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AI- 16118
11.A.
CC REGULAR
Meeting Date:
07/07/2009
Submitted For:
Roy Quintanilha
Submitted By:
Aida Alvarez, SAFETY DIVISION
Department:
SAFETY DIVISION

CAPTION

Approval to accept settlement check from State Farm Insurance Company in the amount of $902.07 for an auto accident with County (Sheriff Office).

BACKGROUND

Date of Loss: 01/06/09
Auto Accident
Acct #: 9-1100-360-00-000-005-0-000

Fiscal Impact

FISCAL YEAR:
2009
ACCT. #:
9-1100-360-00-000-005-0-000
FUNDS AVAILABLE Y/N?:
MATCHING FUNDS Y/N?:

BUDGETARY IMPACT:

No Budgetary Impact

Attachments

No file(s) attached.

Form Review

Inbox Reviewed By Date
Budget and Management Erika Zamora 06/30/2009 03:55 PM
Auditor's Office 07/02/2009 05:09 PM
Form Started By:
aalvarez
Started On:
06/22/2009 01:44 PM
Final Approval Date:
07/02/2009