Don Mosebar

Case number ADJ3614536

Employers filed against:

Injuries claimed:

HEAD - multiple injury (any combination of above parts)
TRUNK - use for side; multiple parts (any combination of above parts)
LOWER EXTREMITIES - not specified
MULTIPLE PARTS (more than five major parts) (use only in fifth position of listing of body parts)
BODY SYSTEM - not specific

Case events

Date	Description
10/28/1997	CLOSING ORDER: C & R (GRANTED)
02/26/1996	PETITION: APPLICATION FOR ADJUDICATION FILED
02/23/1996	PETITION: APPLICATION FOR ADJUDICATION FILED