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File #: 22-5111    Version: 1 Name: Michelle Mentz - 09/21/22
Type: Workers' Compensation Claims Status: Approved
File created: 8/26/2022 In control: Finance Committee
On agenda: 9/21/2022 Final action: 9/22/2022
Title: Employee: Michelle Mentz Job Title: Deputy Sheriff Department: Court Services Division Date of Incident: 08/14/2019 Incident/Activity: Petitioner injured her back during a motor vehicle accident. Accidental Injuries: Back Petition and Order No: 19 WC 31463 Claim Amount: $13,402.22 Attorney: Ridge & Downes Date of Subcommittee Approval: n/a Prior/pending claims: 09/25/2012 ($10,000.00)

title

Employee: Michelle Mentz

Job Title: Deputy Sheriff

Department: Court Services Division

Date of Incident: 08/14/2019

Incident/Activity: Petitioner injured her back during a motor vehicle accident.

Accidental Injuries: Back

Petition and Order No: 19 WC 31463

Claim Amount: $13,402.22

Attorney: Ridge & Downes

Date of Subcommittee Approval: n/a

Prior/pending claims: 09/25/2012 ($10,000.00) 

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