Document kmBXn98bNjpvdq1yyvJ0YrOQb

FILE NAME: Contract Unit Workers Comp Claims (WCC) DATE: 1958 DOC#: WCC025 DOCUMENT DESCRIPTION: Workers Comp File - Hartwig, Henry Contains all documents found in the Claimant's file, with one blank page between each separate document  l BALTIMORE ME'*' YORK CLARKSBURG TULSA ' S T i LOUIS CHICAGO LOS ANGELES ATLAflfA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI A u sx a n x d ssr t & A L E X A N E ])E E INCORPORATED INSURANCE AVERAGE ADJUSTERS CO N SU LTIN G ACTUARIES 2225 N O R T H C H A R L E S ST REET , BA L T IM O R E IB, MD. January 22, 1958 ,u>. s /S To:-*y TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "ALEX8LUE" Mr. W illiam 1 . Hughes, Manager Insurance Department Arm strong Cork Company L ancaster, Pennsylvania Dear S ir s T ra v e le rs P o lic y No. RUB 3386209 P le a s e n o te d i s p o s it io n made o f th e fo llo w in g claim s Date of A ccidents C laim ants L o c a tio n s Claim N o .t D ispositions EebguaftT 19 , 19$k Henry Hartwig Milwaukee, W isconsin B-8i 6$ iia Closed w ithout payment Remarks? In d ic a te Whether? Workmen's Compensation____x Automobile L i a b i l i t y B.1 PJU _ G eneral L i a b i l i t y B . I . _____ P .D . Very tr u ly y o u rs, ALEXANDER & ALEXANDER, INC. LOSS DEPARTMENT 3 tr' C^ - / - ' y-T ** COMMISSIONERS R. G. K N U T S O N , CHAIRMAN A. W . E N R IG H T JOHN H. ROUSE H E L E N E. G IL L , SECRETARY W qt flf W is c o n s in ; INDUSTRIAL COM MISSION STATE OFFICE BUILDING 1 W EST W ILSO N ST., MADISON 2 FUNCTIONS APPRENTICESHIP Employment ser v ic e Fair Employm ent P ractices INDUSTRIAL SAPETY AND BUILDINCS S tatistics U nem ploym ent C om pensation W aoe Collection W oman and C h ild Labor W orkm en' s C om pensation January 7 , 1958 E2227-237 M il*, Wif* Aab&StOS P r o d u c ts , ZC* i t T s a r l S S i o . (C ert.) Armstrong Cork Company . L ancaster! Penn, {Cert) f s ^ a I? " to s s a s iLS. Toebaaa , S a r t , iKraege & Jackman, A ttys, S* Hamilton Ison, Wisconsin Employers Mutual Liai Wausau, Wisconsin Ins* Company Ins Company $c S S a i sbesto s and Cork Co C hicago __-- , lS ln o ls 9t 8 e r lf ie d ) T ra v e le rs Insurance Company 735 Hs Water S t , Milwaukee, Wis* o:r C asualty Company u n iv e rs ity Ave* Paul Minnesota C e n tra l S urety Company 223 E , Wisconsin Aye Milwaukee, Wisconsin Secretary of State A ttni Mr* Boberis S ta te C ap ito l, Madison, Wisconsin Standard A ccident Insurance Co* 759 H Broadway, Milwaukee, Wisconsin Goldberg A P rev ian t, Attys e a tre Bldg* 9 sconsin SIS1 Wickham, B o rg elt, Skogstad & Pow ell, Bo BroaludWwiay Milwaukee, Wisconsin Attys* BEFORE IBS INIXJSTRIAL COMMISSICH OF WISCCHSIN Henry Hartw ig A pplicant, vs* Sprlnkaara Son C orporation Employers M utual l i a b i l i t y Insurance Company U n iversal Hoofing A In su la tio n Company Employera M utual L ia b ility In su ran ce Company Culberg A sbestos A Cork Company Standard A ccident Insurance Company Armstrong Cork Company T rav elers Insurance Company A sbestos P roducts, In c , Anchor C asually Company A* H* B ennett Company C en tral Surety Company Respondents & Insurance C arriers* ---- 0O0-- H earing was h e ld a t Milwaukee, V isconsin , on August 13, 1957* APPEARANCES* A pplicant In person and by Padway, Goldberg & P re v ia n t, A ttorneys, by Hugh H afer & A lb ert J . G oldberg, A ttorneys) respondents and insurance c a r r ie r s as follow s* Sprinkmam Sans Carp, and Employers H itu a l L iab. Ins* . Co* by J . A. Bloom quist, A ttorney) U n iv ersal Hoofing & In su la tio n Co. and Employers Mutual lia b . In s . Co. by V. F . F ountain, A ttorney) Culberg A sbestos A Cork Co. and Standard' A ccident In s . Co. by E lecska A F risc h , A tto rn ey s, by John B* F risc h ) Armstrong Cork Co. and T rav elers In s . Co. by J . S . Coleman, A ttorney) Asbestos P ro d u cts, In c. and Anchor C asually Co. by Q uarles, Spence A Q tarles, A ttorneys, by S . V. Powell) A. H. B ennett Co. and C e n tra l Surety Co. by Toeba&s, H a rt, Xraege A Jackman, A tto rn ey s, by V. L. Jackman.- Follow ing th e b e arin g , a compromise and req u e st f o r award under d a te of November 1 9 , 1957, was f ile d w ith th e In d u s tria l Commission on December 3 , 1957. T his compromise i s signed by th e a p p lic a n t and by h is a tto rn e y , Hugh H afarj "by Sprinkmann Sons C orporation and Employers M rtual L ia b ility Insurance Company by J . A. Bloom quiat, A ttorneyj and by Culberg A sbestos & Cork Company and Standard A ccident In su ran ce Company by John B* Frisch Attorney* Based upon th e reco rd herein th e examiner makes th e follow ing Z I f i J 2IfiJ S .S J22 2 2 I That a t v ario u s tim es th e a p p lic a n t worked f a r each of th e above employers j th a t he s u ffe rs from th e d ise a se of a sb e s to sis) th a t th e re i s a v a lid issu e cn th e q u estio n of th e e ff e c t of p o ssib le exposure w hile working f a r each of th e above employers w ith re la tio n s h ip to th e o nset o r development of the disease) th a t th ere is also a question under th e S tatu te of lim ita tio n s w ith re s p e c t to some of th e employers h e re in ) th a t however th e S ta tu te of L im itatio n s does n o t r e s t r i c t th e claim w ith reg a rd to Sprinkmann Sons C orporation and Culberg A sbestos & Cork Company) th a t under th e com prom ise th e a p p lic a n t has agreed to accep t and th e Employers M utual L ia b ility Insurance Company f o r Sprinkmann Sons C orporation and Standard A ccident Insurance Company f o r Culberg A sbestos & Cork Company to make payment upon th e b a sis of l i a b i l i t y represented by 70 p e r cen t of permanent to ta l d is a b ility In a d d itio n to tem porary t o ta l d is a b ility from March 21 1956 to October 12 1956 w ith such l i a b i l i t y d iv id ed between th e Employers Mutual L ia b ility Insurance Company on a b a s is of 87 l / 2 p e r c en t and Standard M 4 A ccident Insurance Company cn a b a sis of 12 l / 2 p e r cent* The!.examiner fin d s th a t th e claim i s p ro p erly su b je c t to compromise and th a t th e compromise above s ta te d i s hereby approved) th a t th e tem porary d is a b ility between March 21 1956 end October 12, 1956, covered 29 weeks and 1 day w ith re s u ltin g l ia b i li t y f o r tem porary to ta l d is a b ility in th e sum of $1,327.08) th a t th e a p p lic a n t Henry Hart-wig was barn January 8, 1890 and th a t a t tim e of in ju ry he was 66 y ears of age, th e d a te of in ju ry being th e l a s t day o f work on or about March 20, 1956) th a t fo r 70 p e r cen t of permanent t o t a l d is a b ility he becomes e n title d to compensation in th e sum of $15,540.00) -3 - That th e lia b i li t y of th e Eaployers H itual L ia b ility Insurance Company i s a s follow s* Tor tem porary t o t a l d is a b ility th e sum o f $1,161.20 and fo r accrued permanent p a r t i a l d is a b ility th e sum o f $2,072*00 or t o ta l accrued l i a b i l i t y of $3 >233*20) th a t th e Employers Mutual L ia b ility Insurance Company h as p aid compensation in th e sum o f $1,350*00 learning an accrued balance payable in th e sum of $1,833*20 from which th e re s h a ll be deducted au th o rised a tto rn e y fe e of $282*48 w ith an accrued balance payable to th e a p p lica n t in th e sum of $1,600.72) th a t th e re rem ains an unaccrued balance o f $11,525*30 payable by ih e Employers H itu a l L ia b ility Insurance Company a t a monthly r a te of $140.29 beginning February 3, 1958, and from such monthly payment, th e re s h a ll be deducted th e sum of $21.04 payable d ire c tly to A ttorneys S a fe r and Goldberg w ith th e monthly b alance payable d ir e c tly to th e employe in th e sum o f $119*25) That th e l i a b i l i t y of th e Standard A ccident Insurance Company i s as follow s i Accrued tem porary t o ta l d is a b ility in th e sum of $165*88 and accrued permanent p a r tia l d is a b ility in th e sum of $296.00 or a t o ta l of $461.88 from which th e re s h a ll be p aid a tto rn e y fe e in th e sum of $69*28 w ith an accrued balance payable d ir e c tly to th e a p p lic a n t in th e sum of $392.60 The unaccrued balance of $1,646*50 s h a ll be p aid by Standard Acci d en t Insurance Company a t a monthly r a te of $20.04 beginning February 3> 1958, and from such payment, th e re s h a ll be deducted au th o rised a tto rn e y fe e of $3*01 w ith a monthly balance payable to th e a p p lic a n t in th e sub of $17.03* The shore d is trib u tio n s e ts f o r th th e l i a b i l i t y under th e compro m ise pursuant to which Sprinkmann Sons C orporation and Employers Mutual L ia b ility Insurance Conpany. have accepted l i a b i l i t y in th e t o ta l sum of $14,758*70 and th e Culberg A sbestos & Cork Company and Standard Accident Insurance Company in th e t o ta l sum of $2,108.38. The examiner fin d s th a t th e a p p lic a tio n and claim of th e a p p lica n t s h a ll be dism issed w ith reg ard to U n iv ersal Hoofing & In su la tio n Conpany and i t s In su re r, Employers M utual L ia b ility Insurance Conpany) Armstrong Cork Company and T rav elers Insurance Company} Asbestos P roducts, In c . and Anchor C asualty Company} and A. H, B ennett Company and C en tral Surety Company, NOW, TBEHEFOEE, based upon th e compromise dated November 19, 1957 f ile d w ith th e In d u s tria l Commission December 3 , 1957, and a lso upon th e above fin d in g s and th e reco rd h e re in , th e examiner makes th e follow ing OR 1 jj That w ith in te n days of th is d a te Sprinkmann Sans C orporation and Enployers M utual L ia b ility Insurance Company s h a ll pay d ir e c tly to A ttorneys H afer and Goldberg th e sum o f Two Hundred Eighty-Two and T arty -E ig h t fo e Hundredths D o llars ($282.48) and s h a ll pay d ire c tly to th e a p p lic a n t, Henry Eartw ig, th e sum of foe Thousand Six Hundred and Seventy-Two One-Hundredths D o llars ($1,600.72) and beginning February 3 , 1958, s h a ll make monthly pay ments in th e sum o f foe Hundred F o rty and Twenty-Nine One-Hundredths D o llars $140.29) u n t il th e fu rth e r sum of Eleven Thousand Five Hundred Twenty-Five and F ifty foe-B undredths D o llars ($31,525*50) s h a ll have been p aid and from such monthly payment of foe Hundred F o rty and Twenty-Nine One-Hundredths D ollars ($140,29) th e re s h a ll be p aid th e sum of Twenty-foe and Four fo eHundredths D o llars ($21,04) d ir e c tly to A ttorneys H afer and Goldberg. I t i s f u r th e r ordered th a t Culherg Asbestos & Cork Company and Standard A ccident Insurance Company s h a ll w ithin ten days of th is d a ta pay to A ttorneys H afer and Goldberg th e sum o f Sixty-N ine and Twenty-Eight OneHundredths D o llars ($69.28) and s h a ll pay d ir e c tly to th e a p p lic a n t, Henry H artv ig , th e sum o f Three Hundred Ninety-Two and S ix ty One-Hundredths D ollars ($392.60) w ith fu rth e r payment beginning February 3 , 1958, a t a monthly r a te of Twenty and Tour One-Hundredths D ollars ($20.04) u n t il th e fu rth e r sum o f 'foe Thousand Six Hundred F o rty -S ix and F if ty fos-E undredths D ollars ($1,646.50) s h a ll have been p aid and i t is fu rth e r ordered th a t a tto rn ey fe e in th s sum of Three and foe foe-Hundredth s D o llars ($ 3 ,0 l) s h a ll ba paid d ire c tly to A ttorneys H afer and Goldberg from each monthly payment of Twenty and Four foe-Hundredth s D o llars ($20.04), -y- The a p p lic a tio n s f ile d August 16, 1956, March 1 , 1957, and March 8, 1957, s h a ll be dism issed v ith reg ard to th e claim a g a in st U niversal Roofing & In su la tio n Company and i t s in s u re r, Employers Mutual L ia b ility Insurance Company; Armstrong Cork Company and T rav elers Insurance Company; A sbestos P ro d u c ts, In c . and Anchor C asualty Company and A. H. B arn ett Company and C e n tra l S urety Company. Given under may hand a t th e C ity of Madison, W isconsin, th is . I * day o f January, A. D, 1 9 5 8. G. V. O tto Examiner. O ctober 2L, I 957 Mr* C h risto p h er H off Alexander 4 A lexander, Ino. 2225 H. C harles S tre e t B a ltin o re IS , Nd* > Dear C hrist Subject) Workmen' s Compensation Claim Hewy H artvig - 5/29/56 B -SI65I 4L - V iseonsia We enclose two oopies o f a n o tic e , postponing th e hearin g o rig in a lly scheduled in Milwaukee fo r Hoveaber 15, 1957 Vary tr u ly yours, ARMSTRONG COBS OQMPAHX JBZ Zac lo su res ft* 0 . S ohiedt, J r, Insurance Department V 16 / L. ^ NOTICE OF POSTPONEMENT OF HEARING INDUSTRIAL COMMISSION OF WISCONSIN Fottrf Tkx+vU:* x n ? ? tiihni&v f 7 l 0^ y ^ '.n ^ r< .U uiS K S ? ; . & * * t* p a M ^ ^ r*M C a y p .^ g : f | j w --------------------------------- ..................... Anp^prli-c*antia t * * A S h u *o# 5 ^ *;* ;'*?** s t ##jLtw . n * . va. d^>rlf)EMiMm **#i* o rp * -JS n to a ra ftt -f*>of i ng-tr -IjrsfcEt*w r v;yT g;fe^ - 7 b e a to h c o sis C o . ^ r n a t r o n i r d o r s Co* P9bgtoe Pro.# Xfto*#.# R#BnnOtt Co. ?* __^ *.lIt* _____________ tfti io# fee* surer 'f r k w i z r t I fe s * Cn## ^n<5ho* eo * C o . Contrai, floroty Co# To the parties above named and to each of them: A*8*?^5ftR5rtit C$#* T O letM ?X *. C u ltw rg A tfb#*tn A P e r* , o a # & * * * i ^ Mch!?& e*>,2i n CMSfeKeX Co*S23 *>#$.*Avft* s%6i^nrd M s* In# Co# *T 75? 3Bro&dvxty*KV*w* v ia # jsrployora & Htw# 8liH$8* i m t * # tty ft* n v .> ri* Notice is hereby given th at the hearing scheduled a t -------------------- on the----- postponed. .d- a..y....o..f. V v n t M r ., 195. ? . . , at._ ????.o 'clo ck in the. < " ' noon is When the case has been reassigned for hearing interested parties will be duly advised of date. Dated at Madison, Wis., this------2-3-- day of, C(5 r&tsery o f ^ ta t# A ttn : Mr* A b o rto fcofeab* 195 7 INDUSTRIAL COMMISSION OF WISCONSIN S a te: None of the parties should appear at the time for which hearing was originally scheduled. All parties should appear when time and place of hearinig la again fixed and notice given. O ctober 22, 1957 Kr C hristopher S o ff Alexander & A lexander, Ino 2225 I C harles S tre e t B a ltin a r e 1% 8*171sad Dear Chr Subject /Yoxkaea* a Compensation Cla la V Bmrjr H artvig D/A 5-29-56 B 8L65U1 - V isoonain Vm enclose two copies o f th e N otice o f Hearing issu ed In connection w ith th e above captioned cladau te ry tru ly yours, E n clo su re s fi* C .S ch led t, Jr Insurance Department  222?-* Fono AH* " ( "v' >: ',.~ NOTICE OF HEARING f ~V' 3 J INDUSTRIAL COMMISSION ` i .,,, ./-t ^ w .T crV'WORKMEN'S COMPE u^-v'A V - * `:-5'fT'v,`-*-,-cc-* 1*,>*- ? 4 *r ,.;iK. > ' -=?-'V ; OF WISCONSIN Gfcldbura a ? r T lsa t| Attr#,, f Vi ir.< ' Fit'. _ %'* ' jlica.nt.. . ^4^0 i*^ ^ ` f vW '* lE I ^ S P iW ^ ^ ^ A ^ I a ju la tlc a COoJ . J*-$-li4l3fc A - ffc -C j|-4 jP 5 Si *Jk4fefVfctVw*A7VA p ^Py M*JU *0 *.*. ** '...(&*t< . * -- d p H S m p B R f i ; > , xto i. fBjWr WhWSVfflBK ^rSs.M S^.^i Sa rIotjf tC 2 aL ^c S ^ * a. !5 ^a ^ v y: - > .- 8 l 4 * * S * 5 i^ 5 Y 3 S * * J 8 U t * - f i l f c | i 2^ ^ ^ ; : ' v K ;;, -- - * /F - \s -r -s*> Zi->. f Y tt*** ' X ttl& t& eft To th 'parties named :'i?2a -V ' Notice is given th a t on th e * r.-,...' .... J.V- - 'fm S c day of L _ -8 6 $ E iffiE S ----^ ----, 195__-7at_j^ f jO > c^c- '-'s-Sj.v.-'-.T?-- - 5. ._:>*tK ,- ,. ..'- .--. -1 . _-.`t1: . . r ' .-- -r .' '.-... , .* o'clock in the __|MUgt-__-noon at 4th Floor, 794 No. Jefferson Street, Milwaukee, Wisconsin, a hearing: ' - ,. * '7~-~ ' t ' '* ' . i ^ `i j_, - t ",`.-t'"`v* %. * f * wj ".' 7 '- .. -i < ' c- : v*--* .- *<' ^ t ,*? will be held by the Industrial Commission to determine m atters in dispute as set forth in the applica- ** - ^ ;*- '.. - X ? ^ '- - -, V~, - *i . - - '5 ,--V. :.? '* * % . .. . ?-" - , tidn on file.- -. ;V^'\f *J-~'.'-`'F-ffM T iff^ '%.7 *^*'' ; 'V; i;5 ;v ,v /, ' NOTE: Immediately upon receipt of tnu notlce Be*r7 witnewe Muld be informe *nd .definite arruifem enu made for their attendance. IfVrraniem im tidinnotri^'m ade, in/dra the eoromlasion at'nneai - f- : .f ' r CoAnUn.uance will not be Brauted mewly lor^Uie^conveni? n(*.^ox a party, nor because parties have so%ag- r-e`eSd between ;.: . . ' - f ____. 1 . . ' S Tw1 - ----SV *'* m --*ta l ' Sj. OMahlilttvo S.AS (o ------ ^ 'V A aei o a* aeifl m \ a d a a a --^ m -- - V -- .1 ----S .-1 _ October 9, 1957 V C 16 *V"- NOTICE OF POSTPONEMENT OF HEARING INDUSTRIAL COMMISSION O F m 7 " * HU> & i B . 2227-- A afceetoa P ro d . In c 710 g g y ao iid ,. r o s tr a ^ Cbrk Co l8oea$$ 9a& Sprinbasna Sons Cor? Ul& 3* no jta& -8 3 iF t# 4 s.- Applicant A* B* B e a n o tt O a. U 3--0U 5 a 1 va. Klxm &apoXla & ina* ibriabssan -4fess-45. gsfCfet K Cork Co * A i f c w W P r t t U lrx* a* 1 2* a r* e tb 0> .. _ sw s t& a ta n ft a m # i n s . <b - t ^" ur '^ Sffi}XoYr* ptu* H o * Int5 Co *riiV0Lor& ^ Xa&s Co* A n ch o r Coo C u C o n tra * S u rety To the parties above named and to each of them: eulbr$ Aftbeo-oa o&fi Q&& Co 1402 lw S* iiaioteO s t* f CSnct^o,' Trov. Ins* C;* 735 a fester giUltr /jachor Ca &* 2?Oj Univ# ire. Co&trsl Surety & 22J E`*t iU liui. ^Standard Ace Ins* C0.759 a* #1 &romiay9 illius.~ee9fei3 licfehss*. B o rso lt, Skogsted esslitw S25 M Brohdvay, e 9feia W# afaekaan* Atty 111 3 H so llt t e l o y e r * I8utu&ift*saaau & Iill6 ii: ILleosko end friochfA tty iiiiw* Notice is hereby given th a t the hearing scheduled a t __ tfljTN/ilJf te *1__________ on t h e _ ^ ^ -------day of_. C C 5?^ S..----- , 1 9 5 .7 .., at5.l.3A_ .o 'clock in t h postponed. , e . _________ noon is - When the case has been reassigned for hearing interested parties will be duly advised of date. Dated at Madison, Wis., th is. . T I I L . . .day of____ ____ ________________ 195.7... S ` INDUSTRIAL COMMISSION OF WISCONSIN C C -r> eorotsry o f A tt-. i $*? R o b e rta N ote: Nona of tho parties should appaar at the time Sot which hearing was originally acheduled. All partiae should appear whan time and plaea of hearing la again fliad and notice given. September 1 8 , 1957 Mr. C hristopher H off Alexander & A lexander, In c . 2225 H. Charias S tr e e t B altim ore 1 8 , Maryland Bear C hrist Subj e o tt O ccu pational D isea se Claim /H enry H a r tv if V 5 /2 9 /5 6 - W isconsin 8-8165141 Vs en clo se a copy o f a Hot i c s o f H earing Issu ed by th e I n d u str ia l Commission o f W isconsin* Very tr u ly yours, E n clo su re MSB R. C. S ch ied t, Jr* In su ran ce Department t a ' " IXrm A * -*5-- *' : NOTTIICCEE-;OF- HEAARRIINNGGIiffiti. ,*<* "i,. ** ' - / 1 - ;> "i:'*-` .... - - .*- f-r i i f ~ 4 ---S*--5,* A?J & * )i. t --r.^U'. V ,, * K * ITNX TDThUTf SC HTPRD ITAA L*'-' CP AOI UMUMf T ICSC T A X T A U T \7 T C d '',r^X .T O rV T .:^ V r; ^ g 0 i ^ S ^ t f S t S S v :y . iVrV iUJt>* iy J^ K W S '-: :4 WORKMEN'S COMPENSATI D I V I S l b N A 2^ - .> ** ' - 1 .?' ;*'*".r- iS^s*K ..----nw- .`.fe - -- i; T ' ^ '- ' +y&* iJ-?W 3o?iflJ3MHI foB* C A T p w 1 I tf r s f ln f A Z b f td a U c a C e , C oX bafg ':i.W3r v - A * & 3 9 & A -C * ^Jte^-A 2 iu E t ^- C o rtt-i ' COo* i s t e s t n P!P04# Z a il# f A fl9 >.>-;':'^. ' **?iLs,r.v_,,.,3 '.;=. 8w a w H u Qi i b >< Chp** wnffliayt w i J 1 Ifetotal 14a* Q e . a O w R a a l t r 0*# * - .- ` i*-" ` U<r. ' -- - * "*--- **- r``.S_I<#i>A'i-^;'O.*. '**. #' in # # r e f tfeti*** J jtU v a & M ;;v ,To _ . o u k d ^ tV i , 7* - Notice Ujpven that on the tiM F ? o'clock m the ^ sH ^ ^ x ^ n o a n at 4th Floor, 7P4 N o. Jefferson Street, Milwaukee, Wisconain, a hearing . ,';s' : '>-- S'.. >i,r > *<%*$%* Tir.s>CS?-`-=` >- - - - _ fll t ^1 J * -- -J * -- *~Ti 1 1 /^iuM A iM aa4 AaK '- ^ *--------*~~ - - *-* Im Jn >4 n <k 'a^ A 6 m r^a*v-3"-^.'L'--7^,V? 3l,t. . - NOT^; Iww*fal*Iy Br><>w aM < tM>jwtte jicpair> liunn4 ad 4niu srriuiimats :y * p"me>if' tM r ItMidtiwV. i r rriA^Brt* CkMwtl'W 7.,^,' --.. . i>.-:;C^o-ntimuJKs wiMnct D<#xnmtM Dwrei/ joxjtat cijnverlenc* af party, nor mcsom part:i.e->*~jn-**\t so afred stwoen' ' ' ti>efii*eiret. '- - >- Unletit tha >#.*' i omisisaioii't^e*on2*a'"e(n*ti*%to*fne*o*D-.*thi.n"aanee is Mdned, hssriag VQl he had as sad when scheduled.. - :$.W,r'*^f-?->"`-u-i ,> ,*-V^----Vi,.. ',- 7'.-."-A If you sre noi prepared or entirely certain fast you^an fuliy' proceed notify as. immediately; otherwise hemriny' INDUSTRIAL COMMIS WORKMEN'S COMPE WIS( S A T IO N D m s lO N i^ ; ? iM a i: '-t ' Sfwtxsam m a^Jcio rp * ' W v ir l^ ;> /|| ' n ^ f l r s A z& rU tlm c t( Cialbrf Xzhail&a. A .gagfe.ifo : &58&t?aft3-fiagfc $<>1 A abssrt& i 3 P iro d j^w i# ^ 'A# " C.TO*de for. theirjaitenSihe^ lf'ir r a n r e m ' n ir caniiot .'fee m a d ^ ^ ^ n ' t l ^ ^ a R a u i ' H t * ' .` `\ r.;7t '-' > * ;V *.v:U*&**jL22t ^ -- ? ^ V - 'Z.'fC tr 5 dtyt, rohtrn to UAL COMMISSION, Offic* Building, DN 2, W ISCONSIN A r m s t r o n g Cor k Obupariy Lancaster, Pennsylvania / Ju ly 26, 1957 Mr. C hristopher H otf A lexander & A lexander, 2nd. 2225 H. C harles S tr e e t B a ltla o r e I S , Md. Hear C hrist Subjects O ccupational D isease d a le Haary H a rtv is He are e n c lo sin g a copy o t a R otioo o f H earing issu e d by th e In d u str ia l C osaission o f W isconsin J u ly IS , 1957* A pparently a sim ila r n o tic e vas se n t to T ra v elers M ilwaukee o f f i c e . Tery tru ly yours, JSZ E nclosure B. C. S ch ied t, Jr* Insurance H epartaeut ****>*,,*, ft*f 5 diy, return to TRIAL COMMISSION, at# Offict Building, SON %, WISCONSIN J CtRTIFiED u,.H 5 0 e z ? - rr^r- - ) Armstrong Cork Co. Lancaster, Pennsylvania / CLAIM DEPARTMENT STEPHEN C HARHOLDT, Claim M a n a ga r Armstrong Cork Co. Lancaster, Penna. rm m ijrrT<iwvr&<yf(0'rt'nt7/riVV/rifi<f//l^/ &r.vee& .9)idmm/fo/$evn/iaMy' (j7 P < sr f . o f a - . <7 / ? . ? March 15, 1957 W 1. BRA N C H OFFICE First Wisconsin National Bank Building 7 3 5 North W ate r Street at East Mason Street M ILW A U K EE 2, W IS C O N S IN Telephones BROADWAY 6-0820 Gentlemen: Re: B-8I 6514I Armstrong Cork Co. Henry Hartwig 2/22/5.? . ~'l "in jK ' 1 You have undoubtedly received your copy of the Application for Ad justment of Claim filed by the above-captioned employee with the Wisconsin Industrial Commission. Proper answer to this Application has been filed by us as your Work men's Compensation insurer. Yours very truly, J E C : grm cc: Alexander & Alexander In c. 2225 N. C h a rle s S t . B altim o re 1 8 , Md. H O M E OFFICE: 700 M A I N STREET, HARTFORD IS, C O N N E C T I C U T March 1 1 , I 957 Mr* ea& S* Teman Alexander & A lexander, Inn* 2225 H orth C harles S tre e t B altin o re 1$, Md. Sear Jia* / Subj e c tt /Henry H artvig / lab e sto g ie - Vlsconsin ^ 5/29/56 Ve enclose A p p licatio n fo r Adjustment o f Claim f ila d by Henry H artvig. Ion r e c a ll ve had some p rev io u s correspondence ju s t re c e n tly on th is In d iv id u a l. As th e enclosed envelope in d ic a te s , th e a p p lic a tio n vas a is cen t to L an caster, VIacon s in , so th a t th e ten~day p e rio d re fe rre d to i s already h a lf gone* Ve t r u s t T rav elers vLU do tics n ecessary . Tery tru ly yours, SZ E nclosures fL C* S c h ie d t, Tr* Insurance Departaen t , INDUSTRIAL COMMISSION OF WISCONSIN Gentlemen; ' S ta te O ffice B in d in g , Madison 2 : . March 6> i95? We are enclosing herein copy of an application for adjustment of claim which has been filed in this office. Under the rule* of practice of the commission you will be given ten days within which to admit service and make your answer to the application. One copy should be mailed to us; one copy to the applicant, and one should be retained for pour record. Unless you deny liability you should proceed to pay compensation immediately, in accordance with the provisions of the law, and not require the applicant, as well as yourse2f, to incur the expense, incidental to a hearing before the commission. In '? the meantime all compensation ,which is ceneededly due and; which has accrued should be paid and the commission notified. Payments dearly due should not be withheld because application has been ^ ^ lA p id ican t f ~ JA u & T M M V "fiBiT" . _____ . a , " _Pm..o....n...d....e...n....t.. .... . ; The respondent above named, for answer to tfiTappliaftfO TTereii^ : a is m ? .. 1 . It Is admitted ) that applicant sustained an injury an o f about the date set forth In the appU- k denied*; M . ------- ,, **'-'>.X'Sv,,C.l*. *i-" * v. I1 the relationship ofem ployerand employe existed at the time of the alleged admitted 1 that the parties w en subject to the workmen s compensation act at the time S ^ M L . TO- mtomAZtoto - --- I ill T !- 4 a 4lWTO I . Mi - . A AA A MM .. */__l it-JL a.- .M .r . . ' toTOVMATO*TOto4^ w- 1> > .__ \_ .A M tel. . r . A. AOT*-.. --. . 5. It is ' j f that th accident or disease caosing Injury arose out of the alleged employment. denied stater temporary disability admitted 0 . ." - readmitted K " i denied that the rate of wages as Mt forth ia application ls correct. If denied state; . t y. - v ftV*5|?tSj|& weekly wage admitted 1. ~ a .sr-o- .t>*r 4A .. . ) admitted ) that the alleged employer waa insured under the workmens compensation ad, ..f * ^ I x . denied at the,tim e of alleged injm y. ' ^ 11. State exactly what mattere are In dispute between you and the applicant, and yur reason for deny- .^T Y.i"-- ing liability ae (If any etatonenta are found to be incorrect an amended answer may be " ,"r ' filed) -;-/vvT-: '.Vil- a'.'.v.iuwit--i^aau-r^lfc.tJL: M 4- ',.;-:-',t.`i*ki (Us other aide if necessary) R esp o n d en ts'^? l * . - /X 'r -i _^ > IN M JSTRUL COMMISSION--WORK-MEN'S COMPENS AHON APPLICATION FOR ADJUSTMENT OF CLAIM (Occupational Dfaeoae). 5. O: Jasi day of work injured waa e&nmijr &S?___ per day ______ ____^___ per Week _ 8. D sabmt yf or w cVeol f epe^t dB^^. , , ; JhifTTft H ,1j8. . rimrninmrfc A y W *-^ t . ' m iUminn1n| litgift -*rk l iF#64hiSi" *r* < * & -- .- Y v '.Ajt*ni T im ^ K f R e t S h '- y r i S H r ^ f e a ^ ^ ^ ir '^ ; i" ' * >><-. '4T jk I * 17. Expense I ncur r ed f or doct or $ 26, 00 ,,For hospital and'inedicines $ 30.00 .V tn ^ it injured has been confined in a hospital or sanatorium give name and period: ' , *. .? ` i ::! ` ' -? : ' ` . . . ` :>, -j- Ss*v? - r*r,20/ Name.of deceased _~7--.---~1_v.-- -----u _____Relation of deceased to 1 .V'-.*- <4.; ,'T -?#V jr.- / ia c iiM M 9 A KWal O I Hwlfi </ a l la k \ _*' . i; . /.. 'tri-^xM rii-'j vT, F^-a1*s^t-s.v>:' 4i~is'rl. iry^SiSRti^-tr*v* ->. -,1, - < v * , . , __ Wherefore the applicant prays th a t the respondents be required to answer the charges herein and > ' lliat an order or award be made by the Industrial Commission granting such relief as the applicant may ; <r ' . , , _nr 5V * f . ' * ,-%v 4w93gHii&V-* " (Applicant- iaw t sign here) ^ ,'--i'V 1' ' . Note: Either party to the dispute may appljr.to the commission for an adjustment of any m atter y -- - n dispute. -** s r * # .. , >; rv v r^-c"' ?s:; r': .V * .','*'' '; -*" '. -'.* .k>- ",'''.^ - .-. : The origiDa!-application and two.eopiea tor the respondent must be mailed to the Industrial -Jf-ji y - * ''' mission. Madison, Wisccnsin.- ' : ' `t .- ; . . ,: ; ` ' ,: a - ir r March 1, 1$57 Mr* Q. H* T inligr Alexander & A lexander, I n c . 2225 Morth C harles S tr e e t B altim ore 1 8 , Md. Bear Mr. F inlay* In rep ly to your l e t t e r o f February 26 regard in g Henry H artw ig, no B apioyer1s F ir s t Report has been f i l e d by Armstrong a s s ta te d in our l e t t e r o f February 22. H artvig d id n o t rep o rt any in ju r y to u s and h is a tto r n e y 's l e t t e r was th e f i r s t knowledge we had o f th e in c id en t Very tr u ly you rs, AEHSTROHG COBS COMPASS 1 C. S oh ied t, J r . Insurance Bepartaeat . * BALTIMORE NEW YORK CLARKSBURG TULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 N O R T H C H A R L E S STREET, B A L T I M O R E IB, MD. February 26th, 1957 TELEPHONE TUXEDO 9-4304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "ALEXBLUE" Mr. R.C.Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania m 2 7 eg; ititi Dear Mr.Schiedt: We acknowledge receipt of your letter of February 22nd addressed to our Mr. Fannon in connection with claim of Henry Hartwig, employee. The attorney'sletter of February 19th has been filed with the Travelers Insurance Companyfor necessary handling. In the meantime, will you please let us know if an Employer's First Report has been filed and if so, the date of the report so that we may identify same on our records here. Sincerely ALEXANDER & ALEXANDER, INC. R February 22, 1957 Hr. anas L Fannon Alexander & Alexander, Inc. 2225 Borth C harles S tr e e t B altim ore I S , XdL Dear J la i Ve eneloM th e o r ig in a l end one oopy o f a la t t e r fro * th e la v o f f lo e s o f Padvay, G oldberg and P r e v ia a t regard in g th e eap loyaen t record o f Henry H a rtvig. We a ls o e n d o s s a copy o f th e l e t t e r acknow ledging r e c e ip t o f th is letter In a ll p ro b a b ility , th e oeeupational d ise a se they r e fe r to i s o sb esto sis which oould r e s u lt l a a s iz e a b le award. The vagueness o f t h e ir l e t t e r s ig h t in d ic a te th ey are on a fish in g exp ed ition - T herefore, sin ce our knowledge o f th e W isconsin la v i s e x tr a s s ly H a lt e d , we th ought i t b e s t to to m th e req u ested infona& tioa o v er to you fo r forw arding to T ravelers Milwaukee e l a la s o f f ic e m d l e t t i n g th a t o f f ic e do th e n e c e ssa r y . At th e present w r itin g , no d a ia has bsea f ile d again st Amstron g, A ccording to our reco rd s, Henry H artvig was p lo y e d by Armstrong for a p erio d o f te n weeks fr o * December 1 4 , 1953, to February 1 9 , 1954 During t h is p eriod , he was p aid a t o t a l o f 11,156.52 Wary tr u ly y o u rs, jn Ufadosu res E. C. 8c h le d t, J r , Insurance Deportaen t I c1: Y I C O O cO SCA Akfnco 9. motose O A V lO A M C v tA M t *vw c o o 'c n A L S C A T V. O O I O S C * J O t C P M J. S m u TK IM . O A v ie t . u c i m c n M U H H A fC K 0 caw orncca or Paoway, Go l o ic r q & P rcviant SH WAKNCM THCATWC S U tL O 'N O ' MILWAUKEE 3 W ISC O N SIN February 19, 1957 12 C S CNCAAt covrasi rom W IK O N S lM STATC r O C *A T IO O * CASO* AM O A fflV A T C O V N IO N I N U , A U ACC rC O KA A TC O TPAO C S C O V R C U M U *A V C C V IC TAAOCS C O U K C lt I M O N I I M T tA M lT C M jf tlN T C A U N C tL # M C A ##C M fC M S O tST lM C T C O U M C ti . f O # MtVW>A,'W^HCK'*COW A TT 4<*$ t V lC IH IT V M tT IS N A riO N A i V N IO A A U ) M M O U S T R lA i O N A lR f t O f AM CM ICA Armstrong Cork Company Lancaster Pennsylvania We re p re se n t Mr, Henry Hartwig, a former employee. !f-of?your company.?r Mri- Hartwig has f i l e d a claim w ith th e Wisconsin I n d u s tr ia l Commission f o r workmen* compensation '`b e n e fits based upon an occupational d isease su stain ed in the course of h is employment. Since, the Wisconsin S tatu te s ^ re q u ire th a t a complete employment h is to ry f o r th e p a st s ix years be provided in cases o f occupational d ise a se , we ask l y c u t c check your employment records and forward to ,us ^ . ^ ` - statem ent o f th e p erio d o f time Mr. Hartwig was employed * you.";* Z z v' lit irh ..'U : *. . We have compiled a te n ta tiv e employment schedule based upon p a y ro ll deduction s lip s which Mr. Hartwig had re ta in e d . The reason f o r w ritin g t h i s l e t t e r i s to o b tain ; a confirm ation, o f th e schedule which we have p re p a re d /;. As we"understand th e law o f workmen*s'compensa tio n , in the s ta te ofJH aconsiri, th e ; l a s t responsible employer must, pay th e e n tir e amount ;o f; th e claim An c a se i of occu- p a tio n a l d is e a s e . The in s u re r of th e l a s t resp o n sib le employer in Mr. Hartwig*s case has ra is e d a question as to the c o rre c tn e ss o f our p o s itio n in th is re g a rd , and i t has th e re fo re become necessary f o r us to p re se n t a d e ta ile d em ployment'picture. / "V. V; Tour prompt a tte n tio n to t h i s m atter w ill be greatly appreciated. Very tru ly * y o u rs, / V PADVAI, GOlDBERG St PREVIANT - HH:danT ' V - . B y ; . . A*Ve. *y * r * - HUGH HAFER i * rt February 22, 1957 Padway, Goldberg & P r e r ia a t 511 Varner T heatre B uilding Milwaukee 3 Wisconsin Gentleoeai A ttention* Mr. Hugh Hafer to u r l a t t e r o f February 19 regarding Mr. Henry H arbdg has been re fe rre d to T ravelers Insurance Company, our lnsuranoe c a r r ie r . Very tr u ly yours, AEHSTBOHG COBS COMPANY IU C. S chiedt, Jr Ineuranoe Bepartaant JE2 Mr. Janes E. Fannon Alexander & Alexander, In c. 2225 North C harles S tr e e t Baltimore 18, Md.