Medical Report of Dr. Davidson, July 28, 97 Case #35410501 1936. Claimant Christopher Hanify Employer West End Ave. & 75th St. Corp. Carrier Royal MEMORANDUM I have again reviewed the folder and I stated 98 in my report of 6/6/36 that the one hundred per cent schedule loss of vision of the right eye is attributable to the injury of the folder which consisted in a serious contusion and perforation of the right eye, although the latter condition was not noted by Dr. Janes who was not an ophthalmologist. July 28, 1936 T DR. M. DAVIDSON 100 101 102 Notice of Cessation of Payments. State of New York DEPARTMENT OF LABOR Office of the Industrial Commissioner BUREAU OF WORKMEN'S COMPENSATION Case No. Ins. Carrier's No. 98717765 Notice to the Industrial Commissioner that the payment of compensation has been stopped or suspended. To be filed (in duplicate) immediately upon stoppage or suspension of compensation. 1. Name of employer West End Ave & 75th St. Corp. Slawson & Hobbs Agents 2. Office address: Street and No. 162 West 72 Street City or Town N. Y. C. 3. Name of injured Christopher Hanify 4. Present address: Street and No. 230 West 99 Street City or Town N. Y. C. 5. Date of accident October 19, 1935 Date disability began October 21, 1935 6. Date compensation began October 28, 1935 Date disability ended November 8, 1935 7. Compensation paid to November 9, 1935 Days worked during disability period 8. Period of actual disability 1 weeks 5 days 9. Average daily wage $ $ weekly wage $ mulitplied by compensation rate $12.31 (maximum compensa tion limit $20 per week) Notice of Cessation of Payments 10. If temporary partial disability, give computation of compensation paid Basis of Compensation Payments, Excluding 103 Medical 11. Description of permanent injury or facial 105 or head disfigurement 12. Has compensation been paid in full? If not, give reasons why payments have been stopped or suspended returned to work 11-9-35 13. On what date was the last compensation payment made December 12, 1935 Name of Insurance Carrier Royal Indemnity Co. First payment made on 12-12-35 Dated December 12, 1935 Signed by W. F. QUIGLEY Adjuster C-2 report received at this office on 12-2-35 Minutes, January 7, 1936. STATE DEPARTMENT OF LABOR WORKMEN'S COMPENSATION 150 Leonard Street, New York January 7, 1936 CHRISTOPHER HANIFY, Claimant, WEST END AVE. & 75TH ST. 107 CORP., Employer, Case No. 108 TRAVELERS INSURANCE Co. of N. Y., Carrier. Hearing before the Industrial Board. Present: Mr. Frank Esposito, Referee; Mrs. F. Ruby, Clerk; Charles Reissman, Hearing Stenographer. Appearances: Claimant in person. The Mr. R. L. Becker, representing Carrier. Mr. Becker: We have no insurance. broker tells us it was covered by the Royal. The Referee: Yes, the Royal started payments. Q. (To Claimant) They paid you some compensation? A. Yes, $22.76. The Referee: It is on against the wrong insurance company today. Adjourned. Charge against the Royal Insurance Company. Hanify-1/7/36—2 Trans. 2-27-37 Minutes, February 24, 1936. STATE DEPARTMENT OF LABOR WORKMEN'S COMPENSATION 150 Leonard Street, New York, N. Y. CHRISTOPHER HANIFY, Claimant, WEST END AVE. & 75TH ST. CORPORATION, Employer, SLAWSON & HOBBS, Agents, Carrier. 109 Hearing before the Industrial Board. Present: L. B. Siegel, Referee. R. Grossman, Clerk of Session. Anna Prisand, Hearing Steno- Appearances: Christopher Hanify, Claimant. W. Quigley, Esq., representing Employer and Carrier. Dr. M. Davidson, Medical Examiner, N. Y. State Dept. of Labor. Witnesses: Christopher Hanify, Claimant, page 2. (Case called.) 111 |