Title:
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Employee: Terri Rice
Job Title: Custodian
Department: Juvenile Temporary Detention Center
Date of Incident: 01/20/2020
Incident/Activity: hit his hand against a stove
Accidental Injuries: left hand and pinky finger
Petition and Order No: 20 WC 05121
Claim Amount: $966.72
Attorney: Edward Osowski
Date of Subcommittee Approval: N/A
Prior/pending claims: N/A
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