xt73bk16mf8w_260 https://exploreuk.uky.edu/dips/xt73bk16mf8w/data/mets.xml https://exploreuk.uky.edu/dips/xt73bk16mf8w/data/51w14.dao.xml unknown 35 Cubic Feet 77 boxes archival material 51w14 English University of Kentucky Copyright has not been assigned to the University of Kentucky.  Contact the Special Collections Research Center for information regarding rights and use of this collection. Louisville and Nashville Railroad Company and Lexington and Eastern Railway Company records Railroads -- Appalachian Region -- History. Railroads -- Kentucky -- History. [206] Will Jones v. L&E, Breathitt Circuit Court text [206] Will Jones v. L&E, Breathitt Circuit Court 2016 https://exploreuk.uky.edu/dips/xt73bk16mf8w/data/51w14/Box_26/Folder_3/73444.pdf section false xt73bk16mf8w_260 xt73bk16mf8w , M3. L Pulmm.
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Hon. S. M. Wilson,
Counsel, L. & E. R. 00.,
Lexington, Ky.
Lear Sir:
William Jones v. L. & E. K. 00.,
Breathitt Circuit Court.
I am handing you herewith order of satisfaction in the *
above styled case which has been signed by plaintiff's attorney.
At the proper time will you kinély have same entered.
Yours truly, m
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. Chief Law Agent.

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Lem-n :;ton 21 Eastern Rail-Ya}? Company, Dei'anndenf °
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. ' Lexington & Eas‘terfl Railway Go., > %
‘ ' ' ,Lexingtan, Ky; ' Q .
Dear Sir:- ’ _ . " A Q .
, ‘ Enclosed Tierewith pleasengcapy of petition in case of .
. i
, Will Jones vs. Lexington & F . "rm Railway (30., which Mr. 7:. S. .
Jouett asked #0 to forwar - .
, truly, ’ .
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_ Q Stenograyher. ,

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LeXIngton and Eastern Railway Company,
REPORT OF INJURIES T0 INDIVIDUALS.
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1. Name of person injuredeé‘Z ,»'. .(‘ .1..1“ J I C}, :,r ‘5 f' 5 602$; ‘I Residence, 0 _x‘L ,5.; :0 [_5' ,1; LI
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3- Cause Of injury, JILL/JZJJTII ‘.'"? (25" . .::ZT‘ a”: 4'.". f .55: 1 ‘5 I I .. [2 6M»! x, Q \ {(3. 2’5'51 i” ,‘, Z Q 62 : (LI;

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4. Train No. * if!” I ’,15‘ f (7' i ,~ -: Eyocality (nearest mile post), _(gg _7717Q‘1___f:'_ 7751’. ‘I ,, k‘ L.- “EJV {if .'I 1.‘

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a. Date, II J n (2L5 ’ ' 5 3 ‘~'“? I 43“"‘4 Time (state hour 0t day or night), LXI—.,,.,! ,47“,7_¢175‘.y:,.~’/ ’ fit":- {a ‘
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'I- Nature and extent of lniurlesM@fia,-_Ct- 2 ”first i 1.:". 5:”, .. L.:...a inLiL 7’} (ix. {77=77_1._.¥,,.
7. Was injury caused by carelessness of the individual? It so. in what respect? (State fully), '2 a A 2
8. Was injury caused by carelessness of any employee of the Company? If so, in what respect? (State fully), ’2" “- {_‘_
9. Give name and occupation of such employee,___—___._wsfis... ~_.. ._V.....s..-v__--w_w,.. _ _.A‘“_
10. Was injury caused by any defect in Roadway, TraclcV/ridges, Machinery, Rolling Stock, or equipment of any kind. If so,
. . . I 5 ‘ (.v' " .. .‘
describe nature of such defect fully, ' I ..I -' (‘..: v, , I «f ,~‘ .4 .M- -. I‘_ {:5 . i ' 1'1/14, if!“
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11. (rive the numbers and initial letters of the Cars and Engines by which said .,,-:2“ g 3.3 -1‘..' >.r'f'~'...z . - . g 5’ ! 5 ‘2
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was injured ._, ,_ W__,,__,W,v,,,,,._____.___ ... _’ “..“——
12. State whether the Cars and Engines that injured said____/ZL_ E 351.5. .5 4 . A; were in good condition
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and repair, and it not in good order, state fully how and in what resp’fmts they or either of them were out of proper order.
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13. Describe character of weather (whether clear, cloudy, mining or snownig), M____,_.___fl____ ‘
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14. ,,»Was any attention rendered individual by the Company 0r7by its\employces. (Describe such attention fully),7~7_1§_‘#___j_:f~l
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15. Give name and residence of attending Physictan ___WZM ‘
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16. Give names and residences of all witnessesin Company’s employk7777si7 7 77777 t 7 H. 7 7 ’:‘ N ;e —
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17. Give names and residences of all Witnesses not in Company’s eirfifloy, {LL#J+_Lu_‘:.—‘_b—LLA‘LA—_Jwfifi I'1' . ’
18. Give any further particulars you can in regard to the causes which led to this injury; state“ iffl the individual was deaf, blind, I I
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may 11th, 1912.
£116 14.
gr. P. 3. Kesheiher,
Irainmaster. Arthurcary.
Jear Sir:—

For my records, I Vifih you r ulfi let me have uhv facts in
fihe alleged injury of 3111 Jones, on mixed urain, Lgy 5rd, as he is
brinjing suit in Jaclsan ?or §3,000.QO.

Ecurs trxly,
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" i“reetbitt Circuit Court.
will Jones, flaintz“v. '
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1.5:. A, J.li‘lO-.:.
lexington ; Eastern Ry. CO., Wefe floats.
The plaintiff says that the defendant J: % eorpor351on organ—
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1280 and ex15t1n; ander mHQ .y virtle Ol tie laws of one Stflu? 0:
Kentucky and as each is authorized To one anfl be suei, contract end
‘ ' ' ' . :. ~ . ., ..4. .,u,
“c eontracned T131, 1n Dam »y its oorjoruoe oboe,
.’~: . . -~. ‘ ~ ,.1 ‘.‘, .- - “w '.1- .”,,“ , - , J..‘.,«,.\
inat on one 5rd ad; of .eg, lui2 1o hhfi encovei in OEETflolH:
.. ~ ,. 4 r 4 , . -, ,. ,.._. ‘,_». T w, + \ ‘+1. .—
ani managing 8 line of rlilroaf runnin, frog Jacinon, fig. no iooiur—
~- ‘ ‘ .'.1 ‘ , a» 1' 2‘ www-
Carey, ;Qu, emo beyonu in each direction ihru the counuy Ol ireauoiot
‘. - ..' u ‘. .x '.‘ ..'! , » Tn “ ,. .- r ”.1 a; rw ...,.
uni in carr31n_ for mire on balm roao between gaCflnUu flu; Latcur bayou,
missen;ers an? freijht.
trun+ N, T - -. 7p- 4» ~‘ —‘ r «,,“ -' ‘ 47‘ "handwfi-t‘fA— fiPH~~tv TA; :’:
. .V.:Lcoo tie [',:efeMOAno ‘.3 c1. itSlLleiill Oi -~.LLC’,C‘VVVJ.L.i\/£/ Lupin «I: M..; .,

. ,. . n - ::.z .. ._.'.2 , ~'Lr
and HTS at tee Llfi? heyeinazter complained of, resiuinJ In Saio Senna;
ani that the influry hereafter complained of occurred in said county,

-. . . ‘,. . .. _ .L ‘ .,‘ A m . 1’“ .‘ . '1 ,. ‘. __ ,.‘ .‘ ‘.: ‘,, . on" V. '
and betmeen the StJLlOnS lLovo waned, tnlm on Swlu ouy iwd mhile
'1’ , _ A,_ .‘ , '3 ‘ '- fl:‘_ ,‘.; ,.I” .. ,2 ,. .L \
flfllnr as a passonéer upon Slim line 0: railwouu -ud MOLH; ooward
' . n A r -‘ .Mf . “., a. '.. » , —' V . . «,3 .0
Jeokeon uaon defen&ent's traLn khlch \&b a Ll$€d train cogposeo oi
’ ‘ ‘ my; , - .’ ‘ 1,‘—‘,\.-. ., ‘.,.A: ~, '.-
both passenger coaches emu fr€lLuL cars the defaufluflu ies lHJUTEQ In
x : ~ ~ no, .. ..‘-L M ‘.» ‘ -.,_ ..m ‘,.; ,. .‘:. v .- . A -
toe jean, finals ind breemu uy Join; Enron“ lJoG o uOuJ o: 8411 passen-
i. . , , - vi . ,~ .' ' .- '- 9,. ,. ,.,: '1“ n, ,m- V ‘ in
”ex coach and tgersoy brui31nw hlb ilce and irelmtgue mashlnb Laree
:- 7, ‘ ."'. 74.. . 1 ‘ 'A..'\ 1 .J.: ,.‘ ‘ ' 7 a . u ~ . ‘
oi ole lingers on nis leflt nand hdJCh bald 1n3u2y caused the pllln“
tiff great pein and suffering and has deprived him irou york Lo Hi3
~.qu-”“‘ u p. .. r 3‘» AA A, 1...; '» ' -' ' ._« ..,— _... .
Sammgfi in Lie bum oi Q2,VUO.uO; thu said ingnrioa »e,e coused 4y
J—‘k .. .. ' ‘.. ‘. ‘ . . “ m .0 ', J P«\.A ”.‘ 4 . n -. ~ . -
one negligence and careleSSueso oi tie oeiuuduut, its opents end
- ”,.._ ' ‘ AM ‘ , - - i w ., x —- . + M 4.14 ,1‘; . ..:
SGfVafloS in so n:bligontly ano carelessly Opcrmbiné one SW14 train
. :I a. .0- ‘ f‘ ' ‘ \ 1‘ . ,_ W, ,1.“ ,, 1,‘ , ‘ H .' .04.
emo toe deicctlve COUultlon of tuC trael bfllt the said tTwln lelb
74 _ w .l. .‘. , N - .l, " , ". ,. ", .t .K.. ' . .;.- ll '._ i .‘ '~ ,.1“ , .,V
the tracg an“ vreohcfi , taereo3 ldJULlfl Lne plwlfltlfl as euove com-
1 .‘1 .'
IDLE lflEd of.
‘,:” D r . '. L' ~ ‘ .-,. ‘ n—m: ' ~., ,1 ...~ w
“nereiore plfllflolff pray” Judgment ugfilnSt the oefeuoaot
n, .7 n 5"" A, A. . .0 1 ' , - 1H”. —-' n . ,
fnr toe sun 0: {4,UOM.OQ, ior Jim costs McCuln ind all proper
Telief.
~. 1 v. ‘ 1,
LLlend L. ”@8103,
Atiorney for Planniiff.
' on” o awn»
;1led hwy oth, iyi .

 . , j . ,
fl .' v f/ (Li‘ J ;i .
j \ .
, . May loph, 1912. . ' ,
Mr. John Howe Peyton, ,
‘ _ c. E. 0., L. a. E. R. R. 09,, 3 7 . I
' , V Louisville, Ky. ' _
_ .Doar Sirz- ' _ ‘
~Enclosed herewith I hand you copies of three petitions
' ‘ that have just been filed in the Breathitt Circuit Court by Sy1~ I
vester Tharp, A. C. Wilson and William Jones. V ‘
‘ You will Observe'that the William Jones/petition relates '
‘ _ rather to the operation depaftrent ond I have token it up wit? MI.
McDowell. I thought it poosiblo that havihg been but recently oon— ‘
‘ ' ‘ structed sore of your wen right know sorofhing about it. . , d
‘ Yours very trfily, ' I
" ESJ/GCP. ‘ ‘
Enol. ' ' '
t _ | -General dounoei. ~
‘ Original in 1052. ' " , i I ‘

 . 7.2 ~ ~ ~ _
. ] Mame, 1912. .
M3; 2; S. Jouett. 7 " — ' 7
7 . Winchester. Ky. , -' 7 , » ‘
77Dear.Sir:- 7 ‘ ' '3
Find inclosed copies of petitions in the following suits: ;
Sylvester Tharp,, vs L. & E. Ry. Co. 7 ' ,
Will Jones, vs Do. . 3 7
- A. G. Wilson, vs D.
. 7 I have mailed copies to Mr. MCDowell. '
' ‘ ' v ' ’Yours truly, .
. 3 . o. H. Poilard.‘ ‘ -
Copy to W. A. McDowell. ' V , » , .
Original in 1032. 7
. , 7 .\

 .' J
x .' 4M-I2-11-3757
‘ J , ’ ‘1
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LLXLNGJUN & bAbleN RAlLWAy ()UMPAN)
, / OFFICE OF (tHiEF ENGINEER OI“ CONSTRUCTION
’4’]? ‘ ‘ ,‘,
. LOUISVILLE. KY.
.4 5 FILE No. ‘
“,’,"M _
VI
r _ '.
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3.11. _3," 4.—""'19.1..o
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' '1, :,<311e .':.. ter , Ky
'f>‘,‘l._..r‘ (’5;.,.h
JJL;:,.L ‘J.L.L .
I return 00.21;; of petition jg: tie 131.111: 0:".
_w . -;.“ ’. T‘ .741 . m. 7)“: .,- 1 .-
..l‘xl Jaues VS ins.) L :-.u15t.3_1 St 01.41 ..V 34.1,.“ ,3; ’Jm 4.11-.)
together with letter from our :‘3 :;pr:rV:i.SO-:, 1’3. u
enclosing: statements £33111 t? 015511863? 4 two 11331114011
or? f o 1314531.:1 which the 111313;: occurred. I 71:31:43- been
Imabic LO ,LUCi 19 Me (3 1111101101 LCE3P~¢it 1.3341,;11511 124.» L2:
111‘. .'.flizzns' letter :c having been 'Ef-Cm'. 1‘4194’1. tr .‘.Ir. f1.
£3;.1it}1 the 16th. I "(Live 131‘ 11011 1.1m .' 6.12211 :2: .. OJ ;I’
5116. '.'- ‘1 form: rd i4; 10 "~01 ‘.'."2101: 1701:2033, '15? 1 .
1
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 4M—3-12-375H-B
LEXINGTON 8c EASTERN RAILWAY COMPANY
. OFFICE OF SUPERVISORVgIONSTRUCTION
'fi _; “:1.. fire; , ’5‘] " KY.
FILE No. . ’ f ‘ , ,r »
7 V gr 1 1912
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LEXINGTON 8c EASTERN RAILWAY COMPANY
. OFFICE OF SUPERVISOR CONSTRUCTION
FILE No. . V
' , , 1912
, I :,.» :.’: fr (”"., ; “:3 1 f; * 3' 1.'" ”If ) ”in”; .5 ‘Z ,5 5,15,: ._’ ’,. 1" “p.51.
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.”";

 ‘l i 1, 1- A 1
.7
r Breathitt Circuit Court. 5
Will Jones, Plaintiff.
VS. PETITION. ;
Lexington & Eastern Pail 9y Co., Defendants.

The nleintipf eeye that +ne defendant is a corneretion i
organized end erietinn un er and hy virtue of the laws of the state ‘
of Kentucky and as such is authorized to sue and he ened, contract 3

. anfl be contracted Wit , in enfl 7ry ite corporate nave.

That on the 5rd day 03 Key, 1912, it was engaged in orerat— ;
ing and renaeing a line 3? railroad running Prov Jackson, Ky., to V
Arthurcarey, Vy., and being in each fiirection tern the county of ‘
Breaifiitt and in carryinv For hire on eeid road between Jackson and i
Arthur Carey, paeeengere and freight. ?

That the defendant ie a reeioent of Breathiit County, Ky.. 3
eno wee at the tire Hereinepter corpleined of, residing in said i
Countyenfl thet the injury hereafter cornleined of occurred in eaid %
county. and between the etetioee above neved; that on eeid_day and
while ricing as e raeeenger on eaifl line of railroad and noinc toward
Jackeon upon defendant'e train which was a rixed train corpoeed of !
both reeeenper coachee end freight care the flcFendent was injured i

in fine head, henoe enfl hreast by being thrown into a door of said

passenger coach nnfl therery bruising Hie fact and breeet end wahmmng :
I

three of hie findere on his right hand which said injury caused the i

plaintiff fireit rein and eanering and has deprived hie iron work 1

:0 His eereoe in +ne enn of $3,003.00; that eeifl injuriee were caused

by the newliwence and carelessnees of the derendent, its agents and

 t ’ 1 - 1
O-
. —2—

servants in so negligently and carelessly operating the said trein
and the defective condition of the track that the said train left
the track and wrecked, thereby injuring the plaintiff as above can»
ifilained 0f.

Wherefore, plaintiff prays juflgrent against the defendant
for the eur of $2,000.00, for his costs herein and all proper re—
1183?".

Rylend 0. LMSick, _
Attorney for Pleintitf.
Filed Kay 91h, 1918.

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 . . A
‘ « ‘ , , 5 ~ May 252.11, 3.912.-
5.152. John Ewe Peyton,
C. Ev Co, L. 6: El 3". R. Co., a
' Louisville, Ky. \ %
Bear (313::- Q - ' ‘
We ’03:: to acknowledge; re mr favor of the 2933951" '
131.233., enclosing petition. 231:: stat ~‘ in Quit of Will Jams vs.
Lexington 532 Eastern Railmy 5’ and than}: you for save. 7 \ '
' ® ‘ ’V £37111?) 1 "
V @t Stemgrazmer. -
m

 .V 4M-12-11-3757
, , > ‘ 7 7‘ V
LEXINGTON 8c EASTERN RAlLWAl’ (JUMPANY
OFFICE 01“ CHIEF ENGINEER 0F CONSTRUCTION
. IUUISVILLE KY
‘ - . may 25, 1912
FILE No.
Mir .E IS oJouett’
general Counsel,
‘.'!inchastergxy,
Dear Sir: '

Referrinr to my letter of the 25rd, enclosing information
in counection with suit of "7111 Jones. I enclose herewith, for
your information, copy of conductors report, which I advised you
could not be located.

Yours truly,
fi/V Q7fllzvm’:/
///Chief Engineer of Con‘s{wu‘/(‘7€ion
Hoff/c
Encl
0y GA

 I
. , . . Flume-10
. > Lexmgton and Eastern Railway Company,
‘» REPORT OF INJURIES T0 INDIVIDUALS. _
' ~ . ,:___ ..,.,___., ,. _ , 7 I _S’I‘A ’I‘ION // / ‘-_’ 7,19" " .
i “ s ' " .I . I . .
1. Name of person injuredJT/W;_ ,‘ _,__ t 3 ' ‘ . -____ Residence, ' ‘ ' . .
2. Occupation, ,_ . ~... ,_ . ‘7 .
, ' "” ‘“‘ ’ .., ' 7W... - '- * 1; ,,
3. Cause of injury, . 7 , . -' v' f ..
'- _ 1 I \ , ¢ . .:...— ‘, - : _ I 1 . ‘ l- p _ ‘ f \, , . 2 >‘.: “g 2 . ,. [r
., ' '_ ' " ' ’ * " ..,. . ‘ , r" I :1
4. Train No.1. g ' I} i . " " . ocality (nearest mile post'), 1 i __./___.__.;i,._ ' 4
,. I . . .
5. Date, ‘. . . ‘l . . Time (state hour of day or night), " ifia‘afivmw,i; a (“7 .
: . . . .. ..-,....W... ,_.i. ..__ “avian -. . . : . . ‘ . TL . - .3
6. Nature and extent of injuries:___7;fim I... , 7 _ - . a; 7'; .a..._,,,,.-,.., ...,._.,,,.,L,,.,;;;;#4_-__fi_
7. Was injury caused by carelessness of the individual? If so, in what respect? (State fully), 11' I 7 .
3. Was injury caused by carelessness of any employee of the Company? If so, in what respect? (State fully), '1' "t .
9. Give name and occupation of such eInployee,___w.7#uW,:..... _-.. .. a -__,vaimfi______
10. Was injury caused by any defect in Roadway, Track, Bridges, Machinery, Rolling Stock, or equipment of any kind. If so,
. . I'. \’ " .‘ . ‘ 1' ‘ . _j
describe nature of such defect fully, 9 \-{' ,.-= J. -=. : ~ - . .. 1 . Z. . . ' .~ .’ ~'“
5 e . L. ~ 1' ‘5'
’ l l. Give the numbers and initial letters of the Cars and Engines by which said iv _ , “A . _— t
was injured _,__W,,a._m___ ___'____—______—__ _
12. State whether the Cars and Engines that injured said—9__—-_é_____.:—_were in good condition
and repair, and if not in good order, state i'ully how and in what respects they or either of them were out of proper order.
13. Describe character of weather (whether clear, cloudy, raining or snowing), {__.—_._M
14. Was any attention rendered individual by the Company or by its employees. (Describe such attention fully), _ _ .
[i ,' , , x ‘ I V 7’ l I
15, Give name and residence of attending Physician -_m_;___*_____+_*_.__
16. Give names and residences of all witnesses in Company's employ, ..-1..._.. 7 __ Wiw—;______,___ ’
i . j .1 ,c» .
._.—___——r———~.—-— —.—v=———~—~———— ——» ~~~——— v———_—~———i€~—
«} I. ‘ A: i ‘
.. ———————v—-——-———v—“—"~———_”*—‘— '“ " ""’”_‘—"—""“'—H_fi'—'—’7_—‘VWA—' -
17. Give names and residences of all witnesses not in Company’s enéploy, _JHW-______________________Q_¢r__ .
, 18. (live any further particulars you can in regard to the causes which led to this injury; state if the individual was deaf, blind, ..‘
, ,- intoxicated orasleep '2 , .. .» ___—___,L—___.—_______.___
I . . ;r . ‘I , . ..
_._—_.._————————-7-’- '— '""V' ‘g 'x” ‘“ ’”' " “ "“”‘ ‘ "“‘ ’ ‘ " ‘ ""“’miijmmgu
_ . . “.”.... 1. . ,
Mfi.* MW: .. ._._—.a__~#___.-——r——____———W——____________l____—________
"’. h ' .‘ ,5; , f - .
V s ‘ -‘~ ' “r . 1 3 .3 . y. i
, « Signmame _‘_J _. . __ -_..\_jy _ ._..______,.______' V .2.
, : u k ‘
. . , own-53mm” _ ’ i 4 ~ , .
(OVER) 5 ;" ' ;’yf'é‘ 5’: i "A!
I i/ l, p:
.' ‘:.s'

 .O , . .
" Kay 239m, 1912.
V 1.17:. John Howe ZPeyton, .
Ca ‘_33- C. L. a: T3. PL. 13.. C003 '
Louisville, Ky. %
Dear Sir:-— ‘ l
I We beg; to acknowledge :‘e 1‘,,0113 favor of 251m inat.,
- encloeim 07W 977:” conductor'e retoo% connection with emit of “fill ’ ,
Jonas. '
g a... aflllly’ ‘ ._
$E§ b _ Stenogr‘anher. ‘
I .

 )
LEXINGTOV & E ‘ 1-12-3866.
’ i ASTERN RAILWAY COMPANY,
. OFFICE OF SUPERVISOR 0F CONSTRUCTION
. . FILE No.29 . _
Jacks on , Kentucky, 11an 2’7 , 1912 .
Mr. E. S. Jouett,
Winchester, Kentucky.
Dear Sir:—-

In compliance with Mr. Peyton‘s request of
the 25rd inst., I am enclosing herewith personal injury
report, covering accident to Will Jones on May 15th,

'1
caused by derailment of car. ‘
You/rs 1; 1
c m '
1/1 3qu rvigor of/VC/onst rucizi on .
I .

 Flax-mam
. I
. Lexmgton and Eastern Rallway Company,
we" REPORT OF INJURIES TO INDIVIDUALS.
.'»f" « :'. 4* I" i
O _ ,,,, 2 . . _‘:,44-{7‘ , {if g; a. ,, -SY‘AYYON r72 .1 , « ‘:1 ”,',. 7 _ 7 19 _
1. Name of person 1njured¥7 < .:‘x iii. '- \j ‘ »., 2 sw gi'o'ji'Resjgenée, 'l I 5' ',‘: m.
V .r ,,' i it“ t
2. Occupation, !.,-(M; ' 1 i; A , ‘.I: 7 , , ,
, , ‘.'_‘ \_ , . I ‘ . ., ,,_, .. .‘ 5 ., ‘ ._fi 1
.t. Cause of injury,_g*, A , * ;‘ ,I , ., _, _ fr ,1 :" \r ‘1} . ‘ , \ ‘ ‘-
”“’ l . , i I“. ~- ..» r? ‘ ‘.' I ' ,‘ ,
Kit}; /; _ IN. , i ‘_;;J‘ , _V ., .7 k ,i _, ,_ _> 3;“. ’_ , ,: ’““‘, .1 J ff! 3::: -,I' { ;_' , {r} ,,’ i 4 W‘ ' \’. i '_ A 1'. ,1,.r i I», r
4. Tram No. g I") - _»‘-‘.’ My .- , v ,- H» ‘ocality (nearest mile post), _(I/jl_;;g;v_ivi-__ 5 v. .
, ‘4 , _ ' ,'-: 1‘ ,, , } ' 'I , ‘ WV. }
5- Date,___ ~ "I ,‘f Time (state hour of day or night), - 1‘ a ..'i- . ifi;i_,_i__ _ . 7‘
, ,, ,,, ,, V . ..._... .. _‘ _._ ,__,v,fi..i7eA-..-Wivi,4» .. ",,, y {:2 i-
6. Nature and extent of injuries .'3 - ‘. ;_f~_ 1 ' , 7 ' » g ,‘ “_.;~L__J_;_ _.. _ ,1’“, c 1;;,7, WV
7. Was injury caused by carelessness of the individual? If so, in what respect? (State fully), / ‘L. I,
S. Was injury caused by carelessness of any employee of the Company? If so, in what respect? (State fully),, 5 __
9. Give name and occupation of such employee,_____:m;aa_i 7 ‘,,,77,,v,,,7,,,#___________—
10. Was injury caused by any defect in Roadway, Track, Bridges, Machinery, Rolling Stock, or equipment of any kind. If so,
describe nature of such defect fully, _ Ii . i ‘ . i , i i
. , ~j~+ a. M
(L, _ I,‘ k - . ‘ — 1
1 I. (live the numbers and initial letters of the Cars and Engines by which said _31; - C
was injured _,ima ;A__.___‘_’_e_-__”‘_”;. _Hm__x___—______________,_
12. State whether the Cars and Engines that injured said -. , » ‘ ‘ . V ‘ i were in good condition
and repair, and if not in good order, state fully how and in what respects they or either of them were out of proper order.
155. Describe character of weather (whether clear, cloudy, raining or snowing), ,_l_ __ ‘ _.I“?
14. Was any attention rendered individual by the Company or by its employees. (Describe such attention fully),~..«"{“" . n I _ 5f
'_n‘,‘ ' i _A - " . , i . ,.x . ’ . . . .'. e
1:”). Give name and residence of attending Physician 1 ’ , H , ‘ _ i j
16. Give names and residences of all witnessesin Company‘s employ, _ _g 7 ,, _i u 7 , _i_ ___—___W '
v' //I, , . _ L - ” - 9 I i
, /’,’ f ; 7__ ~1- " s , , ,- 1
W. ”‘“”’—‘.I j ——“"—?‘—"’ -——--*———-; ' ——'~‘_Wf‘T—‘—A
vg;a~____'—__._~.~__.ri.———~——————~————+——L———~ -———-—~-* affh—_—._.M
,— ‘. v ‘ ' _ 1 , . . , ‘ " AV‘U‘IT‘MVT ,‘ .,1. .' . , !-
‘II. (;ne names and iesndeuces ot all Witnesses not in Company s uuploy, e-____LL_4_‘_H________—___q
, ,c 1
18. Give any further particulars you can in regard to the causes which led to this injury; state if the individual was deaf, blind,
,» _ intoxicated orasleep_ f; _, v , . : V -.__....___,._“____.____.___.__.% '
' I‘» ' > I" \‘ ,4_ ,,, _W ,. ,, , ,- ‘,? ..' .,, - ._a. .-. .. U ,,V, ..- __i. _ .___A __ ; __ _ ,_.4__.________~__._
_.- . sum», #7; ,, 7 -~)~—~«—»———~r——-*~—————“~—*—‘-—_V i, “ , ; ..- . 4. '
, » ,~: , e w ‘ ‘ ' ’.,. C .._.I" r -
_:. -7 , ~... - ' --'A~ I - -—" e—nfl—fi—éWW
,3 ' 1' . r «M. _, f ; , . .
. , . . . r
I Sign name A?” ___-“ _ ,VH,7,,-_____.__.___I‘. ___—_.._ I - .7
~ ' ' Occupation __ __ i a
(OVER) ._
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