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AI- 21282
11.A.
CC REGULAR
Meeting Date:
05/25/2010
Submitted For:
Roy Quintanilha
Submitted By:
Aida Alvarez, SAFETY DIVISION
Department:
SAFETY DIVISION

Information

CAPTION

Requesting approval to accept check (#NB91224089) from Illinois Union Insurance Company in the amount of $29,426.95 for payment in connection with claim for Sylvia C. Perez, C-153-09-C.

BACKGROUND

DOL: 03/10/07
General Liability
Acct #: 0-1100-360-00-000-005-0-000

Fiscal Impact

Attachments

No file(s) attached.

Form Review

Inbox Reviewed By Date
Budget and Management Erika Zamora 05/19/2010 01:08 PM
Auditor's Office Alejandro Garcia 05/21/2010 04:50 PM
Form Started By:
aalvarez
Started On:
05/19/2010 10:36 AM
Final Approval Date:
05/21/2010