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- " EMPLOYEE . v. Osvald HOAD 313 Templeten Drive DATE OF INJUR` NUMBER Fort Nerth, Texse 16002 INSURANCE co. NO. V 11672 INDUSTRIAL ACCIDENT BOARD WALTON BUILDING AUSTIN 14, TEXAS YOUR Notice of Injury and Claim for Compensation vs EMPLOYER . King Candy Company IN CONNECTION WITH THE ABOVE STYLED CASE HAS BEEN INSURANCE RECEIVED. ACCORDING TO OUR RECORDS THIS CASE IS NOW Liberty Insurance Company of Texes BEING HANDLED AS SHOWN BELOW. PLEASE NOTE THAT THE CARRIER . PROPER COURSE' TO FOLLOW HAS BEEN MARKED WITH AN Box 939 "X" IN THE LEFT HAND MARGIN. Fort Worth, Texas WHEN WRITING TO THE INDUSTRIAL ACCIDENT BOARD CONCERNING YOUR CLAIM FOR COM- PENSATION ALWAYS GIVE THE BOARD'S NUMBER AND STYLE OF THE CASE. You are receiving weekly compensation payments in the correct amount. So long as you are receiving compensation and medical attention the Board will take no action on your claim. If these payments are suspended before you have re- turned to work or fully recovered, the Board will be glad to assist you in securing a satisfactory settlement. You have not lost sufficient time from work to be entitled to compensation for lost time. Compensation is not due you until you have been absent from work for eight days. If your injury has permanently affected your ability to work, you must file a signed, up-to-date, detailed medical report from a licensed Doctor in support of your claim. If your medical bills have not been paid, please advise this office, and furnish US itemized, signed copies of all unpaid bills. You have probably been paid all compensation due you for time lost from work. If you are claiming further disability, please advise US and furnish a signed, up-to-date, detailed medical report from a licensed Doctor in support of your claim. xxx Notice of Injury and Claim for Compensation has been received. In accordance with your wishes the Board will take no further action unless requested to do so. For their information, we are notifying the insurance carrier that claim has been filed. Remarks: No further action will be taken by the Board unless requested by you and unless supported by the necessary evidence as outlined above. INDUSTRIAL ACCIDENT BOARD LN:egb 4-27-59 Joe EXECUTIVE G. DIRECTOR mans.g

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    "ocrText": "-\n\"\nEMPLOYEE\n. v. Osvald\nHOAD\n313 Templeten Drive\nDATE OF INJUR`\nNUMBER\nFort Nerth, Texse\n16002\nINSURANCE\nco. NO.\nV 11672\nINDUSTRIAL ACCIDENT BOARD\nWALTON BUILDING\nAUSTIN 14, TEXAS\nYOUR\nNotice of Injury and\nClaim for Compensation\nvs\nEMPLOYER\n. King Candy Company\nIN CONNECTION WITH THE ABOVE STYLED CASE HAS BEEN\nINSURANCE\nRECEIVED. ACCORDING TO OUR RECORDS THIS CASE IS NOW\nLiberty Insurance Company of Texes\nBEING HANDLED AS SHOWN BELOW. PLEASE NOTE THAT THE\nCARRIER\n.\nPROPER COURSE' TO FOLLOW HAS BEEN MARKED WITH AN\nBox 939\n\"X\" IN THE LEFT HAND MARGIN.\nFort Worth, Texas\nWHEN WRITING TO THE INDUSTRIAL ACCIDENT\nBOARD CONCERNING YOUR CLAIM FOR COM-\nPENSATION ALWAYS GIVE THE BOARD'S NUMBER\nAND STYLE OF THE CASE.\nYou are receiving weekly compensation payments in the correct amount. So long as you are receiving compensation and\nmedical attention the Board will take no action on your claim. If these payments are suspended before you have re-\nturned to work or fully recovered, the Board will be glad to assist you in securing a satisfactory settlement.\nYou have not lost sufficient time from work to be entitled to compensation for lost time. Compensation is not due you until\nyou have been absent from work for eight days. If your injury has permanently affected your ability to work, you must\nfile a signed, up-to-date, detailed medical report from a licensed Doctor in support of your claim. If your medical bills\nhave not been paid, please advise this office, and furnish US itemized, signed copies of all unpaid bills.\nYou have probably been paid all compensation due you for time lost from work. If you are claiming further disability,\nplease advise US and furnish a signed, up-to-date, detailed medical report from a licensed Doctor in support of your claim.\nxxx\nNotice of Injury and Claim for Compensation has been received. In accordance with your wishes the Board will\ntake no further action unless requested to do so. For their information, we are notifying the insurance carrier that\nclaim has been filed.\nRemarks:\nNo further action will be taken by the Board unless requested by you and unless\nsupported by the necessary evidence as outlined above.\nINDUSTRIAL ACCIDENT BOARD\nLN:egb 4-27-59\nJoe EXECUTIVE G. DIRECTOR mans.g"
}