Document pBQ1EaGbo0OxekqGbqOQb8MGX
FILE NAME: Insulators Workers' Comp Claims (IWC) DATE: 1957 DOC#: IWC022 DOCUMENT DESCRIPTION: Claimant - Coll, Vincent P.
One of the Armstrong Cases from New York
Vincent P, Coll
Mr, Coll was a pipecoverer for 4-7 years, and made a claim for temporary total disability on 1/15/57 against Armstrong Cork. He had worked for Armstrong only since November, 1955 (so Armstrong saw him in his weakened conditior, I reason), and after finding that he had an occupation-related disease he filed for compen sation, The word asbestosis appears on some of the doctors* statements, and the death certificate. The Board issued its decision awarding compensation for per manent, total disability from asbestosis, on July 30, 1957. Armstrong's carrier Travelers paid $684 for the period through 7/18/57 as a result of the decision, which Armstrong apparently did not contest. Poor Mr, Coll died the next day after the award was made (7/31/57),of cancer. His cancer, which was of the kidney or G.I. tract or both, was judged to be unrelated to his occupation by the Board, in a decision dated 1/7/59. There were no other industrial defendants, only "Special Fund Cons. Comm.".
The relevant papers from the claim file were obtained and photocopied by Lou Brown of the Compensation Board, in response to my telephone request. He was not able to locate the file for Wm Dean, another NY case (I960 claim) on the Armstrong list. We were lucky to have L o u 's help, considering the Board's reply to my written request for access in February (permission of claimants declared necessary to inspect records).
Note that Armstrong's list cites the Coll case as settled without payment. The error apparently arises from the fact that they beat the claim on death, after paying out the claim on disability.
il r/' ' '
\\y > V
*~i' ^W*ORKMEN'S COMPENSATION
VP ^ ,, CP'
STATE OF NEW YORK
BOARD
notice of controversy
^ ^ A VIf the em ployer controvert thi claim and the c a rner.1'`J ? * ' c h a l r m a l f W orkm en 's Co m
in g for an aw ard, th i. p re .crib ed Fo rm C -7 m ust be
^ e d , <m or before the 18th day
ift e fd r J u 'y b,*8U h I r i S b l O d .y " r. `i i , " ^ l . r fir h .d know ledge o! A . .U e p d .c c d r n ., w h .ch .v e r
Per, C o p ^ o f dU notice .haU be .e n t to the claim ant a n d to h u repreentative, if a n y . ____________________
W .C.B. CM N um b
2.
C irri C u t Number ind
Code J. Date of ltegd Acculent 4. Date Aliened ability Bega
85702510
B-8284919
Name
5. Injured Person
I-I5H V incent P C o ll
6. Employer Armstrong Cork Co
69
1/15/57
Addre. to which notices SoulH be nt (Give Number and Str. City. Zone, State)
Social S ecu rity No.
719 C le v e la nd D r iv e . CheektOttfeSSu ll.X Em ployer U.l. R. No.
167A Kenno re Ave. Buffalo 23a.
7. Carrier THE TRAVELERS INSURANCE COMPANY 4 2 1 Main 3t., BuTTalo 2, New Xork
8. Nature of alleged accident........... ........... -- ....-------------- - - r `~ 'l" " T ^ 7 n ,,~ n aid bv the carrier, for the reasons stated 9 Thi, claim i. contested by the employer end compensuton thetefore . not being pud by the c .
below: (Cheek eech item of conttoyetsy end p lain below, gronnds (ot p.t,on taken.)
(a) Q Notice of accident was not given as
(c) Q Jur
`
requited. (b) Q Claim was not timely hied.
. ( ( ) (" t Claimant is not disabled.
vt l_l
(c) Q Accident did not occur.
(g) Q Disability is not causally related,
(d) r ] Accidental injury did not arise out of and in the course of employment.
(h) jjT] Other reason for contesting claim
.Attach supporting medical tepotts. If already filed wi.h Chairman, identify.
Explain reason for controversy separately for each box checked in Item 9 above.
(h) No prooi death on 7/31/57 causally related to occupational diBease.
Yes
No
10 Has notice been sent to Disability Benefits carrier? (See Sec. 206 subd. 2) ........"
' If "Yes", give name and address of Disability Benefits carrier (or employer) to whom not
was sent:
Has medical report also been sent?---------
Yes
No
received: (Sell-insoted employ cm d of fi-U knowledge of alleged 1 1 . Date "Employer's Report of Injury" first
accident)
, , COPY OF THIS FORM C , HAS BEEN MAILED TO Q CLAIMANT Q CLAIMANTS REPRESENTATIVE
Carrier Name THE TRaVELEf,,IN .^]^C E .C .lPA N X .......
Dated: August 16, 1957
Signed
C--U782 REV . 8 - 5 5 Hr i n t u i i In U . S . R
C-7 C
Otficial Title.
C-7
i u p v g .
A djuster..
C^Eu-O-IHaam-
C-7
d /atmet* 4-- - -....
_V*VC-#t4 - f t - Ctf l / __
^r>i,'4<oJ... .C/avh
T^rivv ^~t`r'Qjrv -- jS /
>.
BAITIMORC NEW YORK CLARKSBURG TULSA ST. LO UIS CHICAGO tO S ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA
f l : ft;
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A L E X A X 3 )K K & AIJKXAX35IE1R 4 inco rpo rated
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUARIES
2225 NORTH CHARLES STREET, BALTIMORE 18, MD.
TELEPHONE TUXEDO 9*4304
BELL SYSTEM TELETYPE BA 582
CABLE ADDRESS "ALEXBLUE"
November 16th, 1959
Hr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
Dear Mr. Schiedt:
^
.
Vincent
1/15/57 - M H T o V k
Claim B 8284919
Referring to your letter of November 3rd, 1959 on the above case, the matter was further discussed with the Travelers Insurance Company and we attach hereto copy of their letter of November 10th, which will be found self explanatory.
Ue trust this is the desired information, however, if any additional data is needed, please let us know and we shall endeavor to secure it for you.
Sincerely
ALEXANDER & ALEXANDER, INC.
LOSS DEPARTMENT R
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AKTtUMT
M /r
w/wce/'J /
,jZ2>3n+er* ,%LUtrmtu ietm juim * dHS>Sfcm+t/i** .%A w tfy,
MUNCH W HO 737 Dlw r Am MNfAlO 9, M*W YOSK Till,I m IU-- w 0V 0
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Novnaber 10, 1959
Alexander A Alexander, li\e . 2225 North Charlee S tre e t B altim ore 1 8 , Maryland ,
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A.
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,i* etrt___ j_____
B-823A919 Armstrong Cork Co, Re: V incent P , C o ll Accident: 1-15-57
, ' .
- -V
Gentlemen:
_
.
In r e p ly to yo^ra o f November 5 , 1959, on th e above c a p t io n e d .f ile , M y we a d v ise th a t t h e , compensation awards were made under S e c tio n 15-3-EE o f the coapenaa' * tio n Law, with reimbursement fro * the S p e c ia l Funds to * ' ' be secured a f t e r payment o f 260 weeks o f d i s a b i l i t y . The claim ant d ied from, m e ta sta tic carcinoma o f the * lung aftei*" o n ly 20 4 /5 weeks o f u i a a b i l i t y . .
* ' Under S ectio n 15-Subdiyiaion 8 , the l i a b i l i t y fo r compen-
,f "satiori and m edical expense i s th a t o f the l a s t employer,
f **
*** and.Chere i s no apportionment a g a in st the p rio r em ployer.
A - a* K v , " -*
*
'*'*?
r-> :*T: * . 7 c - v
*. - `
V *! .}* .
y very tru ly yours,'
'
`
' "
' ____ ... -
C70'H/mes : '
C.F. O'Hearn Supvg. Adjuster
HOME O i M C f
700 MAIN STIEET, H A I T f O l O 15, CONNECTI CUT
T
loTaibtr 3, 19
Mr. 0 . H. F lnlay JLla iandar Jt Alaxandar, Ino.
2225 1* Charlaa Straat B altinora 18 NdU
0aor Mr.
BubJ o o ti
Viaani f . Coll 5 /57 - fo v io r k
alijfc-8284919
Thmka fo r your Ootobar 30 la tta r ahovlng fin a l paynanta oa tha abora voris ana'a oooponaation a la la .
I f va add tha eaapanaatlon paynanta fron Ju ly 18 1957 to July 31 1957
vhieh vara n o i
in tha lo t ie a o f Daal aion la saad by tha Vorkman* a
Coapanaatlon Board va t la In v ith tha taaporary to ta l oonpanaation o f
$748*80 show In your la tta r . Apparanti/ tha $1,141*57 aadloal oxponaaa
vara lnoorrad fron July 1 1957 tha data o f b is paration to July 31
1957 tha data o f hia daath.
Raoorda ln d loata C oll vaa about alxty-tva yaars o f afa at tha Una o f hia daath, and h ia llf a t ia a aaployaaat v ith Axaatronf oovarad a throa-yaar parlod, dorine vhloh ha vorkad a to ta l o f flfty -n ln a vaaka t o t Amatronf
Cork Oonpany*
Ara apportlonnant prooaodinfa baine la itia ta d by Traralara In aonnaatlon v ith th ia aabaatoala a la la !
Tary tru ly youra,
B. C* 8ahiadt, J r . Znaurmea Dopartaont JZX
\
V
B A LT IM O R E NCW YORK CLARKSBURG TULSA ST LOUIS CHICAGO LOS ANGELES ATLANIA PITTSBURGH SAN TR ANOSCO NEW ORLEANS MIAMI PHILADELPHIA
A i K X A ! S l ) K I l & .A -.IK IX ALNH I>:KjR
INCORPORATED
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUARIES
2225 NORTH CHARLES STREET, BALTIMORE 18, MD.
October 30th, 1959
!'" S
TELEPHONE TUXEDO 9-4JD*
BELL SYSTEM TELETYPE BA M 2 CABLE ADDRESS
"A LE X B L U L "
Mr. R. C. Schledt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
Dear Mr. Schledt: _
re: Vincent P. Coll January 15, 1957 - New York Workmen's Compensation Claim No. B 8284919________
Thanks very much for your letter of October 27th, 1959 submitting copies of correspondence pertinent to the above case,
It so happens that we have today received closing report from the Travelers, which indicates final payments as follows:-
Temporary total Medical Expense
$ 748.80 1,441.57
828.00
We trust this information will enable you to close your file on this old case.
Sincerely
ALEXANDER & ALEXANDER, INC.
GENERAL ADJUSTER R
\ \ * i 5" * 5 ^
October 27, 1959
Mr. 0* B. F inley Alaxasdar & A lausdar, Ino. 222$ I . Chari Straat B altlaora 18, JUU
Star Nr. F in i *7*
Subjacti /V in o a st P. O oll ' 1 /15/57 - Bau Torli Vorksan'a Cospanaatioo CIala #8-8284919
Za raply to your Ootobar 23 la tta r , th ia la an aabaatoala a la la uhieh had baia l i ataci on your Yarloua loaa axparianoa archib ita for tha yaar 1957*
Tha f i rat ratroapaaU ra ratla< adjuatsant for tha aaaa yaar lia t a tha follo v ln g raaarraai
Medicai - 1 1 ,600 Cosposaation - H i ,005
Va do not bara a oopy o f tha o r ig in a i raport. Va ara, hovarar, aaoloaing eopiaa o f anse oorraapondanaa ubioh sig h t ba o f aosa halp* Triboler B uffalo o ffie a hasdlad th ia olals*
Vary tru ly youra,
ABMSTfDIG 00BK COMP!
m Aiolo auraa
K. 0 . 8ohiadt , J r . Inauranaa Dapartsast
BAI TiMOWL NLW YORK CLARKSBURG TU L` -A S f LOUIS CHICAGO LOS ANGELES ATLANTA
PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA
A l k x a .ivadiklr <&A i
INCORPORATED
INSURANCE
AVERAGE ADJUSTERS
CONSULTING ACTUARIES
2225 NORTH CHARLES STREET, BALTIMORE 10, MD.
cd #LH
October 23rd, 1959
/') is ^
TCLLPHONL TUXEDO 9 E30E
SELL SYSTEM TELETYPE BA S2 CABLE ADDRESS
ALEXBLUL"
Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania
Dear Mr. Schiedt:
Vincent P. Coll. 1/15/57 - New York Workmen's Compensation Claim B 8284919_______
We have your letter of October 21st pertinent to the above accident inquiring as to its status.
We cannot locate a record of this case and would
appreciate it very much if you would let us have a copy of the original report and information as to whether we have previously written you
on the matter.
Upon receipt of your reply, we will contact the
Travelers.
Sincerely
ALEXANDER & ALEXANDER, INC.
GENERAL ADJUSTER R
Ootober 21, 1959
Nr 0 . H. F in ley Alexander & Alexander, In e. 2225 B. Charlea S treet Baltim ore IS , Md Bear Mr. fia la y t Subjeoti /Tinoant F. Co l i
7 iA5/y7 - n r r r *
Vorkman'e Campmeatlon Claim #S-*2SA919 Ve are rendering about th etatua o f th abore d a la . Our reoorde in d ica te b is lif e t in e anployaent with Axnetrong oorered a period ot 59 veeke durlng th yeara 1955 1956, and 1957* The la e t n o tice ve receired waa a oopy o f Tom C-7 fila d by Traralera Auguet 16, 1957, oonteating th ia olaim . A la tta r fron our d ia tr ie t o ffio e in d icated Nr. C oll d i ed July 51, 1957.
Tery tru ly youre, AJM8ZB0IB 0 0 00NPABX
&. 0 . S c h ie d t, f r . Inaurano# Department m
\ u^u^\
<n WORKMEN'S COMPENSATION BOARD
STATE OF NEW YORK NOTICE OF CONTROVERSY
------------------ ]--- ;------------ ;-- ;-------;-----------;--- ;--------- ;
7
the employer controverts this claim and the carrier is not paying compensation directly-and without wait
ing for an award, this prescribed Form C-7 must be completed and filed with the Chairman, Workmen's Com
pensation Board at the office of the district in which the alleged accident occurred, on or before the 18th day
after disability began or within 10 days after employer first had knowledge of the alleged accident, whichever
period is greater.
Copy of this notice shall be sent to the claimant and to his representative, if any.
1.
W.C.B. Cam Number
2. C arrier Caae Number and
Code 3. Date of Alleged Accident 4. Date Alleged Disability Began
85702510
8*8284919
Name
69
1/15/57
---------------------------- -
--
Address to which notices should be sent (.Give Number and Stems. City, Zone, State)
5. Injured Person
6. Employer
mTTT
Vincent P . C oll
1
Anatram i Cork Co#
Social Security No.
719 Cleveland. Drive r Cheektow 1_____________________________
N. Employer U.l. Rar. No.
1674 Sempre A ve.. B uffalo 23 il-T-
7. Carrier THE TRAVELERS INSURANCE QMPANY 424 Main 3 t . , BuTl'alo 2 , New lork
8. Nature of alleged accident______________ _____________________________________________________________________ __ 9. This claim is contested by the employer and compensation therefore is not being paid by the carrier, for the reasons stated
below: (Check each item of controversy and explain below, grounds for position taken.)
(a) f~~| Notice of accident was not given as
(e) Q Jurisdiction.
required.
(b) Q Claim was not timely filed.
* (f) Q ] Claimant is not disabled.
(c) | | Accident did not occur.
(g)
Disability is not causally related.
(d) ] Accidental injury did not arise out of
(h) ] Other reason for contesting claim
and in the course of employment.
Attach supporting medical reports. If already filed with Chairman, identify.
_
If ''Yes'', give name and address of Disability Benefits carrier (or employer) to whom notice was s e n t : ____________________________ ___ _______
Has medical report also been sent?--------------------------------------------------------------------------
Yes
No
11. Date "Employer's Report of Injury" first received: (Self-insured employer enter date of first knowledge of alleged a c c id e n t)__________________________________________________________ ____ _______________________ _________
12. COPY OF THIS FORM C-7 HAS BEEN MAILED TO Q ] CLAIMANT
CLAIMANTS REPRESENTATIVE
Carrier Name .THE TRAVELERS IN SURANCE CQIIPANY
Dated: A n & u t 1 6 , 1 9 5 7
Signed__
C J . ' - i i a A m ----------
C - a 782 REV.8 -5 5 P r i n t e d In U .S .A .
C-7 C-7
Official Title........... J>uj2Vfca.,,A d j u s t e r --------------------------------------------
C-7 C-7 C-7
Inter Office Communication
Arantron^ Cork Company
To R. C. S c h ie d t, J r . , Insurance D ept, L ancaster ftoax M. A. D ickson, I n s u l a t i o n D ivn, B u f f a lo . Subject VINCENT P . COLL
August 7 1957
In c o n n e c tio n w ith Mr P e n d le to n 's p re v io u s co ram m icatio n s to you on J u ly 31, h e re are th e h o s p i t a l o p e ra tiv e re c o rd and th e Compensfcion B o a rd 's N otice o f D ecisio n co n cern in g t h i s p erso n , to complete your f i l e .
e
Md
Form 1501 10-46
5
i n t e r /______________________ OFFICE COMMUNICATION
( X bCOn*sCtOrMo*NnV g^
To R. C. Schiedt J r . Insurance Department Lancaster ,, ,, ,,
From M.. E, Pendleton, Insulation Division, Buffalo
July 31, 1957 (Diet. 7-29-57)
Subject Vincent P. Coll - Occupational Disease
Supplementing our memo of e a rlie r today on the same subject, here are some additional comments for what they may be worth*
For a number of years, Coll was employed by * J . hridy Co. asbestos contractors
of Buffalo, frequently as a supervisory employee. After the death of the head of th at company, Coll l e f t for personal reasons. We picked him up as a mechanic because of. his known a b ility and wide experience.
Shortly a fte r Coil's illn e ss began, our superintendent D, J . Solly v isited Coll
a t his hone. A representative of Traveler's Insurance company was there and
told Solly th a t Coll had worked for a number cf contractors over the years in
Buffalo and th a t any claim would be pro-rated on the basis of time worked in
each shop# We assumed th is to be established procedure.
7
MBP/rk CC: n. J . Solly
Buffalo
j
i
^ ^ roan i tot
f
(CS
!NTER> fOFFICE COMMUHICATION
(A V m stron g
\ >, / t a com
To it. c . .chiedt Jr. Insurance Department, Lru caster From K. tu. Pendleton, Insulation Division, Buffalo
( i i c t f ? -29-57)
Subject Vincent P. Coll - Occupational Disease
This is in reply to yc.r request for information of J^ly 2p, 19 j !
tV'Vjjb
vP
First of all Coll as net laid off: He was unable to word because of illness. Cur records dc not show this but we have checked with our s v j e r m t e n d e : clear the j oint.
my,ere is no particular reason for Cell vcrkin>- cn snail jobs, rlo i<awer saw
was used on any of his jobs but we have employed him on occasion to cut beveled cork la[5 on cur warehouse bard saw.
U e are told that there are no children under 18 years of ape. date frer. our records is January lit, 1 ^ 5
Cell's birth
KbP/rk GC: D. J. belly - Buffalo
^P^?ce cor a ~ /d '* O 'e /s s e / e a s e s ' 7
/ f l e e & / / /e ; / -f/C/c s v e r w y
FORM tIOt
M. B. Pandlatos, I iw U tla n B r la lo s, B offalo
1 0* Sahiadt, I r , , la Murta Bopartmant, Lasamatar
. flsa a n t F. ft?U Ooonpatlonal I m i m
J sly 25, 1957
AaaordJLag to a o ti raoairad froa our iaauraae brokar, Traralara ha --tabllahad $37,900 roaarra a as aabaatoala jala fil d by Tineant P . ^ G oll. Althoogh tha data o f th aaddant 1 show as J aauary 15 193jU p ayroll raoorda hora la Lanomatar in d i ata tho lmat dajHxxSTbf th ia san vma Marah 29, 1957# a t hioh U aa ha m i la id o f f daa to no oxk*
Za rarlaviag h la asploymaot rooord, a fia d ha vorkad a to ta l o f 99 taha fo r Am atroag, aad o aly h a lf o f th ia tim a, approxlaataXy 1,100 honra, vma apoat oa joba hlch ca lla d fo r tha aao o f prodnata ontainlng aabaatoa, a ir o a ll aad sagnaalm inaolm tloa.
1 rarlav o f tha p^rrolla iadiaataa O oll aaom llj orkad v lth a a a a ll gmg, f l ra a ta or lo a s . Va ara ondaring i f thara v u aay p art colar raaaoa fo r th ia , aad baeanaa o f tha a a a ll gmtg, ooold a amfaly aay that a pairar aanr vaa a o t oaad a as? o f hla Joba or anj pralisinm xy ork ha sig h t hara parforaad ia tha varahoaaa*
Ooold yon fir a a h ia data o f b irth aad hathar or a o t ha haa 7 ehildraa dar 19 yaars o f agat lo o r rapliaa a i l l ha oaad ia aa ffo r t to hara Traralara radooa tho 127,900 roaarra.
Aoaordlng to tha ta n a o f or iaaoroaaa p o li07, $25,000 ia tho sa r i-- MMont Traralara sagr oharga fo r 00a a la is . Bovarar, vhan tha flr a t ratraapaatira ra tia g la soda. Amatroag 111 ba ragolrad to dapoalt v lth Traralora th ia sa r lsn s oharga o f $25,000 p isa LU032JC or a to ta l o f $29,509. Tha f lr a t r ttro paotira ratiag 111 ba soda ahortly a fta r 9oXjr 1 , 1959, id aabaaquant ratroapaatlra ratiaga 111 ba sada a t tualra sonth in ta rra la . Za thaaa aubaquoot ratln ga, tha eaount o f tha dapoalt on th ia o l is ooold 017 ooaaldarably* Adjaataonta ara sada to r e fla o t tha aotoal loaa laourrad l f tha d ia is haa baos sa ttla d , or tha atlsatad ooata i f tha a la is la a t i l l opm .
JU
9 V. L idd all, i r , , Z saalatios B rlalos
C-3, <7 -3 5 >
ALBANY 4
BINGHAMTON
1 949 NORTH BRpApWWYv 2 2 t WASHINGTON ST
BUFFALO 2
2 1 0 FR A N K LIN ST
NEW YORK 13
8 0 CEN TRE ST
RO CHESTER 14 SY R A C U S E 2
1 5 5 MAIN ST W 2 1 4 SO. W A R R E N ST
f-r
WORKMEN'S COMPENSATION BOARD
STATE OF NEW YORK
CO'
NOTICE OF DECISION
NO
-------------------
g $702510
4. Date of H earing
2. Carrier Case N o . and C ooe N o .
3. D ate of A ccident
* 6264914
S. Da t e of R eserved D ecisio n
69 4 <m
1 15 57
6. Date of this N otice
7 ----------------- U 7 ----------------
C laimant
Yl a c a t C a ll
7 1 9 clev*JL*&6 fir
..........-CbeslctawNA,- I I ..........................
Employer
U m atro o g c o rk Co#
1571 U finan 4a
... B i f f a i * - * - ! .....................
....
o p o e io l *u*i* Cana voon 9^0 Cooese* 4 4 *#
SttffolOj * X .....................
Goor&* u y r o t t , F Im &c
i ^ t e t k a ' Oin^ m * U r board
......... 5y
4t& f lo o r
U m t Xtr** * I
______________ 2 30 57______
TO THE CLAIMANT.
1. Any c o m p e n sa tio n due will be sent to you by check by the employer or his insurance carrier.
2. Keep a careful record of the payments received in order that you may have evidence of payment ur non-payment in case of dispute.
3. No com pensation shall be allowed for the first seven days of disability. However, if the injury results in disability of more than thirty-five days, compensation shall be allowed from the first day of disability.
4. Do not pay money to anyone representing you. The fee, if any, for such representation is deter mined by the Board or Referee and will be de ducted from your award and paid by the em ployer or his insurance carrier to your represen tative or attorney. COPY TO:
After hearing on date stated above a Decision and Award was made and duly filed this day as follows:
AWARD:
THE EMPLOYER AND/OR THE INSURANCE CARRIER ARE DIRECTED TO PAY AT ONCE
for disability over a [htkhI of
weeks
from
to
at rate per week
the sumof
^
a a/ j 1 I J 7 3 4 57 > >6 .3 0 * 100*60 CLA IM A N T
i / i 3 1* 5? 3 15 57 3 6 .0 0
7*20
() L yi'C. S4 *
a/5 3 f7 3 22 57 3 6 .0 0
14*40
less p ay m en ts m ad e covering this period.
i f ) / t A 1 57 7 W 57 3 6 .0 0
as lien on award payable by separate check bv earner to CLAIMANT'S REPRESENTATIVE; OR ATTORNEY
oc4*w r^
b la d in g i s oftS U w t tfe la e*a* co o aa w l>k lB i b a pu r lew o f
15 k
o f tim o rltaaa* * C on^m aat i o a Lav*. a&d t h a t tb * o o r r l n r i * mw
t l t l n s l to relatiuraaeM m t tro m j d i a l lu i m8 f o r *11 e o a p o o s a tio n aa d
s- a*4 l e a l m x p w tm p a id jsubasUM % t o 260 wooko r in d in g f u r t b o r ado
fee to DOCTOR for attendance at hearing
t *1aafc 1 pirtsM m K tl? . t o t a l l y aiw*ble<*.
DECISION: Case was l * * * 7 * 3 ^ * * * 0 < V I f l U # *%
U H I M S U X tU fig
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..............#f***a a m * * ASiMMrtM** w U w
**4*1 t*l**t*B.
i l r t t <i*&* JT a*itfel**&t J U 1 / 1 5 / 5 7 *
If case was 'c o n tin u e d " and continuing payment was directed, it shall be made at the abuse rate for the period stated and shall be continued thereafter until the employer or earlier has medical or payroll evidence of a ehunge of condition and gives notice thereof to the Chairman, W orkmen's Compensation Board, unless otherwise provided in the decision. \ further hearing will he held in a ''continued" ease to deteimine the extent ol further disabilitv. il anv.
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MILLARD FILLMORE HOSPITAL
OPERATIVE RECORD
_ _
719 Clavaland D r., Cheektowg# **
Nom. COI* T. Tineen - *
Casa No. "527 Data of Operation 7-1-57
Surgeon BVe 9m 0 0*IHMJOaU
Assistants B f * Ca Johnaen
Anesthetist
m . \ ;-
Instrument Nurse lia E ldonlar
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Anesthetic b d O S l
Sponga Nurse Klaa B oltoo
Bogan 9 > b 0 l e t *
Closed
10tS3 AMe
5 -OPESATIV RECOSO
Pro-oporativo diagnosis complata
u lm au ? iaaufClaianey
probabla
tap 14 do tto -b ill
Um l a s t a ia a aoatna and
l i f t onciu
m th a sodaamtaly tMLopnofe o f soda#
O p o ra tio n
of wk** in t roOTUOttiAout or &.,
what woi don Oadu- preenlne l o t t i tr e tio n
_
n ealtio n tlx head tu n e d M i d i th e r i* a t, s tr e l h t 3 * * * } , *t * J * * in tiM l a f t rntatirrlff* trla a g la o f ttoa nack, c a rrie d dono tim i U
ak in . f a t . p la ty a a ^ a ritb a n by b lu n t dlaaaotion tfaa ooda w a dlaaectad
bad to ba elaapad* a uouod cloaad la ta layer# using w mw vw and tfrca a aantiauaous aU bautlaw r o f tr ip la p la in catgut*
t , 0 . la ta a ta tla naapiaa* ta noua# o
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Technique
P 1.00
Ciana
9VO*Dtnoe e a t* Dx* C arl Conrad
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