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AI- 49961
Executive Office   10.C.
CC - REGULAR
Meeting Date:
06/09/2015
Submitted For:
Roy Quintanilha
Submitted By:
Aida Alvarez, SAFETY DIVISION
Department:
SAFETY DIVISION

Information

CAPTION

Approval to accept settlement check from Fred Loya Insurance Company in the amount of $4,948.09 to settle total loss auto accident with County vehicle. (Workers' Compensation)

BACKGROUND

DOI: 12/10/14 Acct #: 5-1100-360-00-000-005-0-000

Fiscal Impact

Attachments

Form Review

Inbox Reviewed By Date
Budget and Management Veronica Ortiz 06/03/2015 08:45 AM
Purchasing / Internal Monica Salinas 06/05/2015 04:54 PM
Form Started By:
aalvarez
Started On:
06/02/2015 01:59 PM
Final Approval Date:
06/05/2015