JOB TICKET Day G Time. Date Wanted Work at Exhibit F This Ticket must be turned in immediately after work is completed North Shore Sewerage & Drainage Co. Wed 2-3-71. 4621. Я. Racin Name and Size of Building Job Phone Billed to Agent or Address 334:0900 See "Arfs. Disk ask for Pritchard. Clean Basin Rod Sewer Work Donè Check for Estimate Bu Give Price Leave Bill with Customer Phone Onilliamine Aussing Don't forget to run hot water while rodding sink sawers from the apartments above as well as below from laundry tube Flush out all fluer drains with hose. Don't forget to put sticker on job and give business card each customer, manager and Jonitor. STATE OF ILLINOIS County of Cook, Exhibit G AFFIDAVIT I, James Stickney, 4348 North Winchester, Chicago, Illinois, do hereby swear and affirm as follows: 1. On February 3, 1971, I was employed by the North Shore Sewerage and Drainage Company located at 1127 Foster Avenue, Chicago, Illinois; 2. On February 3, 1971, I and one additional sewer man, whose name I do not recall, were directed by our employer to make sewer repairs at the Melbourne Nursing Home located at 4621 North Racine Avenue, Chicago, Illinois; 3. We worked at the Melbourne Home for approximately four hours and succeeded in freeing a clogged sewer line. To the best of my knowledge, we were the only two sewer men employed to unstop the sewer pipe; 4. There were no broken pipes involved, although a small amount of water collected on the first floor because of a clogged toilet. I have viewed the bill for our work, which was sent to the Melbourne Home, and believe that the $83.50 represented on that bill is the total amount billed to the Melbourne Nursing Home for the described work. Subscribed and sworn to before me this 10 day of June, 1971. JAMES STICKNEY. MARY C. HESS, EXHIBIT H STATEMENT BY DANIEL A. SLADER, REFERENCE TO LAND TRUST OWNERSHIP Re Melbourne Nursing Home. Chairman, Senate Committee on Aging, Washington, D.C. DEAR SIR: You have caused inquiry to be made of me, as to the reason why ownership of the land and building occupied by Melbourne Corporation (operating a nursing home at 4621-29 North Racine Avenue, Chicago) is held in a land trust, the beneficiaries of which are Dr. Wolski and his wife, and my wife and myself, instead of having such ownership in Melbourne Corporation, the operator of the nursing home. I referred the inquiry to counsel who had organized the corporation, and had caused the land trust to be created. The information furnished me by counsel is as follows: The real estate was acquired in mid-1959. The property had been operated as a hotel. Melbourne Corporation was organized on May 3, 1960, for the purpose of operation of a nursing home. Looking forward to a time when the nursing home operation might become a profitable venture, and be sold, it was considered desirable that the real estate be not contributed as part of the capital of the corporation; the lesser capital investment would make the corporate business more readily salable; likewise, the real estate could be held as an investment, deriving rental from a nursing home tenant. Additionally, if the nursing home were to be retained, after becoming a profitable venture, the real estate could be sold, with the nursing home as a tenant on a long-term basis. These business considerations were urged by counsel at the time, in keeping the land and the business operation separate. Very truly yours, DANIEL A. SLADER. ITEM 4. DR. ALBERT J. GLASS, ACTING DIRECTOR, STATE OF ILLINOIS DEPARTMENT OF MENTAL HEALTH STATE OF ILLINOIS, Chicago, June 14, 1971. DEAR SENATOR PERCY: In keeping with your telephone conversation with Mr. Lanier, I am providing you with supplementary information to the testimony given to the Senate sub-committee hearing on Saturday, April 3, 1971. On page 1280 of the transcript of my testimony. I refer to the national curve on mental illness. Chart #1 shows the trend in resident population, total admission, readmissions, and first admissions in the State of Illinois and chart 2 shows the comparison of the resident population trends between Illinois and the United States. Your second question concerns the number of geriatric patients placed in nursing homes referred to on page 1302 and 1303 of the testimony. During Fiscal Year 1970, approximately 2,400 patients between 65 years of age and over were placed in long term care facilities. In chart #3 entitled Flow of Geriatric Placement Procedures I have indicated the procedures and criteria for placing geriatric patients referred to on page 1308. The additional information I have referred to on page 1309 is in regard to the attached census summary, by the categories of placement and location of patients 65 years of age and over placed by the Department of Mental Health and currently in long term care facilities. Sincerely, [Enclosures] ALBERT J. GLASS, M.D. Census summary of patients by category of placement and location 65 years of age and over who have been placed by the department of mental health |