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| Archive Reference / Library Class No. | NCB/A/BUT/2/5/4/81 |
| Title | Workmen’s Compensation Act form for William Statham, aged 40, Dataller at Ormonde Colliery |
| Date | 15 Jul 1940 |
| Description | Employee or tally number: [N/A]
Cause of accident: Tripped over sleeper whilst going to take clip off trams
Nature of injuries: Bruised chest and arms |
| Extent | 1 item |
| Level | Item |
| Repository | Derbyshire Record Office |
| Archive Creator | Butterley Company |
| National Coal Board |
| Term | Workers compensation |
| Image | 
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