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March 13, 1989 CIGNA Attn; Rob Piha p.o. sox 171 Media, PA 19063 REDACTED lte: Claim No. 42GC 9639597 or 395C 2605812 Dear Rob: Please contact Or.

REDACTED Ro b e r t L.

April 4#, 1988 Lawrence J.

October 17/ 1989 Self-Insurers Service Attn: Darrell Toenjes 111 East Hacker Drive Chicago* IL 60601 Re, REDACTED Dear Darrell: Enclosed please find an application for death benefits filed by the widow/ who alleges that her husband/ > died as a result of continuous asbestos exposure while working for Sherwin-Williams as a pipe fitter.

EQUIP I 31ENT I 1 i !

CG 46 CODE YC-5-A LOT LZH53 EST.WT. 2131* LBS.

RNSelby RJBuch (21) SFWest RPRogera RUTobar KLNeynaber RHAkins (3) FSBredimus (3) EEOaffe (3) EWStewart (3) DABlumberg YWBurins ECSrown RBuckland April 18, 1980 FOR OU PONT USE ONLY C04P DEPARTMENT DISTRICT MANAGERS ASST.

card Tony s;nt last year most of Fort Ord's main gar Refunds would. be o "rela when he wen, on a- trip to rison hinges on.the outcome tively s m a LI,".' however,r Latin Americ .. .

^mr GYMNAM/0 h &.d 'j A To: Location ut

wfc American Excess Insurance Association POLICY APPLICATION (An Excess liability policy which incorporates certain claims made features, but which provides a form of coverage which may differ substantially from other policy forms.

CH-2 RCV. 7-W *vaw*** UTMUSKK0NOI E.

'$ '-*3 CHr2 REV. 7-ad P.

PRODUCT NAME = MOLYBDATE ORANGE CG 01 CODE YE-698-D PKG _____ l o t G2H40 JUH2 5 1982.

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