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Employee: Angelic Camacho
Job Title: CMT II
Department: Juvenile Temporary Detention Center
Date of Incident: 05/09/2016
Incident/Activity: slipped and fell on food on the floor
Accidental Injuries: left hip, ankle, wrist and elbow
Petition and Order No: 16 WC 19600
Claim Amount: $15,090.37
Attorney: Jennifer Kelly and Anesi Ozmon Rodin Novak & Kohen, LTD
Date of Subcommittee Approval: N/A
Prior/pending claims: N/A
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