe eh nD FUR, OM A mS Mm wtamie Mey mg IT Me Good Cause Appearing Therefor --r^FflREYOCTIEPUTHET FREYOCTIEPUTHET ALL PARTIPY LISTED LISTED IN ATTACHEDD APPLICA APPLICA eck he inhum as a parm defendent in the above ratitud erase 4 ted 1 S^,blene Gallretu'r Gallretu'r FO Majoy Lo nae < Majoy BRATZAI 168019,32 168019,32 168019,32 OKARO - 7...k^s 177 ws ** pyetler bed in attnered epp.ibat...y epp.ibat...y a WC001115 WATE OF CALIFORNIA INDUFTRIAL ACCIDENT COMMISSION APPLICATION FILL LIGHEDS DUIGINAL AND BE COVE PILKKE FRITT OR TYPE HAMES NED ADJBEST SIVE OILNVIGE ree : CASE NO 432 239 San ; Georgia Avonue California California bated Bruno California Socal deeurey No 557-03-4199 557-03-4199 557-03-4199 1200 14 17th Street OB V GEROM^ San Francisco Californis B.BELOMERB.BELOMER STOFNANSTOFANANA SELDA^ _220Monty Street sAedehdl Bremen & eEEEST San Francisco Californik 16 Steve viah ting en egaman .Bskestad worker at vuas de fard GlaGlsasss Piter Engineering exposure Engine ring Cube to haraful duste 99 4894 da Varia a. allege thur akik qapkyesa Sen Prencisco ka many t^THCt^SkinG ana ayar t goy rda Cube serieinad injury arising out of and be the couous October 5 Paty eo qaegs c of the capioptoms KRONI~ 1972 KLd DAt S w KLdtwi is KLdtwis sKLdtwis injury ^ es to reepisatory aga C F LRuna 44 dazze PASA 1914 ~ THA~ THAANASAAN NASANAN carrier . Aetos Life Insurance Company QG~ICT KOTORANESKOTORANES GAZTEET PE BELOISE HAN HET HOONEN UPAYA J. 9 BONZ BOE NZE HOS ON THE THAT employer's Phemrpaewerdishiacrant1 was the GUSTANGSILFGESPERO SILFGESPERO Q^ mengat mengat St^/ll Orf . LGR PNA O insurance we dar Serer AIR KONSER TO KENY PACS AIR KONSER 4. Vu compensation paid EU A DO Fy FOth ad : 3 BAINST USTE 7 649A db 1991 1. Larnings me disar a^ lefury La EE, @ nouded Yes 6. Ta polical trustment Yes Yes tde a bo OMITE DI WHOI n furnished _The basis of par was w REPEAT DRONE TAG TAG ARMEO^G REPEAT LAPS DRONE GAN . Self SITE ALGIN Or Fortys saa EQ^ TED SYS FLUENT ON SETS WAR PAID VDAJE BILJA 7. This ryplazdan is filed to determine Hability for duubility Porauser Tamporarydleability IIeg eg b 6. Lirigstina es Yes ra Tes the mit ne . a Mrdier smac Tec Obese ENT Mitmte Boh ue . Media saRA4 & BAND LANE AUNTON EN AUT 69261 ec SP^ FIL^ O and 4 WHEREFORE la maquated that o time and placbee fined for kroring Comprasime kant of ^ akland _ November 29 projev underunder thethe WorkWeor'rsker's Comprasime Coliform that on sword be munde gr^,ntingmod vel C Ht Harley requirendi requirendi kamen Oakland Oakland Ollirich fof Steve ----- ----- WC001116 Pe eeee dros to dacare. we oe we Seu we Aes Be sy whata Got att Men bee Ferd, Podlvg vet, Boe iSEE wen precnt - mee Bott Rot Aston Cotuntty & duoehy Gi, , one. fo eats ee TIT ot we ae Kelesy Salt oe Pohrey Tati ep Febdey . H-cES, Daddy 8 WEES, Wee DeGGe Meza H/L5 Mer Ves, Pests acted, Meek Ret Ly Sokme edly Oe tae tacts domo & ang - Le | nord, : Leet BRMULS IA Cheg Bee o 4 wrete aati REP Lads Ser Febteotta B88 Pours wat tn Maid Maid V 14 tos Aetaedd eetes. Leddy Ge, dee t pe4y, e ; . mea 8 ae we z mee fw . Woe e Led . WC001117 WC001117 came nna Aan Ocklet th Aziah Puduck & Clear 12 California August 5 1952 Genaral File Laratuben Co. Slabs Indsemity Co. Paller 1081 The Forastion Boxpesides Inc. - Xo Rasod 11-30-45 Flaat Arbestos Co. Pacific Employere > . Yas Co. folicy - 16935 1-1-45 52 Polley 31778 1-1-40 Peller 57002 1-1 59 Palley 7935 1-1-51 , Interity Industrial 1-1-22 # Co. PJaulllieay . gras 1-1-22 6000 Pelley Pelley 1-1-19 0-6091 1-1-60 Avartean Amployers Ins Co. Falley 2-19-8102 1-60 Armstrong Gark Caspasy Aplicari Hatual Lick Ins Co. Pic 2018-19 Tolicy 1-1-45 Pros awfaragnon Co. 2021343 Tolicy 6483814 11--11--5527 J. F. Growyn & Cen Inc. Pazifie Koployers Inc. Co. fFoolliiceys L UCGT5E 13- 77 11-1--510 5 -529 . Palier 77370 1-1-51 Industrial feimnitfeimynity Co. , Policy Folie 3-1-42 3505-00004 3505-00004 3-1-42 0-1972 H. V. Eli Co.n A Cg arp CRecord CRecord Chaa Py^rsAAqwqly Awqwlly y Co. , Inc. Folicy 105658 Folicy 1-1-96799 Co ,, 1-1-961-719-9967199-1-96799 Policy 231858 , 1-1-35 Folie 2-1-56 2-1-56 47705 Tolles end 1-1-57 Za seed prior to Tolles Mest Tamistion Company M Do Racord Erma F. & Cy Paarisen Ins Co. Fulltexte Fulltexte 1-1-52 53 intarista Pulic 601-496012 , 1-2-50 Ok Gersing fiberglas Corp. Teliqy 336-985 99--11--9596 Ar^'naOscurity &i BurneyCo. Palicy 330-784, , fx) . PulinyPuliny 216-2, 7-1-0 7-1-0OS. WC001118 vem Atd ae Ft he ce H Sb NO SO ec ad, . 97029 V 97029 97029 [ay ' Flew ng a TTR o4 he dwe - OF 1436 1436 1-1- @? 2. M we & 2. M dalanary Ost . MYE MISSO ANANMD YE ST : 2 -- --Sate Pent stale Varute a *** 6,14 " +189 48786348778637 . 47 3- we * ; FedCesal re ae koe ae SPE rede Bo atkee ea me ge mage Cy tpectins 2 *** Ce, Pes teh Evtastathe LS ba DT peftae Ty hated eb e Tds, Se debals y 1-1-5 / _ Ir afps cenegetres Boo t d Ts GC 67.2893 Argimut Las fl Pal iny 39 39 oe / 22 143-17 22 tem G965 19 Tulity G965 3-3 019 Co. Pobrr Ceatae ores 4, bey BO or . beware " + WC001119 Steve Steve Gilio.ch Gilio.ch ae Owens Camanay Anna Comb ser Plant Guabeniterte C . e ame pt Pinbbinrns HediCtoff Initial Clawin Plant Pubber + ambiato Much Cot ery SeborquenSebortquent ane tubeste tubeste Co. , Andy Compa aewm Ourmen Caring Phillys Caraga "fi " 11/29/61 8/29/6 a? ** ay ft WC001120 WC001120 1 CIVAT ag CIVAT cy ALEXANDER AGENCY INC INSURANCE WIDE SINCE 1853 350 FOURTH AVENUE PITTSBUNUH 82 PA ae pate thet August 1962 Mr. Wallace 8. Hofferth - Aaslatant General Manager Insurance Department Armstrong Cork Company Lencaster Penna ae : 2010 Dear Mr. Hofferth Re Steve vv Fiber Aetna Oilivich Applicant Clase Engineering Co. and Life Insurance Co. Defendants will 29 This eknowledge receipt of your letter of August anclosing copy Petition in connection with the above caption Petition clair Bruno Calif We have this day forwarded the papers to the San Claim office of the Standard Accident Insurance Company for _ recessery attention Very truly yours ; r fe eee . - S A. Huy oo ve VAA GHODSE AMRANDS JO 27NYNOTE DIAMO ey WC001121 Dear Str Fininy Subject Steve Oliviek Agalicant vr Fibar Dans EngineerCoi. nangd Asten Life InsuranCcoe. Defendants Enclosed is a Retition to Jain Further Parties which namen trong Bark Company and Armstrong Contracting and Supply Corporation as additional defendents in ~ uze Fo 61 ~ AST158 which will be beard before the Industrial Accident Comeladies of the State of Califormila Finase foru^rdthis Petition to the proper office of The Travelers _ so that the interests of both one companies will be properly pro- Very truly yOVER Inclosure MEE Valines 3. Hofferth Accistant Conatal Hamada Ensurance Departssent .The WC001122 WC001122 August 29 19838 Mr. 2. R. Ehriver Alexsader Agency Xes Comonwealth Burling Fittsburgh P. . - Dher Revi Subject Steve Gillvieb Applicent V Fiber Class Engineering Co. sud Astos Life ToniranagCo Defendants The enclosed Petition th Join Further Parties names ArmstrEAK ArmstrEAK Cork Company as an additional defendant in Case Ya 61 OAK T152 to be beard before the Industrial Accident dommission of the State of California Sion ne c of e the of explayment listed in uhan va vage insured with standard Accident ve put you can notice of this petition so that you will notify Standard Accident that it will be called upon to make ap appestance in , our behalf Sincerely youre Raciastre Raciastre Wallace B. Paffarth Assistant Ceral Man^ T Zaurance Departramut . t WC001123 a ee iY PLBAaeNeSe FP - rd wees in YbSo y r et an Le he foe a, ts Ba mee eesaL sesta ~ ety aY eter, . pik > : a oy abova stot Pag aid + 27 abova acthone! vgeateeatees a of gh Sigg abova eng sh. 4% fx .: i 3 Sy ene beh oll ated ere ren! 13 Plant Rubber ' Asbestos vu! 37 Brennan Street "+ 22 Oa ee te t, ete, yee Bereeg Ended )< Wenal ue 6/30 sere 7p a vi) * 6/30 Aa S BAe 6/30 i 3 oe Pen aT atin TT ms eayh 2? r te ah ety fi Pe akSel ee * 8 ere Mundet Mundet Mundet Mundet Cork Corperation Ge . ekg i we RR oe Cork Corperation me tee ; uate"? 65 . So1u 1tht Sth re we a ue es Forsel e we Fo. NorthNorthNorth New Jara New oo 5 BO an he coed Fare te oe F Jerey & , Sie art, 22s 12/31/37 9/30/38 12/31/37 9/30/38 Seren, gEtetinn teem et 12/31/125/31/5 <ol kete 3 : : icy 30 chns oh ye a a 12/31/5 5 9/30/31 12 12 ; 12 ; +we9 ro me Lg dh ey, r - me ^' ee nny RE ates SAREE tbe EE Ce TE uy Co. 80 cnet te Me , ry Ha*rron wee Dah wees a 27 Harron & Balley r Co. .: ETT: California _ wos 198 Second Street - . ata 2 San Francis^s CaliforniaCalifornia WC001124 Peters andSon and Street SanPeters Street ih410 10th am Jose Californie we as San ~ =eVVanan ArsdalHearria Californie Lumber2, Co Lumber TOIT. Arsdale Lumber Co VanVan Streeta oa, mye Sally Pegi 6 fs 5th Van and Brennan . wits Francisco Streetaoe, Sut Beas: eee gs in Toe e e 627, a otte efe s 0 ee Francisco HO Fr* ancisact o eed Tans as ee Fees wae Francisco TALG Saat SN ae Sune ead Ea } he Aa fog? ide oe 3h be Bae, ed oes per Mala aereh rcs go Lope , peeZs We cat .* ne ie tt ai a tk pote tete sual Lorentien ye ' vee Insulation Insulation Insulation Lorentien i. Market . Street : Market Stre t StreetBs i fU33 6 2 3. , ." byt : F Pe onSb Paraffine Compai : T.heParaffPianraeffine Paraffine Street 33. oraAnne Me Th4e75 Brannan Street ates " mac San Francisco San ars PleSannt Asbestos FranciscForancisco CompaCnyompany 14A: g Plent Asbestos Company Street Companybb aeley an aot we" Plent 1300. = 64th pt es ate poeiyse. 1300.Streetseetinee hea tes ic oN ee Eee She 5/34/7895 9/30/49} 3/31/9503" r4e 13/11/56 reeset 13/11/56 tie Londensees ore hhtgLore Sages oo tain . . 30/52 Peon oa a anorgter ew wthAe Pceson 22 earnpe . ote gt! , oF pr Legere t ej Peek sc. 13/32, 7a, ae, a, Bt Ans Bienes th 12 60F SL Bg! . sede Rites ey rong : ees Dompany ia aye aay : 30/52 7 Bi gee Cork Dompany 20 rong Cork Dompany Foote es 30/52 iw iberty and Charlotte Charlotte Stregste' oe as. ert tt Es 0/57; - dey eh a8 act wath Pelee fet & ae ae Shore! Posey Was tn i OAR Posge Ret x we ghee atte bw eines w,piety ea t se eee Se : 2/5/62 4 491 9/'30/S2;: 9/30/73" te wee | up 2. uy Son gh : Ty Di we 8S J. 7. Thorpe & thon?ait , Chean Avenue Osc au 1351 t os Col Kellogg ? Kellogg Kellogg Jersey Jersey City SealJaenrtzay 29 ean, New Jersey car rah ee ee hme A eet tet ule r Jerzay ee Tins ae : &AAPR WC001125 . re ! ct : MEET a yates rp, Plant Set ey tts Plant Insulation CompeCrompeCr o8mper f Insulation Comper * 2120 East 25th StreetCalifornia Los California Sau Angeles 6/30/52 3/31/58 California Los & Comparty aE ra Be Om OO fa 6/30/52 8 By AlhamAbralhambra 3/31/60 3% FibergCorporati y s a 60 pane 89 7 go . Owena Corporati 9/30/60 60 3/31/59 TO Clara. 4 nta Be BL BYf p bene)e e epeecans pies SET = Lane ny, Bee 6/30/58 eg on Brown CompartyAvenum 10- 100000 South Fremont Avenumas i , _ - Californiaen re, oP Owena derning Alhambra Fiberg Fibergran: okta * Owena derning 0. Box ates, nta CB Clara SorenStet }EESENLB rentertse, i ed w Se Be) "5 r+ n L ta R Soe the tee . *RAL 3 i ee ea SatSianeeaIhnsulaitoneeAsebiesCetDiEticase te 1/se26,/30/58 eye B ae eee. 6/30/58 we abe 1 AsbestDE aa u Insulation AsbestDE Seite Seine tha 20 & yas et ree s7siyaii, mM we tah .of North ;! California tbe EL Pund Local Street he tities. .200.200 Guerrero . Stet a Saab eras S Sect ona be hae py wasn? T, ie Jess 30563 3/31/59 veetatwatt s 56; 6/30/58 6/30/58 nate ee Ba ry 49 we. 8/ Cali tSoei,k,Ae2iySanFrancqistcaoteaFrannciscodShC irley al : Ni ielsenSNielnseBne Shirley Phillip Pe ag Reed and Nielsen i Fagigh tal ve , Industrial`Innulat Company Industrial`Innulat Company 11835 Industrial`Inuat Company Nielsen a . e x ie ott WlaaidnefWsaineIsnedustriael`Inulratieose,aBiAe.RaS aN ate A hn a AC we A) ; OA eee maT Be Corpse Batre Bex & butreacting Suppiy Bex T ea SVC Taioof" 4 Bex rveaeP y ees InsueBlatiieo)n x ws o^'f ns Ee oe gery . Insulation Conte ParkIernsulationConte , 39 Supply CompanyIne Supply Houlevard . , 151 Bayshore . 20 a a n San Adeeago tne % O one Cas ve ease+4 1 a ah wae we and so" ae k>, eaS teS : wre Ee} 20 Calif Francisco Francisco Calif Sey 7 ao Lorentzen i, LorentzLenorentzen . sas re een ait peas LorentLzoernentzen so Very Harold Harold 0.LorentzeLonrentzen * Lorantian 2257 257 Market StreetrEesE2 : int ae % a oe Oakland 5 Californi 1635): y nd(9G) a Bag ag is) 1 . a " 2 Fibergl^sa , te Fibergl^sa % Inginee Inginee oF. or Tare GE oy, ; wn Fibergl^sa 7 av. igs8/61; 2$ |, ' Fibergl^saInginee a ae fit S zr. 3200.- 17th Street 7 aia vat, a gl ' te ov 7 3200.-FrancisDDA ornia eu Street eye wae aie a 6 rglts . San Tpe t Saa FlrancisDA eee rey eng tet: xs ok ade Respectfully heels EB imine yeare, ed sy Sel i a . the ot Pee aki) Sfoe? a ow cs FrancisDDA motte St +e tye ay oF sort ;at nest oe TS AE trentonmee a Ss ot nae we Ze - ta sre the . eee tibiet aay od RE BORN - 4 rts he r:e Pa ase % ssl Respectfully Aw fond U2, mee 8 Py SUTIN. PARNISH hs +1 lan. rans . PUPPY ete WC001126 KY REORE MIE LEASTNIAL LEASTNIAL ACCIDETS LILESION OF THE STATE OF CULI 2 rd CLAIT 30. 81 CAR 7122 42 STITE CILIUSMI > ff ' : Applicant Applicant SBS , a . , , ) GRIT APPROTI CO.^ RELSEANG } RELEASE @ PIETROLAS SIGDIEREN COIFFAJIY MUNDIST GORL 1 T Go OXES COMTCOMHTHM M FILIALAS CORF et al and ATA CASUALFFY & SURETY COMPANY et al , < 6 dr HEHE 1H8EE E af Befendants ) Thia partien to the antitled action having fle prosire and MoleagMoleage e herein on Secember 14 1364 sseettttlliinnsetg tlging th erne for 7,360.23 in addition to all suse which may have bet mrctn7,360.e 23 7,360.23 h7,3e 60.2n 3 7,n 360.n 23 n in FO addition oh ne a previously and requesting that it be approved and this Cour = egid Conpresds APPEARDIJE GOOD CAUSE ys II 13 ORDERED that er applicant forthwith payable 1. by State Compensation burunce Fund the cus or to Gil 2k..04 leer 25.00 to br John M. Casco and less 2k..04 to the Department of Employment in noticfaction of itm licn bena~ itebena~ ite alain for UCD and loop 4252.0 to Calen Forris Tadak & Claney as attorneys fee 6. by Industrial Indemnity Company Cruelty . by Antaa & Surety ceny 4. by Plant Rubber & Asbestos CompA^ ob rn $1. + : UNCAN by Lerican Motorists Comput ~ COZEAN~- UNCAN IQ revelers ICE COZEAN ~-acer UNCAN ) Argermut Insurance Company by Sandard Asetdnet Incence Cantaly any 1.by by DemovalDemoval Accident CALPADY! 1.by 1.by Pacific Exployer Leurance Costany~- ee eee ryeT www and ed WC001127 x GASLI A~ RITZIALARCAS BOSARtIhe ODN ET ALEXANDER AGENCY INC INSURANGE WORLD WIDE SINCE 1963 16 FOURTH AVENLIE , PITTSBURCH PA 19232 November 6 1964 Mr. Wallace B. Hofferth Assistant General Manager : : Insurance Department Armstrong Cork Company Lancaster PR Dear Mr. Hofferth Claimant 0317685 01vich Company 96 Ra 0317685 Armstrong CorCork k Claimant Steve 0111vich f Company ~ _ Claimant 6-30-49 6-30-49 cuncmememe We are enclosing 11/12/24 Company connection Insurance copy of Speedagram received from the Relience in with the abov0 11/12/24 We will keep you posted of any further developmENCE Vegy truly yours 12/22/14 B. Achy H gaid 6633 6 6 TraidersStandaril = 12 | 3,9155 ACTAL OF 3,9155 MOWASUTIO MOWASUTIO STLANOK STLANOK peer AONE Benne WC001128 WC001128 SPEEDAGRAM RELIANCE INSURANCE COMPANIES nettet please advisedadvised 1 Cams in the site nettet * ra father father hea shall you has shall 14 1964 be desep advised advised advised of TO ^'K. EE ot UAT Se g E # L 20 EN1 BEAT 2 THUS + ake RECIPIENTS COPY corte | WC001129 WC001129 ne na INDUSTRIAL ACCIDENT COMMISSION CALI OFFCO ALR IFNORINIAA STEVE GILIVICH 1 CAR 61 DAK 7152 Notice of Time CORF FIBERGLAS ENGINEERING COMPANT MUNDET CORK CORP OWENS CORNING FIBERGLAS and LETNA GASUALTT & SURETY COMPANY et kl 1/19/01 1/19/01 1/19/01 1/19/01 1/19/01 LZ Defendant Further Hearing notified NOT TO AI LL C PARTE IES You are hereby notified that further bearing will be held in the untitled senion at . December 14th 1964 3000 State Building 1111 Jackson Street Oakland , 9:00 A.M. Before Hi ALL A.Me Damien Oakland California INDUSTRIAL ACCIDENT COLOMTESTOP NOTE AND CONTINUANCIS FURTHER HEARINGS ARE NOT FAVORED DATE NAME AND ADDRE'S OF FERSONI SERVED OUT 21 1261 Steve Cilivich 239 San Bruno George Avenue Bldg Oakland & 0laner Financial Center 9 Employers 1200244 Avenue Oakland Parrish San 360 Fiberglas Engineering Co. - 17th Street San Francisco State Compensation Insurance Fund 3360 Grand 94610 Pacific Insurance Co. Pine Strees Francisco Atun S Royal Indemnity Company - 22nd Street Oakland 94612 Street Industrial Indemnity Company Sansome Francisco Travelera Insurance Company 1956 Webst & Street Oakland 94612 Argonaut Insurance Company 550 California Street San Francisco American Motorists Insurance 417 Montgomery Street San Franciso- General Accident Fire & Life 681 Market Street San Francisco Aetna Casualty & Surety Company Montgomery Street San Francisco Standard Accident Co. 1440 220 InsuraCo. nce Broadway Cakland 94612 Insurance WC001130 Plant Rubber & Asbestos Works 537 Brannan Strest San Francie^o Western Asbestos Co. 675 Townsend Street San Francisco Berian lawson Company 465 Tehama Street San Francisco Inc. Van Aradale Lumber / State Compensation Insurance F The Paraffine Companies Inc. Brannan Street Francisco 475 Imaryville Plant Asbestos Company 1300 - 64th Street Imaryville Armstrong Cork , & Charlotte Streets Lancaster Penneylr Company Liberty J. T. Thorpe & Son Inc. 1351 Ocean Avenue Emeryvilis M. W. Kellog Co. Foot of Danforth Avenue Jersey City New Jersey Francisco Supply Chan Ayers Supply Co. Inc. 698 Minnesota Street San Company G. F. Braun & Bouth Fremont Avenue Alhambre Owens Corning Fiberglan P. O. Box 89 Santa Clars Corp. The Philip Carey Co. Lockland Cincinnati 15 OhLe Shirley Phillip Mead & Shirley Nielsen Industrial Insulation Co. , 11835 Weiser Cupertino Pennsylvania Armstrong Contracting & Supply Box 1548 Lancaster Harold G. Lorentsen Lorentsen Co. 3155 - 5th Street Oakland Department of Zaployment Box 3534 Rincon Annex San Francisco RAH 61 QAK GILITICHGILITICH 7152 04 WC001131 INDUSTRIAL ACCIDENT COMMISSION STATE OF CALIFORNIA . \ STIVE OILIVICA Applicant YA FIBERGLAS ENGINEERING COMPARTE MUNDET CORI CORF OKES CORKING FIZINOLAS CORP and ^ SURET HITTA GATUALTI ^ SURETT COMPATT et al CATE 61 OAK 61 OAK NO 7152 Notice of Time sad Place of Further Hearing Defendant.2 ok ete ' on . NOT TO I ALL C PARTE IES You are hereby notified that further hearing will be held in the entitled sexion ar DeDeccemebermberDecember 14th , 1964 3000 Euilding State Jackson Stree~ Oakland California California Before 9:9:0000 A.AN..N. BefBoerefore , . ALL Dated ot Oakland California INDUSTRIAL ACCIDENT COMMISSIO | ' NOTE CONTINUANCES AND FURTHER HEARINGS ARE NOT FAVORED AND ADDLADE DLS ES OF PERSONS SERVED DATE OCT 21 1264 Steve Gilivich Georgs Avenue Financial brune Steve Paduck Clancy Bldg Oakland Partyeh Georgs Financial Center Fiberglas Engineering Co. 1200 17th Street San Francisco Avenue Oakland State Compensation_Insurance Compensation_Insurance Fund Grand Pacific Employers Insurence Co. 244 Pine Street Francisco Royal Indemnity Company - 22ad Street Oakland 94632 9 94610 ABERS 360 Industrial Indemnity Company 350 Sansome Street San Francisca Travelers Insurance 1956 Labocer Street Oakland 94612 Company Company Argonaut Insurance 550 California Street San Francisco American Hotorists Insurance Co. 417 Bontgomery Street San Francice Coseral Aid Fire & Life 651 Market Brest Han Francisce _ Aetna Casualty & Surety Company Rontgomery Street San Francisce 1440 Standard Accident Insuranes Co. Broadway Oakland Bena T Zivi 1540 39 Pablo A ou. Oaklan~ 94612 94612 WC001132 Plant Rubber Asbastas Yorks 537 Brannan Street San Francisco State Compensation Heatern Asbestos Co. 675 Townsend_Strost Townsend_Strost _San_Francisco _San_Francisco Harman Lawson Company 465 Tehama Street San Francised Van Arsdale Lumber Inc. Insurance Tu The Paraffine Companies Inc. 475 Brannan Street San Francisco Lancaster Plant Asbestos Coopany HV 64th Street Emeryvilla Armstrong Cork Company Liberty & Charlette Stroots Pennsylvo J. T. Thorps & Son Inc. 1351 Ocean Avenue Emeryville N. b Kellog Co. foot of Danforth Avenus Jersey City New Jersey Supple Ches Ayers Co. Inc. 608 Wanesst^/Street San Francisco 1000 Vouth C. F. Braun & Company 1000 Present Avenue Alhambra Fiberglos Owang Gerning Corp Box 89 Santa Clara Cincinnati The Philip Mfg Villeen Lockland 15 Okia Carey Phillip Head & Shirley Villeen Industrial Insulation Co. 11635 Wainer Cupertino Co. Armstrong Contracting & Supply Box 1568 Lanenster Pennsylvanis Harold G. Loranties Lorentsen 1155 - 5th Street Oakland Department of Employment Bex 3534 Dineon Annex S^oFranciscs 5 4 ag 6 GILITICH61 OAK 7152 GILITICH * + WC001133 232-4518 ALERGANALERGAN MALTES DE 140 ALEXANDER AGENCY INC INQURANCE WIDE SINCE 1829 216 FOURTH AVENUS PITTSBUROM FA 15121 March 31 1964 Mr. Wellscu B. Rofferth Assistant General Manager . Insurance Department Armstrong Cork Company Lancaster Penna 4? Dear Mr.Hof erth Mr.Hofferth R^,rFile : 96 0117685 Insured Armstrong Dork Company Claimant Claimant Steve Ollivish Inj 6-30-49 Ollivish rn We are enclosing copy of lette received from the Reliance Insuranc Company in commertion with the abova claim fl ' We -will keep you posted of any further developments Very truly yours 8 Jill H. #ncl #ncl te OUR SECOND CEHTUDY OF INSURANCE SERVICE WC001134 WC001134 RELIANCE INSURANCE COMPANIES PADIFIC BOAST DEPARTMENT 180 CALIFORNIA ST DAN FRASC1800 B^ LIF041RG TELTEL F6F^' . , 1 March 27 196 ISSE . Attestion 1. A. ^ s TEIM ALEXANOCE ATTE 96 Inwardt SON ^ MIT^ TEIM we AestyiCnorgk Bengts Steve Ollivish ote JIM Maimast ACERCY SreorcLament JIM MU~ Iz sasporas youre of Marek heid 1964 on the above mytioned this this to adristhetahtathatt i hearinvagn heid befowthee Industrial Commission 1963 Beptember 18 is agreesda a e2 settiment 8,000 to and wizarvas be allocated between the wizarvas odepecios Invalved dar exposure da appreistaly 00.x. - sevemegeenniiictns nw f Abfidnud 196urente | Standart Campony | Standart Standart Accident Insurance Company Company Cranes fouurwone Marayaat Marayaat Marayaat | w . J SEE pm, - Ho ob t the mayen * ame oreo west ee area g s oe . 740egy pn 779176 aeememiaaticad WC001135 WC001135 : : od o TKE TRAVELERS NSURANCE COMPANT SL^ DAORPARTHRIT * J. A. Joans MamaBra pe . , if , Alexander & Almonder 2225 North Charles Street Baltimore Meryland Autor G. H. Finlay . 4 Gantiemens . . 4 -There have been no new devalogmante in the claims of B ) here mmproadise games 1-9850942 and 3-9830927 ... 708,000.00 is being submitted for approval and release all defendante Armstrong TheContraActingzstrane aan 2 . . Vary traily yours, " , WJ51000 os Razy . . 1 c 1 M. J a Compensatkek Adjuster Adjuster ' * ey . * ' ocr : . . ebeh Tih oeeelaa > wom, we a pe Oe et . ae . haw, OF RERE AT 14 vite VOLES E6T ; Map.p. 2 ce d eerie bmg WC001136 moe. TRAVELERS TRAVELERS THE INSURANCE " COMPANY THE IHEEM 5 , 1 ge CLAIM CLAIM DEPARTMENT con rN J. A. Jassar Manzara Stet . , i February 18 1964 LIND OFFIER are antes ALEXANDER "eeahel . Alaxander & Alexander - Straut _ 225 North Charles Baltimore , . . ' nd Be Anstrong Cork Compray ' . Gantiegan . ra . 1 There have been no us developments in the claims of Joan Wysa 1985092A er +. 5-9850941 In the Steve Gilivich cases 5-9850942 and 1-9450927 a compromiss and rel This comprenad in the count of 88,000.00 is being submitted for approval settlement settlement all defendents The share of Compen and the sherw of Armstrong Contracting and Supply is 320 . 111 be 170.00 170.00 . Batisfactory settlement in these troublesme clains -- - ~ aie . 7 dee wen? . - WStee , 7 . WoSale Gangrezation lo, w KUND Q8ZACLI -1411891 -1411891 -1411891 es Neevyieot . WC001137 WC001137 dase, fan NE Baden he a + youre Pat Fy AE ite oF rs. as WC001138 Sept 20 STATE OF CALIFORNIA DEPARTMENT OF EMPLOYMENT COGASRUOUETTTEE Fed : 143 due pia Cheese s LAN FRANCE LEGO 19 CALIDIDORNA e ~ State Compensation Isso 515 Golden GRLO AVE $ F Calif An^ f {. . SILVE SHIVES FIZMLA HIHENSI COPPLE KEMEET COR CORPORITICH WEB CORNIS FIBERCULAS CORPORATI and ies CAFUALITY & SUZETT GOHPAIT et al INS CASI 1 GL OE TLER, #SA 50 SPToORbIy This is Department in receipt of an Order Joining Party Defendet and Order DimaPi arts is^s Di efen ndegnt in order that you my be 11 made remare of this Department's interje a tshits cans atteched you will find a eepy of tate Department's sild ien e rumdd on April 13 1962 The listed parties bales are don being sermai ClignFe Jolunt & PODES E CHAPIE RETEJOELTICES RETEJOELTICES BOPOYIZEN FILIMA Attach * Pacific Pacific plastplasrtre eCo 204 Mixe Oaklood 3 F Royal Indemnity plastre 340 - 2004 St Oaklood Y Iravelers Las Co 1956 Wabater St Oakland . irgesint Insurmen Co 550 California t & P Azericas kotorists Ins Go 117 kettgomery St 8 P General Accident & Fire Life 603. Markal StCaklazi F Standend deeldent Las Co L1440 Broadway Caklazzi =~ WC001139 C 0 ~o << 1300 Cemaity Flent Asbestos Cs Gork Corp 1300 64th St Aetas Buryville & Surety Co 220 Montgomery P Mundet & Plant Rubber Asbestos Western AsbestoCso townsend Herzen Lawson Cu 537 Whe 96 165Tahena I^-oc-a Van Arsdale Lumber Co Braman St Y F Nata & P Pasd 525 Golden date Ave P The Persffice BCoamspIenneies J7 Sorps ^ of M elleg Co Foot Inc 475 Brennan St 5 F Liberty & Charlotte St Lancaster Pennsylvania 1351 Queen Ave Emeryville Danforth Ave Jersey GW New Jersey Co Inc 698 Kinnesota St 3 F Gian Ayaz Supply Breen && iberzine Cuma Corbing 39 1000 Seath Fremont Ave Alhambr Carp 0 Box Diarimati The Philip Carey HSG Do Lockland 15 Mirky Millip Head & Kielson Indominial Insulation Co 1105 Seiner Depertico Pupply Lancaster Centreeting - Asstr^ng & PO Box 156 Peas Harald G Loreniten Lorenteen , 1155 5th St Oakland Industrial Accident Commission 1111 Jackson St Oakland 3 WC001140 Ee: ADJUNE TO LOUISTRIAL ACCIDENTS CHICIIDSION OF SHE STATE OF EASI HB CLAIN 19. 61 GAR 7152 3 & SIEVE OILITICU j ORDER FORI UPA @&@ Applicant ) DEVEDANT DEVEDANT 82 RA } ORDER DISHUSSING DISHUSSING FIBORODAS EMMINILIDH COUPANI MINDST ) CORE CORP NIIMO DRINKDA WOOD_SYTOUTALI WOOD_SYTOUTALI and AISHA CAITUALITE & SUALTY PATI } et . and ANDERSON & JOVE entitled'eauce be dismissed on parties defendant in the above entitled'eauce entitled'eauce FECHA * ANCIACH PR SERVICE UPal EP 1963 74 Stave Olivich 233 GoowGo wziazia Avs San Drums Padusk Conter QuishFarrich te Clanry 31 Plasaviel Engineering Co. 1000 19 17th St. San Fibergian State Compensation , pesanal service Ir loyers Compensation 744 Irrloyers Irrloyers Insurznes Co. Pine St. Can EldjEldj Francisco C. Prancisas Ct WC001141 WC001141 ACTER APIRCI RoDeAL EI RIS 66 HY MR Bge 10 10 1111 232 23 1.4 18 28 19 Argonaut Insurnace Co. 855 California St. San Francisco Amerions Motorists Ins Co. 17 Montgenory Sb San Fanclaes i General Accident RITE & LIFE 601 Mar St. an Francist 04 Aetna Casualty ^ Surety Co. 220 Hongery St. San Francisco Standard Accident Ins Co. 1440 Droadway Cakland Calif Desert Kano & Brophy 1549 San Pablo Ave. Oakland Q1115 Sedgwick Noran & Amold 100 Rush S. Sun Prescised Henry Sanford 192 Barket St. Ban Francisco Calif Bobek Phleger & Frison 111 Sutter St. San Prentisse 21 tillen & Filippi 315 Montgomery St. San Francisco CALLE Burety Hundet Cork Corp. / Aetna Casualty & Herren falley 00. 6/9 State Fund personal Plant Rubber & Asbestos WED 537 Deannan St. Co. 804 Franci service service Ban Franelson C Yestern Asbestos Co. 675 Townsend San Francisco Calif Andersen & Rowe / State Fund personal service Hjerman Lawson Co. 465 T^'homaSt. San Francisco Calif Arsdtle Lumber Inc. State Van Co. , / Fund personal si The Paraffine CoLDE Ind 475 Drama St. San Francisco ,, Plant Asbets Co. 1300 64th S. Eville Calif : Arzatrons Cork Co. & Charlotte Diberty 3. T. Therpe & Son Ind 1951 Ocean Ags Ags M V. Rollbg Co. Foot Al Denfeich segvills G^/llf Ger City Hew Jorn Ches Ayere Bupply Co. Inc. 69/46 Ovens Ovens Corning Fibersisa Fibersisa South Corning The Philip Carey Shirley Need & Fibersisa turp Co. Shirley Kielbia 7 49 eS Poe Atre Alhambra Callf Callf 6 fanta Clara Calif incinnati 15 Ohio Phillip Gompany 1155-5th Oakland f hanastrony Coatanooint Harold 0. Larmatsen Larentybn we 0.8xx'1545 0.8xx'1545 Lancseter Pena % Dept. of Employment P.0 3534 Rineon Annex San Francise 23 Radent 31 1 OAK 7152 ~ 24 OAKaed 25 = 27 27 Axtle WC001142 .o etit V PS te 17 Before the Industrial Accident Commission of the State of California STETE GILIYICK ROHNER A ' * emf tee Applicant hat FIBERGLASS EGITENING COMPANY AEINA CASUALTY AND SURETI CHIF stal Calif 61 OAK 7152 Notice of Change in Placa oz Tlas of Hearing Defendants | NOTICE TO ALL FARTTES You are hereby notified that the time and place for the bracing in the above entitled action ka bean changed to and will be held an . September 1953 9:00 A.A. ALL DAY Building 3000 State 1111 Jackson Street Oakland California September 1963 9:00 A.H. ALL A.H. Dated at REQUEST OF APPLICATI'S ATTORIIEX Oakland California . INDUSTRIAL ACCIDENT COMMISSION 1 Norm No matkaamonzes continunate be gragsraesendd camdand for for nnoorrdd dradgroangeowneawndwitthheinn with the consent el il parties dage from the date of service No request for continunate NAME AND ADDRESS OF PERSONE MIRVED DATE AUG lati Fiberglass Engineering 1300 = 7th Street Francisco Californie - Stove Gillvish 239 Georgia Avenue San Druso California Department ef Employment 3534 inconAdnex Francisco 19 Calir Plant Rubber + Abbesses Werke 537 Brannan Street Francisco 65 North Francisco California 455 Western Astasies Co. 675 Termsand Street San Hunder Cork Corp. South 11th Street Brooklyn New York Hundet Cork Corp. , 7101 Torrelle Ave. Bergen New Jersey Nerred 1. Dalley Coo 198 Second Street San Francisco California Anderson Rowe 45 Balcher Street San Francisco California Cork Insulation Ige East Loth Street New York New York Human Lawson Tahame Street San Francia60,6231for TA Ga Lawsn on zag rete kj Immo oy Street Francia60,623F1ranfciao60,6r231for me oe me Francia60,6231for puna WC001143 WC001143 PhilliIpnsHeualdatiPoibneralas Bielsen P.0.BCSoxitnrceientnati California Ovens Insulation Wainer LocklaCnodrp. CCaliofor.nia 2S1u2p0plhyas Franciaco Calis & Chas Ayers SupSupppllyy Co. Inc. , 698 Kinnesota Street Plant P. Braun has 25th Los Angeles California California 1000 South Front Ayun Alknabre California CorsingPiberalas Casp P.0.Box 89 Santa Clar The Lockland 15 & Shirley Bielsen Industrial Insulation 11635 Cupertino California Armstrong Contracting & Supply P.0.Box 1548 Lancaster Pennsylv Parkes Contracting Supply Inc. 151 Bayshore Blvd. Insulation San Francisco California Markes Co. Harold G. Lorentsen Lorenteen 2257 Strant Oakland Calis State Compensation Insurance FundPersonal Actar Casualty & Int.Co. Pine PIancidfiuc sPactifriciEamlplIonydeemrnaityIndemnIitynt.CoC.ompany Francisco Calis Industrial Indemnity Company Attns Service 1330 Broadway Oakland 12 Broadway Francis C aliforn ARCHIS 335000 Grand Avenue Sanemme Street San 10 Californ 1956 Travelers Co. Weboter Street Oakland 12 California Insurance 50 Francisco Argonaut InsurancCeo. California Street San California Anerican Motoriste Ins.Co. Montessary Francisco Call MontessaryStreet California General Accident Fire Insurance& Life 600 California Street San Francisco California ; . 2 Oakland Claney Financial Center Bldg Cal . Financial Smith Paduck Farrish & Buch Street Francisce ArnoldMontgomery Kullen Filippi Street 15T4w0obyArnold ~ alifornia Street San Francisco e , SanPablo Avenue Oakland 12 California Henry Hanford 582 Market San Francisco Calif HA fe 61 QAF 7152 Steve Cilirish ---- ---- . meee Qe CausPeARTY DLFRIDATherefore IT IS HEREBY ORDOERDREEREDD ANKSTRONG party defendant in CQSPATI be dimirsed as a CORE CIPANT and GL^ DEINDE defendant defendant the above entitled cas RaferosRRafearosRfaerfoesros ? JUJSTRIAL ACGIDS GOPTII Armstrong Cork Company Company Liberty Company Indemnity Globe Montgomery Francisco San A. P. Wisecarver 315 Liberty & Charlotte ts-Lancaster Pennsylv ' 22nd Street Cakland 12 California California Screet a WC001144 a emer INDUETRUAL ACCIDENT COMMI80ION rane id ; STATE OF CALI PODVOLAL ene od STEVE GILIVICH CanHeen. 61 DAE 71 Aptian Notice of TEA and Fince of FAIEBTEHRGALACSASFSIBERGULAS ALETRYQIAYNBDBLSIUNGRECTYEPCLOAFY^ HYetal : 1.1963 .L.R JUL 1.1963 - . Defendast } PAL TOT ALT L PE ALTS TES Ya en beshy medful das further hancing will be held to the melted 1 serien 3000 State Building . Jackson Street August 22nd 1953 9:00 9:00 M. ALL BAY Dekland California August 23rd 1 9100 A. R. 7 ALL AN Oncat eure Gakland California , PEREITIAL ACZSDEN Goes , EonfgiEnmepelroiynmgent Workn Fiberglass debestos Tamrond Francisco Francisco CalCiafloirfn Francisco19 Janes dee HAME AND ADGRIOR Om Co. 1200 TI June 25t Fiberglass Co. - 1200 7th Street 25 Francisco Se" Olliviek Department of 219 Georgi^/Avenue Ian O 3534 Kincen lanaz CSaliafonrniaFCralainfocrinsiaco19 Plant Ambber & debestos Workn 537 Irmase Street FrancineCasliforn die Vastora Azbesten Co. 675 Strees Brooklys 6 11th Street BrooklyBsrooklys New York forralle Ave. North he Sandes Varren Cork 7,7107,110 7,7101 & Bailey Co. 19 Second Surest Bergen New Jersey San Frazelaco California Breet Inn > Andersen & Rowe45 Balebar Francisco California Street New Cork Insulation Isr aot 44th York New Tabass Franciscs Califonia Califonia 665 Tabass Street York Herman Lawson Co. Street San Califonia & Arsdale Co. Brenn 5533 Inc. ith Sta Pranciso Tax Lumber A be Cali The Paraffias CompaniesCompanies Inc. ramman s Francisco . 675 treet San Californie Pleat her Co. 1160 66th Streraman g WC001145 t Lar WGN 2 tote eetts SATE ne, Bf aeae Mtns Drv! Dwereas . $ a ry porated peere Shee AS can = vor Insulation lhambra California C1o0.00 Francisco Los California California P.0.bex Santa Chas Ayers Supply 695 Minnesota Street San FranciCasllcfoor Plant Co. 210 East 25th Street Angeles C. F. Braun & Co. South Fement Ave Owens Corning Fiberglas Corp. P.0.bex 89 Clara California Lockland The Philip Cary Cincinnati 15 Ohio Phillip Head & Shirley #laisen Industrial Insulation Co. 11833 Wainer Copertino California Armstrong Contracting & Supply Corp. P.O.Box 1548 Lancaster Lancaster Pennsylva Parker Insulation Contracting & Co. Inc. 151 Bayshore Blvd. Supply San Franciace California Street Oakland Califora Califora Harold G. Lorentsen 2257 Market State Compensasion Insurance Fund Personal Series Aetna Casualty & Surety 1930 Broadway Oakland 12 Californii Company Pacific Employers Ias.Co. Pine San Francisco Calif Attn 9.F. 12 Gl^,beIndsanity Company 360 1071 22nd Street Oakland Californie Industrial Indemnity Company 300 Grand Avenue Oakland Californis Indemnity Industrial Company 350 Saneme & CalifoCalir fornisnCali ifors nis Atta F. Ramos Co. 550 Montgomery Montgomery Life Ltd. Travelers Insurance 1956 Nebater Street Oakland 12 California Argonaut Insurance California Street San Francisco Californis American Motoriste InsiCo Street Jan Francisco lifs General Accident Pire Insurance & 600 lifornia Street San Francisco California Jepieyara ; " Clancy 315 Francisco Californ Smith Pariah & & Arcell Sedgwick Filippi Horns Mullen & Filippi 315 Montgomery Street San Califorkla XP 1. P. Vinskiver 315 Financial Center Bldg Oakland Gall 100 Bush Shrews San Francisco Montgomery tr,aSamnmFrancisco California California Montgomery CaliforkCalliforakla Hanna & Brophy 1540 San Pablo Emkland 12 California Henry Sanford 562 Market Street San Francisco California B RAX 61 OAK 7132 Steve Ollirish + we Le WC001146 see eens atm MWIS Fone REFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA Cau No. 61 AJE TIRA . om Une GaLe vpeareen \ Applicant vt. 91 Club457 SW 7 OL is 9177 Club45 AL SW eewee,21 at. Defendants Dismissing Order Dismissing Party Defendant 7/1/63 7/1/63 Good Come Appearing Therefor IT IS HEREBY ORDERED THAT ^ razzle ^ J. Extra razzleLexOLESELLexOLESEL 19. ^ razzle LexOLESEL CO lazulsvima ^ A Lambilats CO LEGL LEGL err a Bemthverm O93 Jupityara Jupityara & * betel * Lambilats Lambilats Averiren Averiren Verlayers VerlayeVrs erlayers Produci ce ory dey g Mituzionze Mituzionze Vektern Le Produci Mituzionze fi fi fifl fifi fl Seel^,yereMituzionze Mituzionze Co. arteinne th ert P | be dimnized as a party defendant in the above untitled ease y. = ACCIDENT whee ter INDUSTRIAL ACCIDENT COD ->SSION Capies fled : open 1.9 . O84 WC001147 WC001147 OTLIVICH 61 QAX SERVICE Continued Western Asbestos Ca. 675 Townsend St. San Francisco Calif 65 Mundes Cork Corp. South 11 St. Brooklyn York Fundet Gork Carp 7101 Torrelle Ave. North Barger How Jersey Warren & Pilcy Co. 198 Besoad St. San Francisco Calif Anderson & Ronse 5 Bolcher St. San Francisco Calif Cark Insulation Co. Inc. 155 Baat 44 St. New York New York 465 Texan Lamon Co. St. San Francisco Col. A. J. Feters & Son 410 Worth 10 St. San Jose Balif Van Farris Lumber Inc. 5ch & Brannan Sts San Prong C Lorentzen Co. Insulation Engineers 2207 Market 36. Calland The Paraffine Companies 475 Arandan St. San Francisco Calif ~ alif Plant Asbestos Co. 1365-54 St. Pegyyville Astro Cork , Liberty & Charlotte Sts Lancaster Pennsylvania Noa Inc. J. 5. Enerpa & 1351 Ocean Ave. negyville Calif H. V. Kellogg Corp Foot of Danforth Ave. Jersey City New Jers Western Dairy Products 1301 17 St. San Francisco Calif Chas Agers Supply Co. Inc. 698 Minnesota St. San Francisco Calif Plant Insulation Co. 2120 Rist St. Los Angeles Glif G. F. Irun & Co. 1000 South Promt ^veAlhambra Calif Corp. 7.0.Baz Owens Corning Fiberglas 89 Santa Clara CELLS Tha Philip Shrey Rig Co. , Cincinnati 15 Mula , Insulation & Asbestos Industry kks.of Northern Califormia Vacation T Fund Local No. 15 530 Querrero St. San Fran61800 GLILF Phillip Head & Shirley Hielsen Industrial Tamilation Corp. 11835 Wainer Gupertino Calif strongContracting & Supply 1.0.8ax 1545 Lanometer Fansyl Parker Ingulation Contracts & Supply Inc 151 Bayshore Mrd. , . + San Francisco Calif " State Compensation Insurance Fund Fersonal Service Aetna Casualty & Surety Co. 1330 Broadney Oakland 12 Calif Pacific Employers Ins Co. Plae St. Francisco Calif San 360 22 Globe IndcunityIndcunity Co. St. . Industrial Indemnity Industrial Indemnity Co. 300 Grand Ave. Oakland 10 Calif M Industrial Indemnity Co 350 Sansome St. San Franciaco A American Employers . Co. Rise Mldg Francisco Calif Exployers Mutual Liability Ins Co. of Wisconsin 114 Hansone 36 $ Ban Francisco Calif Travelers Insurance Co. 1956 Webster St. Oakland 12 Calif Calif Ar^onintInsurance Co. 550 Callfornia St. San Francisco Calif - American Motorists Ins , 417 Hontgomery St. San Francisco Call General Accident Fire Inc & Kifo Ded 600 calic St.s San Fra . Calif Employers Liability Assurance Corp. Ltd. Rose Francisco Adg San Francisco Calif Smith Parrish Paduck & Claney 315 Financial Center Elds Qailand & Arnold 100100 Bush St. Ban Francisco Francisco Sedpstick Debart Horan Him & Filippi 315 Heatgean St. San Francisco Calif Mr. R. F Klaucarver 315 Hontgomery Sc Francisco Calif San Hanna & Trophy 1540 San Fable Ave ^ nkind'l^^ nkind'l^ Galif . H Henry Sanford 522 Market St. San Prancisco Calif " WC001148 K. hm J. Keliby Legal MGreatutPuimlidsinogf Yauseu AHideanmCTraa nciscl o if4oCr aln ifoirna ia Dear Mr. Ragli Subject Stave Civich . 40 AmatCr orkoCan spae ry ART Amatrone We on aarevsorGai^ldvvreeicchannboutt aclomlpplyawyirthalyanoldurcornetqruaecstts for contravcatgs eprior itnof1e99r5 ehnatveian been destroyed There is com exception to this statement however and it comes into play to your expany'a edvantage We do minat toa tal i yuen rly eaabrlneintgosddee tert mineetr ofLm riomi vitn dhuee sael rreeccordosrdtshotsheartecSotredvse gOolliOlviivieekktothe194500.6 e2mpleomypeleoyee of our fouth Osta Hanufacturing Flant during 1948 1949 or 1950 and since this is the lomaties you pay insured your defense is obvious Rease let us know if you ssed anything further from 2 Vozy trdy yout Vailope 3. Hofferth Assistant Beneval JunagEF rr Range Dayartwesert WC001149 Employers Mutuals of Wausau Armstrong Cork Company Liberty & Charlotte Sta Inter Permsylvanda December 3 1962 7 EUR DEC 7 1982 Steve Oldrich v Azsstrong Cort Company 427-42980 427-42980 Gentlemen Gentlemen We were your varimen's compensation earrier from Jamuny 1 1944 until Yanuary 1 1952 : : . A tevaaflivich present address 239 Georgia Avume San Bruno California Social Security No. 557-03-4199 born May 16 1899 han filed an application before the Chifumia Industrial Accident Commission to alleging that he suffered an injury bis respiestory system from ex< posure to barnful dusts while employed by various employerH Allegedly he was employebdy you during 1949 We would appreciate your checking your records during the entire period of ous coverage and your sending us the following inforzat 1. Conileting the malosed wage statement forms giring us Hr Cilivich's vedle emplobyy e yodu and indicatitnhge : . 2. Job Lasstion or Incatiens 3. Job title , 4. Identity of supervisory with Mr. Gilivich's work personnel or other porammel familler activities halpe Any medical reports or kambedge of rays taken would be ^'t halpe Sime the hearing is scheduled on December 17 1962 we will appreciate a prompt reply Yours very truly ; PJHING oncl oo Paul Horlik Legal Departzend KOOLO^ RAU KOOLO^ RAU MUTUAL G~OBILIFT G~OBILIFT INSUNGg9 ChonbuT OF MIREGADIS MIREGADIS + INPOIRE DUTUAS Ping IRBURANTI COmrast #QM ~ _ OKUVAJ WC001150 of the State of California NOJ 29 .L.M MAK Can No. OAK_7152 OAK_7152 STEVE GILIVICH a ees ee Applicent VS FIBERGLASS ENGINEERING COMPANY AETNA CASUALTY AND SURETY COMP^ NY etel Not^>c~of Time and Place of Further Hearing Defendent . PARTOTALI L PE ARTS IES You are hereby notifitehadt further bearing will be held in the antitled sctioans AprilApril 2929tth h 1963 3000 State Building 1111 Jackson Street Oakland California 9:00 A.M. ALL DA Before Hickman Dead Oakland California : BERUSTAJAL AGIRDENT COMASDIO | NOTZ CONTINUANCES AND FURTHER HEARINGS ARE NOT PAVORED Numa uzel Addeyes of Persons Sasvud Don March 19th 195 Francisco Califo Fibergines Engineering Co. 1200 ~ 7th Street San Steve Gillrich 239 Georgia Avenue San Bruse Californis Employment Vorks Rincon Francisco Department of Employment Bag 35 Annez Francisco Cal Plant Rubber & Asbestos 537 Brannen Street Cal Francisco California Western Asbestos Co. 675 Toumeend Street Ban Street Brooklyn Mundst Cork Corp. 65 South 11th New York Mundes Cork Corp. Torrelle North Bergen New Jerser Warren & Bailey Co. 198 Second Street San Francisco California California Anderson & Rowe & Belcher Street San Frantisco Cork Insulation Inc. Eest 66th Street New York N.I. L65 Harmaa Lawson Co Tehema Street California San California ^ & S. Paters & Son 410 Nogch 10th Street San Jose California Loreen Insulation San Van Arsdele Lumber 1,2207 Loreen Co. Inc. & ween Brannan Sts Francisco Market St. Oakland Keaae Sem 1 or 44S, CEES WC001151 698 San Califo Ayers Supply Inc. Minnesota Street Francisco Plant Insulation Co. 2120 East 25th Street Los Angeles California C. F. Braun & Co. 1000 South Present Ave. Alhambra Californis Owens Corning Fiberglas P. O. Box 89 Santa Clara Californis Corps The Philip Carey Mfg Co. Lockland Cincinnass 15 California Insulation & Asbestos Industry Wks Northern Okio Vacation * Fund Local No.16,200 Guerrero San FranciscCalo ifor Phillip Nead and Shirley Weisen industrial insulation Co. 11835 Wainer Cupertino California Supply Armstrong Contracting & Supply P.O.Box 1566 Lancaster Pennsyl Parker Insulation Contracting & Supply Supply Inc. 15l Bayshore Blvd. San Francisco California * Harold G. Lorentzen Lorentzen 2257 Market Dak , Dal klaa nd Cn alid fo , Cal State Compensation Ins Fund Golden Gate Ave. Francisco Acthe Casualty > Surety Company 1330 Broadway Calad 12 Califor Pacific Employers Ins.Co. 244 Pine San Francisca Calif Attn Globe Indemnity Company 360 - 22nd Street Oakland 12 California Industrial Indemnity Company 300 Grand Avenue Oakland Oakland 10 Californ Indemnity Industrial Attn Company Sansome St. Francisco Californ F. Racos Ilk American Employers Ins.Co. Russ Bldg San Francisco California Employers Mutual Liability Co.of Wisconsin Sannome Street . Francisco California Travelers Insurance Co. 1956 Webster Street Oakland CalifornMointagomery CalifoFrniarCalaifonrnica isco Ltd. 600 Argonaut Insurance Co. 550 Street San Amerison Motorists Ins.Co. Ins.Co. 417 Montgomery Street San General Accident Fire Insurance & Rifa San Francisco Califorsl fl : California Francis, Ccaol Screet Employers Llability Assurance Cor Ltdp Ru. ss Bldg San Francisco Clancy 315 Smith Parrish & Financial Center Sedgwick Deter Koran & Arnold Bush Street San Bldg Oakland C Francisco Calif Mullen Hr R. & Filippi 313 P. Wiscover Montgosery 315 Montgosery Street Francisco Calif^tala Calif^tala Monsgesery Street Francisco Hanna & Brophy 1560 San Pablo Avenue Oakland California Henry Sanford 7LL Hobart Bldg Market Street FranciscCoa oDe WC001152 WC001152 er LETONS THE DEVINE ACEMENT Chill 7 117 SIME OF CALIFORITLA STEVE GIZIVICH we" Orne, us Applicant Applicant CASE . 61 GAI CORPORAT^ CH ASEESTOS LASERS FIBERGLASS DIRETERING PLAIFT ALEGELNASERS DIRETERING CO+MPANY COMPANY SCOMPANY .. .. HESHERI LASERS MUNDET CORE MARKEY & BURIOZUEE CO INSULATION ia CORK CO B HERMAN & J. LPAZMWIOENRSCAACNNDD SOH EIKENGETS P^ VAARANFFIANERPAI RAFFD INE ANI EEDE00LU* N CO MISULATION MISULATION eal PARAFFINE COMPANIES , .; . ies! ae : EIKENGETS ee - AFDISTRONG ASSESSES COMPANY t AFDISTRONG COMPANY PROFECTS INC CORK 5. 7. THORSE & SON TS.; M. H. EXOS CO CDRP.; DAIRY PROFECTS rt KERN WE F. C. F. EN CO & FLLERGI^ S BRAIL OLES COPYIGO FLLERGI^ S COFOLANTIC a ; tom " THISULATION KAIP CAREY MFG CO.; OF THISULATION & ASHISTOS IHEJSTRYHKS HERN CALIFORNIA e LIP HEAD AND ee SHIRLEY STRIAN INSULATION .; & CUTTA STACIJO CONTRACTIKO SUPPHU COP CUTTA AKKER KNEWLATION CONTRACTING AND AKKER Pa G. Ts 00 HAROLD i LANENEALORTNTEIT COTRANT and PUNT FLER CHASENSITION DISTRANGE DISTRANGE CHASENSITION AECSA S4SUHIAE AND SURETYCC31 ED PACIFIC ED SURETYCC31; PACIFIC LEER ST wad CAZI CAZI GE iris KILOS ROI. FLOTISE KILOS KILOS INSURARIOGSE ey ; GE NITUAL LIABILITY LIABILITY FLOTISNEEIVATRUIACLE 5 EVARICE COLPAIIS ; BRGOLICD EVARICE COLPAIIS tet tet ; oe ans - . TASERNICE foam MOCKS S INSLANICS_S_LEFT INSLANICS_S_LEFT GEyral. TASSERNICEME INSLANICS_S_LEFT INSLANICS_S_LEFT INSLANICS_S_LEFT TAT ENPEOCERS TASSERNICE TASSERNICE CORP INSLANICS_S_LEFT 28 dast ey 190 E PROVEMER enn: JM SoF e tm at ORLER JOINTS PARTY MITEINAN WC001153 Mendes Cork CorporatiON Wazren & Filey Co. Anderson & Rove Cask Insulation 00. Inn Betmen Lavson Co .; : A. & J. Petera and Son Van Argehle Lumber Co. 7ma Laruntzan Co. llez ZaginaeTO The Paraffine Compendes Ims ZaginaeTO } Plant Asbestos Compz'y , Aruetrone Cork Company J. T. Thorge & Son Ind K. W. Kellogg Co. Corp Wertern Dai Products Inc Chinz Ayer Supply Co. Inc Flent Insulction Company C. 7. Braun & Compray Quums Corning Fiberglas Corporation .; The Philip Cay Kg Do. Yaculation to Asbacon Industry W. c Worthern CaliforCnia alifornia California I Philip N and Simim icduabrie Dirculation Co } AFTESECHS Contracting & Buppir ** , .; Parker Insulction Centructing 1 upplyIn Inc c Harold O. Lupeatcon Gempara State Compsnortion Insurance Pu94 Adton Obstatty & Spruty Company Pacific Employers Laburdince CompAFY Globe Indemity Company Industrial Indemnity Compam American Explorers Insurance Compary Espiorars tul Klability Immune Co. 32 b Stavelers Insurance Company; Arcenzut Ina key American Motorists Insilance Grap Gar ezel Accident five Insurance ^ 1170 L80 L80 } , Enstorere Liability Amuses Corp. 2.1 cqc^"n^> - b ' jenodsa a party Jaeaders in the above enfield ca : S 51 AI SAI T152 SAI . : : Si2dvie ope Sale!bare 4 rs TE 3 Prete > om . . " TREAD ULE MO ree + : gue kh. Eas eed Faw th sme ~reed = " o TTC TY " : an t 7 ' . 1959 7 1959 1737 - PCI SISTICI PCI Karch , 1737 : \ Co r Fly 439 Coor Shere 1178 1178 439 Cuseyie veno L^"ca L^"ca . SBME od eZ Een vee,Pos Ree: t vanes, . Para fsdins . . fh. 2 FOLATE Beans Eubbar dy C Lorin, Fer 8 2.;... UM Ser EAE 2 maa ate 2 EX60437 C WH Mornetnd Go.. UM we Hees Dems Gute, % * S2 Cibh Tien Seep } P: = sa Une A ie C. er oe ae Se > bo awe betsy .ine. o ~s ' bes WC001154 Andersen & Insulation CompanieSs aTmho PSestIn.cP. en28n67 sylva 1395-64th Sensors Francisos CeClulliffCalif fails ri LoCroertnIetnssuleant4 ion 5 22. San oes Prenes, CPnola.titos'e Tehos st Calif Pennsylva Rove, lityCalir Dairys SerkoSeu of &s BLe a 8 Andersen ") St. at, San & Andersen Nova 45 Is Is St. SanFrancisosFrancisos Cellf Cellf 5 Insulation Co I Tehos 155 Les F100 s F100 Co. F100 Culif Calif and Ardie Karin 10 Co. st 5th 03 Penca . Co. Companies Insulation Insulation Sensors , 2867 55. St. Oakland Oakland +, Sy Praffice Praffice Companies Companies Inc. Sean Sean Sean Calif Francisco Plant Arbortic mille , Calif CRr e Lei e, Armstrong Son Lab 045lonte 045lonte Insister Pennsylva Pennsylva Pennsylva 55 vs. Feansya Taran . 1501-17th vs. V8.5 Call Call forth ter 1501-17th at St. St,, Lace Call gps Carte 5, Lace Cy 2 26 Nielson Calif 15/8 trent ines, Insulation Fron Angoles Angoles Cars Crlif . , Crlif Salis, af Abastos Abastos Inds Inds ShirLolceayl No. 200 Chezmaro Francises Industrial Insulation Insulation Francises Veeae Insulation Do. Contact Curtino Ixnenater om ieos, . Carr Sorir P.0.cz oe Ixnenater Parker tapai Sen ATSNE_GLSUL Etata ar Breid Man ER The Isabean Isabean 2257 Merit Art Fid The 1330 001din Francisco 4 ATSNE_GLSUL ATSNE_GLSUL S1 Francisco Inc. 244 Grand 0115 = Ins 350 ial Flobe , Grand Caland Indore 0115 B. 353 Grand i Fon Frencies Van EER boo La 12 Pies 1955 Webstos Sen! Frans C232 52115 : SH Boar)ERS Culif Seize 10, Gerse, . tulge 85544 93,-119cs Cal 93-119cs 93-119cs Eployers Diab Assence Smith 85544 Cl Comes, MUL, Piae Tullen 85544 Tullen me "toa thaste Fiat it one ot Ole. Be Ys S48 Bice. Sup Frangsy we. R, & S. Es feu) e we * Pr BCS Uypotesles " Cliff Cliff a 93-119cs a Pr Pr Ags & PR Cliff Bra, 93-119cs 93-119cs Cal Ore he Ben 93-119cs ets Enea. Be de SI enese Cea er. SRALE, es. P Ie Sor se ang, Gs: 15 am ra CAT 51 . EU Sr 51 7:52 Szave Concer gh _ ~ re Industrial bongoni Cammumon STATE E CALING RECEIVED Oakland OfOfffiice ce APPLICATION , TAA SHED GUGDIAL AND GEE CONTES t GUN FOTO FOTO 17 13 19 1 STEVB GILIVICH = FIED GLASS ENODIZERT 60. + 239 0024 ^ved gen Bruna, CSTLEOITD, Social Security Na 357-03-4199 357-03-4199 1800 17th Street Collforale Collforale fea Francine, Collforale Ba^ govery Street ALTH~ i. ead Eames da masinad injury mixing can cad the the employment ri L~"MEIMETCoAnaN Ny 7 , QILITICH rhheel bee presaneprenpypiiapaponany gs (S SP O LER ED 5/16/99 RED oF Ban as Ban San Francis4co California n nganthat Fwhra">nncisco ca standered October 5 OcOt ctobo er Octoberb 5 er QU^ OP KLASED Friel200 ak KAVE VERA Kg ngang mit Mukim B I ESLOST^ ? Enter th^"MANTED BEARD JONG OLFE AS ASQ TERM DECORE SPF amA EYTANE anto i Qatt Fre umsu1it0s/9/6110/961 psreesest OKTAMY se presest paldi . uzpontna 4. Tu uzpontna Vanay ED wee $ Earnings or tinn of labay & DRINAAN st11 st11 offoff OU Gheasesy dT ah Lins 2 Pereaay PINKO KUIN The back of pay walk KATE MY BLOGS ROGU ^ S SAVE DE . SM 20 THAN HOUVE ^ ~ NPAR~ STO WAS WAITING STA ASIAPUA SONO BAULA ETA NON GELDA TAKES oy4 7. The explosies i fut v durmadan Baby tw Terpszy diskifry Paramangan L /L * diskd"cy . el ke tiedi una tearm A. Wadial ans te oR sa oo 4 1. Lizionalan ngu 4 . rp 04 04 DEPRO EYNA^ BEGONTE RB MAT B~ R OESORA AN KAT ONGAN 3^ UKYKPZ SUPRA VHEREFORE frager under Vorkass's regterated that a Shaw and plave de fend for baaring stud that es amend le made grasdrag me wtu~... Vorkass's Comprecation Comprecation Laws of Gelfogla vereae 234 Ural eshiend easet . me, Foy J wn aad flating regume t Caniend CARS WC001156 WC001156 INDUSTRIAL ACCIDENT COMMISSION #TATE OF CALIFORNIA STEVE GILIVICK Soe eaeanell Applicant Te PIBER GLASS ENGINEERING ENGINEERING CO And AETHA LIFE INSURANCE COMPANY #tal NOTICE OF HEARING Case No DAX 7152 Defend ADefend A a wee You are hereby modified that in for sytension exponentias e sopy u which is exesalmed herea kus kan flat v the Industrial Acc^'mtCancelain of das Iram of California Yra eru further nedfied chat call applicaties kas basist . for barring at - . Desember 17th 1962 3000 STATE BUILDING 1111 JACKSON STREET OAKLAND CALIFORNIA , 9800 A.M. ALL B. end them a call time and place the indental Aida Gamamisdea of ca fire of Caffarela vill pressed in beta dipesa n^the said appliances in das mensaer pruszland by hem bloge MAN The pDuaerdaamiekan enpad usalama na chuk chuk el hoe hoe by consommay for dybden on this having consommay model model dybden smiles having the shantaen shantaen ef grdarary man : online dar ^ hezh QAELAND CALIFORNIA The undersigned saritha shert es an cumployee of the Industrial Aorkest Can the marvel de Lesopslag er periksa karobama emptioned it d"ndien un oppulto tende sospective anime by dopoiting a empy at mid andorra s = = * de spyling them into into a cailed narolayer in the United Suas mull no mid day Cif withuthe m pumi p tha ere fully propsida nad sidreund in the cald parma se desir kasy known plaza al haa paulalanta ^'s Felizana en wint ; WC001157 WC001157 wes ... . ... vs - . INDUSTRIAL ACCIDENT COMMISSIONT . 31,885 31,885 STATE OF CALIFORNIA . a vo la fee ann ene es ete -- -- Case No. \ * 63 int 7 SOYA V ren aon Thaler 8 Ret 1440 cond = Applicant SLAN IP. reneaneP for SLAN SL AN MRAINPRHIPS for ott ! Order Joining Pare Defendant Pe-fend.snes we o Boge mw en Mie ee 4 pyle 194 a+ sey home Mather meer iee FR ee vee Good Cause Appearing Therefor ; IT HERENT ORDFEFN THAT ; ALL PARTTF1 ITED IN ATTACHED ATTLISATION ATTLISATION Se kvinas parm~-defendres in the abuncentived abuncentived cere 2539 2539 11 ** 4,783,199 4,783,199 , 789737 768 pele eau . F emomr = scratermt, Son Mie heres POPES ADEE ATC UTIRRT CO SUESLD 5 4 . # ovetler listed in attacsed application application application WC001158 | WAT OF GALDOIN INDUTIRIAL ACCIDENT COLGASUON ; APPLICATION PRE OIGNED ORIGINAL AND SEX Cores PLEID FUIT OR TYPE FILMES AND ADDRESSES ZIK ROXAITIO ROXAITIO . 4,136 La CASE NO 7132 239 San Georgia Avenue KORLATENTIO LOPEND Bruno California Social Verarity N 357-03-4199 357-03-4199 1200 17th Street abs Califot vale ae bsts es Ben Francisco Califovale 230 San Kentgezery Street Maes A ^ MONSTR Francisco California , albym chat willa calm OctoberOctober 5 5/16/99 Steve Allivich employed 1, BARS OF LAURA P 2 KLAN MA A APATEL * San Francisca Gal asbostos norker ot on " as kabakovi ju Pais El LEDSU BUT PRED AS MAIS VEGAS lakbay nagdq49 nagdq49 Engineering Co of , Fiber Glass units romained injury selang set sad in the qoutes of the exposure to harmful dests , OPEN OPEN ME TAPPEN 901 SABRETLE injury to respiratory By tom B^t advas pe fered said MIQ SUV 63 LADO9L9 AD1 O999 19 PATRIKO the impurnover carrier en 2 Aetna Life Insurence Company wen staplayaz'e staplayaz'e BAIN UP CAMARGAI MOSLEY CIA IN EDENKO G ADO MESE MESEMESE MESE DELSMOTO ee *StiStill ll Off Still i MBI AAPP KADER BOK THE SMAKE wH KOGA KARATE SA ANNA dan GAVE MORE A 4. Va compomstina puldi . FIL TO * SUAL BA ry AND KEW KRE P^ 1934 1. Earnings at the e^> inhery Sk me] BONATE OF WA k The bub of toy HANEM BOHOLI SLEEPESTICIDENTE DVATE SE HAN DO E BOHM OLI FATI BEHET & DAD 16 wihten? sended ear E man 1. Wue medical parament Who furnished tuummu Self LJ card BaGad 7 BOPG woe ES k^d NJOO RAG DELIG UND MUG SIZE BOLAG " 7. This applizadas ^ fed to daturraisa Unbiley Leve Wesbilny 295 Tempwury Wesbilny 295 clasbility Yea 1. Permanes clasbility Yea e MainiRED_ P YE esS nije SE 4. Loriguma nije L 080 OY BD 1964 1964 DVORA DVORA CALDE Medical Medical comm oeene & KNNEVE KONGSKO SU DEN S^ NAE 2009 PRED WHERE 1 laF maqO uetteR d thE at a thrus and piece be fued for insong and thet en m^ndbe made groning word rebe Lear Talland proper sudev Mke Tokson's Comprasaten of . Califensia November 29 L ' Haring raquasted OakienOdakiendOakiend - / Steve Glivich SH F - m ... oe WC001159 WC001159 .5 " eee w ee " owe . foe de Passed, 138,77 90269 j renke Meg Meg *** *** 35 Purdy Prtluy ces, See . WET well crate cect in ss at at Cor CarpCarp . Artur Baday & Susy On baltky 10-1650 Y Pedley 36.2170 36.2170 12 irks Pedley 19 ) 12 $705 . h PS Peticy 15-71800 aero fabtes ACwhTLS, a ef rm masa da 2017 = 12 vw 1 4 100 Gu ** ****** oe fetechte bobte - 4 2521 on Co. - - ... ...' are weeks OO * MX MX M * ng** mo : # M 67217 Sirah ee tigen 0 ON . Ay Ce . , * 35-7-2 Post AMSoedv raed. . f ae WC001160 Baith Ferrish Puusk & Clzacy Cckisad 12 California . : om 1992 August 29 GORNAT^ Fila , LozvetBslaekenLCnot.emit D. Nle 810813 11-30-43 11-30-43 06 The Parties Companies , > Ya Rosul Asbestos Reile Flass Co. Reile Explorers Ins Co. fPoollileesy 1 763 94T5Bb18 -1-49 id . 1-1-52 53 Holley WC0-53002 , 1-1-50 Policy 19369 1-1-52 Co. 1535-0 973 1-1-32 Industrial Industrial Industrial IndamityIndamity Co. Palisy Polley 1535-00915735-30 973 1-1-32 608075 1 Pelle 06-630091 1-1-60 ; Asarieza Azaboyese Ins Co. Pulley 6102.001 1-12 Armstrong Cork Camperty Soolewers Mal Lieb Ins Co. Telity 7216-19 1-1-19 trwelers Insurance Co. , Tolicy Malley ) 6483814 1-1-52 1-1-52 t 3. F. thoma & Gez Inc. PPuulllleeyy 1-1-40 52 Pazifie Amlagoza Ins Co. UCC 91377 91377 Pulley 20-53001 3-2-50 79370 1-11--1-11 M 11 Industrial Industrial Industrial Indessity Indesity G. Ricy folio 3506-0001-014- $2/33 10321 1-16- ,SF Portern Dairy Inducte das. Ha Izcord * Policy 105650 5-25-53 Ciss y^rsshariy to Yaz Arysommes Insurazes Co. falley Polley 111697 Policy & 1-1-55 1-1-55 61-41-57 To roceed prior to EG Maus insuletion 0x - De Nar^ se Jurica Faller 4446412 C. F. Free & Kany f^/stricts Ins Co. , Pulley 4 11--11--5789 QvausQvaus fiberglas GAenrmtinog nfiberglas Cesusity & Pulley . 5-1-55 , Survy Co. 116-734 1-95 96 Polie 310-985 Brigg ont 4 rr Lea, ale WC001161 September 18 1962 Standard Accident Insurance Company 140 Vast Den Brazo Avemus California flantimmen t Attention Tere X. Devling , fo . Bubjent Bubjent 55 C_317609 Cork Insured = Armstrong Cork Qaimant - Stava Olivich ; . We are sorry that we are unable to comply with your request for wage information on Stave Atlisich but all of our payroll records prior to 1955 have been dastroyed Very truly yOUN^ Vallace B. Raffarth . Assistent ^ ensraHenagar Furance Department . *? WC001162 WC001162 LA LA LA LA Standard Accident Insurance Company POPHYAMLE .9B4 CASUALET VIRB + QiNg Fl^ LFIl^ LITTY Y,ALDONS PACIFIC DEPARTMENT- AIR GET SAN SAUNO AVE AIR SAN BRUNO CALIFORNIA AIR AIR BRUNO 1400 September 12 1962 vy ny 2 ~ade ony Armstrong Cork Company Lancaster Pomezlymia Astu Wallace N. Hafferik Gentlemens De 96-4 317689 Ized Attestrans Cask Cut Steve Ollvick Lined bf 124. 124. 124. 1962 Your letot f Ae ugur es 29 eselho as m beenmfoe rtass ded ttoo the Alexander Agsaty us for handling with In ordetro determine the eggaet m^erour polley advarege vill you ple^aslleviaebdvies us of the smart dates loestion and wages of . In order to be properly represented in this matter the abovien required bad your insedist^'attention is requested Very truly yOUZE DowE.lDi own lig ng GLIUM Department Department Glendora Azeitest Insuraneo Campery Deligst = Pitsi thekranga Camba Yu WC001163 WC001163 . . ALEXANDER & ALEXANDER 14696P GATED INGURANGE AVERAUS ADJUSTERB CONSULTING ACTUARIES 2215 NORTH CHARLES ETAGET BALTIMORE 30 NO September 1leb 1967 , : 9812BWA Tulado STAT TELATIVE BA CAGLA ABBY MALCABLU MALCABLU MY Wallace 3. Bofforth Leranz Orneral Manager Insurance Department Armstrong Cork Company Lancaster Pennsylvania Dear Mr. Hoffarchi . . Stove Gilivich v Pikar Grans Applicant Applicant Engineering Insurance Company Company . Ve heva received 88 peknowledgment from the commaction Trevalors Insurance Company of the papers submisted in commaction with the above case and they advise that they are now owenhlishing files on this claim and will proceed to protect your interests a the 0216 The Travelers have assigned number 3 9850927 to Sincerely nm ALEXANDER & ALEKANDIR INC : wae GENERAL ADJUNTZA ADJUNTZA R re WC001164 a * B AER BUGH U PULA NEW E lad RIHC RIHI CI V ELV DATED |. . THA Tutto . - INSURANCE 7 + AVERAOB ADJUSTERS CONSULTING ACTUARIES 2335 NORTH CHARLES STAKEY BALTIMORY 18. HD Tutto BELL BELL CARS & August 31st 1962 , Mr. Wallace N Hoffarth Assistant General Manager ", . ; . Insurance Deperomat Armstrong Cork Company 1? Loucascar Pennsylvaniz Pennsylvaniz fh Dear Mr. Hoffarth . tevaGllivich Applicant ay Seaman cmd Fiber Glass Engineering Company Lite Insurance He have your letter of August 29th 1961 as- alosing Facicios to Jain Further Pasties in connection with alleged injury to employes Stave Cilivich The information has been turned over to che Oakland California Office of the Travelers Insucence Company for necessary handling handling Sincerely ALEXANDER & ALEXANDER ING GENERAL ADJUK 7 / . WC001165 er ee od ee ae ae oe . wre Rade wh EMT . 4S 3 ** % **** Gated fi forth Bohs ab, . os Wa Ey 17. 11-31 re Ded pekt e pekt 1-1 pekt To was Vaub- A debe & daheesas Sabaney Pats a Sun 1215ycle 1215ycle Vaub3 zd heal du 27 meaed Ch yauratowy Lar Sand, Ro UR, F roy ru . hese v Trit goegetg " eA tb M M ytotees Te Tee Peereynay Chto janka she, fo sy tra : b aatine 08 $ fale AIT H 479 eT Fa, : t= Sebati 202-5 J The The The Go Byan & ttt, ft pea TE pa BS _ Geet c lavearscs ; . anzuz^'rycalzit tieg Surtej Oot. 12 . * ( Gag Dy 3-3-1 / TH al baskaga chiral Of, Boas teewases QKoespege ts F uM -g 6 - ba ete $ WC001166