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| Archive Reference / Library Class No. | NCB/A/BUT/2/5/2/11 |
| Title | Workmen’s Compensation Act form for John H. Brown, aged 42, Scouring at Ormonde Colliery |
| Date | 22 Aug 1939 |
| Description | Employee or tally number: [N/A]
Cause of accident: Proceeding to work and fell over timber baulks and injured ribs
Nature of injuries: injured ribs |
| Extent | 1 item |
| Level | Item |
| Repository | Derbyshire Record Office |
| Archive Creator | Butterley Company |
| National Coal Board |
| Term | Workers compensation |
| Image | 
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