D60 White - City Clerk No.
D- 604x
Pink - Finance AUG 3 1972
Canary - Dept. Date
• CITY OF ST. PAUL
OFFICE OF THE MAYOR
ADMINISTRATIVE ORDER
ADMINISTRATIVE ORDER, that pursuant to the Award of the Minnesota
Industrial Commission, dated July 24, 1972, John Bergeron, employee
of the Water Department, be paid from the Workmen' s Compensation Account
of the Water Department, the sum of $3,307. 50, representing 52. 5 weeks
of compensation at the compensation rate of $63.00 per week, subject
to the conditions set forth below; such sum being payable by reason
of the permanent partial disability of said John Bergeron who was injured
on December 31 , 1969, while employed by the Water Department; be it
FURTHER ORDERED, that out of the aforesaid compensation, 25/ or $826.00
be deducted and paid directly to George Latimer, attorney for said
John Bergeron, in full satisfaction of legal services rendered and
the remaining balance of the aforesaid compensation, $2,481. 50, be
paid directly to said John Bergeron in one lump sum without interest
deduction and, further, that Dr. Meyer Z. Goldner be paid the sum of
$110.00 for a medical examination performed on said John Bergeron and,
•further, that the sum of $66. 15, representing two percent (2%) of the
permanent partial disability of said John Bergeron, be paid to the
Workmen' s Compensation Commission on behalf of the Special Compensation
Fund.
D AS T FORM
ssis ant ty Attorn
APPROVED AS TO FUNDING
spar ment ea - finance Admrnistrative Assistant to
Mayor
Date