Document mXDDKXbKrjj42b12bpO83BgJ

P-GAF -u >'-4 JOSEPH A. HOFFMAN CammiulaMr 10 State or New Jerhey Department op Iador and Industry n DIVISION OF WORKMEN'S COMPENSATION . -' . on orrici sob r INION. NI* Jlitlf HM OONALO W. UNOC MAM Ofractar June 4# 1975 Associated Safety & Claims Services 475 Park Avenue New York* New York 10016 Re: Demeter Stanislaw vs: GAF Corp* C*P*#F-708$2 - D/A 6-16-66 Gentlemen: A Determination* Finding of Facts and Rule for Judgment was signed on December 5# 1968* wherein the above mentioned pe titioner was awarded 450 weeks at $45*00 per week* based on total disability* The expiration date of the 450 weeks occurred January 28* 1975* This is to advise that the petitioner was certified by the New Jersey Rehabilitation Commission on April 16* 1975* as being unable to obtain wages or earnings equal to those earned at the time of the accident* A copy of this certifi cation is enclosed for your file* In view of the provision made in the Judgment on the above mentioned date for the continuation of payments under Section 12 (b)* and the certification of the New Jersey Rehabilitation Commission that the petitioner is not feasible for vocational or physical rehabilitation* please confirm that you are con tinuing payments in accordance with the provision of Section 12 (b) CW/nm Eno* 1 Very truly yours* 41 Carol Williams (Mrs*) Principle.Audit Account Clerk ' I AO-) | (-74| ' f * * V.l .- - *.*'. 4)0 it - JUOGMIMT 4- .. FAfiil . / . 1i r^ .- '***-" r-~^r;Tr*_r*,*3r---! . y j IAMCHOO 2/IV54I ' -- * ' .... *.. AU.-STATI OfIC* SUMI.Y COL 4* IDUON MACK, NCWAJUC *, N.J. .- . NEW JERSEY DEPARTMENT OP LABOR AND INDUSTRY DIVISION OP WORKMEN'S COMPENSATION y> : Claim Petition No. jr 70352 - rF.:.ETEB STAKIRIAW r-- .78 F.UBar;ioir colony Petitioner JUDGMENT -TV' fUNDEK" K .'S'.1 3^TI5-2fi) Respondent APPEARANCES:. .ic'eiu n. Chcse. Fsc.of 'Lhr.sc and Chase Attorney 220 So. .to in t., ,'vinvlllc, NJ Louis J.Douclass/r.sq.of Jitit d,0 leas on, Hans eie^torney & Pantaoes-,* 1130 fAynond /.lvo.Nfv.t rk, li.J.. STATEMENT OP AWARD for Petitioner _ Tor Respondent ASSESSED AGAINST RESPONDENT; Temporary Disability, weeks at $ . per week $ xone PepmanpQt Disability, jy^fr prv9c DrirtMutH/ 4 50 weeks at $45.00 Pr.ynents on Permanent to begin June 15, 10f>6 - Dr. for his appearance and testimony per week $ 20,250.00 ' . $ Dr. for his appearance and testimony $ Unpaid medical bills: Chase & Chase Petitioner's Attorney , counsel fee Stenographic fees ASSESSED'AGAINST PETITIONER: , Esquire $1400.00 $ 30.00 5r,V.l.ter Cryir-rn,C7 Uvlncston Ave.New Rrunsvick NJ for nls examination, report; 50.00 Dr. for his examination, report, appearance and testimony $ . , Esquire FetfCioner*!' Attorney , counsel fee *1100.00 4M i - LITIGATED CASE PACE 2 A formal petition having "been duly filed claiming compensation under R.S. 34:15-7 et seqV, as amended and supplemented, an answer having been filed, and the parties having appeared before me, ' Horecr Prlcollettaj Judpe of Compensation at the. ' Division of Workmen's Compensation, Administration Building *. i- * Somerville, NJ 'V - on November 13, 1906 N , and testimony having been presented on' rr - S the issues involved arid stipulations having been entered on the record, I find and determine as follows: . v. ... * * ' ' % 1. The Petitioner was in the employ of the Respondent on" June 15, 1966 , on which date he sustained personal injury - as the result of an accident arising out of and in the course of his employment. The accident and injury occurred as follows: petitioner was exposed to asbestos air born contaminates but not silicosis dust or any derivatives due to handling mixtures of cement and asbestos; 2. The Respondent had due and timely notice and actual know-, ledge thereof. 3. The Respondent has furnished and paid for medical: treatment because of said injury. Additional items to be paid are set forth in the above STATEMENT OP AWARD. ; ^ - 4. Petitioner's wages were $ 100* per week, making theV. temporary and permanent disability compensation rates $13.00 v- and $45.00 per week, respectively. 5. Compensation shall be paid by Respondent under said statute. 6. Payments shall be made as set forth in STATEMENT OF AWARD. 7. The permanent disability resulting from said accident is occupational disease .. y in nature, involving Pulmonery pathalocy residuals of asbestos dust.pneumocoftl-- sis with asbestos contaminates: .' - .. 1 and the extent thereof I find and determine to be 1005C of Permanent total disability 450 weeks at 545. per week total of $20,250. payments to berin as of June 16, 1966. Furthermore, respondent to pay for any medical treatments In the future of the petitioner; ^ At the conclusion of the trial, I made certain-observations and findings which were recorded and which are made a part hereof as if set forth fully herein. I` ; Pursuant to such findings. Judgment is entered in accordance with the above STATEMENT OP AWARD. Pursuant to the provisions of R.S. 34:15-64, as amended, it is directed that amounts to be deducted for the Petitioner's expenses are to be paid to the persons entitled to the same, the remainder to be paid directly to the Petitioner. 0 Dated: S 19 66