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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR JOLIET 31001 ON 10/04/2012 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1140 11WC 18869 FLOREZ, AYME MARTINEZ STAFFING NETWORK GREAT @ 05/04/11 SALK, STEVEN B & ASSOC LTD SLAVIN & SLAVIN 1141 11WC 18903 BAUER, JOHN A SPHERION CORPORATION 06/17/10 LAWRENCE A SCORDINO SLAVIN & SLAVIN 11WC018904 -C CON-WAY FREIGHT 1142 11WC 18921 YOUNG, KEENAN ST OF IL DOC STATEVILLE @ 02/12/11 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1143 11WC 19004 KELLERMAN, GARY FAST FAB STEEL CO 12/08/09 SCHACTER, JEROME & ASSOC L 1144 11WC 19102 SOSA, CESAR A NATIONAL TUBE SUPPLY 05/04/11 O'CONNOR & NAKOS LAW OFFICES OF EDWARD J. KOZ 1145 11WC 19124 HERNANDEZ, TRICIA COLLISION REVISION 04/09/11 DWORKIN AND MACIARIELLO RODDY LEAHY GUILL & ZIMA, LT 1146 11WC 19149 CAMPOS-GASPAR, ALFREDO STANT USA CORPORATION 04/25/11 SALK, STEVEN B & ASSOC LTD LAW OFFICE OF LAWRENCE COZZI 1147 11WC 19176 BLEISE, BEVERLY STATE OF IL SHAPIRO DAY C @ 12/19/10 YURGINE, JOSEPH NICHOLE S. MCNAIR 1148 11WC 19314 HAMOUDEH, JAMAL A JEWEL FOOD STORES INC 03/12/10 GOLDBERG WEISMAN & CAIRO L 1149 11WC 19315 HAMOUDEH, JAMAL A JEWEL FOOD STORES INC 01/13/10 GOLDBERG WEISMAN & CAIRO L 1150 11WC 19477 CASEY, OSCAR L FIRESTONE 05/04/11 NOONAN PERILLO POLENZANI & SLAVIN & SLAVIN 1151 11WC 19643 SZOT, MICHAEL D MICHAEL NICHOLAS CARPENTR 09/30/08 HANSON & DONAHUE 1152 11WC 19762 NELLI, ALEX E ILLINOIS PAPER & COPIER C 04/21/11 BUDIN LAW OFFICES 1153 11WC 19887 TUCKER, MICHAEL STATE OF ILLINOIS @ 04/24/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1154 11WC 19918 TUNNEY, COLETTE M NUTRO PRODUCTS 04/02/11 MCNAMARA PHELAN MCSTEEN LL GAROFALO SCHREIBER HART ETAL 1155 11WC 20018 GRIMES, CHRISTAL MKM OIL INC./BP OIL 03/22/11 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 1156 11WC 20026 LAMONTAGNE, LEE K-MART DISTRIBUTION CENTE 03/10/11 MATTHEW T. GUBBINS PC GAROFALO SCHREIBER HART ETAL 1157 11WC 20069 STULTER, SCOTT VILLAGE OF ROMEOVILLE 04/26/11 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR JOLIET 31001 ON 10/04/2012 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1158 11WC 20338 PAWLAK, MATHLIDA JEWEL FOODS STORES OSCO 02/15/10 CULLEN HASKINS NICHOLSON 1159 11WC 20460 PALUMBO, ANTHONY L PRIDE STAFF 06/01/10 WARREN W MARK 1160 11WC 20569 LUCHSINGER, JON ILLINOIS DEPARTMENT OF @ 04/11/11 HORWITZ HORWITZ & ASSOC SHUAIB A. AHMED 1161 11WC 20580 WILLIAMS, TELLIS ST OF IL @ 08/07/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1162 11WC 20687 LITTERAL, DAVID LEWIS-GOETZ 01/12/06 BRAD J. BALKE, PC HOLECEK & ASSOCIATES 1163 11WC 20843 ADJEPONG, NANA HOME DEPOT 04/21/11 LAW OFFICES OF GURBER & MC ANDREWS, LLC 1164 11WC 20844 CAAMAL, JOSE TURANO BAKING CO 04/06/11 LAW OFFICES OF 1165 11WC 21136 ORTEGA, CRISTINA TROY COMMUNITY CONSOLIDAT 07/14/09 BART DURHAM & ASSOCIATES, POWER & CRONIN LTD 1166 11WC 21151 PAYTON, ANGLEAN JOLIET PUBLIC SCHOOL 03/31/10 SCHWARTZ, KENNETH L POWER & CRONIN LTD 11WC021152 -C 1167 11WC 21187 MORALES, JORGE ALG DIRECT, INC 05/20/11 FRIEDMAN AND SOLMOR, LTD RUSIN MACIOROWSKI & FRIEDMAN 1168 11WC 21274 RICH CREEK, EMILY MOONDANCE INC D/B/A EDDIE 12/28/10 PATRICIA HARDIMAN LAW OFFI GANAN & SHAPIRO 1169 11WC 21292 MARQUEZ, KEVIN PARAMOUNT STAFFING OF CHI 05/14/11 BERG NORTHCUTT & BERG POULOS & DIBENEDETTO LAW 1170 11WC 21407 THOMAS, JAQUITA SHAPIRO DEVELOPMENTAL CTR @ 03/28/11 COPELAND FINN & FIERI LTD SHUAIB A. AHMED 1171 11WC 21500 NORALS, LABRIDGETTE DEPT OF CORRECTIONS STATE @ 11/01/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1172 11WC 21760 CONLEY, CHAD UNISTAFF INC 03/09/11 ANKIN LAW OFFICE GRANT, ROSS & FANNING 1173 11WC 21766 MASSEY, SHARON L PACE 11/04/10 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1174 11WC 21800 FORMENTI, MARILYN SALON DOWNTOWN 02/19/11 LUKE C. ANTONSEN RUSIN MACIOROWSKI & FRIEDMAN 1175 11WC 21930 JACKSON, JANET MICKEY'S LINENS 05/03/11 MARSZALEK AND MARSZALEK RODDY LEAHY GUILL & ZIMA, LT

<strong>ILLINOIS</strong> <strong>WORKERS'</strong> <strong>COMPENSATION</strong> <strong>COMMISSION</strong> <strong>PAGE</strong> 69<br />

C A S E H E A R I N G S Y S T E M<br />

ANDROS, GEORGE 001 ARBITRATION CALL FOR JOLIET 31001<br />

ON 10/04/2012<br />

SEQ CASE NBR PETITIONER NAME RESPONDENT NAME<br />

ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME<br />

***********************************************************************************<br />

* = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF<br />

-<br />

1158 11WC 20338 PAWLAK, MATHLIDA JEWEL FOODS STORES OSCO<br />

02/15/10 CULLEN HASKINS NICHOLSON<br />

1159 11WC 20460 PALUMBO, ANTHONY L PRIDE STAFF<br />

06/01/10 WARREN W MARK<br />

1160 11WC 20569 LUCHSINGER, JON <strong>ILLINOIS</strong> DEPARTMENT OF<br />

@ 04/11/11 HORWITZ HORWITZ & ASSOC SHUAIB A. AHMED<br />

1161 11WC 20580 WILLIAMS, TELLIS ST OF IL<br />

@ 08/07/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL<br />

1162 11WC 20687 LITTERAL, DAVID LEWIS-GOETZ<br />

01/12/06 BRAD J. BALKE, PC HOLECEK & ASSOCIATES<br />

1163 11WC 20843 ADJEPONG, NANA HOME DEPOT<br />

04/21/11 LAW OFFICES OF GURBER & MC ANDREWS, LLC<br />

1164 11WC 20844 CAAMAL, JOSE TURANO BAKING CO<br />

04/06/11 LAW OFFICES OF<br />

1165 11WC 21136 ORTEGA, CRISTINA TROY COMMUNITY CONSOLIDAT<br />

07/14/09 BART DURHAM & ASSOCIATES, POWER & CRONIN LTD<br />

1166 11WC 21151 PAYTON, ANGLEAN JOLIET PUBLIC SCHOOL<br />

03/31/10 SCHWARTZ, KENNETH L POWER & CRONIN LTD<br />

11WC021152 -C<br />

1167 11WC 21187 MORALES, JORGE ALG DIRECT, INC<br />

05/20/11 FRIEDMAN AND SOLMOR, LTD RUSIN MACIOROWSKI & FRIEDMAN<br />

1168 11WC 21274 RICH CREEK, EMILY MOONDANCE INC D/B/A EDDIE<br />

12/28/10 PATRICIA HARDIMAN LAW OFFI GANAN & SHAPIRO<br />

1169 11WC 21292 MARQUEZ, KEVIN PARAMOUNT STAFFING OF CHI<br />

05/14/11 BERG NORTHCUTT & BERG POULOS & DIBENEDETTO LAW<br />

1170 11WC 21407 THOMAS, JAQUITA SHAPIRO DEVELOPMENTAL CTR<br />

@ 03/28/11 COPELAND FINN & FIERI LTD SHUAIB A. AHMED<br />

1171 11WC 21500 NORALS, LABRIDGETTE DEPT OF CORRECTIONS STATE<br />

@ 11/01/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL<br />

1172 11WC 21760 CONLEY, CHAD UNISTAFF INC<br />

03/09/11 ANKIN LAW OFFICE GRANT, ROSS & FANNING<br />

1173 11WC 21766 MASSEY, SHARON L PACE<br />

11/04/10 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD<br />

1174 11WC 21800 FORMENTI, MARILYN SALON DOWNTOWN<br />

02/19/11 LUKE C. ANTONSEN RUSIN MACIOROWSKI & FRIEDMAN<br />

1175 11WC 21930 JACKSON, JANET MICKEY'S LINENS<br />

05/03/11 MARSZALEK AND MARSZALEK RODDY LEAHY GUILL & ZIMA, LT

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