xt7kh12v6014_711 https://exploreuk.uky.edu/dips/xt7kh12v6014/data/mets.xml https://exploreuk.uky.edu/dips/xt7kh12v6014/data/2008ms006.dao.xml Benham Coal Mines. (Benham, Ky.) 151.0 Cubic feet 302 Boxes The Benham Coal Company records (151 cubic feet, 302 Boxes; dated 1911-1973) focus primarily on the early years of Benham Coal through the 1940s, including office files, Employee Benefits Association records, files on accidents and safety, and photographs. archival material English University of Kentucky This digital resource may be freely searched and displayed.  Permission must be received for subsequent distribution in print or electronically.  Physical rights are retained by the owning repository.  Copyright is retained in accordance with U. S. copyright laws.  For information about permissions to reproduce or publish, contact the Special Collections Research Center. Benham Coal Company Records African American coal miners--Kentucky--Harlan County Coal miners--Kentucky--Harlan County Coal mines and mining--Appalachian Region Coal mines and mining--Appalachian Region--History. Coal mines and mining--Kentucky--Benham--History Company towns--Kentucky--Benham 1938-1940 text 1938-1940 2015 https://exploreuk.uky.edu/dips/xt7kh12v6014/data/2008ms006/2008ms006_157/2008ms006_157_5/59071/59071.pdf 1938-1940 1940 1938-1940 section false xt7kh12v6014_711 xt7kh12v6014 July 2;5,` 19158.
Iain. T. ii. Csumbriélgjec,
Imdu ¤;tx‘1Ls;]. Accidamt Dept.  
EQQLCQJ; .*¥*§5&'iL.;X;x¥3..j;2iD.I}....'¤= JU.}  #1% 1958. ·
{ As mquazztu d in your ;a’e: te:· nf July 61:11, we mrc attucizixzgg
u _ 1;:12 to :st·rt,—. r:;am‘L in cuplic :,1:0 uf may j)ZA;,’1'0.,l by clusxu-·ii'icr.i;10rues fur the
O
;.*a:V1‘ and itzugj June .¥·l*, Lmié.
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2, ¤—~;-lm ¤J;;&;$ u»=1>;.i‘L»; . . `
 

 ··· INDUSTRIAL ACCIDENT DEPARTMENT
DEPARTMLENT I I I
§'§"§,‘,$,*,§,K.$ — hxsconsmn Steel C0. CWCAGO- 'L-'—·· Jul),. 6, QL9;8
Bemham, Ky.
FOR MR. -,, .
J. C. B8.J..l&l‘CI. Audfccr
:
*°”"‘ “""“‘ §;’*’.{E§*,..,_ Pzmmm, RNNONT - mime ENDING JUNE 30, 1938
We encicsie Letter reeceived i'2‘·0¤x Ntjn; "~>¤7·:·1»i·‘¤’€
C,0m·1->m:·awt`E»m Boayfi ;I#s*;.¤¤i Junw     Tx}.-i:EJ¤Il€?:I` with
- { C1
`0la;1E;._-· Toy {".,l.TI1j.CL1I_Ll.j hi`; p¤;y;vo;l   ·;L:2:~iY`Li··;;iy;;s._
"`0‘.1li Z;,lgQ;jS·i`—i) Liu-L yqu .'T.1:tz;;iL1 ii;. :;::.1.. 6:1:2;;:;:Lf‘i?~.I;.i0n.s:
' ,2;- 7 q, r+ 3 ufl ·'·
;-,~ 4.*... .4 J,,.,.N •
[as? to the ¤¥’?C,I,!{1‘?.'LéQ<.`I p&;,»‘;Ji.I. {U; fh.; UF"Y’Q` ivkziiryg
Tuna QD 19} .   tex.; ih f;h¢.t tix;. T%·>:.¤·*.   1:; an;
} . .
s.;·i`.2;l p;_y‘2—JlI by c:T_·t..;.2Rf'i·2·2i,*Em., Toy ih; 3;:;* eniin;
June Q4), IE5.
Lfasi ;,·e:;1· wu; VIZEQC. V0; =;dt1Li1i:i‘.,;’;&;Lvn uzigem ...‘»   ¤:;;L.11‘L·2»t1
·:.;] f*;{$,:,;.9;.. I
rl   ff ( (4 ( (V IL C if C i\
-   ( ` "~-.
2.; Tim. Ze»;z1p;?@*1, /I&`IZAIZ*Q}.£`II>·:_;/"»·".T»—L’£.l"; H¤;;·.Lq.;1, Ky.
J. F. Ne·fL:¤011, Au·;?;jiL·.>,r·, "`.l:i. E`L;;ql C3., Lf U1 J"L;~;>;‘

 ’ · VV o1‘kmen’s Compcns ti B d
FRANKFORT, KY.
DIVISION OF THE DEPARTMENT OF INDUSTRIAL RELATIONS
        BOARD MEETS FIRST AND THIRD TUESDAYS
: \T._
JAMES B. MILLIKEN, CHAIRMAN 5/\}(~ ,, IE OF EACH MONTH
NEwI=0n·r, I'§_L* H.g{L'_·g€
GRAYSON. KY.   PERCY W. MOORE, Ac·ruARY
FRANK R. HALL, `
wEEK5BURY· KY" PLEASE REFER TO 0UR FILE NUMBER
June 15 1958s
J
— ·` gw   N Q   Y.     ..
il   F*: ` ` V` _: >
_ Gentlemen:
Last year an assessment was made against the estimated
payrolls of own risk carriers for the year ending June 30th,
l958¤ ln order that e correct settlement may be made, it
is neoessarr that iou furnish us with an audited wayroll for
J J
the ear from Juli ln 1937 to Juno 50 1955 or for the ner¤
4 3 J 4
iod of the year mentioned during which you operated under own
risk permissiono
we also wish to advise that at the close of the Fiscal
Year on June 50th, 1958, we find that the funds to the credit
of this Department will amount to less than One Hundred
Thousand Dollars, {@lO0,000¤OO)* and under the laws govern-
‘ ing this Department we are compelled to make an assessment
against the own risk carriers for the year beginning July 1,
. 1938 and ending June 50, 1959q
We are enclosing duplicate blank payroll forms, with
the request that you lot us have your audited payroll for
the year beginning July 1, l9$7 and ending June BO, 1953,
and your estimated payroll for the year beginning July l,
1938 and ending June Z0, l959»
— Very truly yourss X? E$€3‘ .‘¥?
,#·L~-\ - E J El. ED
J   _. " __· ?~·'],¤ 4 [* 1 ~» A #/' ,» .,
  · ‘-’ ¤  I V  "*·*” JUL ‘ l HSE
Percy W} ldoorc,
Actuary I»' l I `" `*P¢t Y
J c. »NJU§¥l§IAL AL,-cu}E_M
‘»’%Iw‘TI\"”‘°*""
·— . .| s E
PWM lw tl
*Seo amendment as passed by the l938 special session of the
Kentucky General Assembly.
PLEASE ADDRESS ALL COMMUBHCATIONS TO THE BOARD AT FRANKFoRr

 1 .5I.$CC—i._;1H afi'? EIL (LQ); .E 'Y " IHC  .EL‘.T"D
IZ uid, 1.1* EIS
Baenhim , Ly.
       
Tucaxti an
ii. Ei. (Zur Jut si cia :1.y `* elggu
 212.1   $@J¤.@!2;;ea.. -£a€1>2J.¤a... -1.¤J=..¤2.. ;;s2;rs;aa_ 12 ‘ @1.
July - 1957 _;;£,21€».€§.§;.?·%?·,. .?§);éi¥2?.e;%;'L.,
$.4,587.76 5l§,l.3I.=]. TUV, 1
I I I I I I I I
9 I~l'7I we `I ***18 Ive EBU 1I.I‘% I‘IU ll`; oi.] I 77 I I I I
July .............................. -, 193.7... $ ......... if ,...,, I..;... $.i7.T?.P..i‘._‘ ___.__ ' I ____.. $ ____.... F .i_,,.. ZT..I_i .,.. $ ..,,.. ’ ...! ........ ?.I ...... $ .................,., I ..,... $ ...l...........__i__ _ _,__, 5 __,_,_,_____________ I ______ 5 __________________,_ I ______
· · ~·¤:·I ··.I yi grew Ir   {Qi Ii! ; ’ ·.‘·v:.;I<#;s I I I I
August ________i__._.____.____.._, ism ____,_ $...¥1Q.!..I%&ifIII..I’I.? $.;i%.a..t?..Tt’ .,,I zi?. $..€“I?.?...I..I.I..'...TIT $.;}}i.%..f ......   It .................... I ...... $ .................... I .,..., 5 _,________________,_ I ______ $ __________________,_ I ,_____
‘*· g, »· I III? `Itl ·..c; I¤·iI I .,¤`,;'I I¥'»· "r=I`   < 'YJ; I I I I
September ._..__........_,_,, 193 _.____ $...:Ir.i?r..;;!.·...TI...:19 $:;E:.&f:f.t‘.t .,,, Ifiiii   $tI.`.,.fI.?.}?.I5.TI,I.3.. $ ,.,................. I ...... $ ,,,..........,....., I ...... $ ___,___,_________,__ I ______ 5 ____________________·______
October ,._l......__....._.._._., 193 ......         $ .................... I ...... $ .......t..ii.,.,..t. I t...., 3 ,,_,,_______,_______ I ______ 5 ____________________   _____
* . mv! M: ‘·   my |* I;   ..   Iam ;_.»·; ;,r2.I ;;'Z I I I I
Novémber .................... , 193 ,...., $...f.T1.i.ZI..iT2I..T¥..‘ $3 .... ?.j;I.i.1i ...* YI ....   ...._ j?.?...i2 ..,. I .... TI $ ........, I .,... I .... I ...... S ..................l. I ...i.. $ »................... I ,..... $ ..,_..,._,,,____._,_ I _____, $ _A____A__,_,_____,.. I .,__,_
·—; · ;Ic‘ wr; ·.:; ri"   "__I¢.‘ ’·'E';aI¢?` I I
December ...................., 193 ...... $...{‘.Y.i.“.Z$5ZI..iI.tI   $t.Z?.f(.!jIII._T..‘.`ifI.I   $ ...............l,.., I _,..,. $ ................,,.. , ,.... It ,,_______,______,___   __,___ 3 ______________,_____   ______
I   _ __,I .,. .2, ,45, I 7 As   IMI A, I.) I-UQI A I I I I
January ...........i............ , 193{L.     _,,, ifjj ____ I ___... $..Y.I..? __,i j.l;i_.Ij _.... is ..l...... ¥ ...I .....__ I..Q... $ .l.................. I. .,... $ ....l.,..........,., I ..___, 3 ,_______________,__, I ______ 5 ____________________   ___,__
I;; .·,·5I| 5,; In ;~,>   Ip; _;,   I__r1 II; u, ._I   I I I I
February ................r..., 193 ...... $...?Ii..2.iI ...... I .... `.. $.?iYi.?...I ........I......   ....l... ?...I ....... If., $...TIff.?.T.’.Tf`I;1.I.fIIJ Il ......,...........,. I ...... it ...,..............t. I ...... 5 ...,______,_______,_ I _,_,,_ 3 ____________________ I ,_____
1..1   I :.:3   »... I       ·i ** 1, Ix,1 <·t rex; ,I or I I I I
MHFCII ..................1....... , 193 ,..... $ ..,...... £..?...TI.I ...... $ ...,... E ..l........ I ..,... $ .i...i.. P ......t.... I e,.... $...TI..I.?..i ....,__ I .... I $ ...............».... . ..... $ ........,,........., . ..... $ ___,....____________ I _____, 5 ____________________‘______
' · · 7 · ‘ £`~· .I =?·‘§ 'lvnn I I
April ........,...........i......., 100 t..... $...:Et;iz.i·%.$?&%I..i.:’ $.;I;‘.·._g.:iE;’_;;%_.Iii?. $.:.Ttf.e.. ‘_I_ i;iT?.Ik?§ :5 ,..i I .$f.r.?.E€ ,·_’_ ?,I..:I?III   ....,....,...,.....t I ,_.... sa ........,......_..., I _._.., 5 ____________________ I _,_,__ 5 ____________________ I__,
IV `V ,,| ,1,. .» ·»,_ |;v· * 7 IE5,   ,I'>"I ' I I I I'.-
T _|'}4 ._ ,. ,.._ ]· ·_; A V IU , nn . I I I
May --....<-...................... , 193 ...... $...fTZ.’.LT.'.T.?.fI..FI.TI' $.r:&;.,1.i:.;:’...I.1.E?. $..9.;..2.;;.rIt ....   $..E::’?.! ....   $ ..,................t I .,.... $ ....................~...... $ ___,,._,________,___ I ______ 3 ____________________ I ______
June ....,......................l.. ,10:1 ...... $ i.....   $.;I:·.·}.;.‘:EJI;€—?...tt?. $..}r.?.a.j.f.~.i;'§..IEr.?     ....1t...........1.. I 1..... II t...1........_...,., I ttl_.. sr ____________t_______ I ______ e __,________,________  
‘ It r,   ’*.' -)·7 `¤ . I I' I LI I I1 ‘   , 1,. I ' I  
mtu $.I;;.a.».e:srsI..ee ee§I.I.e.¤s—;...I.»..F?.   $+.t.·..%;—.a;a$I_Ie.? I ..........,,......,. I ,,.... I $ I..._...._..__._..,. I ._____ 3 _____,______________ I ______ $ _______________,____ I___
I I I I I I I I
. . >;&3IzI·» day of   Ry ez
Signed this ,....,.........,.,,..l.... fl .,.... it ,........ v ......._________ Eh; ___________,________________________________________ y l93_‘j _____
‘ ......... I .-..—...· é T., ._.,,. le; ___,   ____ L }   ~Y`F·I·<`       
tliinployer) U  
 
.   - _, [ r*»o;i»;s .1u<..;tc-z-
Snhsm-Ibod and sworn to by ,___,_,,.,,,...,......   ,___   ___,___,__,,,,_______,__,___________,__,,, , before me a Notary Public in and for the County of __,_______ fi _______ _ ____A_______________________________ _ ___________
St[{`[Q   __,,,,,.@'Z§?.’E¥§.E{`.€.}€({y. .·.··-· · -··----·· · ······—··· - ···- ··· --—··----—·---·---- · ·--···-·· · -··-·-·· •
· Witness my hand and seal this the ........... iIII.I;I}.{I ....................., day of ....._....................   ................................................................................................... { .r.. ., ]93.§].
~l A ` - L r
• ..... 1 ···...· Y ..··.···· ·.· ......·..... .».·., .... ;...' ...... ...\, ..........   ..... , ......... . ..... ,,, ,,,_ _ _______________ _ _______ ____
’ / _,¢*
II   .n 1.1*
Notary Public .......................,.. ' ..L l....   ............................................... Co., ............   ...........................
` _ Imc. 'F, ak F3.
· My commission expires ..l.....................................................................................,...............................................................................,.............................
, NOTE.——Individnal reports for separate operations or businesses of same employer may be filed if desired.
In case a fair estimate of prospective expenditure for next twelve months cannot be taken from average expenditures to date, as shown above, please explain and fur-
nish new estimate.

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 . ‘ ’ 2
· ` . July 24, 19259.. ‘ _
_ Mr. T. E. Cmrbridga, _
Induzstrinl Accident Dept. c A ~
For Mr. G. G. Gregory. PAYROLL REPORT ·- YEAR ;‘NDIZNG..TUNE 30,-1939.
» As zwequastcd in J-.>ux· 1s1:‘nc1·cf .Tu3.y {Syd, wc are attaching
hcmtc statement in duplicate cf our payroll by classifications for ,
the ymr ending June 150, 1959. I
Yours truly,
NISCUEFSIN STEL GCJz%!;E~fY
A B;J____________ _ ____________________
23 an cls. Yiufks Kuditcr.

 WBCUNSIN LSTLEL COBHLHY * INCOE}”0R»'a‘I‘HD
COAL MINES
Benhmn, Ky.
SUP}’L1TeELI¥TJ}_L HEFLORT OF G$‘r2F'RP:L PAYROLL
Vacation
R.R. Car Outssi de Pay Wage
‘I':Lgp1e gckmnic ul Swit ch ig; Repgir Labor Eprmrs Total
July • 1938 810.27 2,296.09 456.65 1,629.14 5,457.01 3,100.47 13,749.63
August " 785.78 2,329.78 2501.69 2,683.45 4,314.19 2,840.57 13,255.46
S6pt.amber " 879.85 2,460.87 341.85 2,259.81 4,634.29 2,7.53.64 13,310.51
October " 845 .20 2,828.67 346.06 2,204.86 4,403.41 2,576.52 13,204.72
Novaxbcr " 830.63 2,836.66 $.537.60 2,128.50 4,562.67 1,683.15 12,379.21
December " 988.79 3,185.65 405.44 1,766.18 5,488.74 704.59 12,539.39
January 1959 984.00 2,882.71 380.95 1,730.46 5,200.83 121.52 11,300.47
Fabrunry " 909.53 2,973.67 358.75 1,580.71 4,974.26 1,548.07 12,344.99
March " 866.16 3,091.54 433.47 1,299.65 5,464.58 1,714.07 12 ,869 .47
April " 212.85 1,569.59 201.85 720.03 3,672.28 2,792.17 8,968.77
my " 259.82 1,962.85 187.41 350.37 3,755.85 1,888.86 8,405.16
June " 1,402.67 3,615 .79 _ 547.71 969.77 5,880.72 ___9_55.31 13,429.97
$9,835.55 151,853.87 4,299.43 19,322.95 57,808.83 22,656.94 $145,757.55
·y,, .
·»· ~ ·

 NOTE.~—This report of payroll expended to June 30, 193.9 ..... , is required by Subsections 2 and 8 of Section S3 of the Compensation Act.
W0l‘km€ll’S Compensation Board, Frankfort, Ky.
Gentlemen:
The undersigned employer, under oath, hereby iiles a report of payroll subject to the Act as required by Subseeti%ns 2 and S of Section S3 of the Compensation Act cover-
ing wages earned by employees on and atter the date of their acceptance of the Act, up to and including June 30, 193..4*...
Clerical and office payroll, not exposed to any operating hazard of the business, is reported as "Clerical."
Month Cl<*ric:1l I Genera] I COI?]. TLEERI I I I I
July .._..............._............., me. F .....         l .................... F ...... l .................... F ...... l ..........__._._,__. F _.____ $ .._______,__________ F ._____
AllgllSt _____________.____._.___,_, me $ .._..     $.ea.;F4ee¢...t$.e.   $ ........._.......... F ._.... $ .................... F ...... $ .................... F ...... $ ............._.._.__ F ..._._ "
S...,s..b.... .__,____.________,, me l ..... $s.?2e.F.e>.@ $s>....e#.2e.Fa..     l .................... F ...... 5 ..,................. F ...... 3, .__..,.__.___._._... F .,____ $ __________________.. F ______
october _____________.__________, 193..9 :5 .....   $?&%?..e.€?§.{T`¥...F?t{. $.?€‘?.1.iii.l‘?..F9.§   sg .................... F _..... s .................... F ...... s ..l.................   ...... s _..............._... F ......
November _..................., ag-?} $ ..... ?.¤.€?.%$?.F{&? $S%%?..e.i?.7?€...F¥¥.. $.r;;?.ef¥.?§..Fr?i?. $..·.sé.»sé§..F.Q.% SF .................... F ...... $ .................... F ...... it .................... F ..,._. $ __._....__.__._.____ F ______
Dember __._________..____.., 193...9 $ ...__ ?.,}.Fi§§_F_€é.? $§%§ii§?fe?? .... F2?-     $ ......_............. F ...... $ .................... F ...... $ .................... F ...... 5 _..._.__._.__.___.__ F ._____
  ____.___..._............, 193-.2 $ .....   $i.2>.,.#e;.s ..,. ks?.     $ .................... F ...... $ .................... F ...... $ ..............._.... F ...... $ .___________._______ F ______
Fett-w,· ._..............   mm?. at ..... ?1l§§§.F.e2§       $ .................... F ...... $ .................... F ...... $ .................... F ._..._ S ___.,.________._____ ‘ ______
Mm ..........._..............,   $ .....         $ .................... F ...... t .................... F ...... $ .................... F ...... S ..__..______________ F __.___
April ....._._...................., mm?. $ .,...   $...?ig.?.i%§...F:?TK. S .... §¤gié§?F?.€?.   S .................... F ...... $ .................... F ...... $ ......._..____.__.__ F ______ $ ._____________._____ F ______
my .............................., mm?. is ..... $?.!.$%.{€€§.F.%a§}   $ ....   $..%%¢%.e.9}??..F.%?>? $ .................... F ...... it .................... F ...... $ ..............,_.... F __._._ S ____________________ F ______
June; ..............._..._.........., 192...9 $ ..... T{¤$%.;z&%.F.%?>? $;%éi.i%%%§...Fa?f. $.%??.t.%?E$$é..F?§¥. $..?§T?.?.€%??§.F.?.? l .................... F ...... $ .................... F ...... $ ............_._..... F ___... $ ____________________ F ______
Tom $,£E9§i.?.%?§.F.?.? l%?.¤.?.??...F?.?..     Fi ....................   ...... 3 ....................   ...... $ ................._..   ....__ $ ____________________ F ______
1
Siened this ..................................   ....   .........,............___________________ , 193___?___
;v'.ir2Sf.;5;iif`icatior_s for the gxeaxr erdimgf
June EC, 1929.
Last year our tas. for ei·Cminist1·e;ii.I-IALL. _;_,J_.....--E -~;_A'm/ U {
wEEI‘Til/’I`¤7>llU of Own. E—.i.sI; Ct1r:Ji·;=:·s; ik; the   ey I
L2nrlln{g Jxznu; QI), .L‘Zl·$Q. In o1’·cl·:r It`. -1**, :1 o::·r1·».;cit E=i2·LZ,ls—
TTIQZEJC may bu: I.I?:,£l·‘;, li. jl;` :;CIi. J;.lj,I l, l&JZC
to ¤,l'L1Il€'i SO, lQ59, or for the j»»>:·lod of ih;. j-,rL;·;iT ;·.2<:1·2.‘·;i;on<;d
dLn~;I.n€·· vI%;}.<:}1 you ;voI‘i—.i·‘i;—;Z. u;11·
tho lavm §#(>"v`\J1"l'llIl{; thi.; €l·:p>L1"“L:~1I<.rIi:   rm: oomj1vg*l1I1;.l;·Ig Jvly l, fi‘.3·39, ;;;;I·i I.»,;¤T_I_;;g; JI;;;·t: QU, l9·&®..
EL.; xtra; ¤·;:<:los   Ii‘1pl.lca;‘%<, `ol;inYi ]n~·<=AG¤» M-· Auguet 1% 1999
FORMR_ J. C. Ballard, Auditor `
Y°"RLE"E“ §§if§]@ PAYROLL REPORT — YEAR ENDING JUNE 30, 1939
We have received notice from the Workmen's Compensation
Board of Kentucky by D. L. Lally, Actuary, indicating that
no payment will be required on account of payroll assessment
in connection with audited payroll For the year 1938-1939
and estimated payroll for the year l939—l940, as there is a
credit balance of $205.80 remaining from payments previously
made. We are enclosing herewith, for your file, a copy of
the Board's statement.
C. G. Gregory {
CGG:AA
Eno.
cc William Sampson, Attorney—at—Law, Harlan, Kty. V
cc J. F. Nelson, Auditor, Wis. Steel Co., 13th Floor
  `I V,.-»"': I I
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0
_ WORKMEN'S COMPENSATLON b0ARD P
, ‘ Frankfort, Ky. X
Division of the Department oi Industrial Relations
July 29, 1939
Wisconsin Steel Company,
180 North Michigan Avenue,
Chicago, Illinois
Gentlemen:
We are in receipt of your Auoited Payroll for the ,ear 1938-1939,
together with the Estimated Payroll for tLe year l939—l940, the eesesements
of which are as follows:
AUDITAD: l9}3—lQ§9 ,
/
1./
Clerical 3 106,913.99 x .07 x 2% $ 1.50
GENELAL Ig
Tipple 9.835.55 ` A
Mechanical 31,$33.87»Qg
Switching 4,299.43;’f
Outeide leoor 57,808.83a
Coal 286,092.55
$ 389,870.23 @f 7.25 X 2% 565.31
Carpenters 19,322.93 Q 3.33 x 2% 13,06
Amount of Audited Payroll 579.37
Paio on Estimoteo Payroll l,3é3.72
CREDIT BALANCE ...... . .,...... 3 755.35
ESTIMATED: 1959-1240
Clerical 3 106,920,00 x .07 I 2% 1.50
General 390,000.00 x 7.25 x 2% 565.50
Carpenters 19,500.00 X 3.22 x 2% 12.55
Amount of Estimated Payroll S 522.55
CREDIT BALANCE . ............ . . $ 205.80 `
As there is u CREDIT BALANCL OF 5 205.80 there will oe no check
necessary.
Yours very truly,
D. L. Lally (Signed)
Actuary
DLL:I.w

 ~ .___,¢*
ff ‘ N ‘ '
MI'. Thomas E. Gnmbrcidgez, l - January 115, 1.959. A
Indus‘cJ"1,,l Acc ident Dept .
V .4-ag requested in your latter of January 101:11, wa um attach-
fug howto sstutesrnant of Medical, Surzgca.1, amd Hospital Ezcpcnsae for _
the y!·z&z· uxmirxg DBc·mb<.4· lil, 19138.-   A i
`!01¤·w tmly,
WIQSCWLSIH §;TT1¥3L GOMTANY
» ` By______“____._______*______________________
1 @110].. Lorksa »'§ud1t0r.

 _  ·'u INDUSTRIAL ACICEDENT DEPARTIVIENT _
DEPAR?}~:IgNT ` ` ,._
BRANCH Coal Mines CHICAC-C. r¤.¤... January lO, l9p'9
OR w0RK$
F<>*= MR- ‘ J. C. Ballard, Auditor
’°"“ “““" $¥“$'€?T~¤. mmcit, SULGICAL Iam Hoseimt I;:~;P¤mI1;sm
CJIIIEIJDIIII YILAR 1938
will you pleaae furnish ue with a statement covering
medical, surgical and hospital expense under account
Nos. lOl-A, lIll—C, lOl-E, 102-A and lO2—B foir the year
ending Decembezr Bl, l958 in the same form in which this
information was fuimirshed to   laet year.
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xi      
W   ff '4 . Y’Ql"·f‘_I1`7’
1€0 I. lichirsn Ave.,
Ghiooio, 1111nois.
Gentlemen:
Lost year su assessment was made against the
estimated yayro11s of Own Risk Jarriers for the year
ending Jume Z0, 1940. In order that o ecrreot settle-
ment may be mode, it is necessary that you furnish us
with an audited psyro11 for the year from July 1, 1939
to June 50, 1940, or for tho yeriod of the year mentioned
during which you operated under own risk yermission.
Ne a1so wich to advise that ot the close of the
Fiscal Year on June $0, 1940, we find tint tmc funds to
the credit of this Department wi11 amount to 1ess than
One Hundred Thousand Do11nrs, (;100,00Q.001, and under
the 1sws governing this Deyurtmeut me are compelled to
make an assessment ewainst the own Risk Carriers for the
vear borinninz Ju] 1 1940 and endins Juno 30, 1941*
J `_ J .7 I, .
We are enclosing duplicate b1unk payroll forms,
with the request that you furnish us ss prompt1y as possib1o;
AUDITED PAYROLL for Rear Juiv 1 1959~June 30 1940
J 1 1 1 r 5
ESTIMATED FAYRCLL for year, Ju1y 1, 1Q40—Juno 50,1941.
Very truly yours,
/',,.-·-ri" Q 4   fag-; ,
/5 ’//[ " > """’—€·'¤`$’ `Y`Fg`r  .
·· -·   "   .»»;... ~ I   M    
V ,   __ ·\.}y` §?L  ,·,  
D Q I-I I     /"—-Y "*_j;·•·;;,  
DLL LW Aotuerv. ~YfY »
f [ _ l A I .  i,i
 
?UIh¢hé H,
if z, "L- .*E?fI".I '`‘·  
L.,[_ [1ljU(?—é.!_ ;c.\>J[',`Jz,_A/L,
  ·.;
PLEASE ADDRESS ALL CONHWUNICATIONS TO THE BOARD AT FRANKFORT `

 NO ‘E.——-'l‘lIis report of payroll expended to June 30, 19 ff} ..... , is required by Subsections 2 and 8 of Section 83 ot the Compensation Act.
JI
VVorlcmen's Compensation Board, Frankfort, Ky,
Gentlemen:
°'l`he undersigned employer, under oath. hereby fllos a report of payroll subject to tho Act as required by Subsections 2/and 8 of Section 83 of the Compensation Act
covering wages earned by employees on and after the date of their acceptance of the Act, up to and including June 30, 193,;......
_ Clerical and oiiice payroll, not exposed to any operating hazard of the business, is reported as "Clerlca1."
Month (‘leri<·al General Coail Total
I I I I
I Ir I .» I ., I, . ·   I, I I
July .........e......_...l,.......i,..., li)? ..... $ ....           .___   $ ._.....,..........._ I l_.... $ .,.................t I ...... $ .l.l.............,..   .l.... $ ._.................. I ......
‘° 3   ` ` · ·>‘ u - I I
August ._.__..l.,e..t.............l, 193.2..         S   $ .................... I ...... $ .................... . ..... $ .................... I ...... 5 .....l.............,   ......
0 O 4 S.? Z 5 ·.)8L5 6 5* 54-5I0" BP 1U'7I9l5
September .................... , 193..2.. $ ......l   ....,....... I ...... $ ...,...   ....,....... I ..l... $ ......     .......... I ....   $ ......   ........... I ...... $ .................... I ...... $ ...............,.... I ...... $ .................... I ...... $ ......,..,l......... I ......
9 ·   { .‘   ‘ _. I I
October _........_.............4.., 193 ._....       ._.. IY   $ .................... I ...,.. $ .................. I .... $. ................. I ...... S ,................... I ......
9 1 ;5g·> *= 5  · · ·II · I I I I
November ..........._......_..., 193 ......   ....l.. 7         $ .................... . ..... $ ................ . I .... 5 ....................   ..