File #: 16-0408    Version: 1 Name:
Type: Self-Insurance Claims Status: Approved
File created: 11/30/2015 In control: Finance Committee
On agenda: 12/16/2015 Final action: 12/16/2015
Title: Department: State's Attorney Claim Number: 97012471 Claim Payment: $786.72 Account Number: 499-826 Fixed Charges Department: 499 Claimant: Amin Abdul Charania Property Damage/Bodily Injury: 1998 TOYOTA CAMRY County Driver: Michael Paoletti Unit/Plate Number: P381627 Prior Accidents: 0 Date of Accident: 09/02/2015 Location: 7501 W. Cermak Rd., North Riverside, IL Incident/Activity: State's Attorney's vehicle was backing out of a parking space at 7501 W. Cermak Road in North Riverside and struck the claimant's parked vehicle causing damages to its rear bumper. Investigated by: CCMSI
Related files: 16-0853

title

Department: State's Attorney

Claim Number: 97012471

Claim Payment: $786.72 

Account Number: 499-826

Fixed Charges Department:  499

Claimant: Amin Abdul Charania

Property Damage/Bodily Injury: 1998 TOYOTA CAMRY

County Driver: Michael Paoletti

Unit/Plate Number: P381627

Prior Accidents: 0

Date of Accident: 09/02/2015

Location: 7501 W. Cermak Rd., North Riverside, IL

Incident/Activity: State's Attorney's vehicle was backing out of a parking space at 7501 W. Cermak Road in North Riverside and struck the claimant's parked vehicle causing damages to its rear bumper.

Investigated by:  CCMSI

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