Document jBJ1OxywzqVp03RaEBVwg4Kop

.) CJ73L pmJiaiw ping JOB 325 PARISH 0T SXSAS ASUS op lonsjAm BiVISllM * 10023 ffiT?ffTg.TCflr lll'H'l' fOSDr BS208R& XEBSBL CD* ________ ai_________ BWCUtBP AUJliUTT 4 IBffjagg 00# tte fttragalag Joint psttlioa aad tevlae latarregrud Sapleyop aad belag of tbs that said agTaanant is id acemdaae* with tba proclslasD of fitia 23, Section* 1271-1273 of tba Louisian* Srvlssd Statotaa, tba law sad tha crldsnea bains 1a few tbarscfs B 33 oaiauaj dOJDZSB 4BD SECSBSSD * thi eoBproslss aottlnut ajraaoint tatwaaa Xeala iTraamiiin aad B;tiaaai Gypam Calefy aad Hartford Accident sad Xnauaolty aot oat Is tba fcsogolBg Joist petition, bn sad it la baraby approved, sad Brtlooal Qypam Caspar sad Hartford Accident & lodoBity Caspar ** beraby asthselasd to pay to leal* GrasUliaa th* fall sat of X3SH? 3E9BSHB PIPS SS3B3t 4 8)/lD0 ($8,500-00) MXWRS, lai. dittsly sad vithost sxy discount, la addition to tba WO SIOOSAHD 9urmt A BO/lOO ($2,030*00) ITTIldRfl iwlrjy eoapoasstlaa {variously paid sad BBS TBJBSUD SEV3EI SSST 4 3b/lD0 ($3#07&*31) BHW83 aadle&l sad bospital nspaoaaa heretofore paid by than, sad such payout shall bs la aad flaal caagrtolaa aattlaunf of an claim, a--a-se-j sqy sad all elalu far adtasl cauMt, Tight* of aetloo or canaaa of action which haws arlasa or Which sight hnaafto ana* la few of Zeals Gra&Ulloa aad agolast fetlooal flypam Cagyuy sod Hartford Accident a indantty Ccoptuy sa a rraoit of oeeo- aatiastl diw am-d w--. n.nli _ *ww syru. 1987, lasm Parish, looiaiw stl all ItMaw sustained tbanla by Ioiu QraaSllloa or resulting tharefem* 1 " diWL.Ill1 BSAO, gtiriitfBPb AfiZ> *Tfi**" la opaa court this 3/ 11CS3&L* * JtEU&LHP ATS? TgiraftSB Pursuant to the ^uflggwrrt hereinbefore set forth for and in consideration of the peyoent to so by Rational Gypaua Caspar and Hartford Accident fc Intensity Contain of the sub of SIGHT 22CUSAHD FIVE gUTTEftST) & BO/lOO ($5,500.00) IQZIAHS In cash, receipt of Vhieh Is hereby acknowledged this <2 / ^ gay of 1965. 0 I do hereby release, acquit sad forever discharge Batiaml C-ypsua Co. and any and all of its agents, representatives, officers, stockholders, directors and esployees, and/or Hartford Accident & Icdencity Coapony Iron aqy and all liability for cospensstion, radical, surgical or hos- pital expenses, contingent expenses, damges and all other asousts,lf any, vhieh sight be due ss by reason of the occupational disease con tracted about April 19&7* or of accideat prior to the date hereof vhether the liability, if aoy, be under the lave of the State of louisiaiB, ci* cf ary State of the United States or the lavs of the (/