207765ORIGI @AL TO CITY CLERK
CITY OF ST. PAUL
OFFICE OF THE CITY CLERK
COUNCIL RESOLUTION — GENERAL FORM
,A J
PRESENTED BY
COMMISSIONER Dare
20'7'7
FILENCIL NO.
RESOLVED, That pursuant to Order of the Industrial
Commission of Minnesota, filed June 14, 1962 after hearing
held on the Claim Petition of Clarence Kubiszewski, employe
of the Department of Public Works, copy of said order being
attached hereto and made a part hereof by reference, the proper
City officers are hereby authorized and directed to make the
following payments out of the Workmen's Compensation Fund:
To Clarence Kubiszewski, the sum of $1615.00
less attorneys'-fees of $403.88, or $1,211.12,
representing accrued compensation to June 5, 1962;
To Robins, Davis & Lyons, Attorneys for employee,
the sum of $403.88, for attorneys' fees;
Also, to Clarence Kubiszewski, weekly compensation
at the rate of $45.00 per.week, payable at intervals of,
2 weeks, every fourth payment under said schedule to be
paid directly to employee's attorneys, Robins, Davis 8
Lyons, and said payments to continue at said rate th,r
and intervals from and after June 5, 1962, in
accordance with the --provisions and limitations
of the Workmen's Compensation Act,
1 File No, 207705 —By Frank L.
ht request -
a�`}'.1 , That Pursuant, to Ort 3r
Istrial Cbmm, s §l� ^t. i, :. i jl• •-
Tune 74, '11
CIS"
d "F' _ - li
JUN � 9
COUNCILMEN Adopted by the Council 19—
YeasDD C�y Nays
LDq JUN 19 1852 ��� ,
.....
Holland pproved 19—
Loss
In Favor
Mortinson -,l
�• V %Mayor
A gainst
Rose /
Mr. President, Vavoulis b
S M
k
DUPLICATE TO PRINTER _ • O���
�. CITY OF ST. PAUL COUNCIL
OFFICE OF THE CITY CLERK FILE NO. !•.a�
COUNCIL RESOLUTION— GENERAL FORM
PRESENTED BY
COMMISSIONER DATE
i
RESOLVED, That pursuant to Order of the Industrial
6omm*ssion of Minnesota, filed June 14, 1962 after hearing
held on the Claim Petition of Clarence Kubiszewski, employe
of the Department of Public Works, copy of said order being
! attached heieto and made a part hereof by reference, the proper
City offic6rs are hereby authorized and directed to make the
'
following ,7payments out of the Workmen's Compensation Fund:
i To Clarence Kubiszewski, the sum of $1615.00
leis attorneys' fees of $403.88, or $1,211.12,
representing accrued compensation to June 5, 1962;
1
To Robins, Davis & Lyons, Attorneys for employee,
the sum of $403.88, for attorneys' fees;
Also, to Clarence Kubiszewski, weekly compensation
at the rate of $45.00 per week, payable at intervals of
2 weeks, every fourth payment under said schedule to be
paid directly to employee's attorneys, Robins, Davis $
Lyons, and said
y payments to continue at said rate t� °,r
/ and intervals from and after June 5, 1962, in
accordance with the provisions and limitations
�j of the Workmen's Compensation Act.
l
COUNCILMEN
Yeas DALGLISft Nays
rDeCourcy
Holland
Loss
Mortinson
ers
.iRasor-
Mr. President, Vavoulis
BM 6.61
In Favor
A gainst
JUN 19.
Adopted by the Council 19-
19 a6
Approved 19—
Mayor
r � S
STATE Ofr M1NNUMA �,-
�Ju�
rTAM O"qM OURAMO. ST. MNL 1
NNW s Q _ _ mow" a
I� w uss�ss
clo tease Koissweli
"Ploye,
C it of Ss int PIG I t Dip art"Ot Nt
s.
• oyer,
• 1
and
iergcer.
rp "I ASOYt NANtD PART198 AND TK91R ATTORMYS:
PLUBS T*x NOTIC9 that hereto attached and '.:I =rawi Lh served
upon you it a true and correct copy of the decTsLou of the referee
U144 Mi4b the coaalerLon in the above.entLLled "tter on the
1t -day or
Dated of St. Paul, Mianei,oL�,
IftUSTRIAL COMMISSION or MINNSSOTA.
•y
Secretary,
1., D•
-
3� .�,,.,I i' iii .. t II' F •� •c{. � ..ate �-s J� _ s;�^ - •
• ' 1•�' 1 1 IL � I' i I �, �� 1 '.'111 � � � I 1
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L-1-1; I I�X
STATE OF MINNESOTA
INDUSTRIAL COMMISSION
OW19M 1 O• MORKROW'K COMKN"THM
file No. 175992 ST. PAUL 1
Ageef to. 5)
13J AM )DOOLMMM
Clarence, xubissawaki; aploy**.
ors.
City of Saint Ptul, "partmeat of
Public Vorks., Seployer
:tursuant to dhae ,robes to all the parties the above untitled
,titter came on to be board before Mfer es reank W. maskell, oa .tone
S, 1962. Arcola, M. lellis of l9fins, Davis i Lyons, Attornelys, 1130
Miaaesota Suild3ag, it. Pa4l, Miieeasota appeared in behalf of the
petitioacr. #Wbort laricy, Jr. ,' Attoruey, appeared in behalf of
the employer.
The Refsr o, having considered the pleadings and evidence
oduoed, incloiift exhibits clad stipulations, finds:
I.
That on December 12_, 1135 and December 27, 1938 Clarence L.
Kubiazewaki, 1556 Axles Avevue, Apartment Z, at. Paul was in the
emPloyaeat of the City of it. Paul as a Garbage Collector uader
a Miflmesote coutraot of .hire, "rain an the latter date $98.00 for
a five day work V"k.
H.
That on said dates the employers a Nwicipal Corporation, waa
not insured for Vorkmen's Cespsmsatiao liability udder the law of
The state of esota.-
III.
That on said dates the employee suffered personal injurles
that arose out of and in the terse of his erploymmut in tins naturr
of low back iejuties.
IT.
That said empLayer had " sotise of the occurrews of these
personal injuries.
V.
2hat as a result of "id perdeeal igjury of December 13, 1955
the employee suffered tsi po=7 total disaiility of less than one
wait.
�I.
That Itedical aspeasi incurred to acre aM relieve frm the
effects of both the Maid personal injuries has heretofore been paid
by the employer.
Maio'
n
t• n�
<t
STATE OF MINNESOTA
INDUSTRIAL COMMISSION
DIVISION OF WORK"KN'f COMPSKSATION
ST. PAUL 1
VII.
That as a rassa.lt of the personal injury of Decomberr 27, 1958
the employee became temporarily totally disabled on that date and
so rwsains disatblod to the date of hearing herein, June 5, IS52, a
period of 227 awd 2/5 w tka. Said disability was continuing un
said lattax date.
VIII.
That the employee may reeiuire further medical mews to kuro
mW relie" from the effects of said personal injury of December
27, 1956.
'EX
That the elaeployer has heretofore paid the employees a total
of 191.50 weeks of compensation at the rate of $45.40 per mere -ek by
reason of said personal injury of December 27, 1958, or $8,617.50.
X.
lhmt the eerployeee has entered into a reasonable fee agreemeut
with than attorneys of record herain, whereby he has agr"d to pay the?
25 percent of the compenwation recovered by this action for their
services.
MOSS, TXMIOU, IT 1! 0091IL 11 M AND 09nVIL IRD That in
addition to the sum of $8,617.50 helretoforts p Sid, and medical
ex?onses hetrotofoe# paid, the employee Flo zatitl ed to and is heraby
ararded the sum of $1,615.50 aecrutad compensation, which payment
together with previous payments compensates the owpl oyes fcr
227 and 2/5 weeks of temporary total d.isabi.lity at the rate of
$45.04 per mwk to June 5, 1962; with ros"nsatiun to cont.l aut Ott
said rats theroafter in accordance with the provisions and likait*ti.ons
of the Workma's Componsation ,Act, together with interost and
disbursement& he rein.
IT IS rii>I U OZDZIUW that the employer furnish such further
medical cage as loamy be necessary to cure and relie vib from the e.f.focto
of said personal injury, of .pee mbar 27, 1958.
IT IS rU ER OOMM that- the wployo r herein de&ict -from
said stma of $1,615.50 the amount of $403.89 and pay the same directly
to th* eztployee's attorneys of arocord, Robins, Davio h Lyons, &ad
that after glaze 5, 1161 each 4th payment of comperwalti.on payable by
this order be paid to said attorneys, the sa m to 'bo in full
satisfaction for they "rvic.es reador*i to the a Wloyeo herein.
Dated at alt. tatul, Minn.
this 13th day df June,
1962.
91[ t ar j
� v � r y r w .r •, � a
9
Refer" for the Industrial
Commission of Minnesota