Office of the City Clerk - Record #: Or2011-436

Record #:

Or2011-436

Type:

Order

Status:

Passed

Intro date:

4/13/2011

Current Controlling Legislative Body:

City Council

Final action:

4/13/2011

Title:

Payment of hospital and medical expenses of police officers and firefighters - Regular Orders - all amounts

Sponsors:

Burke, Edward M.

Topic:

CLAIMS - Police Officer/Firefighter Injuries

Attachments:

1. Or2011-436.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
4/13/2011	114850	City Council	Passed	Pass	Action details	Meeting details	Not available
4/13/2011		Committee on Finance	Recommended to Pass		Action details	Meeting details	Not available
4/13/2011	114850	Committee on Finance	Direct Introduction		Action details	Meeting details	Not available

ORDERED, That the City Comptroller is authorized and directed to issue payments in conformity with the schedule herein set forth, to physicians, hospitals, nurses or other individuals, in settlement for hospital, medical and nursing services rendered to the injured members of the Police Department and/or the Fire Department herein named. The payment of any of these bills shall not be construed as an approval of any previous claims pending or future claims for expenses or benefits on account of any alleged injury to the individuals named. The total amount of said claims is set opposite the names of the injured members of the Police Department and/or the Fire Department, and payments are to be drawn in favor of the proper claimants and charged to the following Account Numbers: 100-57-2005-0937; 610-57-4415-0937; 740-57-4415-0937; 100-59-2005-0937; 610-59-4415-0937; and 740-59-4415-0937.

City Of Chicago

Police & Fire Regular Orders

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Insured Namel: City Of Chicago Fire

01/03/2011 01/03/2011 01/03/2011 11/22/2010 11/22/2010 11/22/2010 11/22/2010 12/26/2010 12/26/2010 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 01/03/2010 01/03/2010 01/03/2010 01/03/2010 02/15/2008 02/15/2008 02/21/2011 02/21/2011 02/21/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011

ZUELKE, CHRISTOPHER ZUELKE, CHRISTOPHER ZUELKE, CHRISTOPHER ZNAVOR, THOMAS ZNAVOR, THOMAS ZNAVOR, THOMAS ZNAVOR, THOMAS ZARATE, RICHARD ZARATE, RICHARD ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY Willis, Rodger Willis, Rodger WOODSON, ANGELA WOODSON, ANGELA WOODSON, ANGELA WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC

8750

8771

8807

8745

8731

8750 8750 8750 8731 8731 8731 8731

00359 00359

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$64.72

$6.50

$0.85

$6.50

$1,556.92

$100.68

$6.50

$1,372.45

$6.50

$780.72

$6.50

$360.00

$19.96

$52.00

$6.50

$414.96

$4,284.12

$62.11

$30,675.75

$918.61

$76.64

$153.72

$6.50

$575.07

$360.00

$6.50

$96.62

City Of Chicago - Confidential Page 1 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/06/2011 WIZGIRD, DOMINIC

10/24/2008 WILSON, JON

05/30/2009 WILLIAMS, JERRY

02/01/2011 WHITTINGTON, JEFFREY

02/09/2011 WHITERS, STEVEN

07/05/2010 WEST, STEVE

8731 8731 8731 8731 8731 8731 8801 8745 8745 8731 8731 8731 8731 8731 8731 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8731 8731 8731 8731 8731

$6.50

$39.00

$6.50

$1.17

$6.95

$1,400.06

$210.71

$6.50

$1,407.37

$6.50

$6.41

$6.50

$17.04

$530.07

$6.50

$235.75

$6.50

$475.00

$6.50

$388.97

$6.50

$492.10

$1.01

$6.50

$83.67

$1.83

$151.40

$6.50

$14,056.70

$6.50

$170.16

$25.52

City Of Chicago - Confidential

Page 2 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/05/2010 02/24/2011 02/24/2011 02/24/2011 02/24/2011 01/30/2011 01/30/2011 01/30/2011 01/30/2011 01/30/2011 01/30/2011 01/30/2011 02/03/2011 02/03/2011 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010

WEST, STEVE WENDT, MARK WENDT, MARK WENDT, MARK WENDT, MARK WEEK, DAVID WEEK, DAVID WEEK, DAVID WEEK, DAVID WEEK, DAVID WEEK, DAVID WEEK, DAVID WATERS JR, JOHN WATERS JR, JOHN WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, PATRICK WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES

8731 8731 8731 8731 8731 8749 8749 8749 8749 8749 8749 8749 8750 8750 8812 8812 8812 8812 8812 8812 8812 8812 8812 8812 8812 8812 8731 8731 8731 8731 8731 8731 8731

$2,108.51

$16.95

$269.17

$41.27

$6.50

$1,417.48

$118.84

$6.50

$51.32

$280.03

$19.93

$6.50

$209.69

$101.70

$6.50

$635.73

$6.50

$26.06

$149.46

$6.50

$149.46

$6.50

$427.20

$6.50

$18.54

$6.50

$220.19

$228.17

$6.50

$22.49

$220.19

$6.50

City Of Chicago - Confidential

Page 3 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010

WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD

CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES CHARLES

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$21.70

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$15.44

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$267.90

$6.50

$26.40

$220.19

$6.50

$21.70

$220.19

$6.50

$21.70

$220.19

City Of Chicago - Confidential

Page 4 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 03/23/2010 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011

WARD,CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSH, MICHAEL WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE

8731 8731 8731 8731 8731 8731 8731 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8731 8731 8731 8731 8731 8731

$6.50

$21.70

$202.41

$6.50

$202.41

$6.50

$21.70

$80.49

$16.40

$6.50

$29.79

$329.68

$6.50

$3.99

$96.62

$6.50

$1.17

$1,100.36

$6.50

$707.70

$6.50

$136.23

$3,574.00

$6.50

$978.48

$16.63

$6.50

$763.20

$713.10

$10.92

$6.50

$5.31

$3,984.06

City Of Chicago - Confidential

Page 5 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 07/17/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, KEVIN WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$6.50

$48.23

$287.86

$6.50

$3.49

$194.23

$6.50

$2.35

$25.84

$6.50

$1,265.00

$6.50

$50.73

$6.50

$62.50

$3,000.00

$6.50

$3,510.47

$6.50

$80.29

$190.82

$6.50

$18.81

$123.02

$6.50

$4.04

$238.53

$6.50

$23.51

$190.82

$6.50

$18.81

$89.64

City Of Chicago - Confidential

Page 6 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 WALDROM, JEFFREY

07/03/2010 VOGENTHALER, THOMAS

08/25/2010 VILLANUEVA, JOSE

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8811 8811 8811 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

$6.50

$1.09

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$8,063.02

$327.25

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$190.82

$6.50

$18.81

$1,085.00

$77.59

$6.50

$25.32

$6.50

$408.90

$6.50

$817.80

$6.50

$5,091.88

$61.64

$272.60

$6.50

$507.00

City Of Chicago - Confidential

Page 7 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/25/2010 08/25/2010 08/25/2010 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011

VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

$681.50

$6.50

$791.60

$25.15

$190.82

$6.50

$18.81

$238.53

$6.50

$23.51

$286.23

$6.50

$28.21

$190.82

$6.50

$18.81

$238.42

$6.50

$23.50

$190.82

$6.50

$18.81

$238.53

$6.50

$23.51

$6.50

$255.12

$18.81

$6.50

$190.82

$3.94

$6.50

$325.71

City Of Chicago - Confidential

Page 8 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELEZ, FRANCISCO VELEZ, FRANCISCO VELEZ, FRANCISCO VELEZ, FRANCISCO VELEZ, FRANCISCO VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW

8801 8801 8801 8801 8801 8801 8801 8801 8801 8749 8749 8749 8749 8749 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728

Fi Fi |0 Fi

Fi Fi Fi Fi Fi Fi Fi Fi

$17.48

$6.50

$1,444.22

$21.93

$6.50

$858.04

$2.04

$168.32

$6.50

$178.24

$6.50

$1,118.13

$7.23

$23.87

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$728.73

$6.50

$29.57

$96.62

$6.50

$1.17

$473.58

$315.58

$6.50

City Of Chicago - Confidential

Page 9 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ, VASQUEZ,

MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW MATTHEW

8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728

$31.11

$315.58

$6.50

$31.11

$190.82

$6.50

$18.81

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$190.82

$6.50

$18.81

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$318.24

$6.50

$31.37

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$187.71

$6.50

City Of Chicago - Confidential

Page 10 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12722/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ, VASQUEZ VASQUEZ, VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ, VASQUEZ VASQUEZ, VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ VASQUEZ

8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728

$18.50

$190.82

$6.50

$18.81

$143.12

$6.50

$14.11

$73.71

$6.50

$0.89

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$73.71

$6.50

$0.89

$190.82

$6.50

$18.81

$168.80

$6.50

$16.64

$242.19

$6.50

City Of Chicago - Confidential

Page 11 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 VASQUEZ, MATTHEW

10/25/2010 VALE, EDWIN

09/25/2009 ULRICH, CHRISTOPHER

02/15/2011 TYLER, DONNA

12/30/2010 TRUJILLO, AMERICO

8728 8728 8728 8728 8728 8728 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8801 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8811 8811

$23.87

$242.19

$6.50

$23.87

$242.19

$6.50

$1,556.92

$6.50

$933.00

$6.50

$235.61

$6.50

$100.68

$6.50

$100.68

$6.50

$7,006.18

$6.50

$2,673.77

$6.50

$30.27

$3.32

$6.50

$274.31

$374.49

$5.57

$6.50

$11.80

$6.50

$4.53

$1,071.00

$231.66

$6.50

City Of Chicago - Confidential

Page 12 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/07/2011 02/07/2011 02/07/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 02/07/2011 02/07/2011 02/07/2011 07/10/2010 07/10/2010 05/02/2010 11/30/1994 11/30/1994 11/30/1994 04/10/1990 04/10/1990 04/10/1990

TRIGO, ALFREDO TRIGO, ALFREDO TRIGO, ALFREDO TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY TRAMIL, ANTHONY THORNTON,CAROL THORNTON,CAROL THORNTON,CAROL THOMPSON, JAMES THOMPSON, JAMES TAVITAS, JOSEPH Sutton, David Sutton, David Sutton, David Strickler, Bernard Strickler, Bernard Strickler, Bernard

8819

8735

8750

8764

8745

00615 00615 00615 00320 00320 00320

$108.20

$6.50

$6.22

$6.50

$567.00

$11.18

$2,144.62

$1,633.50

$1,160.54

$1,574.98

$1,466.25

$5,490.26

$103.99

$6.50

$186.77

City Of Chicago - Confidential

Page 13 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago F City Of Chicago F, City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990

Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler,

Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard Bernard

00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320

$6.50

$44.04

$6.50

$135.80

$6.50

$13.39

$296.93

$6.50

$1.39

$156.18

$6.50

$0.73

$126.38

$6.50

$0.59

$186.77

$561.56

$162.74

$6.50

$59.86

$59.10

$6.50

$2.40

$264.85

$6.50

$10.75

$477.02

$6.50

$365.22

$51.80

$6.50

$0.24

$260.01

City Of Chicago - Confidential

Page 14 of 257

Incident Date Claimant

Rank

Unit of

04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/25/2001 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010

Stri Stri Stri Stri Stri Stri Stri

Strickler, Bernard

Stri Stri Stri Stri Stri Stri Stri Stri Stri Stri Stri Stri Stri Stri

ckler, Bernard ckler, Bernard ckler, Bernard ckler, Bernard ckler, Bernard ckler, Bernard ckler, Bernard

ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard ickler, Bernard Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Sorrentino, Nicholas SZALA, DIANE SZALA, DIANE SZALA, DIANE SZALA, DIANE SZALA, DIANE

F F F-F F F F F F F F F F F F F F F F F F F F F F F F F

8745 8745 8745 8745 8745

00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00488 00488 00488 00488 00488 00367

City Of Chicago

Insured

Total to be Paid

$6.50

$146.62

$122.09

$6.50

$4.96

$39.20

$6.50

$2.95

$8.24

$6.50

$6.43

$103.99

$6.50

$73.37

$26,224.74

$6.50

$123.10

$341.25

$6.50

$4.15

$73.37

$44.04

$1,114.12

$1,907.01

$5,293.16

$1,286.38

$1,489.60

$1,554.89

$192.00

$544.92

$3.88

$53.97

$64.41

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/04/2010 01/13/2011 01/13/2011 01/13/2011 10/04/2010 10/04/2010 11/06/2010 11/06/2010 12/17/2009 12/17/2009 01/24/2011 01/24/2011 01/24/2011 01/24/2011 ■ 01/24/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 01/30/2011 01/30/2011 01/30/2011 02/04/2011 02/04/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 08/24/2010 08/24/2010 08/24/2010 08/24/2010

SZALA, DIANE SULLIVAN, MARK SULLIVAN, MARK SULLIVAN, MARK STIFTER JR, DONALD STIFTER JR, DONALD STEWART, GORDON STEWART, GORDON STEWART, GORDON STEWART, GORDON SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOLANO, SALVADOR SOLANO, SALVADOR SOLANO, SALVADOR SOLANO, SALVADOR SOLANO, SALVADOR SIMICH II, THOMAS SIMICH II, THOMAS SIMICH II, THOMAS SILAS, HAROLD SILAS, HAROLD SHANAHAN, MICHAEL SHANAHAN, MICHAEL SHANAHAN, MICHAEL SHANAHAN, MICHAEL SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY

8745

8731

8733

8801

8749

8750

880

$289.58

$89.64

$1.09

$6.50

$1,221.99

$6.50

$353.94

$6.50

$250.00

$1,455.98

$6.50

$37.21

$314.52

$6.50

$6.58

$209.69

$6.50

$138.60

$86.87

$6.50

$2.23

$80.00

$6.50

$1,625.21

$6.50

$459.22

$6.50

$1,114.40

$6.50

$22.00 .

$84.90

City Of Chicago - Confidential

Page 16 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 07/16/2010 12/06/2003 06/08/1994 12/22/2010 12/22/2010 12/22/2010 12/22/2010 09/05/2010 09/05/2010 09/05/2010

SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANDRIK, ROBERT Rogus, Andrew Robinson, Joyce RUSSIAKY, GEORGE RUSSIAKY, GEORGE RUSSIAKY, GEORGE RUSSIAKY, GEORGE RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO

873

8731 8731 8731 8731 8735 8735 8735

00432 00642

$874.00

$6.50

$121.44

$6.50

$3.10

$40.89

$169.02

$100.91

$207.88

$38,320.80

$6.50

$1,138.95

$106.00

$6.50

$1,532.30

$6.50

$30.25

$278.60

$6.50

$5.50

$148.30

$40.89

$3,380.00

$6.50

$16,560.00

$1,515.92

$353.25

$6.50

$5,772.20

$1.05

$86.64

$6.50

City Of Chicago - Confidential

Page 17 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/19/2010 RODRIGUEZ, VICTOR

10/26/2010 RODRIGUEZ, ANTHONY

08/21/2010 RODISH, JOHN

12/19/2010 ROCHE, EDWARD

8811 8811 8811 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8801 8801

$6.50

$13.07

$322.05

$6.50

$132.09

$17.36

$6.50

$176.12

$13.02

$6.50

$132.09

$6.50

$88.80

$13.02

$7,288.06

$6.50

$985.30

$3,095.00

$6.50

$3,099.50

$6.50

$712.08

$176.12

$6.50

$17.36

$88.07

$8.68

$434.72

$6.50

$4.08

$6.50

City Of Chicago - Confidential

Page 18 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/19/2010 12/19/2010 12/19/2010 03/03/2011 03/03/2011 03/03/2011 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010

ROCHE, EDWARD ROCHE, EDWARD ROCHE, EDWARD RIZZO, ANTHONY RIZZO, ANTHONY RIZZO, ANTHONY RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES RIVERA, JAMES

88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88

88 88 88

$280.50

$100.57

$11.39

$188.00

$6.50

$14.26

$6.50

$4.68

$233.55

$6.50

$3.43

$233.55

$6.50

$3.43

$256.23

$6.50

$3.77

$233.55

$6.50

$3.43

$233.55

$6.50

$3.43

$177.38

$6.50

$2.60

$233.55

$6.50

$3.43

$2,293.17

$6.50

$177.38

$6.50

City Of Chicago - Confidential

Page 19 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 12/25/2010 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011

RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA, RIVERA,

JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES EDWIN EDWIN EDWIN EDWIN EDWIN EDWIN EDWIN

88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88

8750 8750 8750 8750 8750 8750 8750

$2.60

$233.55

$6.50

$3.43

$111.87

$6.50

$44.20

$48.31

$6.50

$22.46

$157.10

$6.50

$35.48

$141.74

$6.50

$8.15

$53.87

$6.50

$21.37

$81.36

$6.50

$4.68

$236.50

$6.50

$3.47

$81.36

$194.26

$6.50

$11.17

$101.70

$6.50

City Of Chicago - Confidential

Page 20 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/01/2011 RIVERA, EDWIN

12/07/2010 RICHARDSON, LEANDER

02/27/2011 REYES, RAUL

03/29/2010 REILLY, SEAN

11/16/2010 RAICA, ROBERT

03/01/2011 RADDATZ, TIMOTHY

03/03/2011 PRICE, ANDREW

06/30/2010 PRESNY, GREGORY

02/23/2011 PONCE DE LEON, LUIS

8750 8750 8750 8750 8750 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8734 8734 8731 8731 8731 8728 8728 8728 8731 8731 8731 8731 8731 8731 8811 8811

$49.96

$325.00

$6.50

$150.97

$1,954.97

$10.65

$121.35

$6.50

$60.18

$18.78

$6.50

$9.71

$6.50

$16.22

$106.64

$5,429.24

$6.50

$2,269.41

$20.99

$6.50

$821.70

$880.69

$6.50

$22.50

$6.50

$1.29

$88.23

$6.50

$4,521.85

$6.50

City Of Chicago - Confidential

Page 21 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/17/2011 02/17/2011 02/17/2011 12/11/2010 12/11/2010 10/28/2010 02/07/2011 02/07/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 07/28/2010 07/28/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

PONCE DE LEON, LUIS PONCE DE LEON, LUIS PONCE DE LEON, LUIS PONCE DE LEON, LUIS PERREAULT, KELLY PERREAULT, KELLY PERREAULT, KELLY PENNIE, LAWRENCE PENNIE, LAWRENCE PEACE, HEATHER PAYNE, ARLETT PAYNE, ARLETT PAVILONIS, STAN PAVILONIS, STAN PAVILONIS, STAN PAVILONIS, STAN PAVILONIS, STAN PANG,KYUNG PANG,KYUNG PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK

8811 8811 8811 8811 8750 8750 8750 8801 8801 8749 8745 8745 8817 8817 8817 8817 8817 8731 8731 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735

$2.59

$0.64

$33.75

$25.31

$6.50

$417.07

$16.93

$114.00

$6.50

$169.80

$6.50

$1,041.35

$147.05

$6.50

$787.92

$5.97

$6.50

$371.16

$6.50

$474.01

$6.50

$1,139.73

$55.49

$6.50

$1,246.95

$37.34

$6.50

$935.88

$34.56

$6.50

$882.96

$6.50

City Of Chicago - Confidential

Page 22 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 PAGE, BRODERICK

09/20/1979 Owcarz, Eugene

02/13/2011 ORZECHOWSKI, THOMAS

08/06/2010 ORTEGA, JOHN

8735

8819 8819 8819 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

00439 00439 00439 00439 00439

$1.17

$6.50

$96.62

$31.24

$6.50

$676.68

$48.45

$20.05

$6.50

$160.00

$6.50

$3,997.06

$361.76

$16.91

$6.50

$400.00

$6.50

$8.59

$127.04

$6.50

$5.16

$288.28

$6.50

$7.36

$4,661.10

$6.50

$119.11

$123.52

$6.50

$5.01

$916.00

$6.50

$37.18

City Of Chicago - Confidential

Page 23 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010

ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA, ORTEGA,

JOHN

JOHN ■

JOHN

8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

$128.32

$6.50

$5.21

$19.45

$6.50

$1.12

$770.86

$6.50

$31.29

$214.38

$6.50

$21.14

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$206.31

$6.50

$20.34

$206.31

$6.50

$20.34

$173.28

$6.50

$17.08

$201.28

$6.50

$19.84

$195.30

$6.50

$19.25

City Of Chicago - Confidential

Page 24 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN

8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$195.30

$6.50

$19.25

$158.28

$6.50

$15.60

$201.28

$6.50

$19.84

City Of Chicago - Confidential

Page 25 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/06/2010 08/06/2010 08/06/2010 08/06/2010 03/03/2011 03/03/2011 03/03/2011 03/03/2011 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010

ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN OPIOLA, ROBERT OPIOLA, ROBERT OPIOLA, ROBERT OPIOLA, ROBERT OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT

8733 8733 8733 8733 8750 8750 8750 8750 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

$195.30

$6.50

$19.25

$211.75

$38.00

$6.50

$177.18

$6.50

$320.73

$6.50

$101.70

$6.50

$101.70

$4.71

$243.32

$6.50

$23.99

$11.53

$6.50

$372.60

$2,300.00

$6.50

$25.59

$16,550.17

$6.50

$343.58

$6.50

$5,517.46

$6.50

$81.01

$262.06

City Of Chicago - Confidential

Page 26 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010

OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD, OLMSTEAD, OLMSTEAD, OLMSTEAD, OLMSTEAD, OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD OLMSTEAD

, ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT ,ROBERT , ROBERT ,ROBERT

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

$6.50

$10.64

$290.28

$6.50

$11.78

$271.83

$6.50

$11.03

$304.41

$6.50

$12.36

$271.83

$6.50

$11.03

$271.83

$6.50

$11.03

$325.30

$6.50

$13.20

$325.30

$6.50

$13.20

$267.38

$6.50

$10.85

$325.30

$6.50

$13.20

$325.30

$6.50

$13.20

$325.30

City Of Chicago - Confidential

Page 27 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 05/11/2010 02/01/2011 02/01/2011 02/01/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OHSE, RORY O LEARY, TIMOTHY O LEARY, TIMOTHY O LEARY, TIMOTHY O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE

8749

8801

8819

881

$6.50

$13.20

$325.30

$6.50

$13.20

$322.63

$6.50

$13.09

$325.30

$6.50

$13.20

$325.30

$6.50

$13.20

$696.65

$6.50

$10.23

$1,173.93

$5,708.75

$23.76

$6.50

$929.57

$5.45

$24.99

$302.71

$6.50

$24.99

$15.78

$211.94

$597.58

$6.50

$8,293.43

$6.50

City Of Chicago - Confidential

Page 28 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 O BRIEN, LAWRENCE

11/08/2010 O BOYLE, MICHAEL

01/24/2011 NGUYEN, TRANG

12/20/2010 NAGLE, JOHN

06/18/2010 MURPHY, THOMAS

08/10/2010 MURAWSKI, CHRISTOPHE

88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88

PIC

8817

8735

8749

$754,84

$6.50

$896.37

$6.50

$717.09

$6.50

$41.22

$1,494.01

$6.50

$18.08

$139.80

$956.12

$6.50

$54.96

$433.23

$6.50

$106.50

$765.65

$6.50

$19.57

$671.06

$207.59

$214.02

$6.50

$399.00

$6.50

$44.65

$20.53

$8,386.92

$106.26

City Of Chicago - Confidential

Page 29 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/10/2010 MURAWSKI, CHRISTOPHE

09/06/2010 MULLINS III, PATRICK

11/24/2009 MUELLER, ERNST

02/18/2011 MILLER, LARRY

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8731 8731 8731 8731 8811 8731 8731 8731

$181.65

$26.98

$6.50

$121.77

$354.33

$6.50

$335.47

$6.50

$241.11

$6.50

$387.88

$6.50

$48.50

$6.50

$9.10

$154.48

$6.50

$41.16

$121.77

$6.50

$26.98

$1,461.00

$6.50

$39.72

$6.50

$217.98

$6.50

$134.93

$1,915.34

$6.50

$1,299.01

$6.50

City Of Chicago - Confidential

Page 30 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/18/2011 02/18/2011 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011

MILLER, LARRY MILLER, LARRY MESNARD, JASON

MESNARD MESNARD MESNARD MESNARD MESNARD MESNARD MESNARD MESNARD MESNARD MESNARD MESNARD MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA, MENDOZA,

JASON

JULIO

8731 8731 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750

$44.84

$33.20

$6.50

$81.86

$629.72

$6.50

$40.88

$1,180.91

$6.50

$44.33

$1,260.98

$76.63

$6.50

$682.88

$1,911.69

$6.50

$39.78

$63.49

$6.50

$0.77

$392.52

$3,307.54

$6.50

$7.68

$6.50

$10.03

$269.93

$6.50

$3.27

$873.31

$6.50

$10.57

$140.43

City Of Chicago - Confidential

Page 31 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/03/2011 MENDOZA, JULIO

02/14/2011 MC GRATH, THOMAS

02/23/2011 MC DONALD, JAMES

01/12/2011 MC CORMICK, MICHAEL

8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$6.50

$1.70

$219.22

$6.50

$2.66

$251.19

$6.50

$3.04

$9,125.08

$6.50

$110.46

$1,434.26

$6.50

$193.85

$6.50

$1,832.60

$6.50

$74.45

$215.05

$6.50

$15.74

$1,052.03

$6.50

$44.25

$6.50

$3.39

$900.20

$6.50

$4.96

$59.76

$6.50

$7.90

$6.50

City Of Chicago - Confidential

Page 32 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/12/2011 MC CORMICK, MICHAEL

12/12/2008 MAXWELL, STEVEN

01/27/2011 MARTINELLI, JOSEPH

02/04/2011 MARTIN, ROBERT

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

8731 8731 8731 8731 8731 8731 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817

$0.46

$335.50

$6.50

$77.59

$6.50

$187.77

$6.50

$4.80

$4,193.75

$6.50

$270.55

$6.50

$6.91

$9,048.01

$6.50

$231.23

$6,227.71

$6.50

$2,132.20

$6.50

$94.36

$72.52

$1,444.22

$6.50

$17.48

$839.21

$6.50

$408.90

$6.50

$519.00

$6.50

$519.00

City Of Chicago - Confidential

Page 33 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010

MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN, MARTIN,

ROBERT

BARBARA

8817 8817 8817 8817 8817 8817 8817 8817 8817 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

$6.50

$2.04

$168.32

$1.04

$6.50

$86.16

$6.50

$640.62

$6.50

$108.52

$143.12

$6.50

$14.11

$190.82

$6.50

$18.81

$143.12

$6.50

$14.11

$168.80

$6.50

$16.64

$242.19

$6.50

$23.87

$242.19

$6.50

$23.87

$168.80

$6.50

$16.64

$315.58

$6.50

City Of Chicago - Confidential

Page 34 of 257

Incident Date Claimant_Rank

08/31/2010 MARTIN, BARBARA 8749

Unit of Insured Total to be Paid

City Of Chicago Fire $31.11

City Of Chicago Fire $83.67

City Of Chicago Fire $6.50

City Of Chicago Fire $1.01

City Of Chicago Fire $315.58

City Of Chicago Fire $6.50

City Of Chicago Fire $143.12

City Of Chicago Fire $6.50

City Of Chicago Fire $14.11

City Of Chicago Fire $242.19

City Of Chicago Fire $6.50

City Of Chicago Fire $23.87

City Of Chicago Fire $315.58

City Of Chicago Fire $31.11

City Of Chicago Fire $315.58

City Of Chicago Fire $6.50

City Of Chicago Fire $31.11

City Of Chicago Fire $315.58

City Of Chicago Fire $6.50

City Of Chicago Fire $31.11

City Of Chicago Fire $315.58

City Of Chicago Fire $6.50

City Of Chicago Fire $31.11

City Of Chicago Fire $315.58

City Of Chicago Fire $6.50

City Of Chicago Fire $31.11

City Of Chicago Fire $6.50

City Of Chicago Fire $31.11

City Of Chicago Fire $315.58

City Of Chicago Fire $6.50

City Of Chicago Fire $31.11

City Of Chicago Fire $315.58

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 35 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010

MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN, MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN

,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA ,BARBARA

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

$31.11

$168.80

$6.50

$16.64

$315.58

$6.50

$31.11

$242.19

$6.50

$23.87

$83.67

$6.50

$1.01

$315.58

$6.50

$31.11

$168.80

$6.50

$16.64

$166.19

$6.50

$16.39

$190.82

$6.50

$18.81

$242.19

$6.50

$23.87

$83.67

$6.50

$1.01

$1,100.96

$6.50

City Of Chicago - Confidential

Page 36 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

01/17/2011 MALONEY, JAMES

12/08/2010 MAIBUECHER, ROBERT

02/01/1985 Lasco, Samuel

11/06/2010 LEONARD, JOHN

02/03/2011 LANIER, SHARRIEFF

10/30/2010 LAMM, PHILIP

8750

8811

8811 8811 8735 8735 8735

00388 00388 00388

$6.50

$48.00

$6.50

$283.51

$858.02

$186.83

$1,975.54

$6.50

$1,035.81

$18.84

$6.50

$373.12

$688.75

$8.34

$355.16

$6.50

$11.14

$110.00

$225.00

$27.94

$608.84

$6.50

$19.10

$446.94

$6.50

$713.50

$6.50

$751.85

$6.50

$23.58

City Of Chicago - Confidential

Page 37 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 12/04/2010 12/04/2010 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010

LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER

RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD

KOSTERI KOSTERI KOSTERI KOSTERI KOSTERI KOSTERI KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE

8731 8731 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

$392.08

$6.50

$12.30

$304.42

$6.50

$9.55

$304.42

$6.50

$9.55

$376.42

$6.50

$340.75

$6.50

$18.00

$9.55

$6.50

$304.42

$6.50

$13.69

$6.50

$55.63

$54.62

$29.74

$24.99

$6.50

$5.17

$426.66

$34.71

$201.28

$6.50

$11.57

$234.48

$6.50

City Of Chicago - Confidential

Page 38 of 257

Incident Date Claimant Rank

11/14/2010 KONRATH, STEVE 8801

11/14/2010 KONRATH, STEVE - 8801

11/14/2010 KONRATH, STEVE 8801

Unit of_Insured_Total to be Paid

City Of Chicago Fire $53.49

City Of Chicago Fire $8.36

City Of Chicago Fire $6.50

City Of Chicago Fire $25.84

City Of Chicago Fire $6.50

City Of Chicago Fire $83.04

City Of Chicago Fire $6.50

City Of Chicago Fire $48.50

City Of Chicago Fire $6.50

City Of Chicago Fire $8.90

City Of Chicago Fire $402.56

City Of Chicago Fire $6.50

City Of Chicago Fire $23.14

City Of Chicago Fire $86.89

City Of Chicago Fire $6.50

City Of Chicago Fire $12.25

City Of Chicago Fire $613.95

City Of Chicago Fire $6.50

City Of Chicago Fire $243.86

City Of Chicago Fire $142.00

City Of Chicago Fire $6.50

City Of Chicago Fire $362.28

City Of Chicago Fire $6.50

City Of Chicago Fire $88.53

City Of Chicago Fire $606.07

City Of Chicago Fire $6.50

City Of Chicago Fire $2.63

City Of Chicago Fire $754.80

City Of Chicago Fire $6.50

City Of Chicago Fire $1,006.40

City Of Chicago Fire $6.50

City Of Chicago Fire $754.80

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 39 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 -11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 09/05/2010 12/22/2010

KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KONRATH, STEVE KOLBASH, JEFFREY KIRBY JR, RONALD

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8731 8801

$754.80

$6.50

$18.00

$6.50

$8.36

$6.50

$16.72

$6.50

$8.36

$6.50

$1,484.28

$6.50

$355.55

$6.50

$9,393.76

$6.50

$463.45

$544.16

$6.50

$237.18

$6.50

$1,153.89

$6.50

$1,232.91

$6.50

$1,253.84

$603.84

$6.50

$34.71

$603.84

$6.50

$76.04

$6.50

City Of Chicago - Confidential

Page 40 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 12/22/2010 03/21/2009 03/21/2009 11/29/2010 11/29/2010 11/29/2010 02/25/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 06/20/2009 06/20/2009 06/20/2009 06/20/2009 06/20/2009 06/15/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

KIRBY JR, RONALD KIRBY JR, RONALD KINZIE, WAYNE KINZIE, WAYNE KINTNER, ROBERT KINTNER, ROBERT KINTNER, ROBERT KING, JONI KING, JONI KING, JONI KING, JONI KING, JONI KING, JONI KING, JONI KIERNICKI, NICOLE KIERNICKI, NICOLE KIERNICKI, NICOLE KIERNICKI, NICOLE KIERNICKI, NICOLE KIERNICKI, NICOLE KIERNICKI, NICOLE KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KELLY, JAMES KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT

8801 8801

8731 8731 8731 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8801 8801 8801 8801 8801 8701

$33.87

$1,320.20

$6,431.95

$5,043.27

$10.74

$6.50

$264.67

$1,107.94

$6.50

$87.75

$10.87

$6.50

$87.75

$10.87

$26.14

$26.78

$6.50

$465.89

$6.50

$207.59

$6.50

$3,432.00

$287.25

$6.50

$3.48

$1,305.21

$1.42

$96.62

$6.50

$1.17

$1,536.86

$6.50

City Of Chicago - Confidential

Page 41 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT

88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88

$18.60

$47.00

$6.50

$47.00

$6.50

$41.00

$6.50

$784.71

$6.50

$139.00

$6.50

$924.89

$6.50

$268.00

$6.50

$485.76

$6.50

$298.00

$6.50

$155.69

$6.50

$117.54

$6.50

$1.42

$190.48

$6.50

$2.32

$237.05

$6.50

$2.87

$6.50

$94.00

$6.50

City Of Chicago - Confidential

Page 42 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88

88 88 88 88

$222.11

$6.50

$155.69

$6.50

$543.60

$662.90

$4,064.71

$6.50

$49.21

$445.60

$6.50

$9,064.86

$6.50

$231.67

$261.48

$47.00

$6.50

$467.07

$6.50

$57.00

$6.50

$259.48

$6.50

$103.77

$6.50

$1.10

$6.50

$87.50

$1,080.00

$6.50

$27.60

$117.89

$6.50

City Of Chicago - Confidential

Page 43 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010

KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY KASPER, ANTHONY

881

8817

$1.43

$52.28

$6.50

$0.63

$429.27

$6.50

$5.20

$357.59

$6.50

$4.32

$214.35

$6.50

$2.60

$117.54

$6.50

$13,474.62

$5.16

$344.35

$141.53

$6.50

$3.62

$125.69

$6.50

$1.52

$10.40

$6.50

$4.51

$56.32

$6.50

$1.44

$125.69

$6.50

$1.52

City Of Chicago - Confidential

Page 44 of 257

Incident Date Claimant_Rank

12/16/2010 KASPER, ANTHONY 8817

12/16/2010 KASPER, ANTHONY 8817

12/16/2010 KASPER, ANTHONY 8817

■ 12/16/2010 KASPER, ANTHONY 8817

12/16/2010 KASPER, ANTHONY 8817

Unit of_Insured_Total to be Paid

City Of Chicago Fire $197.31

City Of Chicago Fire $6.50

City Of Chicago Fire $2.39

City Of Chicago Fire $6.50

City Of Chicago Fire $135.87

City Of Chicago Fire $6.50

City Of Chicago Fire $3.47

City Of Chicago Fire $41.70

City Of Chicago Fire $6.50

City Of Chicago Fire $0.50

City Of Chicago Fire $222.31

City Of Chicago Fire $6.50

City Of Chicago Fire $2.69

City Of Chicago Fire $1,444.22

City Of Chicago Fire $6.50

City Of Chicago Fire $17.48

City Of Chicago Fire $11,218.01

City Of Chicago Fire $6.50

City Of Chicago Fire $286.70

City Of Chicago Fire $6.50

City Of Chicago Fire $627.50

City Of Chicago Fire $6.50

City Of Chicago Fire $16.03

City Of Chicago Fire $7,045.82

City Of Chicago Fire $6.50

City Of Chicago Fire $85.29

City Of Chicago Fire $197.31

City Of Chicago Fire $6.50

City Of Chicago Fire $2.39

City Of Chicago Fire $125.69

City Of Chicago Fire $6.50

City Of Chicago Fire $1.52

City Of Chicago Fire $1,393.34

City Of Chicago - Confidential

Page 45 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/16/2010 KASPER, ANTHONY

01/27/2011 KARABOYAS, JENNIFER

03/07/2011 JURASZ JR, KENNETH

02/02/2011 JOHNSON, RICHARD

03/23/2010 JOHNSON, HERBERT

01/18/2011 JESSEE, PATRICK

10/30/2010 JENKINS, JAMES

08/21/2010 JEDYNAK, JOSEPH

8817 8817 8817 8817 8749 8731 8731 8731 8749 8749 8811 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8793 8793 8793 8793 8793 8793 8731 8731 8731 8731 8731 8731

$6.50

$35.61

$201.92

$6.50

$588.58

$15.05

$6.50

$360.00

$400.53

$418.33

$19.93

$6.50

$861.42

$6.50

$101.70

$6.50

$45.00

$19.93

$6.50

$259.48

$6.50

$2,220.25

$6.50

$149.46

$113.69

$6.50

$1,593.36

$1,977.60

$6.50

$83.20

City Of Chicago - Confidential

Page 46 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/04/2010 08/04/2010 08/04/2010 08/04/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 02/12/2011 02/12/2011 02/12/2011 02/12/2011 02/12/2011 02/12/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011

IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HUGUETH, FREIDA HUGUETH, FREIDA HUGUETH, FREIDA HUGUETH, FREIDA HUGUETH, FREIDA HUGUETH, FREIDA HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY

8811 8811 8811 8811 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8749 8749 8749 8749 8749 8749 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750

$981.43

$3,432.00

$63.67

$6.50

$1,839.50

$883.23

$563.06

$6.50

$2,447.96

$1.01

$83.67

$6.50

$1.01

$6.50

$83.67

$6.50

$13.20

$6.50

$7.23

$6.50

$178.24

$516.42

$6.50

$2.75

$8.06

$6.50

$140.24

$5.39

$6.50

$10.57

$187.25

$6.50

City Of Chicago - Confidential

Page 47 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/24/2011 01/24/2011 01/24/2011 01/24/2011 07/12/2009 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 -02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011

HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOLZMAN, PAUL HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES,TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES,TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES,TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES,TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE

8750 8750 8750 8750 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

$1,095.00

$283.60

$6.50

$415.00

$6.50

$209.69

$6.50

$353.47

$6.50

$14.19

$333.40

$6.50

$11.81

$535.08

$6.50

$20.88

$505.33

$6.50

$18.56

$445.68

$6.50

$0.31

$324.16

$6.50

$11.52

$526.57

$6.50

$34.07

$52.00

$6.50

$817.05

$9.10

City Of Chicago - Confidential

Page 48 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 02/08/2011 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 03/06/2011

HOLMES, TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES,TERRENCE HOLMES,TERRENCE HOLMES,TERRENCE HOLMES,TERRENCE HOLMES,TERRENCE HOLMES,TERRENCE HOLMES, TERRENCE HOLMES, TERRENCE HOLMES,TERRENCE HOLMES,TERRENCE HOLMES,TERRENCE HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HERRING, CYNTHIA

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8817

S6.50

$48.50

$21.26

$6.50

$548.10

$9.10

$6.50

$48.50

$9.10

$6.50

$448.50

$292.84

$613.95

$6.50

$726.70

$6.50

$23.60

$568.60

$6.50

$18.25

$932.50

$6.50

$31.95

$73.71

$6.50

$0.89

$1,536.86

$6.50

$18.60

$73.71

$6.50

$0.89

$67.55

City Of Chicago - Confidential

Page 49 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 01/01/2011 01/01/2011 01/01/2011 01/23/2011 01/23/2011 11/04/2010 11/04/2010 11/04/2010 11/04/2010 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 . 02/01/2011 02/01/2011 02/01/2011

HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HEINZ, JEFFREY HEINZ, JEFFREY HEINZ, JEFFREY HEHIR, BRENDAN HEHIR, BRENDAN HART, BUFORD HART, BUFORD HART, BUFORD HART, BUFORD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD HAMILTON, EDWARD

8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8750 8750 8749 8749 8749 8749 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745

$1.11

$6.50

$17.10

$19.70

$6.50

$163.23

$6.50

$10.59

$230.73

$6.50

$14.96

$303.61

$21,941.42

$560.72

$6.50

$300.00

$6.50

$205.00

$459.31

$173.40

$96.62

$6.50

$1.17

$368.54

$6.50

$4.45

$545.59

$6.50

$129.82

$1,009.00

$6.50

$12.21

City Of Chicago - Confidential

Page 50 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

HAMILTON, HAMILTON, HAMILTON, HAMILTON, HAMILTON, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH, HAMADEH,

EDWARD EDWARD EDWARD EDWARD EDWARD HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH HAMADEH

8745 8745 8745 8745 8745 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

$0.36

$6.50

$29.88

$223.40

$6.50

$190.61

$6.50

$18.78

$441.54

$186.29

$6.50

$171.12

$6.50

$16.87

$170.91

$6.50

$16.84

$190.61

$6.50

$18.78

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$143.01

City Of Chicago - Confidential

Page 51 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 01/07/2011 01/07/2011 01/09/2011 01/09/2011 01/09/2011 02/24/2011 02/24/2011 02/24/2011

HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH, HAMADEH HAMADEH,HAMADEH HAMADEH, HAMADEH HAMADEH,HAMADEH GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8749 8749 8749 8749 8749

$6.50

$14.09

$190.72

$6.50

$18.80

$218.61

$6.50

$21.54

$136.29

$6.50

$142.91

$6.50

$14.08

$170.91

$6.50

$16.84

$190.61

$6.50

$18.78

$218.61

$6.50

$21.54

$190.61

$6.50

$18.78

$6.50

$44.00

$178.24

$7.23

$6.50

$35.09

$11.52

$6.50

City Of Chicago - Confidential

Page 52 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010

GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK

8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

$7.00

$198.09

$6.50

$2.90

$9.00

$6.50

$352.22

$1,372.62

$171.12

$6.50

$16.87

$6.50

$16.87

$218.82

$6.50

$21.57

$3,519.92

$6.50

$42.61

$218.82

$6.50

$21.57

$171.12

$6.50

$16.87

$218.82

$6.50

$21.57

$171.12

$6.50

$16.87

$171.12

City Of Chicago - Confidential

Page 53 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/23/2010 GRUNAUER, MARK

12/11/2010 GRAVES III, CORNELIUS

12/17/2010 GODINEZ, JUAN

8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8811 8811 8811 8801 8801 8801

S6.50

$16.87

$218.82

$6.50

$21.57

$218.82

$6.50

$21.57

$187.71

$6.50

$18.50

$218.82

$6.50

$21.57

$218.82

$6.50

$21.57

$218.82

$6.50

$21.57

$171.12

$6.50

$16.87

$171.12

$6.50

$16.87

$171.12

$1,162.70

$6.50

$19.79

$787.55

$6.50

$11,789.42

City Of Chicago - Confidential

Page 54 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010

GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

$6.50

$301.28

$190.61

$6.50

$18.78

$190.61

$6.50

$18.78

$190.61

$6.50

$18.78

$238.32

$6.50

$23.49

$238.32

$6.50

$23.49

$142.80

$6.50

$14.08

$190.61

$6.50

$18.78

$123.20

$6.50

$12.14

$190.61

$6.50

$18.78

$190.61

$6.50

$18.78

$190.61

City Of Chicago - Confidential

Page 55 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

$6.50

$18.78

$190.61

$6.50

$18.78

$123.20

$6.50

$12.14

$175.83

$6.50

$17.34

$175.83

$6.50

$17.34

$238.21

$6.50

$23.47

$190.61

$6.50

$18.78

$96.62

$6.50

$1.17

$96.62

$6.50

$1.17

$222,31

$6.50

$2.69

$190.61

$6.50

$18.78

$351.45

City Of Chicago - Confidential

Page 56 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/17/2010 12/17/2010 12/17/2010 12/17/2010 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010

GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GILCHRIST, VINCENT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT GALLAPO, ROBERT

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735

City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

$374.76

$23.31

$50.40

$698.15

$132.22

$6.50

$3,134.60

$23.44

$6.50

$72.96

$5.85

$6.50

$11.04

$6.50

$52.21

$60.18

$2,820.25

$6.50

$76.21

$362.28

$6.50

$90.27

$362.28

$6.50

$241.52

$90.27

$6.50

$362.28

$60.18

$90.27

$241.52

$60.18

City Of Chicago - Confidential

Page 57 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/02/2010 09/02/2010 09/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010

GALLAPO GALLAPO GALLAPO FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN FREEMAN

ROBERT ROBERT ROBERT , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD , EDWARD

8735 8735 8735 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$6.50

$589.52

$6.50

$272.60

$8.60

$6.50

$336.70

$6.50

$272.60

$6.50

$202.41

$6.50

$243.94

$6.50

$341.51

$6.50

$146.79

$6.50

$357.01

$272.60

$1,167.85

$6.50

City Of Chicago - Confidential

Page 58 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 07/25/2010 07/25/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010

FREEMAN, EDWARD FREEMAN, EDWARD FREEMAN, EDWARD FREEMAN, EDWARD FREEMAN, EDWARD FRAZIER, ANTHONY FRAZIER, ANTHONY FRAZIER, ANTHONY FRAZIER, ANTHONY FRAZIER, ANTHONY FRAZIER, ANTHONY FRANTA, JOHN FRANTA, JOHN FRANTA, JOHN FRANTA, JOHN FRANTA, JOHN FOSTER, MELVON FOSTER, MELVON FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG

8731 8731 8731 8731 8731 8735 8735 8735 8735 8735 8735 A-27 A-27 A-27 A-27 A-27 8731 8731 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735

$6.50

$7,785.69

$6.50

$2,096.61

$10.85

$6.50

$48.31

$1,470.35

$267.34

$6.50

$37.09

$209.69

$6.50

$645.15

$6.50

$400.00

$218.72

$6.50

$21.56

$218.72

$6.50

$21.56

$225.10

$6.50

$22.19

$218.72

$6.50

$21.56

$266.42

$6.50

$26.26

City Of Chicago - Confidential

Page 59 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/11/2011 02/11/2011

FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FOCH, CRAIG FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLORES, WALTER FLORES, WALTER

8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8749 8749

$143.12

$6.50

$14.11

$89.64

$6.50

$1.09

$6.50

$18.81

$218.72

$6.50

$21.56

$238.53

$6.50

$23.51

$190.82

$84.72

$1,489.64

$1,305.89

$6.50

$51.15

$6.50

$481.77

$4.41

$6.50

$68.01

$8.55

$6.50

$0.55

$52.00

$6.50

$1.86

$6.50

City Of Chicago - Confidential

Page 60 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicagi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

02/11/2011 02/11/2011 02/11/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 09/06/2010 09/06/2010 09/06/2010 12/15/2010 12/15/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

FLORES, WALTER FLORES, WALTER FLORES, WALTER FLOOD, JOHN FLOOD, JOHN FLOOD, JOHN FLOOD, JOHN FLOOD, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN ESTKA, JOSEPH ESTKA, JOSEPH ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN

8749 8749 8749 8731 8731 8731 8731 8731 8731 8731 8731 8807 8807 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$608.25

$209.69

$6.50

$7.00

$6.50

$30.00

$8.70

$6.81

$57.59

$6.50

$5,366.28

$3.61

$149.99

$227.24

$6.50

$358.55

$6.50

$4.34

$435.95

$6.50

$5.28

$6.50

$298.79

$551.28

$6.50

$3.61

$298.79

$6.50

$3.61

$83.67

City Of Chicago - Confidential

Page 61 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 10/08/2010 10/08/2010 07/24/2010 07/24/2010 07/24/2010 02/10/2011 02/10/2011 02/19/2011 02/19/2011 02/19/2011 02/19/2011 02/19/2011 02/19/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011

ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN ELLERSON, STEVEN EANS, RONALD EANS, RONALD Dias, ROCCO Dias, ROCCO Dias, ROCCO DURHAM, MARIO DURHAM, MARIO DURANT, CEDRIC DURANT, CEDRIC DURANT, CEDRIC DURANT, CEDRIC DURANT, CEDRIC DURANT, CEDRIC DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD

8731 8731 8731 8731 8731 8735 8735 8731 8731 8731 8801 8801 8801 8801 8801 8801 8801 8801 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$6.50 $1.01 $657.34 $6.50 $7.95 $484.48 $6.50 $6.50 $6,601.38 $79.90 $242.18 $6.50 $7.23 $6.50 $21.91 $6.50 $667.00 $178.24 $19.29 $195.62 $6.50 $19.29 $195.62 $6.50 $19.29 $195.62 $6.50 .$19.29 $484.92 $6.50 $7.12 $243.46 $6.50

City Of Chicago - Confidential

Page 62 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011

DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK, DRABIK,

RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$3.57

$759.38

$6.50

$19.41

$195.62

$6.50

$19.29

$195.62

$6.50

$19.29

$238.53

$6.50

$23.51

$53.00

$6.50

$266.53

$6.50 ■

$26.27

$266.53

$6.50

$26.27

$266.53

$6.50

$26.27

$266.53

$6.50

$26.27

$89.12

$6.50

$89.12

$6.50

$1.31

City Of Chicago - Confidential

Page 63 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$1,417.48

$6.50

$207.41

$6.50

$20.44

$195.62

$6.50

$19.29

$195.62

$6.50

$19.29

$195.62

$6.50

$19.29

$266.53

$6.50

$26.27

$195.62

$6.50

$19.29

$195.62

$6.50

$19.29

$1,462.57

$6.50

$195.62

$6.50

$19.29

$195.62

$6.50

$19.29

$195.62

$6.50

City Of Chicago - Confidential

Page 64 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicagi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago City Of Chicago Fi City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 02/24/2011 02/24/2011 02/24/2011 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010

DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DIGBY, DONNELL DIGBY, DONNELL DIGBY, DONNELL DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN

8724

8735

88 88

Fi Fi lo Fi Fi F Fi Fi Fi

$145.32

$6.50

$1,254.93

$6.50

$290.92

$6.50

$28.68

$15.58

$6.50

$190.72

$6.50

$18.80

$9,264.77

$6.50

$57.66

$6.50

$3,049.88

$77.94

$6.50

$126.03

$555.41

$6.50

$122.22

$7,076.94

$6.50

$77.59

$6.50

$286.35

$6.50

$122.22

$286.35

$6.50

City Of Chicago - Confidential

Page 65 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/26/2010 11/26/2010 11/26/2010 11/26/2010 02/25/2011 02/25/2011 02/25/2011 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DEMPSEY, ROBERT DEMPSEY, ROBERT DEMPSEY, ROBERT DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL

8811 8811 8811 8811 8749 8749 8749 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$300.21

$6.50

$313.47

$14.19

$554.22

$14.16

$6.50

$236.50

$6.50

$3.47

$236.50

$6.50

$3.47

$174.30

$423.02

$292.67

$6.50

$4.30

$202.02

$6.50

$2.97

$236.50

$3.47

$292.67

$6.50

$4.30

$195.57

$6.50

$2.87

$236.50

$6.50

$3.47

City Of Chicago - Confidential

Page 66 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 08/31/2010 08/31/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010

DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael CROWLEY, RICHARD CROWLEY, RICHARD CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN

8731

8819

8731 8731 8731 8731 8731

00003 00003 00003 00003 00003 00003

$236.50

$6.50

$3.47

$236.50

$6.50

$3.47

$292.67

$6.50

$4.30

$236.50

$6.50

$3.47

$6.50

$236.50

$6.50

$240.20

$6.50

$7.15

$6.50

$201.00

$180.81

$741.67

$468.50

$6.50

$10.15

$57.59

$6.50

$1,394.21

$269.88

$133.90

$6.50

$272.60

City Of Chicago - Confidential

Page 67 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 08/16/2010 08/16/2010 08/16/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 01/27/2011 01/27/2011 01/27/2011

CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONROY, MICHAEL CONROY, MICHAEL CONROY, MICHAEL CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK COMMINGS, LARRY COMMINGS, LARRY COMMINGS, LARRY

8731 8731 8731 8731 8731 8731 8731 8702 8702 8702 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8731 8731 8731

$6.50

$135.25

$6.50

$269.88

$6.50

$269.88

$18.09

$6.50

$708.09

$6.50

$269.88

$340.75

$6.50

$377.45

$6.50

$754.90

$6.50

$1,509.80

$6.50

$618.60

$6.50

$1,509.80

$6.50

$1,101.39

$219.00

$6.50

$877.11

$6.50

$26.25

$6.50

$2.01

City Of Chicago - Confidential

Page 68 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/27/2011 01/27/2011 01/27/2011 01/27/2011 01/27/2011 01/27/2011 11/03/2010 11/03/2010 11/03/2010 11/03/2010 02/21/2011 02/21/2011 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010

COMMINGS, LARRY COMMINGS, LARRY COMMINGS, LARRY COMMINGS, LARRY COMMINGS, LARRY COMMINGS, LARRY COMITO, JOSEPH COMITO, JOSEPH COMITO, JOSEPH COMITO, JOSEPH COGLEY, LON COGLEY, LON CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ

8731 8731 8731 8731 8731 8731 8733 8733 8733 8733 8750 8750 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicagi City Of Chicago City Of Chicago Fi City Of Chicago City Of Chicagi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago F City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

|0 Fi

Fi |0 F Fi Fi

Fi Fi

$6.50

$26.25

.$22.24

$6.50

$2.01

$870.04

$422.43

$6.50

$100.68

$6.50

$1.38

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$809.64

$6.50

$933.00

$6.50

City Of Chicago - Confidential

Page 69 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/01/2010 CHYCHULA, ANDRIJ

03/07/2011 CERNA, MARIA

01/13/2011 CECICH, MICHAEL

03/06/2011 CATALANO, CHRISTOPHER

07/14/2009 CARTER, ERICK

05/08/2010 CARROLL, WILLIAM

01/14/2011 CAPLIS, THOMAS

8819

8745

8728

8819 8819 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$76.81

$6.50

$472.82

$12.09

$6.50

$96.62

$1.17

$178.24

$6.50

$7.23

$1,577.38

$6.50

$51.82

$10.56

$6.50

$1,345.66

$1,400.06

$3,428.02

$101.70

$6.51

$6.50

$410.00

$9.43

$6.50

$367.00

$6.50

$150.97

$27.91

$6.50

$1,092.35

$6.50

$53.00

City Of Chicago - Confidential

Page 70 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 02/28/2011 02/28/2011 02/28/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 03/22/2010

CAPLIS, THOMAS CAPLIS, THOMAS CAPLIS, THOMAS CAPLIS, THOMAS CAPLIS, THOMAS CAPLIS, THOMAS CAPLIS, THOMAS CAPLIS, THOMAS CAPLIS, THOMAS CAPLIS, THOMAS CAMPBELL, BRIAN CAMPBELL, BRIAN CAMPBELL, BRIAN CALDERISI, MICHAEL CALDERISI, MICHAEL CALDERISI, MICHAEL CALDERISI, MICHAEL CALDERISI, MICHAEL CALDERISI, MICHAEL CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR BURKE, JEFFERY

8731

8801

8731

8801

$6.50

$279.94

$6.50

$150.97

$6.50

$303.01

$477.05

$6.50

$2.06

$170.31

$6.50

$37.08

$112.50

$2.14

$6.50

$2.88

$885.62

$23.28

$6.50

$27.78

$96.62

$6.50

$1.17

$6.50

$96.62

$742.63

$110.00

$6.50

City Of Chicago - Confidential

Page 71 of 257

Incident Date Claimant Rank

10/19/2010 BROWN, ALICIA 8749

10/19/2010 BROWN, ALICIA - 8749

10/19/2010 BROWN, ALICIA 8749

Unit of_Insured_Total to be Paid

City Of Chicago Fire $6.50

City Of Chicago Fire $1,006.48

City Of Chicago Fire $6.50

City Of Chicago Fire $96.62

City Of Chicago Fire $6.50

City Of Chicago Fire $1.17

City Of Chicago Fire $325.71

City Of Chicago Fire $6.50

City Of Chicago Fire $3.94

City Of Chicago Fire $96.62

City Of Chicago Fire $6.50

City Of Chicago Fire $1.17

City Of Chicago Fire $147.42

City Of Chicago Fire $6.50

City Of Chicago Fire $1.78

City Of Chicago Fire $249.00

City Of Chicago Fire $6.50

City Of Chicago Fire $3.01

City Of Chicago Fire $337.35

City Of Chicago Fire $6.50

City Of Chicago Fire $95.65

City Of Chicago Fire $6.50

City Of Chicago Fire $1.16

City Of Chicago Fire $513.75

City Of Chicago Fire $6.50

City Of Chicago Fire $1,111.32

City Of Chicago Fire $6.50

City Of Chicago Fire $555.66

City Of Chicago Fire $6.50

City Of Chicago Fire $435.17

City Of Chicago Fire $6.50

City Of Chicago Fire $162.75

City Of Chicago Fire $404.82

City Of Chicago - Confidential

Page 72 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/19/2010 BROWN, ALICIA

12/22/2010 BROWN JR, EGNECHLES

01/12/2011 BRNE, BERNARD

02/14/2011 BRENNAN JR, JOSEPH

01/24/2011 BRAZEL, STEVEN

8749 8749 8801 8801 8801 8801 8801 8801 8801 8801 8731 8731 8731 8731 8731 8731 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8801 8801 8801

$6.50

$1,268.65

$708.50

$376.86

$55.41

$48.80

$6.50

$2.81

$478.50

$56.70

$5.98

$26.90

$191.14

$28.46

$283.40

$202.43

$6.50

$8.61

$336.85

$77.59

$6.50

$1,924.20

$6.50

$49.18

$3,193.49

$6.50

$81.61

$284.39

$6.50

$7.27

$35.97

$6.50

$337.00

City Of Chicago - Confidential

Page 73 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 02/04/2011 02/04/2011 02/04/2011 02/04/2011 03/05/2011 03/05/2011 09/01/2010 02/21/2011 02/21/2011 02/21/2011

BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BEZAZIAN, STEPHEN BEZAZIAN, STEPHEN BEZAZIAN, STEPHEN BEZAZIAN, STEPHEN BEHLAND, NICHOLAS BEHLAND, NICHOLAS BEHLAND, ANTHONY BEASON, DAVE BEASON,DAVE BEASON,DAVE

8763 8763 8763 8763 8763 8763 8763 8763 8811 8811 8811 8811 8750 8750 8819 8728 8728 8728

$177.84

$6.50

$6.82

$6.50

$167.96

$9.08

$6.50

$158.08

$2.27

$4.54

$83.98

$6.50

$3.41

$88.92

$6.50

$180.00

$6.50

$180.00

$6.50

$180.00

$6.50

$400.50

$6.50

$101.70

$6.50

$65.00

$10,205.24

$1.27

$6.50

$104.59

City Of Chicago - Confidential

Page 74 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/21/2011 02/21/2011 02/21/2011 02/21/2011 08/22/2010 08/22/2010 08/22/2010 08/22/2010 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 01/05/2011 02/17/2011 02/17/2011

BEASON, DAVE BEASON, DAVE BEASON, DAVE BEASON, DAVE BATKA JR, BRADLEY BATKAJR, BRADLEY BATKAJR, BRADLEY BATKA JR, BRADLEY BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, GARY BASIC, KATRINA BASIC, KATRINA

8728 8728 8728 8728 8801 8801 8801 8801 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8811 8749 8749

$19.93

$6.50

$954.86

$17.46

$5,098.81

$6.50

$293.18

$113.75

$6.50

$223.32

$6.50

$92.27

$6.50

$227.34

$6.50

$5.81

$1,079.40

$6.50

$21.28

$187.11

$6.50

$4.78

$40.88

$6.50

$1,859.94

$6.50

$47.53

$92.27

$6.50

$335.49

$13.30

$117.66

$7.23

City Of Chicago - Confidential

Page 75 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/17/2011 02/17/2011 02/17/2011 02/17/2011 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 05/06/2004 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010

BASIC, KATRINA BASIC, KATRINA BASIC, KATRINA BASIC, KATRINA BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK Alicea, Raymond AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO

8749 8749 8749 8749 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 F

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

00407

S6.50

$283.07

$3.00

$6.50

$2.30

$6.50

$120.06

$6.50

$702.00

$17.25

$190.98

$1,425.00

$6.50

$1,233.20

$6.50

$17.19

$1,536.86

$6.50

$18.60

$73.71

$6.50

$0.89

$176.12

$6.50

$17.36

$73.71

$6.50

$0.89

$96.62

$6.50

$1.17

$693.76

City Of Chicago - Confidential

Page 76 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 01/23/2011 01/23/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010

AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AUGUSTINE, MARC AUGUSTINE, MARC ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8749 8749 8735 8735 8735 8735 8735 8735 8735 8735

$6.50

$8.40

$176.12

$6.50

$17.36

$174.36

$6.50

$17.19

$176.12

$6.50

$17.36

$174.36

$6.50

$193.00

$7.10

$1,975.00

$6.50

$140.60

$6.50

$13.18

$816.35

$252.51

$332.30

$6.50

$4.03

$6.50

$1.17

$6.50

City Of Chicago - Confidential

Page 77 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

09/12/2010 09/12/2010 09/12/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010

ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON, TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON, TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON, TODD ANDERSON,TODD ANDERSON, TODD

8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745

$96.62

$6.50

$64.66

$6.50

$129.32

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$236.50

$6.50

$3.47

$234.14

$3.44

$997.70

$6.50

$64.70

$1,676.43

$6.50

$108.74

$703.28

$6.50

$45.62

$89.12

$6.50

$1.31

$1,324.79

$6.50

$85.93

City Of Chicago - Confidential

Page 78 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011

ANDERSON, TODD ANDERSON, TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN,MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK ALTMAN, MARK

8745 8745 8745 8745 8745 8745 8745 8745 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817

$409.74

$6.50

$6.02

$175.60

$6.50

$2.58

$1,280.95

$2,561.90

$3,386.25

$6.50

$118.67

$222.79

$6.50

$9.04

$199.75

$6.50

$8.11

$54.80

$6.50

$744.00

$6.50

$129.69

$17.54

$6.50

$9.95

$221.42

$6.50

$12.73

$19.93

$408.88

$6.50

$14,058.41

$6.50

City Of Chicago - Confidential

Page 79 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/02/2011

Number Total: 2608

AGUINAGA, JAMES

Amount $900,853.94

Insured Namel: City Of Chicago Police

11/09/2010 ZONIS, PIERRE 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 01/18/2011 01/18/2011 01/18/2011 09/18/2010

ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZOLDAN,ANTON ZOLDAN, ANTON ZOLDAN, ANTON ZEPEDA, GERARDO

8733 8733 8733 8733 8733

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286

015 015 015

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police

$209.69

$6.50

$54.31

$6.50

$54.94

$236.50

$6.50

$3.41

$6.50

$3.47

$236.50

$6.50

$3.47

$177.38

$6.50

$2.60

$236.50

$6.50

$3.47

$236.50

$6.50

$3.47

$177.38

$6.50

$2.60

$232.01

$958.80

$6.50

$14.07

$92.63

City Of Chicago - Confidential

Page 80 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010

ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZEPEDA, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS, ZDANYS,

GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO GERARDO DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A DAVID A

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023

$6.50

$1.85

$342.50

$6.50

$768.07

$6.50

$280.23

$6.50

$280.23

$6.50

$975.61

$6.50

$300.97

$6.50

$918.43

$16.68

$36.29

$311.60

$6.50

$12.49

$274.68

$6.50

$11.33

$602.16

$6.50

$25.70

$301.08

$6.50

$12.85

$2,108.63

$6.50

$681.91

$6.50

City Of Chicago - Confidential

Page 81 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 01/14/2011 01/14/2011 01/14/2011 12/29/2009 12/29/2009 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 04/12/2010 04/12/2010 04/12/2010

ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZDANYS, DAVID A ZAPATA, JOSHUA ZAPATA, JOSHUA ZAPATA, JOSHUA ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALEWSKI, MARK ZALEWSKI, MARK ZALEWSKI, MARK

9161

023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 314 314 314

016 016 016

City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli

$25.46

$203.40

$6.50

$482.03

$6.50

$347.66

$6.50

$312.86

$6.50

$13.89

$278.03

$6.50

$12.13

$367.29

$6.50

$31.14

$6.50

$767.27

$80.00

$6.50

$206.28

$6.50

$8.43

$6.50

$17,040.44

$14.24

$6.50

$1,642.90

$31.00

$3.47

$90.07

$6.50

City Of Chicago - Confidential

Page 82 of 257

Incident Date Claimant Rank

04/12/2010 ZALEWSKI, MARK 9161

Unit of_Insured_Total to be Paid

016 City Of Chicago Police $ 1.09

016 City Of Chicago Police $236.50

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.47

016 City Of Chicago Police $236.50

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.47

016 City Of Chicago Police $213.86

016 City Of Chicago Police $6.50

016 City Of Chicago Police $213.86

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.14

016 City Of Chicago Police $265.00

016 City Of Chicago Police $6.50

016 City Of Chicago Police $34.47

016 City Of Chicago Police $194.17

016 City Of Chicago Police $6.50

016 City Of Chicago Police $2.85

016 City Of Chicago Police $213.86

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.14

016 City Of Chicago Police $251.60

016 City Of Chicago Police $6.50

016 City Of Chicago Police $233.55

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.43

016 City Of Chicago Police $196.13

016 City Of Chicago Police $6.50

016 City Of Chicago Police $2.88

016 City Of Chicago Police $196.13

016 City Of Chicago Police $6.50

016 City Of Chicago Police $2.88

City Of Chicago - Confidential

Incident Date Claimant Rank

04/12/2010 ZALEWSKI, MARK 9161

02/17/2011 ZAHLMANN, KRISTINE 3286

01/08/2007 Woznicki, Robert A P

Unit of_Insured_Total to be Paid

016 City Of Chicago Police $87.81

016 City Of Chicago Police $6.50

016 City Of Chicago Police $1.29

016 City Of Chicago Police $196.13

016 City Of Chicago Police $6.50

016 City Of Chicago Police $2.88

016 City Of Chicago Police $236.50

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.47

016 City Of Chicago Police $87.81

016 City Of Chicago Police $6.50

016 City Of Chicago Police $1.29

016 City Of Chicago Police $196.13

016 City Of Chicago Police $6.50

016 City Of Chicago Police $2.88

016 City Of Chicago Police $236.50

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.47

016 City Of Chicago Police $236.50

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.47

016 City Of Chicago Police $213.86

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.14

016 City Of Chicago Police $236.50

016 City Of Chicago Police $6.50

010 City Of Chicago Police $679.51

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.64

010 City Of Chicago Police $382.92

010 City Of Chicago Police $6.50

010 City Of Chicago Police $17.36

00016 City Of Chicago Police $1,805.37

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

01/08/2007 Woznicki, Robert A

09/17/2007 Warren-Purdiman, Pamela L

01/28/2011 WOOTEN, YVETTE

01/23/2011 WOODALL, JONATHAN

02/12/2011 WOLOWICZ, RICHARD

11/29/2010 WOJTASIK, JAY

P P P P

Sgt

3286

9161

00016

00018

018

024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024

lice lice ilice lice ilice lice lice ilice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$1,805.37

$148.50

$0.57

$6.50

$1,249.98

$6.50

$296.90

$24.48

$207.41

$6.50

$20.44

$248.25

$6.50

$24.48

$101.70

$6.50

$217.88

$6.50

$21.48

$6.50

$248.25

$6.50

$24.48

$190.61

$6.50

$18.78

$238.32

$6.50

$23.49

$215.22

$6.50

City Of Chicago - Confidential

Page 85 of 257

Incident Date Claimant

Rank

Unit of

11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010

WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

Insured

Total to be Paid

$21.22

$167.51

$6.50

$16.51

$195.51

$6.50

$19.27

$238.32

$6.50

$238.32

$6.50

$23.49

$190.72

$6.50

$18.80

$190.82

$6.50

$23.49

$238.32

$6.50

$23.49

$167.62

$6.50

$16.53

$197.23

$6.50

$6.48

$146.97

$6.50

$4.83

$123.02

$6.50

$21.22

City Of Chicago - Confidential

Page 86 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

$170,91

$6.50

$16.84

$190.72

$6.50

$18.80

$18.81

$238.42

$6.50

$23.50

$6.50

$4.04

$190.61

$6.50

$18.78

$280.32

$6.50

$27.64

$171.01

$6.50

$16.85

$215.22

$6.50

$21.22

$39.10

$6.50

$1.59

$215.11

$6.50

$21.20

$215.22

$191.13

$6.50

City Of Chicago - Confidential

Page 87 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

WOJTASIK WOJTASIK WOJTASIK WOJTASIK, WOJTASIK WOJTASIK, WOJTASIK WOJTASIK WOJTASIK WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK WOJTASIK WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK WOJTASIK WOJTASIK WOJTASIK, WOJTASIK, WOJTASIK, WOJTASIK

, JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY , JAY

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

City Of Chicago Pol City Of Chicago Po' City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po

lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$18.84

$214.02

$6.50

$21.11

$955.38

$6.50

$38.78

$238.32

$6.50

$23.49

$238.32

$6.50

$23.49

$194.33

$6.50

$190.61

$6.50

$18.78

$238.32

$6.50

$19.15

$262.82

$6.50

$25.91

$23.49

$194.44

$6.50

$19.17

$238.32

$6.50

$23.49

$171.01

$6.50

City Of Chicago - Confidential

Page 88 of 257

Incident Date Claimant Rank

11/29/2010 WOJTASIK, JAY 9161

10/18/2010 WOJTAN, KENNETH 9161

01/28/2011 WO, RANDALL Det

Unit of_Insured_Total to be Paid

City Of Chicago Police $16.85

City Of Chicago Police $190.72

City Of Chicago Police $6.50

City Of Chicago Police $18.80

005 City Of Chicago Police $689.43

005 City Of Chicago Police $165.83

005 " City Of Chicago Police $18.80

005 City Of Chicago Police $6.50

005 City Of Chicago Police $323.57

005 City Of Chicago Police $6.50

005 City Of Chicago Police $25.08

005 City Of Chicago Police $363.30

650 City Of Chicago Police $6.50

650 City Of Chicago Police $20.44

650 City Of Chicago Police $195.62

650 City Of Chicago Police $6.50

650 City Of Chicago Police $19.29

650 City Of Chicago Police $77.59

650 City Of Chicago Police $6.50

650 City Of Chicago Police $251.62

650 City Of Chicago Police $6.50

650 City Of Chicago Police $14.47

650 City Of Chicago Police $61.24

650 City Of Chicago Police $6.50

650 City Of Chicago Police $101.70

650 City Of Chicago Police $6.50

650 City Of Chicago Police $1,954.97

650 City Of Chicago Police $6.50

650 City Of Chicago Police $49.96

650 City Of Chicago Police $125.37

650 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 89 of 257

Incident Date Claimant

Rank

Unit of

Insured

City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol

Total to be Paid

01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010

WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL ' WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WO, RANDALL WITULSKI, TODD WITULSKI, TODD WITULSKI, TODD WITULSKI, TODD WITULSKI, TODD WITULSKI, TODD

Det

9161

650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650 650

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$19.39

$195.62

$6.50

$19.29

$77.59

$6.50

$195.62

$6.50

$19.29

$218.82

$6.50

$21.57

$232.00

$6.50

$0.46

$195.62

$207.41

$6.50

$177.18

$19.29

$6.50

$195.62

$19.29

$6.50

$19.29

$195.62

$441.25

$6.50

$41.52

$6.50

$207.59

$6.50

City Of Chicago - Confidential

Page 90 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/07/2010 07/07/2010 07/07/2010 07/07/2010 07/07/2010 07/07/2010 06/28/2010 06/28/2010 06/28/2010 12/13/2010 12/13/2010 09/03/2009 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 01/29/2011 01/29/2011 01/29/2011

WINTERS, MALAKIA WINTERS, MALAKIA WINTERS, MALAKIA WINTERS, MALAKIA WINTERS, MALAKIA WINTERS, MALAKIA WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILLIAMS, TERESA WILLIAMS, TERESA WILLIAMS, RICKEY WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, MELISSA WILLIAMS, LUNYE WILLIAMS, LUNYE WILLIAMS, LUNYE

Pol Poli

9161 9161 9161 9171 9171 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

008 008 008

006 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002

City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol; City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol

$6.50

$1,118.09

$2,174.00

$6.50

$2,107.21

$6.50

$141.91

$6.50

$2.08

$1,021.51

$6.50

$4,775.00

$13.91

$503.75

$6.50

$15.79

$617.59

$6.50

$443.78

$6.50

$749.42

$24.06

$6.50

$767.62

$6.50

$220.18

$443.78

$6.50

$13.91

$96.62

$6.50

$1.17

City Of Chicago - Confidential

Page 91 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/29/2011 WILLIAMS, LUNYE

06/06/2010 WILLIAMS, KELLI

02/07/2011 WILLIAMS, CHARICE

08/18/2010 WILLIAMS, BENNY

08/07/2010 WILKOSZEWSKI, MICHELE

11/10/2010 WILKE, RAYMOND

09/26/2010 WIGLEY, KEEYNAN

9161 9161 9161 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 016 016 016 022 022 022 022

$435.17

$6.50

$258.71

$409.73

$6.50

$4.96

$1.16

$6.50

$95.65

$88.90

$25.81

$73.62

$87.19

$6.50

$1,416.87

$6.50

$907.21

$6.50

$269.88

$11.96

$6.50

$207.59

$6.50

$433.18

$6.50

$223.16

$6.50

$171.24

$6.50

$290.59

$6.50

$172.98

City Of Chicago - Confidential

Page 92 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicagi City Of Chicago City Of Chicago City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po; City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010

WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY, WIGLEY,

KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN KEEYNAN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$340.73

$6.50

$280.21

$6.50

$389.20

$6.50

$335.49

$6.50

$230.64

$6.50

$288.30

$6.50

$335.49

$6.50

$162.51

$6.50

$288.30

$6.50

$272.59

$6.50

$351.20

$6.50

$83.67

$6.50

$1.01

$292.85

$6.50

$3.54

$83.67

$6.50

$1.01

$83.67

City Of Chicago - Confidential

Page 93 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po

09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 02/19/2011 02/19/2011 02/19/2011 02/19/2011 02/19/2011 02/12/2011 02/12/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 01/16/2010 12/11/2009 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 07/30/2010 07/30/2010 07/30/2010

WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WHITE, SCOTT WHITE, SCOTT WHITE, SCOTT WHITE, SCOTT WHITE, SCOTT WHITE, MARK WHITE, MARK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WETZEL, DAVID WESTON, ROBERT WEST, KENNETH WEST, KENNETH WEST, KENNETH WEST, KENNETH WEST, KENNETH WESSELHOFF, MARK WESSELHOFF, MARK WESSELHOFF, MARK

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161

050 014 014 014 014 014 314 314 314

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$1.01

$88.22

$6.50

$230.64

$290.69

$25.20

$6.50

$985.99

$6.50

$1,339.88

$6.50

$89.12

$6.50

$52.00

$20.23

$6.50

$791.33

$5.31

$1.31

$361.73

$6.50

$1,572.64

$1,368.51

$6.50

$0.77

$199.30

$6.50

$18.73

$1.01

$190.82

$6.50

City Of Chicago - Confidential

Page 94 of 257

Incident Date Claimant Rank

07/30/2010 WESSELHOFF, MARK 9161

02/04/2011 WENDLANDT, JAMES 3286

10/15/2010 WEATHERSBY LEE, KAREN 9161

Unit of_Insured_Total to be Paid

314 City Of Chicago Police $18.81

314 City Of Chicago Police $190.82

314 City Of Chicago Police $6.50

314 City Of Chicago Police $18.81

314 City Of Chicago Police $190.82

314 City Of Chicago Police $6.50

314 City Of Chicago Police $18.81

314 City Of Chicago Police $190.82

314 City Of Chicago Police $6.50

314 City Of Chicago Police $18.81

314 City Of Chicago Police $190.82

314 City Of Chicago Police $6.50

314 City Of Chicago Police $18.81

314 City Of Chicago Police $190.82

314 City Of Chicago Police $6.50

314 City Of Chicago Police $ 18.81

314 City Of Chicago Police $6.50

314 City Of Chicago Police $83.67

314 City Of Chicago Police $14.11

314 City Of Chicago Police $6.50

314 City Of Chicago Police $143.12

314 City Of Chicago Police $18.81

314 City Of Chicago Police $190.82

314 City Of Chicago Police $6.50

009 City Of Chicago Police $6.50

009 City Of Chicago Police $314.52

009 City Of Chicago Police $3.87

009 City Of Chicago Police $6.50

009 City Of Chicago Police $13.18

009 City Of Chicago Police $106.56

009 City Of Chicago Police $6.50

009 City Of Chicago Police $135.92

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 95 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/15/2010 WEATHERSBY LEE, KAREN

01/04/2011 WALTER, SAJIT

01/01/2011 WALLACE, JLYNN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol

lice lice lice lice lice lice dice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice

$22.32

$829.07

$6.50

$26.69

$631.98

$6.50

$23.92

$562.26

$6.50

$1.30

$143.42

$6.50

$372.09

$23.12

$6.50

$628.64

$1.74

$625.28

$6.50

$16.93

$535.61

$6.50

$26.18

$293.10

$6.50

$13.48

$2,175.36

$6.50

$35.29

$951.38

$329.28

City Of Chicago - Confidential

Page 96 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 12/08/2010 12/08/2010 12/08/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010

WALLACE, JLYNN WALLACE, JLYNN WALLACE, JLYNN WALLACE, JLYNN WALLACE, JLYNN WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALKER, LISA WALKER, LISA WALKER, LISA WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

153 153 153 153 153 153 025 025 025

lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$4.87

$3.13

$5.59

$6.50

$981.79

$25.60

$26.40

$6.50

$1.52

$1.47

$6.50

$13.20

$516.42

$6.50

$21.04

$227.54

$6.50

$9.38

$200.63

$6.50

$7.53

$252.63

$6.50

$10.52

$271.11

$6.50

$12.05

$9.06

$219.11

$96.62

$6.50

$505.26

City Of Chicago - Confidential

Page 97 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po^:City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po^!

12/06/2010 12/06/2010 01/03/2011 01/03/2011 01/09/1997 01/09/1997 01/09/1997 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 06/25/2010 06/25/2010 06/25/2010 08/14/2010 08/14/2010 08/14/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010

WALKER, KYLE WALKER, KYLE WAGNER, MATTHEW WAGNER, MATTHEW Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H VO, KELLY VO, KELLY VO, KELLY VO, KELLY VO, KELLY VO, KELLY VO, KELLY VO, KELLY VO, KELLY VO, KELLY VO, KELLY VO, KELLY VINCENT, MAUREEN VINCENT, MAUREEN VINCENT, MAUREEN VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO

9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044

09999

014

153

lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$1.17

$6.50

$193.00

$5,604.48

$5,121.25

$5,604.48

$105.48

$202.87

$18.16

$665.91

$6.50

$144.35

$5.18

$6.50

$4,127.71

$17.02

$6.50

$7.38

$6.50

$50.92

$5.73

$6.50

$19.08

$6.50

$515.83

$305.16

$348.01

$6.50

$13,617.75

$424.59

$6.50

City Of Chicago - Confidential

Page 98 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/25/2010 VERDIN, ROBERTO

10/22/2010 VAZQUEZ, DANIEL

07/02/2010 VALERIO, MAGDALENA

11/24/2010 UNDERWOOD JR, COLLIS

9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044

153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153

City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po! City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po! City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po^!

lice lice lice lice ilice ilice lice lice lice ilice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$8,409.76

$6.50

$26.04

$79.31

$6.50

$293.69

$533.61

$6.50

$84.92

$96.62

$1.17

$8.34

$262.09

$6.50

$9.43

$222.68

$6.50

$8.34

$274.68

$6.50

$11.33

$549.36

$6.50

$22.66

$609.33

$6.50

$24.54

$334.65

$6.50

$13.21

$824.04

$6.50

City Of Chicago - Confidential

Page 99 of 257

Incident Date Claimant Rank

11/24/2010 UNDERWOOD JR, COLLIS 9161

Unit of_Insured_Total to be Paid

153 City Of Chicago Police $33.99

153 City Of Chicago Police $549.36

153 City Of Chicago Police $6.50

153 City Of Chicago Police $22.66

153 City Of Chicago Police $101.70

153 City Of Chicago Police $6.50

153 City Of Chicago Police $68.15

153 City Of Chicago Police $6.50

153 City Of Chicago Police $262.09

153 City Of Chicago Police $6.50

153 City Of Chicago Police $9.43

153 City Of Chicago Police $321.46

153 City Of Chicago Police $6.50

153 City Of Chicago Police $101.70

153 City Of Chicago Police $6.50

153 City Of Chicago Police $11.29

153 City Of Chicago Police - $264.21

153 City Of Chicago Police $6.50

153 City Of Chicago Police $9.64

153 City Of Chicago Police $264.21

153 City Of Chicago Police $6.50

153 City Of Chicago Police $9.64

153 City Of Chicago Police $222.68

153 City Of Chicago Police $6.50

153 City Of Chicago Police $8.34

153 City Of Chicago Police $222.68

153 City Of Chicago Police $6.50

153 City Of Chicago Police $8.34

153 City Of Chicago Police $222.68

153 City Of Chicago Police $6.50

153 City Of Chicago Police $8.34

153 City Of Chicago Police $332.35

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

11/24/2010 UNDERWOOD JR, COLLIS

10/22/2010 ULDRYCH, MELISSA

02/26/2011 TORRES, THERESA

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

153 153 153 153 153 153 153 153 153 153

$505.33

$6.50

$18.56

$68.15

$6.50

$32.00

$6.50

$1.84

$222.68

$6.50

$496.45

$6.50

$23.50

$6.50

$238.42

$22.60

$6.50

$229.22

$23.50

$6.50

$238.42

$9.34

$6.50

$162.40

$8.13

$6.50

$210.00

$229.22

$6.50

$22.60

$32.00

$1.84

City Of Chicago - Confidential

Page 101 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/26/2011 02/26/2011 02/26/2011 01/13/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 07/06/2010 07/06/2010 07/06/2010 07/06/2010 07/06/2010 07/06/2010 07/06/2010 07/06/2010 07/06/2010 12/16/2010 12/16/2010 12/16/2010 08/08/2010 08/08/2010

TORRES, THERESA TORRES,THERESA TORRES, THERESA TORRES, ROMAN TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TORRES, MARCO TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD THOMPSON, CRAIG THOMPSON, CRAIG THOMPSON, CRAIG THOMAS, BRIAN THOMAS, BRIAN

3286 3286 3286 3286 3956 3956 3956 3956 3956 3956 3956 3956 3956 3956 3956 3956 3956 3956 3956 9201 9201 9201 9201 9201 9201 9201 9201 9201 9161 9161 9161 9161 9161

153 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 177 177 177 177 177 177 177 177 177

253 253

City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol

$207.41

$6.50

$20.44

$11.15

$6.50

$3,240.43

$0.49

$6.50

$19.15

$28.85

$6.50

$129.35

$5.36

$6.50

$209.70

$16.01

$6.50

$626.54

$82.82

$48.95

$1,215.64

$6.50

$49.30

$650.24

$6.50

$26.39

$1,206.65

$6.50

$9.52

$7.24

$6.50

$207.59

$6.50

City Of Chicago - Confidential

Page 102 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/18/2011 01/18/2011 01/18/2011 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 02/06/2000 02/04/2011 06/19/2010 06/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010

THEODORE, PETER THEODORE, PETER THEODORE, PETER TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC Sullivan, James SZURA, WILLIAM SWALINA, DAVID SWALINA, DAVID SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA

3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 P

3295 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

00009

055

005

016

City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol City Of Chicago Pol

$293.10

$6.50

$13.48

$6.50

$749.65

$6.50

$340.75

$6.50

$340.75

$6.50

$885.95

$6.50

$3,944.23

$1,006.48

$6.50

$681.50

$803.60

$7,053.62

$6.50

$2,777.33

$18.46

$6.50

$20.10

$6.50

$8.68

$6.50

$77.59

$13.02

$6.50

$132.09

$8.68

$6.50

$88.06

City Of Chicago - Confidential

Page 103 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/19/2010 10/19/2010 10/19/2010 10/19/2010 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011

SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SURMA, THOMAS SURMA, THOMAS SURMA, THOMAS SURMA, THOMAS SURMA, THOMAS SURMA, THOMAS SURMA, THOMAS SURMA, THOMAS SURMA, THOMAS SULLIVAN, DANIEL SULLIVAN, DANIEL SULLIVAN, DANIEL SULLIVAN, DANIEL SULLIVAN, DANIEL SULLIVAN, DANIEL SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD

9161

Sgt

016 016 016 016 191 191 191 191 191 191 191 191 191 008 008 008 008 008 008

$88.06

$132.09

$6.50

$13.02

$6.50

$9.72

$36.21

$6.50

$157.10

$15.31

$6.50

$14.72

$7.29

$6.50

$88.07

$6.50

$110.09

$6.50

$21.02

$166.71

$6.50

$16.43

$2.82

$6.50

$232.40

$1.52

$6.50

$125.69

$40.53

$110.47

$6.50

$4,323.08

City Of Chicago - Confidential

Page 104 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 06/09/2010

SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STOREY, MILTON

Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt Sgt

9168

059

City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli

ice ce ce ice ce ice ice ce ice ice ce ice ice ice ice ice ice ice ce ice ice ice ce ice ice ce ice ce ce ice ce ice ice

$23.31

$1.25

$6.50

$103.12

$21.36

$6.50

$836.00

$17.35

$6.50

$176.04

$110.00

$6.50

$204.04

$16.85

$6.50

$171.01

$20.11

$6.50

$204.04

$20.11

$170.06

$6.50

$16.77

$170.06

$6.50

$16.77

$6.50

$200.82

$96.62

$6.50

$1.17

$7,858.27

$3,921.15

City Of Chicago - Confidential

Page 105 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 01/04/2011 01/04/2011 01/04/2011 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 11/02/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010

STOJAK, EDWIN STOJAK, EDWIN STOJAK, EDWIN STOJAK, EDWIN STOJAK, EDWIN STILES, LAURENCE STILES, LAURENCE STILES, LAURENCE STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STARK, ADAM

STAPLETON I STAPLETON I STAPLETON |: STAPLETONI STAPLETONI STAPLETONI STAPLETON I!

II, JOHN II, JOHN II, JOHN II, JOHN II, JOHN II, JOHN II, JOHN

9161

014 014 014 014 014 153 153 153 006 006 006 006 006 006 006 006 006 006 006 006

City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli

$391.50

$679.46

$17.37

$6.50

$815.32

$33.10

$6.50

$356.42

$6.50

$8.23

$6.50

$202.84

$16.42

$6.50

$166.60

$6.50

$674.58

$591.56

$6.50

$1,878.23

$2,366.27

$1,004.60

$19,468.78

$2,554.03

$77.85

$338.42

$6.50

$17.08

$449.03

$6.50

$22.67

$592.59

City Of Chicago - Confidential

Page 106 of 257

Incident Date Claimant

Rank

Unit of

Insured

City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Pol City Of Chicago Pol City Of Chicago Pa City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

Total to be Paid

12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010

STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN STAGGERS, ENID ' STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$29.92

$141.99

$6.50

$1.72

$54.86

$6.50

$0.66

$87.66

$6.50

$1.06

$34.20

$6.50

$0.41

$87.66

$6.50

$1.06

$129.48

$6.50

$1.57

$6.50

$56.56

$6.50

$104.35

$6.50

$291.96

$163.76

$6.50

$523.61

$6.50

$177.18

$1.17

$6.50

City Of Chicago - Confidential

Page 107 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 03/01/2010 03/01/2010 03/01/2010

STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY STACKER, GREGORY SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 005

City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol ■ City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol

$96.62

$17.42

$6.50

$89.29

$10.15

$6.50

$74.86

$6.50

$5.61

$6.50

$10.62

$5.85

$6.50

$11.04

$79.95

$6.50

$343.98

$173.16

$6.50

$5,391.54

$22.98

$6.50

$399.65

$5.50

$6.50

$135.46

$3.04

$96.00

$6.50

$180.23

$7.32

$6.50

City Of Chicago - Confidential

Page 108 of 257

Incident Date Claimant Rank

09/28/2010 SORENSEN, STEPHANIE

12/19/2010 SNYDER, JEREMY 9161

03/14/2009 SNYDER, FREDERICK 9161

01/03/2011 SLECHTER, ROBERT 9161

06/11/2010 SIMMONS, KAREN 9161

12/14/2010 SILER SR, CHAVEZ 9161

01/21/2011 SHILNEY, JOHN 3608

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.02

City Of Chicago Police $300.80

153 City Of Chicago Police $586.81

153 City Of Chicago Police $26.40

153 City Of Chicago Police $6.50

153 City Of Chicago Police $1.52

153 City Of Chicago Police $ 10.21

153 City Of Chicago Police $6.50

153 City Of Chicago Police $23.82

153 City Of Chicago Police $196.60

153 City Of Chicago Police $6.50

189 City Of Chicago Police $2,033.34

011 City Of Chicago Police $6.50

011 City Of Chicago Police $209.69

023 City Of Chicago Police $2,369.43

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.62

044 City Of Chicago Police $467.06

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.19

044 City Of Chicago Police $146.47

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.69

044 City Of Chicago Police $174.36

044 City Of Chicago Police $6.50

044 City Of Chicago Police $17.19

044 City Of Chicago Police $626.05

044 City Of Chicago Police $6.50

044 City Of Chicago Police $174.37

044 City Of Chicago Police $6.50

044 City Of Chicago Police $17.19

044 City Of Chicago Police $113.82

189 City Of Chicago Police $11.92

City Of Chicago - Confidential

Page 109 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/21/2011 01/21/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011

SHILNEY, JOHN SHILNEY, JOHN SHERLOCK, JAMES SHERLOCK, JAMES SHERLOCK, JAMES SHERLOCK, JAMES SHERLOCK, JAMES SHERLOCK, JAMES SHERLOCK, JAMES SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER

3608 3608 3248 3248 3248 3248 3248 3248 3248 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

189 189 610 610 610 610 610 610 610

$30.44

$44.51

$47.98

$1,356.60

$6.50

$23.44

$82.60

$52.21

$6.50

$4.70

$83.67

$6.50

$1.01

$358.55

$6.50

$4.34

$298.79

$6.50

$3.61

$298.79

$6.50

$3.61

$358.55

$6.50

$4.34

$358.55

$6.50

$4.34

$83.67

$6.50

$1.01

$717.10

$6.50

City Of Chicago - Confidential

Page 110 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 08/27/2010 08/27/2010 03/04/2011 03/04/2011 09/21/2010 09/21/2010

SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEPLER, WALTER SHEARER, ERIK SHEARER, ERIK SESKI, WILLIAM SESKI, WILLIAM SERRANO,OSCAR SERRANO, OSCAR

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161

044 044

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol

ice ce ce ice ice ce ice ice ice ice ice ice ice ice ice ice ce ice ice ice ce ice ice ce ice ice ce ice ce ice ice ce ice

$8.68

$627.48

$6.50

$7.59

$298.79

$6.50

$3.61

$257.58

$6.50

$48.05

$239.04

$6.50

$2.89

$298.79

$6.50

$3.61

$83.67

$6.50

$1.01

$298.79

$6.50

$3.61

$435.95

$6.50

$5.28

$388.43

$6.50

$515.17

$2,718.30

$6.50

$1.17

$6.50

City Of Chicago - Confidential

Page 111 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/21/2010

09/30/2010

01/05/2011

01/23/2011

01/23/2011.

01/23/2011

SERRANO,OSCAR SEGRETI, MARGARET SEGRETI, MARGARET SEGRETI, MARGARET SEGRETI, MARGARET SEGRETI, MARGARET SEGRETI, MARGARET SEGRETI, MARGARET SEGRETI, MARGARET SCHWAB, JOHN SCHWAB, JOHN SCHWAB, JOHN SCHWAB, JOHN SCHWAB, JOHN SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW SCHALLER, MATTHEW

9161 9161 9161 9161 9161 9161 9161 9161 9161 9152 9152 9152 9152 9152 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

044

153 153 153 153 153

City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol; City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol; City Of Chicago Pol; City Of Chicago Pol

$96.62

$27.00

$2.07

$2.73

$106.70

$175.41

$30.84

$1,206.67

$621.86

$239.14

$6.50

$61.24

$24.09

$6.50

$2.77

$95.60

$6.50

$1.40

$6.50

$1.40

$158.86

$6.50

$2.33

$125.96

$6.50

$1.85

$95.60

$6.50

$1.40

$125.96

$6.50

City Of Chicago - Confidential

Page 112 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

01/23/2011 SCHALLER, MATTHEW

07/23/2010 SANFILIPPO, HEATHER

12/11/2010 SANCHEZ, ANGELO

3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice 'lice lice lice dice lice

$1.85

$95.60

$188.94

$2.77

$6.50

$188.94

$1.40

$95.60

$468.84

$6.50

$37.10

$6.50

$3.66

$589.60

$6.50

$866.76

$17.01

$665.42

$6.50

$30.79

$6.50

$291.75

$6.50

$173.00

$6.50

$351.25

$87.58

$6.50

$19.50

$6.50

$283.10

$6.50

$272.60

City Of Chicago - Confidential

Page 113 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

12/11/2010 SANCHEZ, ANGELO

02/16/2011 SANCHEZ JR, ORLANDO

11/07/2010 SAMMON, DANIEL

05/20/2010 SALVAGE, MICHAELYN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153

Poli Poli Poli

$6.50

$713.00

$6.50

$702.50

$6.50

$1,053.75

$6.50

$1,954.97

$6.50

$277.85

$12.08

$6.50

$98.45

$12.08

$6.50

$98.45

$6.50

$350.18

$101.68

$6.50

$262.43

$24.20

$109.03

$49.96

$6.50

$239.14

$6.50

$8.48

$56.56

$6.50

$23.30

$200.52

City Of Chicago - Confidential

Page 114 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 04/10/2009 04/10/2009 11/16/2010

SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALGADO, SALVADOR SALGADO, SALVADOR SAKO, DANIEL

Pol Poli

9161 9161

004 004

City Of Chicago City Of Chicago City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol; City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol; City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol; City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol; City Of Chicago Poll City Of Chicago Pol

$6.50

$20.48

$5.12

$229.40

$6.50

$1.50

$20.48

$76.81

$6.50

$4,014.47

$6.50

$69.83

$6.50

$1.78

$179.32

$6.50

$2.99

$117.00

$6.50

$2.99

$6.50

$587.13

$6.50

$353.94

$6.50

$1,542.39

$6.50

$149.46

$6.50

$10.77

$230.47

$6.50

$113.36

City Of Chicago - Confidential

Page 115 of 257

Incident Date Claimant Rank

11/16/2010 SAKO, DANIEL

11/21/2010 SAID.WASIM 9161

09/22/2010 RZEZINSKI, ARTHUR 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $18.85

City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.55

044 City Of Chicago Police $114.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $43.49

044 City Of Chicago Police $316.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $16.06 '

044 City Of Chicago Police $176.41

044 City Of Chicago Police $6.50

044 City Of Chicago Police $51.05

044 City Of Chicago Police $114.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $43.49

044 City Of Chicago Police $114.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $43.49

044 City Of Chicago Police $114.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $43.49

044 City Of Chicago Police $370.53

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.81

044 City Of Chicago Police $304.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $114.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $43.49

044 City Of Chicago Police $332.30

014 City Of Chicago Police $69.83

014 City Of Chicago Police $1.78

City Of Chicago - Confidential

Page 116 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/22/2010 RZEZINSKI, ARTHUR

10/01/2009 RUIZ, ORACIO

01/17/2011 RUHNKE, ERIK

09/08/2010 ROSAS, ANTONIO

01/21/2011 RONAN, RUTH

02/18/2011 RODRIGUEZ, MARCELO

09/10/2010 RODRIGUEZ, LYDIA

02/18/2011 RODRIGUEZ, LYDIA

9161 9171 3286 3286 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161

014 010

007 007 007 007 007

$6.50

$48.50

$6.50

$591.79

$12,206.65

$6.50

$443.30

$6.50

$147.76

$82.53

$6.50

$21.77

$6.50

$19.35

$209.69

$756.96

$5.60

$6.50

$381.44

$6.50

$4.59

$313.13

$6.50

$89.12

$18.66

$6.50

$549.54

$1.31

$1,312.55

$11.99

$6.50

$65.25

City Of Chicago - Confidential

Page 117 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol

02/18/2011

02/18/2011^c

02/18/2011

03/17/2010

11/11/2010

RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ,

LYDIA

JOSEPH

JOSE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 044 044 044 044 044 044 044 044

Poli Poli Pol

ce ce ce ce

ice ice ce ce ce ice ce ce ce ice ice ice ice ce ice ice ice ice ice ce ce ce ce ice ce ce ce ice ice

$6.50

$5.01

$6.50

$731.25

$6.50

$10.74

$477.02

$6.50

$7.00

$89.12

$6.50

$1.31

$215.52

$6.50

$7.46

$355.17

$218.09

$6.50

$50.28

$6.50

$2.42

$225.41

$6.50

$142.39

$39.14

$359.80

$325.45

$6.50

$12.92

$325.45

$6.50

$12.92

City Of Chicago - Confidential

Page 118 of 257

Incident Date Claimant Rank

11/11/2010 RODRIGUEZ, JOSE 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $351.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.44

044 City Of Chicago Police $351.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.44

044 City Of Chicago Police $351.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.44

044 City Of Chicago Police $325.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.92

044 City Of Chicago Police $150.97

044 City Of Chicago Police $6.50

044 City Of Chicago Police $44.16

044 City Of Chicago Police $6.50

044 City Of Chicago Police $20.88

044 City Of Chicago Police $157.10

044 City Of Chicago Police $6.50

044 City Of Chicago Police $35.48

044 City Of Chicago Police $325.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.92

044 City Of Chicago Police $239.87

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.57

044 City Of Chicago Police $311.94

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.86

044 City Of Chicago Police $239.87

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.57

044 City Of Chicago Police $31.50

City Of Chicago - Confidential

Page 119 of 257

Incident Date Claimant Rank

11/11/2010 RODRIGUEZ, JOSE 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.42

044 City Of Chicago Police $5.24

044 City Of Chicago Police $6.50

044 City Of Chicago Police $281.40

044 City Of Chicago Police $6 .50

044 City Of Chicago Police $10.87

044 City Of Chicago Police $239.87

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.57

044 City Of Chicago Police $28.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.18

044 City Of Chicago Police $299.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.45

044 City Of Chicago Police $273.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.93

044 City Of Chicago Police $599.70

044 City Of Chicago Police $6.50

044 City Of Chicago Police $22.90

044 City Of Chicago Police $291.87

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

044 City Of Chicago Police $31.50

044 City Of Chicago Police $7.10

044 City Of Chicago Police $351.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.44

044 City Of Chicago Police $342.65

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.10

City Of Chicago - Confidential

Page 120 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poi City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

11/11/2010 RODRIGUEZ, JOSE

02/28/2011 RODGERS, VONTHEA

01/17/2011 ROBINSON, SANDRA

01/26/2011 ROBINSON, REGINALD

12/27/2010 ROBINSON III, ALFRED

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161

044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

018 018 018 006 006 018 018 018

ilice ilice lice lice lice lice lice ilice lice ilice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$273.45

$6.50

$9.93

$273.45

$6.50

$9.93

$133.18

$6.50

$77.76

$325.45

$6.50

$12.92

$239.89

$6.50

$7.52

$310.32

$6.50

$13.14

$225.41

$310.33

$6.50

$2.65

$46.16

$6.50

$17.85

$82.53

$6.50

$21.77

$265.24

$6.50

$96.62

$6.50

$1.17

City Of Chicago - Confidential

Page 121 of 257

Incident Date Claimant

Rank

12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010

ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III, ROBINSON III,

ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

Unit of_Insured_Total to be Paid

018 City Of Chicago Police $684.44

018 City Of Chicago Police $6.50

018 City Of Chicago Police $328.57

018 City Of Chicago Police $190.72

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.80

018 City Of Chicago Police $190.72

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.80

018 City Of Chicago Police $268.57

018 City Of Chicago Police $6.50

018 City Of Chicago Police $28.89

018 . City Of Chicago Police $96.62

018 City Of Chicago Police $6.50

018 City Of Chicago Police $1.17

018 City Of Chicago Police $190.72

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.80

018 City Of Chicago Police $73.71

018 City Of Chicago Police $6.50

018 City Of Chicago Police $0.89

018 City Of Chicago Police $46.82

018 City Of Chicago Police $6.50

018 City Of Chicago Police $7.08

018 City Of Chicago Police $82.53

018 City Of Chicago Police $6.50

018 City Of Chicago Police $21.36

018 City Of Chicago Police $159.71

018 City Of Chicago Police $6.50

018 City Of Chicago Police $15.74

018 City Of Chicago Police $190.51

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

City Of Chicago - Confidential

Page 122 of 257

Incident Date Claimant_Rank

12/27/2010 ROBINSON III, ALFRED 9161

12/27/2010 ROBINSON 111, ALFRED 9161

12/27/2010 ROBINSON III, ALFRED 9161

Unit of_Insured_Total to be Paid

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $170.91.

018 City Of Chicago Police $6.50

018 City Of Chicago Police $16.84

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $96.62

018 City Of Chicago Police $6.50

018 City Of Chicago Police $1.17

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $170.91

018 City Of Chicago Police $6.50

018 City Of Chicago Police $16.84

018 City Of Chicago Police $190.72

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.80

018 City Of Chicago Police $190.72

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.80

City Of Chicago - Confidential

Page 123 of 257

Incident Date Claimant Rank

12/27/2010 ROBINSON III, ALFRED 9161

10/09/2010 RIZZO, DARREL 9161

Unit of Insured Total to be Paid

018 City Of Chicago Police $190.51

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $ 18.78

018 City Of Chicago Police $190.72

018 City Of'Chicago Police $6.50

018 City Of Chicago Police $18.80

018 City Of Chicago Police $190.82

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.81

018 City Of Chicago Police $190.72

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.80

019 City Of Chicago Police $73.38 019 City Of Chicago Police $85.04 019 City Of Chicago Police $6.50 019 City Of Chicago Police $6.50 019 City Of Chicago Police $159.61 019 City Of Chicago Police $6.50 019 City Of Chicago Police $141.55 019 City Of Chicago Police $6.50 019 City Of Chicago Police $141.55 019 City Of Chicago Police $6.50 019 City Of Chicago Police $2,017.04 019 City Of Chicago Police $6.50 019 City Of Chicago Police $115.98 019 City Of Chicago Police $1,125.00 019 City Of Chicago Police $6.50 019 City Of Chicago Police $86.25 019 City Of Chicago Police $1,603.76 019 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 124 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/09/2010 03/05/2011 03/05/2011 03/05/2011 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 04/20/2010 04/20/2010 04/20/2010 04/20/2010 03/02/2011 03/02/2011 03/02/2011 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010

RIZZO, DARREL RIVERA, JORGE RIVERA, JORGE RIVERA, JORGE RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIGAN, KRISTOPHER RIGAN, KRISTOPHER RIGAN, KRISTOPHER RIGAN, KRISTOPHER RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE

9161 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9165 9165 9165 9165 9165 9161 9161 9161 9161 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161

019 017 017 017 025 025 025 025 025 025 025 025 025 153 153 153 153 153

044 044 044

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

lice lice lice lice ilice lice lice lice lice ilice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice ilice lice

$28.67

$6.50

$2,962.42

$75.70

$192.38

$6.50

$73.40

$6.50

$495.00

$6.50

$280.56

$4,466.33

$38,880.27

$4,049.99

$34,300.00

$2,340.24

$6.50

$692.33

$175.41

$282.42

$6.50

$7.21

$58.41

$169.06

$6.50

$29.84

$227.64

$6.50

$34.45

$192.13

City Of Chicago - Confidential

Page 125 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poll City Of Chicago Pot City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

11/29/2010 RICHARDSON, SHANE

01/30/2011 RICHARDSON, CLIFFORD

01/13/2011 RHEIN, CHARLES

01/24/2011 REYES, RICARDO

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286 3286 3286 9171 9171

353 353

Poli Pol Poli

ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ice :ce ice ice ice ice ice ice ice ice ice ice ice ice ce ce ce

$6.50

$31.28

$60.00

$6.50

$67.47

$6.50

$730.77

$6.50

$351.70

$6.50

$192.13

$6.50

$31.28

$104.84

$6.50

$32.16

$6.50

$139.09

$6.50

$50.00

$262.96

$2.25

$3.18

$199.10

$6.50

$2.41

$247.28

$6.50

$2.99

$1,386.45

$6.50

$16.79

$326.60

City Of Chicago - Confidential

Page 126 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011

REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO REYES, RICARDO

$6.50

$1.84

$247.28

$6.50

$2.99

$247.28

$6.50

$2.99

$231.27

$6.50

$2.79

$314.74

$6.50

$3.82

$247.28

$6.50

$2.99

$351.88

$6.50

$4.26

$118.52

$6.50

$1.44

$226.29

$6.50

$2.73

$231.27

$6.50

$2.79

$481.03

$6.50

$100.48

$531.34

City Of Chicago - Confidential

Page 127 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010

REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES

RICARDO

LIZETTE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

013 013 013 013 013 013 013 013 013 013 013 013 013 013 013 013 013 013 013 013 013 013

$6.50

$6.42

$438.92

$6.50

$5.31

$490.67

$6.50

$5.94

$186.44

$6.50

$100.74

$6.50

$110.82

$6.50

$272.60

$6.50

$272.60

$6.50

$309.30

$6.50

$272.60

$6.50

$272.60

$6.50

$272.60

$6.50

$272.60

$6.50

$272.60

$6.50

$272.60

City Of Chicago - Confidential

Page 128 of 257

Incident Date Claimant Rank

01/31/2010 REYES, LIZETTE 9161

Unit of_Insured_Total to be Paid

013 City Of Chicago Police $6.50

013 City Of Chicago Police $272.60

013 City Of Chicago Police $6.50

013 City Of Chicago Police $272.60

013 City Of Chicago Police $6.50

013 City Of Chicago Police $272.60

013 City Of Chicago Police $6.50

013 City Of Chicago Police $272.60

013 City Of Chicago Police $6.50

013 City Of Chicago Police $272.60

013 City Of Chicago Police $6.50

013 City Of Chicago Police $241.15

013 City Of Chicago Police $6.50

013 City Of Chicago Police $241.15

013 City Of Chicago Police $6.50

013 City Of Chicago Police $272.60

013 City Of Chicago Police $6.50

013 City Of Chicago Police $309.30

013 City Of Chicago Police $6.50

013 City Of Chicago Police $272.60

013 City Of Chicago Police $6.50

013 City Of Chicago Police $241.15

013 City Of Chicago Police $6.50

013 City Of Chicago Police $204.45

013 City Of Chicago Police $6.50

013 City Of Chicago Police $241.15

013 City Of Chicago Police $6.50

013 City Of Chicago Police $204.45

013 City Of Chicago Police $6.50

013 City Of Chicago Police $204.45

013 City Of Chicago Police 56.50

013 City Of Chicago Police $88.07

013 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 129 of 257

Incident Date Claimant Rank

01/31/2010 REYES, LIZETTE 9161

02/18/2011 REIDY, BRIAN 3607

12/17/2010 REGAN, MICHAEL 9161

02/15/2011 REED, MICHELLE 3286

Unit of_Insured_Total to be Paid

013 City Of Chicago Police $88.07

013 City Of Chicago Police $6.50

013 City Of Chicago Police $110.82

284 City Of Chicago Police $6.50

284 City Of Chicago Police $193.84

284 City Of Chicago Police $936.01

284 City Of Chicago Police $6.50

284 City Of Chicago Police $ 1,727.07

284 City Of Chicago Police $3.01

284 City Of Chicago Police $6.50

284 City Of Chicago Police $435.72

284 City Of Chicago Police $41.38

284 City Of Chicago Police $6.50

284 City Of Chicago Police $524.11

284 City Of Chicago Police $9,859.04

284 City Of Chicago Police $6.50

284 City Of Chicago Police $620.34

284 City Of Chicago Police $6.50

284 City Of Chicago Police $42.89

284 City Of Chicago Police $610.63

284 City Of Chicago Police $6.50

284 City Of Chicago Police $24.99

284 City Of Chicago Police $52.00

284 City Of Chicago Police $6.50

City Of Chicago Police $56.56

City Of Chicago Police $10.38

City Of Chicago Police $6.50

007 City Of Chicago Police $72.81

007 City Of Chicago Police $6.50

007 City Of Chicago Police $209.69

007 City Of Chicago Police $6.50

007 City Of Chicago Police $28.34

City Of Chicago - Confidential

Page 130 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/15/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011

REED, MICHELLE RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAINES, THOMAS RAINES, THOMAS RAINES, THOMAS RAINES, THOMAS RAINES, THOMAS RAINES, THOMAS RAINES, THOMAS RAINES, THOMAS RAINES, THOMAS RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN RAICA, KRISTEN

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

007 044 044 044 044 044 044 044 044 044 044 044

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

lice ilice lice ilice lice ilice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$492.91

$23.04

$511.63

$6.50

$25.60

$6.50

$48.16

$856.60

$6.50

$1,357.73

$1.47

$6.50

$137.49

$6.87

$6.50

$119.57

$21.32

$6.50

$7.90

$370.64

$285.86

$12.20

$3.46

$214.16

$6.50

$2.59

$780.61

$6.50

$19.95

$6.50

$123.79

$11.82

City Of Chicago - Confidential

Page 131 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago F City Of Chicago F City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

01/22/2011 RAICA, KRISTEN

08/31/2010 PURUIS, ROBERT

06/17/2010 PURTELL, CYNTHIA

10/12/2010 PRATSCHER, MAUREEN

10/06/2010 POULOS, JORDAN

12/15/2010 POULOS, JOHN

01/12/2011 PORTIS, VICTOR

3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 008

044 044 044 004

$6.50

$119.91

$6.03

$6.50

$235.89

$6.50

$76.00

$6.50

$95.60

$1.40

$6,474.14

$147.33

$39.95

$1.62

$6.50

$15.44

$6.50

$1.17

$238.65

$6.50

$2.88

$258.97

$6.50

$3.13

$293.84

$6.50

$3.55

$517.94

$6.50

$4.03

$258.97

$6.50

City Of Chicago - Confidential

Page 132 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Poli City Of Chicago Pol: City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010

PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

ice ice ice ice ice ice ce ce ce ice ice ice ce ce ce ce ce ice ice ice ice ce ce ce ce ce ce ce ice ce ce ce ce

$3.13

$286.66

$6.50

$135.31

$258.97

$6.50

$3.13

$592.65

$6.50

$7.16

$293.84

$6.50

$3.55

$293.84

$6.50

$3.55

$333.68

$6.50

$96.62

$3.55

$6.50

$293.84

$6.26

$6.50

$2.06

$27.00

$6.50

$0.69

$27.00

$6.50

$0.69

$6.50

$528.48

City Of Chicago - Confidential

Page 133 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol

PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA PIETRYLA,

SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT SCOTT

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice >lice lice

$118.90

$143.00

$131.20

$273.00

$6.50

$118.90

$143.00

$24.33

$118.90

$208.00

$240.00

$6.50

$279.06

$81.00

$6.50

$2.07

$22.77

$66.93

$108.99

$6.50

$110.09

$6.50

$10,128.93

$2,277.00

$6.50

$149.11

$119.00

$6.50

$8.44

$63.91

$6.50

$54.00

$6.50

City Of Chicago - Confidential

Page 134 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po

PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIECHOCKI, JOHN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9171

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice

$1.38

$63.00

$6.50

$1.61

$27.00

$6.50

$0.69

$54.00

$6.50

$1.38

$485.42

$6.50

$1,340.51

$6.50

$34.26

$135.00

$6.50

$3.45

$27.00

$6.50

$0.69

$81.00

$6.50

$2.07

$180.00

$6.50

$4.60

$247.00

$6.50

$13.44

$101.14

$53,297.14

$1,195.51

City Of Chicago - Confidential

Page 135 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 04/18/2010 04/18/2010 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011

PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PICKERT, MARK PICKERT, MARK PHILLIPS, JEFFRY PHILLIPS, JEFFRY PHILLIPS, JEFFRY PHILLIPS, JEFFRY PHILLIPS, JEFFRY PHILLIPS, JEFFRY PHILLIPS, JEFFRY PHILLIPS, JEFFRY PHILLIPS, JEFFRY

9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9161 9161 3286 3286 3286 3286 3286 3286 3286 3286 3286

393 393 012 012 012 012 012 012 012 012 012

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

ice ice ice ice ice ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice

$6.50

$809.64

$6.50

$3,398.66

$6.50

$2,620.11

$6.50

$339.39

$6.50

$1.17

$6.50

$30.55

$127.68

$6.50

$1.55

$7,918.60

$6.50

$202.37

$1,404.00

$96.62

$24.99

$50.51

$142.52

$0.86

$1.73

$1,109.91

$6.50

$13.43

$166.60

$6.50

$16.42

City Of Chicago - Confidential

Page 136 of 257

Incident Date Claimant Rank

02/26/2011 PHILLIPS, JEFFRY 3286

12/23/2010 PETIT, GREGORY 9161

12/24/2010 PERRY, BRADFORD 9161

Unit of_Insured_Total to be Paid

012 City Of Chicago Police $162.40

012 City Of Chicago Police $6.50

012 City Of Chicago Police $9.34

012 City Of Chicago Police $119.91

012 City Of Chicago Police $6.50

012 City Of Chicago Police $11.82

012 City Of Chicago Police $25.60

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1.47

012 City Of Chicago Police $148.44

012 City Of Chicago Police $6.50

012 City Of Chicago Police $14.63

012 City Of Chicago Police $143.01

012 City Of Chicago Police $6.50

012 City Of Chicago Police $14.09

012 City Of Chicago Police $71.26

012 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $82.53

City Of Chicago Police $21.36

002 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 137 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol

12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/24/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010

PERRY, BRADFORD PERRY, BRADFORD PERRY,BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY,BRADFORD PERRY, BRADFORD PERRY,BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY,BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002

Poli Poli Poll Poli

ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ice ice ice ice ice ice ce ce ce

$6.50

$31.11

$6.50

$21.23

$215.32

$6.50

$21.23

$215.32

City Of Chicago - Confidential

Page 138 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Po City Of Chicago Pol

12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 12/11/2010 12/11/2010 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011

PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ JR, ROSALI PEREZ JR, ROSALI PEREZ JR, ROSALI PEREZ JR, ROSALI PEREZ JR, ROSALI PENA, CHRISTINA PENA, CHRISTINA PENA, ARTEMIO PENA, ARTEMIO PENA, ARTEMIO PENA, ARTEMIO PENA, ARTEMIO PENA, ARTEMIO

9161 9161 9161 9161 9161. 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286 3286 3286 9161 9161 3286 3286 3286 3286 3286 3286

004 004 004 004 004 004

lice lice lice lice lice lice lice lice ilice lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice

$6.50

$21.23

$217.98

$6.50

$21.49

$215.32

$6.50

$21.23

$238.42

$6.50

$23.50

$238.42

$6.50

$23.50

$421.46

$6.50

$657.75

$6.50

$26.69

$215.32

$776.81

$397.69

$6.50

$263.95

$6.50

$6.08

$6.50

$24.90

$6.50

$263.62

$52.21

$6.50

City Of Chicago - Confidential

Page 139 of 257

Incident Date Claimant Rank

02/02/2011 PENA, ARTEMIO 3286

09/09/2009 PEMBERTON, KENT 9161

03/06/2011 PEDRAZA JR, JOSE 3295

" 03/06/2011 PEDRAZA JR, JOSE 3295

01/19/2011 PAWELCZYK, JASON 3286

02/26/2011 PASKO, MATHEW 9161

01/12/2011 PARTIPILO, MICHAEL 9171

02/08/2011 PARKER, DARIUS 3286

Unit of Insured Total to be Paid

004 City Of Chicago Police $23.44

004 City Of Chicago Police $65.13

004 City Of Chicago Police $702.49

004 City Of Chicago Police $2,311.40

004 City Of Chicago Police $6.50

004 City Of Chicago Police $89.61

004 City Of Chicago Police $201.02

020 City Of Chicago Police $6.50

020 City Of Chicago Police $6,800.00

153 City Of Chicago Police $768.60

153 City Of Chicago Police $6.50

153 City Of Chicago Police $25.75

153 City Of Chicago Police $5.61

153 City Of Chicago Police $6.50

153 City Of Chicago Police $10.62

002 City Of Chicago Police $1,616.87

002 City Of Chicago Police $6.50

012 City Of Chicago Police $5.10

012 City Of Chicago Police $16.99

012 City Of Chicago Police $6.50

012 City Of Chicago Police $19.33

012 City Of Chicago Police $125.97

124 City Of Chicago Police $949.94

124 City Of Chicago Police $6.50

124 City Of Chicago Police $24.28

124 City Of Chicago Police $1,125.00

124 City Of Chicago Police $6.50

124 City Of Chicago Police $86.25

City Of Chicago Police $379.12

City Of Chicago Police $40.35

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 140 of 257

Incident Date Claimant_Rank

02/08/2011 PARKER, DARIUS 3286

02/06/2011 PALIKIJ, MARY 3286

01/03/2011 OWSIANIAK, JACKLYN 9161

01 /03/2011 OWSI AN IAK, JACKLYN 9161

01/03/2011 OWSIANIAK, JACKLYN 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $701.92

City Of Chicago Police $124.49

023 City Of Chicago Police $6.50

023 City Of Chicago Police $182.45

023 City Of Chicago Police $6.50

023 City Of Chicago Police $23.49

023 City Of Chicago Police $248.49

023 City Of Chicago Police $6.50

023 City Of Chicago Police $241.15

023 City Of Chicago Police $6.50

023 City Of Chicago Police $241.15

023 City Of Chicago Police $6.50

023 City Of Chicago Police $101.70

023 City Of Chicago Police $4.05

023 City Of Chicago Police $6.50

023 City Of Chicago Police $275.96

023 City Of Chicago Police $204.45

006 City Of Chicago Police $95.41

006 City Of Chicago Police $9.40

006 City Of Chicago Police $6.50

006 City Of Chicago Police $95.41

006 City Of Chicago Police $9.40

006 City Of Chicago Police $6.50

006 City Of Chicago Police $7.12

006 City Of Chicago Police $143.12

006 City Of Chicago Police $6.50

006 City Of Chicago Police $14.11

City Of Chicago - Confidential

Page 141 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol

01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 01/03/2011 09/20/2010 09/20/2010 09/20/2010 02/28/2011 02/28/2011 02/28/2011 04/25/2010 04/25/2010

OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY ORTIZ, JOSUE ORTIZ, JOSUE ORTIZ, JOSUE ORTIZ, EDITH ORTIZ, EDITH

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161

006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006 006

013 013 013

ice ice ice ce ice ice ice ice ice ce ce ce ice ce ice ice ce ce ice ice ice ice ice ice ice ice ice ice ice ice ice ce ice

$143.12

$6.50

$14.11

$143.12

$6.50

$14.11

$124.70

$6.50

$12.29

$72.21

$6.50

$9.40

$119.81

$6.50

$11.81

$170.43

$6.50

$16.80

$95.41

$6.50

$9.40

$117.54

$6.50

$1.42

$95.41

$22.78

$6.50

$108.07

$5.24

$6.50

$205.20

$2,191.70

$6.50

City Of Chicago - Confidential

Page 142 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010

ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH

Poli Poli Pol

ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ice

$83.87

$207.31

$6.50

$20.43

$83.39

$6.50

$4.21

$190.61

$6.50

$18.78

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$190.61

$6.50

$18.78

$143.12

$6.50

$14.11

$237.75

$6.50

$18.23

$190.61

$6.50

$18.78

$190.72

$6.50

City Of Chicago - Confidential

Page 143 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/02/2011 02/02/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 07/10/2010

ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, CARLOS ORTIZ, CARLOS ORTIZ, CARLOS ORTIZ, CARLOS ORTIZ, CARLOS ORTIZ, CARLOS ORTIZ, CARLOS ORTIZ, CARLOS OLSON,GARY OLSON, GARY OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCONNELL, ROBERT OCON, HECTOR

3286 3286 3286 3286 3286 3286 3286 3286

701 701 701 701 701 701 701 701 701 701 701 701

9161

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$607.28

$6.50

$15.52

$6.50

$495.80

$1.53

$6.50

$943.63

$110.09

$6.50

$88.07

$198.32

$6.50

$68.15

$6.50

$50.01

$186.75

$6.50

$17.80

$286.25

$6.50

$96.62

City Of Chicago - Confidential

Page 144 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/10/2010 OCON, HECTOR 9161

05/29/2009 O SHAUGHNESSY, THOMAS 9161

02/20/2011 O SHAUGHNESSY, THOMAS 3295

01/31/2011 O SHAUGHNESSY, JENNIFER

04/25/2010 O DONNELL, MICHAEL 9165

02/02/2011 O BRIEN, AMIE PO

010 010 010 010 010 010 010 010 010 010

610 020 020 020 020

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Po City Of Chicago Pol City Of Chicago Pol

lice lice lice lice lice lice lice dice ilice lice lice lice lice lice lice lice dice dice lice lice lice lice lice dice dice lice lice lice lice lice lice lice lice

$6.50

$1.17

$52.28

$6.50

$0.63

$14.87

$12.37

$264.78

$257.91

$6.50

$240.09

$6.50

$195.00

$6.50

$14.95

$6.50

$167.51

$15.74

$6.50

$159.71

$6.50

$101.70

$168.20

$6.50

$478.69

$6.50

$301.94

$16.51

$275.20

$89.12

$6.50

$1.31

$214.31

City Of Chicago - Confidential

Page 145 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol! City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol! City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Pof City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 02/02/2011 08/31/2010 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 03/14/2011 03/14/2011 03/14/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011

O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE O BRIEN, AMIE NYKIEL, CRAIG NORMAND, MATTHEW NORMAND, MATTHEW NORMAND, MATTHEW NORMAND, MATTHEW NORMAND, MATTHEW NORMAND, MATTHEW NONO, JOEL NONO, JOEL NONO, JOEL NAVARRO, ADRIAN NAVARRO, ADRIAN NAVARRO, ADRIAN NAVARRO, ADRIAN NAVARRO, ADRIAN NAVARRO, ADRIAN

9161

3286

9161

020 020 020 020 020 020 020 020 020 020 020 020 020 020 020 020 020 014

001 001 001 001 001 001

Pol Pol

Poli

ce ce ce

ice ice ce ce ce ce ce ce ce ice ice ice ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ce ce ce

$6.50

$21.12

$6.50

$7.21

$6.50

$15.19

$7.21

$6.50

$13.93

$20.18

$12.88

$6.80

$6.50

$463.22

$2.36

$6.50

$1,209.00

$11.00

$6.50

$21.91

$667.00

$4.67

$6.50

$114.96

$6.50

$1,430.07

$16.89

$157.10

$8.53

$6.50

$36.21

$19.93

$6.50

City Of Chicago - Confidential

Page 146 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol

11/11/2010 NAJM, SEAN

10/17/1996 Mullen, James

03/12/2008 Morandi, Kelly

01/17/2007 Miller, Walter E

01/26/2008 Michael, Linda

08/18/2010 McGRONE, MARCUS

04/22/2008 Mason-Jones, Alessandra

08/01/2010 MUEHLFELDER, JEFFREY

01/23/2011 MOY, JOANNE

02/28/2011 MOUNSEF, ELIE

P P P P P P P P P P P P P P P P

9161 9161 P

9161 9161 9161 3286 3286 3286 3286 3286 3286 9161 9161

00024 00024 00024 00024 00024 00024 00024 00024 00004 00004 00004 00013 00006 00006 00006 00006

00012

044 044 044 044 044 044 013 013

Poll Poll Poll Pol:

$2.79

$6.50

$190.26

$2,949.63

$2,370.32

$10,486.03

$1,018.85

$1,945.37

$1,690.31

$10,591.08

$10,438.75

$606.98

$47.04

$6.50

$2,280.95

$6.50

$3,000.00

$10.92

$5.31

$6.50

$113.40

$6.50

$176.45

$7.16

$6.50

$82.53

$6.50

$4.43

$6.50

$9.75

$21.77

$4.60

$179.89

City Of Chicago - Confidential

Page 147 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/28/2011 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/06/2010 12/28/2010 12/02/2010 12/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 10/12/2010 10/12/2010 02/23/2011

MOUNSEF, ELIE MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MORGAN, ANDREW MOORE, KENNETH MOORE, GEORGE MOORE, GEORGE MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MICHEL, JONATHAN MICHEL, JONATHAN MESCALL, KENNETH

9161

013

9161 9161 9161 9161

715 008 008

9161 9161 3286

044 044

City Of Chicago City Of Chicago City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$48.50

$9.10

$98.00

$6.50

$5.19

$6.50

$509.41

$14.15

$6.50

$74.77

$241.88

$6.50

$55.03

$6.50

$509.41

$6.50

$241.88

$48.50

$6.50

$17.40

$32.59

$6.50

$84.92

$145.33

$6.50

$363.93

$6.50

$55.48

$942.55

$6.50

City Of Chicago - Confidential

Page 148 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010

MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA,

DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$218.12

$23.60

$6.50

$239.40

$28.30

$6.50

$287.00

$28.30

$6.50

$287.00

$28.30

$6.50

$287.00

$6.50

$28.30

$6.50

$287.00

$23.12

$6.50

$234.50

$21.51

$6.50

$218.12

$28.30

$6.50

$21.51

$287.00

$6.50

$28.30

$287.00

$6.50

$28.30

$218.12

City Of Chicago - Confidential

Page 149 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

11/20/2010 MEROLA, DOMINIC

02/10/2011 MERCADO, ALEXANDER

02/16/2011 MENAGH, SHAUN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

$6.50

$21.51

$287.00

$6.50

$1,003.54

$18.16

$6.50

$412.36

$4.82

$6.50

$188.72

$27.52

$6.50

$186.67

$6.50

$144.35

$18.80

$6.50

$190.72

$18.80

$6.50

$190.72

$20.43

$6.50

$207.31

$25.66

$6.50

$10.54

$21.77

$209.69

$6.50

$592.49

$6.50

City Of Chicago - Confidential

Page 150 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Po City Of Chicago Pol City Of Chicago Pol

02/16/2011 MENAGH, SHAUN

08/25/2010 MEDINA, ANITA

01/31/2011 MCDONOUGH, TIMOTHY

11/24/2010 MCCLENDON, LANCE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

p.o.

9161

044 044 044

ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$347.80

$6.50

$11.43

$106.64

$6.50

$14.06

$645.85

$6.50

$249.34

$90.22

$6.50

$11.81

$82.53

$6.50

$293.10

$6.50

$10.14

$293.10

$6.50

$13.24

$17.53

$33.90

$199.75

$6.50

$10.62

$6.50

$5.61

$351.40

$8.11

$6.50

City Of Chicago - Confidential

Page 151 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/28/2009 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010

MC NICHOLS, THOMAS MC HALE, ROBERT MC HALE, ROBERT . MC HALE, ROBERT MC HALE, ROBERT MC HALE, ROBERT MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE

9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

ce ce

ice ce ce ice ice ice ice ice ce ce ice ice ice ce ce ce ce ce ice ce ce ce ce ce ce ice ice ice ice ice ice

$12,421.98

$6.50

$35.00

$0.31

$6.50

$445.68

$145.32

$33.65

$6.50

$100.68

$6.50

$745.86

$3.04

$30.27

$461.63

$6.50

$18.74

$2,016.66

$6.50

$81.82

$244.39

$6.50

$9.92

$1,323.38

$6.50

$53.71

$1,243.33

$6.50

$50.44

$656.81

$6.50

City Of Chicago - Confidential

Page 152 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

12/23/2010 12/23/2010 12/23/2010 12/23/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011 03/06/2011

MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MAYOSKI, NICOLE MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MASTERS, NICHOLAS MASTERS, NICHOLAS MASTERS, NICHOLAS MASTERS, NICHOLAS MASTERS, NICHOLAS MASTERS, NICHOLAS MASTERS, NICHOLAS MASTERS, NICHOLAS MASTERS, NICHOLAS MASTERS, NICHOLAS

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

044 044 044 044 044 044 044 044 044 044

lice lice lice lice lice lice ilice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$26.65

$74.86

$6.50

$234.32

$112.03

$207.20

$6.50

$4.08

$84.92

$6.50

$235.08

$6.50

$2.84

$52.28

$6.50

$0.63

$84.92

$6.50

$4,447.81

$6.50

$32.57

$172.04

$6.50

$21.12

$25.60

$6.50

$9.34

$144.35

$6.50

$18.16

$162.40

City Of Chicago - Confidential

Page 153 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Po City Of Chicago Po! City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol

03/06/2011 MASTERS, NICHOLAS

01/22/2011 MARTINEZ, MANUEL

10/08/2010 MARTI N, BARBARA

10/08/2010 MARTIN, BARBARA

10/08/2010 MARTI N, BARBARA

10/08/2010 MARTIN, BARBARA

10/08/2010 MARTI N, BARBARA

10/08/2010 MARTIN, BARBARA

12/26/2010 MARES, ACHILLES

04/02/2010 MANDER, THOMAS

01/20/2011 MAMMOSER, CHARLES

09/30/2010 MALONEY, JAMES

3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9201 9201 9171 9171 9171 9173 9173 9173 9173 9173 9173

044 044

012 012 012 012 012 012 012 012 012

177 177

160 160 160 160 160 160

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$1.47

$25.60

$6.50

$1.47

$566.66

$6.50

$23.00

$6.50

$2.95

$243.39

$2.95

$6.50

$243.39

$2.61

$215.14

$6.50

$4,007.51

$1.40

$6.50

$54.72

$6.50

$5,789.55

$3,484.00

$268.51

$45.38

$6.50

$101.70

$6.50

$973.97

$6.50

$2,111.16

$6.50

City Of Chicago - Confidential

Page 154 of 257

Incident Date Claimant_Rank

09/30/2010 MALONEY, JAMES 9173

01/22/2011 MALM, MELISSA 3286

07/19/2010 MALLEK, WILLIAM 9161

10/12/2010 MAHAY, EDWARD 9161

Unit of_Insured_Total to be Paid

160 City Of Chicago Police $149.46

160 City Of Chicago Police $6.50

044 City Of Chicago Police $48.78

044 City Of Chicago Police $6.50

044 City Of Chicago Police $32.00

044 City Of Chicago Police $1.84

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1,082.90

044 City Of Chicago Police $317.27

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.10

044 City Of Chicago Police $23.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.33

014 City Of Chicago Police $1,173.00

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $3.58

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $488.07

001 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 155 of 257

Incident Date Claimant Rank

10/12/2010 MAHAY, EDWARD 9161

Unit of_Insured_Total to be Paid

001 City Of Chicago Police $241.11

001 City Of Chicago Police $6.50

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $328.13

001 City Of Chicago Police $6.50

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $459.18

001 City Of Chicago Police $6.50

001 City Of Chicago Police $231.48

001 City Of Chicago Police $6.50

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $16.19

001 City Of Chicago Police $6.50

001 City Of Chicago Police $5.25

001 City Of Chicago Police $239.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.70

001 City Of Chicago Police $239.02

City Of Chicago - Confidential

Page 156 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008

MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD

Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinsk Lipinsk Lipinsk Lipinsk Lipinsk Lipinski Lipinski Lipinski

, David , David , David , David , David , David , David , David , David , David , David , David , David , David , David , David , David , David , David

9161

001

00010

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po^!City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

lice lice lice lice lice lice lice lice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice ilice lice lice

$6.50

$48.70

$239.02

$6.50

$48.70

$239.02

$6.50

$48.70

$239.02

$6.50

$48.70

$239.02

$6.50

$48.70

$81.77

$28.22

$80.43

$6.50

$28.52

$80.43

$6.50

$28.52

$80.43

$6.50

$24.90

$80.43

$6.50

$28.52

$80.43

$6.50

$28.52

$66.45

City Of Chicago - Confidential

Page 157 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 10/11/2010

Lipinsk Lipinsk Lipinski Lipinsk Lipinsk Lipinski Lipinsk Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski Lipinsk Lipinsk Lipinsk Lipinski Lipinski Lipinski Lipinski Lipinski Lipinski

David David David David David David David David David David David David David David David David David David David David David David David David David David David David David David David David

LYNCH,THOMAS

P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P

9161

00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 050

$6.50

$19.44

$81.77

$6.50

$28.22

$81.77

$6.50

$28.22

$80.43

$6.50

$28.52

$293.10

$6.50

$13.48

$81.77

$6.50

$28.22

$81.77

$6.50

$28.22

$81.77

$6.50

$24.11

$81.77

$6.50

$28.22

$81.77

$6.50

$28.22

$81.77

$6.50

City Of Chicago - Confidential

Page 158 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Pol; City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pof City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli

10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 02/27/2011 02/27/2011 02/27/2011 01/30/2011 01/30/2011 01/30/2011 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010

LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, JAMES LYNCH, JAMES LYNCH, JAMES LYNCH, JAMES LYNCH, JAMES LYNCH, JAMES LYNCH, JAMES LYNCH, JAMES LUSK, KEVIN LUSK, KEVIN LUSK, KEVIN LUSK, KEVIN LUSK, KEVIN LUSK, KEVIN LUSK, KEVIN LUCIANO, DAVID LUCIANO, DAVID LUCIANO, DAVID LOUGHNEY, JAMES LOUGHNEY, JAMES LOUGHNEY, JAMES LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286

050 050 050 050 050

018 018 018 018 018 018 018 025 025 025 044 044 044

Poli Poli Poll

ce ce ce ce ce ce ce ce ice ice ice ice ce ice ice ice ice ice ice ce ice ice ice ice ice ce ce ce ce ce ;ce ice ice

$56.56

$1.31

$6.50

$89.12

$8.48

$21.36

$82.53

$7.08

$6.50

$46.82

$6.50

$207.59

$6.50

$1.50

$6.50

$1,620.00

$1,058.00

$41.40

$58.50

$518.17

$13.24

$6.50

$10.62

$7.21

$176.04

$6.50

$17.35

$171.01

$6.50

$16.85

$176.04

City Of Chicago - Confidential

Page 159 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 11/08/2010 11/08/2010 11/08/2010 02/17/2011 02/17/2011

LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, JOSE LOPEZ, JOSE LOPEZ, JOSE LOPEZ, EDUARDO LOPEZ, EDUARDO

P.O. P.O. P.O. 9161 9161

044 044

$6.50

$17.35

$285.09

$6.50

$4.19

$518.55

$6.50

$16.73

$19.27

$6.50

$16.85

$195.51

$6.50

$171.01

$6.50

$94.81

$6.50

$16.85

$89.12

$6.50

$1.31

$171.01

$6.50

$16.85

$176.04

$6.50

$17.35

$6.50

$82.53

$21.36

$42.30

$6.50

City Of Chicago - Confidential

Page 160 of 257

Incident Date Claimant_Rank

02/17/2011 LOPEZ, EDUARDO 9161

12/27/2009 LIS, RONALD 9161

12/29/2010 LINDSTROM, BRIAN 9161

10/09/2010 LINDBLAD, JACQUELINE 9161

10/09/2010 LINDBLAD, JACQUELINE. 9161

10/09/2010 LINDBLAD, JACQUELINE 9161

02/28/2011 LIAKOPOULOS, CHRISTOPHER

Unit of_Insured__Total to be Paid

044 City Of Chicago Police $1.08

044 City Of Chicago Police $1,179.68

044 City Of Chicago Police $6.50

044 City Of Chicago Police $30.14

044 City Of Chicago Police $188.72

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.82

253 City Of Chicago Police $1,166.02

009 City Of Chicago Police $1.01

009 City Of Chicago Police $6.50

009 City Of Chicago Police $83.67

044 City Of Chicago Police $2.15

044 City Of Chicago Police $4.09

044 City Of Chicago Police $6.50

044 City Of Chicago Police $278.04

044 City Of Chicago Police $2.91

044 City Of Chicago Police $261.78

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.85

044 City Of Chicago Police $146.35

044 City Of Chicago Police $6.50

044 City Of Chicago Police $52.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.08

044 City Of Chicago Police $306.35

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.49

044 City Of Chicago Police $198.05

044 City Of Chicago Police $6.50

City Of Chicago Police $209.69

City Of Chicago Police $6.50

City Of Chicago Police $187.15 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 161 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Po City Of Chicago Pol City Of Chicago Po: City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po

02/28/2011 LIAKOPOULOS, CHRISTOPHER

01/10/2011 LEWIS, BELINDA PO

01/29/2011 LEJA, JACEK 3286

02/05/2011 LEE, HYUK 9161

02/07/2011 LEBENSORGER, FRED

01/22/2011 LAWSON, JEFFREY 3286

12/03/2010 LAURIE, CHRISTOPHER 9161

01/04/2011 LARSON, ANDREW 9161

01/18/2011 LAQUI, HANZEL 3286

153 153 153 153 153

044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

017

'lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$7.60

$6.50

$102.75

$7.88

$6.50

$4.12

$6.50

$340.72

$549.19

$15.62

$21.02

$24.99

$21.02

$70.75

$6.50

$1,445.26

$317.27

$6.50

$2.53

$64.00

$6.50

$3.68

$44.00

$6.50

$8.10

$6.50

$13.20

$516.42

$23.76

$6.50

$585.40

$6.50 .

City Of Chicago - Confidential

Page 162 of 257

Incident Date Claimant Rank

01/18/2011 LAQUI, HANZEL 3286

09/01/2010 LANGLE, WILLIAM 9161

03/11/2011 LANGE, TIMOTHY 3286

01/10/2011 KWIATKOWSKI, JOSEPH PO

11/11/2010 KURI, CESAR 9161

Unit of_Insured_Total to be Paid

017 City Of Chicago Police $44.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $49.74

044 City Of Chicago Police $2.03

City Of Chicago Police $ 1.47

City Of Chicago Police $25.60

City Of Chicago Police $6.19

City Of Chicago Police $6.50

City Of Chicago Police $511.16

City Of Chicago Police $6.50

City Of Chicago Police $460.00

City Of Chicago Police $6.50

314 City Of Chicago Police $6.50

314 City Of Chicago Police $195.30

314 City Of Chicago Police $5.98

314 City Of Chicago Police $6.50

314 City Of Chicago Police $74.12

314 City Of Chicago Police $117.00

314 City Of Chicago Police $241.92

314 City Of Chicago Police $207.00

314 City Of Chicago Police $6.50

314 City Of Chicago Police $2.07

314 City Of Chicago Police $300.60

314 City Of Chicago Police $6.50

314 City Of Chicago Police $2.24

314 City Of Chicago Police $277.20

314 City Of Chicago Police $6.50

314 City Of Chicago Police $4.49

314 City Of Chicago Police $230.39

314 City Of Chicago Police $0.17

314 City Of Chicago Police $57.44

City Of Chicago - Confidential

Page 163 of 257

Incident Date Claimant Rank

11/11/2010 KURI, CESAR 9161

02/11/2011 KUKIELKA, JONATHAN 9161

05/22/2010 KRUGER, KARL 9161

12/20/2010 KRAMER, DANIEL 9161

Unit of_Insured_Total to be Paid

314 City Of Chicago Police $175.50

314 City Of Chicago Police $6.50

314 City Of Chicago Police $4.49

314 City Of Chicago Police $175.50

314 City Of Chicago Police $6.50

314 City Of Chicago Police $4.49

314 City Of Chicago Police $207.54

314 City Of Chicago Police $6.50

314 City Of Chicago Police $175.50

314 City Of Chicago Police $6.50

314 City Of Chicago Police $4.49

314 City Of Chicago Police $335.70

City Of Chicago Police $36.77

City Of Chicago Police $6.50

City Of Chicago Police $1,266.75

City Of Chicago Police $6.50

City Of Chicago Police $209.69

044 City Of Chicago Police $1.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $471.75

019 City Of Chicago Police $6.50

019 City Of Chicago Police $23.50

019 City Of Chicago Police $218.72

019 City Of Chicago Police $6.50

019 City Of Chicago Police $21.56

019 City Of Chicago Police $190.72

019 City Of Chicago Police $6.50

019 City Of Chicago Police $18.80

019 City Of Chicago Police $218.72

019 City Of Chicago Police $6.50

019 City Of Chicago Police $21.56

019 City Of Chicago Police $190.72

019 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 164 of 257

Incident Date Claimant Rank

12/20/2010 KRAMER, DANIEL 9161

Unit of Insured Total to be Paid

019 City Of Chicago Police $18.80

019 City Of Chicago Police $190.72

019 City Of Chicago Police $6.50

019 City Of Chicago Police $18.80

019 City Of Chicago Police $243.29

019 City Of Chicago Police $6.50

019 City Of Chicago Police $23.98

019 City Of Chicago Police $218.72

019 City Of Chicago Police $6.50

019 City Of Chicago Police $21.56

019 City Of Chicago Police $238.42

019 City Of Chicago Police $6.50

019 City Of Chicago Police $23.50

019 City Of Chicago Police $238.42

019 City Of Chicago Police $6.50

019 City Of Chicago Police $23.50

019 City Of Chicago Police $343.56

019 City Of Chicago Police $6.50

019 City Of Chicago Police $452.91

019 City Of Chicago Police $6.50

019 City Of Chicago Police $238.42

019 City Of Chicago Police $6.50

019 City Of Chicago Police $23.50

019 City Of Chicago Police $238.42

019 City Of Chicago Police $6.50

019 City Of Chicago Police $23.50

019 City Of Chicago Police $150.97

019 City Of Chicago Police $6.50

019 City Of Chicago Police $218.72

019 City Of Chicago Police $6.50

019 City Of Chicago Police $21.56

019 City Of Chicago Police $218.72

019 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 165 of 257

Incident Date Claimant Rank

12/20/2010 KRAMER, DANIEL 9161

10/24/2010 KOMOSA, EVAN 9161

06/21/2010 KIRCHENS, JAMES 9161

Unit of_Insured_Total to be Paid

019 City Of Chicago Police $21.56

019 City Of Chicago Police $1,125.00

019 City Of Chicago Police $6.50

019 City Of Chicago Police $86.25

019 City Of Chicago Police $171.01

019 City Of Chicago Police $6.50

019 City Of Chicago Police $16.85

019 City Of Chicago Police $218.72

019 City Of Chicago Police $6.50

019 City Of Chicago Police $21.56

019 City Of Chicago Police $238.42

019 City Of Chicago Police $190.72

019 City Of Chicago Police $6.50

019 City Of Chicago Police $18.80

City Of Chicago Police $6.50

City Of Chicago Police $330.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $286.13

044 City Of Chicago Police $6.50

044 City Of Chicago Police $286.13

044 City Of Chicago Police $6.50

044 City Of Chicago Police $28.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $16.39

044 City Of Chicago Police $213.42

044 City Of Chicago Police $21.04

044 City Of Chicago Police $188.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.62

044 City Of Chicago Police $234.42

044 City Of Chicago Police $23.11

044 City Of Chicago Police $213.42

City Of Chicago - Confidential

Page 166 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poi City Of Chicago Po: City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol

06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011

KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286 3286 3286 3286 3286 3286

044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice ilice ilice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$238.53

$6.50

$89.64

$6.50

$1.09

$286.23

$6.50

$238.53

$6.50

$286.23

$263.03

$6.50

$263.03

$6.50

$18.81

$6.50

$286.13

$6.50

$28.20

$23.51

$28.20

$2,463.26

$6.50

$62.95

$6.50

$3.73

$408.98

$6.50

$6.00

City Of Chicago - Confidential

Page 167 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol; City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011

KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002

Poli Pol Poli

$251.62

$6.50

$14.47

$233.55

$6.50

$3.43

$233.55

$6.50

$3.43

$233.55

$6.50

$3.43

$216.81

$6.50

$3.18

$253.28

$6.50

$339.71

$6.50

$340.75

$6.50

$681.50

$6.50

$143.43

$6.50

$8.25

$141.74

$6.50

$8.15

$68.15

$6.50

$340.75

City Of Chicago - Confidential

Page 168 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol

01/28/2011 01/28/2011 01/28/2011 09/26/2010 09/26/2010 09/26/2010 02/23/2011 02/23/2011 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010

KINDLE, SEAN KINDLE, SEAN KINDLE, SEAN KIM, HYON KIM, HYON KIM, HYON KILGORE, RASHAD KILGORE, RASHAD KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN

3286 3286 3286

3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

002 002 002

001 001

lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$340.75

$408.90

$6.50

$6.84

$70.92

$2,752.30

$6.50

$2.60

$177.38

$6.50

$2.60

$177.38

$6.50

$2.60

$197.11

$6.50

$2.90

$1,752.52

$6.50

$177.38

$6.50

$2.60

$118.25

$6.50

$1.74

$177.38

$6.50

$177.38

$6.50

$2.60

City Of Chicago - Confidential

Page 169 of 257

Incident Date Claimant Rank

11/01/2010 KESSEM, BRIAN 9161

08/05/2010 KERIN, ELIZABETH 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $2.60

City Of Chicago Police $177.38

City Of Chicago Police $6.50

City Of Chicago Police $2.60

City Of Chicago Police $177.38

9 City Of Chicago Police $6.50

9 City Of Chicago Police $1,794.06

9 City Of Chicago Police $6.50

9 City Of Chicago Police $45.85

9 City Of Chicago Police $464.50

9 City Of Chicago Police $6.50

9 City Of Chicago Police $196.98

9 City Of Chicago Police $381.80

9 City Of Chicago Police $6.50

9 City Of Chicago Police $160.48

9 City Of Chicago Police $369.05

9 City Of Chicago Police $6.50

9 City Of Chicago Police $156.86

9 City Of Chicago Police $248.10

9 City Of Chicago Police $6.50

9 City Of Chicago Police $109.50

9 City Of Chicago Police $108.36

9 City Of Chicago Police $6.50

9 City Of Chicago Police $6.23

9 City Of Chicago Police $2,186.10

9 City Of Chicago Police $6.50

9 City Of Chicago Police $270.74

9 City Of Chicago Police $928.89

9 City Of Chicago Police $6.50

9 City Of Chicago Police $23.74

9 City Of Chicago Police $3,806.65

9 City Of Chicago Police $6.50

9 City Of Chicago Police $97.28

City Of Chicago - Confidential

Page 170 of 257

Incident Date Claimant_ Rank

08/05/2010 KERIN, ELIZABETH 9161

Unit of_Insured_Total to be Paid

9 City Of Chicago Police $51.70

9 City Of Chicago Police $6.50

9 City Of Chicago Police $2.97

9 City Of Chicago Police $286.35

9 City Of Chicago Police $6.50

9 City Of Chicago Police $122.22

9 City Of Chicago Police $108.36

9 City Of Chicago Police $6.50

9 City Of Chicago Police $6.23

9 City Of Chicago Police $248.10

9 City Of Chicago Police $6.50

9 City Of Chicago Police $110.91

9 City Of Chicago Police $435.17

9 City Of Chicago Police $6.50

9 City Of Chicago Police $258.71

9 City Of Chicago Police $309.63

9 City Of Chicago Police $6.50

9 City Of Chicago Police $134.80

9 City Of Chicago Police $6.50

9 City Of Chicago Police $274.71

9 City Of Chicago Police $6.50

9 City Of Chicago Police $118.49

9 City Of Chicago Police $153.76

9 City Of Chicago Police $6.50

9 City Of Chicago Police $67.65

9 City Of Chicago Police $213.18

9 City Of Chicago Police $6.50

9 City Of Chicago Police $92.04

9 City Of Chicago Police $248.10

9 City Of Chicago Police $6.50

9 City Of Chicago Police $110.91

9 City Of Chicago Police $190.90

City Of Chicago - Confidential

Page 171 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 10/04/2010 10/04/2010 07/01/2010 07/01/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 09/26/2009

KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KELNOSKY, STEVEN KELNOSKY, STEVEN KEATING, JAMES KEATING, JAMES KAZUPSKI, TERRY KAZUPSKI, TERRY KAZUPSKI, TERRY KAZUPSKI, TERRY KAPUT, STEVEN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9796 9796 9153 9153 9153 9153 9161

City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$81.48

$23,271.38

$286.35

$6.50

$122.22

$286.35

$6.50

$122.22

$394.42

$6.50

$9.96

$5,262.01

$6.50

$399.09

$999.78

$6.50

$91.92

$3,354.99

$483.10

$6.50

$949.30

$5.84

$27.94

$25.62

$6.50

$236.95

$8.30

$70.00

$271.20

$224.51

$2.99

City Of Chicago - Confidential

Page 172 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po! City Of Chicago Po City Of Chicago PO City Of Chicago Po City Of Chicago Po

09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 09/26/2009 12/08/2010 12/08/2010 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011

KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KAPUT, STEVEN KANSKI, WOJCIECH KANSKI, WOJCIECH KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL KACZYNSKI, MICHAEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 353 353 353 353 353 353 353 353 353 353 353 353 353 353

lice lice ilice lice ilice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$247.28

$6.50

$2.99

$247.28

$6.50

$2.99

$1,701.20

$6.50

$20.59

$247.28

$6.50

$2.99

$6.50

$247.28

$2.99

$247.28

$6.50

$207.59

$6.50

$377.42

$6.50

$68.15

$6.50

$244.28

$6.50

$307.18

$6.50

$48.50

$6.50

$9.10

$404.79

$6.50

$0.40

City Of Chicago - Confidential

Page 173 of 257

Incident Date Claimant Rank

01/18/2011 KACZYNSKI, MICHAEL 9161

09/10/1994 Jackson, Talmitch P

11/26/2010 JONES, ROSEZITA 9161

12/16/2009 JONES, NANCY 9164

08/27/2010 JONES, ANDREW 9161

Unit of_Insured_Total to be Paid

353 City Of Chicago Police $307.18

353 City Of Chicago Police $6.50

353 City Of Chicago Police $246.37

353 City Of Chicago Police $6.50

00003 City Of Chicago Police $1,979.11

015 City Of Chicago Police $6.50

015 City Of Chicago Police $8.97

015 City Of Chicago Police $5.98

015 City Of Chicago Police $6.50

015 City Of Chicago Police $494.56

015 City Of Chicago Police $5.98

015 City Of Chicago Police $6.50

015 City Of Chicago Police $186.44

015 City Of Chicago Police $494.56

015 City Of Chicago Police $2.25

015 City Of Chicago Police $118.52

015 City Of Chicago Police $6.50

015 City Of Chicago Police $1.44

015 City Of Chicago Police $741.84

015 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $400.00

City Of Chicago Police $239.04

City Of Chicago Police $5.78

City Of Chicago Police $6.50

City Of Chicago Police $478.08

City Of Chicago Police $2.89

City Of Chicago Police $6.50

City Of Chicago Police $239.04

City Of Chicago Police $2.89

City Of Chicago Police $6.50

City Of Chicago Police $239.04

City Of Chicago Police $115.52

City Of Chicago - Confidential

Page 174 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol

08/27/2010 JONES, ANDREW

02/08/2011 JOLLIFF BLAKE, MICHAEL

11/29/2010 JOHNSON, LAWRENCE

09/26/2010 JOHNSON, AJAMU BOM

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

011 011 011

9161 9161 9161 9161

lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice ilice ilice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice

$6.50

$1.40

$6.50

$2.89

$239.04

$6.50

$2.89

$239.04

$6.50

$2.89

$239.04

$6.50

$2.89

$296.81

$6.50

$3.59

$239.04

$6.50

$2.89

$25.60

$6.50

$1.47

$10.74

$6.50

$48.84

$264.67

$6.50

$1,911.10

$6.50

$167.62

$6.50

$16.53

$190.82

City Of Chicago - Confidential

Page 175 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON, JOHNSON,

AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

lice lice ilice lice dice lice lice lice ilice lice lice lice lice dice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice ilice lice ilice lice lice

$6.50

$18.81

$215.32

$6.50

$21.23

$293.10

$6.50

$13.48

$852.28

$6.50

$57.99

$167.62

$6.50

$16.53

$215.32

$6.50

$21.23

$167.62

$6.50

$16.53

$190.72

$6.50

$18.80

$262.92

$6.50

$25.92

$167.62

$6.50

$16.53

$119.91

$6.50

$11.82

$84.91

City Of Chicago - Confidential

Page 176 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/26/2010 JOHNSON, AJAMU BOM

09/10/2010 JIMENEZ, LUIS

01/11/2011 JASZCZOR, KENNETH

08/22/2009 JANDA, LIANE

04/12/2010 JAKUBOWSKI, RONALD

9161

765 765 765 765 765 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012

$6.50

$215.32

$6.50

$21.23

$1,149.50

$22.99

$4.03

$6.50

$201.62

$25.60

$6.50

$1.47

$20.00

$6.50

$1.15

$568.80

$6.50

$23.66

$779.10

$6.50

$34.41

$266.40

$6.50

$1.18

$101.70

$6.50

$195.30

$6.50

$0.17

$606.41

$8.91

$6.50

$1,462.57

City Of Chicago - Confidential

Page 177 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Po! City Of Chicago Po! City Of Chicagi City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol

04/12/2010 JAKUBOWSKI, RONALD

02/11/2011 JACKSON, PRENTISS

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice

$6.50

$207.41

$6.50

$20.44

$215.32

$21.23

$215.22

$6.50

$21.22

$215.32

$6.50

$15,213.82

$4.98

$6.50

$200.60

$6.50

$15.38

$196.84

$6.50

$6.47

$144.50

$6.50

$2.93

$200.60

$6.50

$4.98

$734.83

$6.50

$29.82

$1,270.46

$6.50

City Of Chicago - Confidential

Page 178 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pot City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 12/20/2010 12/20/2010 12/20/2010 12/20/2010 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011

JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON

, PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , PRENTISS , MATTHEW , MATTHEW , MATTHEW , MATTHEW , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC , ERIC

9161 9161 9161 9161 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171

011 011 011 011

Poll Pol Pol

ce ce ce ce

ice ice ice ice ice ice ice ice ice ice ice ice ice ice ice ce ice ce ce ce ce ce ce ce ce ce ice ice ice

$499.88

$437.63

$40,281.76

$6.50

$327.12

$200.60

$6.50

$4.98

$401.20

$6.50

$9.96

$287.30

$6.50

$1.20

$7.16

$6.50

$176.45

$6.50

$501.94

$408.90

$6.50

$460.00

$6.50

$382.70

$6.50

$408.90

$6.50

$340.75

$6.50

$408.90

$6.50

$91.77

City Of Chicago - Confidential

Page 179 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010

JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON, JACKSON,

ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC

DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH DEBORAH

9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171

$6.50

$59.97

$141.06

$6.50

$59.60

$96.00

$6.50

$85.85

$6.50

$44.53

$643.76

$6.50

$338.65

$6.50

$19.48

$8,697.50

$6.50

$131.33

$162.74

$6.50

$22.94

$119.06

$6.50

$16.04

$176.22

$6.50

$38.33

$194.02

$6.50

$43.44

$194.02

$6.50

$43.44

City Of Chicago - Confidential

Page 180 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol

10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010

DEBORAH

CARLA

Poli Poll Poli

Poll

ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ice

$119.06

$6.50

$16.16

$78.97

$6.50

$20.20

$340.75

$6.50

$408.90

$6.50

$358.74

$6.50

$4.34

$36.01

$6.50

$408.90

$6.50

$477.05

$6.50

$272.60

$6.50

$817.80

$306.93

$6.50

$423.40

$6.50

$481.42

$2.51

$489.39

$6.50

$20.78

$1,494.01

$6.50

City Of Chicago - Confidential

Page 181 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 06/30/2008 06/30/2008 11/23/2005 11/23/2005 11/23/2005 02/16/2008 02/05/2010 02/05/2010

JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA IBARRA, GINA Hoover, Tracy L Hoover, Tracy L Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hawkins Jr, Nolon B HUNDRIESER, DAVID HUNDRIESER, DAVID

9161

9161 9161

00009

00023

00001

016

Poli Poli Poli

ice ice ice ice ice ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice

S18.08

$712.07

$6.50

$207.82

$24.59

$6.50

$524.21

$21.89

$6.50

$9.45

$6.50

$214.71

$29.12

$190.82

$6.50

$18.81

$190.82

$6.50

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.81

$1,482.25

$2,813.27

$110.50

$4.49

$6.50

$1,817.00

$48.10

$6.50

City Of Chicago - Confidential

Page 182 of 257

Incident Date Claimant Rank

02/05/2010 HUNDRIESER, DAVID 9161

01/10/2011 HUH, BENJAMIN 3286

02/01/2011 HOZIAN, PATRICK 3286

02/23/2011 HOYOU.ASHOOR 3286

01/30/2011 HOOD, BRIAN 3295

12/08/2010 HOLY, RENATA 9161

12/02/2010 HOLMES JR, VERTIS 9161

Unit of Insured Total to be Paid

016 City Of Chicago Police $23.30

016 City Of Chicago Police $272.87

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3,420.00

016 City Of Chicago Police $6.50

016 City Of Chicago Police $92.27

016 City Of Chicago Police $6.50

016 City Of Chicago Police $92.27

044 City Of Chicago Police $6.50

044 City Of Chicago Police $50.00

City Of Chicago Police $13.81

001 City Of Chicago Police $802.05

001 City Of Chicago Police $6.50

001 City Of Chicago Police $1,422.71

001 City Of Chicago Police $6.50

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.45

005 City Of Chicago Police $6.50

005 City Of Chicago Police $119.53

005 City Of Chicago Police $21.97

005 City Of Chicago Police $859.41

005 City Of Chicago Police $4.82

005 City Of Chicago Police $6.50

005 City Of Chicago Police $188.72

City Of Chicago Police $6.50

City Of Chicago Police $207.59

001 City Of Chicago Police $626.31

001 City Of Chicago Police $1.59

001 City Of Chicago Police $7.14

001 City Of Chicago Police $6.50

001 City Of Chicago Police $217.46

City Of Chicago - Confidential

Page 183 of 257

Incident Date Claimant Rank

12702/2010 HOLMES JR, VERTIS 9161

12/02/2010 HOLMES JR, VERTIS 9161

02/04/2011 HOLCOMB, ANTHONY 3286

01/18/2011 HITZ, THOMAS 9161

Unit of_ Insured_Total to be Paid

001 City Of Chicago Police $19.17

001 City Of Chicago Police $6.50

001 City Of Chicago Police $583.51

001 City Of Chicago Police $6.50

001 City Of Chicago Police $217.46

001 City Of Chicago Police $6.50

001 City Of Chicago Police $7.14

001 City Of Chicago Police $39.10

001 City Of Chicago Police $6.50

006 City Of Chicago Police $209.69

006 City Of Chicago Police $6.50

006 City Of Chicago Police $110.09

006 City Of Chicago Police $6.50

006 City Of Chicago Police $88.07

006 City Of Chicago Police $6.50

006 City Of Chicago Police $68.15

006 City Of Chicago Police $6.50

006 City Of Chicago Police $1,907.16

701 City Of Chicago Police $35.90

701 City Of Chicago Police $6.50

701 City Of Chicago Police $16.19

701 City Of Chicago Police $6.50

701 City Of Chicago Police $884.47

701 City Of Chicago Police $6.50

701 City Of Chicago Police $88.07

701 City Of Chicago Police $6.50

701 City Of Chicago Police $88.07

701 City Of Chicago Police $6.50

701 City Of Chicago Police $68.15

701 City Of Chicago Police $6.50

701 City Of Chicago Police $177.39

City Of Chicago - Confidential

Page 184 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Po! City Of Chicago Pol City Of Chicago Po¹City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po

01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 10/28/2010 10/28/2010 10/28/2010 10/28/2010 09/22/2010 09/22/2010 09/22/2010 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011

HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITZ, THOMAS HITIRIS, EVANGELOS HITIRIS, EVANGELOS HITIRIS, EVANGELOS HITIRIS, EVANGELOS HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, BARBARA HILL, BARBARA HILL, BARBARA HILL, BARBARA HILL, BARBARA HILL, BARBARA HILL, BARBARA HILL, BARBARA HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161

701 701 701 701 701 701 701 701 701 701 701

193 193 193 193 193 193 193

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$68.15

$6.50

$88.07

$6.50

$248.69

$6.50

$52.41

$6.50

$59.56

$8.47

$155.99

$6.50

$874.66

$6.50

$186.26

$2.26

$30.05

$86.81

$6.50

$1.74

$20.96

$201.00

$6.50

$59.11

$6.50

$21.02

$24.41

$10.92

$21.02

$23.14

$51.84

City Of Chicago - Confidential

Page 185 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 02/15/2011 12/29/2010 12/29/2010 12/29/2010 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 11/17/2010 11/17/2010 11/17/2010

HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HICKEY, DAVID HETLAND, PATRICIA HETLAND, PATRICIA HETLAND, PATRICIA HETLAND, PATRICIA HETLAND, PATRICIA HETLAND, PATRICIA HETLAND, PATRICIA HETLAND, PATRICIA HETLAND, PATRICIA HERNANDEZ, MARK HERNANDEZ, MARK HERNANDEZ, MARK HERNANDEZ, MANUEL HERNANDEZ, MANUEL HERNANDEZ, MANUEL HERNANDEZ, MANUEL HERNANDEZ, MANUEL HERNANDEZ, MANUEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

193 193 193 193 193 193 193 193 193 193 193 193 044 044 044 044 044 044 044 044 044

016 016 016 016 016 016

City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po: City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$109.04

$7.24

$62.70

$9,450.66

$6.50

$241.52

$29.15

$136.29

$6.50

$11.52

$14.76

$6.50

$21.83

$6.50

$854.66

$4.80

$6.50

$187.77

$7.65

$1.17

$6.50

$96.61

$17.38

$6.50

$435.71

$67.61

$113.12

$6.50

$272.60

$6.50

City Of Chicago - Confidential

Page 186 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010

HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HERNANDEZ, DANIEL HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice Jice Jice lice lice lice lice Jice

$272.60

$6.50

$272.60

$6.50

$272.60

$6.50

$272.60

$6.50

$477.05

$6.50

$545.20

$6.50

$230.65

$6.50

$272.60

$6.50

$272.60

$6.50

$272.60

$6.50

$408.90

$272.60

$6.50

$272.60

$6.50

$251.62

$6.50

$251.62

$6.50

$251.62

City Of Chicago - Confidential

Page 187 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011

HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HEFFERNAN, EILEEN HEFFERNAN, EILEEN HEFFERNAN, EILEEN HEFFERNAN, EILEEN HEFFERNAN, EILEEN HEBEIN, HERBERT HEBEIN, HERBERT HEBEIN, HERBERT HEBEIN, HERBERT HEBEIN, HERBERT HEBEIN, HERBERT HEBEIN, HERBERT HEBEIN, HERBERT HEBEIN, HERBERT HEBEIN, HERBERT

9165 9165 9165 9165 9165

620 620 620 620 620 022 022 022 022 022 022 022 022 022 022

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$251.62

$6.50

$251.62

$6.50

$251.62

$6.50

$251.62

$6.50

$251.62

$6.50

$251.62

$6.50

$251.62

$6.50

$251.62

$6.50

$405.85

$30.38

$6.50

$133.27

$6.50

$6.44

$6.50

$340.75

$10.82

$6.50

$280.53

$6.50

$408.90

$6.50

City Of Chicago - Confidential

Page 188 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

01/21/2011 HEBEIN, HERBERT

11/25/2010 HEALY, RYAN

12/13/2009 HARRIS, DAVID

02/04/2011 HARRIS, DAVID

04/19/2010 HARRIS, CHARLESTON

01/17/2011 HANSEN, TIMOTHY

10/29/2010 HAMMERMEISTER, CRAIG

10/02/2010 HALLINAN, SHAWN

9161

3286 3286 9161 9161 9161 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9164 9164 9164 9164 9164 9164 9164 9164 9164

022 022 022 022 022 022 044

189 189 123 123 123

lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$1,294.85

$340.75

$408.90

$6.50

$75.00

$6.50

$2,754.37

$209.69

$6.50

$140.43

$1.70

$6.50

$602.29

$6.50

$280.97

$6.50

$415.14

$456.29

$6.50

$43.29

$6.50

$21.23

$126.24

$6.50

$215.32

$6.50

$21.23

$190.82

$6.50

City Of Chicago - Confidential

Page 189 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid ^

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010

HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN

SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN

9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice

$18.81

$215.32

$6.50

$21.23

$215.32

$6.50

$21.23

$6,700.55

$6.50

$167.51

$6.50

$16.51

$167.62

$6.50

$16.53

$119.91

$6.50

$11.82

$167.62

$6.50

$16.53

$207.41

$6.50

$20.44

$15.74

$6.50

$205.84

$6.50

$5.26

$1,300.00

$6.50

$21.29

$600.00

City Of Chicago - Confidential

Page 190 of 257

Incident Date Claimant Rank

10/02/2010 HALLINAN, SHAWN 9164

04/20/2010 HALLINAN, ANNETTE 9161

02/17/2007 Gass, George W P

09/29/2010 GUTIERREZ, VICTORIA 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $190.82

City Of Chicago Police $6.50

City Of Chicago Police $18.81

City Of Chicago Police $215.32

016 City Of Chicago Police $133.06

016 City Of Chicago Police $6.50

016 City Of Chicago Police $1.95

016 City Of Chicago Police $202.02

016 City Of Chicago Police $2.60

016 City Of Chicago Police $2.97

016 City Of Chicago Police $177.38

016 City Of Chicago Police $6.50

00153 City Of Chicago Police $7,936.62

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1,100.78

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1,635.60

012 City Of Chicago Police $3.22

012 City Of Chicago Police $6.50

012 City Of Chicago Police $698.36

012 City Of Chicago Police $6.50

012 City Of Chicago Police $237.26

012 City Of Chicago Police $48.50

012 City Of Chicago Police $6.50

012 City Of Chicago Police $9.10

012 City Of Chicago Police $1,562.14

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1,006.48

012 City Of Chicago Police $6.50

012 City Of Chicago Police $150.97

012 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 191 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poi City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

09/29/2010 GUTIERREZ, VICTORIA

10/10/2010 GUNNING, JOSEPH

05/02/2010 GUARNIERI, PAUL

02/05/2010 GUAJARDO, LUIS

10/02/2010 GRIFFIN, RICHARD

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161

012 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012

006

lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice

$351.25

$6.50

$906.95

$6.50

$419.40

$6.50

$419.40

$6.50

$340.75

$6.50

$1,022.25

$6.50

$252.68

$6.50

$545.20

$6.50

$545.20

$6.50

$1.40

$95.60

$1.85

$6.50

$125.96

$169.31

$6.50

$2.49

$654.75

$6.50

$2.01

$62.40

$6.50

$3.31

$408.90

City Of Chicago - Confidential

Page 192 of 257

MrOf^rOrOf^|OrOfO!O^W[lJ[0

ro ro ro ro ro ro ro

to ro §

CDCDCDC0O5O5O5OJ

ioioiororoioiorororororo

ro r3

ro § ro

rorororororororoco

O fci IO

O O

ro ro ro ro

o ro ro

ro ro

ro ro to ro

5 §

m m

cn cn

o o

> >

a a

73 7S

m m cn cn

o o > >

m m

z z

c c

TJ TJ

P P

> >

r r

< <

z z

"2222222222222222 UJ-nTi-n-nTi-n-n-nTiTi-n-n-n-n-nTi

^ZZZZZZZZZZZZZZZZ

J = = = .= = = = = = = = = .= = = ₂

irnrnrirnnirnrnnirnrnrnrnnirnrnn

-OOOOOOOOOOOOOOOV

>222222222222222> CrnmmmrfimmmmrnmrnmmfnTJ

< D Z

Q O O

2 2 2

H H Tl

TJ 7!

2 2

Tl Tl

z z z z z z

73 73

2 2 O O

2 2

o o

> >

7) 73

O O O D O

2 2 o o

73 73

o a

2 2

o o

> >

73 7)

o o

(OC0COCOCOCOCOCO

_x IO

rorororororororoiotoroioro

UCa)CDC0CQCOCO(0CO(OC0C0

coa^a)a)a)a)a)a}Oocococococooo(»ODCDOoooooaocoaia}a?a}a}a)a^a)a^a)

O>cnc7)00)oc}0)0}oc3>c3>c3io>0)

ro ro ro ro

u> oi oi oi

01C7)O)CT>a)C7>G)0)O)

C o

ooooooonnoooooooooooooooooooo -? >?' <' >?' -<' «?'

222222222222222222222222222222222 ooooooooooooooooooooooooooooooooo

S S

CQCQCQCOCOCQCQCQCQcaCQCQCQCQCQCQCQCQCQCQ

2 8 2

(a (a

to to ca ca

cq ca cq ca

CD CO <D CD

-» (3) -i

G) O) Ca)

» « J

O) o cn co o)

Ol Ol Ol

Incident Date Claimant Rank

12/29/2010 GRAY, JESSICA 9161

10/14/2010 GRANEY, KEVIN 9161

11/01/2010 GRAHAM, BRIAN 9161

Unit of_Insured_Total to be Paid

124 City Of Chicago Police $6.50

124 City Of Chicago Police $18.81

124 City Of Chicago Police $77.59

124 City Of Chicago Police $6.50

124 City Of Chicago Police $190.82

124 City Of Chicago Police $6.50

124 City Of Chicago Police $18.81

044 City Of Chicago Police $322.90

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.58

044 City Of Chicago Police $6.50

044 City Of Chicago Police $91.03

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.14

044 City Of Chicago Police $288.89

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.01

044 City Of Chicago Police $6.50

044 City Of Chicago Police $82.83

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.00

044 City Of Chicago Police $83.67

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.01

044 City Of Chicago Police $265.47

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.04

044 City Of Chicago Police $333.41

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.81

044 City Of Chicago Police $250.34

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 194 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

11/01/2010 GRAHAM, BRIAN

01/12/2011 GRACIA, ANTHONY

11/21/2010 GOUGIS, JEFFREY

02/09/2011 GOPEZ, FREDERICH

06/29/2010 GONZALEZ, LUIS

08/26/2010 GONZALEZ, FRANCISCO

9161 9161 9161 9161 9161 3286 3286 3286 3286 3286 9161 9161 9161 9161 9171 9171 9171 9164 9164 9164

044 044 044 044 044

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$11.26

$184.28

$6.50

$2.23

$83.67

$24.41

$6.50

$601.60

$6.50

$303.01

$6.50

$503.28

$5.20

$354.79

$6.50

$9.52

$10.46

$6.50

$420.80

$6.50

$491.64

$6.50

$2.50

$420.80

$6.50

$420.80

$6.50

$352.65

$6.50

City Of Chicago - Confidential

Page 195 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/26/2010 GONZALEZ, FRANCISCO

10/13/2010 GOMEZ, ALEX

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice dice dice dice dice dice lice lice lice lice lice lice lice lice lice

$352.65

$6.50

$383.06

$6.50

$352.65

$6.50

$352.65

$6.50

$352.65

$6.50

$420.80

$6.50

$420.80

$6.50

$420.80

$6.50

$352.65

$6.50

$389.35

$6.50

$846.85

$6.50

$389.35

$6.50

$389.35

$6.50

$352.65

$6.50

$420.80

$6.50

$420.80

$6.50

City Of Chicago - Confidential

Page 196 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 02/02/2011 02/02/2011 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/22/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010

GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOINS, ROBERT GOINS, ROBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GIANNOS, ELIAS GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY

3295 3295 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

153 153

019

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Po' City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

lice lice lice lice lice lice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$8,827.42

$431.99

$6.50

$10.74

$6.50

$1,169.45

$129.60

$1,325.73

$6.50

$164.19

$731.52

$6.50

$611.72

$10.64

$6.50

$280.53

$6.30

$97.14

$1,781.96

$810.00

$6.50

$891.20

$6.50

$377.45

$6.50

$377.45

$6.50

$754.90

$6.50

$1,499.30

City Of Chicago - Confidential

Page 197 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/01/2010 GAYTAN, PEGGY

09/01 /2010 GAYTAN, PEGGY

09/01/2010 GAYTAN, PEGGY

09/01 /2010 GAYTAN, PEGGY

09/01/2010 GAYTAN, PEGGY

06/26/2010 GAWLOWSKI, RADOSLAW

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

$6.50

$73.71

$6.50

$0.89

$408.90

$6.50

$817.80

$6.50

$84.91

$6.50

$84.92

$6.50

$73.71

$6.50

$0.89

$1,404.95

$6.50

$189.70

$6.50

$4.51

$823.05

$6.50

$33.99

$100.68

$6.50

$150.97

$6.50

$283.91

$6.50

$11.62

$263.33

$6.50

City Of Chicago - Confidential

Page 198 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/26/2010 GAWLOWSKI, RADOSLAW

03/05/2011 GASKEW, DORIS

05/26/2010 GARCIA, MARGARITA

3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161

017 017 017 017 017 018 018 018 018 018 018 018 018

$128.86

$259.25

$6.50

$10.52

$14,762.73

$2,108.63

$6.50

$213.60

$6.50

$9.27

$272.98

$6.50

$11.13

$272.98

$6.50

$11.13

$489.39

$6.50

$20.78

$824.04

$6,003.35

$6.50

$76.87

$47.63

$153.41

$190.61

$6.50

$18.78

$6.50

$190.61

$18.80

$6.50

$190.72

City Of Chicago - Confidential

Page 199 of 257

Incident Date Claimant Rank

05/26/2010 GARCIA, MARGARITA 9161

Unit of_Insured_Total to be Paid

018 ^ City Of Chicago Police $18.78

018 City Of Chicago Police $6.50

018 City Of Chicago Police $190.61

018 City Of Chicago Police $18.78

018 City Of Chicago Police $6.50

018 City Of Chicago Police $190.61

018 City Of Chicago Police $18.78

018 City Of Chicago Police $6.50

018 City Of Chicago Police $190.61

018 City Of Chicago Police $18.78

018 City Of Chicago Police $6.50

018 City Of Chicago Police $190.61

018 City Of Chicago Police $18.78

018 City Of Chicago Police $6.50

018 City Of Chicago Police $190.61

018 City Of Chicago Police $18.78

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $9,428.87

018 City Of Chicago Police $6.50

018 City Of Chicago Police $151.05

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.78

018 City Of Chicago Police $190.61

018 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 200 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/26/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 10/30/2009 10/30/2009 07/16/2010 07/16/2010 09/26/2010 09/26/2010 09/26/2010 02/27/2011 02/27/2011 02/27/2011 02/27/2011 12/10/2010

GARCIA, MARGARITA GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, FERNANDO GARCIA, FERNANDO GARCIA, FERNANDO GARCIA, FERNANDO GARCIA, FERNANDO GARCIA, FERNANDO GARCIA, BRYANT GARCIA, BRYANT GAMEZ, ISRAEL GAMEZ, ISRAEL GAITHER, LA KESHA GAITHER, LA KESHA GAITHER, LA KESHA GAETA, JAIME GAETA, JAIME GAETA, JAIME GAETA, JAIME GAAL, CHRISTIAN

9161

018

3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 0430 0430 0430 3286 3286 3286 3286 9164

151 151 151 006 006 006 006

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poll City Of Chicago Poli

$18.78

$6.50

$1,539.47

$893.76

$6.50

$1,656.00

$6.50

$183.82

$6.50

$62.58

$6.50

$150.97

$6.50

$138.89

$6.50

$2.74

$6.50

$119.72

$2.78

$196.17

$6.50

$5,141.16

$6,757.52

$23.20

$1.33

$6.50

$754.27

$6.50

$209.69

$6.50

$1,132.60

City Of Chicago - Confidential

Page 201 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12710/2010 12/10/2010 04/08/2006 04/08/2006 07/22/2007 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 12/22/2010 12/22/2010 12/22/2010

GAAL, CHRISTIAN GAAL, CHRISTIAN Fuller, Stephen B Fuller, Stephen B Fenner, Lolita FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOSTER, TERESA FOSTER, TERESA FOSTER, TERESA FOSTER, TERESA FOSTER, KEVIN FOSTER, KEVIN FOSTER, KEVIN

9164

p.o

9161

00018

00376

005

004

$33.77

$6.50

$530.91

$3,000.00

$6.50

$408.90

$13.48

$6.50

$293.10

$272.60

$6.50

$1,277.43

$6.50

$26.72

$352.27

$6.50

$1,431.15

$792.67

$6.50

$340.75

$6.50

$340.75

$6.50

$1,979.56

$6.50

$7.16

$6.50

$280.24

City Of Chicago - Confidential

Page 202 of 257

Incident Date Claimant_Rank

09/17/2010 FORD, BRUCE

12/19/2010 FORD, ARTHELIA 9161

Unit of Insured Total to be Paid

City Of Chicago Police $137.45

044 City Of Chicago Police $1,186.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.36

044 ' City Of Chicago Police $150.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $24.54

044 City Of Chicago Police $127.93

044 City Of Chicago Police $6.50

044 City Of Chicago Police $42.67

044 City Of Chicago Police $356.10

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.31

044 City Of Chicago Police $396.41

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.80

044 City Of Chicago Police $247.28

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.99

044 City Of Chicago Police $414.42

044 City Of Chicago Police $6.50

044 City Of Chicago Police $133.52

044 City Of Chicago Police $346.59

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.74

044 City Of Chicago Police $263.06

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.18

044 City Of Chicago Police $143.42

044 City Of Chicago Police $23.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.33

City Of Chicago - Confidential

Page 203 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po. City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010

FORD, ARTHELIA FORD, ARTHELIA FORD, ARTHELIA FORD, ARTHELIA FORD, ARTHELIA FORD, ARTHELIA FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$429.82

$6.50

$5.20

$56.56

$6.50

$10.38

$168.55

$6.50

$16.61

$170.25

$6.50

$16.78

$168.55

$6.50

$16.61

$3,204.45

$6.50

$8.07

$97.68

$6.50

$25.37

$162.79

$6.50

$20.59

$170.25

$6.50

$16.78

$149.46

$6.50

$21.93

$24.99

$46.92

$24.99

City Of Chicago - Confidential

Page 204 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol

11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010

FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189

Poli Poli Poli

ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ice ce ice ice ice ice ice ice ice

$46.92

$114.28

$6.50

$29.74'

$218.09

$6.50

$218.09

$6.50

$9,481.01

$6.50

$16.09

$174.47

$6.50

$10.03

$46.92

$6.50

$1,032.75

$6.50

$408.90

$10.34

$6.50

$293.10

$6.50

$272.60

$6.50

$408.90

$6.50

$408.90

$6.50

$408.90

$6.50

City Of Chicago - Confidential

Page 205 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po

03/23/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010

FLORES, SAMUEL FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

189 018 018 018 018 018 018 018 018 018 018 018 018

lice lice lice ilice lice lice lice Jice lice lice lice lice ilice ilice lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$351.70

$17.36

$6.50

$427.65

$18.80

$6.50

$7.99

$6.50

$196.91

$1.86

$6.50

$45.87

$463.19

$6.50

$16.64

$168.80

$6.50

$16.64

$168.80

$6.50

$16.64

$168.80

$6.50

$16.64

$168.80

$6.50

$16.64

$168.80

$6.50

$16.64

$223.75

$6.50

$22.06

City Of Chicago - Confidential

Page 206 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 10/13/2010

FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIENE, HAROLD

Pol Pol Pol

ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ce ce ce

$89.12

$6.50

$1.31

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$223.75

$6.50

$22.06

$223.75

$6.50

$22.06

$223.75

$6.50

$22.06

$223.75

$6.50

$22.06

$168.80

$6.50

$16.64

$223.75

$6.50

$22.06

$134.47

$168.80

$6.50

$16.64

$168.80

$6.50

City Of Chicago - Confidential

Page 207 of 257

Incident Date Claimant Rank

10/13/2010 FIENE, HAROLD

05/20/2010 FIELDS, JEROHN 9161

Unit of Insured Total to be Paid

City Of Chicago Police $116.81

002 City Of Chicago Police $6.50

002 City Of Chicago Police $13.73

002 City Of Chicago Police $175.94

002 City Of Chicago Police $6.50

002 City Of Chicago Police $17.34

002 City Of Chicago Police $142.91

002 City Of Chicago Police $6.50

002 City Of Chicago Police $14.08

002 City Of Chicago Police $1,585.73

002 City Of Chicago Police $6.50

002 City Of Chicago Police $156.35

002 City Of Chicago Police $142.91

002 City Of Chicago Police $6.50

002 City Of Chicago Police $14.08

002 City Of Chicago Police $142.91

002 City Of Chicago Police $6.50

002 City Of Chicago Police $14.08

002 City Of Chicago Police $143.42

002 City Of Chicago Police $6.50

002 City Of Chicago Police $1.74

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $175.94

002 City Of Chicago Police $6.50

002 City Of Chicago Police $17.34

002 City Of Chicago Police $164.83

002 City Of Chicago Police $6.50

002 City Of Chicago Police $16.25

002 City Of Chicago Police $95.20

002 City Of Chicago Police $6.50

002 City Of Chicago Police $9.38

City Of Chicago - Confidential

Page 208 of 257

tnuitntjioioiuimoioimuitjiuioiuiwmoioiuiuioiwoiuiuiwui

O S3

ro ro ro

ioMiorororoMNjwhowMMN)rorororowN3rororoN)rororororoN3 oooooooooooooooooooooooooooooo

oooooooooooooooooooooooooooooo

rnrnmrnninirnrnfTirnrnnirnrnrnrnrnrnnininirn

o co

rn i^-a co

mmmmmmmmmm

a a co co

m m

TJ TJ

O O

x x

z z

m m

TJ TJ

0 O

1 x z z

m m

TJ TJ

o o

x x

z z

m m

TJ TJ

0 O

1 x z z

m m

TJ TJ

O O

x x

z z

m m

TJ TJ

m m

TJ TJ

m m

TJ TJ

(OC0CO(OCO(DCD(OU)(£>COCOCOC0COCOCOC0C0(0<13CO(0(0<OC0<OC0CO(O(OCDCO O)O)C7>010101Cn0>CT)0j0)O3O>aiCT)CT3O>C)0>0)O)0)CT)0)0)0)a)CJJ0)C3,0)O,O)

QDQQQQDQDDD

<■ <■ ooooooooooo

QQQQQQQQQQQOonoooooooo

■z «?'

OOOOOOOOOOOOOOOOOOOOOO

ooooooooooooooooooooooooooooooooo

Soooopppoooooooooooo fllQ)a)fl)Q)Q)Q)Q3fl)fl)0)COCUOJO)OJO)fl303

CQCQCOCQCQCQCQCQCQCaCQCQCQCQCQCQCQCQCQCQ_ _ _ _

OOOOOOOOOOOOOOOOOOOOOOOO TJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJTJ

CQCQCQCQCQCQCQCQCQCQCQ

TJ TJ TJ TJ TJ TJ TJ

CD CD CD CD

CD <D (D (D

*f) ^}

CJ)

M CO M ^ O) CQ

Incident Date Claimant Rank

05/20/2010 FIELDS, JEROHN 9161

06/01/2010 FERREIRA, ALFRED

09/14/2010 FEREK, DANIEL 9169

08/28/2010 FENNER, LOLITA

09/16/2010 FEIL, CHRISTOPHER 9161

Unit of Insured Total to be Paid

002 City Of Chicago Police $169.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $16.70

002 City Of Chicago Police $175.94

002 City Of Chicago Police $6.50

002 City Of Chicago Police $17.34

002 City Of Chicago Police $169.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $16.70

002 City Of Chicago Police $139.30

City Of Chicago Police $6.50

055 City Of Chicago Police $6.50

055 City Of Chicago Police $173.99

055 City Of Chicago Police $314.75

055 City Of Chicago Police $7.06

055 City Of Chicago Police $12,315.71

055 City Of Chicago Police $6.50

City Of Chicago Police $11.15

393 City Of Chicago Police $204.29

393 City Of Chicago Police $6.50

393 City Of Chicago Police $31.32

393 City Of Chicago Police $776.66

393 City Of Chicago Police $6.50

393 City Of Chicago Police $465.11

393 City Of Chicago Police $2,659.23

393 City Of Chicago Police $6.50

393 City Of Chicago Police $1,177.27

393 City Of Chicago Police $6.50

393 City Of Chicago Police $74.18

393 City Of Chicago Police $5,925.00

393 City Of Chicago Police $6.50

393 City Of Chicago Police $2,814.21

City Of Chicago - Confidential

Page 210 of 257

Incident Date Claimant Rank

09/16/2010 FEIL, CHRISTOPHER 9161

Unit of Insured Total to be Paid

393 City Of Chicago Police $46.36

393 City Of Chicago Police $6.50

393 City Of Chicago Police $13.93

393 City Of Chicago Police $6.50

393 City Of Chicago Police $6.69

393 City Of Chicago Police $77.28

393 City Of Chicago Police $6.50

393 City Of Chicago Police $53.02

393 City Of Chicago Police $74.81

393 City Of Chicago Police $6.50

393 City Of Chicago Police $38.68

393 City Of Chicago Police $36.00

393 City Of Chicago Police $6.50

393 City Of Chicago Police $15.19

393 City Of Chicago Police $6.50

393 City Of Chicago Police $6.15

393 City Of Chicago Police $2,445.20

393 City Of Chicago Police $6.50

393 City Of Chicago Police $547.13

393 City Of Chicago Police $280.21

393 City Of Chicago Police $6.50

393 City Of Chicago Police $47.12

393 City Of Chicago Police $293.10

393 City Of Chicago Police $6.50

393 City Of Chicago Police $10.14

393 City Of Chicago Police $6.50

393 City Of Chicago Police $293.10

393 City Of Chicago Police $6.50

393 City Of Chicago Police $10.14

393 City Of Chicago Police $144.41

393 City Of Chicago Police $6.50

393 City Of Chicago Police $73.28

393 City Of Chicago Police $317.38

City Of Chicago - Confidential

Page 211 of 257

Incident Date Claimant Rank

09/16/2010 FEIL, CHRISTOPHER 9161

09/16/2010 FEIL, CHRISTOPHER . 9161

09/16/2010 FEIL, CHRISTOPHER 9161

Unit of Insured Total to be Paid

393 City Of Chicago Police $6.50

393 City Of Chicago Police $59.26

393 City Of Chicago Police $65.32

393 City Of Chicago Police $6.50

393 City Of Chicago Police $5.23

393 City Of Chicago Police $197.11

393 City Of Chicago Police $6.50

393 City Of Chicago Police $11.33

393 City Of Chicago Police $109.03

393 City Of Chicago Police $6.50

393 City Of Chicago Police $6.27

393 City Of Chicago Police $109.03

393 City Of Chicago Police $6.50

393 City Of Chicago Police $6.27

393 City Of Chicago Police $109.03

393 City Of Chicago Police $6.50

393 City Of Chicago Police $6.27

393 City Of Chicago Police $109.03

393 City Of Chicago Police $6.50

393 City Of Chicago Police $6.27

393 City Of Chicago Police $4,439.38

393 City Of Chicago Police $6.50

393 City Of Chicago Police $162.81

393 City Of Chicago Police $122.50

393 City Of Chicago Police $6.50

393 City Of Chicago Police $2.42

393 City Of Chicago Police $492.10

393 City Of Chicago Police $6.50

393 City Of Chicago Police $24.28

393 City Of Chicago Police $38.77

393 City Of Chicago Police $80.52

393 City Of Chicago Police $44.79

393 City Of Chicago Police $491.75

City Of Chicago - Confidential

Page 212 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/27/2009 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010

FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FASUNA, JOSEPH FASUNA, JOSEPH FASUNA, JOSEPH FASUNA, JOSEPH FASUNA, JOSEPH ESQUIVEL, CIRILO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO

9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

393 393 393 393 393 393 393 024 024 024 024 024 044

ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice

$157.64

$6.50

$416.77

$6.50

$131.00

$6.50

$3.25

$6.50

$5.70

$27.34

$6.50

$9,662.42

$147.33

$17.37

$6.50

$176.15

$17.37

$6.50

$176.15

$18.81

$6.50

$190.82

$17.37

$6.50

$176.15

$17.37

$6.50

$14.54

$176.15

$6.50

$17.37

$176.15

City Of Chicago - Confidential

Page 213 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicagi City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago PO City Of Chicago Pol City Of Chicago Po

10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 07/27/2010 07/27/2010 07/27/2010 06/03/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/08/2010 07/08/2010 07/08/2010 04/22/1998 04/22/1998 04/22/1998 07/14/1988 07/14/1988 05/04/2010

ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO EDWARDS, TRACEY EDWARDS, JEFFREY EDWARDS, JEFFREY EDWARDS, JEFFREY EDWARDS, JEFFREY EDWARDS, JEFFREY EDWARDS, JEFFREY EDWARDS, JEFFREY EARNEST, EVONA EARNEST, EVONA EARNEST, EVONA Doran, Gregory Doran, Gregory Doran, Gregory Domagala, Bernard Domagala, Bernard DUNK, JOSEPH

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161

9164

002 002 002

015 015 015 015 015 015 015

00044 00044 00044 09999 09999 007

lice lice lice lice lice lice lice ilice ilice ilice ilice ilice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$17.37

$190.82

$6.50

$18.81

$87.36

$6.50

$3.30

$176.15

$6.50

$17.37

$176.15

$6.50

$18,266.74

$1,171.00

$11,852.57

$6.50

$76.33

$379.06

$6.50

$18.55

$6.50

$1,402.39

$27.49

$6.50

$80.49

$127.04

$6.50

$5.16

$812.31

$11,939.75

$6.50

City Of Chicago - Confidential

Page 214 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/04/2010 DUNK, JOSEPH

02/26/2011 DUBOSE JR, ALFONSIA

01/11/2011 DOWNEY, CORNELIUS

02/01/2011 DOWLING, RICHARD

10/16/2010 DORRIS, JOHN

02/13/2011 DINEEN, JOHN

9164 9164 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9171 9171 3286 3286 3286 3286 3286 3286 3286 3286

007 007

002 002 002 002 002 002 002

009 009

City Of Chicago City Of Chicago City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po! City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice

$40.70

$25.37

$153.90

$36.71

$6.50

$356.25

$100.29

$6.50

$96.62

$6.50

$681.50

$6.50

$408.90

$1.17

$6.50

$301.96

$6.50

$76.96

$6.50

$230.68

$804.60

$6.50

$89.10

$6.50

$47.83

$6.50

$12.08

$98.45

$6.50

$12.08

$108.22

City Of Chicago - Confidential

Page 215 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 02/16/2011

DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DELOLMO, EDGAR

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

Poli Poll

Poll

ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ice ice ice ice

$235.91

$6.50

$360.67

$6.50

$419.38

$6.50

$293.57

$6.50

$459.23

$6.50

$293.57

$6.50

$157.29

$6.50

$304.06

$6.50

$550.00

$6.50

$222.19

$235.91

$6.50

$235.91

$6.50

$314.56

$6.50

$235.91

$6.50

$98.45

$6.50

$12.08

$192.52

$98.45

$1,157.03

City Of Chicago - Confidential

Page 216 of 257

Incident Date Claimant_Rank

02/16/2011 DELOLMO, EDGAR

02/28/2011 DELATORRE JR., CARLOS 3286

10/17/2010 DELANEY, ANDREA 9161

08/31/2010 DEBOSE, MARC 9161

Unit of_Insured_Total to be Paid

5 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.10

044 City Of Chicago Police $286.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.17

044 City Of Chicago Police $441.50

044 City Of Chicago Police $5.37

044 City Of Chicago Police $9.55

044 City Of Chicago Police $652.52

044 City Of Chicago Police $6.50

044 City Of Chicago Police $382.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.77

044 City Of Chicago Police $596.66

044 City Of Chicago Police $6.50

City Of Chicago Police $6.50

315 City Of Chicago Police $3.62

315 City Of Chicago Police $247.28

315 City Of Chicago Police $6.50

315 City Of Chicago Police $2.99

315 City Of Chicago Police $555.41

315 City Of Chicago Police $6.50

315 City Of Chicago Police $6.72

315 City Of Chicago Police $247.28

315 City Of Chicago Police $6.50

315 City Of Chicago Police $2.99

315 City Of Chicago Police $247.28

315 City Of Chicago Police $6.50

315 City Of Chicago Police $2.99

315 City Of Chicago Police $308.13

315 City Of Chicago Police $6.50

315 City Of Chicago Police $3.73

City Of Chicago - Confidential

Page 217 of 257

Incident Date Claimant_Rank

08/31/2010 DEBOSE, MARC 9161

-08/31/2010 DEBOSE, MARC 9161

08/31/2010 DEBOSE, MARC 9161

01/20/2011 DEARTH, ROBERT 3253

06/27/2010 DAVIS, QUINTON 9161

Unit of Insured Total to be Paid

315 City Of Chicago Police $256.38

315 City Of Chicago Police $6.50

315 City Of Chicago Police $3.10

315 City Of Chicago Police $247.28

315 City Of Chicago Police $6.50

315 City Of Chicago Police $2.99

315 City Of Chicago Police $247.28

315 City Of Chicago Police $6.50

315 City Of Chicago Police $2.99

315 City Of Chicago Police $186.26

315 City Of Chicago Police $6.50

315 City Of Chicago Police $2.26

315 City Of Chicago Police $1,382.46

315 City Of Chicago Police $6.50

315 City Of Chicago Police $16.73

315 City Of Chicago Police $287.13

315 City Of Chicago Police $6.50

315 City Of Chicago Police $3.47

315 City Of Chicago Police $226.29

315 City Of Chicago Police $6.50

315 City Of Chicago Police $2.73

315 City Of Chicago Police $473.57

315 City Of Chicago Police $6.50

315 City Of Chicago Police $5.72

315 City Of Chicago Police $89.64

315 City Of Chicago Police $6.50

315 City Of Chicago Police $1.09

315 City Of Chicago Police $298.82

315 City Of Chicago Police $6.50

701 City Of Chicago Police $58.41

701 City Of Chicago Police $6.50

701 City Of Chicago Police $126.46

City Of Chicago - Confidential

Page 218 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/27/2010 06/27/2010 06/27/2010 06/27/2010 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 05/14/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010

DAVIS, QUINTON DAVIS, QUINTON DAVIS, QUINTON DAVIS, QUINTON DAVIS, ERIC DAVIS, ERIC DAVIS, ERIC DAVIS, ERIC DAVIS, ERIC DAVIS, ERIC DAVIS, ERIC DARCY, PATRICIA DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM . DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

701 701 701 701 044 044 044 044 044 044 044

024 024 024 024

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

>lice ilice lice lice lice lice lice tice lice lice lice lice ilice lice ilice tice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice

$6.50

$18.56

$42.36

$6.50

$135.25

$6.50

$594.25

$6.50

$15.19

$159.37

$6.50

$1,114.00

$6.50

$432.82

$190.68

$6.50

$214.41

$6.50

$21.13

$171.12

$6.50

$16.87

$156.44

$6.50

$15.42

$156.44

$6.50

$15.42

$87.41

$156.44

$6.50

$15.42

City Of Chicago - Confidential

Page 219 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010

DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV,

VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM VADIM

City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Poi City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

'lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice Jice lice lice lice lice lice

$156.44

$6.50

$15.42

$156.44

$15.42

$156.44

$6.50

$15.42

$221.86

$6.50

$2.69

$156.44

$6.50

$15.42

$90.07

$6.50

$1.09

$171.12

$6.50

$16.87

$156.44

$6.50

$15.42

$1,125.00

$6.50

$86.25

$156.44

$6.50

$15.42

$223.49

$9.40

$6.50

$95.41

City Of Chicago - Confidential

Page 220 of 257

Incident Date Claimant Rank

12/20/2010 DANILOV, VADIM

01/30/2011 DANGLES, ROBERT PO

11/06/2010 CZARNIK, MARK 9161

02/10/2011 CURRY, MICHAEL 9161

10/28/2010 CROSS, LENWOOD

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

022 City Of Chicago Police $6.50

022 City Of Chicago Police $158.76

022 City Of Chicago Police $4.24

023 City Of Chicago Police $290.12 023 City Of Chicago Police $3.16 023 City Of Chicago Police $4,715.03 023 City Of Chicago Police $6.50 023 City Of Chicago Police $57.08 023 City Of Chicago Police $204.25 023 City Of Chicago Police $6.50 023 City Of Chicago Police $2.47 023 City Of Chicago Police $871.92 023 City Of Chicago Police $6.50 023 City Of Chicago Police $408.50 023 City Of Chicago Police $6.50 023 City Of Chicago Police $4.94 023 City Of Chicago Police $408.50 023 City Of Chicago Police $6.50 023 City Of Chicago Police $4.94 023 City Of Chicago Police $261.25 023 City Of Chicago Police $6.50 023 City Of Chicago Police $6.50 044 City Of Chicago Police $887.27 044 City Of Chicago Police $6.50 044 City Of Chicago Police $22.68 044 City Of Chicago Police $121.73 044 City Of Chicago Police $1.15 044 City Of Chicago Police $3.11 044 City Of Chicago Police $45.00 044 City Of Chicago Police $6.50 044 City Of Chicago Police $6.50

City Of Chicago Police $177.18

City Of Chicago - Confidential

Page 221 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/28/2010 CROSS, LENWOOD

10/05/2010 CROSBY, GEORGE

01/05/2011 CRAWFORD, TENISHIA

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

765

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

lice ilice lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$55.73

$101.70

$6.50

$26.22

$347.90

$180.00

$6.50

$19.54

$90.00

$6.50

$20.05

$217.82

$6.50

$26.22

$17.54

$110.00

$722.47

$6.50

$825.68

$157.78

$41.71

$301.94

$6.50

$983.48

$37.58

$6.50

$925.97

$11.04

$6.50

$265.45

$37.32

City Of Chicago - Confidential

Page 222 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Poi City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

01/05/2011 CRAWFORD, TENISHIA

11/17/2010 CRAWFORD, CARRIS

03/17/2010 CRANE, ROBERT

11/17/2010 CRADICK, EDWARD

02/01/2011 COVELLO, FRANK

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286 3286

017

lice lice ilice lice lice lice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$930.16

$6.50

$101.70

$6.50

$101.70

$6.50

$176.45

$6.50

$7.16

$744.14

$6.50

$24.44

$30.00

$135.87

$1.52

$6.50

$59.37

$27.60

$6.50

$1,080.14

$6.50

$160.15

$6.50

$20.70

$6.83

$6.50

$3.47

$267.02

$408.90

$6.50

$408.90

$6.50

City Of Chicago - Confidential

Page 223 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 12/26/2010 12/26/2010 12/26/2010 12/26/2010 12/26/2010 12/26/2010 12/26/2010 12/26/2010 12/26/2010 12/11/2010 12/11/2010 12/11/2010 07/23/2009 07/23/2009

COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTTER, JULIE COTHRAN, ALONZO COTHRAN, ALONZO COTHRAN, ALONZO COTHRAN, ALONZO COTHRAN, ALONZO COTHRAN, ALONZO COTHRAN, ALONZO COTHRAN,ALONZO COTHRAN, ALONZO CORTES, CARLOS CORTES, CARLOS CORTES, CARLOS CONWAY, NICOLE CONWAY, NICOLE

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

314 314 314 314 314 314 314 314 314

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$617.56

$6.50

$613.35

$6.50

$297.04

$6.50

$4.36

$207.41

$6.50

$20.44

$10.21

$6.50

$196.60

$1.47

$6.50

$25.60

$3.93

$268.06

$6.50

$25.60

$6.50

$4.32

$20.35

$1.47

$501.15

$356.96

$6.50

$3.80

$259.12

$6.50

$1,692.60

$1,528.80

City Of Chicago - Confidential

Page 224 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/23/2009 03/08/2011 03/08/2011 03/08/2011 01/28/2011 01/28/2011 02/03/2011 02/03/2011 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 11/15/2010 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 12/02/2010 12/02/2010 12/02/2010 02/07/2011 02/07/2011 02/07/2011

CONWAY, NICOLE CONWAY, KEITH CONWAY, KEITH CONWAY, KEITH CONROY, BRIDGET CONROY, BRIDGET CONNOR, MICHAEL CONNOR, MICHAEL CONNOLLY, KIMBERLY CONNOLLY, KIMBERLY CONNOLLY, KIMBERLY CONNOLLY, KIMBERLY CONNOLLY, KIMBERLY CONNOLLY, KIMBERLY CONNOLLY, KIMBERLY CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH CONNOLLY, KEITH COMBS, ROBERT COMBS, ROBERT COMBS, ROBERT COLON, MARIA COLON, MARIA COLON, MARIA

9161 9161 9161 3286 3286 9161 9161

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161

005 005 005

020 020

044 044 044 044 044 044 044 044 044 044 044 044

123 123 123

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol! City Of Chicago Poll City Of Chicago Pol! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol

$1,692.60

$6.78

$206.42

$6.50

$1,421.18

$6.50

$209.69

$6.50

$13.48

$3,939.10

$6.50

$1,834.61

$293.10

$6.50

$1.29

$44.00

$6.50

$2.53

$317.27

$6.50

$8.10

$1,597.47

$6.50

$64.84

$22.40

$91.53

$6.50

$2.34

$6.50

$44.22

$213.87

City Of Chicago - Confidential

Page 225 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol

02/07/2011 02/07/2011 02/07/2011 01/22/2010 01/22/2010 09/08/2010 09/08/2010 09/08/2010 03/10/2011 03/10/2011 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009

COLON, MARIA COLON, MARIA COLON, MARIA COLLINS, RAYMOND COLLINS, RAYMOND COLLIER, DWAYNE COLLIER, DWAYNE COLLIER, DWAYNE COLEMAN, MARVIN COLEMAN, MARVIN

COLE II COLE I COLE I COLE I COLE I COLE II COLE II COLE II COLE II COLE II COLE I! COLE I COLE I COLE I COLE I COLE II COLE II COLE II COLE I COLE I COLE II COLE II COLE II

DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY

9161 9161 9161 9161 9161 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

123 123 123

015 015 015

001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001

lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$1.43

$24.80

$6.50

$2,652.75

$1,477.55

$1,448.90

$6.50

$283.48

$1,872.00

$1,555.20

$1,713.60

$1,872.00

$1,713.60

$1,690.80

$1,729.80

$1,872.00

$1,700.40

$2,037.75

$1,872.00

$1,891.50

$1,852.50

$1,872.00

$2,340.00

$1,303.00

City Of Chicago - Confidential

Page 226 of 257

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

10/25/2010 COBB, SHAWN

Unit of_Insured_Total to be Paid

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $1,813.50

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $1,833.00

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $1,713.60

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $1,555.20

001 City Of Chicago Police $1,713.60

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $1,568.25

001 City Of Chicago Police $602.91

001 City Of Chicago Police $6.50

001 City Of Chicago Police $325.91

001 City Of Chicago Police $6.50

001 City Of Chicago Police $1,869.60

001 City Of Chicago Police $1,716.00

001 City Of Chicago Police $1,713.60

City Of Chicago Police $191.93

City Of Chicago - Confidential

Page 227 of 257

Incident Date Claimant Rank

10/25/2010 COBB, SHAWN

02/11/2011 CLAY JR, CL 3286

02/08/2011 CLARK, JASON 9171

. 02/08/2011 CLARK, JASON 9171

02/08/2011 CLARK, JASON 9171

12/26/2010 CIRRINCIONE, PAUL 9161

01/22/2011 CIRAULO, JEFFREY 3286

Unit of_Insured_Total to be Paid

City Of Chicago Police $0.90

City Of Chicago Police $6.50

007 City Of Chicago Police $247.63

007 City Of Chicago Police $6.50

007 City Of Chicago Police $3.22

007 City Of Chicago Police $6.50

007 City Of Chicago Police $56.00

007 City Of Chicago Police $28.59

007 City Of Chicago Police $6.50

007 City Of Chicago Police $1.16

007 City Of Chicago Police $497.26

019 City Of Chicago Police $6.50

024 City Of Chicago Police $148.50

024 City Of Chicago Police $6.50

024 City Of Chicago Police $1,471.46

024 City Of Chicago Police $0.14

024 City Of Chicago Police $6.50

024 City Of Chicago Police $2.43

024 City Of Chicago Police $44.78

024 City Of Chicago Police $6.50

024 City Of Chicago Police $126.64

024 City Of Chicago Police $8.43

024 City Of Chicago Police $6.50

024 City Of Chicago Police $9.03

024 City Of Chicago Police $329.46

024 City Of Chicago Police $37.61

044 City Of Chicago Police $55.87

City Of Chicago - Confidential

Page 228 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Po¹City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 10/05/2010 10/05/2010 10/05/2010 03/09/2011 03/09/2011 03/09/2011 01/19/2011 01/19/2011 01/19/2011 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010

CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY CINTRON, DAVID CINTRON, DAVID CINTRON, DAVID CHUNG, STEPHEN CHUNG,STEPHEN CHUNG,STEPHEN CHERNIK, MICHAEL CHERNIK, MICHAEL CHERNIK, MICHAEL CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 044 044 044 044 044 044 044 044

315 315 315

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice

$6.50

$1,376.47

$2.94

$6.50

$51.20

$2.53

$6.50

$44.00

$1.47

$6.50

$25.60

$8.10

$317.27

$6.50

$306.07

$7.82

$25.66

$6.50

$1,302.00

$0.77

$6.50

$52.24

$6.50

$2.97

$268.00

$6.50

$30.13

$671.55

$202.46

$5.20

$6.50

$354.17

City Of Chicago - Confidential

Page 229 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol: City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

12/17/2010 12/17/2010 12/17/2010 01/18/2011 01/18/2011 01/18/2011 02/13/2011 02/13/2011 02/13/2011 02/13/2011 01/04/2011 01/04/2011 01/04/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 11/28/2010 11/28/2010 11/28/2010 06/04/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010

CHAMBERS, PETER CHAMBERS, PETER CHAMBERS, PETER CELIO, JAVIER CELIO, JAVIER CELIO, JAVIER CEGIELSKI, JEANETTE CEGIELSKI, JEANETTE CEGIELSKI, JEANETTE CEGIELSKI, JEANETTE CAVAZOS, JESSE CAVAZOS, JESSE CAVAZOS, JESSE CAULFIELD, ROBERT CAULFIELD, ROBERT CAULFIELD, ROBERT CAULFIELD, ROBERT CAULFIELD, ROBERT CAULFIELD, ROBERT CAULFIELD, ROBERT CAULFIELD, ROBERT CATALAN, KURT CATALAN, KURT CATALAN, KURT CASEY, LYNN CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE

9161 9161 9161 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161

010 010 010

044 044 044 044 044 044 044 044 025 025 025

ice ice ice ce ce ce ce ce ce ice ice ice ce ce ce ce ce ce ce ce ice ice ce ce ce ce ce ce ce ce ce ce ice

$6.50

$31.00

$6.50

$40.15

$6.50

$186.03

$220.37

$6.50

$191.52

$585.40

$23.76

$6.50

$199.75

$6.50

$8.11

$6.50

$8.63

$159.37

$11.04

$67.73

$0.82

$6.50

$1,670.32

$340.72

$6.50

$1.74

$6.50

$143.42

$6.50

$469.73

$6.50

City Of Chicago - Confidential

Page 230 of 257

Incident Date Claimant

Rank

Unit of

05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 02/09/2011

CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARY, YVONNE CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARRIZAL, LUIS

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

Insured

Total to be Paid

$251.64

$6.50

$251.64

$6.50

$183.49

$6.50

$251.64

$6.50

$158.17

$2.78

$4.12

$418.40

$6.50

$5.06

$366.98

$6.50

$435.13

$6.50

$229.51

$6.50

$1.84

$6.50

$520.25

$6.50

$21.11

$207.41

$32.00

$7.23

$6.50

$283.07

$20.44

$6.50

$167.75

City Of Chicago - Confidential

Page 231 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/09/2011 CARRIZAL, LUIS

10/15/2010 CANNATA, CHRISTOPHER

01/18/2011 CAMPOS, GABRIEL

11/02/2010 CAMPBELL, ROBERT

09/11/2010 CALLAGHAN, BRIAN

9161 9161 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171

044 044 044 044 044 044 044 044 311 311 311 311 311 311 311 311 311

City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pof City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pod City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol; City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol; City Of Chicago Pol; City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

ice ice ice ce ice ice ice ce ce ice ce ce ice ice ce ce ce ce ice ce ce ce ice ice ice ice ice ice ice ice ce ice ice

$6.50

$9.65

$177.18

$6.50

$1.58

$25.52

$6.50

$513.03

$660.02

$16.88

$6.50

$29.50

$6.50

$14.80

$150.12

$18.62

$6.50

$188.92

$1.31

$89.12

$6.50

$1,763.52

$6.50

$251.60

$6.50

$202.02

$6.50

$2.97

$236.50

$6.50

$3.47

$236.50

$6.50

City Of Chicago - Confidential

Page 232 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pof City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli

09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 -09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010

CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN CALLAGHAN

BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN BRIAN

9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171

Poll Poli Pol

ice ce ce ice ice ce ce ce ice ce ce ce ice ce ce ce ice ice ce ce ce ce ce ice ce ce ce ice ce ce ice ice ice

$3.47

$3,011.78

$6.50

$44.22

$236.50

$6.50

$3.47

$236.50

$6.50

$3.47

$236.50

$6.50

$3.47

$236.50

$6.50

$3.47

$236.50

$6.50

$3.47

$7,726.07

$6.50

$204.25

$451.76

$6.50

$6.63

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

City Of Chicago - Confidential

Page 233 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pof City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

09/11/2010 09/11/2010 09/11/2010 09/11/2010 12/14/2010 12/14/2010 12/14/2010 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 12/29/2010 12/29/2010 12/29/2010

CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN

9171.

9171

3286

9161

08 08 08

$3.44

$236.50

$6.50

$3.47

$93.64

$6.50

$14.16

$6.50

$355.38

$45.10

$6.50

$1,372.64

$3.14

$6.50

$213.86

$3.14

$6.50

$213.86

$4.51

$6.50

$306.73

$5.33

$1.55

$6.50

$38.25

$7.23

$5.22

$18.61

$6.50

$178.24

$14.09

$190.82

$6.50

City Of Chicago - Confidential

Page 234 of 257

Incident Date Claimant

Rank

Unit of

12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 ■12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 12/29/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010

CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN CABRALES, JUAN BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08

City Of Chi

Insured

Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $143.01

City Of Chicago Police $14.09

City Of Chicago Police $6.50

City Of Chicago Police $143.01

City Of Chicago Police $16.53

City Of Chicago Police $6.50

City Of Chicago Police $167.62

City Of Chicago Police $18.80

City Of Chicago Police $6.50

City Of Chicago Police $190.72

City Of Chicago Police $18.81

City Of Chicago Police $6.50

City Of Chicago Police $190.82

City Of Chicago Police $18.80

City Of Chicago Police $6.50

City Of Chicago Police $190.72

City Of Chicago Police $18.80

City Of Chicago Police $6.50

City Of Chicago Police $190.72

City Of Chicago Police $21.12

City Of Chicago Police $6.50

City Of Chicago Police $214.31

City Of Chicago Police $2.59

City Of Chicago Police $6.50

City Of Chicago Police $18.81

City Of Chicago Police $214.16

City Of Chicago Police $190.72

City Of Chicago Police $6.50

City Of Chicago Police $18.46

City Of Chicago Police $6.50

City Of Chicago Police $187.19

City Of Chicago Police $18.46

Confidential Page 235 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po¹City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011

BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BUCKLEY, JOEY BUCKLEY, JOEY BUCKLEY, JOEY BUCKLEY, JOEY BUCKLEY, JOEY BUCKLEY, JOEY BROWN, RAIMONDO BROWN, RAIMONDO BROWN, RAIMONDO BROWN, RAIMONDO BROWN, RAIMONDO BROWN, RAIMONDO BROWN, RAIMONDO BROWN, RAIMONDO BROWN, RAIMONDO

9164 9164 9164 9164 9164 9164 3286 3286 3286 3286 3286 3286 3286 3286 3286

006 006 006 006 006 006 006 006 006 006 006 006 006 006 006

lice lice lice lice ilice lice lice lice lice lice lice lice lice lice >lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$18.80

$96.62

$6.50

$1.17

$222.31

$6.50

$2.69

$5,653.23

$6.50

$68.43

$3,306.23

$6.50

$84.49

$187.19

$6.50

$18.46

$187.19

$2.34

$6.50

$91.53

$6.50

$238.98

$6.11

$6.50

$88.07

$6.50

$88.07

$6.50

$159.37

$6.50

$68.15

City Of Chicago - Confidential

Page 236 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po! City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

02/16/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 06/14/2010 06/14/2010 06/14/2010 02/21/2011 02/21/2011 02/21/2011 11/12/2008 11/12/2008

BROWN, RAIMONDO BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREEN, MATTHEW BREEN, MATTHEW BREEN, MATTHEW BRATTON, BRIAN BRATTON, BRIAN BRATTON, BRIAN BRADFIELD, MARCIA BRADFIELD, MARCIA

3286 3286 3286 3286 3286 3286 3286 3286 3286

006

3286 3286 3286 9161 9161

171 171

lice ilice ilice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice ilice 'lice lice lice 'lice lice lice

$762.78

$11.16

$6.50

$339.60

$459.03

$6.50

$74.67

$6.50

$2,272.52

$6.50

$2.89

$239.04

$2.53

$6.50

$209.16

$6.50

$13.95

$18.55

$1.01

$6.50

$1,457.53

$6.50

$17.64

$18.55

$83.67

$11.60

$201.78

$6.50

$374.33

$9.57

$1,279.16

$117.54

City Of Chicago - Confidential

Page 237 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/12/2008 11/12/2008 11/12/2008 03/02/2011 03/02/2011 03/02/2011 12/11/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 09/18/2009 09/18/2009 09/18/2009 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010

BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BORISSOVA, EMILIA BORISSOVA, EMILIA BORISSOVA, EMILIA BORCHERS, DANIEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BONIFAZI, RAFAEL BOND, WENDY BOND, WENDY BOND, WENDY BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN

9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161

171 171 171 044 044 044 016

153 153 153 153 153 153 153 153 153

City Of Chicago I City Of Chicago I City Of Chicago Poli City Of Chicago Poli City Of Chicago Pof City Of Chicago Pol City Of Chicago Pol, City Of Chicago Poli City Of Chicago Pof City Of Chicago Pol City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol

$1.42

$2,903.39

$6.50

$84.60

$6.50

$2.16

$24.99

$18.80

$6.50

$190.72

$238.42

$6.50

$24.29

$6.50

$246.40

$20.44

$6.50

$207.41

$6.50

$332.35

$23.50

$1,032.51

$36.70

$6.50

$150.75

$6.50

$5.17

$135.00

$6.50

$5.11

$82.50

$6.50

$2.73

City Of Chicago - Confidential

Page 238 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011

BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY

9161

P.O

153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice

$6.50

$5.11

$119.37

$135.00

$20.44

$6.50

$540.00

$20.13

$6.50

$562.50

$5.47

$6.50

$112.50

$6.50

$14.32

$6.50

$420.00

$34.68

$6.50

$1,050.00

$6.50

$8,072.69

$6.50

$64.52

$190.72

$6.50

$18.80

$143.01

$6.50

$14.09

$215.22

$6.50

$21.22

City Of Chicago - Confidential

Page 239 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli

01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011

BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN, BOGGAN,

KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY

P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O P.O

Poll Poli Pol

ice ce ce ce ice ice ce ce ce ice ice ce ce ce ice ice ce ce ce ice ice ce ce ce ce ce ice ice ce ce ice ice ice

$190.72

$6.50

$18.80

$459.23

$6.50

$352.27

$6.50

$215.32

$6.50

$21.23

$215.22

$6.50

$21.22

$215.11

$6.50

$21.20

$223.10

$6.50

$12.83

$190.72

$6.50

$18.80

$4.32

$5.18

$4.67

$207.31

$6.50

$20.43

$2,172.19

$6.50

$190.82

$6.50

$18.81

City Of Chicago - Confidential

Page 240 of 257

Incident Date Claimant Rank

01/31/2011 BOGGAN, KIMBERLY P.O

01/30/2011 BOFFO, ROY Sgt

10/16/2010 BOETTCHER, JASON 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $215.22

City Of Chicago Police $6.50

City Of Chicago Police $21.22

City Of Chicago Police $77.59

City Of Chicago Police $6.50

City Of Chicago Police $1,826.63

City Of Chicago Police $6.50

006 City Of Chicago Police $656.81

006 City Of Chicago Police $6.50

006 City Of Chicago Police $1,336.74

006 City Of Chicago Police $5.50

006 City Of Chicago Police $6.50

006 City Of Chicago Police $135.46

006 City Of Chicago Police $6.50

006 City Of Chicago Police $636.81

006 City Of Chicago Police $3.04

006 City Of Chicago Police $6.50

006 City Of Chicago Police $74.86

006 City Of Chicago Police $53.32

006 City Of Chicago Police $6.50

006 City Of Chicago Police $1,313.90

006 City Of Chicago Police $6.50

006 City Of Chicago Police $56.19

006 City Of Chicago Police $6.50

006 City Of Chicago Police $41.94

006 City Of Chicago Police $284.28

006 City Of Chicago Police $6.50

006 City Of Chicago Police $11.54

006 City Of Chicago Police $54.26

006 City Of Chicago Police $6.50

006 City Of Chicago Police $26.65

006 City Of Chicago Police $8.18

City Of Chicago Police $2,154.48

City Of Chicago - Confidential

Page 241 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll

10/16/2010 BOETTCHER, JASON

02/09/2011 BLOCK, TAMMRA

02/07/2011 BLAYDES, CURTIS

12/20/2010 BEYAH, ABDULLAH

12/15/2010 BETANCOURT, WILLIAM

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9171 9171

253 253 253 044 044 044 044 044 044 014 014

Poli Pol

Poli

ce ce

ice ice ice ce ce ce ice ice ice ice ce ce ce ice ice ice ice ice ice ice ce ce ce ce ce ce ice ce ce ce ce

$6.50

$3,030.30

$1.74

$6.50

$143.42

$1.74

$6.50

$143.42

$18.41

$6.50

$231.34

$62.41

$6.50

$2,441.45

$55.09

$77.45

$31.00

$6.50

$104.15

$1.80

$6.50

$1.74

$6.50

$143.42

$10.32

$6.50

$0.12

$89.64

$6.50

$1.09

$218.72

$6.50

City Of Chicago - Confidential

Page 242 of 257

Incident Date Claimant Rank

12/15/2010 BETANCOURT, WILLIAM 9171

Unit of_Insured_Total to be Paid

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $85.00

014 City Of Chicago Police $6.50

014 City Of Chicago Police $3.45

014 City Of Chicago Police $49.37

014 City Of Chicago Police $6.50

014- City Of Chicago Police $38.24

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $4,079.47

014 City Of Chicago Police $6.50

014 City Of Chicago Police $1,930.33

014 City Of Chicago Police $3,128.71

014 City Of Chicago Police $6.50

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

City Of Chicago - Confidential

Page 243 of 257

Incident Date Claimant Rank

12/15/2010 BETANCOURT, WILLIAM 9171

02/14/2011 BERES, CHRIS 3286

04/17/2010 BELL, KANETHA 9161

Unit of_Insured_Total to be Paid

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police . $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $207.41

014 City Of Chicago Police $6.50

014 City Of Chicago Police $20.44

006 City Of Chicago Police $44.65

006 City Of Chicago Police $6.50

006 City Of Chicago Police $20.84

006 City Of Chicago Police $560.77

006 City Of Chicago Police $6.50

003 City Of Chicago Police $545.20

City Of Chicago - Confidential

Page 244 of 257

Incident Date Claimant Rank

04/17/2010 BELL, KANETHA 9161

11/23/2010 BEDNAREK, RICHARD 9171

01/14/2011 BEALS, TAMIKO 3286

11/11/2010 BATZER, ZOE 9161

Unit of_Insured_Total to be Paid

003 City Of Chicago Police $84.92

003 City Of Chicago Police $6.50

003 City Of Chicago Police $68.01

003 City Of Chicago Police $6.50

003 City Of Chicago Police $4.41

003 City Of Chicago Police $681.50

003 City Of Chicago Police $6.50

003 City Of Chicago Police $443.50

003 City Of Chicago Police $6.50

003 City Of Chicago Police $272.60

003 City Of Chicago Police $6.50

003 City Of Chicago Police $84.91

003 City Of Chicago Police $6.50

006 City Of Chicago Police $6.50

006 City Of Chicago Police $16.98

006 City Of Chicago Police $172.38

157 City Of Chicago Police $6.50

157 City Of Chicago Police $143.42

157 City Of Chicago Police $3.46

157 City Of Chicago Police $6.50

157 City Of Chicago Police $285.86

157 City Of Chicago Police $37.25

157 City Of Chicago Police $6.50

157 City Of Chicago Police $237.50

157 City Of Chicago Police $1.74

157 City Of Chicago Police $63.84

157 City Of Chicago Police $2.88

044 City Of Chicago Police $11.73

044 City Of Chicago Police $145.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.33

City Of Chicago - Confidential

Page 245 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po City Of Chicago Pol

11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 03/28/2009 01/08/2011 01/08/2011 01/08/2011 01/08/2011

BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BATZER, ZOE BASILE, MICHAEL BARRIOS, JOSE BARRIOS, JOSE BARRIOS, JOSE BARRIOS, JOSE

9161

044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice >lice lice lice ilice lice lice lice lice lice lice lice

$177.18

$6.50

$164.46

$6.50

$16.22

$167.96

$6.50

$16.56

$167.96

$6.50

$16.56

$164.46

$6.50

$16.22

$178.50

$6.50

$17.61

$164.46

$6.50

$16.22

$164.46

$6.50

$16.22

$164.46

$6.50

$16.22

$119.00

$6.50

$3,551.08

$215.14

$6.50

$2.61

$215.14

City Of Chicago - Confidential

Page 246 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

01/08/2011 BARRIOS, JOSE

03/03/2011 BARNES, MAURICE

03/03/2011 BARNES, MAURICE .

10/12/2010 BARD, CHRIS

09/29/2010 BALDASSANO, VINCENT

12/17/2010 BAKUTIS, MARY ANN

08/18/2010 BAKER, TAMMY

3286

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

009 009

008 008 008 008 008 008 008 008 008 008 008 008 008 008 008

lice lice lice lice ilice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice ilice lice lice

$6.50

$2.61

$138.92

$6.50

$129.59

$207.59

$6.50

$73.38

$119.10

$6.50

$3.86

$29.62

$318.71

$2.77

$6.50

$229.07

$3.58

$6.50

$295.82

$6.50

$16.75

$1.01

$6.50

$83.67

$6.50

$450.82

$6.50

$450.82

$6.50

$450.82

$6.50

$838.68

$6.50

City Of Chicago - Confidential

Page 247 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011

BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI

9161

P.O

$384.93

$6.50

$1,036.29

$6.50

$1,556.92

$6.50

$3,816.24

$13.83

$6.50

$441.02

$6.50

$127.80

$46.67

$3.27

$209.70

$6.50

$5.36

$237.88

$6.50

$48.94

$707.70

$6.50

$136.23

$80.49

$6.50

$29.79

$45.00

$6.50

$1.15

$1,985.25

$6.50

$50.74

$1,825.69

City Of Chicago - Confidential

Page 248 of 257

Incident Date Claimant Rank

01/18/2011 BAILEY, STACI P.O

08/16/2010 BAEZAJR, RAUL 9161

09/28/2010 AUBERT, LANELL 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

023 City Of Chicago Police $202.46

023 City Of Chicago Police $6.50

023 City Of Chicago Police $4.01

023 City Of Chicago Police $6.50

023 City Of Chicago Police $272.90

007 City Of Chicago Police $127.15

007 City Of Chicago Police $19.58

007 City Of Chicago Police $26.22

007 City Of Chicago Police $127.15

007 City Of Chicago Police $6.50

007 City Of Chicago Police $26.22

007 City Of Chicago Police $113.35

007 City Of Chicago Police $6.50

007 City Of Chicago Police $30.36

007 City Of Chicago Police $169.58

007 City Of Chicago Police $6.50

007 City Of Chicago Police $29.72

007 City Of Chicago Police $167.70

007 City Of Chicago Police $6.50

007 City Of Chicago Police $32.57

007 City Of Chicago Police $123.02

007 City Of Chicago Police $6.50

007 City Of Chicago Police $4.04

007 City Of Chicago Police $153.90

007 City Of Chicago Police $6.50

007 City Of Chicago Police $36.71

007 City Of Chicago Police $153.90

007 City Of Chicago Police $6.50

007 City Of Chicago Police $36.71

007 City Of Chicago Police $127.15

007 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 249 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po¹City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010

AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

007 007 007 007 007 007 007 007 007 007 007 007 007 007 007 007

lice lice ilice lice lice lice lice lice lice 'lice lice lice lice lice 'lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice

$26.22

$1,140.47

$6.50

$46.29

$9,267.05

$6.50

$304.50

$171.57

$6.50

$5.64

$183.17

$6.50

$25.15

$119.32

$6.50

$117.54

$67.23

$1.42

$71.48

$6.50

$0.86

$110.00

$20.38

$3,102.66

$6.50

$79.29

$650.22

$6.50

$16.62

$90.61

$6.50

$2.32

City Of Chicago - Confidential

Page 250 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol

09/26/2010 ASCENCIO, RAMON

08/17/2010 ARMSTRONG, DERRICK

lice lice lice ilice ilice ilice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice 'lice dice lice

$166.60

$6.50

$16.42

$166.60

$6.50

$16.42

$100.13

$6.50

$4.06

$5,553.84

$6.50

$885.95

$6.50

$477.05

$6.50

$408.90

$6.50

$477.05

$6.50

$408.90

$6.50

$450.82

$6.50

$450.82

$6.50

$450.82

$6.50

$555.66

$6.50

$450.82

$6.50

$146.97

City Of Chicago - Confidential

Page 251 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poll City Of Chicago Pol City Of Chicago Poll City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

08/17/2010 ARMSTRONG, DERRICK

11/19/2010 ANDRUZZI, MICHAEL

03/10/2011 ANDERSON, JAMES

02/10/2011 AMADOR, ANGEL

09/01/2010 ALEXA, MICHELENE

9165 9165 9165 3248 3248 3248 3257 3257 3257 3257

650 650 650 610 610 610 715 715 715 715

ce ce ce ice ce ce ce ce ce ce ce ce ce ce ice ce ce ce ce ice ice ce ce ce ce ice ice ice ce ce ice ice ice

$6.50

$4.83

$901.64

$6.50

$69.71

$0.84

$6.50

$219.95

$1.03

$68.15

$6.50

$110.09

$6.50

$18.80

$190.82

$6.50

$18.81

$246.00

$6.50

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$510.90

$6.50

$510.90

$6.50

$190.72

$6.50

City Of Chicago - Confidential

Page 252 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po¹City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010

ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN

9161 9161 9161 9161 9161 9161

010 010 010 010 010 010

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$76.81

$6.50

$190.72

$6.50

$18.80

$7,157.21

$6.50

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$100.68

$6.50

$125.00

$6.50

$146.79

$6.50

$190.72

$21.57

$124.41

$190.82

$6.50

$18.81

$238.53

City Of Chicago - Confidential

Page 253 of 257

Incident Date Claimant Rank

10/31/2010 ALANIZ, BRIAN 9161

10/31/2010 ALANIZ, BRIAN . 9161

10/31/2010 ALANIZ, BRIAN 9161

10/31/2010 ALANIZ, BRIAN ' 9161

10/31/2010 ALANIZ, BRIAN 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.51

010 City Of Chicago Police $187.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.46

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $555.36

010 City Of Chicago Police $6.50

010 City Of Chicago Police $286.13

010 City Of Chicago Police $6.50

010 City Of Chicago Police $28.20

010 City Of Chicago Police $36.04

010 City Of Chicago Police $156.26

010 City Of Chicago Police $6.50

010 City Of Chicago Police $10.14

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $286.13

010 City Of Chicago Police $6.50

010 City Of Chicago Police $28.20

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $190.82

City Of Chicago - Confidential

Page 254 of 257

Incident Date Claimant Rank

10/31/2010 ALANIZ, BRIAN 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $238.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.51

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $190.72

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.80

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $238.42

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.50

010 City Of Chicago Police $238.42

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.50

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $266.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $26.27

010 City Of Chicago Police $266.53

City Of Chicago - Confidential

Page 255 of 257

Incident Date Claimant Rank

10/31/2010 ALANIZ, BRIAN 9161

09/09/2010 ALAMILLO, ARMANDO 9161

09/19/2010 ADAMS, TIMOTHY 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $6.50

010 City Of Chicago Police $69.51

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.26

010 City Of Chicago Police $26.27

010 City Of Chicago Police $266.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $26.27

010 City Of Chicago Police $124.41

010 City Of Chicago Police $266.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $26.27

010 City Of Chicago Police $266.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $26.27

010 City Of Chicago Police $234.42

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.11

010 City Of Chicago Police $238.42

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.50

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

City Of Chicago Police $13.05

025 City Of Chicago Police $6.50

025 City Of Chicago Police $171.74

025 City Of Chicago Police $6.96

City Of Chicago - Confidential . Page 256 of 257

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Total:

02/22/2011

Number 5839

Number 8447

ADAIR, KENNETH

Amount $1,615,190.87

Amount $2,516,044.81

City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police

$171.01

$6.50

$20.43

$16.85

$207.31

$6.50

City Of Chicago - Confidential

Page 257 of 257

Legislation Text

Legislation Details

Legislation Details (With Text)