Letters Received, July 18, 1918

59 JOHN STREET, 7 ST. PAUL STREET. NEW YORK CITY. BALTIMORE, MD. SURETY CASUALTY CLAIM DEPARTMENT GEORGE w. PESINGER ASSISTANT SECRETARY Radium Luminous Material Co. , NEW YORK, July 18th, 1918. 166 Allen Street, Orange, N.J. Dear Sir :- In re: Quinn VS Radium Luminous Material Corp. Notice of accident as above is hereby acknowledged, and the matter will be given prompt attention. Yours very truly, Geo. W. Pesinger, ADC : II Assistant Secretary. 11 Number A.D. Lanage of Month (Name of Injured Employee) usiciden (Name of Employer) kneel 15 Day of Month Report received. (Street address) Leave this blank 13 evange J 198 Year (City of town) no 34. If not able to work, give 30. Did emplcyee lose any time? probable date of recovery 31. Is employee able to resume work did not 35. Has any permanent injury resulted? no If so, describe fully on back of form. 32. If so, on what DATE? slop working 36. Has your insurance carrier arranged to file the compensation reports with the State for you? 33. State length of disability, weeks days Date of preparing this blank mo..15 1818 with Made out by If employee is still disabled at the time of preparing FORM "C," fill in names on this supplemental report, detach it and forward same, duly completed, on the FOURTEENTH DAY after the day of the accident, or on the day the injured returns, if he is able to work before the expiration of two weeks. If employee loses no time, or has returned to work at time of reporting, fill out FORM "D," but do not detach. This report of accident is to be prepared in DUPLICATE. Mail the original (if detached) to the Department of Labor, Compensation Bureau, State House, Trenton, N. J. (carbon copy will not serve), and the duplicate copy to NEW AMSTERDAM CASUALTY COMPANY. When in need of blanks, apply to your insurance carrier. FORM "D." SUPPLEMENTAL REPORT. For use of insuring employers.