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PROPOSED PREVIOUSLY APPROVED ITEM AMENDMENT
Department: Civil Actions Bureau, State’s Attorney’s Office
Request: To amend a previously approved item
Item Number: 16-0753
Fiscal Impact: $1,000.00
Account(s): N/A
Original Text of Item:
Employee: Richard Acevedo, Jr.
Job Title: Correctional Officer
Department: Department of Corrections
Date of Incident: 04/25/2007
Incident/Activity: Petitioner injured his left ankle and right shoulder while attempting to restrain a detainee, requiring surgery.
Accidental Injuries: Left ankle and right shoulder
Petition and Order No: 07 WC 21321
Claim Amount: $74,450.35 $75,450.35
Attorney: Larry Karchmar of Karchmar & Stone
Date of Subcommittee Approval: 11/17/2015
Prior/pending claims: None
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