Title:
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Responsible Party: Jacqueline Booker, owner and driver, 5325 S. Cottage Grove, Chicago, Illinois
Damage: Oak Forest Health Center of Cook County vehicle
Date of Accident: 03/17/2016
Location: 159th near Birch Drive, Bremen, Illinois
Amount: $1,382.72
Fixed Charges Department: 899 (Health)
Claim Number: 201600769
Department: Oak Forest Health Center of Cook County
Account: (899-444)
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