D18 ri inal to Cit Clerk Igo.
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Date JUL 11 1972
CITY OF ST. PAUL
OFFICE OF THE MAYOR
ADMINISTRATIVE ORDER
ADMINISTRATIVE ORDER, that pursuant to the Award of the Minnesota
Industrial Commission, dated June 9, 1972, Dennis Simon, employee
of the Department of Public Works, be paid from the Workmen' s
Compensation Account of the General Fund, the sum of $2,280. 39,
representing 50 and 2/3rds weeks of compensation at the compensation
rate of $45.00 per week, subject to the conditions set forth below;
such sum being payable by reason of the temporary total disability
of said Dennis Simon, who was injured on October 27,` 1964, while
employed by the Department of Public Works; be it
FURTHER ORDERED, that out of the aforesaid compensation, 25%
or $570.00 be deducted and paid directly to Joseph Perry,: attorney
for said Dennis Simon, in full satisfaction of legal services
rendered and the remaining balance of the aforesaid compensation,
$1,710. 39, be paid directly to said Dennis Simon in. one lump sum
. without interest deduction and, further, that St. Paul Ramsey
Hospital be paid the sum of $74.95, to Dr. Robert A. Wengler the
sum of $110.00, to the Medical Education and Research Foundation
the sum of $221.00, .to Dr. John Larkin the sum of $55..00, to Dr.
Charles C. McCafferty the sum of $65.00, and to the Hazelden
Foundation the sum of $1,200.00 less payments made by Dennis Simon
to the extent of $600.00, with reimbursement to Dennis Simon of
amounts which he has paid tom the aforesaid facility.
APPR ED AS TO FORM
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Assistant'6 ty Attorn y Department UAd --
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Acting Head
Date
Department of Finance
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. Administrative ssistan to
Mayor