Document Ne3MdNOE81wyG3LV5zkVYwj9g
FILE NAME: Mobil (MOB) DATE: 1968 DOC#: MOB101 DOCUMENT DESCRIPTION: Tyler, John - Worker's Comp Claim
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To F. L. G ardner, L ancaster
From V* A. Maggo, loa Angeles
Subject Order Approving Compromise and Release
Case No. 67 LB 360B7
Workmen's Compensation Appeals Board
John Tyler
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Attached f o r your in fo rm a tio n Is th e O cto b er 24t 1968.award In t h is c aa e,
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FORMISO! FHMe lo U.S.A. /
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D E P A R T M C N T O F IN D U STR IA L. R EL A T 1Q N 3 IV lStO N n r IMOUSTITIAL. ACC1PCHTA
ORKMEN'S COMPENSATION APPEALS
y STATE OF CALIFORNIA
BOARD
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J01DI TYLER (D ccca n cd ), '
DOROTHY 77LL71 and EOEOTIIY TYLER
ob Ouardlan ad L ite n ami T ruotco
f r CLAUDIA KAY TYLER end
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G u a N o . 67 l b 360Q7
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O rd e r A pproving C o m p ro m ise and. R elease
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The partial to the above-entitled acrion have filed 1 Compromise and Release herein, on
_ O ctober 24, 1963
sm lin j ibis care for 1 2 0 . 0 0 0 .0 0 ' _
. , in addition to all sums which may have been paid previously, and request.ng that it be apprsT*a| . .
. ' and thii Board having considered the entire record, including laid Compromise and Release, now .
" finds that it should be approved; and,
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IT IS ORDERED chat said Compromise and Release is approver!
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Award is made in favor of
DOROTHY TYLER a n d DOROTHY TYLFR 00 O uartU nn ad L ltom and T raatno f a r
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. CLAUDIA KAY TYLER an d TERRIS LES TYLER
Againiti
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AETHA CASUALTY 3 SURETY COWANY ' ; ' '
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ARGONAUT INSURANCE COMPANY
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P IIU llA II'S FUND IIISUllAWCE COMPANY
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p a c i f i c n -ip ro Y E rs in su r a n c e com pany'
' -, AMERICAN MOTORISTS INSURANCE COMPANY ...
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- ' PIDREDOAHP COrrOEATICH AND PLANT
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. RULDER AND ACBnETO /0RK3 .THE TRAVELERS INSURANCE COMPANY
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' ; ' STATE COMt'EMSATIOW INSURANCE TiSiO- l'.'X**V ". ' INDUSTRIAL DJDEITNITY COMPANY
. ' ENERAL ACCIDHIT QnOl^ .
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J3Y AETNACASUALTY AUD SURETY COTTANYl TOI DOROTHY TYLMR an d DOIKmr TYLER OH G uardian nd L item t ad T runtoa fop CLAUDIA KAY TYLMR r.nd TERNIE
LEE TYLER, n p p l J c a n t a . .............................$ 5 ,3 2 8 .0 0 ROSE, KLEIN ti MARIAS,
Aa o t t o m c y f e a o ............... ................. . . . . . . . 3 ,0 0 0 .0 0
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J3Y ARCCHAUT INSURANCE COMPANY......................... . . . . . . . . ................ ..
400.00
; DY FIREMAN'S FUND INSURANCE COMTANY........................................................
848.00
LY PACIFIC EMPLOYERS INSURANCE COMPANY................................................ 2 ,0 6 4 .0 0
I3Y AMERICA MOTORISTS INSURANCE COMPAIfY. . . ................................... . 1 ,4 6 6 .0 0
m FIEREECARD CORPRATIO AMD PLAIIT RUDDER AUD
ASBESTOS NOEICS...........................................................................
.5 6 0 .0 0
DY/TItE TRAVELERS llSURMIC. CO: 1 1IY..................................................... MfC 3 . -O.OOD
I3Y/STATE COMPELSATION INSURANCE FUMD.......................................... .... / .
73. 00
DY INDUSTItfAL INDEMNITY CCUPAlfY......................... ................................... ....
664.00
: >' Dl GENERAL ACCIDENT GROUP. ..................................... ........................................ 9 0 2 .0 0
-'Oi DOROTHY TYLER an d DOROTHY 1YLER ao
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G uardian ad L item and T ruatao fo r
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CLAUDIA KAY TYLER a n d T E R R Ifi/
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KMPi.wy.n f, Annnr.sg______________ Nun'dcif Corp C orp. ; F ib c r g la s E n g in e e rin g Supply Company (now a d iv is io n of Ovens C orning F ibcrglas C orporation) 5933 T eleg rap h Road . Los A n g e lo s, C a lif o r n io
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C onst I n s u l a t i o n Company
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2604 Lacey S tre e t
Lee A n g e le s, C a l i f o r n i a
Thorpe In s u la tio n 27fil So. Y ates Ave. Los A ngeles, C a lifo rn ia
J . T. Thorpe, In c ; <v 948 E. Second
Los A ngeles, C a lifo rn ia
M arine E ngineering & Supply
Co.
941 E ast Second S t. Los A ngeles, C a lifo rn ia
In su latio n s, Inc. 532, So. M onterey P ass ftd. Monterey P ark, C a lifo rn ia
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Thorpe In s u la tio n
Fibcrbosrd C orporation
& P lan t Rubber & A sbestos 1789 Montgomery S t r e e t San F ran cisco , C a lifo rn ia
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?* / "A rm strong C o n tr a c tin g & Supply
` I 4340 D is tric t Boulevard VJ.os A ngeles, C a lifo rn ia
* ""Oohn M a n sv ille S a le s C orp.
Leonis S tre et
. Vernon, C alifo rn ia
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A ccurate In su la tio n C o ,, In c. 900 S outh C ypress La H ab ra, C a lif o r n ia
Lee R. E kina Company 4933 V alley Boulevard Los A ngeles, C a lifo rn ia
P la n t A sb esto s Company
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1300 64ch StT ect
\ Em eryville, C alifo rn ia Bechtel Corporation
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220 Bush S tr e e t
San F rancisco, C a lifo rn ia
i. J , T. Thorpe Inc..
948 E aat Second Los A ngelos, C a lifo rn ia
P h ilip Carey Mfg. Co. 532 So. Monterey P a ss Rd. Monterey P ark, C a lifo rn ia
car Turn rr Anrmpgg
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aktnA' CA.sTiAi.iif* & s u H tr? comi'A'ny
2404 W llahlrc Boulevard
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Lob A n g ele s, C a lif o r n ia
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A rg o n au t In su ra n c e Company 443 Shntto Place
Los A ngeles, C alifo rn ia
F ire m a n 's Fund In s u ra n c e Company
3223 West 6 th S tr e e t Los A ngeles, C a lifo rn ia '
P a c ific Employers In su ran ce
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Company
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40S0 W ilshire Boulevard 1
Los AngeleB, C a lifo rn ia . ,
S elf-Insured
Trnvrjlfcrn In su ra n c e Company 3C00 W ils h lre B oulevard Los A ngeles, C a lifo rn ia
S ta te Compensation Insurance Fund 600 South L a fa y e tte Park P lac e .
Los A ngeles, C a lifo rn ia i
I n r iu n tr io l In d em nity Company
505 South V ir g il Avenue
Loa A ngeles, C a lifo rn ia
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American M o to rists In su ran ce . ;
Company 3545 W ilshire Boulevard Los A ngeles, C a lifo rn ia
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General A ccident & L ife Assurance 3535 West S ix th S tr e e t Loa A ngeles, C a lifo rn ia 90005
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Ootobor 24, 1968
Mr. Mlko Tomeoen
CLalrca R aprcsE ntatlva
Aotna L ifo & C asualty
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2404 W ilehira Bcailovard
lea An^oleo, C a lifo rn ia 90054
Door 81ri
lb* Claim Ho. (M) 33 CC 215709 MR Employer - Armstrong C ontractin g and Supply C orporation Claimant - John Tyler D/A - 3/21/66
Ho havo copy o f your l e t t e r o f Soptomber 18 addroooed to th o lea An^oloB O ffico o f Armstrong C ontracting and Supply ro tho above claim .
On 3'fay 1 , 1967 wo se n t to y our a f f ic a in fo rm atio n ro ro rd ln g tho
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earn in (70 o f Mr, T y le r. Two copioa of our l e t t e r o f May 1, 1967 and
a l l attac h ed inform ation ore itnolcood. Zou w ill n ota a d if f e r e n t Aetna
claim numbor was aaoignod a t ih n t tim e.
Tho only a d d itio n a l inform ation va havo now lfl a breekdovm o f Ma oamingo fo r the year 1966 and tvo copies o f th is d ata ehcet o n also enolosed.
Very tru ly yours.
J&iolosuros
Ilabol E, Barnot Inauxanoo Uopartmont
V. A. Margin* ACSA, Loo Angelas (with enasj
JGEJ m3 OS5CO-09-4525
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Bovi : I c a :ta r ot p r a v io uis lly 'g iv e a a s l u r'aorrcra tiiaohh.c,cnr] thc sbovo AG3 b = p? i1coejiq
Lavo a n c to ic n ! thafc
ha e a m a d y1#029o60 in th a y s a x I9Sv
AlflO I bava t h a f o ll o v ln g b re n k d c u a v h ic h Lcs AngJ a a n t --
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JG2I TILER S .S .tf 500-09-4525 lake wood, C a lif cm ia.
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AC 3 erp lcyoo end fcrm srly ACCo e n lo y o o
ASB2STCSIS CLAIM
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Lens Beach, ClLjS'GrJIA, [shn T yler caked fen Arrmtrong Dirk Conpanyj and IAmstrenj C ontracting nod Supply Carper,aticn.
during tha p* plods l is t e d below end receiv ed r e s in e r a tlo a in tha amounts!sta te d J .
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Ue ara non asked to s1u b s|ta n tia te ` /bass f a c ts hnva much o f t h i s in f orriaticn.
I r e a l i z e th a t b eca u se!o f our l e t e n t l c n o Records schedule ve do not! determ ine when Mr. | T yler was f i r a tJi V
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Than i f you could g iv e Ua a breekdou o f hi:
ods Sc number o f days, worked fo r th e years
1962, 19 6 4 and 195 i t would be most jhelpful,
A lso, could you t e l l
: fe n
Thanlf yoq vary izuch.
Mabel S-i3T.BCD CCNVBASH/iG AID STi??LI CO.BPO.BAT13
Period ending 3/ 31/ 6O 6/30/60 0/33/53
Y 3/31/61 J 6/30/61
Earned
Ir.anrad b r
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Travelers la
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9/30/61
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366.40 I t
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3/31/56 6y30/3o .9/30/56
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This p o s sib ly I s errenaous. ACTS f ;
tasre i s no nayroll lis te d fo r
quarter of
under ACTS '
735.69
59.23 i l . I W f j / o+. *A _ 9/30/64 <et^ -- 1 ,9 7 2 .4 0
9/30/65
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: I etna C. & S. C
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Requeat For Inform acin ' Aetna L ife & C agualty C laim Nurabor T IM) 33 CC 215709 MR John T yler
A ttached 1b A etn a 's Septem ber 18, 1968 l e t t e r re q u e stin g In fo rm atio n In re g a rd to Mr. T y l e r 's e a rn in g s w h ile in o u r em ploy. Such In fo rm a tio n 1b requested fo r the insurance claim th a t T yler has processed.
Wc hove review ed-.lthe Los A n g eles b ra n c h f i l e s a s Far b ack os th e y a r e p re s e n tly a t th is lo c a tio n and fin d th a t any earnings T yler had p rio r to 1966 a rc not here*
We hav e a tta c h e d a l l o f th e r e c o r d s p e r t a i n i n g to d a te s o f h i r i n g and te rm in a tio n and would hope th a t you can have th e p ro p er d ep artm en t In L ancaster research th e necessary in fo rm atio n fo r A etna.
We have info rm ed th e lo c a l A etna o f f i c e th a e t h i s m a tte r i s b e in g r e f e r r e d to th e home o f f i c e and you may f e e l f r e e t o an sw er them d i r e c t l y from L ancaster.
CS M.C. S w eet, Los A ngeles
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U H : 6. CASUALTY
Casualty A Surety Division 2404 WiKhirc Boulevard
Los Angeles. California 50054 382 54{j] Septem ber 18, 1968
1<4*7.4
A rm strong C o n tra c tin g G S upply 4340 D is tr ic t B oulevard Los A n g eles, C a lif o r n ia
G entlem en:
CLAIM NUMBER: EMPLOYER: CLAIMANT: DATE/ACCIDENT:
T [MJ 33 CC 21S 7 0 9 MR ARMSTRONG CONTRACTING $ JOHN TYLER 3/2 1 /6 6
SUPPLY
M r. T y le r h a s f i l e d an A p p l i c a t i o n , w ith th e W orkm an's
C o m p e n sa tio n A p p e a ls B o a rd , a p p ly in g f o r W orkm an's
r
C om pensation b e n e f its .
He a l l e g e s t h a t d u r in g h i s em ploym ent f o r you he s u s ta in e d a pulm onary d is o r d e r , due to h is exp o su re to asb esto s.
To a s s i s t u s , we w ould l i k e you to p ro v id e in fo rm a tio n r e g a r d i n g M r. T y l e r ' s e m p lo y m e n t. On y o u r Com pany l e t t e r head s ta tio n e r y , w ould you p le a s e p ro v id e th e fa llo w in g in fo rm atio n :
1. D a te s o f em ploym ent d u rin g w hich M r. T y le r w orked f o r y o u , and w h e th e r he was h ir e d as tem p o ra ry o r perm anent em ployee.
2 . Type o f w ork M r. T y le r was h ir e d to d o , and a d e ta ile d d e s c rip tio n of h is d u tie s . P lea se pay . s p e c ia l a t t e n t ion to w h e th e r Mr. T y le r was exposed to a s b e s to s fumes o r n o t.
3 . We w i l l n e e d a w eek by w eek re su m e o f M r. T y l e r ' s e a r n in g s , w h ile in y o u r em ploy. P le a s e u se th e wage s ta te m e n ts , th a t are e n c lo se d , fo r your convenience.
The above in fo rm a tio n w ill en ab le us to p ro p e rly defend your firm and d e te rm in e w hat b e n e f i t s , i f an y , a r e due Mr. T y le r . Your prom pt resp o n se in p ro v id in g us w ith th is in fo rm a tio n ' w ill be g re a tly a p p re c ia te d .
Y ours v ery t r u l y ,
M ike T en n e sen , C laim s R e p r e s e n ta tiv e P/orkm an's C o m p en sa tio n C laim s
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V7*-O f f i c i COMMUMICA HO ft
To F.L. G ardner, L an caster ,
From M.C. Sweet, Los Angeles
9ufo(ct John T yler Case Ilo. 8 LB 36087
August 19, 1968
A ttached i s a copy o f a N otice o f Hearing and A p p lic atio n fo r A djudication of Claim from th e Workmen's Compensation Appeals Board f o r th e s u b je c t former employee.
FORM 11 P rin ts In U.S.A.
/
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D E P A R T M E N T O F IN D U S T R IA L R E L A T IO N S
DIVISION o r INIjU^TlIlAC ACCJULNT3
WORKMEN'S' C0MP2NSAT10N APPEALS
Ta i i : a r ciu>nnM iA
SOARD
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Jo:w r ; L ^ i n (ra n ) JOS.V I WL-I ( B2C2A8D) 50H0TK TL21 ( ViI DOV;)
\v i. SEE ATTACHED LIST
C j w ATo. 68 IB 36087
n o t ic e o f H e a r in g
M t/ffoui/._. ^
0N2 FULL DAY
. .1 Defendant.... j
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You ar hereby naiificd that m application for compensation hai been filed wiih the Workmen*! Compenntiop ApjMaJi Bond c( the 5uu of California You are further notified that tihj application haa been act for hiaruij il
2 3 0 EAST FOURTH STREET, ROOM 3 0 2 , LOUG BEACH, CALIFORNIA 90812
OCTOBER 3 j 1 9 6 8 , AT 9 :0 0 A.M.
*
and th a t a t u id tim e and p isc i the W o rk m cn 'i C om pen la tinti A ppesii Board w ill proceed to hear and dtspow mi th i kud application in the m anner preter bed by law.
WORKMEN'S COMPENSATION APPEALS BOARD 1
. .
Hy JOHN X . STTIUZTT Ai/ini
Daudt SOSO E2ACH, CALIFORNIA
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nvN W *jiM .fr .1 ikr !** rO N T lM JA N C T S V || | . ftl*. r.K A N T U ) OW/.Y UI'ON A Cl M R MlUVI.NG O f GOOD C A U tt- X***i-.
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SERVED-UY MAIL ON PERSONS SHOWN ON THE 0 1 1I d AL ADDRESS RECORD Dai: 8 / i 5 / c 3 By cilaa
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MUXDE? CORPORATION AETNA CASUALTY U SURETY CO.
E . S . KCKITTRICIC COMP A NY
J . ? . THORPE, INCORPORATED 'SELF INSURED ROYAL INDEMNITY COMPANY AMERICAN MOTORISTS INSURANCE COMPANY PACIFIC EMPLOYERS INSURANCE COMPANY
MOBIL OIL CORPORATION SELF INSURED
MARINS ENGINEERING U SUPPLY COMPANY PACIFIC EMPLOYERS INSURANCE COMPANY
PLANT RUSHER 4 ASBESTOS WORKS SELF INSURED
FIDRE50AHD CORPORATION' SELF INSURED
HUGH A. ELSDON
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PLANT ASBESTOS COMPANY INDUSTRIAL INDEMNITY COMPANY
MULDOON COMPANY, INC. SELF INSURED
INSULATIONS INCORPORATED PACIFIC EMPLOYERS INSURANCE CO.
THPRMAL ENGINEERING INCORPORATED HOFFMAN k SON INDUSTRIAL INDEMNITY COMPANY
DAL DWIM-EHRET-KILL, INCORPORATED INSURANCE COMPANY OF NORTH AMERICA
THE PHILLIP CAREY MFC. COMPANY GENERAL ACCIDENT FIRE & LIFE ASSURANCE CORP.
SUBSEQUENT INJURIES FUND
BECHTEL CORPORATION INDUSTRIAL INDEMNITY COMPANY
THORPE INSULATION COMPANY SELF INSURED FIREMANS FUND INSURANCE COMPANY PACIFIC EMPLOYERS INSURANCE COMPANY
ARMSTRONG CONTRACTING & SUPPLY COMPANY TRAVELERS INSURANCE COMPANY AETNA CASUALTY 4: SURETY COMPANY
FIDERGLASS ENGINEERING 4 SUPPLY COMPANY, A DIV. OF OWENS CORNING FIBERGLASS CORP. AETNA CASUALTY 5: SURETY 'COMPANY
RELIANCE INSURANCE COMPANY
JOHN MANSVILLE.SALES CORPORATION TRAVELERS INSURANCE COMPANY
COAST INSULATING PRODUCTS PACIFIC EMPLOYERS INSURANCE COMPANY SELF INSURED GUARANTEE INSURANCE COMPANY ARGONAUT INSURANCE COMPANY
LEE R. EKINS COMPANY STATE COMPENSATION INSURANCE FUND
ACCURATE INSULATION COMPANY, IN C . SELF INSURED STATE COMPENSATION INSURANCE FUND
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COOIJ C M tsr. APPEARING
TI1application Kto ii ii a k m oil caL'iiJar.
D e p a rtm e n t u i Im Im tria l R elnttont
* U iviiM in u f In J u K ri.il A cchIc iiii
W o rk m a n 's C o m p en satio n A ppeals B oard Slate of California
APPLICATION
rOIS A P J U c iC A IIC N O f CLAIM
(DuQih Comi)
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Pirat* file signed original u n d t i t copies gtiJ prin t or typ a e m ti and *Jdrutt
CASE N O g L ^ C 0 S 7
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IT IS CLAIM ED T H A T :
I . Dcceaaed employee bom -- 2 / 2 '1/ ? . ^ l .S
, whiU empioyrd h a ---
-------- -- -------- -
on --l/lL Z -lla .f? 7 . .
J-iituir njinj
t ---- H 2 sL O U .
iciivi
ii and in the courji of employment to -
im tli
, by the employer uicaincd injury a riu a f out
?fc3r.-.o:iary__Dino rdc r,._
The injury occurred ai t'ollowi;
c ^ ;r c ^ ^ A s h o _ f c j;o.x
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nsullin in death oo
J m e 19 I Q f i f l -
IM IIUM IINI
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J, Actual earning! at time of- injury w en t
^ A rrir^ ia . 1*11 n a i f na 411111111 i i u i i u M in in *aa m i mt n h m U n i M l l l
4. Th injury earned dixabiliiy followii
____ i / i c y j . 7 _ = _ 5 / i a / c : i
lI F Itifl i n ? a ora m h am n i l u n i t M i l l l i i i i i t a i i a m aata m i u m i n H a n Sw n I M w ia H i
5. Compcniaeiun 21 paid ... in n
___ _ 9 mt
_____________
i _ 2- 5 Q____ _
H au u m
`T n n r n * I q f i . n __________ ' ia>f| II u l l iiia lm i
4. Medical treatm ent vai received J 1 I L .
J L i l M 11
<ai i n i iai ei lair i i i i i k i n i
All erealm ent u furm ihcd by che employer
c o m p a n y ____ _
other treatm ent a t provided a t paid for by
D o c ta n not provided or paid fo r fay em ployer oi im urance com pany, who trraied or cssm ined fo r thii injury a m
m a i l a m i m i i m i m i i * li M m i a u an m i l mt a iH iiii 1 av li h i m i i m i i i u
7* D efendant! have paid burial u p e n te .
---- tiii
o . -- 3a. TO TA L PAID
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I, The employee left luiviving him aho foliowing dependent!:
NAU1
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DATE OX PIIITII (If under 21]
-15.
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It ELATinNSlifl* TCI THE CUI'LOYES
addxzu
G33U DEs:;v /o fld . I/O ltc rg o d 'I *
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W 1JEHLFGRE, jnplicam requeaci a hearing and an sw ard a i: Death brnelicLCi-- Burial fXptn*_ii2L Compenjution accrued
and unpaid
Unpaid Medical faJJa--L1IL O th er.
Specify: ___ --
and all other appropriate bene fin provided fay law,
Hearing requeued m
flr mm
D ated ac
N umber at w itrcuo------ Pre-trial wanted...............
visa <i
Eatima ted aim. at a id _____ 1 *"11 -Deiy----------
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Ju n e 27- 13SS.
Sei now - v * i-; S ti later n r i tu a requen ,--
\J_ / ' Lx r a z 'd , vjX t a /r " " '': " ......... * 'v fi y ji'.o A s
s
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s
ilouerd
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i:c r i i_ ^ r c a c v .- ^ r -- u i t r . _ 4 1 2 -- lir .fc ^ - J L iL a ; *
C a l i f o r n i a --......... ................ ..h i,, 5 2 7 0 1 ;
T e le p h o n e s 5-11-4123
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ltt r i o r . : n s ADcnir.:;
C A n n icn & a u d io s
C A n tu trcs
Ih sid o t Cork C o rp o ra tio n 6116 ;.'aJL;c- .'.venue
f C alifo rn ia
A e tn a -C.i3u.nlt y fi S u r e t y Company 2404 K ilo b ire boulevard Los A n g elea, C a lif o r n ia 90054
$ 19,976.60
rib e rg la s E ngineering & S u p p ly Com pany, :-7oi/ a d i v i s i o n o f Ci.'or.s C o r n in g F i b e r glaa C orporation 59 2 3 Y e lo g r a p .i - " a d Los A ngola;, C a lifo rn ia
A e tn a C a s u a l t y fi i u r c t y Company
1 6 ,6 6 9 .0 2
C o a s t I n s u l a t i o n Company
25 34 L a c e y S t r e t t Los A ngelos, C a lifo rn ia
A rg o n a u t I n s u r a n c e Company
443 C h a tto P la c e Los A n g ele s, C a lif o r n ia 90005
2 ,0 3 2 .2 0
T horpe I n s u l a t i o n Company 2741 S outh Y ates Avenue Los A ngeles, C a lifo rn ia
F ire m a n 's Fun 1 Ir.su ra n co Com panies 3223' W eei S ix ah S t r e e t Los A ngeles, C a lifo rn ia
4 ,2 4 6 .7 3
J . T. Thorpe, Inc. 3-18 C a s t S e c o n d S t r e e t Los A ngalca, C a lifo rn ia
P a c i f i c C r p lo y o r g In s u ra n c e Company 4050 W ilshTrc C o u lo v ard
Los A ngeles, C a lifo rn ia
700.00
M arine e n g in e e rin g & S u p p ly Ccr.-.paiiv
941 C a st Second S tr a c t Los A ngeles, C a lifo rn ia
P a c i f i c E m ployers I n s u ra n c e Company 5 ,1 8 6 .0 7
T horpe I n s u l a t i o n Company 2741 South Y ates Avoaus Loc A n g ele s, C a lif o r n ia
P a c i f i c E m ployers In s u ra n c e Company
2 ,0 6 7 .3 8
In su latio n s, Inc. 532 S outh h o n to re y P ass Road U ntersy P ark , C a lifo rn ia
P a c i f i c E m p lo y ers In s u ra n c e Company
6 ,3 6 6 .3 0
F ibreboard C orporation * 17C3 k o n tg o n tr y s t r e e t San I ra n c is c o , C a lifo rn ia
S elf-In su red
3 ,3 5 2 .0 0
P la n t R ubber 6 A sb e sto s Works
1300 - 04til s t r e e t
S o lf-In o u rcd
E m eryville, C a lifo rn ia
,1 ,4 6 6 .0 0
A rm strong C o n tra c tin g S Supply Company
4340 D i s t r i c t b o u le v a rd Los A ngeles, C a lifo rn ia
John ;:a n a v ill2 S ales
C orporation Laonis b o u lev ard Vernon, C a lifo rn ia
b o il o il C orporation' 612 S outh F lo w er c t r o a t Los A n g eles, C a lif o r n ia
A c c u r a te I n s u l a t i o n Com
pany, Inc.
.
900 S outh C y p ress.
La H abra, C a lif o r n ia
T r a v e l e r s I n s u r a n c e Company 3600 Vii I s h i r e b o u le v a r d Los A ngeles, C a lifo rn ia
T r a v e l e r s I n s u r a n c e Company
S o lf-In su x cd
S ta te C om pensation Insuranco Fund 600 S outh L a fa y e tte P a rk -P la c e Lon A n g e le s , C a l i f o r n i a
1 9 ,1 1 7 .0 0 ,, :
2 ,0 5 8 .5 0
T
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Ilh
3 ,7 3 9 .2 0
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coMTintiKn p re ti A rrA cm m irr 51 C a rrie r s A ddress
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r ? - :h Earnlnna l"i. ,,
PlP.nt A sb esto s company 13CJ - fi-itii S t r e e t S Jcryvilla, C alifornia
E jch tal Corporation 220 aush t r e _ t San F r a n c isc o , C a lifo r n ia
Thermal L n gir.ccring, In c . Hoffman t South 10th S t r e e t Richmond, C a lifo r n ia
J . T. Thorpe, In c .' 943 Cast. Second S tr e e t Los A n geles, C a lifo r n ia
* - . *
J . T. Thorpe, Inc."
I
The P h i l i p C a re y MSg. Company
532 S o u th M onterey P a ss Hoad M onterey P a rh , C a lif o r n ia
I n d u s t r i a l In d e m n ity Company 505 S outh V ir g il Avenue Los A n g elo s, C a lifo rn ia 90005
I n d u s t r i a l In d e m n ity Company
I n d u s t r i a l In d e m n ity Company
A lteri can M o to ris ts 3545 r tils h ir e .oulevard Los A n g eles, C a lifo rn ia 90005
R o y a l G lobe In s u ra n c e Company 210 VJest S ev en th S tr e e t Los A ngelos, C a lifo rn ia
G eneral A ccident P ire s L ife A ssurance C orporation L im ited
3535 Moot S ix th S tre e t Los A n g eles, C a lifo rn ia 90005
9 3,366.00 ,
5 2 . 5 0 - 1 l*'-
1 ,2 3 7 .0 0 7,327.00 ,
690.00 2 ,2 5 0 .0 0
jjk W
AK L v ir
J o h n T v l o . r ----C a s e H o . 67 LB 36087
Attached fo r your Information is the su b ject appeals board n o tice.
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a tta c h m e n t,
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rORW 1M1 PHMW In u.j .a.
D EFA RTM CN T O F IN D U STR IA L RELATIONS DlV |`HON n r INnO'jTtJIAL. ACCIDENTS
WORKMEN'S COMPENSATION APPEALS
STATE Of CALIFORNIA
BOARD
JOHN TYLER
C an No, 67 U3 36087
n. SEE ATTACHED SHEET
Applicant_ DefenJan!....
Notice of Tim e and Place of
Further H earing
NORMAL ONLY ONE FULL (1 ) DAY
NOTICE TO ALL PARTIES You are hereby notified that further hearing will be held in the above-entitled action at 2 3 0 EAST FOURTH STREET, ROOM 3 0 2 , LONG BEACH, CALIFORNIA 90312
t
APRIL 1 5 , I9 6 0 a t 9 :0 0 A.M.*
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WORKMEN'S COMPENSATION APPEALS BOARD
'
By
JOHN L . STRUETT
Ml/m
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NOTEi CONTINUANCES AND FURTHER HEARINGS ARE NOT FAVORED.
/
SERVED BY MAIL ON PERSONS SH O V N ON THE OFFICIAL a DUREM RECORD
DiM2-8-K 68. Br' ok
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J i MUNI5KT CORK C0RP.
2 . E .3 . McKITJ'RICK C0.-
3 . J .T . THORPE, INC. (o ) 3El.? INSURED (b ) ROYAL INDEMNITY CO. ( c ) AMERICAN MOTORISTS INS. -CO.
MOBILE OIL CORP. ! SELF INSURED 5 . MARINE ENGINEERING tc SUPPLY CO.
6 . PLANT RUBBER It ASBESTOS WORKS SELF INSURED"
19. INSULATIONS INC. PACIFIC EMPLOYERS INS. CO,
20, thermal engineering, In c . HOFFMAN ft CO. INDUSTRIAL INDEMNITY CO. ,
2 1 . BALDWIN-EKRET-HILL INS. CO. OF NO. AMERICAN
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2 2 . THE PHILIP CAREY MFO. CO.
" ;.
GENERAL ACCIDENT FIRE 4 LIFE
!
ASSURANCE CORP.
.
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' 7 . FSEIELRFE8IN0ASURRDEDCORP. I
8 . HUGH A. ELSBON
* *
. .
9 . BECHTEL CORP. INDUSTRIAL INDSTNITY CO.
1 0 . THORPE INSULATION CO. SELF INSURED FIREMAN*S FUND INS. CO.
11 . ARMSTRONG CONTRACTING 4c SUPPLY CO.
TRAVELERS INS. CO.
-
AETNA CASUALTY & SURETY CO.
1 i
1 2 . FIBERGLASS ENGINEERING & SUPPLY CO. now a DIV. OF OWENS CORNINO FIBERGLASS CORP, AREETLNIAANCCEASUINALST. YC&O. SURETY CO.
1 3 . JOHN MANSVILLE SALES CORP. TRAVELERS INS. CO.
14 . COAST INSULATINO PRODUCTS ( a ) PACIFIC EMPLOYERS INS. CO.
(b ) SELF INSURED
. ((dc )) GARUGAROANNAUTETEININSS. . CCOO. .
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' 15- LEE H. EKINS CO. STATE COMPENSATION INS. FUND
' 1 6 . ACCURATE INSULATION'CO., INC. (a ) SELF INSURED (b ) STATE COMPENSATION INS. FUND
17 . PLANT ASBESTOS CO. INDUSTRIAL INDEMNITY CO.
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MULDOOM CO. INC. SELF INSURED
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before the jiOBSMCJT, r ,::r -:.? a? io :t appeals board of tub
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STAVE 0,-' CALIFORNIA
2
CAS- 'AO, 67 VD 36007
3 JOHN TILER;
)
4
A p p lican t,
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vs.
6
ties ? n iL ip c a h zi :-r.iLTA Ci'jr.:::a
cc:i*.v:n:;
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a c c i: - d p il l
l ip s
ASSCRAiiCS CORTORATIOj:, L ID ., C t a l .
8
D efen d an ts.
9
F i g u r e s AMD AWARD a::d
order D an n so PLTIL'IC:; 20 CCilTJTE
10
R o se, X lo ln & ::aras, by Howard A. Q cbler, a tto r n e y s fo r
a p p lic a n t
11
B r i l l , Hunt:, DalJuyn c. Derby, b y Richard L. Moomau, a tto rn ey s
Tor C sr.orsl A ccident F ir e and Life,, Acsure-nco C orp., Ltd.
12
R obert Uc.T-iicr, a tto rn ey .far StafcoiCorpcasatlon Insuror-co
Fund
*
___\ \
13
J , D. H enderson, ropreccntafclvedC al^.i.-erican M o to rists
Insurnneo Csrspany
14
I v e o , :n.:-.:an Cs D ib b le, by J c tfx r b .)F r a n iis, a tto m o y s f o r
American Mutual I.weruaub^C'SyitAy
13
Clop to n ti Penny, by ..obTyi^'-::rt^t ^fc+.oroeyc f o r P a c if ic
Eroloyorc Insurance
p lla n ca Insurance! Company,
18
uiiu Insurance Cc::.->r.-`-/c- : e rtif America
V eingar.d, iichdig cj C.':a'-'a.siyJ by Robert C. V.'rcisner,
17
a tto r n e y s f o r Ar7tv.<> 0- v~~' ^-y Sura tv Company, and
Argonaut Insure-....
..y
18
K e rlE iy , i:=rlAlv/W* A;1- / ' n raison, by Jack S ic k , a tto rn ey s
f o r The Cravelr-iVov'^ . .os Co:,.puny
19
A lle n , P etersen ' L M a n s e llj b y TT'? Rawlins, a tto r n e y s fo r
I n d u s t r ia l Xndcsr.ity Co-.-pany, and I n d u s tr ia l Indemnity
20
Enchar.30
Mr. L'acin, ic o r e c c r .ta tiv e f o r Firem an1a Fund Insurance Company
21
Sanu o le o n . LaIson Ci behead, by Donald G e n s ile s , attorn eya
f o r Cuarantes Insurance Company
22
Brobeclc, in lc ^ c r A U -.rricon, by ninaldo R claron i, J r .,
a tto m e y a f o r P la n t Lubber J: A sbestos fo r k s, s e lf-I n s u r e d ;
m\ 23
and Fibcrboard C crp o ra ticn , form erly FJ.berboard Pspor
Products Corporation, calf-in su red
24 .
Janes v;. H ockatrutten, by Charles ft. Ib o id , J r ., attorn eys
f o r Royal Inda.vsuty -Cor;.cany
Sir.s ila r-llto n , a tto r n e y fo r Mobil O il C orporation, S e lf -
Insured
29
27
An A p p lic a tio n h a v in ' been f i l e d h erein ; a l l p a r t ie s having
2B appeared, and tho m a tter havlr-s boon r o c u la r ly su b m itted , the.. . .,,i
29
Usno-.-uble a.Vi4IO;<D LEAVER, Refar s o , now fln d o , awards and ord ers ;'<
30' f ca fo llm /ai
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k|HII| | |j litfulMIII J44.l*il ra il il ( i <M>*
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fiijd ikg s of pact
1 . Jo h n T y l e r , h o r n F e b r u a r y C6, 1910, s u s ta in e d a ccm pcnsablo
i n j u r y to h i a l u n e s , a r i s i n g o u t o f a n d o c c u r r in g i n th o c o u rse
o f h ia employment a s an a s b e s to s w orker in C a lifo rn ia from 1943
dVv T
e
th ro u g h J a n u a r y 9 , I 9C7 ar.d -.Milo s p e c i f i c a l l y so nr-ploycd f r o m Ja n u a ry 1 , 1957 th ro u g h J sr.;::.ry Q, 19^7 by P h i l i p C arey M a n u fa ctu rin g Company, w hich-w as th e n in s u re d by G en eral A ccid en t, P iro and' L ife Assurance C orporation, L td.
9
2. A pplicant has c lo c to d to proceed a g a in st P h ilip Carey
10 M a n u fa c tu rin g Company u n d e r L a b o r Coda s e c t i o n 5500.5'
11
3 . A p p l i c a n t 's e a r n in g s vraro maximum a t tho t i r e o f i n j u r y .
12
4 . Tho i n j u r y ca u se d tem p o rary d lo a b V iity f ro Ja n u a ry 10,
13 I 9S7 th ro u g h Ila rc h 3 ,' 19 5 7 , when c n p lie a S f i^ q ^ c o n d itia n bo c a ca 14 p erm a n en t a n d s t a t i o n a r y , c r . t i t l i ^ j / a y p i i c a n t to $70.00 a was!
IB d u rin g s a id p e r io d ,
^
le
5.
A O \\ v A p p lic a n t i s t o t c l l i ^ d i c r e d , an d Cotf o f s a id d i s a b i l i t y
17 vas ca u se d b y th e l n J u r j ^ ^ r J S u u ^ d n t i t l i n e a p p l ic a n t t o 240 w eeks
18 . a t $52.50 a weak o r
19
6. A p p lic a n t i s e n t i t l e d t a be fu rn is h e d w ith su c h l i f e tim a
20 r a d i c a l tre a tm e n t a s e y r e a s o n a b ly be n o cc ae ary to c u re o r r e li e v e
21 th o e f f e o ta o f th e I n ju r y .
22
7. A pp lican t Is e n t itle d to m c d lc a l-le g a l co sts o f $362.00
23 p ay ab lo a s f o llo w s ; $192.00 to Dr. M orton K r lts e r ; $100,00 to
24 Dr.. .H erfcort S h u b in ; $ 2 0 ,0 0 to D r. C h a rlo s V faln sto in ; and $ 5 0 .0 0
28 to a p p lic a n t ( f o r h ia p a r t i a l paym ent to D r. IC ritso r).
26
8. S u b je c t to c o r r e c t i o n f o r c l e r i c a l e r r o r , a p p l i c a n t 18
27 a llo w e d a d d i t i o n a l m c d l c a l - l c g a l c o o ts o f $50.00 f o r r e p o r t s from
8 Dr. Baker and Dr. T a la rc a , p ayable to Boca, K lein and M arlas.
29
9 . A pplicant is e n title d to reim bursem ent fo r tho roaoonabla
? v a lu o f s e lf - p r o o u r o d m a d ic u l tr e a tm e n t i n 1966 and 1967 r a l a t e d t.
8 <7 7 2 < PII *W yT* i AI - -
1 (. II- .IU A n u l l 4h i
IDil/IiBUmv.P:^C !f.t1*fr*n*m4jn4i1 <*1*.4*441
*
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; i
1
a s p ro v id e d by la w ; toy.:.-char ..iil, l lC c tln a r a d i c a l t-T oatirant
2
pu rsu an t to Fir.cil;^ Vo, C; to e s th e r w ith n o d ic a l-le sa ! co o ts as
3
c o t fo rth in F in d in g s "o. 7 i u j to g e th e r w ith reim bursem ent fo r
4
o clf-p ro cu rscl .rad ical tr e a tm ent as c o t fo rth In Findinca lio, g,
& 10 and 12; le s s l i e n clad;.; o f th e D epartm ent o f Er^jloyjjfint a t th e
8
r a t e o f 7 0 .GO a w eek f o r th e p e r i o d J a n u a r y 1 7 , 1567 th ro u g h
7
March Z , 1267 I n th o amsu.-.t 01' ^C O .O O ; l e a s $119.25 p a y a b le
8
to R ose, K le in ii TJhrias f o r c o s t s ; l e s s $ 1 ,2 0 0 ,0 0 p ay ab le to
!
9
H ove, K le in Zi IT a ria c , a p p l i c a n t s .fttom G jrs, aa l i e n f o r t h o l r
/
10
fO O .
.
V;
11
;
0 n d e ?.
15
GOOD CAUSE APPEARED TlUh'El'Or,;
13
IT IS HELLL'l CDSDSIE: t h a t th o P-Zi V fo r Com mutation b e
14
and i t Is hereby denied.
s .
18
16
17
(SEAL)
18
V s * 0<du*I) *> CU'u'i-MM/uivij A*
jjoAiw
19
Dated a t Lon" Loach, C a lifo rn ia
20
OCT 6 1367
21' Served by n a i l on a l l p a r ti e s l i s t e d on th o o f f ic ia l addreen rocord
22
By; o /C , Infjhum
1
23
24
rf
26
26.
27
< '
28
29
30
6 7 L3 26GC7
-4-
*(t---Mill,ail IMIU, t i 'i Ctt-.it.
J . C, Z e lle r * L ancaster
August 23 1967
B . A, Kaggia - Branch >!anagar-L,A.
John T yler Uorknen'i Conpenentlon Appeals Beard * N otice o f Hearing
Attached fo r your Information 1* a Workmen's Compensation Appeals Board Notice o f Hearing fo r John Tyler on October 3 , 1907.
<* >< ` r i
'
.
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C E PA nT M I-N T o r IN niJST H IA L ntri.A T loN G division u r iNnucrniAL accidents
1 WORKMEN'S COMPENSATION APPEALS
*
6TATC O f CA LIFORN IA
/
BOARD
//
C u e N o . 67 LD 3 6 0 0 7 N o t ic e o f H e a r in g
THKEE-P0URTH3 DAY
7 ^ J2 9 ' 3 - / 0 -S '!
C c -F .)
2 PLAINTIFFS
TO
Beard of 1He Sail of OHfotv> ` 11*4
-otiUtd Ju f uid application hu been ms /or Hearing jt
230 EAST FOURTH STREET, ROOM 3 0 2 , LONO BEACH, CALIFORNIA OCTOBER 3> 1967 a t 9 ? 00 A#M.
and rHac a t said time, and place cfm Workmen's C arnpcauiion Appeals Board will proceed to he/ arid disport of li* said
ipplicaiioa in tha m m w prescribed by la*.
%
*Vi?.
WORKMEN'S COMPENSATION APPEALS BOARD *. -
By JOHN L . STOTETT
D.udssi WN0 SEACH, CALIFORNIA
N 0 T & T in p iiM i i n MpM4a u mAm i ill
iiiM< Cn, dictiiofi n <fei'i luniMf. All
fiU M f*. nodUti n r * * * , ? * 9 rath u d mlSm p u d
murt hi avjifabU 1K1 M u l |. CONTINUANCtS ^ IL L BK Oil ANTED OVLT* UI*ON A C Lf AIL SHOEING O f COOO C A U U . I b u m i Cm
temmvn<#i in 10 61 m*Je *iih>A i 4>y> e l iM 4 t n 4 thk m l .
,
rtQTZ TQ MSVACD L M fL O V iM : V*m im nduM a n ikU ImjKiii mip mm be
SERVED BY MAIL ON PERSONS SHOWN
s i ' w r s '" "
cm wejia po>m
' n
* v"'. 1
_f `
, \
EMPLOYEnS
INSURANCE COS.
1 l.M undet Cork Carp
2 .S . S. M cXlttrlck Co. 3. J . T. Thorpe, Inc.
3- Self-Insured
Royal Indemnity
.
-VAmcrlcnn M otorists
American Mutual I n s . Co.
4 . Mobil o i l Corp.' 5 M arin e E n g in e e r in g & S u p p ly C o. i * - P la n t R ubber k A sb e sto s Works ^ 7 , F ire b o arc Corp.
4 . Self-Insured C 5` 6. Seir-lncured
7,, S e lf-In su r e d
*
1 f\
' ' ` : ,!,r
;(
8 . Hugh A. Elsdon
8,
9 B echtel 10, Thorpe In s u la tio n Co.
9 In d u stria l Indemnity
10,, S e lf-In s u re d (Fireman Fund I n s . Co,
11. Armstrong C ontracting k Supply
1 1 /T r a v e le r s In c. Co. ;< A etn a C asualty U SuretyCo,
1 2 . F i b e r g l a s s E n g in e e r in g & S u p p ly C o. 12<k A etn a C a s u a l ty k S u r e t y Co. D lv . o f Owens C o rn in g F i b e r g l a s C o r p . R e lia n c e I n s u r a n c e C o .
1 3 . Johns M an ville S a le s Corp 14. Coast In su latin g Products
13.^ T ra v ele rs Sncuronce
14. /P a c if ic Employers In s. S elf-lnoured
ouarantco Insurance yA rgonnut Insurance Co.
*f Co.
' , Co.
15 . Leo R. Ekins Co. 16. Accurate In su lation C o., Inc.
17. Plant Asbestos Co. 18. Muldeon Co. I n c . 19. In su latio n s Inc
1 5 . E s ta te C om pensation In su ra n c e Fund
16. S elf-Insured
'
S ta te Com pensation I n s . F u n d ''
17 ./in d u s tr ia l Indem nity l
18. S elf-Insured
',
, s
19. P a c ific Em ployers In o , Co.
20. Thermal E n g in eerin g , In c. Hoffman k Co.
21. B aldw ln-E hret-H ill, Inc.
2 2 . The P h i l i p C arey Mfg. Co.
20. In d u s tria l Indem nity . i
21. Ip s . Co. o f N orth Am erica
2 2 ^ 0 e n c ra l A ccident F ire & L ife Assurance Carp, lim ite d , a corp.
, ftjl
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t.'0^!<A\N'S co.v.p: m: a h c :: .w e a l s board.,
, INDUSTRIAL ACCIDENT COMMISSION
STATE o r CALIFORNIA
67 L8 36087
0^ "'
JOHN I . TYTE.H JH. MUNPET COR? CORP., e t #1
Applicant
Defendanti
Good Came Appearing Therefor:
sang Defendant
be dismissed as a party defendant in the above-entitled case.
*
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A ll pern
(served ae l i s t e d bn th e O ffic ia l address shoot by m oll '
a1.0 1 1 BAIL* AOORKta A id IOAMCl
ALEXA N D ER A G EN C Y , INC.
INSURANCE:. WORLD WIDE SINCE 1680
UNION BANK BLOD. PITTDUUKOH, PA. i B a a a
June I f 196?
W allace B ,H o fferth ,In su ran ce Manager A rm strong Cork Company
lan casterf Pa.
Dear Mr. H o ffe rth
S u b je c t: John T y le r vs F ib e rg la s s E n g in eerin g and
'
SuppIy'"Company, a t a l
^ i
.
C a l i f o r n i a W orkm ens C om pensation Case 67- LB; ;
A etna Claim R (D) 33 CC 156B31 MR
I wish to acknowledge copy o f your l e t t e r and N otice o f Hearing ' and o rd er d ism issin g p a rty defendant..
I have forw arded th is to th e Standard A ccident In3.C o.
.
Very^ tr u l y y o u rs,
S.A.tfiiy
9
H.
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1E-BONO CENTURY - FOURTH OCNCRATIOT
I I ' . . v jMT* '
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tear 31, l ^ r
K m i!ATL
lip, Den Shelton Claim Representative 53m Aetna Casualty and Surety Cccgsuy
V/ilchire Boulevard Loa Angeloo, C alifornia 900U
Dear Mr* Sm ltont
Baibject*
Jc!m T yler vs . F ib erlan 3 EngJ.ncerng
And o u p jjy Cocpony, c t a l C a lif o r n ia Uorhaaa'H C a n p en ca tln n Ctino 67 A etna Claim H (D) 33 CC 156031 I
Vfa Ju n t re c e iv e d th e cm cloaed ITotico o f H earin g an d D efendant,
LB 3O7 O rder P lnnri sa ln g
{'; P a rty
Vary tr u ly yours,
mm
r1
Enclosure
Wgllnca B. Ifo fferth Jnauruaco H unger
n '
Mr, D, R, C hrlver
Alaxnndar Agency* In c . 316 Fourth Avenuo Pittsburgh, Pctmoylwnia
15222
7/Od s D epartm ent
Alexander & Alexander, In o . 2225 Jlorth Charles Street Balt lucre, Maryland 21223
IHTffif___________________________
Q fF tC i COMMUN/CAHO/t
To Fiom
Subjfcf
J.E . Z e lle r, Lanceater
U.A. Megglo, Log Angela
Workmen1 Compensation Appeals Board John Tyler Case No, 67 LB 36087
Hay 26, 1967
Attached; p le a se f in d th e Workmen's Compensation N otice of Hearing on the su b ject former employee.
F0*H I 1
)n U.S.A,
D EPA R TM EN T OK IN D U T m iA L n lL A riO N 3 DIVISION OP INDUSTIIIAL ACCIDENTS
WORKMEN'S COMPENSATION APPEALS
STATE o r CALIFORNIA
BOARD
J o r a TTLCTtj
HUH3KT CO M CORPORATIOH, e t a l i
Cu te Wo. 6 7 I B 26007
N O T IC E O F H E A R IN G
A p p lie d )
o m p v tL a k j
Defrrtmni-- |
JttL T 3 1 , 1967 a t 91OO a .a * C2G RJIA DAT
Y oa ire herth y natified ih a t in application fo t oom pcniin h it been filed wiih the 'W erhnm i'l C oropom don Appesi u ird c f th S u t i 0/ G lfflifl , Yoti tre iu z th c f notiTlrd lA jr ia iJ application H*a beni set /o r hearing a l
230 Mt p o in rrn s t r e e t , ie n a r e a g ii, cA L iro T u n A -n a o a . s o a s ,,
V
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Sr ?*. 4 i t .T
*r
?- ^
m d th a t a t 11 id tim e lo d p U ct tha W orkm en' C o o ifx n ta u o a A p p cili Board will pfuCrtd 10 hear to d difpoaa od cha mkJ
application In the rrunr prxKxib by Lav.
y~
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* /
*
VOIUCM EN'S COM PENSATION APPEALS BOARD _ iii ,'j
J e m L ^ rro o n tT
Diced it
LOBO Q S tC S , C A L IFO nU I/l
N o t Z l T h j p u i l a KM a p M u d ra mbrru 41
ins* fer deciliari tk lt hairifl. All > | i w w (i t{< w n . mtrflcd
W f ^ mi d W f l
bim b* avwlzhlt m the hameinj. CONTINUANCES WILL fll cnANTED ONLY UPON A CUAR 3110V1N OP GOOD CAUSE. I l ^ d 1m
w a i U w a a c v i n u U s u d i v i a b i * 1, 4 ( 1 7 1 d 1 K1 d i i * *t t b m a l e * .
NOTI T o JNSPIO UJ LOT Ali Ym d it* i(M ( i l ih* kiMMf m*f km ha ih m it t . A ii fm t i m t m * t i a p n y.
SERVED BY M A H ON PERSONS SHCTTN
O N TH E OFFICIAL ADDRESS R E C O R D /
D atei
Bjn
5 -2 4 -6 7
d
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Di pI AnWi uC mA
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JOHN TTLSa S.S.# 500-09-^525 Iokevood, California
ACC5 eqployoa and formerly AGGo employee 't
ASBESTOSIS CLAIM
xuouranca itept. 4/ 25/67
lea
Ue are now asked *0 substantiata -these fact3. | I realise that because, of our Retention of Records schedule we do rot have much of th is information. , However, please give us vijat you have^ \\ Con ycu detomina ufcsn Mr Tyler was f ir s t
i 1 1 . .loyad by AC&S or Armstrong? '^Gan you t e l l us if ha worked for us* in *51, *52 and *56?; -
1... . /?w
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: !** 1 ? - ; !
i
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1`hon i f you could give us ajhreekdoujQ of hiq earnings by weekly pay pBr. oda & number of day3 uqrkad for the years
1962, 194 and 1965 i t would; be most helpful^ 1
` 1
Also, could you t e l l jus for thesel 3 yfears th^ reason-fox
ae-stpokc cork com?ahi |j
1
Thank you very much.
I 1
Kabel
ARMSTP.QTO
ARP SUPPLY r,- -- -
P arici ending
9/ 30/51 12/ 31/51
Zc.rr.ed ! _ j: In su re d b v 'i
1, 158,' 'Standard' Accident j 1,604.25 J *
3/ 31/52 6/ 30/52
- i . ' i i ! . ; 1, 339.75 , T ra ile rs
143.75 _
Period ending E-.r-qi
0 952.
|1, 471.50 I" 2,ie 3.G0
*2, 120.60 2, 059.20
9/ 30/52 12/ 31/52
308.85 I;.
961.35 j 0
366.40 253.60
3/ 31/56
I 286,
6/ 30/56
[ 2,240.68
9/ 30/56
572.
12/ 31/60
::
i ; ; J . ..
? T87.70 r- I
-IThis possibly is erroneaua. A(S formed l / l /58 & there is no payroll liste d fo r 4th quarter of 'Q
urlar ACCS
- j | 'f
735.69 8=9.23_ r /fi T .
t
1 , 972.40
1, 519.73
i \
(A6t=a C. I! i1
Q 2ii.
toy 1, 1967
Aotna Cnmwlty and Surety Company
2^0/* Wtlolilro Coulovnrd Las Angolas, California 90054
Attention* Mr. Don Shelton, d a in HopronontatiTO Warkmmj Canpansatiaa Unit
flentlcTssni
CLAEIAHI* John Tylbp - VICAJ1 GAS' NO. C7 - ID 36007
Insure! Jrnstrang Cfrrls Co.'^nny/Amitrang Contracting
and Simply Corporation
, .
Aetna Claim R (D) 33 OC 1563J1 HR
la roaponao to your lo tte r of April 11 cnolosa tun shnsts giving
you n il tho lnform tim uo have boon nblo to obtain from our Payroll
Dcpnrt:Mnt on tho abovo claim. lender our ilotcntlon of iccardo
OchcdaLo n il infanruitlon prior to "covon yearn and currant" la
destroyed,
'
'i
Hs cro condlng a aopy af this la tter and tho Information ohcata to
Rolinnco Insumnco Casmnios (Standard Accident) and Tmvoloro IiiQurcnco Coi'aany {Uirouiih our hrokorn, Alexander <1 Alexander)
co they w ill bo appriaod of tho available information.
Vary truly youro, h
Enclosures
Kabol i . Sarnat Incuroneq Department
Notinnea Ihournnco Oempemtan
5/0 South Kingoloy Drive, Loo Angsloo, Calif. 90003
'*
Hr, J, D. HeCaughny, Claim Suparvicor -- lour f ilo i Sunponoo 7116
(Enaloaurofl)
r i '>
tr a v n lo m -neurom a Company, o /q
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Alom ndor & Alaxnnder, In e.
2225 M. Charles S t.
.
D n ltirn ro , Maryland 21210
(Qjaloourca)
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coon CAJSE APPEARING:
17k application hereto il ulen off tilsruin'.
, i #
Department of Icdturriil RdiHaai
Diviiinn o f Im fu iiiial Accident*
W orkmen'! Comptniafion Appcaij Board
* S tet* o f CaICernia
2 ?.+ r j * t i j
AFFIICATIUN
111(41 t i l l
r O t A D JU D IC A TIO N OF CLAIM
1
V "
Pltlt fit f/jWtfd
MmJ lif COfid
end frin r iyft ncmti tud iddritm
A m rocD
CASE NO. 7 LB 36087
n . i m x J0HH TYLER luiuJla iinaiii i
Sodai Sreunty Na 5Q0-Q9-452S
6333 Daaliwood Lakewood, C a lifo rn ia
m iua. (! ( iv K itiita ia ii
(MUijat I iM iaill
SEE ATTACHED LISTS
(nma *a n d iti
SEE ATTACHES LISTS
iMHill*M*waacaaitili. "
IT IS CLAIMED THAT;
I. The injured employee, ^w^^*1918______ kJr employed si a
k C_91Q_3--
1941 to 1 - 9 ? 1967
on _______________ .f _ y .r io u f l ___________
(K fillM (I
I llaM H
__ liX i__ _ by the employer ruttained injury truing one
of and in the course of employmem to --- ------ PJ.H^liLTJ--' 3 fiASQ-
2. T* injuryocau^cdufolio*.:
C uC
Exposure and inhalacion_of__3l Uconfl, asbesto,
l i m i l a u t u m i l i i t i M i n i r l u i e i (/* i n m i
m i m im a i
1. Actual earning it time of injury ere: -___ i ^35 p e r j i r . 40 h r a p e r
I Bkatkkl U U t
_ elni IU>
J l l l l U I I L I M i l l LUI M l k i l l I I M i l . * I l H LB. l MI I I U I 1 . I I l l t l l l l l l l IIMIHII l l l t K I l a
A. The injury caimd disability u follows:___ --IQ*_507--Z 5^4.11--
IUIHH1mmUtil
f. Compartition as paid -in-n- ihi i. Medici! treument h received --
tit, i l i
iM ti f u j i n n u i i
AUtrs(trient woafurnishedbytin employernr iaeunoev
company X _ _X other uniment ai provided or paid lor by
Ml Ml H a u l U l l l
Doctorrot providednr paidforbyemployeeor iniurance company, bo inraicdorexaminedfor thii injury re.
'If . A. Hc a p it a 1 1 L ang_B c eh ___ im>i au * tutu otioI oi ioiiiiiii i . ki mu un
7. UnemploymentInnnnciMUnemploymentCempcrtuiionDisabilitybenefit!hirebeenreceivedtiehediteofinjmy----. X ...
IH I1
(M l
I. Othercimi hivebeenfiledfoeinduarnal injunebyOuemploye* n follows: ...HoilA---- - - -- --- -
r
9. This ipplieaiionii filedbecomeofadisagreement ngaidin* liability for: Temporary {Inability indemnity--X.. Permanent dis 9
ability nWfinny T Romburnmoit for mrdical *p*n%e__7t--Medical treatment--X--Compirlauonsi properram '
Other--...... Specify: --.... ,, , _________________
--
.
r andipplicant rtqunnj hearingandawardof theumt, andlor aJl other appropriatebeneficaprovidedbylaw, .
tirantig
a. - t^H lg P e a c h
t<fr
U.nd .1
,C M
Number of wit c o m .
Pre-trial wanted .
Eiiimawd,im, ol. _
1AE
1
FITI.L
DAY.n
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iilu
id
i
____
iis ts u n w
r
m
, I j g Z j j 1967
pr?f/i7TH u address
Jin n e e Cork Carp. 1116 Walker Ave. Haywood, C a lifo rn ia
1 r j w r m u a , n?&_ouarttr-Endbi
6 /3 0 /4 3 ss 9/30/43 12-31-43 3-31-44 6-3U-44 4-30-43 12-31-53 3-31-54 6-30-54 9-30-54 3-31-55 6-30-55 -
12-31-55 3-31-56 9-3U-56
12-31-56 9-30-57 12-31-57 3-31-50 3-31-59 6-30-59 9-30-59 "
$658.90
628.77 769.69
1.002.63 '166.50 760.00
2, 200.00 1,569.76 1,787.00
243.24 1,734.00
795.60 1,350.50
104.00 1,086.36
1,420.40 653,20
1,610.00 1,411.25 1,616.00 2,086.00
196.80
E. S. J f c lf lttric k Company
7039 South Sent Pe
6-30-44 "
llunclngton* P erk, C e lli.
J . T. Thorpe, In c , 948 East Second f t . Los A n g ele s, C e lli .
6-30-44 _
9-30-44 -
73.20
505.50 328.75
6-30-48 12-31-50 9-30-53 12-31-56 3-31-57 6-30-57 3-31-58 6-30-58 12-31-58 12-31-63 3-31-64
- 334.13 - 786.25 - 690.00 - 321C60 1,675.00 - 281.40 - 532-80 1,0 9 5 .2 0 - 426.60 2,055.40 - 1,129-60
Kobil O il Corporation 612 So. Flower Loo A ng eles, C e l l i . . 90054 " lib rin e E ngineering & Supply Company 941 Ease Second'SC. I Loo A n g ele s, C e l l i .
P la n t Rubber & A sbestos Works 475 Bronnen S tre e t Sen P ran ce-^s, C a lif.
6 -3 0 -4 4 - 100.00
9-30-44 - 342.25 3-31-46 - 378.00 6-30-46 - 826.00 9-30-46 - 42.00 12-31-46 - 966.57 3-31-47 - 394.50 3-31-51 - 1,168.25 6-30-51 - 1,068.50
3-31-46 3-31-47 6-30-47 9-30-47 -
52.00 305.00 ' 648.00 361.00
CARRIER________ SELF-INSURED OUT OP BUSINESS
SELF-INSURED OUT OP BUSINESS .*
self- insured Royal Indemnity Co. 210 Weat 7ch S t. Loo A n g eles. C a lif . 0RCS-94448O' (1-1-52 /53)
American M otorists Insurance Company 3545 W ilshire Lda A ngeles, C a lif. #6CM-431-B9Q (1-1-56/59) V3CM-431-89S (1-1-63/65) American liucual Ins 8929 SopulvedO Lot Angeles, C ellf. ( 6CM 431-898 , (1-1-56/57)
i4C U -431-898
(1-1-64/65)
SELF-INSURED
SELF-INSURES
CUT OF BUSINESS
<
.
SELF-INSURED
D robeck, F h lcg a r 6
N o rrlo o n , 111 Succ
S t . , Sen F rancieca
iy r v F t 'n m o A r.^F ___
` '
rcL'.dt;i;A,'n o u '
' 475 B rcnrsn S tr e e t , 23 Francisco, C a lif.
r.^ N T ro u 1-oR.nuAivrm kttpcd
y - j . i -<*i 12-31-47
3-31-48
1,055.00 502.23
6-30-40
402.00
Hugh A. Rlsdon 3262 E oat Gaga U u atin g to a Fork C a lif.
Dechtel Corporation 710 Eueh S tr e e t Son F rancisco, C a lifo sia
6-30-46 6-30-48
126.00 52.50
Thorpe I n s u la tio n Co. 2741 So. Y atea Ave. l o t Angalea, C a lif.
6-30-48
169.00
9-30-48
479.13
9-30*50
a
752.50
12-31*50 SB
198.75
3-31-51
160.00
6-30-51
158.00
9 -3 0 -S l
110.00
6-30-52
1,007.50
9-30-52
003.30
3-31-53
513.30
9-30-55
1,550.25
12-31-55
70.00
6 '3 0 -5 7
26.80
9-30-57
187.60
9-30-59
442.00
Armstrong C ontracting 6 Supply Company 4340 D is tric t Boulevard Loa A ngeles, C a lifo rn ia
9-30-51 12-31-51
3-31-52 6-30-52 9-30-52
12-31-52 3-31-56
6-30-55 9 -3 0 -5 6 __ ^ ^ 2 -'3 l-$ 0 3-31-60
6-30-60
9-30-60 3-31-61 6-30-61
9-30-61
12-31-61 3-31-62
6-30-62 9-30-64 9-30-65
1906
F ib erg lass Engineering & Sufrly C o ., liow A Div. o f Owens Com ing F ib erg las Corporation 5933 T elegraph Rd. Loa A ng eles, C a lif .
9-30-52 12-31-52 3-31-53 9-30-57 6-30-59 12-31-62 3-31-63 6-30-63 9-30-63 3-31-64
6-30-64
$1,158.00 1,604.25 1,339.75 143.75 300.85 961.35 206.00 2,240.88 572.00 187.70 952.00 1,471.50 2,100.80 2,120.80 2,059.20 266.40 253.60 735.69 869.23 1,972.40 1,519.73 1,029.60
72.60 567.20 379.40
89.40 65.60 309.12 2.303.63 2.124.24 367.03 1.190.64 2,455.36
, scu-Y iij'unn>`
BrohccU, P hleger
6 llnrrico.i
.
111 S u tte r S t. .
Son F rancisco
SELF-IKSinira CUT OF EUSIHES9
SELF-INSURED
p rio r to 3-1-57 In d u stria l
Indem nity Co. <
505 So. V irg il-
Los Angcleo
iCC100228
:; *
(3-1-57/67)
SELF-INSURED F ire m a n 's Fund Insurance Ccnpait
1616 E. 17th Canto Ana, C a lif
(1-1-52/53) F irem an 's Fund,,
I n s . Co. 3223 W. 6th Los A ngeles VVC1887S7
(1-1-53/55) fur.r 3043 1 (10-1-56 v ith continuous cover*
cg - WPI20360 .. 10-1-60/61) jV":
f
(Travelers In s. ' ' Company 3600 H ila h ito I,oo A ngeles #2047243 '
Q (1-1-52/53) .;
ft iilUB-4991518 "
,
(1-1-56/57) ,
;,:-2y#nUB-8659227
^ (1-1-60/63), Aetna C asualty &
S u rety CDttpany
2404 w ilo h ire Los Angelee, C alif,
#9fl-C2001-Ea 1-1*63/5*1-67
300*'*' '
* ... .
,
`MjL
_..**a
Aetna C asualty 6
S urety Co. C31C-585-RR (9-1*50/67) 92C-325Q-SR (FT) i02C-004191 SR-iT . Reliance Insurance
Ccr~ 5/0 So. K ingsley Ip s Angeloo, C a lif,
(n a rlo d a u::V.r.o:n?)
- ! *T-,
Q
p p 'TTOTT'l A, ATJOprfJfl '
L
.inglncerlng
fr ( c a c t i r.ucd) 5 ' . i a U faca 2
John liin o v ille S ales Corp { Lcoziio Eotilcvard
('.V crn o a, C a lifo rn ia
`*i
Coset In n u latin g Product! 2G04 L eery S t r e e t f- Loa A n g e l a , C a lif o r n ia
fr
pAnrnnc-3 ron tr^T i-m t m n)ro
12-31-64
3-31-63 1966
.790.80 - 1,193.80
4 ,3 0 6 .9 0
3-31-53 6-30-53
632.20 -1 ,1 ,4 2 6 .3 0
6-30-55 3-31-56 12-31-61 -
3-31*02 -
381.20 1 ,6 5 1 .0 0
293.12 1,360.48
i
Left It, E klna Company 4933 V cllcy JJoulevard Lo, A ngelos, C alifo rn ia
12-31-58
61.60
A ccurate In o u latio n C o., Inc.
$00 So. Cypress S t.
12-31-50
La H abra. C a lifo rn ia
6-20-62
t .
12-31-62
1 P la n t A sb esto s Co. 1200 64th S tre e t Em eryville, C a lif.
Ilild o o u Company, In c . 1 6557 E. Chew Ave.
C lovis, C alifornia In su la tio n s, Inc. 332 Co. M nnterey P ass Rd. Monterey P ark , C a lif.
T herral Engineering, In c. Hoffman & So. 10th S t. . lULchzxmd, C a lif o r n ia
E aldvin-E hrct-H ill, Inc. 4000 East 26th S treet Lo, A ngeles, C alifo rn ia
9-30-59 12-31-59 3-31-60 6-30-61 9-30-61
3-31-65 6-30-65 12-31-65 1966 12-31-65
12-31-65
221.20 - 1.721.24 - 1,796.76
- 1.496,00 - 1,768.00
102.00 109.44 - 1,630.80
799.20 - 2,911.20 - 690,30 - 1,965.60 - 1,237.00
257.40
The F h l l l p Carey Kfg. Co. 1966 S32 So. M onterey P ass Rd. 1967 M onterey P a r k , a l i f . __
-:* *
- 1,825.00 - 7
t
\ -' -
' t
(M inim
i * ,
T ra v e le r s In su ra n c e Co.
^08249-5145
1010 llo rch Main S t.
F-.rri-A r.a, C alifo rn ia
C /-1 -5 2 /5 S )
|
P n c ific Employer,
Insurance Cocpony
4P30 H llflh iro Blvd; * Lofl A n g elas, C a lif o r n ia
^ '00-55592 (9-11*51/53) i SV.t.f-ltJSHREn o irr o r eusim :ss
Guarantee Insurance
1671 W ilo h ir s , Los AngeLi
i 206329, 10-1-53 to
5-1-55 , ' ' . Argonaut Insurance Cc. .
64J Shntto Place
I.on A n g e le s. C a l i f .
J
fCfi736 (5 -1 -5 5 /5 6 )
!
S ta ts Compensation In s. Fu-H
A-719325-58
(10-1-58/1-1-59)
sn,F-Ti7SUftED S ta te Compensation In s . Fund (140046-66 (1 -1-62/63) I n d ir o t r i a l In d ca , Co | iCP-C08056 (1-1-59/61)
SrXF-inCTIRED . OUT OF EUSINESS .. .
'r *
P n c if ic Em ployers I n s . <U iOL-FEC-24319 (4-6-64/67) : ,,
I n d u s tr ia l Indem nity Co. iCC-103031 (6-1-64/66)
In s u ra n c e Company o f
r-'r!:ti America
621 So. V ir g il Ave.
,
Log A ngeles, C a lif,
f* -483328 (1-1-65/66
C-nerfll A ccident Insurant
Group
* `
3535 West 6th S t r e e t , .
Los A ngeles, C a lif .
. -
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i
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, \
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;
Casualty & Surety Division
2404 V/ilshlre Boulevard LosAnnotes, California 90054
302-5401
A pril 11, 1967
Armstrong Cork Company Lancaster, Pennsylvania
A ttention: Wallace 5 . Hofforth, t. Insurance Manager ti.
Centinmen:
CLAIM R (D) 33 CC 156831 Nil - INSURED: AHMSTROX CORK CORPORATION CLAIMANT: JOHN THER - VOD CAGE NO.. 67 - LB 360C7 CROSS REFERENCE: JOHN TILER VS FU3.:i GLASS ENGINEERING AND SUPPLY, ET AL"
In response to your l e t t e r of March 21, 1967, we have estab lish ed the above claim number and have forwarded a le g a l f i l e to our attorney's o f f ic e in case i t i s necesrary to cuke an appearance before the Los Anceleo V/orkmons Compensation Appeals Board on your behalf. Since our attorneys aro p resen tly defending Gibre Glass Engineering and Supply Company againafc Mr. T y ler's a lle g a tio n s , wo a r e , o f course, being kept advised of a l l current developments.
In your l e t t e r o f March 2 1, 1967, you mentioned that Mr. T^ler1e -.employment with Armstrong Cork Company and amount o f wages earned have not yet been su b stan tiated . Since th ese ere the two most important factors in determin in g the extent of exposure, in continuous trauma ca ses, we ask that you begin an immediate in v e stig a tio n o f these two points and forward your . fin d in g s to our o f f ic e , so that we can be prepared in case Armstrong Cork Company i s joined aB a party defendant in th is matter.
Ve w i l l keep in touch with you regarding a l l developnenta in thla case, y
Very tr u ly yours,
'
r
I ,
jETNA L IFE AND CASUALTY CCMPANT
Don Shelton, Claim R epresentative
/<
Workmens Compensation Unit
mj
'I . I'.';
I
, .* , ^
'At -
A pril Ik, I96T
ACT TjftXL
Mr. J . D. Kcflaughey .
'
d a t e Supervisor
R eliance Insurance Ccopajolea
5**0 Couth K ingsley Drive
Los A ngeles, C a lifo rn ia J30005
Dear Mr. McCaughey:
Cdbjectl
John
vb.
FiV-erglaca E ngineering & Supply, El; A1
C a lifo rn ia W. C. Coca 6JLS3(jOQ7
Your F ile * Suspense 7116
Standard A ccident Insurance Company in su red Armstrong Cork Company in C a lifo rn ia in I 95I under workmen's compensation P o licy AZTli&GO, -Your company d id not tenure us in 1952 as. s ta te d in my l e t t e r o f iiirc b 21; t h i 9 was an e r r o r on ny. p a r t and 1952 should have "been l i s t e d aa one o f The T ra v e le rs' y e a r s .
l> * 7 Armstrong C ontracting and Supply C orporation came in to ex iste n ce on January 1 , .
1958 and was formed from th e former c o n tra c tin g o p era tio n of Armstrong Cork
Company. I t i s a wholly-owned oubo ld lary o f Armstrong Cork Company and obviously
van n o t on insured of your company.
j .
Tills case was o r ig in a lly scheduled f o r h e a rin g on A p ril 6 h u t i t was removed f r e a th e calen d ar hy th e Referee vlio ru le d th a t I t was n o t in t r i a l n h l e condition* Vfo asovtao th a t th is inform ation is p a r t o f your f i l e oven though i t was n ot receiv ed and forwarded hy us u n t i l March 29
Any f u r th e r correspondence w i l l "bo se n t d ir e c tly to y o u r a t te n t io n .
O '1'
'.I,
Vciy truly yours,
Dim *,
Wallace J . Rbfferth In su ra n ce Manager
* I
`1
certified
RETURN RECEIPT REQUESTED
n EIT _ilJ^ 3 S rC H 3 1
P 5 I 3S T S X JP l-A .N *C E 3 COMPANIES
4
MOUTH
KINQSLV DlV U C9 ANQCLCS.
April 10, 1967
C A L J^O iN fA 0 0 0 9 TC LEPH O N O (713) M B-TT71
*
,'V.
A C L IA N C t fNfiURANCC CO M PA N Y
RELIANCE STANDARD LIFE iN S tlR A N C I COMPAJVT
f U i N C T IN BURANC C C O M P A N Y
Armstrong Cork Company Lancaster, Pa. 17604
Attention: uallaca b . Hofforth Insurance Manager
Re: Our Pile Insured
Claimant D/ln jury
Suspense 7116 Fiberglass Engineering & Supply John Tyler Various
Dear Mr. Hofferth:
A carbon copy of your letter with attachments has.been 'directed to this office by our Pittsburgh office.
V/e will very shortly have litigation in Los Angeles.
In your letter you indicate coverage by^Standard Accident.
Insurance company for the years 1951 and Ixc-i:T Could you
supply us with policy numbers or copies of the policies l. .f'
for those years? You also indicate that cither Reliance: or Standard Accident Insurance Company covered Armstrong. Contracting and Supply corporation and I would appreciate your confirming this, if possible, with policy numbers.
I can appreciate tho difficulties in establishing this coverage and appreciate very much your cooperation. Inasmuch as further litigation is anticipated at an early date I would appreciate hearing from you at your earliest convenience.
/XL Tltf'fXo
t
JDMc: mg
A
. I
. V-
Very truly yours,
r *(
RELIANCE INSURANCE COI[JSANIES
/0 % > ;
J. D. McGaughcy ti 1
claim. Supervisor /',/<>
eus, tooth Y O A a
. f. '!J
D E P A R T M C N r o r INDU'STniAL RELATIONS
; .
.' i
WORKMEN'S COMPENSATION APPEALS DOARD
*/
TATC o r CALIFORNIA
y
ANSWER MOQ 1L O H CORPORATION \jP
Ccuo No. 1 L5 3-6Q07
MOBIL OIL CORPORATION
Self - Insured
4U M IIC t
* f tpi
DflJo of oeged Injuryi L.23.1--^LZ.2-^2 i
'
"
'V
{) 1 2 $ .
T 1 0W i $ >:r * * t . LiLSi A rtet! 1 g iL
i f n r u f u (SB ifiii
ItMIVMlfff <<||
97f>
(Formerly No.
397)
ANSWERING DEFENDANTS deny t*o ofleootioni'of He Application oi jncficatcd below with iv<h explanation oi **
prcnly >cf torili and admit oil olh.1 mctciiul allegation.
DENIALS
( I 1 I) I l l f l i l l K
II M I K I I
Employment
EXPLAIN 8EIOW
Occupation
Injury
4M a n a l ll M i i i a i l t i n a M i r i f iaoa i j u t l l . i i r u n m u l l
1
i
.V>\ v/
Fniurtwc c o v e r o e ---------------------------- -- --------------
. -- --
|i K i aalia iii n i i i u k in iiii it n m i 1*1 iin a ii
' U r - X ___,, ____ liability for Jlf
v
procured ircalmenl
- ^
Liability for fuluj*
medical ireclmenl
-X TM _____ AW fiaM dga/ cast*
--------------
.
----------------------------------- -- --
_
_
,
,
---- -------- -------------
,
_ x.
- ft --.
Earning
_X __________ Forlodi ct ditoblHly
J L ________ Permononf dNobility
-
------------- --------
---- -- ,, -- . ----------- ----- -
- ------ -
|W ( HIT Ml 11 HD l u iu I IT III l l t l l l I t aMH)
-- -------------- -
Ilf
t| CUIMI. II IfITI I
' f
* \
fT IS HJR7HER ALLEGED*
.
. 4.
1 |
0 %
1. CMcrvdanU have paid dlwbility Indemnily In lha laial amount of I __ N n n n ________ at the rata cl * -
o weak
_
ihfOU^h______________________________ p int
7. Aflumotiva dtdantet and otfirr mationi .....
- -
, .
--- -
.
... --.-- --
mm
H n M J O H C o r n n r a t f o n f o m o - d y _ k o n n n M _ S n r n r y Mn K n _ f l f 1 f.n m p n y I n i i , *
,
l u t c E f i n r -hy j n ^ r n p r L a G e n c x a J ___P j^ ix n l/ M im f .n r n n r ^ t. f nn_____________________ '
' Defendant* do ao! waive lha right to ratio additional mue* in acLDcdanco wjih iho provision* of law and it * Rule o f. ,J
Practice if cibar iiiuc develop,
/>
Eillrnated lima lor fHoJa------------------------------ --
Doiad a> I Q S A n n e ) OS---- # Colifania. -j / l P / 6 7 , i i
; A jl^ fc n d o n .i medkni <` portf ho v. bean
^ M O B I L O i l C O R P O R A T I O N __________________ ^
Additional report will faa fled bafe/o t r ia l.________ L .
f i . Mol a n i c d , _____________L i -
a
m '
3n v."*tf* r-^.
" "' '*%( ** s * .
Byt
r
___________________________ --
Stanlev Roller
.6 .1 2 _ 5 F 1 o w e r , S t_._. I- A -- 9 D O S ! - E g fiMMM tM u iU M ii t im i r anf.ta
- >
11 *
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Kirch 29, 1o$T
tm m n,
Tbn Aetna E n m i t y and Surely Cctupony
iJ\Ch U ileh lre Uaulevnrd
< ,
has A ngols, C aliforn io 905T
fcnt.lrnm i
Ihfcjoct* John T rie r mi .
P lb c r u lo s u e n f r ia n ric.-f Si C u p p ly, e t a l
*.,
Cn.1lr g r a in H o r ta c n 's Campanea t io n Oaoa l o . 6 7 ZJ3 CO ST
Tirio sees uhlch va* echsdulcd tar hearing aa A nrll 6, 1967 bn `been ordered c f t calendar by ttoo Hcfcreo vlw decided tho r ila van oat lo A tr lo la h l con d ition . A eerjy o f tho R efere`a c o tic e lo oneicaed..
Very tr u ly your,
DUD
i
fijc lo e u r e s
Vollnco 2. Bof f erth Insurance Maanar
Hr. 3 . R. Ehrlver Alexander Agency, In c. j l 6 Fourth Averna n tto b u rjjh , Pennsylvania
19222
Loos Department Alexander A Alexander, Inn.
2229 North Charlen S treet Saltlm ore, H uyland 21210
V 'f I t
DEPARTM ENT OF INDUSTRIAL RELATIONS Division o f in d u st r ia l a c c id e n t s
WORKMEN'S COMPENSATION APPEALS
TATS OF CALIFORNIA
BOARD
JOHN TYLER
v*.
FIBERGLASS EiGIUS^IMG AMD SUPPLY INSULATION I:rC0n?03AC2D AETNA CASUALTY & SURETY COM?JOY
C cJV 7 1,3 36087
Applicant
Order Joining Party D efen d an t t /
Defendant:
Good Cause Appearing:
IT IS ORDERED THAT
SEE ATTACHED L IS T
be joined u z party defendant herein.
JOHN L . STRUST?
lui*, ' OBJUIEN-S C c L N sT n O N _ l,AL5 HOARD
SERVED ON' ALL PARTIES LISTED
.
.
ON THE OFFICIAL ADDRESS RECORD '
Vtw 3 -2 2 -6 7 Sy> BP
PtrM#MVH/fiiAiwBrWt***%.1->iH/V- t-Mi
MM--t JW<JWsfQi^e
Howard A. Gebler, Esq. Robert C. Wroisner, Esqu
ilarch 23* 196?
Page 2
When the amended Application is furnished us, in that condition,, with sufficient conies to servo upon all parties, the matter will then be re-set for hearing and trial on all issues.
It is noted that the applicant had similar employment in this case, as an Asbestos Worker, as in the case of OLLIF. \\ ROGERS vs, PIEERGLASS EWGIIIEoRUTG, et. al., Case Humber 64 IB 26779. It Is recommended that applicant's Counsel review that record to expedite information concerning coverage.
BORIS RAYMES Referee
ER:kJb cc: Aetna Casualty & Surety, P.0. ?or. 54165, I,os Angeles 90054 cc: 40 employers listed on attached Order of Joinder
* . --**"*
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JHanfatfOtk OAafiINlOiCcMi
ttiLC ttIMt*Nft*i ddf i aCLCUftN
D | T I. U h M O H
HTQUfJlBidTav 4. oocuoqnh i h t * WALhACI kdl
1a w o r r ite a a#
R o s e . K le in & Ma n i a s j i e w t z s o'." iiu i'T . s u i 't ou
109 A N O IL IS . CAllPOPlMIA HOIS tE IC I'M Q M li / - O I P <
i^PL
March 16,1967
Va n m i t i u t *
* * ' VAN u r * I L * " . ,U1' * ' i 4 vaai t . e t i i i x n i N i A l i *
TH>hoH,j,,,,*,*/>
CHOU OPPICI
M U T < T T l l t l l , I UI T1 IO* lO H O lli. CA1IIOIHIA Il TM UVIPHGHC, 4 I I IIM
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I A H I A aita g p p | r , a
T! a>ifrvt*lT'AA*0i?'"*T' ,uni1*'
'
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IN O lilo IPIin
INC IK lV ." ";,*0* ...... H r ; ; . ; " -
Workmen' s C om pensation A p p eals Board
230 E a st F o u rth S t r e e t
Long
7 B each , C a l i f o r n i a Re.`l John T v l c r / v s . & Supply
F ib erg lass
C ase No. 67 LB 36087
E ngineering
G entlem en:
The a b o v e -c a p tio n e d m atter i s now s e t f o r h ea rin g on Ap r i l 6 , 196 7 . P ursuant to in fo rm a tio n r e c e iv e d
"Trom the Dep'arbracnt o f H e a lth , E ducation and W e L fa re , i t i s r e s p e c tfu lly requested that the employers lis t e d on th e a tta ch ed s h e e c s be jo in e d as p a r t ie s defendant in the above-captioned m atter.
A long w ith a copy o f t h i 3 l e t t e r , we a re s e rv in g th e new ly jo in e d d e fe n d a n ts w ith a copy o f th e A p p lic a tio n p re v io u s ly f ile d w ith your Board on January 18, 1967.-
We h a v e r e q u e s t e d i n f o r m a t i o n from th e C a l i f o r n i a I n e p e c tio n R ating Bureau ns to the c a r rie rs fo r th e se named d e fe n d a n ts but have n o t y e t re c e iv e d chi a i n f o r m a tio n . As so o n n s t h e s e c a r r i e r s a r e a s c e r t a i n e d we w ill n o tif y them a c c o rd in g ly .
Very tru ly you rs,
HAG:mv
fy~ ~ '
' '.B ! j srr
< '1.
2
`1 4
employer Naoe r.nd Address
lucdet Cork Corp. U 6C5roSookulyth, llNtehw YSot.rk
llundet Cork Corp.
E. S. KcKlterlck C e., I d c , 7839 S. Santa Fe Ave. a - Huntington Park, C alifornia
J . T. Thorpe, Inc. 943 E. Second St. j . t t Angeles, California
General' retroleu/ Corp. Inccrae 6 Excise' Tax Dept. * 6L1a2n AS.ngFelolewse, r'CSatl.ifornia
larine Engineering A Supply Co. 941 E. Second S t. S . Lot Angelea, C alifornia
Marine Engineering fa Supply Co.
Fient Rubber fa Asbestos Works 537 Drennon S t. i San Francisco, California
Tho Lbng' B ell Umber Co. Weed / \ 7 - California
Maxine Engineering fa Supply Co.
7laot Rubber k AsbeaCoa Works
Period Ended 6/30/43 9/30/43
12/31/43 3/31/44 6/30/44 6/30/44
6/30/44 9/30/44
6/30/44
AMint
9 658.90
628.77 769.69
9 1,002.63
166.50
73.50
1 .
-
505.50 32B.75
100.00
(
9/30/44
3/31/46 6/30/46 9/30/46 12/31/46 3/31/46
9/30/46
3/31/47 3/31/47 6/30/47 9/30/47
342.25
9 378.00 626.00 `
42.00 966.57
32.00
5.40
*
*1 *f
9 394.50
385.00 * 64B.00 .1 361.00
*
.
V * -*
9 , `* r'* *''
`
` *
T. i*
Esrployer tlasa cr.d M drr. ca ^
Str.cdsrd^Asiieoto* Kfg. k iQcuirt'JLiiR Co.
410 tl./6 1 'v e S t. Kanano C i ty , rtie e o u ri
Fibrcbocrd Pepex Product* C_rp. 1709 Kcncguaicry S tr e e t San Fronclocq, C a lifo rn ia
J . T. Thorpe, Inc.
Plbrebcard Paper Product Cerp.
Hugh A. Elodon
/o.
3262 B. Gage Ava, liunclngtoa Park, C alifo rn ia
Bechtel Corp.
220 Cush S t. / / . Can P fa n c lo c o , C a lif o r n ia
Tharp* I n s u la t io n Covpany / - 2L7o4a1ASn.g eYleccse, CAavleif.o r n ia
Dtcarpo Gager C orporation 1 3 . D66e0nvBcraCnn6oack1oSratd. o
Industrial ^ rn a c a a , Inc.
/4.
944 E. n lcu to n Ave. Laa A n g e l a , C a lif o r n ia
&
i* . /6 i
In d u strial lo cu lito re, Inc. ta x 3300'' U ouctcns,' Texan
S la tte ry k Ccnpany, In c. c/o Jabn J .\ Connor, Pron. 101 V a lle jo ^ C . Denver, Colocaca
i* .t ,
0 t
V.
* *
. I .. I. 1 * J.
p e rio d Prided 6/30/47 9/30/47
12/31/47 9/30/47 12/31/47 6/30/40 3/31/40 6/30/40 6/30/40
6/30/40
6/3 0/40 9/30/40
9/30/48
9/30/40
12/31/48
9/30/48
-
f c. ') 1
3
.Jri/
*< V 11v r-r
t 't
Vh *t
Amount
i
r *
*
1
3 462.00 460.90 J 12.65
' 029.00 1,059.00
9 334.13 `-`a " i..'r
902.25 402.00
126.00
52.50
169.00 479.13
. < -t J *
*l I
311.75 1l 8 .0 0
. *#. y
`Vn ' * . * 1
' * ' .`J
180.60
* r
129.00
i `i
; I *' ** Wa *. * $ *
. V* * ! 1
4
Employer tLaoe
'
rnd Addrtoa
1 Induotrisl Insulators, Ine.
y
P & 0 Engine erlog 4 Supply Cd., Inc. P. 0 . lo;K2531 Houston, Tq u i
The Asbesto* ! .HagueLe
n a cera is Ca'.
tl
119-127 il.)Ceorl S t. Chicago, I llin o is
ft 0.
JsckeniiM ncdetlon, In e. 'i
ta s 689 V"
JacJcicrf, 'Michigan
V \
\\
x"
Fuller Aui 11"' DOulaCion Co.
Hsx 36305 V/'" Houston, T^xas
Mundet Cork Corpi 7101 Tonnelle Ave. / / Earth Serges, Hey Jersey
J . T. Thorpo, ln c.
Thorpe Insulation Coapeay
1.
JJ"
1 I B Engineering L Supply Co., Inc.
Puller Austin In inletIon Co.
Aasa Irinulntion Co. P. 0. B^jr'4001 Corpus C h r isti, Texas
iog Angeles vrdi. Co. U. Dudley; .A. B. IlcMullcO ft H. B. Hargrove
365 H. Ave. 22 Lot Angeles, C alifornia
period Rnded 3/31/49 6/30/49 3/31/49 6/30/49
12/31/49
6/30/49 9/30/49 12/31/49 9/30/49 12/31/49
12/31/49
12/31/49
12/31/50 9/30/50 12/31/j O 3/31/50 6/30/50 3/31/50 3/31/50 6/30/50
9/30/50
Aeunt $ 131.15
40.85 914.29 199.95
76.00
792.27 748.20 32.40 396.00 659.26
41.56
166.23
4 706.25 752.50 198.75 549.82 216.94 251.75 93.81 65.50
233.00
fit
So.
2J`
123 Eaployer Mane
end Address Johns Manvllla Sale Corp. 22 E. 40tb S t. Hew York., New York tfundet Cork Corp.
Thorpe Insulation Cooptoy
IMcdet Cork Corp.
Cacot Insulating Produces 2GC4 Lacey SC. Los Angeles, California J. T. Thorpe, Inc. Ancstr'ong Cork Co.
A
Mundet Cork Corp.
Coast Insulating Products Itacce Insulation Company 4563 Volley Dlvd. Loo Angeles, California J. X. Thorpe, Inc.
Thorp Insulation Company
1 1 1 Engineering h Supply Co., Inc. tlundee Cork Corp.
Period Ended
3/31/53 6/30/53
3/31/54 (?/30/54 9/30/54
9/30/55 12/31/55
3/31/55 6/20/55 12/31/55
6/30/55
12/31/56
3/31/56 6/30/56 9/30/56
3/31/56 9/30/56 12/31/36
3/3L/36
12/31/56
3/31/57 6/30/57
6/30/57 9/30/57
9/30/57
9/30/57 12/3JL/57
fe
-j ivVi <
Anoirot 9 632.20
1,426.30-
$ 1,569.76 1,767.00 Z43.24
9 1,550.25 78.00
1,734.00 795.60
1,356.50 301.20
9 321.60 206.00
2,240.88 572.00 104.00
1,006.36 2,420.40 1,651.00
160.80
9 1,675.00 281.40 26.80 187.60 207.87 653.20
1,618.80 .
3*-
fcp lo/er Ham e r '1 Adrircs
Ovens Corning Flberglaa Corp. P, 0. Eos 901 Toledo, Ohio
J. T. Thorp, Inc.
Hinder Cork Corp.
Lee R. Ekino Company t.933 Valley Boulevard Loo Angeles, C alifornia
A c c u r a t e Insulatioo Co., Inc. 900 S o u t h Cypress S t. 3 / ' La Habra, C alifornia
Thorps Insulation Company
Kundec Cork Corp.
Owens Corning Fiberglas Corp.
Pinne AcV ico * Co. 3 * 13c0e0rv(viH}rflie\,s'trCaClifornia
tfc.Vir^ctiU- d v r ,1 fl< M 6 . -ArcjMor.g-Coriu-CoTr--
r ~y C eK f.
Plane Asbestos Co.
Arctftrong Contracting & Supply
Corporation 120 N. Mas St. IxQcaoter, Pennsylvania
Const Insulating Products
Arootrong Contracting & Supply Corporation
Pci~ tod Ended
9/30/57
3/31/50 6/30/58 12/31/58
3/31/38 12/31/58
12/31/58
9/30/59 3/31/59 6/30/59 9/30/59 6/30/59 9/30/59 12/31/59
.---- ,,
12/31/60
3/31/60 ---- -------
3/31/60 6/30/60 9/30/60
12/31/61 ------- 3/31/61 6/30/61 9/30/61
12/31/61
7 t . r#;/
Amount 9 09.40
$ 532.80 1,035.20 . 426.60 1,411.25 61.60
221.20
9 442.80 1,616.00 2,006.80 196.80 65.60 1.496.00 1.768.00
9
102.00
952.00 1,471.50 2,188.80 9 299.12
27120.60 2,059.20
366.40 253.60
I
<4I)
A L EX A N D E R A G E N C Y , INC.
IN S U R A N C E -W O R L D W ID E SINCE 1093 'u n i o n h a n k b l d o . . B i T t s a u n o H . p a . 1 1 3 3 3
March 22,1967
'/ V `7 U>'
Wallace B .H o fferth ,In su ra n ce Manager Armstrong Cork- Company L an caster, Pa*
Dear Mr. H o fferth .
Re: John T yler Vs F ib e r g la ss E n g in e e r in g k Supply,e t
O a li l'o n > la W orkm en's C om pensation Case hofOi
Wo wish to acknowledge r e c e ip t o f copy of l e t t e r and papers in connection with the above.
We have forwarded them to th e Standard Accident Insurance Co.- fo r a tte n tio n .
Very tr u ly you rs,
B.R.Shriver -
b yd>.OM-y
S.A.Huy I
H. es
!SOI' Printed I U.S.A.
* *