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G ” peclaratory/infMgptive Relief: & aie . ing Other: AN COV) pRehe Nibble eee FINAL DISPOSITION: . Admin Claim Granted Denied Date ; Date +*ENTER BELOW INFORMATION FOR 197A & 197D CASES ONLY — (1) Won (2) Lost ; (3) SETTLED ___ Motion ___ Motion __. Trial __-Triail Summary Judgement For: Plaintiff Date Defendant Date Verdict For: Plaintiff Date Defendant Date RELIEF SOUGHT: Compensatory Damages $ Punitive Damages Attorney Fees $ coe "RELIEF AWARDED: None ; ' " Settled Admin Claim Paid $ $ Compensatory Damages $ Punitive Damages $ $ Attorney Fees Declaratory/Injunctive Relief: