Transcript of 166-12c-1_serial_1_section_3_56-la-156_la_report_6.9.68-part_5_of_6.pdf

================================================== Page 1 ================================================== RICHARD A_ NELSON, M.D. FAC.S. 760 SOUTH WASHBURN, Suite 7 CORONA, CALIFORNIA 91720 737*5892 688-873) GENERAL SURGERY Oc tober 26_ 1966 Argonaut Insurance 1001 Wishire B1vd Los Ange e8 = Ca ! {forne Re: Si.han SIrhan Emp) oye Granja Vista Del Rio Dea - Sirs: The above naned patient wa8 egain seen by me October 26 _ 7 966 , wfth compla ints of dimfniehed field o f vigion Peft eye We had thought that he wa3 Progre8g ing very vell cons Idering the seriousnesg of hig ecc[dent , &hen e Ta8c g3v him on October 6 , 1966 cojeequently , We sent you 2 final bill O the gem2 date Since this eln vith his VIsion ha8 erisen, w2 er@ writing to yol for Permig3ion Eo refer him to Dr Nitsson, M D ophthalmologist We uou ld appreciate hearing from you a8 soon a9 pogsible _ Thanking you very kindly, I remgin Sincere!y, Richerd A Nelgon, M D 830 today , 0 f Prob' ================================================== Page 2 ================================================== st 4 TEME Nt BENJAMIN E3 HERNDON; M.D: JOHN WM. SCHNEPPER, M.D_ GENERAL SURGERY 103 West Ninth STREET CORONA, CALIFORMIA CORONA C 737.5892 RIVERSIDE 080-0731 M0 Sirben Sirhan, 696 Eest Eowerd, Pesedona, Galifornia Faployor $ Altfillisch Consto Coo Corona , California PLEASE DETACK AND RETURN UPPER Poriion With YOUR RemITTANCE CANCELLED CKECK I8 Your RECEiPT c H A R G E 9 c R E D T 8 DATE BALANCE A B C D code MISC oni ACCT, CABH ADJ. BALANCE 1-25-86 50.OQ Energency Garo ard epalr 01 FORWARD ~laceretions-by-Br Ficbar #a Watson 50 . 10-6456 wc patient kimi co; FINA BIILING_ 50400 SM 5-65 K27 BENJAMIN E HE24924- . JOXN wM SCh EF 2_ MB Ple#Pay 109 Ivest Ninti StreEt Cfox: CALIFoRKI Xst PuKt IN Coiona 737.5692 "vER 680.3731 eLUKN EPLANTION 05 CHARses 831 0 OfFIcz Cill 'A Mome 07 Hoviil CiL D islR RCe RcCtPT' ; € Sunio.{57iri. 07 R 3 Fxpza #O6% C7 5 Tn"strrktc 4445 Ssed 2ez ================================================== Page 3 ================================================== S T A T E M E N T Shomas IIATUARY Formerly Bell -Thomas Mortuary E $ T 4 8 ! / $ H E 0 1 0 9 [ 1118 East Sixth Steet; Corona, Califoruia P.0. Box 762 Kennell: _. Jlomos Shonz 787-3244 October 1, 1966 Altfilligch Construction Rt [0 1 Box 159B Corona 2 Celiforie For _Scwvices _Rendeied SIRHAN SIRHAN 13200 Citrug Aw Gran ja Vista Del Rio Ranch Corona , Californie September 25, 1966 Ambulance sarvice from 13200 Citrug Ava to Corona Comnunity Hospitel. 00 '832 Pyk1S 8 2 0 (OTo T W E Nty -F0 U R h 0 U R A m B UL4 NC E s E RVIC E MENBER , THE ORDER OF' THE GOLDEN RULE ================================================== Page 4 ================================================== ARGONAUT FNSURANCE To AeLEUI FROM _NLtna DATE [D~1 2 19 INJURED_ St}SZZ_ POLICY INSURED DEIEiLUSAfE @eszC2_ POLICY TERM CONVERSATioN with AsuEd1.232-622C CLAIM 34 2234S 5727723 SaLZ QmkcH Assuu [e_kc_SeAz Eox) ZE 062,NAL Sc4l Ie PAuE LuTz2 7ET"A U F0ErAAiILE 2-/4 = 2-1EL_ToLLlots CCLzJi"UELLUE EsciE 700 f14: 833 (ik. 547 ~P ================================================== Page 5 ================================================== cXegonced Ezeberks RESERVE COMFUTATION SHEET Claim No;_Y-20_ 2245 - Name of Injured Sc Date of Injury_ 7/zs/9 Age_ 2: 2-Occupation_ Cis Group Letter Comp. Rate (Temp. ) S34H(R.p.)_3252_ Baged Or Wage of S2s~S Estimated ?.D_ Rating_3 %, Or L2 Wks. [232_ Temp. Comp: Paid WI . Further Est. Temnp: Wk . Total ' Terp- Corip: $ Total Comp: Est Zos Med: Paid 333 Future Est: Med $_5702 Total Med. Est. 802e Estimated Daze Factors, Objective Kfe Subjective Rating Formula 41_s%LIe 49 2 32 4oo2 Reviewed Date RS0 At17 279 $ _ By: Rating 800 By 834 2 050 ================================================== Page 6 ================================================== Gy &T, 3967 W & {irben 932823 696 Feste Rsiee: Perolen, GlinE= C 2343 aRIEE2Z 684Ea 00c SZRNG 9/23/8 Earzsltty & Bvzues #h9 1887 2930 Pe Atie* %m3s, Not 6353 Rullywmo Blm Eollyrcrol, n" E 64581 Jo % 832123 8i 6c; 1134 cc; Mic %9 323} Caliy # G152 02 1%a 4@n 73 o P.s, Cur rzzicol Gnalczed. Plenga exclnc crd cvica u8 G2 yow' firdings_ 835 PLXASZ TOEND TOWB COPIES 0? YOIR TRFTE2< ================================================== Page 7 ================================================== E.Gordon Kiekn, 1 M.D SUTE 20] 40 "cRTh El Molino AVENUE PASADENA, CALIFORNIA 9mo; Teleprone 449 6494 April L, 1967 Argonaut Insurance Comp:Iny 1001 Xilshire Blvd _ Los Ange les, California Re : Mr . Sirhan Strhan Gent lemen: Mr . Sirhan came *0 rhis of fice on February 1967 having ber ? referred to Ine by Dra Xilton 4. Miller 0 f Ortario Ehe history o f 02 casc as I received it from the patient is briefly as follous: The patient exercised che horse s at che Granja Vista De 1 Rio ranch in Corona. Or Seprember 24 1966 , he wa $ thrown from hi s horse and suffered injuries around thc left eye He thinks he was unconscious Eor 3 brie f time He $ seen at the Corona hospital by a Dr . Richard Ne ] son and the wounds around the eye we T@ sutured. In addition r0 the wolnd around che eve he had a wound under che chin, This was a]so sutured. Four days later the sufure $ were removed He suf fered a br ief injury again 3 3:- after :he initial injury thc wound edges se parated a ittle bit. He was unavarc of any ey? problems until he began exerci the horse $ again- He noticed at th: s cime that he had to iilove hi s head from 1ef- :0 right in order to sec we 1 1 on either sidc [his loss 0 f side visior has definitcly improved buc ne still has some difficulty- This i $ ( specia!lv noticeable in che le € = cve Because of hi s eve complaints fic # re fc-ree to a Dr < fe1s0n 0 f Corona and follovin; :xi "1:0" ler 0f Ontario 1 do not have iller's reports 50 I am tnaware of exact ]v wh:t h: 7i Ii ings vere , At the sent cime Mt Sirhan' $ complaint $ Prinarily arc a$ fo]lows: He noticc $ that he ha $ soie cwi tching of the eyelid shen he looks F0 the lefc . Thi s involve $ the left eyclid primari Hc als0 has che samc Lype of twitching when he wrinkle s his forchead or makes facial mnovcmcnts. He has had no suosequent unconscious attacks, no dizziress, no wcakness of either arms, hands , legs or feet. Hle complains 0 f a persistent phin in chc superor nasal aspect of the left orbit. Xy examination va $ as f01lows: His vi sjon vas found to be 20/20 in either eye uncorrected _ Ke had no significant re fractive error. Extraocular muscles Rere fourd -0 b2 ictac:_ 838 21 , Va days and sing rr , Pre 1y. ================================================== Page 8 ================================================== E.Gordlon Kickn, A-gonaut Inqurancc Company Page 2 che pupils vcre round were regular, and reacted Ve ] 1 to Tgh: and accomodariOn . Che paticnt' s cye $ Kcrc dilated and an examination 0: :76 fundus was pcrformed _ No si ficant abnormalitics were {ound_ ixamination was performed both sith the direct and indfrect ophcha] Io scopc Sfit exanination showed no flare or cells in cicher eVe. Both lense $ are clear and the media appeared clear. Visual field examination Indicate s a Full ffeld wich a moderate amount of general constricrion in che lc f : field, Thi s constriction is ncons-r?nf ienr ' $ vounds ar6 we [ 1 healed _ however chere is a persi steat eemecrnes< over che superior orbiral ridge medially and chere is 3 smal1 2m0li: 0f fullness in Ehis are2 rcmaining . The tenderness is medial co che supra- orbital notch and :s epprently agaravated when thc pa-ient looks bo:h co the left and upward to the left_ There is a fibrotic band exend {r03 chis generaj area dowward co the aroa just be lov she lover ca?-ha l ligament . Ke claiGs tha: th s makes him have a racher ficht sansa-ion when he looks to the left. I could demonscrate no abnorml 4i2l0212, in fact my ffindings are remarkably negat ive wich che exc: 'Peion 0f : cenderne ss land the subcutaneous band Khich [ mentioned. Ac ch? Pre senr t ime , 1 do Inot feel ike operating on che area which is dscrincd and re leasing tihi s band 1 feel that we should wait for a period 0: 4Sou: onc month yet c At che cime of re leasing Ehis subcutaneous band 5 be lieve ic would bd advi sable Eo invesc igate the original wound area for cte possibility of 2 fore body reaction eiving hiz the persistent pain which he feels and is described above X-Rays ordered by me have indicated no evidencd o € a foreign body , no evidence of any fractures in and about che orbi and said X-Rays are essentially negati ve The x-Rays vere caken by Dr Robert Freeman , o f this address. I shall see Xr. Sirhan again and repeat vIsual field tests co make sure chat cnere is no recurrent abnormality. Inasmuch as he was unconscious and had not been seen Sy a nzurologist or 3 neurosurgeon I be licve it would be advj sable to have him seen bY a neurosurgcon co rule out any damage co che brain tta: mish: have occured at chc cime of chls injury. I havc usua lly referred 7y pat ients to a Dr , Robcrt Fiskin, o € 960 E. Green Pasadena. Yc is 2 Ke I-Jualified neurosurgeon and if you have no objection T would re spect fully request your referral of Mr. Sirhan to Dr . Fiskin for such an evaluation I crust Ehis wil? you an up-Eo~date accounting of Nr . Sirhan' 5 problems. SInce ECK:ra E Gordon %ichr, 837 gn i 1amp X pat Jcs isn [ , St., 3ive rely, V< ================================================== Page 9 ================================================== DOCTOR'S FRST REPORT OF WORk INJURY Immediately after first examination mail 'on? copy direetly t0 #Hc Divisicn of [abor Sfatistics and Rescarch; P_ 0. Bor 965, San Francisco 1 and ccf %$ "c the insurance carrior. Failure to filo roport with the Division is mi:demcanor. (Labor Code, Sections 6407-6413.) Answer all question. fully: 4. INSURANCE CARRIER onaut Insurerce Company 1001 WIlshire Blvde Los Angeles_ Cali 53 Nc: W?i { 7 Th's S7421 1 EMPLOYER Granja Visba_Dcl_PRio ALLLLLLsch Const Company 2 , Address 'Scesid 13200 Citrus Corona,_CaLifs 3. Business (Manufacturing shoes, building construction, Ranch reailing Men ; clothos, ec.) 4_ EMPLOYEE !{i.RG;; Riad Srhan Sirhan SS. No. 5. Addross 'S3d 696 29 Howard Sta Pasadena, Callfornia 6. Occupation Exercl ses horses 22 Ser Male Marital Status_Single 7 . Dato irjured Septe 24 . 1966 Hour_7-.304 M Date last worked Qff EIO Reeks (No 8 . Injured a and' City) 85513200_CLtrus County 9_ Date of your first examinatioFebo ~967 Hour_9.OOA M Who engaged services?MiltOn Aa MLLler,_Onterio 10 Nam: other doc'ors who treated employec {or #his injury Richard_Nelson__M_D M1 Accident OR ExPosure: Did employee notify employer of this injury? Yes Employee { stafemenf of cause of c; illocss; Has Ehrow Erom horsc Fhile exerci same 6 12 NATuRE AND EXTENT OF iN.iury Or Disease (Include all objective findings, subjective ccmplair"s Jrd diagrcses If cccupatonal disesse state dale ci oniel. occupafional history. &nd cxposures } Please see attached reporto 13. XRAYS: By whom talen? (Stafe if nono) Findings: Negative See attached report . Robert Freeman, Mo 48 N El Molino Ave 0 ? Pasedena, Califo 14. TREATMENT: See attached report, 15. Kind of case (officc, home, or hospital) Office If hospitalizcd, date Estimaled Name and address of hospital 16. Furthor freatment (estimated frequency and duration) See attached report I7. Estimaled period of disability for: Regular wcrk Nok_disabledo Modified work 1& Describe any Permarent disabiliiy or disfigurement expected (state if none) See attached_repart 19. If Jcath ensued, give date 70. REMARKS (Noie any Pre-cxisting injur c$ or disejs8, nccd Ior special eminulion or laboralory fesl. olher Peelincc' intornialion 838E739 PERSONAL Namt 3 Corcon Kiehn, M-Da_ SIGNATURE (Ttp? 0i Pin') OF DOCtoR Dole spor' L;`-67 Addrass (Na Srool $ |Cily) B8_N e1#eltno tvco Pasadenas_Calj_aruia_9110L Seui Use ReveRSE Sidg if More Spa.cE r[quired FIRST REFO?' .0. 60} 1'0 L~ '0 Arg Cily middler : City_ Age 2Lx Your jajuy sing Dc ? sy- or ================================================== Page 10 ================================================== ARGONAUT INSURANGE To FROM DATE 19 INJURED_ POLICY # INSURED pOle TERM 0r /b6 _ 4 3&/s CONVERSATION WETX CLAXM X14S 2-62 Lx 07 ZscZ 222Z1,2 84 0 ClA 547 -Ri Vesis 22 ================================================== Page 11 ================================================== DOCTOR'S_FINAL (OR MONTHLY) REPORT AND BILL Itemizcd bills, IN DUPLICATE, are t0 be submitted at the termination of the case. Monthly statements ac POSITIVELY rcquired on cases under treatment Mail to. Argonaut Insurance_Corpany Address:_ 1001 Milshire Blvd L.A Services beginning late in and cxtending into succeeding month may be itemized on one statement. EMPLOYER Altfillisch Construction EMPLOYEE Kr:Sirhan_Sirhan DATE OF INJURY 9-24-66. SERVICES FOR MONTH OF Noxember_&_Dec _- 19.66. Paticnt refused trcatment_ 19 Patient ablc to rcturn to work 19 Patient stopped treatment Patient discharged a5 cured 19. without orders___ 312-20-56- 19 Condition at time of last visit Patient entered hospital; 19 Inconsistent_results-Kith-HE__O.s' other charges authorized such &s Drugs Hospital?_ (Check) (Check) Code : Office; V__Home Visit ; H-_Hospital Visit ; N__Night Visit; S_Operation X-X-Ray. Month 2 | 3 4 |5 | 6 7 | 8 | 9/10/11 12 13 14 15| 16/17 18/ 19/20/21 22 |23 | 24 /25/26 |27 28 |29 30 |31 November Decenber Totals First aid trcatment (describe)_ Qffice_call_and_examinetion_ 11-00. Office Visits_ 3-@.5,50. 16.50. Homnc Visits Hospital Visits. Operations MATERIAL (Itemized at cost) TOTAL $ 27.50_ charges shown above which are in cxcess of the minimum fec must be explained Below_regarding_nature of such services, indicating the date rendered. Make check payable to 48219 Doctor Baul_Nilsson 9. M._ EA.C.S Signature_ Address_ 82l_South_Main_Street Date: -1-l9-67. Corona California 641 month Any Any Z6 2z ================================================== Page 12 ================================================== PJUCr IeeR C; FLVZER IKCURKEO DATz LNE S Dlv. KorYR GERIAl LN: Ltr SERLL CLSS 12-07-6610p2LQs 20 20 056370 02 203445 0032 Con ALIFILLISG C: UCTIOH CrrAy, IC . DR Enz 158B BL 01 Coroqa: 8l4f0 nd 2 Aor Miller 6 4n2g 02 Calif { 0 # 0 4C6 Riig 370 CODE GY 2625 R_ 6ch 8€. 0 Lo8 Axselee, C8ls2. 09-25-66 0 5725 1nv 1-0T-657567 Cil,TERSR SIRHA? , SIRHNI RitT cfo R: 1 Box JSGR Ex 00 {2ESS Cpzona Calfforte DnOLeeler= P2: cin &X Iturr tarot o hozse Cwe Worco Caliz 083774 R3ehara 4. ne.zon Ccuao? Ranter $ 0 ? 3ozo. Catizozzia 403reSO ideynty MEDIcL fLcZ Totl 8o23677740 Zz0i 6 50 ~250 0 7701 Co T35E Nz9 CLAIM GZOSING ADvICE T0 TABULATING DEPARTMENT oLD RESERVE NEW RESERVE 'Indemnity Medical Lio Allocated Totui Lj_ Dofe Division ClM 310 842 pp Jec. REOPEN; RECLOSE ================================================== Page 13 ================================================== St 4 TEMENt BENJAMIN E KERNCON, M.D: JOHN Wi: SCHNEPRER, M.D_ GENERAL SURGERY 103 WEST Nintk STREET CORoN, CALIFORNIA CORONA I 737-5892 RIVERSIDE Rc 688.8731 Re: Sirhan, Sirhan 2696 Ee Howard Pasedene , California F1elSE DETiCh KMD RETURN Uppet: Pontion With YouR REMITTANCE CANCELLED CHECK [S Your RzCEIPT C k i R G E 8 c R E 'D 1 T $ #T2 BL A B C D KDdc' 4C. On AcCT - CASX #J BALAFCE FORMARD 10-28-66_11,Q0 2006 kcase_YeO_e2ehet = PATIENT_REFERRED OL "%0 DCCIQRLPAUL_NILSSON Me 'THlS_I:_(IR_FINAL_BILLING_FOBkTHIS CASE 11 00 54545 K27728 BENJAMIN E, Xernocy D JoiN WM: SCHNEPRRR XB: PLESSE Piy {03 YIEST NInTH STREET Cotelircrmjn Last KMQUnT, IN COnonR T 737-5692 RiYz-sis: {38.8731 Thiz #PLANATION OF CHARGES couyt; 0 office CilL A XchE OR hospitil CALL D INSURANCE RECEITTS 8 suro:Xssiet . 07 ANEST4 F PAPER Wcr* 3#831 0 ComulTirior F ADJUSTMENTS 2osyYs 48630 ================================================== Page 14 ================================================== CExJ ARGONAUT [NSURANCE T0_ FROM DATE 19 iNJURED_ POLICY INSURED_ Policy TERM CONVERSATION With CLAIM 22144 7k 6 Clk- 547-Ri ================================================== Page 15 ================================================== STATE DOCTORS FIRST REPC DEPARTMENT OF 'RIA RELATIONS OF DIYISION OF LABOR STATSTICS AND RESEARCH WORK INJURY P 0. Box 965, San Frarisco, Cat 9410[ Immediatcly aftcr first examin:tion mail one copy dircctly to the Division of.Labor Statisticand Rsearch. Failure to filc 1 report wich the Division is 2 misdemenor. (Lbor Code, Section:s 6+07-6413.) Answer all questions fully. A. INSURANCE CARRIER Argonaut Irsurance_Company Do po{ #rite Jn dil42486 1 EMPLOYER Altfillisch_Construction (No.. St; 13200 Citrus Corona 2 Address 4 Ciz) 2 {nufacturinx building con- Business Vcltn Kuilina mcn duthaetc.) 4_ EMPLOYEE 'FGEGZdk Mr Sirhan_Sizhan_ Soc. Sec. N. Address "35; 696_E Hoxerd_ 2 Pasadene & Occupatinn 21 Ser Dtr iniuredd 2-24-66 Hour _ 7:30.AM: Date %ast worked "4 Na 20 Ci.i Ccroca County_-Rroratte 7 0 Wl iin: "m: Xnf +34 M Who engaged your serrices?_ cou?a7; {0 Aame oher_doctors_whc_Ueated_emglyce_'or_thi: _injury Richerd_Nelson_MaL: I0. ACCIDENT OR EXPOSURE: Did employce norify employer of this injury? yes _ Employee'$ statement of cause of injury or illncss: Fell fron horse and crashed on Tail 12_ NATURE AND EXTENT OF INJURY OR DISEASE (Ioclude all objective findings, suljective complaints, Jnd diagnocs: If cccupational discase statc d.tc o onsct, &cupaciozal hiscorg, 1nd exposures ) Objective findings: Epicanthal scar 1 1/2 cm left eye_ The scar is slightly tender t0 touch Vision in each eye 20/20; hoxever left nct as sharp es right. Cornee clear, anterior chanber clear pupils round and equel and react to light , fundi presert no pethology_ fields normel Diagnosis: Epicanthel scar , 1 1/2 left eye 13 . X-rays: By whom taken? (Stste if pont) Findings: 14. Treatment: Observation to return in one month 15 . Kind of cisc (O5c " 6cwph27; If hospitalized , date Escimated stay Name and address of hospical 16. Furcher trcatmcnt (Euimited {rcqucncy 2x7z%5 2 months duration) 17 . Estimated pcriod of disability for: Regular work 20 Modified work 10 deys 18 . Describe any permanent disability or disfigurement expected (State if nooe) none Anticipated 19. Ldcath cnsued, give datc 20. REMARKS (NNote any pre-cristing injurics Or disexscs, #red for 'prcizl cxamination V5 laborstory [cscs, othcr prrtincat information ) PETICML 3? 6 ' 1 51hs-unz rrin: 0; VUztor x Nr 11-22-8 Address S_ 624 eQu- "aii S-reel:_ Corzte Zowe C:r) 845 {1*8 [1 il.6a 070 Usc revavse sie: {f sare #pece segseiree 03445 Jor. Age. cm , office Jnd aays 77 ================================================== Page 16 ================================================== ARGONAUT INSURANCE To 14L FROM DATE_ 479 76 19 INJURED_ POLICY INSURED POLICY TERM CONYERSATION Witk CLAIM Sc 3 </ & LKLLLL Le1s6LZ 62 Cc GiensY Ye 2/"4] Zuecazf LolieZZ < Ly?613 Lz-LLizs ~LELLLLA eric_LicZ C_LebZu Zz/icz Zi4k Y6 Ci# 547-Ri Lz L ~7 ================================================== Page 17 ================================================== ARGONAUT NSURAMCE To FRONY DATE_ 7 19 td INJURED POLICY INSURED POLICY TERM CONVERSATION With CLAIM 2x303X4 7S737J hez 4kCA ( GLs € Zaa ZuLL qe 7 Alb Yoxk_XAZ L X-21x K & AuAZ Clk; 547 251 ================================================== Page 18 ================================================== DOCTOR'S FiRST REPORT FILL Out AND OF WORK INJURY FORWARD 1 copy # 02 X - IMMEDIATELY AFIER BTATE 0f CALIFORNIA FiRST SEEING @>= 620 ANZ? PATIENT 3% P3 EZEDXTZI 2205 ALSO, lmncdlaialy after first examination inaii one coz% directiy Io Ihe Divisicn of Lebor Stalistics and Research; P, O: Box 965, San Francisco 94101 Failure to 'file a report -with the Division is & misdemeanor: (Lator Code, Sections 6407-6413.) Answer all questions fully. ASAA_ZEMAIE CO_JOJL_Wulshire_Blvd EgsArgeleg Gallz Do not uritc 1. EMPLOYER Grani Yinta dl_%sa Altfilliech Lcedon Co io thi {?1c4 2 . Address Neii5t Eglg_2593 E 0 2 211.Caldtornia & 3. Business SSuciHeactu Hinnc Mogen: bulldlng 4Loun.co8c. TSociaL sEcurit Fo. 4 EMPLOYEE (Flrut meme middle Sizhai 3:i" Initla , Jul nanie) S . Address {Neiist 691 Kanz_@rez) Ragntcua__Galifsrala 6. Occupation Fozno_traira: Age 22 Sex Balo 7. Datc injured 9.25-56 Hour_Da3_A_M Date last worked 2.25266 8, Injurcd at #Ne; "8,8" A t Jab County_Elrazaedo 9 Date of your first examination 9223- Hou_9234M Who engaged your services? 10 Name othcr doctors who treated employee for this injury_ 11. ACCIDENT OR EXPOSURE: Did employce notify employer of this injury?_ %ez Employee' 5 statemen of cause of injury Or illness: I &89 tbrTr Ezou '@ seec horce thic Daruiage 12. NATURE AND EXTENT OF INJURY OR DISEASE (Include all objcctive fndings, subjcctive complzints, and diagnoses. I occupztional discasc Jtate dare of onsst, occupational history, end czposures) Lacoraticm 02 Jefe Lpper roye 140$ Blatozal Scrcign bodics (cana) i0 cyzv; lecezeeson of chin, conpler, 5 ceo cotal @ngeh; lozga concugzon 02 Zozacal bees; E721tzs cOccuaion 02 Lezt hlend &nd wuleiple ebresions, 13. X-rys: By whom taken? (Bule I( nono) Gozs uuenetv_Eorpleal Cozona_Galia Findings: Regaive fcz Ezocturen, [ezeency caze o% Worad] uz285 3) 03321ozor 05ov3, 11cpalr 01"* 22rozac30m l3r 14. Treatmcnt; Zccal ausotbe3_o; Ecdiczason f32 pate; kocpsealzeed Eor Eazeier Caze and oboervaeione 15. Kind of case 8orocqubone Acsital 0 C2Eic81 If hospitalized, dare Estimated 0T Name and address of hospital Sorom Ccrnt6y IeS2lcal 851 8. Eeabbuz Lee Cozona 16. Further treatment (Eutlmeted frequengy Mosklz cEc0 calla for 53o Meckd; Gr a3 0229222r2 end duratlon / 17. Estimated of disability for: Regular work ? *0.& (ceko Modified work 2 Uceka 18. Describc 2ny permanent disa or disfigurement expected (Stale I( ncne Rsan_azpected 36preqerk 19. If deach ensued, give date 20. REMARKS (Note any prc-cxisting injurics Or discases, need for spccial cxamination or laboratory tcsts, othee pertincnt informztion ) IEDUSZEEAL, C4;% %2-022Z00 PAITETP R3PERRE; I0 DoctCr PATL MIZESC, Eobo N, B~ ONLY UNDER EXCEPTIONAL CIRCUMSTANCES WILL A HERNIA BE CONSIDERED DISABLING PRIOR To OPERATION THE . INJURED SHOULD BE ADVISED To CONTIXUE WORK, IF POSSIBLE, UNTIL NOTIFJED THAT HIS CLAIM IS ACCEPTED. Narnc _ Richard A Kal3on, 18. Da PERSONAL L SigNATURE (Type or Print ) OF doctor Date of report 2le&-86 Address (Yo d 760 9. Kechbure *e9 Cozong Cll: No Te}: ForM 10 5.8_ Use reverse siuc % jote sjaee required 67736-2iC J-t8 LCN @ 4 Osp 2 02,4y3 Coua Cor stay period bilicy Degrec_ ================================================== Page 19 ================================================== INDEMNITY EMPLOYER'S REPORT rrcL Enoutamce Bomied MEDICAL OF Lifornia STREET i0o[ WilshirE ALLOCATED INDUSTRIAL INFURY RNNcisCo 4,CALIF Los ANGELES 7 TOTAL T0 qucs? 0n must be snswcrcs fully fo ayoid CATASTROPHE Occ, DiS. STATE OF CALFORN (urhe; core:pcndcncc. FailURE To File (S A Mis- Jopartrent o( Indublrial Relalions DEMZANO; SU;BJECT To MAXIMUM FINE Of $10o. EXTENT 6 SubRO 7 - Jivision 0f Labor Stoiistica & Rogoarch (Eolagfsde_Soclions 6407-6413) BY; {o- Territogt: Every , work injury to an cmployce which causcs discbility lasling lorgc? of the injury or which requires medical services othc: tka: !irs: oid trcatmenl must bo reported within live alter the injury- If tc injury 8 0 repor? nius? be madc by tclephone or Iclcgroph directly to fhc Division of Labor Srofis:ics cnd Rescarch, San Francisco, rict latcr than 20 houss Po L iC Y RU A D [ & D0 Not WRitE IR This COLUAN EMPLOYER Cosc No. 1. Name {Gcritoeindeineich iltf+llich Constructio 2_ Oilice Address "c;"Gd 4t 1_0x 159 1; Z Corong)Lalff 0 3_ Nature of buoiness Mabe"tiuhhi=6iiinz" farnin Joxa? trainin ' Liradi frpluycr No. EL #m INJURED EmPLOYEE K Namo Sirhen Sirhan Injustry 5. Address Srccind {o9h c/0 Tt 1 Bex_159 I: {7 SCorona 6 Age 22 7. Ser: Checz (V) Male 1 Fezdle_ B. Check (V) Marricd Single Agc 9 Nymber of hours worked per day per week Numbet o[ days worked per week 10. K _ 65 {~Suhs: or S 1"[ @ay: or $ 86p55,= (H eainings at irregulat rate, such as piece work Or on commission basis. enter aclucl average weekly earuings Ior convenient period nol lo ezceed ore year ) 8cz 073 Merivai Status I1. I board, lodging or olher advanlages {urnished in addilion lo wages, givo eslimated value $ Or $ per week_ :0. Uec Mc Tes % Dlitc Wmog_ 4 1 ACCIDENT Ricekty Wogc 12. Place of accidont Sreend 13202 Citrus I8 Norco (Coutty | Plgerside J3 On cmployer'$ premises #o 07 ICs Depar"mont trairing bar County E 8 15, Dwic & i 1-25-76 16. : 9ZMIPEK17. Di: '.LTY ;esz : G.31b09..jJy:: 6 cadun" VS 05 4088. If yes, give date last worked 9-25-66 19. Was injured paid in full Ior Accident Dafe 8 0r a0 this day? No} 3L4aO. I injurcd in & mine, check (V) accident location; Surlace Mill Underground Shat C CAUSE Of ACCIDENT Cccupatiao 21. Occupalion (job Litle) LtercsBe_boy 22. How long employed by &: Ihis 2 occupation? Check (V) Leus than 6 mos 5 _1os. t0 2 YIB. over 2 YrB. 23. wiat was employoe doing when (Deacribc bricl; aucl 74; londiue truck, opernting Ac:icsnt 1 occiden! occurred? drili press. shovcling dirt; wa!Aing down sulrs. clc.) pidlrlg boese (Deecribe {ully. sttinz #hethcr the Injured pcrson (cll; Gns stucx €lc cice 3lI 12 24. Huv did ##e Jscidez' #Jppen Iaclnt$ conirib lin? to accid-n . Lc olher ade ol IcpoIl Jor addiliona] spice Agcnc} Mula Konking LoLSOa_borso_stankod o drift 8 8 35 scla #red tzoing exorciso boy Agensy Part {Nama the *pecilic machinc. tnol #Paliance . 25. What machine, tool, subglancc, or object was mo:' clogely conrected vrith (be accidenl? Fns. liquid etc . inrolred. ) Mech. Dcfcct 0 Stle I Renre _ pulley. 26. II mechanical apparatus or vehicle, what part of i.? molor. elc; (Ycs or Tcn nr 27 . Were mechanical guards or olber salegucrds providod? Fo) 28. Was injured using them? No) Unsofe Act Slule Ihe enecigc Dfcyentive meanure Ilat cun bc Gken b> cmployer And vorkcrs Do ol An bcing Ioto carcful_ Specily #hat should Or 29. What do you recomuend or prevenling this 'xpe o accidenl? ahould not be dune. Pctsergi Dctcct NATURE 0f INJURY AND PART 0f 3opy AFFECTED Mucrihe in dctil tht nitut " thc injury and Yc 0" " thc hudy eflerted. For eample: omputtion 30_ "sicht indc < fnzer T Fcnd joint , Irocturr Tl Vrd noisuning; derunntItis uf Icl hand, €lc 1809*8+404 1 "Ppor- Eriy 0cjury Lcer:ii pr_ahin, coutuaio_of_bacl, cont pi 1und 31. Name und add-o8s ol physician #iahapdAo_oleony Hernor ~01099 32. Name and addro5s ol hospital Loz:4A Lourunttiy_ilospitul, Copons, Calif Locatcn (Yer Qr 33. Acx 70 {cworl? N6f O_10 34.# Ter 9; dak 35.Al wbat $ pcr Tcs or 36. Did injury zosult in death? No) P0 37. Il ycs, give date 870078 0 Injurt 38 In case ol death, namc cnd address 0' #czrest rclalivo_ 39 ry Fu:"! & s Jnsrtonsc Cc?eice Give deteils Was injury caused by anyone e's2? Kaw Rcpor: Lcs Address 41 . O# revc;se sice lis! names and addrerses o ncsscs. Coded Rv 42. Date Erxploye: was notilicd &' injury_ i3*i4te} When will Injutedl return {0 Lallofi Signed b: Ollicial position 0ficc Ana_GIate_ebde6l Fmmgoi histeporn#ec9" admissi9 H8{a50. t pcry {g8 days 3eZeph; 31 5745 So? 'eci JJa} (Ye You Typr and "RY on 4+77 waso? 77 givc 40. Ncze X; wotk? ================================================== Page 20 ================================================== PcLy {LKLZr ClaARZz? IRCLRRED Dse LcS St: Div , #/r cekl piv LTz , Sz7Z CLAr} 80-0J266 OC2 0420_ 210. 056.320 02 203245 QQ37 C7: L3 ALTTIELISCR CONSTRUCTION CO_ 0 9 INC, E5 Acpr Doz 4522 R 0 01 Cozope- Cal'o Mllez & 4zes 0f Calif. Y 2 2 KC Dar # FcO CCDG 3625 Wo 6ch 820 Los Angeles, Celiz 09-25-66 2d0 53215 01-02-66-67 PCl_ Tz3i SIRHAN P SIREAN 7et CL4NAT clo Rke 1 Bos 2591 (jiz CxusE {3o7ids Coro32, Califoiiie Zac: @p chin b} NATU# E throrn 0EE horae G: Cai:f : L6t4e Reara 4, Weloon 0o5re: Heneez E_ 9 Bezeo 2 Cal3? ROC5es3 Inzlinity Mr+ AlLCE Total Co*?ensnC 72200 250 07 250 2700 0s RECU VEs CLAIM GLOSING ADVICE To TABULATING DEPARTAENT OLD RESERVE NELV RESERYE Indemnity Medical Allocateci Total Dafe Division Cli-Ac Fs1- 852_ 2U.) Noreee ================================================== Page 21 ================================================== S T ATEMeNT PATIENT 8InENl;_T SIRHAN BILL To Industrial Accidont RooM NO. 215-1 HoSPita No_ 7988 ADDREsS 696 Cast Boward ADDRESS DATE AdM. 9-25-66 city Pegadona C lifornia City RATE 839 0o HOUR ADM 12:30 ptz 9 PHONE sy8-2136 a PHONE DoCTOR R. Nolson DATE Oisch_ a6-lk HR. DISCH; 362oSQ DAILY DAJGS LBORATORY Meo . Surg. SUP. 58 de_tvray X-RAY TELEvisiON MISCELLANEOUS YOUR BALaNce HOSpitAL Tor THE ADM. TmerEOF RENTAL RECEiPT DATE CREDiTS SERVICE NumgER PAY Lst SERViCE AmounT AMOUNT CODE AMOUNT CODE AMOUNT AMOUNT CODE AMOUNT AMOUNT CODE AMQUNT 39.0 S1 2 57 65 39,0 3.95 6.00 628 4.40 5.00 874 350 8,936 45 75 30 5.0 SgtUBF SE 8 1.0 Tra 1750 7,307 25.00 /7,026 15.00 /7248 1250 7,259 5.00 /,475 15.00 4 EEP 2 6 65 153.60 3022 SEE REVERSE SidE 0F YOUR STATEMENTS_ BILLING AGENT foR CODES ARE TAKEN FRoM THE 1964 RELATIVE VALUE STUDIes 4Th Edition CORONA Co m M UNiY hospitA 1 PAUL ! DCF u_ M O John # Kitm MD, DATE OF posting DOES Not YoUR PRVATE PhYSiCiaNs CoN- 812 SO. WASHBURN AVENUE CORONA , CALIFORNIA RaDglogists NECESSARILY REPRESENTTHE DaTE SULTANT5 AND ANESTHESiOLO- Thservice WAS RenderED. Gist 5 CHARGES ARE Not IN- TELEPHONES: 737-4343 I= 683-0093 Thomis 6 JONES MD. CLUDED INThIS BILL Patholocist This BilL INCLUDES ALL ChaRGES RE PORTED To This OFFICE Up To Time Of DIsc MARCE. UNREPORTED charGes WIll ALL BilLS PAYABLE ON PRESENTATiON BE BILLED UTER. BILLS PAYABLE: JPON RETAIN For INSURANCE AND TAX RecORDS: PRESENTATiON PATIENT'S" STATEMENT 4283 ================================================== Page 22 ================================================== ARGONAUT INSURANCE To_ FROM DATE 219 INJURED_ POLICY INSURED_ POLICY TERM CONYERSATION Mith CLAIM 73428 7Z Y 6 3 Cik 547.Ri 854 Kl 6KT ================================================== Page 23 ================================================== ALTTILLISCI CONSTRUc COMPANY , Inc . CLAIMS BOX 159B Rt. {1 Corona Calif COVERAGE SHEET Miller 8 Ames of Calif. CLAIM NO. 2634s 3625 W. 6th St. Los Angeles,CAlif . CODE NO. 5715 3 PolICY NO. POLICY TERM 20-210-056370 1/1/66-67 'NDORSEMENTS AFFECTING COVERAGE: FActs of AcCiDENT, EXTENT, oesc Ription 0F Loss OR INJURY: A11 Exec _ Officers {NDiVIDU 4i co PART CoRPoRATion othER E8z3tton: Co. Loss PAYEE P0L_ FORM KIND COVERAGE LimiTS AMQUNT REIN OMPREHENS. YES OLT CONTRACT MALPRACTICE MIC MED. PAY X COMPENSATION 'CHEDULE NO V ELEV. CPL OTHER PROTECT, COMPR FORM PROD. STOREKEEP T E R /1 ACCIdENT DATE MAKE-UP CLAIM X C A DP DEDUCTIBLE 5 LTS S S D 1 YD. OR Loss MED ALLOC. X CLAIMANT LINE OR CLASS ST TER D C G 2 3 COy M € 0037 MOTOR NO. 2 AUDIT DEPT_ CLASS CODE CK 3 DATE Ib-L-LG BY RESERVED BY 5 s 7075 cov CK BY 6 REQ: ON 1076 7 755 10/6 REC'D ON MADE-UP BY ================================================== Page 24 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION 6/7/68 Date_ FLAVIO TOTEN 9 280 Be lla Vista Avenue, Pasadena 5 caTifornia advised that his father , ASHLEY L_ TOTEN 9 was appjinted under former Pregident JOHN F KENNEDY as a Commissioner for the Virgin Ielands Development Program in 1962 TOTEN said that hie father died in 1963 while on this job FLAVIO TOTEN said that hingelf 9 lived in Washingt D . from approxinately 1942 to 1962 and during the years from approximately 1952 to 1962 he was emp loyed at the Embassy of Burna in Washington, D.C He said that during this time 9 he had met Senator ROBERT F KENNEDY, on occasion and that he had great respect for him Fe said that he even recently had maintained correspondence with Senator KENNEDY and that he hoped Shoula . KENNEDY be elected he would be' ablefto go back to Washington 'and work in the adninistration in & Ome capacity Mr TOTEN said that he ie a customer at the Richrield Gas Station owned JACK DAVIES , 2529 East Foothill, Pasadena where SIRHAN SIRHAN was formerly eip loyed Mr TOTEN said that approximately tw? years ag0 he met SIRHAN at the station and that he saw nim quite frequentLy in connection with ueing the services 3f this station Nhile SIRHAN SIRHAN :as erp Loyed there _ He gaid that he and SIRHAN passed the time of on occasion and that their discussions never encompassed any political views which either he or SIRHAN had, but that he< Goes 6: recall SIRHAN frequently stated that he had No money . Just hard work He said that SIRHAN seemed t3 him t? be a warm and friend ly individual and that he cannot recall SIRHAN ever making any remark which could be cons idered anti United States TOTEN further advised that during his digcuseijns with SIRHAN , he deternined that SIRHAN Vas attending Pasadena City College and that SIRHAN mentioned t? hin that he may possibly eoneday hope for s ome kind of a lomatic career however , the detaile of this vere not discussed in depth 6/7/68 Pasadena , California Los Angeles 156 On at File # SA RONALD H BROYLES /aln 6/7/68 by Date dictated This document containg neither recommendation8 nor concl 856s of the FBL, It i8 the property of the FBI and ig loaned to your agency; it and its contents are not to be digtributed outgide your agency. he , C., on, by day aip 56 _ ================================================== Page 25 ================================================== Ca 56-156 RHB/alm Mr TOTEN said that at the present time he is not gainfully emp Loyed however 9 he is dping s 3me work toward the advance training his conmercial pilot '$ licens e and that this training is at the El Monte Flight Service in El Monte , California He said that he and SIRHAN never socialized whateoever > hoiever , he did 3n one or two occasions invite SIRHAN for a plane flight 5 hoever , SIRHAN never shoved up to take such flight He: said that the last time he 8aw SIRHAN was approximately one month ago in doivnton Pasadena at a coffee where both happened to be having coffee at the same time Mr TOTEN advised that during the time that he knew SIRHAN and had conversation Tith hin that he had no idea whatsoever that SIRHAN was unhappy with the American {ejy of life nar did he have knowledge of any planned action Thich SIRHAN may take Mr TOTEN said that he did not know any individua ls kith whom SIRHAN may ha ve been particularly friendly 857 shop ================================================== Page 26 ================================================== FD-302 (Rev. 4-15-64} FEDERAL BUREAU OF INVESTIGATION 1 Date 6/7/68_ VARTAN MALIAN Foothill Liquors 2547 East Foothill Boulevard, zeaintenais Ca 'iifornia, advised that SIRHAN SIRHAN us ed to come into business when he worked at the Richfield Service Station located at 2529 East Foothill Rulevards Pesadena; Califomie_ MALIAN advised that he never kew SIRHAN personally and never carried on eny 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 them actually became friendly or talked freely to him. He advised that after seeing a photograph of SIRHAN on television, he realized that this as the individual who used to work at the Richfield Service Station in 1964. 0r6 [7/68 aPasadena , California Fileos Angeles 56-156 SAs ROLAND H. BROYLES and ALLEN K. TOLEN/AKT/ rah 6/7/68 by Date dictated This document contains neither recommendations nor tea osides of the FBL. It is the property of the FBI and is loaned to your agency; it and its contents are not to be distributed your agency. ================================================== Page 27 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION 1 Date 6/8/68 Mre NELL GORIS , 675 East Howard Street , Pasadena, California, furnished the follow information: She has resided at that address for epproximately seven years She 1s acguainted with Mrs MARY SIRHAN who has resided in the neighborhood for approrimately the sare 'period of time She was not acguainted with the sons of MARY SIRHAN on an individual basis , but it was her recollection that there were two sons who resided with her , one of which she believed to be SIRHAN SIRHAN and two 3r three other sons who lived in an apartment in the area and who came and had supper with the mother and other menbers of the family in the evening_ Mrs MARY SIRHAN visited in her residence on one or two occasions , and their acguaintance came about through her husband 5 Mr GORIS for a period of time, worked at the Westminster Presbyterian Church located on Lake Avenue in Pasadena , where Mrs MARY SIRHAN was employed at the Westminster Nursery School Her husband i8 currently employed at the Pasadena Humane Society _ It was her recollection that the SIRHANs had a close family relationship_ 2 and the two S1RHANB who resided with the mother , one of which she believed was SIRHAN SIRHAN were always well dresged and neat in their appearance While attending school in the area Her acquaintanceship with Mrs MARY SIRHAN and her family was very limited, however an acguaintance Mrs THEODORA VON AMERSFOORD was employed at the Westmingter Nursery Schopl with Mrs MARY SIRHAN 9 the nother of SIRHAN SIRHAN 9 and she may have some more personal knowledge of the family and their activities She stated that another neighbor had related to her that Mre SIRHAN was extremely worried at one time 5 approximately two yeare ag0 , shortly after she logt her daughter 9 who lived in Palm Springs_ 9 California 9 when SIRHAN SIRHAN left the residence 9 and Mre MARY SIRHAN did not know his whereabouts for quite sonetime He later returned home 9 and On 6 /768 at Pasadena , California File # Los Angeles 56-156 by SAJOHN J ELYNN /eb Date dictated 6/8/68 Thi8 document containg neither recommendationg nor concl 0439o the FBI. It ig the property of the FBI and is loaned to your agency; it and ite contents are not to be distributed your agency. ing who , ================================================== Page 28 ================================================== 2 IA 56-156 Mrs SIRHAN indicated that he had lived with a group of boys and ls during the time that he was away from home She identified the_neighbors who related this to her as Mrs WENSINK 804 East Howard Street 9 Pasadena 9 California She related that DAVID HENDRICKSON formerly resided at 681 East Howard until approximately two years ago and they had moved to 612 Coleman 9 Pasadena 9 California Their children were younger than the merbers of the SIRHAN family_ 9 however she did occas ionally see the members of the SIRHAN family playing ball with the son of DAVID HENDRICKSON who i8 graduating from John Muir High School at this time She had no information concerning the employnent or acquaintances of SIRHAN SIRHAN and Was not familiar with his most recent to activity_ 862 gir_ day day ================================================== Page 29 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION 6/8/68 1 Date Mrg GABRIELA BREA 2 687 Eaet Howard Street 9 Pagadena Celifornie , advised that she hag resided at that addrees for about a and one half She is aware that 8 family, whan they describe as an Arab farily, reside acroes che etreec fron the residence She 18 not acquainted with any member of the fenily but would rec?gnize the mother of the family She als3 was aware o} several ma le individuals regiding at {he address > however she did not know them by their individual names She identified a Los. Angeles Police Department photograph 9 dated June 5, 1963 , with Booking Number 495139 9 SIRHAN SIRHAN , 2$ one.0f the individuals residing across the street frori' her' _ She had no information concerning thig individual' 8 enployment ) ecqua intancee or hie recent activities On 617/68 at Pasadena California File # Los Angeles 56-156 by SA JOHN J _ FLYNN/eb Date dictated 6/8/68 861 Thi: 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- year ================================================== Page 30 ================================================== FD-302 (Rev. 4-15-64 ) FEDERAL BUREAU OF INVESTIGA TION 1 6/8/68 Date JOSE BREA , 681 East Howard Street, furnished the following information: He and hig Wife, GABRIELA, have regided at that address for approximately one and one half years were not acquainted with the SIRHAN family residing across the street from them He and his family did not know the name of the SIREANs until reading about it in the newspapers They had referred to the family as the Arab family residing across the street They knew the mother 0f' the family by sight , however , they did not know all of the male individuals who resided in the same residence He identified the individual in the Los Angeles Police Department photograph taken June 5 5 1968 , under Booking Number 495139 as one of the individuals residing in the residence across the street from him He had no information concerning the employment or acguaintances of this individual He had no information concerning the recent activities of the individual On 6/7/68 at Pasadena , California Los Angeles 56-156 File # SA JOH J FLYNN /eb 6/8/68 by Date dictated This docunent contains neither recommendations nor conclusi863f tho FBI It i8 the property of the FBI and i8 loaned to your agency; it and it8 contents are not to be distributed outside your agency. They ================================================== Page 31 ================================================== FD-3 02 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION Date "'678768 Mr GEORGE ANTHONY FAURE 9 1540 El Molino, Pasadena , furnished the following information: He and his wife 9 IRMA FAURE 2 have been residents at that address for approximately four Jears were acguainted with Mre MARY SIRHAN wh? resided across the etreet from then He was not acquainted with the members of the SIRHAN family but believed the family consisted of four or five young men, and he saw them com ing and going on many occasions during the time they have resided there He did not know the names of the individual family members He did not know where any of the fami ly menbers worked and had no kcnowledge of their recent activity_ He believed that a Mr DANNY BEDELIAN who%ccupiee a houge attached to a former grocery store at 1525 North El Molino was acquainted with SIRHAN SIRHAN 9 whose photograph he recognized in the newepapers a8 one of the individuals regiding with Mrs MARY SIRHAN 9 and their acquaintanceship extended over several years He believed that BEDELIAN spoke Syrian or Arabic language and could converse with SIRHAN in that language He did not know any other acguaintances of SIRHAN SIRHAN 6/7/68 Pasadena, California Los Angeles 56-156 On at File # SA JOHN J _ FLYW/eb by Date dictated 6/8/68 This document containg neither reconmendationg nor conclusiong of tho FBI. It i8 the property of the FBI and i8 loaned to your agency; it and its contents are not to be distributed outside your agency. They 863 ================================================== Page 32 ================================================== FD-3 02 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION 1 Date June 7 , 1968 On June 5, 1968 9 JAMES EDWARD BURN Associate Pastor, Community Methodist Church, 918 West Avenue J , Iancaster, California, telephone number 942-0419, stated he presently resides at 214 Fast Nugent, Iancaster, telephone 942-4050_ BURN said he was formerly a Baptist Fastor and served a8 Associate Pastor under Pastor CHARLES BELL, First Baptist Church of Pasadena , 75 North Morengo Avenue Pasadena He resided at 743 East Howard Street, Pasadena from about 1960 L 1965, during which time he was acquainted with the SIRHAN family_ BURN stated to the best of his recollection, Mrs MARY SIRHAN and her childnen came to the United States from Jerusalen in about 1960_ The father, name unknown, remained in Jerusa lem a8 he and MARY apparently had marital prob lems BURN said the only sons he can recall were named SAIDALLAH 3 SHARIF and the younger son SIRHAN . He said he believes there was a daughter who came to the United States with them but he iS not certain of her name It may have been MARY , however, she did not reside with the family in Pasadena B URN said he knew the family through his church, 38 the mother was a member and faithful in church attendance. He als0 saw them in the neighborhood as the SIRHAN family res ided at 1647 North Lake and later at 696 East Howard, which wa8 near his own res idence- During the time he knew SIRHAN S IRHAN, he had several talks with him regarding belief in God STRHAN appeared to be a very intense atheist and could see no logical reason to believe in God_ BURN stated SIRHAN als0 attended John Muir High School, Pasadena , during that period and was about a sophomore He appeared to be very close to one of the high school teachers who furnished him with a grea t dea 1 of literature to subs tantiate his beliefs in atheism BURN said he does not know the name of this teacher but recalls that S IRHAN considered him an authority on almost al1 subjects On 6/5/68 at Iancaster, California File #Ios Angeles 56-156 by SA CURTIS H_ HOUF/pjs 6/5/68 Date dictated This document contains neither reconmendations nor conclusi8 3-bf the FBI_ It i8 the property of the FBI &nd is loaned to your agency; it and contents are not to be distributed outaide your agency. ita ================================================== Page 33 ================================================== 2 LA 56-New and perhaps associated with him as a subs titute for his father He said at the time he attempted to communicate with SIRHAN J he felt SIRHAN was receiving adult orientation, a8 many of his arguments were those used adults BURN said the boys a11 8eem to have a bitter attitude toward life, with the feeling that the world owed them a living This wa8 due in part to the resentment they had for their father who did noc come with them to the United States , He advised further that he did not recal1 any of the boys belonging to any organizations in the community_ S IRHAN may have been a member of some club , but it would have been connected with John Muir High School_ BURN said the mother was employed by the Wes tminster Presbyterian Church near their residence_ She worked in chila care with the pre-School children_ SHARIF SIRHAN was employed off ana on a8 a painter and he said he cannot recall where SA IDALLAH was employed_ The SIRHAN family were close friends with the (First name unknown ) MOKHTARIAN family who resided near them on Elizabeth Street in Pasadena . BURN said he believes the two familie8 were related in some manner. 865 by ================================================== Page 34 ================================================== FD-3 02 (Rev. 4-15-64 ) FEDERAL BUREAU OF INVESTIGA TION June 7 , Date Dr CHARLES R BELL , JR . , Paator of the Firet Baptist Church 3f Paxadena 9 75 North Mareng? Avenue_ 9 telephone SY 3-7164, home telephone SY 4-4441_ 9 wa8 contacted at the Church where he advieed the following: He recalled the SIRHAN family a8 having attended hie church in the early 19628 He could nst recall exactly when the family started t? attend church, but etated that the mother and three 3r four )f the children then_appealed t? the Church t? bring tw? other children t? the United Statee from their home cjuntry_ The other tw? children were SHARIF and SAIDALLAH SIRHAN He thought that the other menbere of the family had been brought t? the United States by a Seventh Adventigt group The family attended church regularly including varijus club functiong 2f the Church, but the family never officially joined the Church BELL SHARIF SIRHAN an accpunting job with the Southern California Baptist Convention in Los Angelee and SHARIF wae employed there for over a year when he wae dismissed due t? hie allegedly cing a bonb in his girl frienci 8 car The SIRHAN family felt that Pastor BELL had SHARIF diemieeed fron his job when , in fact , BELL had nj connection with the diemissal He etated he tried t? reason with the family t? no avail and shortly thereafter the family stopped coming t? church Of al1 the embers in the SIRHAN fami BELL had the least contact with SIRHAN SIRHAN and believes when SIRHAN SIRHAN wae coming to the Church he wa: in his mid-teens BELL personally believed the entire family was unstable probably due t? the fact that the father m3re 3r less cut al1 tiee with the family and the youngeters had no fatherly guidance BELL stated he knew of nj preeent or paet member 3f the Church wh? waz cloe t? the SIRHAN family and wh? could offer any information concerning them 866 6/7/68 Pasadena, California 56-156 On at File # SAs STANLEY W MILLER and RAYMOND E LINDSTROM 6/7/68 by Date dictated This document containg neither recommendations nor conclugions of the FBI. It is the property of the FBI and is loaned to your agency; it and it8 contents are 'not to be distributed outside your agency. 1968 Day got pla 1y ================================================== Page 35 ================================================== 2 LA 156 When asked conce rning 3 family by the naile of MOKHTARIAN 9 BELL advised there Was an ALEX and DEBORAH MOKHTARIAN Who attended the Church around the same tie 2s the STRHAN family He said he Wa8 not faniliar with anyone by ihc nanle 3f HECTOR MOKHTA RIAN noi did he kcnal; i2 the MOKHTARIAN family lived on Elizabeth Sreer in Pasadena He said that approxinetely five years a8g3 one 2i the s3ns of ALEY and DEBORAH MOKHTARIAN wh? wa 8 an a lcoholic 9 iook his own life Short ly after this ALEA and DEBORAH MOKHTARIAN Were divorced and he believes that neither one still lives in the Pasadena are? He Said there is 2 lcrge 2Jan of this fami but he be lieved that the children .ere by nother man and , thererore have another name hich he could not recall BELL added that 'vhen he?ring on the radio that SIRHAN SIRHAN was possibly involved With the shopting 3f ROBERT F KENNEDY he immediately telephoned Cegtain CA RL LINDIZOLM 3 personal friend wh? 1s a ieinber 2r the Pa sadena Police Departilen& and told LINDHOLM th t he knew the SIRHAN family in the event he could be 2f any he Lp in dealing with menbers of the femily 867 56.. ly ================================================== Page 36 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION June 7, 1963 Date GEORGE 4. M4ZAS , 3usines 8 Acministrator for the Southern California Zaptist Convention, 416 South Figzeroa Street , Los Anzeles , telephone 623--31 3, was contacted at his office where he advised the following: SIREL SIRFAlT 18 not now nor has he ever bee11 8.8sociesec with the Southern California Baptist Convention, however , his brother, SHARIF 3ISZARA SIRFAZT W28 erployed chere for approrirl 132 years , leavinu; that enlploynent in Decerber, 15333 SEARIR had been doing accounting work, but his a€titde towerd his work and his accuracy haa deteriorated a creat Geal ana he left their employmlent by mutual a reemen t Ti4EAS recalled that SEARIF wes sponsored into the United Stares 98 2 refuzee by enother farlily in Pasadena, Californi8 This family was a nenber of the Yirst Baptist Ciurch of Pasadena, 75 forth Marengo Avenue 2 Pasadena end records conc erning this fanily might possibly still be located at the chjrch- Bis records reflec: that the Social Worker connected with SHARI? was a Kiss MILDRED CUlT IiiGs , 6281 Irving Street, Alhambre , California ITAS stated he Iew that SEirIF had a gounger brother the naine of SIRH:N but he never Iet 3I AAC nor heard SEARI? or anyone else make any comments concerning SIRHAI_ KATTAS coulu not recall any statements by SHARIY that he or other members of nis family were at a11 disenchanted with life in the United States or with ihe auininigtration of the 'United States Government_ 6/7/63 J08 Angele8 , California 56-156 On at File # SWM:mak RAYNOND E. LINDSTROI: 6/7/63 34s 31liLET N. MILLER an6 by Date dictated Thig document contains neither recommendations nor conclusi86 & the FBI. It is the property of the FBI and is loaned to your agency; it and it8 contents are not to be distributed outside your agency. tely by_ ================================================== Page 37 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION Date 1 678/68 GAYMOARD MISTRI 9 825 East Delmar Street, Pasadena , California (Phone SY 6-7449) , advised that he came to the United States from Bombay _ 9 India 9 five years ag0 He related that he attended Pasadena College (Pcc) 9 Pagadena 9 California 9 for two years after which he transferred to the Western State College of Engineering (WSC) at Inglewood , California He studied there for two years and was graduated one week ag0 with a degree in Engineering_ MISTRI explained that he i8 'presently unemployed and in the process of seeking a job after Obtaining his degree He thereafter furnished information as follows: In 1962 or 1963, MISTRI was attending PCC and belonged to a social club called the Foreign Students 1 Group This club was for all foreign students on campus Through the club, he developed speaking acquaintances with various other foreign students , one of whom was SIRHAN SIRHAN_ MISTRI explained that their relationship was that Mi M of casual acquaintances and noted that he never knew SIRHAN by name until he was identified through the press as being the assassin of Senator ROBERT F KENNEDY _ He pointed out that their sole relationship was that of speaking to each other on campus or having coffee where other foreign students gathered _ MISTRI recalled , however , that STRHAN always II called hin "MISTRI MISTRI further explained that he continued to reside in Pasadena while attending WSC and would often eat or attend social functions on campus at PCC On some occasions , he would see SIRHAN but estimates that in the last three years he has not seen him over four or five times In late March 9 1968, MISTRI saw SIRHAN at the Santa Anita Racetrack, Arcadia, California They talked for only a few minutes 9 and the conversation was mainly about the races He recalled that SIRHAN asked about some mutual acquaintances and asked how MISTRI was doing_ He noted that talked for only three to five minutes On 6/7468_at Pasadenas California File # Ios Angeles_56-156 SAs IRVIN B. WELLS , III and by ROBERT H: ~ORNEAU , Jr ./EBeb Date dictated6/7-/68 This document containg neither recommendations nor the FBL: It is the property of the FBI and is loaned to your agency; it and its contents are not to be distributed teadutside88.8 outsidee agency. City they ================================================== Page 38 ================================================== 2 LA 56-156 On June 4 9 1968 = at approximately 6:10 Pp m . MISTRI entered Bob ' s Restaurant 9 1616 East" Colorado Boulevard , Pasadena _ The restaurant is adjacent to the campus at PCC _ MISTRI sat at the counter for approximately ten minutes after which SIRHAN entered the restaurant , recognized hin and joined him at the counter After greeting him STRHAI asked MISTRI to join him for dinner M1 and stated 'The meal 18 on me After MISTRI declined the offer, SIRHAN took MISTRI' s check for coffee After a few minutes of non- specific conversation, MISTRI began reading a newspaper which carried a caption concerning the Israeli- Jordan situation SIRHAN noted the caption and said words to the effect of II things are wrong there However 9 MISTRI did not pursue the conversation_ and SIRHAN made no further comments conce erning Israel, Jordan or any other political situation or figure SIRHAN 1 S meai Was served , and the remainder 0f the conversation was of horse rac ing, about which both had a mutual interest When SIRHAN finished his meal and 'paid the checks , he asked MISTRI where he was going- When MISTRI informed him that he was going to the PCC campus 9 SIRHAN stated, Mf "I think I'l1 come with you They then Walked to the campus cafeteria 9 during which time they again talked of horse racing Upon entering the cafeteria 9 STRHAN observed four Arab s tudents whom he immediately approached He introduced hinself and MISTRI 9 after which 8 conversation ensued in Arabic MISTRI recognized one of the students to be MOROOF BADRAN (phonetic) 9 whose address MISTRI furnished from an address book as 5733 Benner Street 9 Apartment 7 9 Highland Park_ 9 Los Angeles He did not recognize the other students BADRAN and the other students then_departed the cafeteria to attend 8 7:00 'p . m _ class , and MISTRI and SIRHAN sat at another table MISTRI initially stated that inasmuch a3 they had just left the restaurant 9 he did not care for coffee, but at SIRHAN 8 insistence he ordered hot chocolate A casual and non-specific conversation then began_ 9 during 870 Big Boy ================================================== Page 39 ================================================== 3 LA 56-156 which time 9 SIRHAN began toying with a small metal object which he hela in his hands When MISTRI &sked what the object SIRHAN advised that it was something connected with a gun or bullet MISTRI explained that SIRHAN told hin what the object was but noted that he cannot now recall exactly what it was He noted , however 9 that he is sure that it was connected with guns or bullets and stated that his impression 18 that it was a spent slug of a bullet which had been fired from it8 casing and subsequently recovered A detailed interview with MISTRI and an examination of a 38 caliber bullet failed to clarify exactly what type of object MISTRI had seen He concluded however 9 that he feels that it was a spent slug of a smaller caliber than the 38 caliber bullet displayed for clarification purposes _ After MISTRI inquired about the above mentioned object , he asked SIRHAN if he was a hunter SIRHAN replied that he had hunted on occasion but noted that he was just learning about the sport However 9 MISTRT noted that he then asked STRHAN an unrecalled question about rabbit hunting and pointed out that , judging from the conversation that followed , he formed the opinion that SIRHAN had little or no knowledge about hunting or firearms Shortly thereafter 9 they departed the cafeteria and began walking to a campus parking lot where each had a car parked While Walking toward the lot , SIRHAN obgerved a new campus building and noted that the new building stands on what was a vacant lot when they attended PCC SIRHAN then 9 referring to the time when they attended PCC a8 students, said words to the effect of 9 "That was a beautiful time 1i when the 'political situation was better MISTRI noted that he felt that the statement was odd and did not exactly unders tand it; however 9 inasmuch a8 he did not wish to continue the conversation, he made no comment and neither did SIRHAN While Walking toward the lot , they came to a newspaper rack, from which MISTRI purchased a Preview Edition of the Angeles Times _ When SIRHAN stated that he also Wanted 8 "paper , MISTRI told hin not to purchase one inasmuch 88 9 MISTRI_ 9 Wanted_only the classified ad 8ection for job hunting 'purposes MISTRI then took the classified ad section and gave the remainder of the paper to SIRHAN _ MISTRI does not recall seeing SIRHAN look at the paper 871 wa8 , "Los he ================================================== Page 40 ================================================== LA 56-156 As they approached their vehicles in the parking lot 9 SIRHAN asked MISTRI if he Wanted to shoot pool After MISTRI declined SIRHAN lingered for a few moments talking about mutual friends. MISTRI recalled that SIRHAN asked such questions as how former s tudents were getting along and how many children they now have As they entered their respective vehicles , MISTRI recognized that SIRHAN entered the same vehicle which he had when they &ttended PCC He described the vehicle a8 an older model Chrysler product which Was pink in color MISTRI departed the lot first and did not observe the Sare8zooi7.38i which SIRHAN drove awan VISTRI estimated the time to be to p.m_ MISTRI could not recall the clothing worn by SIRHAN , other than he was not dressed in a coat or tie and wore a shirt and trousers MISTRI conc luded by noting SIRHAN made no comment about Senator ROBERT F KENNEDY the current 'political situation or the primary election being hela in California_ Further 9 he stated that STRHAN gave no indication of emotional instability or any type of contemplated violent act MISTRI further noted that when SIRHAN asked him to go shoot pool 9 there was no time limit suggested He further stated that it Was his opinion that SIRHAN appeared to be lingering with nothing to do and was seeking his company He noted) however , that no time limit was suggested about shooting 'pool, inasmuch a8 he refused SIRHAN 8 offer outright 872 ================================================== Page 41 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION 1 6/8/68 Date ABDO JABRA MALKI 9 356 South Waldj, Pasadena , telephone 792-3430, was interviewed at his residence and furnished the following information: He first met SIRHAN SIRHAN on June 4 1968_ 9 in the cafeteria at the Pasadena College (PCC ) MALKI was at the campus center studying for an examination and at about ten minutes before 7:00 p m > he left the center With MAROUF BADRAN and ANOUR SAIGH and went t3 the cafeteria on the campus to have a cup 3f coffee before going tp a 7:00 class Just after MALKI had obtained his coffee and ia8 seated at the table , SIRHAN came in and wa lked over t? their: table: and was introduced by BADRAN or introduced hinself MALKI could not recall if anyone came in with SIRHAN 3r after him, but did remember another person M at the table , whoin he could" only describe as being "fat MALKI s tated SIRHAN was engaged in conversation with ANOUR SAIGH about their travel t? the United States and how they had core by plane and He said they had both entered the United States about 12 years ago MALKI was a& the table between five and ten minutes when he and SAIGH left because they both had classes at 7:00 and it was about twj minutes till 7:00 when they left _ MALKI said he could not recall anything specific about SIRHAN and that his first and impression was M II that SIRHAN was a sma11 guy who was laughing and smiling during the meeting. MALKI did not recall SIRHAN until the following morning when he and MAROUF BADRAN were watching television and learned that SIRHAN had been accused of the assassination cf Senator KENNEDY It was when BADRAN reminded MALKI of wh? SIRHAN was that ke remembered meeting hin the night before On 6/8 /68 at Pasadena, California_ File # Los Angeles 56-156 SAs GORDEN J REID, JR 9 CHARLES L. SAWYER , JR_ by and JOEN F RISSELLIGIRZasi Date dictated 6/8/68 This document contains neither recommendations nor conclus 8753f the FBI, It i8 the property of the FBI and is loaned to your agency; it and it: contents are not to be distributed outside your agency. city ship_ only only ================================================== Page 42 ================================================== 2 LA 156 MALKI stated he entered the United States at Seattle Washington 9 on July 22, 1967 9 3n a Jordanian paseport_ 9 number '469107 _ He came to the United States as a permanent resident and 18 presently unerployed, being engaged as a full-time s tudent at PCC MALKI reiterated he had never seen SIRHAN prior to their meeting in the cafeteria and would not have been ab Le to identify him had it not been for the photograph on television the follow morning_ He did not remember what type or color of C lothing that SIRHAN was wearing when they met , that SIRHAN was dressed casually and it was nat a suit or tie MALKI said he does not know where SAIGH lives but it 18 somewhere in the Pasadena area and Hs Wielephone number Id 793*6768. 874 56- ing only ================================================== Page 43 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGA TION 6/8/68 Date MAROF MOHAMMAD BADRAN , a153 known as Maruf Muhammad Badran , 5733 Benner Street, Apartment 7, Highland Park section, Los Angeles 9 California, telephone number 254-0434, was interviewed at his apartment home BADRAN advised that he is a student at the Pasadena Ci College (PCC ) , Pasadena , California He stated that he was born on at Silwan, a suburb of Jerusalem, Jordan He stated that he entered the United States at Las Angeles on August 25, 1965 , Jn a non- immigrant visa dated August 6,-1965 , at Valenc Spain, as a s tudent , passport number 355444 He stated that he enrolled at PCC in September 1965, and continues as a student as of the present time BADRAN advised that he 18- employed part-time as MI a at Kory' 8 Market , York Boulevard and Figueroa Street, L38 Ange les_ 9 California BADRAN advised that approximately one week after coming t? the United States he went with his brother GHALEB BADRAN 5 to an Arab ifestival" in Glendale , Caiifornia, the location of which he could not recall BADRAN advised that at this festival, he was introduced to SIRHAN SIRHAN a Jordanian who was a sometimes student at PCC He stated that following this festival, he saw SIRHAN in Jr arjund PCC He advised that he does ~not think that SIRHAN was attending the college at the time but he the impression that he was C oming around the school because of his association with students and friends at the college_ BADRAN advised that SIRHAN was a rather quiet type of an individual and that he did not appear to have any real close friends _ On 6/8/68 at Los Ange Les California File #L28_ Angeles 156 SAs GORDON J_ REID , CHARLES L. SAWYER , JR_ by and JOHN F RUSSELL, JR IJFR/asi Date dictated 6/8/68 Thig document containg neither recommendations nor toaolugdesol of the FBI. It i8 the property of the FBI and is loaned to your agency; it &nd its contentg are not to be distributed agency . ty ia , "box boy got 56- JR . , ================================================== Page 44 ================================================== 2 LA 156 BADRAN advised that on two or three pccasions he had coffee with SIRHAN at Bob '8 Restaurant , which 18 located on Colorado Boulevard adjacent t) PCC_ BADRAN advised that he has never been a close friend of SIRHAN 9 has never been in his companyy for any extended period and has only seen him and talked with him in casual mee tings around the college He stated that he last saw SIRHAN on Tues evening 9 June 4 1968 , at approximately 7 :00 PM_ He s tated that on this occasion; he had stayed at the school library to study for a test which he was having the next day - He stated that at about 7 :00 PM 9 he went from the library to the college cafeteria for coffee with ANWAR SAOIG and ABDUE MALKI _ He stated that shortly after they arrived at the cafeteria, SIRHAN and an Indian student 9 whose name is MISTIG (Last Name Unknown ) ( LNU)_ 9 came in the cafeteria and over to the table which they were 2ccupying_ He stated that they engaged in general non- specific conversation , the text of which he cjuld not recall. He stated that after one or two minutes after SIRHAN and MISTIG appeared, an Armenian girl, NURA (LNU) 9 came with some of her paintings and she asked him, MAROF , to help her carry the paintings t? her classroom [hen; 62: 3n his way back to the library_ 9 he saw SIRHAN and MISTIG leaving the cafeteria BADRAN s tated that the time interval between his arrival at the cafeteria and SIRHAN ! s appearance was not more than one or tw? minutes and that the interval from the time BADRAN left the cafeteria until he saw SIRHAN Leaving the campus center was about ten minutes He stated that SIRHAN did not appear to be emotionally upset 3r disturbed in any manner but that he 11 " seemed in a 'pleasant mojd BADRAN advised that he does not recall specifically what SIRHAN was wearing but he believes that he was wearing casu8l C lothes 876 56_ Big Boy day by ================================================== Page 45 ================================================== LA 56-156 BADRAN advised that he later went to his apart_ ment with ABDUL MALKT and FARAUK BADAWI t) study for the final exam to be held the next morning _ BADRAN advised that he wes not aware of the identity of the alle= assassin 3f Senator KENNEDY until around 11;00 AM on June 5 He stated that after the examination was over at the cJilege 9 he and ABDU' MALKI went to MALKI' s home and it was during the time they were having lunch that he learned 9 via televisi that SIRHAN was identified as the alleged 88sa88in_ He stated that he was shocked as SIRHAN seemed like a quiet, pleasant individual whom he did not believe was capable Jf such a crime He stated that in his limited association with SIRHAN he has never heard SIRHAN expre8s any resentment 3r animosity towards either Senator KENNEDY 3r the United States Government _ BADRAN stated he was not sure 3f the exact spellings of any of the names he had given ta the interviewing Agents other than his jwn and his brother' S 9 but were as close as he could recall. He said he did not know the address 3r telephone number for ANWAR SAOIG nor did he know the address for ABDUE MALKI 9 but MALKI 8 telephone number ds 792-3430 and MALKI resided somewhere in the nearby Pasadena area BADRAN stated that he does not know of any friends 3r close associates or friends 2f SIRHAN . 877 ged 1968 . on , they_ girl ================================================== Page 46 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION 6/7/68 Date MARGARET LEE (PEGGY) OSTERKAMP contacted at her hone 8301 Archibald, in Corona This i8 als0 the home of her father, JOSEPH OSTERKAMP 3 and the location of hie dairy and ranch PEGGY advised that she worked a8 an exercise for the Granja Vista Del Rio Farms from about Christmas of 1965 until about April of 1966 She has had frequent contact with that farm and with the employees there since that date_ She said that she first met SIRHAN SIRHAN and was introduced to him as SOL SIRHAN by JANICE DUCY in the fall of 1966 _ JANICE DUCY resides at 2266 Hillside Norco, California JANICE had worked the summer of 1966 at the Granja Vista Del Rio Farms and had worked as an exercise girl in the same area as did SIRHAN PEGGY advised that she only exchanged a few words of conversation with SIRHAN and that he talked mostly with JANICE on the day that she first met him She advised that this meeting was at the Los Angeles County Fair in Pomona , California, near the race track area where she and JANICE Were watching the horses as they were being prepared for the race PEGGY advised that the only other meeting she ever had with SIRHAN was in a local restaurant in Corona when she and an unrecalled girl friend were having lunch, and he picked up her meal ticket and paid it at the cashier She advised that she never dated she never received any telephone calls from him and that she had never given hin any thought She advised that she did not recognize him on the television but was called by JANICE DUCY and told that she believed it was the same person that they had worked with in the summer of 1966 PEGGY wa: asked if she could explain why her name appeared in several locations in the notebook or dlary kept by SIRHAN She said she was very surprised at this and had no idea a8 to her namc should appear in his book She 878 6/6/68 Corona, California Los Angeles 56-156 On at File # SA LANFORD L. BLANTON:agi:s81 6/7/68 by Date dictated This document containg neither reconmendations nor conclusions of the FBL. It i8 the property of the FBI and ie loaned to your agency; it and its contents are not to be distributed outside your agency. girl 1S , hin, why ================================================== Page 47 ================================================== 2 CA 56-156 advised that he never made any approaches to her in anyway . She said there was another girl who had worked during the summer with SIRHAN and who was a good friend of her' s _ She said this was LINDA SEABOLT who 1s presently employed as a clerk in the Senior High School in Norc?, California She advised TERRY M_ WELCH worked at Granja Vista- Del Rio Farms but she doee not believe that he had anything to do with SIRHAN . She advised that she knew he did not live with STEVE GUERRERO or with RICK VALDEZ She advised that RICK VALDEZ is presently with the Green Thumb Farms in Descancio, California, near San Diego, California She advised that RICK was having family troubles at the time he wag" working at the farms and both RICK and STEVE were there when she was at the farmg and not there when SIRHAN was 80 employed PEGGY advised that she did not know SIRHAN and have enough contacts with him to ever engage in any discussion other than just about horges She said that she had no idea of his personality and that he had never been discussed to any ertent when she was present by any of the other persons that worked there during the summer and fall of 1966. She adviged that she had the distinct impreesion that he was just another employee and one that was not too popular or too well liked at the farm PEGGY adviged that she believes that JANICE DUCY and LINDA SEABOLT would be able to furnish much more information than she, PEGGY , concerning SIRHAN . She advised that she never heard of any in this area dating SIRHAN and had no idea who he night have seen recently PEGGY i8 white female , 5'3" 9 123 pounde 9 born blond hair, blue eyes , fair skin, attractive 879 girl ================================================== Page 48 ================================================== FD-302 (Rev. 4-15-64) FEDERAL BUREAU OF INVESTIGATION 6/8/68 Date JANICE ELAINE DUCY was contacted at the Corona High School where she 15 a senior She resides at 2266 Hillgide Avenue in Norco, California She stated that two years ago in the summer which wou ld have been 1966, she worked for two and one half months the Granja Vista Del Rio Farms as an exercise girl and as a groom She knew a person there by the name of SIRHAN SIRHAN that she referred to as SOL SIRHAN _ She observed his photograph on the television on June 5 , 1968, as being the 'person who shot ROBERT F KENNEDY in Los Angeles_ She advised that she and LINDA SEABOLT had worked at the farms in the s ummer , along with TERRY WELCH 9 an unrecalled Mexican 9 and SIRHAN SIRHAN _ She advised SIRHAN was no particular friend of anyone He did not date any girls in the area, and he did not ru around with the other employees _ He lived near the corner of Fifth and Hamner in Norco, California She believes that he lived alone or with someone who worked in the area She said she was never at his residence but had seen his car 'parked on that corner several times and assumed that he Iived right in that area She said he did not like the Norco area and commented that he had traveled home most of the time on weekends to Pasadena and that he continually talked about how much better Pasadena was than Norco She advised that she never heard him make any political type comments or enter into any discussions regarding politics She said the comment she had ever heard him make against anyone was that he had referred to Jewish people as ty Jews _ She said that although he was well spoken and appeared to be well educated and had a vocabulary, he was prone to use very foul language in the presence 0f both girls and boys _ She said that he did not appear to be the type of person that was suited to handle horses and other animals 9 as he continuously treated then in a cruel manner and seemed to be quite a bit afraid of them He seemed to have a chip on his shoulder due to this and because of his small size She 880 On 6/6/68 Corona, California Los Angeles 56-156 File # by SA LANFORD L. BLANTON /eb 6/7/68 Date dictated Thig 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. at boy only "dir good ================================================== Page 49 ================================================== 2 ZA 56-156 said that she heard him make comments that nany of the great people in the world had been very small 'people pointing out NAPOLEON and HITLER specifically_ She said that he was very set in his ideas 9 and in any type of discussion , he was the type 'person that was unyielding in any form_ She advised that the only school she ever heard him talk of was John Muir High School in Pasadena 5 California_ JANICE said that SIRHAN desired to be a jockey but she did not think he was a particularly good rider and that he seemed to be too afraid of the horses to ever make a good jockey She advised that she heard later that he was fired and she has never seen or heard anything about him since the fall of She said that she guit in September of 1966' to return to school but that she and a giri friend of hers 9 PEGGY OSTERKAMP had riin into SIRHAN at the Pomona racetrack at the Los Angeles County Fair in the fal1 of 1966. She advised that she had introduced PEGGY to him at that time and that that was the first that PEGGY had ever seen thi8 person . She said that PEGGY told her sometime later that she had observed SIRHAN in a loca1 restaurant in Corona and that he had walked over , picked up her ticket and 'paid it at the cashiers without saying M anything more than "Hello_ How are She advised that she 18 sure that PEGGY never dated SIRHAN and believes that if PEGGY had ever received any phone calls or invitations from him that she 9 JANICE 9 would have heard of this_ JANICE seys that she does not know of any girl friends or boy friends in the area at the 'present time who might know SIRHAN She advised that she did not believe that he was acguainted with RICK VALDEZ or STEVE (GUERR ERO but that he did know TERRY WELCH _ She said that WELCH had teased him guite often at the farms and did not believe that they were very good friends JANICE is white female born brown PII hair 9 blue eyes , 5 fair complec 515" 115 pounds _ 881 1966. Jou? ted , ================================================== Page 50 ================================================== LA 56-156 LLB/eyn On June 6, 1968, a neighborhood i ivestigation wa3 CO} - ducted Oil Hamner Avenue in Norco, Califor:-ia, in ai1 effert to locate the prior residerce of SIRHAN SIRHAN The oly motel lo- cated in that area 18 the Highlander Motel operated by a Mrs _ VALENTINE She made available the records for June through December of 1966 . She stated she was iot at thif motel at that time There wa8 no registration show1) for a SIRHAN SIRHAN It was noted that in Apartme.it 3 8omeone had commented they believed that SIRHAN stayed in Apartmeilt 3) an EDWARD VAN ANTWERP resided here during Juile and part of July, 1966_ Thereafter, it wa8 occupied by PAUL PALOUS @n June 6, 1968, Mrs IDA ROWND at 1880 West Fifth Street, Norco, California, advised that she believed that S IRHAN SIRHAN had resided for about four or five months in one of the small houses that she rents at 1850 West Fifth Street in Norco - She advised that he had never paid the rent or rented this place in his name but she believed that he lived there with EDWARD VAN ANTWERP who wa8 the brother of Mrs _ TAYLOR of Taylor Rentals , which wa 8 located Oil Hamner Avenue Mrs _ ROWND said she did not recall anything about S IRHAN On June 6, 1968 9 ORA TAYLOR of Taylor Rentals 9 3336 Hamner Avenue in Norco, advised that his Wife' 8 brother wa8 EDWARD VAN ANTWERP and that he had recently been residing &t 1184 Fourth Street i1l Norco_ He live8 there with a JEANNE GREEN who i8 now ubing the last i.ame of VAN ANTWERP He advised that EDWARD was an alcoholic and that he had helped him on many occasions He said he recalled that in the fall of 1966 and a1s0 in the late summer of 1966, EDWARD had lived in the small house owned by Mrs _ ROWND _ Just prior te that he had lived in the Highlander Motel_ He said he did recall a young man known a8 SATL,ard he believes hi8 last name was SIRHAN, living with EDWARD He advised that EDWARD has beer working for Therma1 Chemergy in the Chino area for about 8ix months He advised that EDWARD had been "dry" for about 8ix months , but that on Tuesday , June 4 9 1968 , after EDWARD had reported for worl that he had disappeared and his wife, Mrs _ TAYLOR, EDWARD' 8 wife, 882 and

RFK Declassified Files

Back to Search

166-12c-1_serial_1_section_3_56-la-156_la_report_6.9.68-part_5_of_6.pdf

Released: April 18, 2025

Download from Archives

Page 1 of ?

This document is provided for research purposes only. For official versions, please visit the National Archives.