v2362-214
(Testimony of Oliver Hemy Willi;
REMARKS
6-19-40 Fingerprints taken
BeFingerprinted 9-16-41 ERB
mbp Defense Housing Inquiry 12-29-41
AG No Loss of Seniority lay-off 4-14-42
Rephotographed 4-30-1942
Board's Exliibit No. 6 (Continued)
(Reverse Side)
Relationship
to Employer None
Name of Relatives
ELIGIBILITY FOR BENEFITS
No Calif. UnempIojTnent Insurance?
Unemployment Reason
Name Glenda Thomas Williamson
Name
Name
Group Insurance Yes yes
Name Glenda T. Williamson
Street No. 2)70 Ooii Dieg a Avcauo
Name -SWJ- Route 1
Probationary Period
CASE OF ACCIDENT NOTIFY
2797
Address a4?e San Diego Ave., Phone
Address San Diego, Calif. Phone
Address Phone
Policy No. UVn 26871 Amount $1000.00
BENEFICIARY Add'l. $1,000. :-:2-42
Relationship Wife Phone
City Ban Die g o State Calif.
Relationship Eneinitas Phone Calif.
City State
Relationship Phone
City State
PHYSICAL CONDITION
Eye Wears Glasses No
Right Hand
Right Arm
Right Limb
Right Foot
Right Lung No
Hernia No
Hemorrhoids No
Vaccinations Yes
Left Hand
Left Ann
Left Limb
Left Foot
Left Lung No
Truss Worn N(
Subject to Fits
Varicocele
SERIOUS ILLNESS
None
OPERATIONS
None
COMPENSATION RECORD
Cause
archive.org Volume Name: govuscourtsca9briefs2362
Volume: http://archive.org/stream/govuscourtsca9briefs2362
Document Link: http://archive.org/stream/govuscourtsca9briefs2362#page/n213/mode/1up
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