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Legislation Details
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File #:
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16-4225
Version:
1
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Name:
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Type:
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Self-Insurance Claims General Liability
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Status:
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Approved
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On agenda:
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7/13/2016
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Final action:
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7/13/2016
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Title:
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Department: Department of Transportation and Highways
Claim Number: 97012813
Claim Payment: $100.00
Account Number: 490-826
Fixed Charges Department: 490
Claimant: Mark Snow
Property Damage/Bodily Injury: 1997 BMW 328I
Date of Accident: 12/05/2015
Location: Quentin Road- North of Route14, Palatine, IL
Incident/Activity: Claimant was travelling southbound on Quentin Road, north of Route 14 in Palatine and struck a pothole causing damages to his vehicle's back tire and wheel.
Investigated by: CorVel
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title
Department: Department of Transportation and Highways
Claim Number: 97012813
Claim Payment: $100.00
Account Number: 490-826
Fixed Charges Department: 490
Claimant: Mark Snow
Property Damage/Bodily Injury: 1997 BMW 328I
Date of Accident: 12/05/2015
Location: Quentin Road- North of Route14, Palatine, IL
Incident/Activity: Claimant was travelling southbound on Quentin Road, north of Route 14 in Palatine and struck a pothole causing damages to his vehicle's back tire and wheel.
Investigated by: CorVel
end
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