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..~f~ ..,t~"'.~'~.,.~.~_ .....~..., ~,,,' ~ SERVED & FI~D <br /> ~,~..~ ~ ~.~, ~/ ~ DE?T. ~ ~BOR & IN~Y <br /> <br /> STATE OF MINNESOTA A~ 3 0 1994 <br /> DEPARTMENT OF LABOR AND INDUSTRY WIC r~H~ St2VIC~ Dr,'. <br /> 444 LAFAYETTE ROAD ~ ~c.L~ alr~a ~o <br /> <br /> SAINT PAUL 55101 <br /> <br />WORKERS ' COMPENSATION PHONE ~:~ <br />REHABILITATION AND MEDICAL SERVICES <br /> <br />MEDICAL DECISION AND ORDER <br /> <br />Social Security Number: 474-18-2849 <br />Date of Injury: 9/80 <br /> <br />I Richard Buchite, Employee, <br /> <br /> City of Ramsey, Employer, <br />I Home Insurance Company, Insurer. <br /> <br />DECISION: <br /> <br />1. Richard Buchite sustained a back and neck injury September <br />while employed as a maintenance/public works employee for the City <br />Ramsey. This 66 year old employee was earning $357.75 per week- <br />having been employed for nine years. <br /> <br />2. An M-4 Request for Assistance in Resolving a Workers' Compensation <br />Medical Issue was filed by the employee March 16, 1984 requestir:: <br />reimbursement of reasonable and necessary health care supplies. <br />M-1 Medical Status Report was filed by the insurer May 1, 1984 denyJn; <br />payment of the above-noted health care supplies. <br /> <br />3. In accordance with M.S. 176.103, subd. 2, an administrat.~va <br />conference was held in St. Paul, Minnesota August 14, 1984 to deter.- <br />mine issues relative to the unpaid medical bills. Present during t[:~ <br />one hour and ten minute administrative conference were: <br /> <br />Richard Buchite, Employee <br />Mrs. Buchite, Wife of employee <br />Thomas Mottaz, Attorney for employee <br />Nancy Wolfe, Home Insurance Company <br />Donald Loscheider, Rehabilitation Specialist, <br /> Department of Labor and Industry. <br /> <br /> <br />