Document R22QQzJ2ZJEqDX2JBmkV57ZwB

Suit of New Jtnty Otpvtmtnt of Libor (DIVISION OF WORKERS' COMPENSAi ION ^JUDGMtNT Jtjdi* Its") HotKO approving httumcnt OISMtlAl C.P. NO.'S X (c - ( '/ </ /.' UAWC1 /-.? / / Oistfict Office //w, //tr SOCIAL StCUftlTV NUMII* ///- 10- SU? NAM< l~ / AOOHSI (IR<IUIR| CsifRty) >. TSy FtDC*Al lOCNTirtCATIOM NUttMll" !< n NAMC^ " 2CU5L7 "_ 2J /. /it> ( 11 OORUS r /'/c * *e( * Ov+. $ft $Ki (`j n ><`i i- )t '/ ('V/c'J 0L 5* ~ ) 'J - Z'/ii-'t /_______ APACAAlNa / ,e ' / //'. />, / , IF RE-OPENED PETITION, INDICATE FOR LAST AWARO: OATI:. PERMANENT:*. TEMP:*. * tTht mtttar having eomt on befor* the Court on tMt__ Ihh a-( H* 0 , TO S~7 ORDER FOR JUDGMENT: It mpearing that the Pttitlontr ruffared a companeable injury on the above mantionad data whlla in the ampfoy of raapondant; it a Ordarad and Adludgad that patitionar ba mardad compenution banefita. payabia at indieatad on Paga 2. ORDER APPROVING SETTLEMENT: . Tha partita hating Mtttd tha mattar and a finding by tha Court hairing baan mada that tha tamo of tha itttlmitm art fair and juat; it it Ordarad that thia aatdamant ba approvad and tha patitionar ba paid aa indieatad on Paga 2. ORDER FOR DISMISSAL Thia mattar having coma on for hatring upon tha rarpondant't motion for Ditmnad vritidt wet mada and duly aarvad and third being good cauaa drawn, tha dawn petition hartin la hereby ditmiatad for . 1. Lack of Proaacution 2 ORDER FOR DISCONTINUANCE Thia mattar having coma on before tha court and tha court having received avidanet that thia mattar dmuld be dhcontinuad and for good cauaa drawn. It it OROEREO AND ADJUOGED that thia mattar ba diacontinuad for tha following raaaona: It it FURTHER OROEREO that tha payment indieatad on Paga 2 ba mada a part of tha Order for Diacantinuanee for patitionar'a ditability. (Pyrrintagw and mamban involved.) WE HERESY CONSENT TO THE ENTRY AND FORM OP THIS ORDER AND ACKNOWLEDGE RECEIPT OP A COPY. (Sian it reel man* (PETITIONER'S ATTORWEV)' MfiTiOnER Man* --imaa IRtarONOENT'S ATTORNEY! wcioo o-j-aei (HEARING OPPICM^UGNATURE) (OATEI S'/frr* iAO// ir i J>' " (NAlil SrTtEAAlNO QPPICIAU (PRINT OR TYPE! Judge of Companaation' Q Rafaraa rrrmoNES's attoiney GAF 15119 SlJt of >ruy c* Ars OlViS:0-. es WORKERS' COMPENSATION t vwNT7llu<W, M I to*^ oboe* E JUDGMENT /aea. dirt* ~ APPROVING SETTLEMENT_ DISMISSAL ~ Discontinuance no.'s (fc - ^ 9 Vf 0C *'!-'*** D>uo*"i* Uetenf* Pfrrmtggct. frttun ttt<, < /.*. . Is/tdAtfJ/t rw /unwirj s /' :4r.r. `7x~n 4~v,/? r-;. w' ^- >-~f- F~ e*rr ?. n.. ^'Ov^/iun/ ^ '+ktrmfk- , i?: tw***---* *. / JM*ct-*h*f. /; Jy,*l T*. <A< f I4tAbrtfStMi.:, 7iri AjL*>j#%U-'T r " p r> DlSAduTV AMAAOIO TIMFOftAMY idL Wmu ai S______ Qt i`co*1i - r-, S lan S J ta> >M * Ioann ooa I I - yz-. -- / Jdj&. vsa*u ai ( ........ PCMMANfNT: __ IM> ft ---------- Ml# IliW #M# ft . fc*>dic#i (Ooeton **do* intueuitont: irrinoNtn twtm *rritcrUr) GAF 15120