Croshier, Eleanor
P.O. Box 950
Poughkeepsie, N. Y. 12602
International Business Machines Corporation
Medical Department 415-002-1
September 17, 1984
Town Clerk's Office
Mill Street
Wappinger Falls, New York 12590
Gentlemen:
Subject:
Ms. Eleanor Croshier S.S. # 056-26-4567
Mrs. Eleanor Croshier, 29 Mac Farlane Road, Wappinger Falls,
New York, 12590, has obtained employment with our Company
and an employment examination performed on August 27, 1984,
showed her thresholds of hearing relative to the American
National Standard International Standard S 3.6, 1969 to be:
500
1000
2000
3000
4000
6000
8000
Right Ear
05
10
00
10
05
20
15
Left Ear
75
70
60
65
75
70
70
Mrs. Croshier has listed prior employment with you, and you
are hereby notified under the provisions of Section 49 ee
of the New York State Worker's Compensation Law, that in the
event of an award for loss of hearing you may be required to
reimburse succeeding employers for that portion of the award
which is due to loss of hearing caused by the employee's
prior employment with you.
Sincerely,
~~ 13). ~ ,m.u,
Edward D. Coates, M.D. ~
Managing Physician
EDC/jkm