File #: 16-4117    Version: 1 Name: Javier Rosales - 07/13/16
Type: Workers' Compensation Claims Status: Approved
File created: 6/27/2016 In control: Finance Committee
On agenda: 7/13/2016 Final action: 7/13/2016
Title: Employee: Javier Rosales Job Title: Deputy Sheriff Department: Sheriff's Court Services Date of Incident: 07/11/2011 Incident/Activity: The Petitioner injured his back, shoulder and neck when struck by a pole. Accidental Injuries: Back and arm Petition and Order No: 11 WC 31448 Claim Amount: $500.00 Attorney: Jack R. Epstein of Law Offices of Jack R. Epstein Date of Subcommittee Approval: N/A Prior/pending claims: None

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Employee: Javier Rosales

Job Title: Deputy Sheriff

Department: Sheriff's Court Services

Date of Incident: 07/11/2011

Incident/Activity: The Petitioner injured his back, shoulder and neck when struck by a pole.

Accidental Injuries: Back and arm 

Petition and Order No: 11 WC 31448

Claim Amount: $500.00

Attorney: Jack R. Epstein of Law Offices of Jack R. Epstein

Date of Subcommittee Approval: N/A

Prior/pending claims: None 

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