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WORKER COMPENSATION <br />Claim Number <br />Date of Loss <br />Type <br />Description <br />--- <br />4/20/81 <br />Med. <br />Strained thumb <br />--- <br />7/14/80 <br />Med. <br />Stepped on nail <br />--- <br />3.0/13/81 <br />Med. <br />Injured back loading trailer <br />--- <br />10/30/81 <br />Med. <br />Kicked in stomach and back <br />--- <br />3/22/82 <br />Med. <br />Lifting air hammer, injured <br />back <br />351-716501 <br />5/10/82 <br />Med. <br />Cat bit hand, K. Berke <br />351-718371 <br />6/28/82 <br />Med. <br />Fell on nail and hur hand, <br />J. Bowman <br />351-723035 <br />6/28/82 <br />Med. <br />Bruised toe, D. Matanowski <br />351-718178 <br />7/12/82 <br />Med. <br />Cut on face, J. Bowman <br />351-720745 <br />7/19/82 <br />Med. <br />Cut hand, J. Mihalow <br />351-722326 <br />9/29/82 <br />Med. <br />Pulled back muscle, S. Glysina <br />351-731994 <br />12/28/82 <br />Med. <br />Fell, E. Grabowski <br />--- <br />7/29/83 <br />Med. <br />Wood chip in left eye <br />--- <br />8/9/83 <br />Med. <br />Back injury pulling weeds <br />--- <br />8/15/83 <br />Med. <br />Bruised leg <br />--- <br />8/25/83 <br />Med. <br />Back injury jumping fence <br />TOTAL WORKER. COMPENSATION <br />PAGE THREE <br />Amount Paid <br />$ 1,283.00 <br />24.00 <br />CWP <br />1,657.20 <br />1,280.00 <br />88.00 <br />105.00 <br />98.00 <br />107.00 <br />30.00 <br />602.40 <br />58.00 <br />55.00 <br />3,680.78 <br />107.50 <br />378.00 <br />$9,553.88 <br />