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File #: 19-3766    Version: 1 Name: James Salemi 06/05/19
Type: Workers' Compensation Claims Status: Approved
File created: 5/22/2019 In control: Finance Committee
On agenda: 6/5/2019 Final action: 6/6/2019
Title: Employee: James Salemi Job Title: Laborer Department: Highways Department Date of Incident: 02/22/2013 Incident/Activity: Petitioner injured his head, neck, and left leg in a work related altercation with another employee. Accidental Injuries: Head, neck, left leg Petition and Order No: 13 WC 09693 Claim Amount: $12,496.12 Attorney: James Marszalek of Marszalek and Marszalek Date of Subcommittee Approval: N/A Prior/pending claims: 06/04/1997 ($13,174.69

title

Employee: James Salemi

Job Title: Laborer

Department: Highways Department

Date of Incident: 02/22/2013

Incident/Activity: Petitioner injured his head, neck, and left leg in a work related altercation with another employee. 

Accidental Injuries: Head, neck, left leg 

Petition and Order No: 13 WC 09693

Claim Amount: $12,496.12

Attorney: James Marszalek of Marszalek and Marszalek

Date of Subcommittee Approval: N/A

Prior/pending claims: 06/04/1997 ($13,174.69

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