Document zoB3OwZqqr4qvrMrZxX1J3zKn

FILE NAME Manville JMA DATE 1961 DOC JMA218 DOCUMENT DESCRIPTION Asbestos Bag Packing Machine - Purchase Specification  JM Manville Caryl Ranch Denver Colorado 80217 303 978-2000 May 19 1982 Garrick Cole Hill & Barlow Esq 225 Franklin Boston MA 02110 RE Commercial Union vs. Manville Dear Garrick I have enclosed a copy of the complete file relating to the workers compensation claim of Dean Templeton filed in Michigan I do not see any document which appears to be privileged thus you may turn over the complete set to the Commercial Union attorneys Very truly yours Kenneth G. Gulley Senior Attorney KGG CC Paul W. Sugarman Esq Enclosure TaAte py ny : fm ai PP WES Rhy COMPENSATION COMPENSATION DEPARTMENT . ca Jaber Jaber and mid date of injury analih r 5 deenaa tae dT, : G Ce . single EY single ya gens . a Hearing Refmen 7 dat tor Pine peat . rem ren ee ea . per etendant{s) thal saimburse smployee unid hy ee re Ont im PP e0 00: dsat(s) jon at the rate fom date each weakly payment wwe due until paid en 30 19 a s Sea dae er te rte of ths Department bet wot te cowed 450 weaks from th STATE SY ota. '~<a OF MICHIGAN The agreement to redeem the employer's entire liability for an injury sustained by the plaintiff on bya single payment in lieu of weekly payments having . been considered by a Hearing Referee of the Workmen's Compensation Department and it appearing = that mid agreement should be d denied c v THEREFORE IT IS ORDERED that said agreement to redeem the employer's entire liability for weekly payments herein by the payment of +2,000.90 he: p proved denied IT IS FURTHER ORDERED that said \. 5 3 i bald . ; are , $ directly to nbs torney services rendered including all expenses $ ________.., directly to specify type or $-_______ directly to the plaintif ORDERED that defendant shall also complete the payment of weekly com- biases, aPpeemmammnteesanae. IT IS FURTHER ORDERED that gfigniemt of the transcript of the hearing herein 8 -o . o | 2 wf, ore a 5 * Returne shpa ay tl he cl ost THE ABOVE ORDER IS ENTERED IN ACCORDANCE WITH THE PROVISIONS OF ACT NO 10 PUBLIC ACTS FIRST EXTRA SESSION OF 1912 AS AMENDED IF REQUESTREQUEST BY ANY OF THE PARTIES FOR REVIEW BY SHE DIRECTOR OR NOTICE OF REVIEW BY THE DIRECTOR ON HIS OWN MOTION IS NOT FILED WITHIN 15 DAYS FROM THE MAILING THE DATE OF THIS ORDER IT SKALLSTAND.AS DEPARTMENT FINAL COMPENSATION . DECISION OF THE WORKMEN'S Form | 15 : . ; .f . . : e , . WORKMEN'S : STATE OF MICHIGAN COMPENSATION DEPARTMENT LANSING MICHIGAN 1 PLAINTIFF ad Pagar ore NOTICE OF HEARING DEFENDANTS Guhne-eavhiie tales Gupy, Seweit, mca ies, _ mutation mutation Svwett, Mek. Desstern, Man, * t. _ Seeredt, man. copare = ^' anne, J. taraan Lefanneer qunne-tovning Viloughne _a- ERs", @@ ihcv theym.., STATE OF MICHIGAN County of Ingham To the above named parties and each Gs. 6 Surety &., Cusr@ien Bh^'g., Mich. of them Ba oft tnje urs Jun 27 19de PLEASE TAKE NOTICE that a hearing on this case will be held before a Representative of the Workmen's Compensation Department on the matter indicated below ( ) ( ) ( ) ( ) ( ) ( ) ) ( application for hearing and adjustment of claim agreementto redeem liability application for a lump sum advance petition for additional medical benefits order or petition for additional testimony petition for determination of rights + ; at the 18th FLOOR CADILLAC SQUARE BUILDING in the city of DETROIT county of WAYNE State of Michigan on the MS DAY DETROIT at 9:00 o'clock in the forenoon LOCAL time 19 commencing commencing YOU ARE DIRECTED to be present at the time and place above mentioned and to be prepared to proceed with the hearing with such witnesses and proofs as are necessary If approval of attorney fees is required the attorney must file a statement of the proposed fee on or before the date of the hearing WORKMEN'S COMPENSATION DEPARTMENT St: Dated at Lansing Michigan this 7 day of . Fe We yng Workmen's Compensation Department NOTICE OF HEARING DATE DEAI TRIFLETON TRIFLETON Plaintiff JOHN STILLE STILLE SALES CORI 023 023 CunaIL CunaIL FIGLAS FIGLAS Jl EkQ INSULATIT CO R. . NON NON INC GLANZ & KILLIAM CO Defendant TRAVELERE INS CU AETI CASUALTY & SU..ETY SU..ETY CO MICHIGAN MUTUAL LI ILITY CC STATE ACCIDENT FUND Insurance Company GENERAL ACCIDEN ALSLAICE ALSLAICE ALSLAICE CURP CLARE CLARE H. CONSTAN CONSTAN DAVIJ ve OSORTS OSORTS Attorney MARSFIELD MARSFIELD DEITT & SULLILCH SULLILCH ALEXANDER ALEXANDER UCHARA 600 600 111 LEVA RICHARD wedi tl Attorney & DLS] RICHARD ROWERS ATTY The above captioned matter will be heard on March 20 1961 or as soon thereafter as possible at 1800 Cadillac Square Building in the city of Detroit Michigan commencing at 9:00 o'clock in the forenoon LOCAL time You are directed to be present at the time and place above mentioned and to be prepared to proceed with the hearing with such witnesses and proofs as are necessary WORKMEN'S COMPENSATION DEPARTMENT Dated March 6 1961 Workmen's Compensation Department AMENDI NOTICE OF HEARING DATE DEAN TEMPLETON Plaintiff CLARENCE R. CONSTAN DAVID M. ROBERTS Attorney MANSVILLE SALES CORP CORNING FIEHHGLAS CORP BROWN INSULATING CO 2. H. ANDERSON INC Defendant TRAVELERS INSURANCE CO AETNA CASUALTY & BURETI CO CO STATE Insurance CompanyACCIDENT } GENERAL ACCIDENT ASSURANCE CORP MANSFIELD ALEXALDER ALEXALDER SULZEACH DEITT BUCHANAN & BUCHANAN SULZEACH CONELIN LEVASSEUR & WERNSAttorney MITSEFT RICHARD ROGERS ATTY The above captioned matter will be heard on April 12 1961 or as soon thereafter as possible at 1800 Cadillac Square Building in the city of Detroit Michigan commencing at 9:00 o'clock in the forenoon LOCAL time This will matter has been reset because not be completed until March the 27 medical 1961 examinations You are directed to be present at the time and place above mentioned and to be prepared to proceed with the hearing with such witnesses and proofs as are necessary Dated March 9 1961 WORKMEN'S COMPENSATION DEPARTY e oi Director Director C ' Workeen's Mlokigan Departrent Mlok 13iMg loa kign an RE man Tumpletos vs. R. E. Andas Ipc. Gant lLenen: Inclosed herewith please find Mation to Dimmiss in the bove entitled cawe, UO == STATE OF MICHIGAN MICHIGAN CROCET'S COMPREATION DEPARTMENT | DEAN TEMPLETON FlatRiff ww STATE ACCIDENT FUND, Defendamte. MRM TOIMRS MIS SS Bow ocmen the Mahigan State ovident Fa and moves to diantes as against itself the Application filmd by the last employer and its insurance arrier and Attorneys in ammtianwith an Appliantion for Apportionment water Section 9 Part VII of the korknen's smpensation ^ stf^,rthe FRASCA hat the above named plaintiff Denn Templeton 1 employed by the R. K. fndereon, Inc. en April 17 1958 and April 18 1958 a period of tuo days en which dates the State Ascidsert Pasd was net the duly ruoanded Mortman Comp sae rrien r fos r Ra . H.t Andi erso on In ns Purther in mapport of this Motion to lamiss the Michigan State Accident Fax evers that their policy beame effective on July 15 1958 MERELEPOKI the State Accident Pand respectfully requesta an Order an Order fron the Department dimissing them as a Defendert wader the Apportionment Application 1. N. MICHIGAN ACI end rat oes - Dean Templeton 5885 PRAECIPE FOR HEARING Workmen's Compensation Department State of Michigan Nequire Taylor Mich . . Manville Sales Corp. et al see attached list Date of Injury June 17 1960 Plaintiff Defendant Director Workmen's Compensation Compensation Department 1800 Cadillac Square Building Detroit 26 Michigan Please place the above entitled cause for hearing on the ( ) First Hearing Docket or R0egular Trial Docker I counsel for ___ Plaintiff this praecipe has been served upon all opposite parties in the above cause hereby certify that a copy of I counsel for the on the issues Plaintify bave discussed this cause with counsel for Defendan~- and we have discussed all possibilities of amicable agreement and I am prepared for trial I counsel for the Plaintifr .certify that ( ) no medical examination needed in this cause or ) Defendant has complied with Section 19 of Part II and has furnished medical reports to the plaintiff A3 ddress 460 Church Rd Oak Park 37 Mich Address // David M. Roberts Attorney for Plaintif . Address See attached list Attorney for Defendant Detroit 26 Michigan Februa 17ry 1961 This praecipe must be filed with the Workmen's Compensation Department Detroit Michigan TO WORKMEN'S COMPENSATION DEPARTMENT DETROIT 26 MICHIGAN STATE OF MICHIGAN COUNTY OF WAYNE 88 PROOF OF SERVICE . the 17th Slalmaak being first duly swom deposes and says that on 17th of February A.D. 151 she caused to be served Above named defendants and attorneys , attorney for the above named defendant a copy of this PRAECIPE FOR HEARING by placing same in an envelope addressed to depositing Marz mail and depositing the same with postage duly prepaid in the United States A Subscribed and sworn to before me 17 17tht da h y of Feb. A.D. 161 Notary Public Wayne County Michigan My commission expires vid line Buildine . REFFIDANTS Kanville Sales Corp. 832 Fisher Bldg Travelers Travelers Ins Co. Detroit 26 Mich Mansfield DeWitt Sulzbach ^ Jenkins M1i6c0h2igCaandiSlltaacteTAocwceirdent Fund Detroit 26 Michigan Glanz & Fillian Co. 1761 W. Forest Detroit Michigan General Accident Assurance V. MoNichols Detroit Michigan Corp. Corning Fibreglas Corp. Oak Park Mich Guardian Actua Casualty & Surety Surety 1000 Bldg Detroit 26 Mich Co. Alexander Buchanan & Conklin Attorneys at Law 2217 First National Bldg Detroit 26 Michigan Brown Insulation Co. 16200 Hubbell Detroit Mich Michigan Michigan Mutual Liability Co. Detroit 26 Mah Levasseur and Verner Attorneys at Law Detroit Ford Mag e 1. OF MICHIMG ICHA IGN AN WORKMEN'S COMPENSATION DEPARTMENT = APPLICATION FOR HEARING AND ADJUSTMENT OF CLAIM THIS FORM TO BE USED Petition rigine |*'=="-"= EMPLOYER Templeton 5885 McGuire Manville Street Address Taylor Township City EMPLOYEROM.9.Na Manville Sales Corp. 832 Fisher Bldg Detroit Mich Corning Fibreglas Corp. W. Bldg Bldg Det Oak Park Brown Insulation Hubbell Detroit Mich INSURANCE CARRIER cmon, L077 et Do not fill in unless known 4 The applicant respectfully shows 1. That this claim relaine a personal injury which occurred on or abont_.... Mich ; 4 6/17/60 OX to a diablement fre sccupational disesse which occurred an or abvut 2. That the injury or disabloeccm ure ren d t at Detroit City | id faft Wayne vp Michigan GComyy State mad fs sa following , MARE .. Employee exposed to unusual amounts Give details of dust asbestos and other irritants MAILED - AUG 3 1960 6/17/60 Last dayworked Daily Wage at time of injury or disablement WORKMEN'S COMPENSATION DEPT LANSING MICH Weekly earnings pneumoconiosis 3. Katare of disability Injury to lungs and chest Des parc t ofr bodyi injb uree d If occupational disease asbestosis state specific disease ; bronchitis ronchiectasis pneumothorax pneumothorax related conditions and the sequelae thereof traumatic neurosis recoo f vreercyovery recovered Data of returns to Work Not returned 4. If death resultad give date of death deceased deceased Relationship of applicant to Wife Charlene Son Mark 3. Names of persons dependent upon injured employee on date of injury 6. If adjustment of attorney or medical face or funeral expense is sought please state which and amount that be granted such roln^>ar is entitied to under the Workmen's Wherefore applicant requests he ko that the Department set this matter for hearing so that the parties hereto may have a determination of Compensation Law their Compensation rights of MichiMgica hignan and under the Workman's Dated at Clarence R. Detroit Constan Attorney for Plaintiff 23800 Van Born Road Learborn Michigan CR 8-1110 this 8th day of July Dean Loup 1,60 ; x Addre 5885 McGuire Taylor Mich -Either party to a dispute regarding compensation matters may apply to the Department for an adjustment of its claim Three copies of this application must be mailed to the Workmen's Compensation Department Department Lanning 13 Michigan The applicant should keep ons copy RECEIVED JUL 19 1960 COMPENSATION WORKMEN'S COMPENSATION . LANSING