Document r6ejbJ6jYnLYm3kxRY9RJK16E

October 28, 19T5 Mberfy Mutual Insurance 3505 Broadway Oakland CA 9^11 Attn: ttf. B. ley Co IS: Beoaased Inly 22, 19?5 REDACTED Bear lass: Inclosed please fiat Doctor's First Seport of Work Injury dated October 21, 1975 and received this date. left work at the end of his shift January 22, 197&* He never returned. 'this la the first indication we have had that his illness might have been work-connected. Fleas keep us informed f any repercussions of this ease. Tours truly, THE SHEOTIS-Wlhlil AMS COMP AHY COBTAIHES BIVISIOH iO.Q.JK}uQt W. C. SCHULTZ^ Personnel Manager WSS:1s Enel. cc : J. D. Hull, Jr. N40129 0007-SWP-005 801950 CONFIDENTIAL M'URANCE 1