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� � <br /> City of Decatur, IL I� <br /> Preliminary Application For Group Insurance ', <br /> Q. 12. � <br /> DATE OF LAST DAY FACE REASON FOR <br /> NAME BIRTH WORKED AMOUNT ABSENCE <br /> Marvin Manns 10/13/1953 1/6/2006 $10,000 Neck injury <br /> Steve Baldwin 11/06/1969 12/8/2006 $25,000 Right knee <br /> injury <br /> Leo E. Evans 06/23/1960 5/4/2007 $10,000 Lower back <br /> injury <br /> Warren Goforth 07/02/1959 6/5/2007 $10,000 Left hand <br /> injury <br /> Bryan Worth 07/24/1958 8/2/2007 $10,000 Right arm <br /> injury <br /> Jason Tucker 07/19/1976 6/14/2007 $10,000 Left knee injury <br /> Jeffrey Hott 03/19/1961 9/5/2007 $25,000 Broken arm <br />