Transcript of 166-12c-1_serial_1_section_1_56-la-156_la_report_6.15.68-part_5_of_7.pdf
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FD-3 02 (Rev. 4-15-64 )
FEDERAL BUREAU OF INVESTIGATION
Date
6/12/68
JACK DAVIES , owner Jack Davies Richfield Service
Station, 2529 East Foothill Boulevard , Pasadena , California,
furnished the following information:
DAVIES advised that SIRHAN STRHAN began Working for
him at the station on 28 1964
)
and terminated this
employment on June 7
Se8tenbOaVZBs
advised that STRHAN worked
at this same
Richfieid
Station for one CLARENCE COPPING
9
who
had previously owned the service station prior to DAVIES
purchasing this station.
DAVIES advised that STRHAN was an excellent worker
and never caused any trouble around the station, was
friendly
to the customers , and seemed dedicated to his work
DAVIES advised that during the time SIRHAN was
employed at his station, he worked the night shift alone and
was an excellent employee due to the fact that he was a loner
and never had any friends ; therefore there were never groups
of boys hanging around the service station while STRHAN was on
duty_ He advised that SIRHAN never made friends with anyone
at the service station and never expressed any of hi8 political
views or nationalistic beliefs to hin.
DAVIES advised that he never saw SIRHAN with any
girls and the only thing he recalls about SIRHAN was that he
enjoyed going to the horse races at Santa Anita and he always
the impression that SIRHAN bet most_ Of his salary on the
horses He advised that SIRHAN once mentioned that he would
like to become a jockey and if he ever started any type of
conversation at the station, it was concerning horses that
were running at Santa Anita
He advised that STRHAN was very polite to the
onetonetie betenenpe?
9
showed an outstanding personality, and
one of best employees that has workea for him since he
took over the Richfield Station_
On
6768 at Pesadena_ CeLifornia File # Los_Angeles_56-156_
SA ROLAND H. BROYLES and 196
by
SA ALLEN K TOLEN/AKT/rablcLp
Date dictated 6[768
This document containg neither recommendations nor conclusions of the FBI: It i8 the property of the FBI and is loaned to
your agency; it ad its contents 8re 'not to be distributed outside your agency.
got
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LA 56-156
He advised that approximately two months ag0, SIRHAN
came by his station on a Sunday and he helped STRHAN tune up
his DeSoto. He advised at this time he noticed no change
in SIRHAN _ He advised that during this time while STRHAN was
at the station; no conversation developed other than STRHAN
mentioned to him that hig automobile had not been running for
the past couple of months and that he had not purchased license
plates for this automobile and that license plates currently
on the automobile belong to his brother
DAVTES advised that he never met any of SIRHAN 8
relatives nor at anytime while SIRHAN was employed by hin did
any of his friends come to the station_
DAVTES advised that IVAN MILICIC , who runs the
Chevron Station across the street from his business once
needed some help in 1965 and SIRHAN worked for MILICIC
approximately two weekcs
DAVIES advised that the last time he saw SIRHAN
was on June 3, at approximately 11:00 a.m when SIRHAN
drove into his
station
to get gas He advised that at this
time he was talking on the telephone and he noticed that
SIRHAN had waved to him_ He advised that STRHAN waited on
hingelf by putting the gasoline into his car and gave the
money to SIDNEY MC DANIEL , an employee 0f the service station
and SIRHAN drove off before DAVIES could speak to him_
DAVIES advised that although several of his customers
may have known SIRHAN to see he is certain no one knew
him well - DAVIES advised that he did not notice any difference
in STRHAN the past few months and he did not seem to change
any 8ince he was employed at the Richfield Service Station_
DAVIES went on to say that when he saw the picture
of the suspected assassin of Senator KENNEDY on television;
he immediately identified this individual a8 STRHAN
9
who was
employed by him and he further stated that it was hard for
him to believe that STRHAN could do this type of thing_
DAVIES then furnished the following names of
individuals who might have known SIRHAN :
197
1956
1968
him,
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3
LA 56-156
STDNEY MC DANIEL
91 Eloise
Pasadena , California
CLARENCE COPPING
2747 Morningside
Pasadena , California
TOM BLESSING
12700 Elliot
El Monte, California
ROGER MOORE
Duarte, California
CHESTER ADAM YASHUK
2450 White Street
Pasadena
9
California
CAROL LAMRECHT
Exact address unknown
Telephone 966-1867
198
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FD-3 02 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGATION
6/12/68
Date
SIDNEY MC DANIEL home address 91 Eloise, Pasadena,
California, employee
Jack favies
Richfield Service Station,
2529 East Foothill Boulevard , Pasedena , furnfshed the following
information:
MC DANIEL advised that he first met SIRHAN SIRHAN
in 1965 when he started working for JACK DAVIES at the
Richfield Station_ He advised that he knew STRHAN to speak
to him and that he would usually speak to SIRHAN when he came
by the station for gasoline but never knew SIRHAN 8ocially_
MC DANIEL advised that he never at anytime saw SIRHAN with
anyone and when he did see SIRHAN , he would always be alone
He went on to say that STRHAN seemed to have a fine personality,
was a good worker , was quite friendly and polite_ but appeared
to be a loner and a person who appeared to want
to
be left
alone _
MC DANIEL advised that he never met any of SIRHAN S
family and he always felt that STRHAN was a foreigner but he
never knew what country he was from He advised that SIRHAN
once mentioned to him that he liked to play the horses and
his ambition was to work at a race track and maybe even become
& jockey_ He advised that SIRHAN once fell from a horse and
was injured but he does not recall where the incident occurred
or the exact date_ He advised at no time during any conversa-
tions with SIRHAN did SIRHAN ever express any of his views
He advised that STRHAN never spoke politically and at no time
did he ever talk of violence or for that matter seem to
be a violent person _
MC DANIEL went on to say that on June 3, 1968
9
at
approximately 10:30 a. SIRHAN came into the Richfield
station and purchased ga8 for his 1956 De Soto, SIRHAN_spoke
briefly to him just to say hello and weved to Mr DAVIES
and then drove off _
6/7/68 Pasadena, California
File #
Los_Angeles_56-156
On at
SA ROLAND HS BROYLES and
199
SA ALLEN K TOLEN /AKT/reh/elp
Date dictated
6/768
by
containg neither recommendations nor conclusions of the FBI: It is the property of the FBI and i8 loaned to This document
your agency; it ad its contents are not to be distributed outside your agency.
m. ,
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LA 56-156
MC DANIEL advised that SIRHAN did not seem any
different to him on June 3, 1968 than he had in the past _
MC DANIEL further advised that when he saw SIRHAN S picture
on the television as being the man who had shot Senator
KENNEDY , it was hard for him to believe that STRHAN could
do this _
200
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FD-302 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGATION
6/10/68
Date
THOMAS EDWARD BLESSING , home address 145 South
Sierra Madre Pasadena
9
California was interviewed at his
place of emp Jack Davies
"Richfield Service Station,
2529 East Foothill
'Boulevard,
Pasadena
5
California, and
furnished the following information:
BLESSING advised that he has been employed at the
Jack Davies Richfield Service Station for approximately
one and one-half months since he moved to California from
Saginaw
9
Michigan BLESSING
advised that he never worked
with SIRHAN SIRHAN but that he met SIRHAN approximately
four or five times , when SIRHAN would come into the service
station to purchase gasoline _ BLESSING went on to say that
he did not know SIRHAN name , but_ the morning after
Senator KENNEDY was shot JACK
DAVIES
9
Owner of the Richfield
Station, told him that
SERHAN
was the individual who had
previous ly worked for him and was the same person who used
t? come in and gasoline _ BLESSING further stated that
when SIRHAN would come into the station in his 1956 pink
DeSoto, they would sometimes talk about automobiles He
advised that approximately three weeks ago while SIRHAN
was at the service station, he asked SIRHAN if he knew
anyone who had a automobile for sale because he needed
transportations BLESSING advised that SIRHAN told him that
he was p lanning on
trading cars and , if he did trade for
another car, he would BLESSING his old car, being a
1956 DeSoto.
BLESSING advised that SIRHAN was a
very polite
individual and He told BLESSING that he understood
that BLESSING had
1adiendanilyE
a and with the salary he was making
at this service station, he realized it was hard to support
a family on these wages Therefore, if he did purchase a
new car, he would give BLESSING his pink DeSoto
BLESSING advised that the last time he saw SIRHAN
was on
Monday_
9
June 3, 1968 exact time unknown, when SIRHAN
came into the Jack DavieB
Richfiela
Gas Station. He advised
On
6/9/68
at
Pasadena California
File #
Los_Angeles 56-156
SA ALLEN K TOLEN and 201
by SA ROLAND H BROYLES /AKT/asi
Date dictated
6/10/68
This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI ad is loaned to
your agency; it and its contents are not to be distributed outside your agency.
ioyment
by
buy
good
give
pink
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LA 156
that SIRHAN waited on hinself and after he had the ga8
in his automobile , he waved t) JACK DAVIES , Owner of the
If Richfield Station
9
and said "hello to BLESSING and drove
Jff BLESSING advised that SIDNEY MC DANIEL tjok the money
for SIRHAN S purchase 2f the gasoline n this date
BLESSING added that he was surprised when SIRHAN
sffered him his 1956 DeSoto if he traded cars because he
had only known SIRHAN for approximately one month and had
ac tually only seen hin four or five times at the most _ He
advised that during the short period ne knew SIRHAN even though
he did not know him by name , SIRHAN never discussed any of
his political views or nationalistic learnings 3r , for that
matter , never expressed any of his views _
BLESSING advised that he never met any of SIRHAN S
relatives or friends and the only time he saw SIRHAN was
when he would C Jme into the filling station for gasoline
and at n? time was anyone with SIRHAN He added that
although SIRHAN was friendly and poli- he appeared to be
a loner
BLESSING further advised that )n at least two
pccasions , he had 8 chance to look into the automobile the
1956 DeSot?, belonging to SIRHAN due t3 the fact that
SIRHAN
had offered to give hir this vehic le if he traded cars and
at no time did he observe any weapon , ammunition or anything,
for that matter
9
which would lead a person to be_
iieve
SIRHAN
would do this type of thing.
202
56-
put
te ,
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FD-3 02 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGATION
Date 6/11/68
CHESTER ADAM YASHUK wa8 interviewed at his
residence, 2450 White Street. His telephone number 18
795-4895, and he is a student at Pasadena City College_
From March 1965= through December 1967 , YASHUK
was employed at the Jack Davies Richfield Service Station,
2529 Fast Foothill Boulevard, Pasadena , California YASHUK
stated that from March 1965 until November or December 1965,
SIRHAN BISHARA STRHAN wa8 employed at this station YASHUK
advised that he worked on Friday and Saturday evenings from
5:00 p. m. until midnight and on Sunday from 9:00 a m until
4:00 p . m S IRHAN would relieve him at work on Sunday &t
4:00 p.m., and SIRHAN would spend his off evenings hanging
around the service 8tation_ YASHUK 8 tated he knew SIRHAN
fairly well, had coffee with him a couple of times away from
work, however, his a8sociation with SIRHAN was limited to
contacts at the service station_ He never spent any time
with STRHAN other than the two times he had coffee with
him away from work YASHUK described STRHAN a3 being
friendly and carefree, having a good personality and he
added that SIRHAN got &long well with al1 cus tomers
YASHUK recalled that in 1965 while S TRHAN was
working at the station he would often point out his pink and
white 1956 De Soto and would aak the question, I go well
with this car?" And he would ask YASHUK, you think the
car is too big for
According to YASHUK, SIRHAN stated that he lived
with his aunt and brother however the names and addresses
were never 8 tated = SIRHAN 8tated he had a sister who lived
in Jerusalem, her name was not stated_
9
and he wanted to
bring her to the United States SIRHAN als0 claimed to Inow
several languages and indicated that he wanted to be an
interpreter
On
6/9/68
at
Pasadena , California
File #
Ios Angeles 56-156
203
SA's WILLIAM R WHITLEY and
THOMAS G MANSFTELD/TGM/vaa 6/11/68
by Date dictated
This document containg neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to
your agency; it and its contents are 'not to be distributed outside agency.
"do
"do
me ?"l
your
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2
IA 56-156
YASHUK stated that to his knowledge SIRHAN did
not drink or use profane language and he does not know of
SIRHAN having any friends SIRHAN was never visited at
the station by anyone YASHUK advised that SIRHAN never
expressed any political feelings or dislike for anyone
YASHUK recalled that a CAROL LAMBRECHT managed
the station in 1965 LAMBRECHT would often &88ign to
SIRHAN the duties of cleaning out the restrooms LAMBRECHT
would inspect the restrooms for cleanliness and would often
accuse SIRHAN of not the restrooms SIRHAN would
I become excited and explain I did, you are lying to me
YASHUK recalled that SIRHAN never borrowed money
from any employees at the station and he appeared to spend
his money on clothes SIRHAN on one occasion mentioned that
he had purchased two pair of pants which cost $25.00 apiece
YASHUK cannot recall from what clothing store SIRHAN purchased
M the clothing YASHUK advised that SIRHAN wore continental
Mi style clothes and that he M ore tight pante
YASHUK recalled that in 1965 a security company
named Hough Security Company provided evening_ security for
the station YASHUK stated around midnight the day 8 cash
would be placed in the station safe and a 8 ecurity
guard Irom the Hough Company Iould provide protection
at the station when the money was
placed in the safe YASHUK
advised that one guard in particular with this company was
a very profane individual and on one occasion SIRHAN stated
to this" guard to tone down his profanity The guard was upset
by SIRHAN' 8 statement and offered to fight SIRHAN however
SIRHAN became very meek and would not fight this guard_
YASHUK advised that approximately one and one-half
weels ag0 on a Tuesday or Thursday afternoon
2
he was driving
by the. Davies Richfield Station and he observed SIRHAN S
204
cleaning_
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ZA 56-156
1956 and white De Soto in the station YASHUK stated
that he stopped in the station and he observed SIRHAN working
on his car He said "hello" to SIRHAN and SIRHAN said "hi It
and nentioned that he was having ignition trouble with his
car SIRHAN said nothing else to hin and YASHUK did not
say anything further to SIRHAN
205
pink
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FD-3 02 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGA TION
6/10/68
Date
CAROL OSWALD LAMBRECHT , home address 1045 North
Azusa, Covina California, Space 193, Trailer Court, was
interviewed at his place of emp loyment , Gene Sell'8 Shell,
5505 North Rosemead
9
Pasadena , California, and furnished
the following information:
LAMRECHT advised that during 1965 and 1966, he
was employed at the Jack Davies Richfield Service Station,
2529 East Foothill Boulevard, Pasadena , California
9
and ,
during this time he worked approximately one year with
SIRHAN
BISHARA SERHAN _
LAMBRECHT went on to say that SIRHAN
always worked the night Shift during the time he was employed
at Jack Davies Richfield and LAMBRECHT never worked on the
same shift with SIRHAN _
LAMBRECHT advised that during the time he worked
at Jack Davies Richfield Station, he never had any political
discussions or for that matter any type of discussions
with SIRHAN _ He
advised that
SIRHAN
was
polite and friendly
ta the cubtomers a good worker and did not seem to have
many friends
LAMBRECHT
advised that when he worked at the
Jack Davies Richfield Station, he was the manager and
advised that during the early part of 1966 , he drove by the
station one evening while SIRHAN was working and noticed
SIRHAN talking to two females and a al1 unknown to him,
and they were S tanding near the Coke machine LAMBRECHT
stated that he did not stop at the station and , at the time ,
felt as if these three might possibly have been friends of
SIRHAN _ Tie nezt morning When' he came on duty to relieve
STRHAN
5
he kidded SIRHAN about driving by the night before
and seeing him talking to the girls and mentioned to SIRHAN 8 Ome-
thing to the cffec that "That 8 why the station wasn't cleaned
up You were too busy
visiting
11 LAMBRECHT went on to say
that at this time , SIRHAN said "I don t care to work for
you any more I quit Mi LAMBRECHT added that it was very
possible that the three individuals he observed on this
occasion to be talking to SIRHAN were only customers of the
station and ac tually not known by SIRHAN , and , since SIRHAN
6/9/68 Pasadena , California Los Angeles 56-156
On at File # 2206
SA ALLEN K TOLEN and
SA ROLAND H BROYLES AKT/asi 6/10/68
by Date dictated
Thi8 document contains neither recommendations nor conclusions of the FBI, It i8 the property of the FBI and is loaned
your agency; it and its contents are not to be distributed outside your agency_ to
man ,
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Page 12
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2
Ia 53-156
Iia8 a very good Ivorker and took pride in hie Mor_-9 tile iay
nave been the reason why he got mad and Quit _
LAMBRZCHT advieed tha % SIRHAN never did go back
to Work at Jaclr Davies Richfield while he wae worling thei'c
and the last time he saw SIRHAN IaE :ometime during Auguet
or
September 1965_ when SIRHAN drove into the service station
for gasoline LANBRECHT rela ted that he never Irnew any of
SIRHAN 8 friende and in fact, never saw him with anyone anc
it wa 8 hard for him %0 believe SIRHAN could do this type of
thing, referring to the ehooting of Sena tor KENNEDY
LAMRECHT further advised tha t he i8 a leo employed
at the Non-Destructive Testing (NDT) Apparatue Supply and
Sa les 7829 Indus try_
9
Pico Rivera
2
California He sta ed
that he Torks in the X-Ray and Service Departnent and can be
reached at this address telephone Number 723-0741
9
during
the week and on the weekend he can be reached at Gene Sell' €
She11, 5505 North Ros emead , Pasadena
207
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FD-3 02 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGA TION
6/12/68
Date
IVAN MTLICIC , 233 North Altadena Drive, Pasadena ,
California_ owner Ivan Milicic Chevron Station, advised that
during 1965
9
STRHAN STRHAN worked for him for a month. He
advised that STRHAN was a very worker and did an excellent
job operating his service station He advised that STRHAN
would usually work the evening shift alone and that he never
had any lengthy conversations with SIRHAN and at no time can
he recall STRHAN expressing his political views or any of his
beliefs for that matter He advised that to hi8 knowledge
no one ever visited SIRHAN during the month he worked at the
Chevron Station and stated that SIRHAN appeared to him to be
a loner and a person who actually did not have very many
friends
MTLICIC advised that he last saw SIRHAN on June 3,
9
at Jack Davies Richfield Service Station across the
street from his business He advised that on this date
STRHAN had pulled into the Richfield Service Station
ana
eppeared to be getting ga8 in his autonobile_ He advised
that he was standing in the driveway of his business and
STRHAN waved to him a8 he left the Richfield Service Station
6/7/68 Pasadena , California Los Angeles 56-156
On at File #
SA ROLAND H. BROYLES and 20
SA ALLEN K TOLEN/AKT/rah/clp 6/7/68
by Date dictated
This document containg neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to
your agency; it ad its contents are not to be distributed outside your agency.
good
1968
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FD-3 02 (Rev. 4-15-64 )
FEDERAL BUREAU OF INVESTIGA TION
6/12/68
Date
VARTAN MALIAN Foothill Liquors
9
2547 East Foothill
Boulevard ,
ne inte kis biaineste
9
advised that STRHAN STRHAN
used to come into business when he worked at the Richfield
Service Station located at 2529 East Foothill Boulevard,
Pasadena , California_
MALIAN advised that he never knew STRHAN personally
and never carried on any type of conversation with SIRHAN _ He
advised that several of the employees who worked at the
Richfield Service Station would come into his business for
either cigarettes or candy but none of then actually became
friendly or talked freely to him.
He advised that after seeing a photograph of SIRHAN
on television;, he realized that this was the individual who
used to work at the Richfield Service Station in 1964.
6/7/68 Pasadena, California Los Angeles 56-156
On 2 209 =_File #
SA ROLAND BROYLES and
SA ALLEN K. TOLEN /AKT /rah/clp 6/7_
by Date dictated
This document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI and is loaned to
your agency; it and its contents are not to be distributed outside your agency.
/68
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Page 15
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FD-302 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGA TION
Date
6/12/63
JOHN H WEIDNER
9
residence
9
933 Country Road
9 Monterey Park California 573-4947
9
business
9
Organic
Pasadena North Lake Avenue Pasadena California
(SY
"4e3349),
was interviewed at his place of employment
and furnished the following information:
He 1s the owner of Organic-Pasadena a health
food store as well as owner of two other health food stores
9 namely Monterey Nutrition 105 North Garfield Monterey
Park_ California and Nutriville, 7322 East Florence
9 Downey
9
California
He emnloved SIRHAN SIRHAN
5
Social Security
Numberl a8 8 stock at the Organic-Pasadena PII
store from September 24 1367 through March 7 ,
this time SIRHAN resided with his mother Dtr598
at East Howard Street, Pasadena
9
California
9
which
residence 1s located several blocks from the Organic-Pasadena
store
SIRHAN 18 work a8 a stock boy consisted of stacking
shelves
9
handling fresh vegetables a8 they arrived daily at
the store make deliveries to WEIDNER S store in Monterey
Park and Downey California
9
and occasionally taking money
to the bank WETDNER indicated that SIRHAN S mother was a
regular customer at the Organic-Pasadena store as Ws
SIRHAN 8 sister (whose nane he believes 18 ADIA SIRHAN)
SIRHAN S younger brother MUNIR SIRHAN worked 8s a stock
boy at the Organic-Pasadena store for one or two weeks
approximately three years ag0
Two or three months prior to September 1967,
SIRHAN' s mother asked WZIDNER 1f he could get a job for her
son , SIRHAN SIRHAN In mid September 1967 WEIDNER had an
opening for a stock boy at the Pasadena store
9
and on
September 24 1967 SIRHAN SIRHAN came to work at this
location_ SIRHAN worked from Sunday through Friday
On 6411/63_at Pasadena_, California File # Los_Angeles 56_156_
210
SAs RICHARD J_ RAYSA and
by WTLLTAM_JOHI_SLTCKS /RJRZeb Date dictated 6/12163
This document contains neither recommendations nor conclusions of the FBI. It i8 the property of the FBI and is loaned to
your agency; it and its contents are not to be distributed outside your agency_
1336
boy
1968 .
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Page 16
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2
L4 56-156
and Was paid $2.00 an hour WEIDNER WETDNER stated
that he felt SIRHAN was copletely honest
9
and he believes
that SIRHAN may have at one time nad a key to the Organic -
Pas adena store for the purpose of opening the store early
on Sunday mornings to prepare a fresh fruit and vegetable
stand
WEIDNER described SIRHAN as a capable employee
who along well with the other employees
9
and who always
presented a neat appearance and was courteous to the customers
WETDNER noted however
9
that SIRHAN seemed to resent being
told what to do
9
and on occasion becane aggressive and bad
tempered with WEIDNER In this respect WEIDNER received
the impression that STRHAN resented authority and discipline
9 I It and had an inferiority complex resulting from his being
physically small
WEIDNER advised that the following employees at
the Organic-Pasadena store and his stores in Monterey Park
and Downey
5
California
5
would have been acquainted with
SIRHAN:
RETTA DRAKE 2516 Strethmore Rosemead
5 California
9
who managed the Organic-Pasadena store
for WEIDNER from February 25 1963 , through
March 7
2
1963.
9
quitting on the same date as SIRHAN
WEIDNER described DRAKE as approximately 25 years
of age and noted that both DRAKE and SIRHAN filed a
petition for wages due against WEIDNER with the Labor
Commissioner
9
Division of Labor Law Enforcement ,
Roon 5015, Los Angeles State Office Building
107 South Broadway
9
Los Angeles
9
in mid March 1963 .
CAROL BURGESS (formerly known as CAROL STAGNER)
who now resides with her husband who is in the Army
and residing at NAD Quarters
9
JJ Bangor Washington
9 worked for WETDNER at the Organic-Pasadena store in
December and January WEIDNER pelieves BURGESS
became quite friendly with SIRHAN BURGESS is
approximately 35 years of age
211 0
by
got
1963
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LA 56-156
CHERYL PIERCE 3757 East Guess Roseread _
California
9
17 or
'13 years
Of age worked
mately one month for WELDNER in January
dc63proxi
LOIS PALMER 7347 East Blaudwood Road Downey
2 California
9
who ic still employed at WEIDNER S
Downey store namely Nutriville 7322 Florence Avenue
9 Downey California
9
would have had sone contact with
SIRHAN
MARCIA GIROUARD 732 Fairview Arcadia
California who terninated her
enpioyed
with WEIDNER
in March 1963_ worked at WEIDNER S stores in Pasadena
and Downey , California
7
and would be acquainted with
SIRHAN
Other percons employed by WEIDNER who would pe
acquainted with SIRHAN include MARGARET V . ROLEN 11005
Stockwell Drive
9
Lynwood California
9
who now works at
WELDNER S Downey store; VIRGINIA LYTTLL , 11702 Samolini
Downey California who also works at Downey store and
ILSIE BOYKO 1545 East Mountain Street
2
Pasadena California
who
worls at
the Pasadena store and who has been interviewed
by the FBI
SIRHAN never discussed his personal activities
with WEIDNER and WEIDNER was not acquainted with any of
SIRHAN 8 associates
WEIDNER noted that SIRHAN would occasionally
discuss politics in general without ever referring to any
particular politician
or official WEIDNER stated that
from time to time SIRHAN would discuss Middle Cast affairs
and would express a strong dislike for the State of Israel
and Jewish people in general According to WEIDNZR
5
SIRHAN
was exceptionally bitter about the United States support
of the State of Israel during the hostilities between Israel
and i'c 1] 1c*.O,1f 3 :ll 7 % 2 J1 % Jo-'C:_
loss 0f territory to Israel WEIDNER further recalled that
SIRHAN once told him that when he SIRHAN) was young he
saw sone Israelis lilling Arab children; and that SIRHAN
once told WEIDNER S wife NAOMI WEIDNER that he (SIRHAN )
once witnessed several Israeli soldiers killing dc1eneelcc €
Jordanian woman with a knife _
212
==================================================
Page 18
==================================================
LA 56-156
WEIDNER continued that SIRHAN was very synpathetic
to the poor people and appeared to resent affluence
According to WEIDNER SIRHAN was also very sympathetic to
the Negro race and on one occasion when he SIRHAN ) and
WEIDNER were discussing rioting in the Negro communities
9
SIRHAN indicated that he felt that violence was the only
way Negroes could obtain their rights
WEIDNER further recalled that on one occasion
he asked SIRHAN if he were a United States citizen and
SIRHAN replied that he had not become an American citizen
ht M1 because there was no liberty" in this country On still
another occasion, SIRHAN indicated to WEIDNER that he did
not believe in God
WEIDNER stated that on February 23 1963 = he
told SIRHAN to make deliveries at the Downey and Monterey
Park stores and to stop at one of the stores before the
other SIRHAN made the deliveries in reverse order
9
and
when WEIDNER mentioned this to SIRHAN
9
SIRHAN became very
angry and belligerent; called WEIDNER a liar and stalked
out of the store indicating that he was quitting the job
According to WEIDNER ,_
2
SIRHAN re-appeared at the store
several minutes after thig incident and told WEIDNER that
his (SIRHAN 1 5 ) m conscience"l would not let hir continue his
employment with WEIDNER _
9
but that he would stay for two
more weeks as per a prior oral notice of termination of
employment agreement with WEIDNER
WETDNER and SIRHAN had another disagreement on
or shortly before March 7 , 1963 , which disagreement arose
when SIRHAN failed to cover the vegetable stand with paper
bags as was customary at closing time WEIDNER said that
when he mentioned this incident to SIRHAN SIRHAN again
becane extremely angry and defensive
9
accused WEIDNER of
firing him and again left the store in an angry mood
WEIDNER believes that during this argument with SIRHAN he
(WEIDNER ) called the Pasadena Police Department and that
several police officers arrived and talled briefly with
SIRHAN in the store parking lot before SIRHAN left by himself_
213
==================================================
Page 19
==================================================
5
CA 56-156
In mid March WEIDNER received a notice to
appear before the Labor Commissioner Division of Labor
Law Enforcement Los Angeles
9
regarding a
petition filed
by SIRHAN for unpaid wages On March 20_ 1968
9
WETDNER
and SIRHAN appeared before this Commissioner and a settlement
was reached whereby WEIDNER was required to pay SIRHAN
approximately $150.00 for wages due and severance pay
WEIDNER noted
9
a8 previously mentioned that RETTA DRAKE
3 former store manager for WEIDNER at the Organic-Pasadena
store
2
also filed a petition for unpaid wages with the Labor
Commissioner and appeared at this location at the same time
as SIRHAN WEIDNER does not know whether SIRHAN and DRAKE
previously agreed to petition the Labor Commissioner at the
sare time
WETDNER has not seen SIRHAN since March 20, 1963 _
the date of the above appearance before the Labor Commissioner
214
1963
==================================================
Page 20
==================================================
FD-302 (Rev _ 4-15-64)
FEDERAL BUREAU OF INVESTIGATION
1 Date - 6/+0/68
HI Mrs DONALD BOYKO, who said her nickname 18 "Tosti
was contacted at 1380 North Lake Avenue where she is employed
in the Health Foods Store owned by JOHN WETDNER, whzch 18
known a8 Organic Pasadena Health Foods
Mrs BOYKO edv_sed thc t )n Sundey, June 9,1968 '&rc went to
1255 Morada Place in Altadena California in an attempt to
locate an Arab s tudent named
ABDUL MAJED DABASS
Mrs
BOYKO said ehe was accompenied on this trip by a Washington,
D, C . reporter named GEORGE LARDNER , JR 0 , whose credentials
are unknown to her LARDNER ie staying at the Biltmore Hotel
in Los Angelee_
2
California
On ths day following the identification of SIRHAN BISHARA
SIRHAN
9
LARDNER came to Mre BOYKO and asked for her a88istance in
locating 8ome Arab students who might know some background about
SIRHAN_ Mre BOYKO agreed to help him and thought she
remembered an address for ABDUL DABASS, who some years ag0
lived at 1255 Morada Place However, she did not kcnow the
address at the time and agreed to accompany LARDNER to pick
out the house In this connection, Mrs BOYKO indicated she
and her husband had met DABASS several years ago when he was a
student at the Univereity of Southern California School of
Journalism _ She believes that he 18 now married and not living
in the Pasadena area but thought she might a lead on hig
present whereabouts by malcing a cal1 to the Morada Place
address _ She was unable to obtain any information from Mrs
JOHNSON
Mrs BOYKQ s2id she met SIRHIN SIRHAN 2t the tlma she went
to work a : WEIDNER ' & ns8lth food stora in Pazadena ,- which [a8 in
December 1967 and Was 8C quainted" with him until his_departure from
the store a2 an employee in.March 1968: She said she had, n3 contacte
with him outside 0f except on one or two occasions
SIRHAN and hie mother
"ontteededF
Mrs BOYKO's church (7th Day
Adventist Church in Pasadena ) with the BoYKOs Mrs _ BOYKO
On
6/10/68 atPasadena California File #Los_ Angeles 56-156
215
SA J ROBERT SULLIVAN and
by SA PHILIP J REILLY PJR/mmc
Date dictated
6/10/68
This document contains neither recommendations nor conclusiong of the FBI. It is the property of the FBI and ig loaned to
your agency; it &d its contents are not to be distributed outside your agency.
get
==================================================
Page 21
==================================================
2
CA 56-156
stated that in her opinion SIRHAN s eemed to be a quiet and
intelligent boy and she would have had no reason to euspect
he wa8 capable of violence or murder
Mrs BOYKO gaid the name of MAJED GUSSOUS was not
familiar to her
Mrs BOYKO stated tnat she does not know the
present whereabouts of DABASS and indicated that it is
possible that 3 Jordanian named SIMON (1ast name unknown)
who owng a barber shop in Pasadena might know the present
whereabouts of DABASS She said she had not mentioned this
possibility to Mr LARDNER
Mre BOYKO concluded by stating she does not know
the names of any other Arab nationals or Arab types , who
might know SIRHAN and she etated that she has no knowledge
oi any personal friends or relatives of SIRHAN.
216
==================================================
Page 22
==================================================
FD-3 02 (Rev. 4-15-64 )
FEDERAL BUREAU OF INVESTIGA TION
6/11/68
Date
Mr ERNEST A LACKMANN Referee, Department of
Industrial Relations Workmen S Compensation Appeals Board
5 state of California, Los Angeles
9
made available a copy of
that agency S records to SIRHAN B_ SIRHAN under
case number
"87185i3d3-Rertaining
These records reflect that ERNEST A a LACKMANN was
the referee for the Workmen' s Compensation Appeals Board ,
and that ANN T OMAR of Palmer and Toomar , Attorneys At Law ,
represented SIRHAN_
This file reflects that the following doctors
examined SIRHAN in connection with his claim:
LEONARD H YAMSHON M.D
224 North Serrano Avenue
Los Angeles
9
California
MARTIN ALBORI
9
M.D
739 Highland Avenue
Los Angeles_
9
California
ROBERT E LEVIS
Good Samaritan Radiological Department
Hospital of the Good Samaritan
1212 Shatto Street
Los Angeles
9
California
FORREST L JOHNSON
1052 West Sixth Street
Los Angeles
9
California
LACKMANN advised and these records reflect that a
compromise was reached on this claim awarding SIRHAN $2,000
less 850 pajable to Dr MAURICE W NUGENT
9
445 payab le to
Dr YAMSHON , and 8200 attorney' s fees
On
615/68
at
Los Angeles_ California File # Los Angeles 56-156
SA JAMES A MILLS and
SA RICHARD C BURRIS / JAM/alm 6/11/68
317
by Date dictated
Thie document containg neither recommendationg nor conclusions of the FBI. It is the property of the FBI and is loaned to
your agency; it and its contents are not to be distributed outside your agency.
==================================================
Page 23
==================================================
LA 56-156
LACKMANN advised that he mei SIRHAN Jn )ne occasian
in connection ith this clain but in view of the fact there
Ja8 a settlement
3
he did not knj: hin having only this 3ne
contact with hin
Copies 2f *he Forkmen 6 C pensation Appeale
Board records in tthie mater are attached
218
==================================================
Page 24
==================================================
D:* ~MEnO5 nDUXDDELT
:ONoF INDUSTR^ccinii;i
; WORKXENS
L
OMPENSA ION AiZRD BOARI;
VCK "~NTXAATE STATE cF @okN^ Emu
OFTICIAL ADORESS RJCCRD
Applicants ADDRESSES FOi: SERVJCE
S [RYAN, S [ RhN B _
696 E. 'HO ARD
PAsa)e: CAL IF_ 9Il6 =
Accorncy for Applicant
PiLKzr 4fD TOO"zR
Zbi) &
116 NorTi #4R2400 AVENUz
PASA0ZNA _
J
CALIs 9 110 1
@obiiklasluv
63+ +335RIJ_
FEX 71222
Bo % 1593 ROjTz
CoRJ%A CAL I @ 7/7R0
Attorncy for Employer
Insurancc Company
4RCOMAU? InsURA#CE coX?a#T
azrkvrhvz
043 ShatTo PLAcE
Los A#GSLES , C4LI? _ 90005
-7- Attorney for Insurancc Company
6
WcLaujiLIN,EVin3 DaLBEY}cus#ing
HE
1717 No HISALAND 4VE
L.0s ftic&i53 , CALI? 90929
Lien Claimants and/or Ochers
Nawrice Nusent, %, D ,
1127 Xilshirs 3vd
Ioa 4C0l6?, C#c 90J17
63,94) J "##S.JM :.
%2+ :J:W S2RRANQ 4"eef
Lo: 1;E6 Ca6I? 9J))
'219
Ii #K Cwv!n: fn07W
27-
==================================================
Page 25
==================================================
D? T NT cF WDUSTVKZL
JiIciox O8 INOUSTRAL ACCIdeNic
WORKMEN'S COMFENSATION APPZALS BOARD
STATE O5' CfLroRNI;
SIRHAN F SJTRIAN , CAse No. 67 LA 312-144
Apblicest
YS.
Order Appzeving
ALTFIILISCH COSTRUCEION
COXPABY
3 8 coiporation;
Coinpromise znd Relezse
ARGONAUf IISURAICE COMPANY ,
a corporation,
Defenseis
3-27_68
The partics to the above-entitled action have filed
a
Compromise end Relcase hcrein, on
Morch 15 settling this
case for $ 2,000 00
in addition to
21f
Sums which may have becn previously, :nd requesting that it b: ?Pprored;
and this Board hiying considered the cntirc record, including szid Cornpromise and Relcase; now
finds that it should be ?pprovcd; and,
IT IS ORDERED that szid Compromise and Relcase is approved.
Award is made in favor of: SIRHAN B . SIRHAN
Ageinst: ARGONAUT INSURANCE 3 corporation, of $2,000,00,
Payable 25 followz: 81,705.00 t0 applicant
200 .00 t0 Palner & Tooner , ettorneys
50.00 to Kaurice W _ Nvgent, M.D.
45.00te Leonaro .J Yamshon, M,D.
DATED AT IoS Aijc tADIRORMTEA
March 27 , 1968
Rcf_a ['OREEN'S Court;SAT[ON FPilS FOARI'
SERVET) #Y Miil ON PERSNS SH-OwN
ON TT OFFICIAL ADDREsS RECORD
Dai:: 3-27-68 By: 6, Dcizz:,741
DIA #cirocs (RIv ".0
(Femely763j:) {0i8; 378".i" 07
220
1958
paid:
Co . >
==================================================
Page 26
==================================================
CASE NO .. 67 LA 312-144
SIRHAN B SIRHAN V: . AITFILLISCH CONSTRUCTION C0
et &.1
REFEREE : ERNEST LACKMANN
DICTATED: March 22 , 1968 INJURY : September 25,
Pelner 8 Tooner , Anne Toomer,
attorneys for applicant
McLaughlin, Evans Dalbey 8 Cumming;
John F KcLaughlin, attorneys fof
defendants
OPIKION OW COPPRONISE AND RELEASR
An exercise boy , 22
9
eernings $375.00
2 month, sustained coa-
peneab le to his head face left eye ard back on Septen -
ber 25,
'1988 rYIeoporarheaxsebifity
i8 in dispute, but epplicant
returned to work for 2, time
Compromise and Release has been filed offering $2,002.00, less
850.00 peyable c0 Dr Keurice F} . Mugent: and less 8l+5.00payeble
to Dr _ Leonard J _ Yaeshon in full satisfection of theiz liens
All medical treatnent t0 date of settlement has: been the
cerrier; if there is any nore
applicant is to pay it_
In evaluating this seitlenent I heve had the benefit of 'advice
from tne Medica] Bureau an1d two Permenent Disability Rating
Specialists _ I believe that the Conpronise Release is ede-
quate end should be approved in eccordance with its terns
Applicant 8 attorncys request 3 fee of 8200.00, which is reason-
able
2 4
ERNEST A_ IACKitiT, Referee
FM
221
8 >
A .
1956
by
by
paid by
and
==================================================
Page 27
==================================================
DE FTMENT Of INDUSTRMAL RZLAT S
DIVISION: OF INDUSTRIAL ACCIDENTS
STATE Of CiliforNin
Refort cf Kcdical Excminction
Date: MARCH
21, 1968
at: SIRHANT B_ SIRHAN Exaiined on:
o.: 67 Ll 312-1h4 Examined by: H . A
0
THONASON , M. D,
Xer: AUCFILLICH CONSTRUCTION Co_ BEDICAL BUREAU
ARG ONAU INSURANCE COMPANY Examined at:
ferred REFEREE EREST A _ LACKMANN Location:
LOS ANC ELES
Based upon the medical record, the
Conlpromise and Release of $2,000.00
appears adequate. TThe Fernianent
Disability Rating Burezu concurs in
this opinion.
TQ
746_
H. A. THOMASON
0
N_ D.
HAT:vy
274 (Ft 12.09)
Fonx#-37 , Itee.W":"en 3 *{
222
by:
"Amanon
==================================================
Page 28
==================================================
DEPARTRNEWI' 0F IDUSTRIAL REL.APIOIS
Intra-Departmental Cocnunication
TO; KEL)ICAL, BUREAU DATE : Miarch 20, 1968
FRON : ERNESi A
LACZMANN
9
Referee 2 0
6TJD FKC[ < ADRQTIACY 0P COKFRONISE; AND RELEASE
APPLICANF : SIRHAB B_
0
SIRKAN CASE NO_ 67 LA 312-144
DATE OF INJURY : September 25, 1966 AGE: 22
SUSTAINED 1NJURY To: HEAD , FACE, IxFT EYE, LOWER BACK
PAID: None
OFFER TO APPISICANT : $2,000.00
Please review the medical file herein end indicate whether settle-
ment i8 medically adequate; if not , what in your opinion, would
be?
ERNEST Aa LACKMANN
3
Referee
EM
18. _ 5-1H-7
3-
S:2_
sf
'Des/ ' = 2242
CR:
21
/2
223
MAR
1903:
SUI ,
(/8_ Jsl =
==================================================
Page 29
==================================================
McLAUGHILIN, EvANS, DALBEY & CUMMING
ATTORNEYS AT LAW
JOHIN F McLAUGHLN 1717 NORTH HIGHLAND AVENUE. SUITE 710
BARRY F. EVANS Los ANGELES CALIFORNIA 9002
(213 ) 466-8541 WM: BLAIR'DALBEY
RAY B_ CUMMING
HAROLD J. BENNETT
March 13, 1968
NED L. GAYLORD
JOHN F BARTOS
GEORGE R HASWELL
ALLAN R. SCHUMMER
Robzr K_ GILLHAM
Workmen'$ Compensation ` Appeals Board
107 South Broadray
Ios Angeles, California
Re:
SIRHAN SIRHAN VS _ ALTFILLICH CONSTRUCTION CONPA NY
WCAB File No- 67 LA 312 144
Hearing Date:
Gentlemcn:
Your attention is respectfully invited to' thc following:
(XXI Attached please find duly-executed Compromise & Releasc for your approval
Request is hereby made for further hearing t0 permit cross-examination o
2
and presentation of rebuttal' cvidence
Gi
Please .enter our
appearance
as attorncys for
2
Please set case for trial as thcre are now issues in contest_ 0
Attached for filing herein are:
Copics to: truly yours,
Palner Tooner
16 No _ Nar Ave . McLAUGHLIN, EVANS, DALBEY & CUMMIING
Pasadena,
8352
fornia
86282854Z3S5: Exnce Conpany
By: John F NcLaughlin 8$
224
Y
8
6 E 1
2
Very .
==================================================
Page 30
==================================================
INS HLSTiqiS
Jo #ot U32 tlis fatlil in leath ca32; Use Fora DJ na: us? i: tiiuairty Cses Usc 17.
f tie injured e3ueloyze he #cder 21 yecrs cf GA a
Euzrtizm ad litcui has Get hecil evicis 'pcinted, a petitinn fer 2pJoiatreit c/
Il guziwian 2 fiteai and (rtstee Eilst 3-c01ip3iy t#is zgrgemient
he guardian @USt sign tlis Zyiecneit cn Lceli,cf 2n injured emlejee #ika is Untler 21 yeats 0f #ze If tz lniicr is zhG%e tlle aze of 14,
iuch minor slgaid also siga tikis agreement
dlzch 2ll redice} raports FJt lerclofui ? suhititted I? #ie Workrci's Caigznsstizcn #prcsks Ecard < 2dvise Whcn otber regarts werc {l#
WORKMENiS COHPENSATION APPEALS BOARD
DIviSION OF INDUSTRML ACCIDENTS
DEPARTMENT Of INOUSTRIAL RELATioNS
STATE OF. CALIFORNIA
MPROMISE AND RELEASE
CASE No6Z 44312-144
CIAL SECURITY NO:_
B, 696 East Howard
[) (Mrs ) (Miss) -
SIRIAN / SIRHAV Pasadena_
2
Celifornia
FS; Apelickht ADorEss
P.0 . Box 159B-Route 1
[FILLICIL_CONSTRUCTION_CGNPANY_ Corona California
correCT #i4E Or EMPLOYER doRE?$
443 Shatto Place
RGONAUT__INSIIRANCE_CQMPANY Log_Angeles Celifornia
CoarEci HANE CF IRSURANCE CXARIER 4DoRES9
The pirties for the purpose of corpromise only, hereby submit the following agrecd statements of fjcc:
SIRHAN_SIRHAN employee hcrcin, born on_ Narch 19th of 1944
chims that he wzs employed on the_ 25th day of_Septembzr 19.66
at
Corona California
(Mokth) (TEAR) (city) (StXTE)
15 an_ exercise Altfillich_Constcuction_Cempany Athen insured as t0
(OccupaTion) (KXME Of EXPLOYET)
workmen'$ corpensation liabilicy by Argoneut_Irsurance_Gomgany and that
J(StaTZM4M507 CarRiff OR YhItheR SELe-InsuReD)
be sustained an injury out of and in thc course of his employnient as follows: He Eas thron_Qff pf 4 horse
shile erercising_the borse_at the_track_rexulting_in_Iultiple_iniuries
to_the_head_- fece,_left_eyR and_loner_back
mon The actual #Zi } wiges of the employee at thc time o/ injury were $_32.5.,00 2 EQnt hile the average weekly
Fere "2g65
Gi
The employee $ present disability is_ in-- 24Spu2
J(STATE?AESzht D1SAB(LIY RESultnc Trcx Thf INJuRY)
and tkc employechas returned to work
II7 {0, #TATE #hEr)
(a) Temporary dis-bility indemnity hzs Been to the eniployce in thc sum of $none wcek
4
beginning to and including: The amount due and unpaid to thc employce is
(b) Permanent disability indeminity hjs bcen to thc cniploycc in thc surn of non covering to
Tke prties hereby Jgtee to settl iny and _ll cliris on account of s1id injury by tle piyment of the sum of $2,0320.0Q_
in addition to any sums heretofore paid by the employer or the insurer t0 the erployee, s.id sum to b2 2s follows:
In crz Sl to_the__applicant less lien clain_of_Dxa Kauric? W_ Nugent
in tile Sua of S50.00 Dr Leonard Yazshon in the sunI of 325 ,00 , Ies:
ettorneys_feeskk L11 LLLI
Medic l and hospitul epe:ses hare bezn s_nore by the employee and $ 2l1 by the erployer r carrier:
Unpaid bills &rount to $ 10i2 Fucure nicdical 17d Bospital expense is estimated at $ none Unpid and
future mcdical ad hospital expense is to bc Jssunsd a5 follows; ~y euthosiced_kydefendan:e_ E2_be
~by_mpoliceni_and_all futurc_Eeicel_sd_hoipifal C212neee 4Q_be
prz ;- 1e-cplic
WCAD FN 15 (FAGE i) (RI. 1.651
OMMCLYfoih #i) 992,7. %9: @#6r
225
hereto,
boy by --
arising
thly
Paid
Pxid pcriod
payabl:
1np_S
and
Pjid
Paid
==================================================
Page 31
==================================================
ad address of employee'$ attorney, if any_ Feluer_ ejl_Toorer, 16_Tortl_Kersngo,_EasadAh?
jid attorncy requests a fcc of $_
200
0
00
Amunt of attorney fce previously if any, $_
None
Reason for Compromise dieputs_czists_AS Eo tha_reciduals_of_th?_Applicant'& Pezmanef
lisabilities and ttie perties heve had tne advice o2 Lhc infortel reting of
ie_Appeals_Board_and_this is primrily_predicated 42on_a_cqnpronisa ketween
-e verious racings _ All parties desife to avoid the hazards of litigation
Iod_the_defendants_desire Lo_ buy _their[peace _
Ihe undersigned requcst that this Comproniise Agreement and Rcleage be approved
Jpon approval of this Compromis: Agrecment by the Workmen s Compensation Appeals Boird or 3
Refercc, and paymen: in
iccordincc Fith the prorisions hereof, Said employce releiscs and forcrer dischirges szid cmployec and insurince carricr from all
Hjims and cJuses 0f accion, whether now known Or 1scertiined, or which may herej arise Or dcvelop as 1 result of said injury,
ncluding any and _ll liabilicy of said employcr 1nd said insurincc ccrier and exch of them to the dcpendents, heirs, cxecutors,
eprescnticives, 2dministrators Or assigns of said employee.
Iis agreed by all pifties hereto that thc of this document is th: of an application o behlf of the employce, and thit
he WCAB mjy in its discretion set thc mitter for hearing 15
1
(regular Jpplicition, reserving to the parties the right to put in
Ssue any of the facts admitted hercin, and that if hearing is held Frith this document uscd 18 a application 'the defendints shall
Jave avaihble to tlicmn all.defenszs thit erc availible a5 of the date of of this docutnent, and that the WCAB. miy
hereafter either JPpIove said Comproziise Agreement and Releasd Or disapprove' the same and issue Findings and Award after
Jearing has bezn held and the mittcr regulirly submitted for decisior:
For the purpose of detcrmining the lien claim filed hercin for the uneniployment compensation disability benefics wkich have bzen
nid under or pursuant to the California Uneraployment Insurance Code, the Propose the following division of rhe Suin agreed
ipon for scttlernent and release of this casc:
for temporary disability covering the to
for accrued mcdicil expensc or incurred byj the employee:
for future medical care_
for permancnt disabilicy.
(The above segregation must be fair and reasonablc and must be bascd on the real facts of the case. There should be no attemp:
nade to deprive the lien claimant of a reasonable recovery consistent with all thc amounts involvcd:)
ITNESS the signature bcrcof this 12_ of March 19
68
0}
Pas adena,_California
P
A28 Jz-ba
SIREZNNESIRHAN Zeplicenz
72772244 Byiziz
2 "UOREK , Ectys Xoz nz
#itr2SSzS
ATFTLLICH CCNSTRUCTICN COMENNY &
Thc injucc? Ap{lica 3 S{CNATURE MUST [E ^{T{MT[d cY T*0 ARGONAUT' ICSURA CD COXPANY by
Disintrresteo PCRECNS OR AcKnOw-EOGED DEFORE CJtiRT PuJlic. FcTAUGRTRT DILBSY-€ CCUFITTG
STATE OF CALIFORNIA BY:
Ss.
Jofin } Mc auzhlin
County ofLos Angeles
tbis. 12th-
A_ of
March AD. 1968
before mC,
the undersigned
0
Notary Public in crd for tle said County and State, residing thcrein, duly commissionce &rd sworn, bersorelly cbbesrcd
Sirhan_Bo Sirhan
"n to mc to b:' the betsjn__ whose #R2 is
~ribed to Lls: wixbin Inslrument, and ccknoilclgea to m? !l bc_ eccuted thc scn:e.
WITXESs WfEREOF, [ have hcrcunlo Sel ":} band &nd afuxr l my olicial scal thc and ycar in this Certifcale frst abore
Ien_
AlaP Joo3
#CPPAO RCZ IN
cWcm
7
111zzzz
Nolzry Fublic ivieud for %il Countyenl Stste % Csliforsis
AnIz 133"ER ,8_ 1258
# : Cenri:: 6
MCADFom [5 (FACE 2) (REv. I.cc )
"eY FomxA1
226 '2121.32 5.61 {2Y @K 0 7
Vame
paid,
(cer
fling filing
filing
parties
period
paid
day
12
Applic
37E)^
dey
d4y
#ins
==================================================
Page 32
==================================================
srgosseek Soosshxupe Bornfrur;
443 SHATTO FLACE LOS ANGELES, CALIFORNIA 90005
January 17, 1968
Altfillisch Construction Comp Inc_
Route #1
)
Box 159-B
Corona, California
Attention: Laura Kraus
Clain No: 02X 203445
Clainant: Sirhan"Sirfan
Employer: Altfillisch. Construction Co
Inj Date: 9/25/66
Gentlenen:
We have',your letter of July 21, 1967, setting forth the weeks that
Mr Siriian worked for you efter his date of injury on 9/25/66 . In
view of" the fact that Mr Sirhan will probzbly contend that he did
not return to his regular duties following the injury of September
1966, and that he terminated bcause of his. limitations
2
T2 would
appreciate advising uS 2s to whether Mr Sirhan did retur to his
regular dalties including exercising horses, and whether his terination
of emp loyment was related to liriitation ceused in turn by his injury of
tenbzr 25, 1966.
Thark you for your cooperation _
8
3
Very, truly yours
9
8
8} dux
V 0#
1
D; Stiner
0
Claims Examiner
0
2
8
Cc: McLzughlin, Evans Dalbey & Ctuing
Attention: Barzy Evans
Answar: Sirhan Sirhan ciia 1{ turn to his regular duties
8ftcr his injury arc his tsrniration w2s dus to
thc fact tnat he auit voluntarily. He worled
froni 10/1 to 11/15 et 3 rais2 in paj; Quit and
returned t0 "ork 032
12/2 to 12/10' whan he
porriancrtly,
c8.4 Klae&~ iks+s
bp{88o &
7;
227
eny ,
25 ,
yolr
Sep
quit
TCi-
==================================================
Page 33
==================================================
Sate fata 0
BO,RDINS BREAKING
LAY UPS training
SALES PRERARATION YEARLINSS ConditicieD
OFFICE (7141 737.5375 13200 CITRus AVZNUE CORONA, CALIFORNIA MAILING ADD:: RT . 1 , BOX 1593
21_ 1967
Ra J. Robbins
2
Cleins Examiner
Argonaut Insurarce
L443 Shatto Place
Ios Ange les , Celifornia 90005
De &r Mr = Robbins :
In answer to your letter 2oth, Wr8 submi t
the folloning 8
Re/ Clai:l 02x 203445 8
Elaimant Sirhen
2
Date of Injury
"
3
~
9 8
The Claimant; TeS
hired ` 6/2/66 8250.00 per
I10 2
Raises: 6/26 275.00 ft "
1
;
7/31 300 Ii " c
8/21 350,00 "1 I1 8 39!
8
9/18 8375.00 It I
Total Waze8 Paid 81797.56
Left employ 1l/13/66; voluntarily for other erp
loyment
Re turned to "tork voluntarily e 0275.00
Left enploy
18/o72/61,
voluntaril for other emp-
loyaent _
We hava no Irnowledge of prcvious injuries .
Sincozoly yours:
7444 X22-+33 "Aitffilison Constructiox
Co _
DB Cranja Visba Del Rio
Acc [11k et|
8_ C
tL
Ch <-t
228
O0o
July
Co ,
July
8
3725-/8nop
1J Ci~X shlc
k@ fkk
==================================================
Page 34
==================================================
PALMER AND TooMER
KTTORNEYs AT L4"
Oc; 26 20 3'67_
JELcPAONE LRNEST A. PALPEA.JR:
KUGE P.TOOHieR CitizERS DAMK Duiloing 700-2026
16 horth MARENGO NENUE '*" 60+.2030
PASADENA,califomni^ 9iio! ?7oce? ~MStX
October 25, 1937 coRRE( 78sS
WORKNEN ' $ COMPENSATION APPEALS BOARD
4107 Los Ange les State Office Building
107 South Broadnay
Los Angeles
9
California 90012
Re : Sirhan B. Sirhan VS Granja Vista De l Rio 67 LA 312 144
Gentlemen:
Please file the itens which have been checked be low:
) Original and copies of Application_
) Please set this matter down for hearing
) Please place this natter on an off-
calendar basis
() Certificate of Readiness
Staterient
(x) MExligalxrepext %f_ Maurice W Nugent M.
dated October 10 1967
9
*agRtkexxxith
in the amOiint of
hisxStalEogntxinxthezamnintxnf $50,00 andx
hisxNaffeexand-RemnestxforxkxkoxancerokxLienx
Copies have been served as indicated_
Very tru yours ,
PALMER AND TOOMER
By
p Lsx
Anne P Toczier
cc:
McLaughlin, Evans
Dalbey
& Curning
229
D. ,
U )
~ )
1y
==================================================
Page 35
==================================================
MAURICE W.NUG. M.DRACS_ FLCs
WILS:IRE METROPOLITAN MEDICAL CENTER
1127 WILSHIRE BOULEVARO SUITE 505
Los ArgelEs Ciliroria 90017
PHONE: 431.2452
Palnec 2 Toomer
Attorneys a t Lew
15 No Merengo Ave
Pesadene , Calif
9;i01
Re- Sirhan B Sirhen
FOR PROFESSIONAL SERvICEs
Perusal of file
@c t 1oth Consultation eye examina tion
end report 850.00
230
==================================================
Page 36
==================================================
MAURICE W. NUGENT, M.D_F.AC.s_Fl.C.S_
WilsiifE METRQPOLITAN MEDICAL CENTER
1127 WILSkikc BOULEVARD suite 505
Los ANGELES. CALIFORNIA 90017
PHONE: 481-2+62
October 10, 1967
RECEIVE
OCT 1 8 1957
Palmer end Toomer ,
Attorneys at Lai,
Citizens Bonk Bldg._ ERNEST A. PALHER, JR;_
16 North Merengo Ave . ,
Pasadena, Celif 91101
Attention: Anne P Toomez
Attorney
Re : Sirhan B_ Sirhan
Granja Vistal Rio
Case No o : 67 LA 312 1Lp4
Dear Sirs:
On October 10
9
1967 I examined the above naned and the
following is my thalmological consultation report.
This ophthelmological examlination wa8 done at your re-
quest end with permission of the above nameda
Please be informed tha t I haVe at hand 9 copy of his
medical file end this was perused prior to the ophthel-
mological examination and again followingo
This vefy pleesant and cooperative young man gave me no
significant generel history, pest history or femily his -
tory.
His present history states that he has never had glasses
end that the accident in question resulted fro being
thrown from 9 hors e tember 25, 1966 a t Corona_ He
thinks he was throm into a fence, but it wies during a
and he arid 0 thers Tere not certain of wat he hit.
In any event , he s tated that he was unconscious for a
short tine end begen to COIe to when he W? S in the
Corona Community Hospital He stated that he cere to
while were sutur his fecial laceration
Mr Sirhan stated he was in hospitel over night
and r eleesed end then 0n8 week later returned to the
doctor for removel 0f s tiches He steted that he Fias
back to vork two weeks late1 end toen noted poor Iove-
ment in the left eye with a
feeling of tension end pain,
231
VS , > Dei
oph
Sep
fog
they ing
only
==================================================
Page 37
==================================================
2 - 10-1J-67 Re;
31
ha 3 . Sirhan
Palner & . Tooner
Attorneys a t Lew
He apparently feels that these symp toms are still present
He aid not mention any twitching of the lid area or the
left ey e , although it is mentioned in his medical file_
Examination:
Mr Sirhan was very cooperative and Very pleasant_ His
symptoms we-e somewha t vague and varieble but pleasant
cooperetion Ties established and he
proceeded
with his
examination with full cooperation_
His vision without glasses wis a better than 20/15
in each eyeo
A refraction was done end a mos t minimal refrective error
was found namely
a
+0.25 cylincer in the right eye at
165 axis and 8
+0.25 cylinder e t axis 60 in the left eye,
Needles s t0 s ay this insignificant refractive error is of
no. consequence and it is essentially bilaterally symetri-
cal
0
The intraocula: pressure vias measured and it W2s found to
be a normal 17 millimeters of Mercury in each eye,
The ocular muscle balanc e wi&s measured end found to be
completely negative in every detail:
The excursions were checked &nd the eyes were found to be
fully mobile in all cardinel positions of gaze . and no
paresis or paralysis we18 present whatsoever
0
There was exc ellent convergence -
'The media and fundi were studied end measured with 8
retinoscope_
9
an thalmoscope and a biomicroscope and
both ejes were found to be excellent in every deiail
Tne pupils were round and 8 qual and responded normelly
to light an accorenodetion_
6
His near point without any correction whatsoever was 8
full nornal Jeeser I in each eye and this is a8 it should
be in this age group .
Tne lids and ednexae were all inspected and etamined
care fully end a scar under the left brow and in the are8
towards the nos€ 0f tho left upper eyelid showed a very
smiall scer remnant and onc that has healed exceptionally
well
232
normal
oph -
==================================================
Page 38
==================================================
-3-: 10-10-6(
Palmer & Tooner Re;: Sirhan B. Sirhan
Attorneys a t Law
This scar a t the nasel end 0f the left upper eyelid is
the result of his laceration and the surgical proc edure
of repair It has healed well and has no tender spots
in it, but in this location it is quite customary to
have a srlall 8mount of deep scar tissue beneath the skin;
but this is always le ft alone snd no a ttempt is made to
improve on the circums tance 0
I did not ask for new X-raeys as his file showe the t these
have been taken and there were no findings for any forcign
body or bony fracture_
6
The fields were studied on the tangent screen ana the
right eye W 88 fully normal both quantitatively and quali-
tatively with various sized' test ob jects end at different
differences fror the screen0 Th e left eye however a t first
gave a smaller field than normal , but when Mr Sirhan Wes
invited to make a good logicel effort, he did S 0 and the
visual fields in the left ey e elso showed a full normel
peripherel isopter ana ma tched those of his right ey e.
The blind spots were normal end equal in each eye
There wa3 no conplaint of twitching of the lids or area8
about the left eye, nor was there sign of any IQUscu
lar twitching.
I can only stete that this young man has a most excellent
pair of eyes and a Ios & excellent surgical result: of the
repair of his laceration at the nasal of thle left
upper eyelid and there is no indicetion whatsoever 0f
further treatment or complications or resultent disabilities .
In &ddition to, the above , the eye examinetion shows no
defect of the interior of each eye nor any localizetion
of any central nervous sys tem defect.
Very sincerely yours
6_Aky
62
Maurice Wo Nugent, M.De
MN : f
233
any
end
==================================================
Page 39
==================================================
PALMER KND Toonri
Kttorrys AT L"" TIliroR[ DhiT,Jr.
Tocu[R ciniznms VaMY ouilcing
Hiav !5 313AX'67
10{40
Jc 4jmr Mi0iNsO AVEMU[ 044-20,9
PASADfNA ciLinOnmIK Piio:
PRGRESS #S2RT
cox;Eci #JRESS_
WORKNEN'$ COMPENSATION APPEA LS ROARD
4107 Los Ange les State office Bui lding
107 South Broadiiay
Los Ange Ca ] i [ornia 90012 73/2 -1Vy
Re : SIRMAN B . SIREAN,
VS GRANJA VISTA DEL et &1
Gent lemen:
Please f i [c the items which have been checked! be ow:
) Origina] 2nd copies of Applieation_
) Please set this matter dOwn for hearing.
) Please Place this matter on an off-
calendar basis
Certificate of Readiness
Medical report of Leonacd J Yecshon _ M,D.
U
dated Nov 6 19_62 _' together xith
his Statement in the amount of S 45,00 and
his Notice and Request for A flowance of Lien _
)
Copies have becn servcd 25 indicated_
truly yours
PALMR AND TCOXER
By_
Lua
Annle P_ Toozer
cc : Mclaug: Evans
)
Dalbey & Cunring
23#
Tes
RIO,
Very
lin,
==================================================
Page 40
==================================================
LEONARD J. YAMSHON, MD DisaSiLiTY EValUATion
DIPLOMATE; AXERICAN BOARO Phxsicalhedicike And REHAEILITATiON
By AppointMeNT
224 North SeRrA}io AVEMUE
Los ANCELES, CALIFORMIA 900j4
NORMARDY 1.1[69
Novenb 6 , 1967
TO MHIOH It MAY CONCERN
Re : Sirhan B. S irhan
Granja Vista Del Rio
Date of Injury: 9-25-66
This ma n , Sirhan B Sirhan , was seen a nd eramined on
this ate
HISTORY
He states he is an exercise This work requires a
lot of bending, lifting, carrying , etc
On 9-25-86 he was exercising horses and he was thrown
from 2 horse
He was seen by Dr . NeIson _ He was found t0 have a
laceration of his left upper 1id There was sone sand
in his eye He had a laceration of his chin and a
large contusion over his back and contusion 0f his
left hand and Illtiple abrasions He states that wben
he was thrown of f of the horse he doesn t know exac tly
hoj he Janded He was hospitalized _ X-rays were made and
were reported t0 be negative He Rias a1s0 seem by Dr
Nilsson and Dr Kiehn He was seen by Dr Tashma and
by Dr Johnson Dr Johnson felt there were n0 neuro-
logical pr oblems He was seen by Dr Nug ent He states
he was of f work for two meeks At that tine he went
back to light work At the present tine he is looking
for work
PAST' HI STORY
Noncontributory.
235
er
Emp:
boy .
==================================================
Page 41
==================================================
LEONARD J_ YAMSHON, M.D_ DISABILITY EYALUATION
DipLoMate,AHERICAN DOARD PhYJica MEDiCINE Arid REHaDiLiTATiON
Dy Appointhriit
224 Norti SERRAn? AYEMUE
Los KNCELEs, CALIFORMIA 90304
NoRxaNcY M[G5
-2-
Re : Sirhan B Sirhan
November 6 , 1967
PRESENT COHPLAINTS
He compla ins of pa in in his back. He finds he has pa in
i his back if he tries to be in one position for any
period of time He finds that when he bends a nd 1ifts
he has pain He finds tbat if he sits or stands 01'
tries to be in a bent pos ition be has back pa in He
finds that wihen he turns over in bed at night be will
wake up 'with back pin He finds that when he gets in
a partially bent position he has difficulty in
straightening up _
EXAMINATION
There a bealed scar under right mandible and
over the right luinbar area
There is tenderness in the 'lumbosacral area He has
pain on movenent of the trunk_ Trunk motions are comp lete
On flexion with effort he touches the floor
He has hypesthes ia over the anterior lateral aspects of
both thighs. The reflexes are bilaterally equal_
He bas pa in referred to the back 0n knee chest pa ssive
stra ight raising ad performing Patrick's test _
Circunference : Right Left
Thigh 6" above pateila 17" 17"
Calf 4" below patella 12" 12"
DISCUSS IQN
Based 01] the history this ma n F?s injured a t work 01}
9-25-66 He hac 2 sprain of his back He aparently
also had 31) injury to; his left eye but I do not feel
gualifiec t0 cOmnnent upon that and this should be done
by a1 ophthalmologist _
232
is. the
1eg
==================================================
Page 42
==================================================
LEONARD J. YAMSHON, MD. DISABILITY EYALUATiOY
Diplomxte, American BOARD PhYSICAL Kcdicine And REMADILiTATiON
Y APPoIxtxEXT
224 NoRTt SeKRANo AVEMUE
Los ANGELES, CaLifoksik Soco4
MORYANDY 1.11G9
3 -
Re : Sirhan B_ Sirhan
November 6 , 1967
DISCUSSION (continued)
He had some lacerations of his face and he does have
some scarr on the under surface of the. chin 0n the
right and a tight scar in this area There is a Iso
som @ healed abrasions scars over the right posterior
lumbar area and lateral lumbar are?
He has complaints referred to the back cons isting of
pain He finds that he has pa in when he gets in a
partially bent position for 2 ny period of time He
finds that be cannot tolerate rema ining in t his position
He als0 finds that if he stands 0f sits for 2 prolonged
priod of time be has back pain_ When he: bends or tries
to 1ift be has back pain
He does not have any complaints but on this date he
seems to have some hypesthes ia to pin prick over the
anterior lateral aspect: of both thighs The significance
of this is not fully deternined
0
Tteis possible that he could bave som e contusion of the
anterior femoral nerves in the fall
The factors of" disability a1e ;
1_ The subjective complaints , slight to moderate with
moderate for being in the partially and squatting
positions for any prolonged period of tine
2 Scarring and disfigurenent_
3 _ Hypesthesia:
237
ing
1eg
==================================================
Page 43
==================================================
LEONARD J. YAXSHON, MD_ DiSaSiliTY EVALUATION
DirLOXATE; AkcRican BQARO Phiysicil nedicine Atid REMACILitaTioN
By APPOINTNENT
224 Noxth SERRAND AVENIUE
Los AmCELEE, CALITOEIA 5o0o4
NOEHANSY 1.1169
L 4-
Re: Sirhan B Sirhan
Novemb er 6 , 1967
DISCUSSIQN (continued)
I do not feel qualified to comment with regard to his
eye _
For a1l practical purposes his condition can be
considered to be 'permanent and stationary.
Sincerely y Ours
LJY : mS Leonard Yamshon
9
M . D
238
==================================================
Page 44
==================================================
RECEIVED
3: #:STFIAL
3/36ELE5
'McLAUGHLIN_ EvANS, DALBEY & CUMMING
ATTORNEYS AT LAW "257 NOY 6 A IQ {2
JOHN F McLAUGHiLIN 1717 NORTHI HIGHLANO AVENUE SUITE 710
BARRY F EVANS Los ANGELES. CALIFORNIA 90028
(213) 456-854 WM. BLAIR DALSEY nD FilI)
RAY 0. CUMMING RcESS
HAROLO J_ BENNETT
NZD L_ GAYLORD
JOHN F BARTOS
GEORGE R. HASWELL
ALLAN R_ SCHIUMMER
Robert H_ GILLHAM Novciber 2 , 1967
Workmen'$ Compcnsation Appeals Board
107 South Brozdway
Los 'Angeles , California
Re: SIRFAN B SIRHIAN V GPANJA VISTA DEL RIO-
WCAB File No ALTFILLISCH CONSTRUCTIOV COMPANY
Hearing Date: 67 LA 312 144
Gentlemen:
Your attention is rcspectfully' irvited to the following:
Attached please find duly-executed Corpromise & Release for your approval
Request is hereby made for further hearing [O croSs-exarination o€
and presentation of rebuttal evidence
Please' enter our
appearance
25 attorneys
Please sct case for trial as thcre are now issues in contcst_
(XXXXX
Attached for filing herein are:
MEDICAL REPORT OF :
Forrest Lo Johnson, M,D. dated Octobez 1967
Copies to: truly Yours,
Palmer Tooner McLAUCHLIN, EVANS, DALBEY & CUMAIING
16 N.. Marenzo Avc.
)
Pasadena
By Bariy Evans
7twyn
239
permit
for
10 ,
Vcry
224=
==================================================
Page 45
==================================================
GEORCE H. PATTERSON, M.D.
FORREST L,JOHNSON, M.D
1052 HEST SIXTH STREET
'2
Los ANCELES 17
2f0
NEUROLOCICAL SURCERY HUNTLEY" 2-8242_
10 October 1967
Argonaut Insurance Company
443 South Shatto Place
Los Angeles _ 'California 90005 Re STRHAN Sirhan B
No: 02X-203445**
Attention: Miss Stiner Er: Altfillisch Constr Co _
d/a:. 9/2 5/66
Dear Sir:
Mr Sirhan Sirhan wa S seen again in my office on October 9 , 1967 _ At this
time he stated that he has not been working that his. symptoms are
essentially the same He states he has in his low back and & fee
of tightness around the left eye He states that the sensatibn around the
left eye seems to be increased with cold weather
EXAMINATION: Pupils are equal and react to light _ Funduscopic examina
tion is within normal limits Extra-ocular movements are intact _ There is
no nystagmus Patient walks well on his heels and toes Tendon reflexes
are active and equal bilaterally throughout _ I found no pathological toe
signs _ Patient reports tenderness on palpation over the upper sacrum_
Back movements are carried through a normal range _ Forward bending is
accomplished to & point at which the fingertips touch the toes Straight
taising is accomplished to 85 degrees bilatera_
COMNNT: I find no evidence of any neurological problem Relative to
the back problem I believe the patient's condition should be considered
permanent and stationary _ disability factors being subjective complaints
of low back that I would assess as minimal in degrec The patient 's
eye problem should probably be evaluated by Dr Kiehn No return appoint-
ment wa S made to see this patient _ If [ may be of ahy further help in his
Care please let me know _
Yours very truly ,
FORREST L_ jOHNSON , M. D.
FLJ/nsk
240
RECEIVED
TRI
e.eS
# 10
and
ling pain
leg lly _
pain
XQlr~
#1277
==================================================
Page 46
==================================================
'RECEIVEO
LtriAL
3l35
0} UGHLIN, EvANS, DALBEY & CUHING
ATTOFRNEYS AT LAW 7x4037 2 0 !7
JOHNCE cLAUGHLIN 1717 North HIGHLANO AVENUE SUITE 710
BARRY F EVANS Los ANGELES_ CALIFORNIA 90028
(213 ) 466-854 1
WM. BLAIR DALSEY
RAY 8 CuMMinG Jo
KAROLD J_ BENNETT September 29 1967
NED L GAYLORD
JOHN F BARTOS
GEORGE R.HASWELL
ALLAN R- SCHUMMER
RobERT K. GILLHAM
Worknien's Compenstion Appeals Board
107 South Broadway
Los Angeles, California
Re: SIRHAN B
0
SIRHIAN VS 0 GRANJA VISTA DZL RIO
0d
ALTFILLISCH
WCAB File No 67 IA 312 14k CONSTRUCTTOV COMPANY
Hearing Datc:
Gentlcmen:
Your attention is respectfully invited to the following:
Attached please find duly-executed Compromisc & Release for approval
Request is hereby made for further hearing l permit cross-examination of
and presentation of rebuttal evidence
Please enter our appearance as atlorneys for
Please set case for trial a5 there are now issues in contest_
XXX ) Attached herein are: MEDICAL RZPORT' OF':
Forrest Le Johnson_
9
M, D . dated Sept. 6, 1967
Copics to:
Palmer &: Toomcr
16 N . Marengo Ave.
9
Pasadena Very truly yours,
McLAUGHLIA , EVANS, DALBEY & CUAIAIING
By:
Ray K, Cursing
241
Xleck_
McLA)
7o;2
E3cc
your
for filing
==================================================
Page 47
==================================================
GEORGE HI. PATTERSON, M.D.
FoRREST L, JOHNSON, M. D
1052 WEST SIXTH STREET
Los ANGELES I7
NzUROLOGICAL SURcERY HUNTLEY 2-8242
September 1967
Argona ut Insurance Company
443 South Shatto Place
Los Angeles_ California 90005
Re: SIRHAN _ Sirhan B _
Attention: Miss Stiner No; 02X 2 03445
Er: Altfillisch Constr Co _
d/a: 9/25/66
Dear Sir:
This is a report concerning Mr Sirhan Sirhan a 23-year-old right-handed
male seen in my office on September 5 , 1967 _
CHEEF COMPLAINT: Discomfort of chin _
J
left eye and low back _
PRESENT ILLNESS: On September 25 _ 1966 , while at work the patient wa S
thrown from & horse The patient reports he was unconscious for an unknown
period of time He reports that he waS taken to & hospital by ambulance and
started regaining consciousness while his wounds were being stitched The
patient was hospitalized overnight _ He states that they wanted him to
longer but he did not like the idea . The patient returned to the doctor: about
a week later to have the sutures removed and was told that he should stay
off work for ten to fourteen days _ When the patient returned to work _ he
worked around the barn for about two weeks then resumed his work as an
exercise He states that on re suming this work he noted increased
disconfort particularly around the leit eze and also low back discomfort
He wa S subsequently seen by the doctor who had originally treated him and
then was referred to two other doctors Because the patient had subsequently
to his home in Pasadena he was then referred to Dr Kiehn in Pasadena
Sometime in November 1966 the patient wa s di scharged from his job because
he felt that he was unable to physically work the hours on the job that were
required of him The patient reports that he has not been working Since his
discharge irom that employment
The patient states he has noted no particular change in his symptors in the
last few months He describes the left eye complaints as being waves of
pain in the eye itself and 2 tight sensation in the skin around the left eye
stay
and
boy =
moved
242
==================================================
Page 48
==================================================
Argonaut Insurance Company
6 September 1967 Page 2 Re: SIRHAN _ Sirhan B_
He reports a persistent pain under his chin and a fecling of tightness of the
skin under his chin that interfercs with his shaving . The patient reports
that he has back pain all the tine_
1
but this is increascd with bending move -
ments or with lifting even minimal weights_ Patient has noted no accentua
S
tion of back pain with coughing or sneezing He reports no lower extremity
PAST HISTORY: No operations No previous hospitalizations No serious
illnesses _ No other accidents Or injuries No allergens known
PHYSICAL EXAMINATION: The patient is a sma 1l, thin male not in acute
distress
Blood_Pressure: 120/70 RAS _ 120/70 IAS
Head: There is a small, well-healed scar near the inner canthus of the left
eye and some Slight prominence in the medial aspect of the left supraorbital
The patient reports tenderness On palpation in this region of the supra -
orbital
Neck: Supple
Chest; Clear t0 percussion and auscultation
Heart; Regular sinus rhythm_ No murmurs heard _
Extremities: No gross deformities
NEUROLOG ICAL EXAMINATION:
Sensorium: Patient is alert , oriented and cooperative
Cranial Nerves;
1 Essence of peppermint perceived bilaterally _
II Patient reports a general constriction of the left visual fields that
is not consistent to the confrontation testing The optic discs
appeared normal bilaterally _
III,IV,VI Extra-ocular movements were intact _ 1 found no nystagius
V Patient variably reported hyperesthesia over the right chin
VII Facial movements were unimpaired _ Corneal reflex was present
bilaterally
VIII Faint watch tick was heard bilaterally.
IX,X Palate elevated in midline There was no impairment of phonation
or swallowing _
XI No deficit noted
XII Tongue protruded in midline _
Sensory Examination: Pin wheel, cotton wisp and vibration were perceived
throughout
Motor Exanination: No specific wveakness wa $ found
243
pain
ridge _
ridge
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Page 49
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Argonaut In surance Company
6 September 1967
~ Page 3 Re: SIRHAN Sirhan B_
Cerebellar Examination; There is no nystagmus There is no ataxia Tandem
walk is wcll performed
Reflexes: Tendon and supcrficial reflexes were active and equal bilaterally _
I.found no pathological toe sign s _
Back_ Examination: Patient reports tenderness on palpation over the lower
three lumbar spines _ There appcars to be slight paraspinous muscle spasm
in the lumbar region Back movements were carried out through an essentially
normal range the patient reporting low back pain at the extremes of these
movement5 Forward bending is accomplished to a point at which the finger-
tips touch the toes Straight raising is accomplished to 85 degrees
bilaterally_ the patient at this time reporting low back pain
IMPRESSION AND COMMENT : The patient reports that he was unconscious
at the time of his injury , although the medical reports that I had available for
review did not verify this _ At any rete I found no evicence of & neurological
problem at this time The patient reports discomfort in the region of the
facial scars I believe there is a Significant functional that tends to
magnify these complaints_ The patient reportedly sustained a contusion of
his back at the time of his injury &nd currently has CO mpla ints of pain in his
low back Arrangements were made for lumbar films _
1
and I have asked
the patient t0 return in about one month for re-examination I believe the
patient should be seen again bj Dr_ Kiehn for his re-evaluation relative to
the scars nd the complaints involving the left eye Ibelieve the patient is
capable of returning to work as a stable at this time
Yours very truly ,
U; ~ 7a1eo
FORREST L, JOHNSON_
1
M D
FLJ/nsk
244
leg
overlay
spine
boy
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Page 50
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2
McLAUGHLIN, EvANs, DALBBEY & CU,MING
ATTORNEYS AT LAW
JOHN F _ McLAUGHLIN 1717 NoRth #ICHLAND AVENUE. SUITE 710
BARRY F. EVANS Los ANGELES_ CALIFORNIA 90028
(213 ) 466-854 [ WM_ ELAIR DALBEY
RAY 8 CUMMING
HAROLD J_ BENNETT
September 8, 1967
NED L GAYLORD'
JOHN F BARTOS
GEORGE R_ HASIVELL
ALLAN 7. SCHUMMER
ROBERT H.GILLHAM
Worknen's Compensation Appcals Board
107 South Broadtay
Ios Angeles , Golifornia
Re: SIRILAN B, SIRHAN VS 0
ALZTILLISCH CONSTRUCTION COMPANY
WCAB File No. 67 LA 312 144 (Cranja Vista Del Rio)
Hearing Date: October 2, 1967 at 9:00 a&m, in Los Angeles
Gentlemen:
Your attcntion is respectfully invited to the following:
Attached please find duly-executed Compromise & Release for your approval
Request is hereby macle for further hearing to croSs-cxamination of
3
8
and presentation oE rebuttal evidence: 8
T Please enter our appearance as attorneys for
2
7
) Please set case for trial as there are now issues in contest:
2
0
XXX ) Attachcd for herein are: MEDIGAL REFORT OF : '
Albert Tashna , Mo D o dated August 18; 1967
Copies to:
Palner & Toonew'
1.6 N , Hzrengo Avzo > Pesadena truly yours,
McLAUGHINN, EVANS, DALBEY & CUMMING
By:
B, Curing
245
permit 3 2
0 1
filing
Very
Ray