Office of the City Clerk - Record #: Or2011-186

Record #:

Or2011-186

Type:

Order

Status:

Passed

Intro date:

2/9/2012

Current Controlling Legislative Body:

City Council

Final action:

2/9/2011

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. Or2011-186.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
2/9/2011	111831	City Council	Passed		Action details	Meeting details	Not available
2/7/2011		Committee on Finance	Recommended to Pass	Pass	Action details	Meeting details	Not available
2/7/2011		Committee on Finance	Direct Introduction		Action details	Meeting details	Not available

FINANCE MEETING OF February 9, 2011 HOSPITAL AND MEDICAL EXPENSES OF INJURED POLICE OFFICERS AND

FIREFIGHTERS

Submitted herewithin are bills covering hospital and medical expenses ol" Police and/or the Fire Departments, injured in their performance of Duty which bills have been approved by the respective Departments.

POLICE "B"~ 462 -- $161,816.78

"A"- 5876 - $1,394,467.95

FIRE "B"~ 13 - $1,111.14

"A"- 2299 - $677,396.67

0"HARE "B"~ 0 - $0

"A"-- 0 - $0

Total Amount Involved — 8650

$2,234,792.54

ORDERED, That the City Comptroller is authorized and directed to issue vouchers, in conformity with 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 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 vouchers are to be drawn in favor of the proper claimants and charged to Account No. 100.9112.937.

City Of Chicago

Police & Fire Regular Orders

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Insured Namel: City Of Chicago Fire

07/06/2010 meske, norman

06/22/2007 Zakrzewski, James

01/03/2011 ZUELKE, CHRISTOPHER

11/08/2009 ZNAVOR, THOMAS

11 /08/2009 ZNAVOR, THOMAS

11/08/2009 ZNAVOR, THOMAS

12/26/2010 ZARATE, RICHARD

11/06/2010 ZAJAC, JASON

11/16/2010 ZAHN, MICHELLE

8750 8750 8750 8819 8819 8819 8807 8807 8807 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8750 8750 8750 8750 8750

00338

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

$12.60

$219.22

$6.50

$32.30

$24.25

$948.86

$6.50

$2.09

$51.54

$6.50

$9.20

$6.50

$226.74

$609.98

$6.50

$24.76

$26.40

$6.50

$603.05

$9.34

$6.50

$162.40

$1.52

$6.50

$37.46

$6.50

$1.53

$1,279.53

City Of Chicago - Confidential

Page 1 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/03/2010 01/03/2010 01/03/2010 01/03/2010 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 01/12/1999 01/12/1999 01/12/1999 04/28/2003 04/28/2003 04/28/2003 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009

YOUNG,GARRY YOUNG,GARRY YOUNG,GARRY YOUNG, GARRY Willis, Rodger Willis, Rodger Willis, Rodger Willis, Rodger Willis, Rodger Willis, Rodger Willis, Rodger Willis, Rodger Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID

8731

8801 8801 8801 8801 8801 8801 8801 8801 8801

00359 00359 00359 00359 00359 00359 00359 00359 00432 00432 00432 00410 00410 00410

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

$12.13

$291.53

$357.36

$6.50

$156.00

$6.50

$746.44

$8.79

$6.50

$344.25

$411.17

$6.03

$6.50

$4.43

$365.32

$16.95

$210.00

$157.80

$1,033.91

$2,553.91

$41.95

$103.61

$2,036.95

$82.64

$664.86

$6.50

$3.01

$1,121.86

$6.50

$45.49

$53.92

$6.50

$1,329.72

City Of Chicago - Confidential

Page 2 of 249

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

04/16/2009 04/16/2009 04/16/2009 04/16/2009 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 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

WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE

8801 8801 8801 8801 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

Fi Fi Fi IO Fi Fi Fi Fi

$26.96

$6.50

$74.11

$13.66

$6.50

$534.41

$2.30

$6.50

$1.18

$46.26

$6.50

$90.00

$141.99

$11.03

$6.50

$32.03

$6.50

$493.79

$37.82

$6.50

$582.84

$1.72

$250.94

$6.50

$16.28

$10.62

$6.50

$169.99

$5.61

City Of Chicago - Confidential

Page 3 of 249

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

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 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, 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 WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD.CHARLES WARD,CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES

8812 8812 8812 8812 8812 8812 8812 8812 8812 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$9.27

$12.80

$6.50

$299.38

$11.13

$6.50

$272.97

$6.50

$213.60

$8,418.93

$6.50

$1,262.84

$10.77

$6.50

$243.10

$7.16

$6.50

$176.45

$27.95

$6.50

$100.68

$8.40

$6.50

$200.85

$10.92

$6.50

$257.40

$1.16

$6.50

$95.65

$7.53

$6.50

City Of Chicago - Confidential

Page 4 of 249

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 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010

WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WALTER, KAREN WALTER, KAREN WALTER, KAREN WALTER, KAREN WALTER, KAREN WALTER, KAREN WALTER, KAREN WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8750 8750 8750 8750 8750 8750 8750 8731 8731 8731 8731 8731 8731 8731

$211.18

$12.46

$6.50

$213.20

$110.00

$8.40

$6.50

$200.85

$1.42

$6.50

$117.33

$15.44

$33.05

$6.50

$48.01

$6.50

$1,878.80

$122.50

$15.29

$37.00

$6.50

$22.87

$6.50

$894.56

$6.50

$38.00

$3,187.98

$6.50

$202.40

$2,427.72

$6.50

$98.54

$129.40

City Of Chicago - Confidential

Page 5 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/01/2011 01/01/2011 01/01/2011 01/01/2011 07/17/2010 07/17/2010 07/17/2010 07/17/2010 07/17/2010 07/17/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 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

WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, LAWRENCE WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745

$141.99

$6.50

$2.07

$6.50

$653.31

$1,707.33

$12.33

$227.48

$6.50

$358.59

$25.32

$6.50

$55.63

$3.59

$6.50

$296.29

$475.51

$207.59

$17.31

$6.50

$1,429.78

$6.50

$758.66

$3.73

$6.50

$109.61

$80.50

$6.50

$1,400.06

$9.85

$6.50

City Of Chicago - Confidential

Page 6 of 249

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 Chicagi 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 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 F City Of Chicago F

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 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

WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS 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 WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY

8745 8745 8745 8745 8745 8745 8745 8745 8745 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

Fi Fi io Fi Fi Fi F Fi

$251.95

$18.63

$6.50

$508.44

$6.50

$67.47

$28.65

$6.50

$100.68

$28.56

$69.24

$70.53

$10.74

$6.50

$264.67

$879.28

$6.50

$9,847.60

$2.16

$6.50

$53.19

$6.50

$14.44

$2,988.07

$6.50

$51.16

$23.21

$6.50

$70.53

$17.90

$6.50

$697.90

$6.50

City Of Chicago - Confidential

Page 7 of 249

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 Chicag> 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

12/22/2010 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 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010

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 Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL

8731

8750 8750 8750 8750 8750 8750 8750

00457 00457 00457 00457 00457 00457 00457 00457 00457 00457 00457 00457

|0 Fi Fi Fi Fi Fi Fi Fi Fi

$6.50

$192.28

$5.77

$6.50

$11.04

$11.22

$6.50

$21.24

$48.75

$6.50

$70.53

$16.73

$6.50

$35.99

$2.58

$6.50

$212.98

$1.16

$6.50

$870.69

$3.47

$6.50

$85.58

$10.54

$6.50

$95.65

$6.50

$102.28

$409.37

$6.50

$1,846.30

$1,846.26

$6.50

City Of Chicago - Confidential

Page 8 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/19/2010 VOJTAS, MICHAEL

07/03/2010 VOGENTHALER, THOMAS

8750

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

$102.29

$4.96

$12.56

$6.50

$282.75

$15.07

$6.50

$339.30

$15.07

$6.50

$339.30

$15.07

$6.50

$339.30

$15.07

$6.50

$339.30

$15.07

$6.50

$339.30

$15.07

$6.50

$339.30

$8.80

$6.50

$234.10

$15.07

$6.50

$339.30

$19.93

$15.07

$6.50

$339.30

City Of Chicago - Confidential

Page 9 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/03/2010 VOGENTHALER, THOMAS

08/25/2010 VILLANUEVA, JOSE

01/02/2011 VELLER, CARL

12/22/2010 VASQUEZ, MATTHEW

12/22/2010 VASQUEZ, MATTHEW .

88 88 88 88 88 88 88 88 88 88

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8728 8728 8728 8728 8728 8728

S19.93

$9,865.74

$6.50

$28.75

$339.30

$6.50

$15.07

$6.50

$339.30

$6.50

$903.08

$49.65

$36.32

$6.50

$894.88

$585.00

$6.50

$8,168.46

$6.50

$539.76

$6.50

$1,198.90

$18.82

$1.15

$45.00

$6.50

$199.73

$6.50

$6,078.44

$6.50

$217.66

$518.83

City Of Chicago - Confidential

Page 10 of 249

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

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 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/27/2010 10/27/2010 10/27/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010

VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VASQUEZ, MATTHEW VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VAIL, RICHARD VAIL, RICHARD VAIL, RICHARD URQUHART,KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART,KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH

8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8733 8733 8733 8733 8733 8733 8749 8749 8749 8735 8735 8735 8735 . 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735

)0 Fi Fi Fi Fi Fi Fi Fi Fi

$17.91

$6.50

$1,479.07

$4.57

$6.50

$377.29

$731.14

$16.76

$6.50

$412.90

$6.50

$700.00

$6.50

$12,401.92

$60.63

$20.82

$814.71

$6.50

$253.68

$3.72

$6.50

$253.68

$3.72

$6.50

$253.68

$3.72

$6.50

$253.68

$3.72

$1.29

$6.50

$88.23

City Of Chicago - Confidential

Page 11 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/26/2010 URQUHART, KENNETH

09/25/2009 ULRICH, CHRISTOPHER

8735 8735 8735 8735 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

$3.72

$6.50

$253.68

$6.50

$141.99

$6.50

$248.76

$6.50

$206.72

$1.72

$6.50

$141.99

$5.42

$6.50

$146.35

$5.42

$6.50

$146.35

$8.24

$6.50

$228.55

$13.17

$6.50

$272.10

$13.17

$6.50

$272.10

$10.76

$6.50

$285.10

$13.17

$6.50

City Of Chicago - Confidential

Page 12 of 249

6K J0£i.96Ed

IBijuapijuoQ - o6b3ilj3 jo A)!3

680$ 099$

izez$

09'9$ 98M7$ Z6'H ZZ'1$ 06681.$ 0S'9$ 9801$ 9Z'l6l.S 09'9$ 99'UJ S8'9H$ 0S'9$ Zl>'9$ 01ZIZS 09'9$ ZIXIS 01'98Z$ 09'9$ 9Z01$ 9Z1ZH 9S"SIZ$ 099$ 9901$ 0I/98ZS 09'9$ 9Z'0l$ Ol'ZZZS 09 9$

ziei.$

Ol'ZZZS

1088 1088 1088 1.088 1088 1088 1-088 1088 1088 1.088 1088 1088 t088 1-088 1088 1-088 1088 1088 1088 1088 1098 1088 1088 1088 1-088 1088 1088 1088 1088 1-088 1088 1088 1088

navHoiw 'vwni oi-oznz/zo

13VH3IW 'vwni O10Z/1Z/Z0

H3VHOI1AI 'VlrtlDl 010Z/1Z/Z0

13VH0IW 'vwini 0I-0Z/IZ/Z0

lavHOiw'vwni 010Z/1Z/Z0

yaHdoismHO 'HOiain 60oz/gz/60

ygHdoismHO 'Hoiyin 60oz/gz/60

yBHdOisiyHO 'HOiym 60oz/gz/60

yaHdoismHO 'HOiann 60oz/gz/60

yaHdoxsiaHO 'HOiyin 600Z/9Z/60

uaHdoisiaHO 'HOiain 60oz/gz/60

yaHdoisiyHO 'Hoiyin 60oz/gz/60

yaHdoisiyHO 'Hoiym 60oz/gz/60

yaHdOisiyHO 'HOiain 60oz/gz/60

y3HdOisiyHO 'HOiynn 60oz/gz/60

yaHdoisiyHO 'Hoiyin 60oz/gz/60

yaHdoisiyHO 'Hoiam 60oz/gz/60

yaHdoisiyHO 'Hoiynn 60oz/gz/60

ysHdoisiyHO 'HOiy~in 60oz/gz/6o

ysHdOisiyHO 'Hoiyin 60oz/gz/60

ysHdOismHO 'Hoiyin 60oz/gz/6o

ysHdOismHO 'Hoiyin 60oz/gz/60

yaHdoisiyHO 'Hoiyin 60oz/gz/60

yaHdoisiyHO 'Hoiyin 6ooz/gz/60

yaHdoisiyHO 'Hoiyin 60oz/gz/60

yaHdoisiyHO 'Homnn 600z/gz/60

yaHdoisiyHO 'Hoiyin 60oz/gz/60

yaHdoisiyHO 'HOiynn 60oz/gz/60

yaHdoisiyHO 'Hoiyin 60oz/gz/60

P|Ed aq O) |Bjoi

pajnsui

>|UBy

1UBUJIEIO 9JBQ )UappU|

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

07/21/2010 TUMA, MICHAEL

12/30/2010 TRUJILLO, AMERICO

11/19/2010 TRACY III, JAMES

01/15/2009 TORTORELLO, CHARLES

08/13/2010 TORRISE, DANIEL

02/05/2009 TORRENCE, THOMAS

06/24/2010 TOMASZEWSKI, CHERYL

06/24/2010 TOMASZEWSKI, CHERYL'

06/24/2010 TOMASZEWSKI, CHERYL

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

311 311 311 311 311 311

881 881 881 881 881 881 8731 8731 8731 8731 8811 8731 8731 8731 8745 8745 8745 8745 8745 8745 8745

$360.55

$6.50

$256.85

$58.95

$6.50

$325.98

$6.50

$1,843.18

$66.52

$6.50

$360.55

$66.52

$6.50

$48.58

$249.10

$6.50

$14.32

$1,901.14

$6.50

$864.00

$546.46

$6.50

$35.91

$6.50

$866.82

$7.40

$6.50

$369.99

$315.90

$6.50

$5.34

$754.60

City Of Chicago - Confidential

Page 14 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/24/2010 TOMASZEWSKI, CHERYL

07/10/2010 THOMPSON, JAMES

07/10/2010 THOMPSON.JAMES

07/10/2010 THOMPSON, JAMES

07/10/2010 THOMPSON.JAMES

03/25/2009 THOMAS, RENA

05/13/2010 THEEKE, JANIECE

8745 8745 8745 8745 8745 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764

8749 8749 8749 8749 8749 8749 8749 8749 8749

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 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 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

S6.50

$9.14

$315.90

$440.95

$110.51

$6.50

$0.44

$49.50

$3,422.70

$6.50

$762.45

$4,548.25

$6.50

$15.98

$6.50

$36.10

$316.79

$11.78

$36.55

$6.50

$7.27

$1.48

$179.10

$59.00

$4.19

$6.50

$72.97

$887.19

$6.50

$453.60

$6.50

$21,858.14

City Of Chicago - Confidential

Page 15 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/13/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 12/03/2010 12/03/2010 12/03/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 02/11/2010 02/11/2010 02/11/2010 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 08/05/2003 08/05/2003 08/05/2003 08/05/2003 08/05/2003 08/05/2003 08/05/2003

THEEKE, JANIECE TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TELKAMP, SCOTT TELKAMP, SCOTT TELKAMP, SCOTT TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TANZI, MICHAEL TANZI, MICHAEL TANZI, MICHAEL Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Strong, Eric Strong, Eric Strong, Eric Strong, Eric Strong, Eric Strong, Eric Strong, Eric

8749

8731

8745

8731

M ■

00615 00615 00615 00615 00615 00615 00615 00615 00483 00483 00483 00483 00483 00483 00483

$6.50

$9,086.57

$6.50

$892.65

$6.50

$17,840.79

$6.50

$10.64

$539.70

$238.50

$72.97

$0.88

$6.50

$338.40

$16.92

$662.12

$6.50

$6.40

$1,580.66

$6.50

$53.55

$6.50

$405.60

$150.00

$6.50

$6.87

$523.13

$6.50

$91.80

$6.50

$3.73

City Of Chicago - Confidential

Page 16 of 249

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

08/05/2003 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 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005

Stric Stric Stric Stric Stric Stric Stric Stric Stric Stric Stric

Strong, Eric [rickler, Bernard Tickler, Bernard Tickler, Bernard Tickler, Bernard trickier, Bernard Tickler, Bernard Tickler, Bernard [rickler, Bernard [rickler, Bernard trickier, Bernard trickier, Bernard Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John

C 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 F F F F

00483 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488

Fi Fi |0Fi Fi Fi Fi

$119.57

$59.86

$6.50

$103.99

$6.50

$73.37

$126.17

$146.62

$23.13

$162.74

$543.58

$201.85

$6.50

$28,038.86

$675.92

$2.29

$17.27

$6.50

$189.30

$130.15

$6.50

$406.06

$115.26

$6.50

$1,109.36

$19.89

$6.50

$213.56

$4.71

$6.50

$184.68

$1.99

City Of Chicago - Confidential

Page 17 of 249

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 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 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

10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005

Spencer Spencer, Spencer Spencer Spencer, Spencer, Spencer, Spencer Spencer, Spencer, Spencer Spencer, Spencer, Spencer, Spencer, Spencer, Spencer Spencer Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer,

John John John John John John John John John John John John John John John John John John John John John John John John John John John John John John John John John

00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488

$6.50

$164.50

$5.53

$6.50

$456.72

$1.99

$6.50

$164.50

$2.42

$6.50

$200.19

$1,755.70

$6.50

$5.84

$101.60

$37.59

$6.50

$1,471.23

$1.73

$6.50

$142.96

$4.64

$6.50

$181.94

$6.32

$6.50

$247.61

$4.71

$6.50

$184.68

$1.90

$6.50

$157.40

City Of Chicago - Confidential

Page 18 of 249

Incident Date Claimant Rank

10/10/2005 Spencer, John F

10/25/2001 Sorrentino, Nicholas F

10/04/2001 Sopko, Andrew E

10/04/2001 Sopko, Andrew . E

10/04/2001 Sopko, Andrew E

10/04/2001' Sopko, Andrew E

10/04/2001 Sopko, Andrew E

12/03/2000 Sinopoli, Enzo M

Unit of_Insured_Total to be Paid

00488 City Of Chicago Fire $1.01

00488 City Of Chicago Fire $6.50

00488 City Of Chicago Fire $142.28

00488 City Of Chicago Fire $4.64

00488 City Of Chicago Fire $6.50

00488 City Of Chicago Fire $181.94

00488 City Of Chicago Fire $1,638.00

00488 City Of Chicago Fire $3.42

00488 City Of Chicago Fire $6.50

00488 City Of Chicago Fire $134.06

00488 City Of Chicago Fire $1.01

00488 City Of Chicago Fire $6.50

00488 City Of Chicago Fire $142.28

00488 City Of Chicago Fire $716.55

00367 City Of Chicago Fire $128.73

00367 City Of Chicago Fire $5.18

00367 City Of Chicago Fire $132.29

00367 City Of Chicago Fire $134.59

00367 City Of Chicago Fire $118.01

00367 City Of Chicago Fire $739.44

00357 City Of Chicago Fire $10,586.23

00357 City Of Chicago Fire $149.97

00357 City Of Chicago Fire $61.86

00357 City Of Chicago Fire $340.66

00357 City Of Chicago Fire $10,893.10

00357 City Of Chicago Fire $356.86

00357 City Of Chicago Fire $143.45

09999 City Of Chicago Fire $36.80

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $140.00

09999 City Of Chicago Fire $12.20

09999 City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 19 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/03/2000 01/13/2011 01/13/2011 01/13/2011 01/13/2011 01/13/2011 01/13/2011 09/09/2009 09/09/2009 09/09/2009 10/09/2010 10/09/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 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

Sinopoli, Enzo SULLIVAN, MARK SULLIVAN, MARK SULLIVAN, MARK SULLIVAN, MARK SULLIVAN, MARK SULLIVAN, MARK SULLIVAN, BRIAN SULLIVAN, BRIAN SULLIVAN, BRIAN STRONG, ERIC STRONG, ERIC STRINGER, EDWARD STRINGER, EDWARD STRINGER, EDWARD STRINGER, EDWARD STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY

8731 8731 8731 8731 8731 8731 8731 8731 8731 8702 8702 8731 8731 8731 8731 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745

09999

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

$1,440.00

$6.50

$1.16

$37.39

$95.65

$1,155.70

$2.81

$834.00

$92.54

$6.50

$59.00

$6.50

$5,889.24

$1,207.34

$6.50

$10.04

$6.50

$319.67

$7.74

$6.50

$246.61

$8.45

$6.50

$269.43

$28.50

$6.50

$883.53

$56.79

$6.50

$1,631.00

$17.91

$6.50

City Of Chicago - Confidential

Page 20 of 249

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 Chicag> 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 City Of Chicago Fi

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 03/04/2010 03/04/2010

STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, STINNETT, SPENCER, SPENCER,

GREGORY

JACK

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 8745 8731 8731

|0 Fi Fi Fi Fi Fi Fi Fi Fi

$1,479.07

$15.87

$6.50

$391.00

$2.54

$6.50

$210.04

$16.05

$6.50

$511.44

$22.99

$6.50

$715.98

$2.51

$6.50

$207.08

$6.02

$6.50

$191.81

$31.26

$6.50

$927.75

$34.56

$6.50

$55.10

$1.01

$6.50

$874.75

$4.47

$6.50

$368.79

$1.16

$6.50

City Of Chicago - Confidential

Page 21 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/04/2010 SPENCER, JACK

07/23/2010 SOSO, RICHARD

09/13/2009 SMITH, RAYMOND

12/09/2009 SMITH, KEVIN

09/20/2010 ■_SMITH, ASHFORD

09/20/2010 SMITH, ASHFORD

03/13/2009 SLAUGHTER, JIMMIE

11/15/2010 SHIBATA, SABU

07/20/2009 SHEWCHUK, MARY KATHLEEN

11/28/2010 SCHULZ, JENNIFER

04/30/2009 SCHEURICH, JOHN

09/12/2010 SCANLON, MARTIN

09/12/2010 SCAN LON, MARTI N

08/24/2010 SANICKI, BRADLEY

8731 8731 8731 8731 8731 8731 8731 8749 8749 8749 8749 8749 8749 8811 8819 8819 8819 8801 8801 8731 8731

8745 8745 8811

8811 8811 8811 8811

$95.65

$4.31

$6.50

$106.25

$17.91

$1,479.07

$6.50

$14.17

$6.50

$391.66

$1.16

$6.50

$95.65

$110.53

$288.84

$6.50

$5.78

$6.50

$853.19

$330.22

$678.11

$6.50

$207.59

$151.71

$6.50

$207.59

$6.50

$1,683.29

$25.08

$6.50

$13.18

$6.50

City Of Chicago - Confidential

Page 22 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/24/2010

08/24/2010_

08/24/2010

07/16/2010

12/11/2010

12/07/2010

12/06/2003

12/22/2010

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 SANDRIK, ROBERT SANDRIK, ROBERT SANCHEZ, JESSE SANCHEZ, JESSE SANCHEZ, JESSE SANCHEZ, JESSE SANCHEZ, JESSE SANCHEZ, JESSE SANCHEZ, JESSE SAMANSKY, JOHN SAMANSKY, JOHN Rogus, Andrew Rogus, Andrew RUSSIAKY, GEORGE RUSSIAKY, GEORGE RUSSIAKY, GEORGE

873

8764

8731

F-

8731 8731 8731

00432 00432

$7.00

$40.89

$191.52

$6.50

$4.89

$3,432.97

$87.74

$196.59

$169.02

$162.30

$77.88

$6.50

$246.90

$184.44

$3,047.62

$4.71

$6.50

$10.96

$6.50

$302.00

$6.50

$305.13

$29.14

$213.00

$6.50

$15,456.00

$726.26

$6.50

$69.24

$16.73

City Of Chicago - Confidential

Page 23 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 RUSSIAKY, GEORGE

02/18/2010 RUSH, ADAM

09/28/2010 RUIZ, NOEL

04/19/2010 RODRIGUEZ, VICTOR

10/26/2010 RODRIGUEZ, ANTHONY

10/25/2010 ROACH, GERALD

12/25/2010 RIVERA, JAMES

12/22/2010 RIENKS, ANTHONY

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8811 8811 8811 8811 8811 8811 8811 8811 8811 8811 8817 8817 8817 8817 8817 8731 8731 8731 8811 8811 8731

$21.66

$6.50

$11.38

$151.20

$141.06

$6.50

$59.20

$60.20

$6.50

$1,046.22

$6.50

$207.59

$13.07

$319.41

$13.31

$327.86

$13.07

$322.05

$13.07

$322.05

$12.96

$83.13

$6.50

$250.65

$6.50

$3.56

$6.50

$430.75

$6.50

$2,043.67

$52.50

City Of Chicago - Confidential

Page 24 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/15/2009 01/15/2009 05/11/2008 09/11/2009 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/26/2010 11/26/2010 11/09/2010 11/09/2010 11/09/2010 08/26/2010 08/26/2010 12/18/2010 12/18/2010 12/18/2010 12/18/2010 12/18/2010 12/18/2010 12/18/2010 12/18/2010 12/18/2010 12711/2010 12/11/2010 12/11/2010 10/28/2010

REILLY, REED REILLY, REED REEVES, CHARLES RAMIREZ, JOSEPH RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RADTKE, DANIEL RADTKE, DANIEL PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY PINKSTON, CHARLES PINKSTON, CHARLES PHALIN, PAUL PHALIN, PAUL PHALIN, PAUL PHALIN, PAUL PHALIN, PAUL PHALIN. PAUL PHALIN, PAUL PHALIN, PAUL PHALIN, PAUL PENNIE, LAWRENCE PENNIE, LAWRENCE PENNIE, LAWRENCE PEACE, HEATHER

8731 8734 8734 8734 8734 8734 8734 8734 8734 8734

8731 8731 8731 8801 8801 8812 8812 8812 8812 8812 8812 8812 8812 8812 8801 8801 8801 8749

$21.02

$53.55

$113.99

$6.50

$187.85

$6.50

$10.82

$213.20

$226.20

$12.46

$10.05

$6.50

$533.35

$6.50

$740.64

$18.93

$6.50

$655.19

$15.40

$421.27

$6.50

$602.60

$4.60

$24.22

$179.89

$6.50

$400.00

$135.13

$213.20

City Of Chicago - Confidential

Page 25 of 249

Incident Date Claimant Rank

10/28/2010 PEACE, HEATHER 8749

11/07/2010 PASULKA, CHRISTOPHER 8801

12/22/2010 PAGE, BRODERICK 8735

Unit of Insured Total to be Paid

City Of Chicago Fire $213.20

City Of Chicago Fire $6.50

City Of Chicago Fire $12.46

City Of Chicago Fire $6.50

City Of Chicago Fire $57.59

City Of Chicago Fire $132.47

City Of Chicago Fire $12.46

City Of Chicago Fire $8.34

City Of Chicago Fire $2.79

City Of Chicago Fire $ 190.26

City Of Chicago Fire $2.79

City Of Chicago Fire $6.50

City Of Chicago Fire $190.26

City Of Chicago Fire $2.79

City Of Chicago Fire $6.50

City Of Chicago Fire $2.79

City Of Chicago Fire $6.50

City Of Chicago Fire $190.26

City Of Chicago Fire $3.76

City Of Chicago Fire $6.50

City Of Chicago Fire $17.91

City Of Chicago Fire $6.50

City Of Chicago Fire $1,479.07

City Of Chicago Fire $435.01

City Of Chicago Fire $919.64

City Of Chicago Fire $0.88

City Of Chicago Fire $6.50

City Of Chicago Fire $72.97

City Of Chicago Fire $17.91

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 26 of 249

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

12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 .09/20/1979 09/20/1979

PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene

8735

00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439 00439

io Fi

$1,479.07

$6.50

$68.96

$20.05

$310.60

$6.50

$7.70

$163.95

$6.50

$1,471.17

$6.50

$116.28

$6.50

$6,529.41

$6.50

$204.75

$6.50

$389.88

$6.50

$109.44

$6.50

$287.28

$6.50

$49.40

$6.50

$931.00

$6.50

$204.75

$10.65

$29.31

$6.50

$60.80

$21.58

City Of Chicago - Confidential

Page 27 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/20/1979 09/20/1979 06/21/2006 06/21/2006 08/16/2000 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 12/11/2010 12/11/2010 12/11/2010 12/11/2010

Owcarz, Eugene Owcarz, Eugene Ocarroll, John Ocarroll, John Ocallaghan, Patrick 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 OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY OLSZEWSKI, SHERRY

F F F F F

8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8749 8749 8749 8749

00439 00439 00328 00328 00377

Fire Fire Fire Fire

$2,060.47

$1,896.88

$6.50

$371.86

$816.40

$163.40

$213.85

$6.50

$243.10

$12.79

$6.50

$226.85

$12.79

$6.50

$226.85

$12.79

$6.50

$226.85

$6.50

$12.79

$6.50

$226.85

$14.34

$6.50

$213.85

$14.34

$6.50

$14.71

$966.06

$6.50

$353.94

$6.50

City Of Chicago - Confidential

Page 28 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 04/09/2010 12/2272010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010

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 OBAFEMI, ROLAND O TOOLE, TIMOTHY O TOOLE, TIMOTHY O TOOLE, TIMOTHY O TOOLE, TIMOTHY O TOOLE, TIMOTHY O TOOLE, TIMOTHY O TOOLE, TIMOTHY O TOOLE, TIMOTHY O TOOLE, TIMOTHY O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8819 8811 8811 8811 8811 8811 8811 8811 8811 8811 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$55.55

$233.87

$277.80

$527.28

$6.50

$1,131.37

$1.10

$1,066.22

$3.58

$6.50

$762.66

$6.50

$322.00

$77.35

$6.50

$3.14

$1,564.96

$7.16

$51.42

$176.45

$6.50

$3,592.60

$6.50

$71.85

$89.17

$6.50

$1.08

$69.02

$6.50

$1,370.09

City Of Chicago - Confidential

Page 29 of 249

Incident Date Claimant_Rank

05/27/2010 0 NEILL, SEAN 8731

12/11/2009 O DONNELL. SEAN 8731

12/11/2009 O DONNELL, SEAN 8731

12/11/2009 0 DONNELL, SEAN 8731

12/11/2009 O DONNELL, SEAN 8731

12/22/2010 O BRIEN, LAWRENCE 8811

Unit of Insured Total to be Paid

City Of Chicago Fire $0.83

City Of Chicago Fire $14.04

City Of Chicago Fire $956.07

City Of Chicago Fire $3.40

City Of Chicago Fire $231.21

City Of Chicago Fire $3.40

City Of Chicago Fire $231.21

City Of Chicago Fire $3.40

City Of Chicago Fire $231.21

City Of Chicago Fire $3.44

City Of Chicago Fire $234.14

City Of Chicago Fire $3.44

City Of Chicago Fire $234.14

City Of Chicago Fire $3.44

City Of Chicago Fire $234.14

City Of Chicago Fire $3.44

City Of Chicago Fire $234.14

City Of Chicago Fire $3.44

City Of Chicago Fire $234.14

City Of Chicago Fire $3.44

City Of Chicago Fire $234.14

City Of Chicago Fire $6.50

City Of Chicago Fire $3.44

City Of Chicago Fire $6.50

City Of Chicago Fire $234.14

City Of Chicago Fire $6.50

City Of Chicago Fire $41.65

City Of Chicago Fire $6.50

City Of Chicago Fire $1.69

City Of Chicago Fire $143.80

City Of Chicago Fire $6.50

City Of Chicago Fire $1.74

City Of Chicago - Confidential

Page 30 of 249

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 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/19/2010 12/20/2010 12/20/2010 12/20/2010

O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BOYLE, MICHAEL 0 BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL 0 BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL NOLAN, SAMUEL NEWBY, PATRICIA NEWBY, PATRICIA NEWBY, PATRICIA

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

8749 8749 8749

$51.54

$6.50

$95.65

$5.50

$6.50

$454.56

$36.16

$6.50

$2,988.02

$16.76

$1.16

$412.90

$208.00

$6.50

$6,330.10

$630.95

$18.78

$6.50

$462.82

$2.09

$6.50

$134.94

$6.50

$174.94

$6.50

$723.46

$6.50

$350.68

$6.50

$500.84

$6.50

$120.08

City Of Chicago - Confidential

Page 31 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/20/2010 10/15/2008 10/15/2008 10/15/2008 10/15/2008 10/15/2008 10/15/2008 10/15/2008 10/15/2008 12/12/2002 12/12/2002 03/05/2006 03/05/2006 03/05/2006 • 08/07/2006 08/07/2006 05/06/1998 05/06/1998 05/28/1999 11/28/2007 11/28/2007 03/06/2004 03/06/2004 03/06/2004 03/06/2004 03/06/2004 03/06/2004 03/06/2004 03/06/2004 03/06/2004 03/06/2004 03/06/2004 03/06/2004

NEWBY, PATRICIA NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID Moran, Thomas Moran, Thomas Milton, William Milton, William Milton, William Mcvicker, Edward Mcvicker, Edward Mcmahon, Patrick Mcmahon, Patrick Mcmahon, James P Mclean, Barry Mclean, Barry Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael

8749

F F F F F F F E E F F F C C C C

c c c c c c c c

00377 00377 00349 00349 00349 00311 00311 00432 00432 00492 09999 09999 00614 00614 00614 00614 00614 00614 00614 00614 00614 00614 00614 00614

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 Chicag' City Of Chicago City Of Chicago City Of Chicago City Of Chicagi City Of Chicago City Of Chicago Fi 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 F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

$6.50

$1,281.33

$83.10

$1,281.33

$83.10

$1,281.33

$6.50

$740.10

$343.56

$6.50

$23.31

$68.09

$91.40

$149.46

$6.50

$8.17

$44.39

$304.49

$100.68

$6.50

$161.97

$28.39

$148.32

$6.50

$31.54

$6.50

$22.71

$129.57

$6.50

$22.71

City Of Chicago - Confidential

Page 32 of 249

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

03/06/2004 Mckinnis, Michael

10/05/2004 Mckendry, Kevin

05/14/2000 Mcdole, Michael

10/04/2010 MURPHY, THOMAS

08/10/2010 MURAWSKI, CHRISTOPHE

C C C C C C C C C

c c c

F F

c c c

00614 00614 00614 00614 00614 00614 00614 00614 00614 00614 00614 00614 00473 00473 00331 00331 00331

8749 8749 8749 8749

$162.17

$6.50

$31.92

$129.78

$6.50

$26.25

$23.94

$6.50

$150.17

$22.43

$6.50

$125.66

$8.43

$2,820.62

$66.08

$6.50

$52.65

$6.50

$720.56

$1,391.45

$6.50

$56.48

$134.11

$6,916.55

$6.50

$877.59

$6.50

$21.02

$5.44

$6.50

$87.19

$6.50

$384.01

City Of Chicago - Confidential

Page 33 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/10/2010 MURAWSKI, CHRISTOPHE

11/24/2009 MUELLER, ERNST

8749

S6.50

$417.23

$6.50

$417.23

$6.50

$356.42

$6.50

$354.33

$6.50

$352.86

$6.50

$290.59

$6.50

$290.59

$6.50

$290.59

$29.15

$6.50

$290.59

$6.50

$290.59

$6.50

$138.27

$6.50

$138.27

$30.27

$6.50

$138.27

$30.27

$6.50

$138.27

$30.27

$6.50

City Of Chicago - Confidential

Page 34 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010

MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MROZEK, JOSEPH MROZEK, JOSEPH MROZEK, JOSEPH MROZEK, JOSEPH MROZEK, JOSEPH

873

$138.27

$30.27

$6.50

$138.27

$30.27

$6.50

$138.27

$30.27

$6.50

$138.27

$30.27

$6.50

$138.27

$30.27

$6.50

$138.27

$30.27

$1.07

$6.50

$88.75

$6.50

$138.27

$30.27

$6.50

$138.27

$30.27

$6.50

$30.27

$7.79

$6.50

$166.07

$6.50

$531.18

City Of Chicago - Confidential

Page 35 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/04/2010 MORRIS, GREGORY

12/10/2010 MODJESKI, MICHAEL

11/12/2010 MESNARD, JASON

12/21/2010 MC SWAIN, TERRANCE

8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8750 8750 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

$244.40

$13.33

$6.50

$244.40

$2.89

$6.50

$197.50

$13.33

$6.50

$244.40

$83.60

$6.50

$989.92

$10.12

$6.50

$249.32

$6.50

$507.56

$5.56

$6.50

$217.35

$14.12

$6.50

$23.04

$25.30

$6.50

$100.68

$449.95

$6.50

$18.26

City Of Chicago - Confidential

Page 36 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/21/2010 MC SWAIN, TERRANCE

12/22/2010 MC CORKLE, SCOTT

09/05/2009 MC CAULEY, LORRAINE

12/22/2010 MCCARTY, JOHN

01/02/2011 MATTHEWS, CHRIS

01/06/2009 MATERA, MARK

05/25/2010 MARTINEZ, FRANCISCO

09/03/2010 MARTI N, Wl LLIAM

09/03/2010 MARTIN, WILLIAM

06/11/2010 MARTIN, LEFONDRA

01/05/2011 MARTIN, DAREK

08/31/2010 MARTIN, BARBARA

8801 8801 8801 8731 8731 8731 8731 8749 8749 8749 8749 8749 8749 8749 8749 8731 8749 8749 8749 8749 8749

8731 8750 8750 8801 8801 8801 8801 8801 8801 8749 8749

$1,742.18

$6.50

$57.23

$6.50

$207.59

$1,236.44

$6.50

$7,454.28

$6.50

$2,118.69

$6.50

$3.98

$25.64

$120.69

$159.60

$6.50

$30.00

$16.53

$364.00

$6.50

$449.80

$320.32

$6.50

$225.00

$176.43

$47.16

$6.50

$8.77

$343.37

$10.45

$226.20

City Of Chicago - Confidential

Page 37 of 249

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 Chicagi City Of Chicago I City Of Chicagi 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 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

08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 12/21/2008 12/21/2008 12/21/2008 12/21/2008 12/21/2008 06/22/2008 06/22/2008 06/22/2008 11/08/2006 07/24/2001 07/24/2001 07/24/2001 07/24/2001 10/19/2004 10/19/2004 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 10/12/2010 10/12/2010 10/12/2010

MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MADDEN, JOHN MADDEN, JOHN MADDEN, JOHN MADDEN, JOHN MADDEN, JOHN Lucas, Samuel Lucas, Samuel Lucas, Samuel Leverenz, Kenneth E Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lane, Russell Lane, Russell LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUBOMSKI, NEIL LUBOMSKI, NEIL LUBOMSKI, NEIL

8749 8749 8749 8749 8749 8749 8749 8749

F F F F M M M M F F

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

00339 00339 00339 00491 00626 00626 00626 00626 00665 00665

|0 Fi

)0 Fi Fi Fi Fi Fi F Fi Fi

$6.50

$259.45

$6.50

$10.05

$11.61

$55.07

$23.49

$100.68

$6.50

$5,879.43

$117.59

$140.26

$201.70

$171.07

$118.67

$40.50

$6.50

$199.98

$95.65

$679.50

$6.50

$103.50

$6.50

$1,050.00

$1.16

$6.50

$4.60

$230.14

City Of Chicago - Confidential

Page 38 of 249

Incident Date Claimant_ Rank

07/08/2010 LOZANO, VINCENT 8731

03/12/2010 LOPEZ, MICHAEL 8745

09/02/2010 LOPEZ, JOSEPH 8731

11/29/2010 LIVERMORE, BRIAN 8731

09/16/2010 LEVERENZ, KENNETH

Unit of _Insured_Total to be Paid

City Of Chicago Fire $6.50

City Of Chicago Fire $339.30

City Of Chicago Fire $6.50

City Of Chicago Fire $15.07

City Of Chicago Fire $362.10

City Of Chicago Fire $6.50

City Of Chicago Fire $15.07

City Of Chicago Fire $320.73

City Of Chicago Fire $10.05

City Of Chicago Fire $6.50

City Of Chicago Fire $226.20

City Of Chicago Fire $15.07

City Of Chicago Fire $6.50

City Of Chicago Fire $339.30

City Of Chicago Fire $683.55

City Of Chicago Fire $6.50

City Of Chicago Fire $1.73

City Of Chicago Fire $42.50

City Of Chicago Fire $625.10

City Of Chicago Fire $6.50

City Of Chicago Fire $12.32

City Of Chicago Fire $100.68

. City Of Chicago Fire $8.69

City Of Chicago Fire $6.50

City Of Chicago Fire $186.55

City Of Chicago Fire $10.21

City Of Chicago Fire $6.50

City Of Chicago Fire $213.20

City Of Chicago Fire $10.21

City Of Chicago Fire $6.50

City Of Chicago Fire $213.20

City Of Chicago Fire $6.50

City Of Chicago Fire $67.47

City Of Chicago - Confidential

Page 39 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/16/2010 09/16/2010 09/16/2010 09/16/2010 12/09/2008 12/09/2008 12/09/2008 12/09/2008 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 10/30/2010 10/30/2010 10/30/2010 10/21/2007 10/21/2007 10/22/2010

LEVERENZ, KENNETH LEVERENZ, KENNETH LEVERENZ, KENNETH LEVERENZ, KENNETH LESCH, ROBERT LESCH, ROBERT LESCH, ROBERT LESCH, ROBERT 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 LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP Kleinick, James Kleinick, James KWASNY, RICHARD

F F

8807

00457 00457

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 Fi City Of Chicago F 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 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 F City Of Chicago Fi

$7.66

$6.50

$159.90

$6.50

$123.75

$9.49

$6.50

$373.38

$9.45

$6.50

$24.06

$6.50

$767.13

$17.31

$6.50

$1,429.78

$11.99

$6.50

$990.01

$10.88

$6.50

$347.05

$13.59

$301.38

$6.50

$9.45

$301.38

$6.50

$76.81

$545.03

City Of Chicago - Confidential

Page 40 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/15/2010 08/15/2010 08/15/2010 08/29/2008 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 09/05/2010 09/05/2010 08/12/2010 08/12/2010 10/08/2008 10/08/2008 10/20/2010 10/20/2010 10/20/2010 12/22/2010 12/22/2010 12/22/2010 06/20/2009 06/20/2009 06/20/2009 06/20/2009 12/16/2008 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010

KURYSZ, TOM KURYSZ, TOM KURYSZ, TOM KRAMER, RICHARD KORN, ROBERT KORN, ROBERT KORN, ROBERT KORN, ROBERT KORN,ROBERT KORN, ROBERT KOLBASH, JEFFREY KOLBASH, JEFFREY KLINGER, ROBERT KLINGER, ROBERT KLEINICK, JAMES KLEINICK, JAMES KIRKILAS, DAVID KIRKILAS, DAVID KIRKILAS, DAVID KIRBY JR, RONALD KIRBY JR, RONALD KIRBY JR, RONALD KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KELLY, JOSEPH KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8749 8749

8731 8731 8731 8801 8801 8801 8801 8801 8801 8801

8701 8701 8701 8701 8701 8701

$42.50

$1.73

$6.50

$184.52

$6.50

$96.81

$322.49

$41.17

$6.50

$29.26

$6.50

$149.46

$9.25

$120.66

$353.68

$99.66

$171.28

$6.50

$60.42

$7.00

$6.50

$8.70

$455.00

$1,404.00

$6.50

$2,484.39

$58.50

$3.01

$6.50

$74.11

$1.78

$809.54

$6.50

City Of Chicago - Confidential

Page 41 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/16/2010 12/16/2010 12/16/2010 01/04/2011 01/04/2011 01/04/2011 11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 03/23/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010

KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KAWA, ROBERT KASPER,ANTHONY KASPER, ANTHONY KASPER, ANTHONY KAMBERIS, SAMUEL KAMBERIS, SAMUEL KAMBERIS, SAMUEL Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt JOHNSON, HERBERT JOHNSON, ERIC JOHNSON, ERIC JOHNSON, ERIC JOHNSON, ERIC

8701

8811

8817

8811

881 881 881 881 881

00002 00002 00002 00002 00002 00002

$6.50

$404.77

$6.50

$404.77

$6.50

$88.75

$6.50

$404.77

$1.07

$146.87

$6.50

$731.40

$20.00

$21.02

$1,530.90

$6.50

$25.67

$446.44

$6.50

$4.13

$240.99

$6.50

$271.15

$655.84

$621.52

$28.29

$1,292.40

$400.53

$1,457.83

$6.50

$488.87

$6.50

City Of Chicago - Confidential

Page 42 of 249

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 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

10/11/2010 10/11/2010 10/11/2010 08/21/2010 08/21/2010 08/21/2010 10/19/2010 10/19/2010 10/19/2010 01/27/2009 01/27/2009 01/27/2009 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002

JEZIOR. MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK. JOSEPH JANUS, KURT JANUS, KURT JANUS, KURT JANIGA, JOHN JANIGA, JOHN JANIGA, JOHN IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick

8728 8728 8728 8731 8731 8731 8811 8811 8811 8731 8731 8731

88 88 88 88 88 88 88 88 88 C C C C C C C C C C C C

09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999

$530.00

$96.60

$6.50

$4.53

$6.50

$65.32

$6.50

$295.85

$9.29

$6.50

$136.13

$5.52

$3,432.00

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$1.07

$6.50

$88.75

$34.04

$6.50

$984.61

$0.81

$6.50

$67.05

$39.96

$6.50

$111.99

City Of Chicago - Confidential

Page 43 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/22/1980 11/22/1980 11/22/1980 11/12/1999 11/12/1999 11/12/1999 11/12/1999 11/12/1999 11/12/1999 11/12/1999 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 07/28/2007

Heierling, Elizabeth Heierling, Elizabeth Heierling, Elizabeth Haynes, Patrick Haynes, Patrick Haynes, Patrick Haynes, Patrick Haynes, Patrick Haynes, Patrick Haynes, Patrick Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hannon, Sean

M M M 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 F F

00601 00601 00601 00349 00349 00349 00349 00349 00349 00349 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 09999

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

$6.50

$100.68

$6.50

$11.00

$287.70

$160.00

$10.60

$11.00

$60.18

$6.50

$121.35

$574.04

$1,969.50

$6.50

$110.64

$2,646.00

$6.50

$3,057.60

$143.62

$232.16

$1,784.39

$6.50

$101.53

$90.22

$6.50

$13.97

$165.10

$6.50

$8.03

$6.50

City Of Chicago - Confidential

Page 44 of 249

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 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 City Of Chicago Fi

07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 12/22/2010

Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean HURLEY, JOHN

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 F F F

8771

09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999

$6.50

$300.97

$6.50

$567.75

$6.50

$1,031.71

$6.50

$238.70

$6.50

$363.24

$6.50

$363.24

$6.50

$363.24

$6.50

$300.97

$6.50

$300.97.

$6.50

$342.50

$726.48

$6.50

$363.24

$6.50

$223.83

$6.50

$2.71

$2,942.54

$6.50

$342.50

$363.24

$547.15

City Of Chicago - Confidential

Page 45 of 249

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 06/20/2008 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 05/28/2010 12/13/2010 12/13/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 08/16/2009 08/16/2009

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 HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HURLEY, JOHN HUGHES, JOHN HOWARD, CHRISTINE HOWARD, CHRISTINE HOWARD, CHRISTINE HOWARD, CHRISTINE HOWARD, CHRISTINE HOANG, LONG HESSBERGER, LOUIS HESSBERGER, LOUIS HERRERA, EDWARD HERRERA, EDWARD HERRERA, EDWARD HERRERA, EDWARD HERBSTER, RORY HERBSTER, RORY

8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8731 8750 8750 8750 8750 8750 8801 8731 8731 8807 8807 8807 8807 8801 8801

$15.44

$487.71

$6.50

$207.59

$6.50

$352.91

$1.00

$6.50

$82.83

$0.86

$6.50

$70.97

$81.60

$6.50

$1,616.22

$58.43

$6.50

$1,051.63

$1,272.30

$0.23

$6.50

$331.81

$6.50

$100.68

$224.85

$6.50

$742.77

$6.50

$851.77

$6.50

$83.04

$106.80

$301.92

City Of Chicago - Confidential

Page 46 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/11/2011 HERBSTER, RORY

05/13/2010 HELMA, MARC

01/02/2011 HEENAN, MICHAEL

12/28/2009 HECKMANN, MARGARET

10/15/2009 HATZIS, JOHN

10/08/2009 HATTEN, OSA

11/04/2010 HART, BUFORD

01/07/2011 HARDIE JR, JAMES

09/04/2009 HANIK, KENNETH

12/22/2010 HAMADEH, HAMADEH

8801 8801 8801 8801 8801 8801 8801 8801 8750 8731 8733 8733 8749 8749 8749 8749 8749 8750 8750 8750

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

$22.01

$6.50

$861.05

$96.13

$2.46

$373.66

$6.50

$9.55

$6.50

$12.88

$29.50

$513.25

$110.25

$327.90

$365.64

$6.50

$472.82

$12.09

$6.50

$7.25

$178.50

$172.93

$83.65

$217.20

$81.60

$6.50

$3.31

$2,545.60

$6.50

$10.74

$6.50

City Of Chicago - Confidential

Page 47 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 HAMADEH, HAMADEH

11/25/2010 HAGUE, MICHAEL

07/29/1997 Gutierrez-Ogar, Bernadette

09/21/2003 Guth, Sarah

10/23/1997 Graves, Michael P

8819

8745

00665 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00647 00647

$264.67

$529.60

$6.50

$1,500.00

$6.50

$2.51

$6.50

$207.08

$1.00

$6.50

$82.83

$667.00

$6.50

$21.91

$853.38

$6.50

$404.82

$6.50

$269.88

$6.50

$278.05

$6.50

$9.91

$6.50

$57.59

$6.50

$337.35

$4.08

$6.50

$269.88

$59.19

$54.25

City Of Chicago - Confidential

Page 48 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/14/1993 06/14/1993 06/14/1993 01/15/2008 01/15/2008 01/15/2008 11/04/2010 11/04/2010 11/04/2010 11/04/2010 11/04/2010 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/09/2011 01/09/2011 01/09/2011 01/09/2011 12/17/2010 12/17/2010 12/17/2010

Gayda, Wayne Gayda, Wayne Gayda, Wayne Gavin, Terrence Gavin, Terrence Gavin, Terrence GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUTIERREZ, DARCIE GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUIEL, DAVID GUERIN, JULIE GUERIN, JULIE GUERIN, JULIE

F F F F F F

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8750 8750 8750

00443 00443 00443 00395 00395 00395

$3.92

$324.34

$6.50

$48.99

$6.50

$2.82

$13.59

$19.00

$6.50

$615.30

$18.76

$6.50

$734.09

$7.79

$6.50

$642.66

$17.48

$6.50

$1,444.22

$1.17

$6.50

$96.62

$2.06

$6.50

$170.31

$6.50

$1,097.32

$6.50

$85.00

$14.52

$6.50

$568.23

City Of Chicago - Confidential

Page 49 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/23/2010 12/23/2010 12/23/2010 12/23/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 12/17/2010 12/17/2010

GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRUNAUER, MARK GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GODINEZ, JUAN GODINEZ, JUAN

8733 8733 8733 8733 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 8801 8801

S6.50

$83.04

$6.50

$490.01

$2.39

$249.10

$3.74

$388.60

$1.87

$194.30

$3.72

$186.22

$4.78

$498.20

$2.39

$249.10

$3.72

$186.22

$2.39

$249.10

$3.53

$176.65

$1.87

$194.30

$1.16

$6.50

$194.30

$1.87

$1,400.06

$95.65

$80.50

$6.50

$2.87

City Of Chicago - Confidential

Page 50 of 249

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 01/14/2009 01/14/2009 01/14/2009 01/14/2009 01/14/2009 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 01/01/2011 01/01/2011 01/01/2011

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 GILMORE, GARY GILMORE, GARY GILMORE, GARY GILMORE, GARY GILMORE, GARY GIERHAHN, WILLIAM .GIERHAHN, WILLIAM GIERHAHN, WILLIAM GIERHAHN, WILLIAM GIERHAHN, WILLIAM GIERHAHN, WILLIAM GAYDA, WAYNE GAYDA, WAYNE GAYDA, WAYNE

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 8735 8735 8735

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

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 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 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

$7.16

$6.50

$176.45

$12.75

$6.50

$167.80

$15.49

$6.50

$279.50

$16.59

$6.50

$200.20

$17.31

$6.50

$1,429.78

$3.54

$6.50

$292.33

$237.41

$275.66

$11.19

$324.34

$6.50

$3.92

$6.50

$14.32

$1,965.65

$6.50

$249.10

$50.23

$6.50

$43.20

$1.10

City Of Chicago - Confidential

Page 51 of 249

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 Chicag' City Of Chicagi 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 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 F City Of Chicago Fi

10/08/2010 GATEWOOD JR., STEVE

12/02/2010 GARCIA, HECTOR

09/02/2010 GALLAPO, ROBERT

10/26/2007 Farias, Francisco

12/02/2010 FREEMAN, EDWARD

8801

8735

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

00359 00359 00359

|0 Fi ,oF Fi Fi Fi Fi Fi

$6.50

$300.00

$205.20

$6.50

$5.24

$6.50

$597.78

$21.02

$6.50

$250.00

$34.38

$6.50

$597.78

$651.57

$6.50

$5,685.55

$34.38

$6.50

$597.78

$34.38

$4.78

$239.16

$6.50

$2,043.22

$6.50

$243.94

$6.50

$100.68

$6.50

$243.94

$6.50

$202.41

$6.50

City Of Chicago - Confidential

Page 52 of 249

Incident Date Claimant Rank

12/02/2010 FREEMAN, EDWARD 8731

12/15/2010 FOCH, CRAIG 8735

Unit of_Insured_Total to be Paid

City Of Chicago Fire $176.47

City Of Chicago Fire $6.50

City Of Chicago Fire $108.99

City Of Chicago Fire $6.50

City Of Chicago Fire $124.56

City Of Chicago Fire $6.50

City Of Chicago Fire $101.70

City Of Chicago Fire $6.50

City Of Chicago Fire $178.25

City Of Chicago Fire $6.50

City Of Chicago Fire $243.94

City Of Chicago Fire $6.50

City Of Chicago Fire $243.94

City Of Chicago Fire $52.21

City Of Chicago Fire $6.50

City Of Chicago Fire $14.75

City Of Chicago Fire $6.50

City Of Chicago Fire $248.30

City Of Chicago Fire $6.50

City Of Chicago Fire $52.00

City Of Chicago Fire $17.31

City Of Chicago Fire $6.50

City Of Chicago Fire $1,429.78

City Of Chicago Fire $0.42

City Of Chicago Fire $6.50

City Of Chicago Fire $35.18

City Of Chicago Fire $8.66

City Of Chicago Fire $6.50

City Of Chicago Fire $231.96

City Of Chicago Fire $11.65

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 53 of 249

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 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 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

12/15/2010 FOCH, CRAIG

11/29/2010 FLOREK, CHRISTOPHER

11/20/2008 FITZGIBBON, JAMES

11/16/2010 FINNERTY, RYAN

8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8750 8750 8750 8750 8750 8750 8750 8750 8750

8728 8728 8728 8728 8728 8728 8728 8728 8728 8728

$191.75

$2.88

$6.50

$237.64

$10.35

$6.50

$189.90

$14.75

$6.50

$248.30

$18.32

$6.50

$217.92

$14.15

$1,302.00

$24.13

$47.25

$6.50

$1.00

$82.83

$6.50

$257.40

$10.92

$6.50

$257.40

$2.02

$6.50

$166.64

$10.92

$6.50

$257.40

City Of Chicago - Confidential

Page 54 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010

FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN

8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$16.29

$6.50

$269.75

$13.34

$6.50

$282.75

$10.17

$6.50

$235.70

$10.82

$6.50

$187.85

$8.40

$6.50

$200.85

$5.89

$6.50

$144.30

$10.68

$6.50

$173.55

$10.92

$6.50

$168.66

$6.50

$1,089.75

$6.50

$81.13

$2,159.04

$6.50

$944.58

$1,650.50

$6.50

City Of Chicago - Confidential

Page 55 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/06/2010 09/06/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 10/21/2007 09/01/2010 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 07/24/2010 07/24/2010 07/24/2010 07/24/2010

FERNANDEZ, JOHN FERNANDEZ, JOHN FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD Enos, Barbara ENNESSER, DANIEL 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 Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO

8731 8731 8731 8731 8731 8731 8731 8731 F

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

00622

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 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 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 F City Of Chicago Fi City Of Chicago F

$316.99

$6.50

$244.40

$6.50

$13.33

$72.97

$6.50

$0.88

$6.50

$2,458.04

$5.18

$6.50

$127.50

$0.86

$6.50

$70.97

$22.70

$6.50

$32.26

$20.66

$6.50

$1,047.90

$1,723.40

$74.83

$6.50

$1,231.88

$280.50

$11.39

$6.50

$443.68

$3.30

$6.50

City Of Chicago - Confidential

Page 56 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 10/07/2007 10/07/2007 12/24/2010 12/24/2010 01/02/2011 01/02/2011 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 10/22/2010 10/22/2010 06/19/2009

Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Denson, Homer Denson, Homer DRAKE, DARAIL DRAKE, DARAIL DRABIK, RICHARD DRABIK, RICHARD 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 DORNEKER, RONALD DORNEKER, RONALD DIGIOVANNI, JOSEPH

8731

8801 8801 8731 8731 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8749

09999 09999

$226.77

$5.38

$6.50

$453.54

$3.05

$6.50

$251.42

$5.50

$6.50

$879.23

$6.50

$679.61

$57.67

$76.04

$334.20

$16.25

$6.50

$334.20

$19.92

$6.50

$337.45

$13.83

$6.50

$347.20

$14.75 /'

$6.50

$248.30

$15.03

$6.50

$279.50

$16.25

$6.50

$440.16

City Of Chicago - Confidential

Page 57 of 249

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 Chicagi 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 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

06/19/2009 11/26/2010 11/26/2010 11/26/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 05/0272009 05/02/2009 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 10/23/2010 10/23/2010 10/23/2010

DIGIOVANNI, JOSEPH DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DEVER, LEWIS DEVER, LEWIS DEVER, LEWIS DEVER, LEWIS DEVER, LEWIS 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 DATI, THOMAS DATI, THOMAS DATI, THOMAS

8749 8811 8811 8811 8801 8801 8801 8801 8801 8750 8750 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8807 8807 8807

F, Fi io Fi Fi Fi Fi Fi

$6.50

$435.17

$177.75

$17.96

$12.01

$442.37

$6.50

$609.21

$812.05

$16.24

$227.97

$79.90

$6.50

$3.24

$38.25

$6.50

$1.55

$462.82

$6.50

$18.78

$6,938.57

$6.50

$412.90

$6.50

$6.82

$6.50

$464.44

$326.68

$16.76

$6.50

City Of Chicago - Confidential

Page 58 of 249

Incident Date Claimant_Rank

10/23/2010 DATI, THOMAS 8807

07/10/2010 DALY, DANIEL 8819

08/05/2003 Cordt, Robert F

03/24/2008 Ciara, Michael P

04/09/1983 Cales, David F

04/25/2009 CZARNECKI, TODD 8750

Unit of_Insured_Total to be Paid

City Of Chicago Fire $3.38

City Of Chicago Fire $230.37

City Of Chicago Fire $129.69

City Of Chicago Fire $6.50

City Of Chicago Fire $744.00

City Of Chicago Fire $6.50

City Of Chicago Fire $329.03

City Of Chicago Fire $6.50

City Of Chicago Fire $67.47

City Of Chicago Fire $6.50

City Of Chicago Fire' $215.87

09999 City Of Chicago Fire $60.71

09999 City Of Chicago Fire $195.88

09999 City Of Chicago Fire $256.59

00003 City Of Chicago Fire $644.29

00003 City Of Chicago Fire $9.91

00003 City Of Chicago Fire $6.50

00003 City Of Chicago Fire $131.03

00003 City Of Chicago Fire $876.02

00003 City Of Chicago Fire $555.22

00003 City Of Chicago Fire $57.59

00322 City Of Chicago Fire $1,196.40

00322 City Of Chicago Fire $6.50

City Of Chicago Fire $6.50

City Of Chicago Fire $839.78

City Of Chicago Fire $373.06

City Of Chicago Fire $6.50

City Of Chicago Fire $299.96

City Of Chicago Fire $6.50

City Of Chicago Fire $299.96

City Of Chicago Fire $6.50

City Of Chicago Fire $105.86

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 59 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CUNNINGHAM, DANIEL CUNNINGHAM, DANIEL CUNNINGHAM, DANIEL CUNNINGHAM, DANIEL CUNNINGHAM, DANIEL CUNNINGHAM, DANIEL

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

io Fi ,0 Fi

)0 Fi

$239.76

$6.50

$479.52

$6.50

$240.80

$4.07

$6.50

$336.25

$6.50

$299.96

$6.50

$478.48

$6.50

$599.92

$6.50

$404.79

$6.50

$839.68

$9.94

$6.50

$820.32

$6.50

$512.72

$243.85

$6.50

$155.69

$6.50

$81.00

$1,747.33

$311.38

$6.50

City Of Chicago - Confidential

Page 60 of 249

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 F City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicag' 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 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

12/11/2010 12/11/2010 12/11/2010 12/20/2010 12/20/2010 06/28/2009 06/28/2009 06/28/2009 09/20/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/23/2010 12/23/2010 12/23/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/29/2010 10/29/2010 11/03/2010 11/03/2010 11/03/2010 11/16/2009 11/16/2009 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010

CRUZ, PEDRO CRUZ, PEDRO CRUZ, PEDRO CRUMP, MONYETT CRUMP, MONYETT CRONIN, JEANNE CRONIN, JEANNE CRONIN, JEANNE COOPER, THOMAS COOK, NICHOLAS COOK, NICHOLAS COOK, NICHOLAS COOK, NICHOLAS COOK, CARL COOK, CARL . COOK, CARL CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONNORS, PATRICK CONNORS, PATRICK COMITO, JOSEPH COMITO, JOSEPH COMITO, JOSEPH CNOTA, FRED CNOTA, FRED CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ

8750 8750 8750 8801 8801 8750 8750 8750 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8735 8735 8733 8733 8733 8812 8812 8819 8819 8819 8819 8819

Fi Fi Fi |0 Fl Fi Fi Fi Fi Fi Fi Fi

$6.50

$400.00

$114.78

$551.89

$6.50

$333.16

$6.50

$10.95

$230.75

$6.50

$207.59

$6.50

$283.48

$6.50

$2,190.55

$55.99

$6.50

$10.62

$7.91

$133.90

$6.50

$674.70

$6.50

$2.22

$111.60

$388.62

$22.98

$107.43

$6.50

$1,089.90

$6.50

$700.00

City Of Chicago - Confidential

Page 61 of 249

Incident Date Claimant_Rank

07/15/2009 CHIRA, BENJAMIN 8807

01/09/2011 CHESACK, MICHAEL 8731

01/09/2011 CHESACK. MICHAEL 8731

04/11/2009 CHERRY, ROY 8731

04/11/2009 CHERRY, ROY * 8731

04/11/2009 CHERRY, ROY 8731

Unit of Insured Total to be Paid

City Of Chicago Fire $33.75

City Of Chicago Fire $ 1,805.81

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago Fire $1,604.12

City Of Chicago Fire $6.50

City Of Chicago Fire $210.69

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago Fire $322.00

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago Fire $322.00

City Of Chicago Fire $6.50

City Of Chicago Fire $337.19

City Of Chicago Fire $6.50

City Of Chicago Fire $384.93

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago Fire $275.04

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 62 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/11/2009 CHERRY, ROY

05/05/2010 CENTRACCHIO, MICHAEL

01/13/2011 CECICH, MICHAEL

12/22/2010 CASPER, NICHOLAS

05/08/2010 CARROLL, WILLIAM

01/12/2010 CARBONNEAU, THOMAS

12/22/2010 CAMPBELL, BRIAN

8731

8728

8819

8735

8731

$275.04

$6.50

$275.04

$6.50

$322.00

$6.50

$275.04

$6.50

$275.04

$6.50

$1.31

$108.30

$84.00

$6.50

$176.45

$2,517.96

$7.65

$6.50

$11.92

$6.50

$207.33

$281.76

$6.50

$45.02

$213.00

$6.50

$1,545.46

$46.03

$40.38

$350.57

$26.17

$18.35

City Of Chicago - Confidential

Page 63 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12722/2010 12/22/2010 12722/2010 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 12/19/2010 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 06/07/1998 06/07/1998 06/07/1998 06/07/1998

CAMPBELL, BRIAN CAMPBELL, BRIAN CAMPBELL, BRIAN CALDERISI, MICHAEL CALDERISI. MICHAEL CALDERISI, MICHAEL CALDERISI, MICHAEL CALDERISI, MICHAEL CALDERISI, MICHAEL CAHILL, DENNIS CAHILL, DENNIS CAHILL, DENNIS CAHILL, DENNIS CAHILL, DENNIS CAHILL, DENNIS CAHILL, DENNIS CAHILL, DENNIS CAHILL, DENNIS CAHILL, DENNIS CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL. CESAR CABRAL, CESAR CABRAL, CESAR . CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy

8731

8801

8735

8731

00482 00482 00482 00482

$6.50

$319.20

$48.60

$187.77

$6.50

$555.41

$4.80

$6.50

$14.19

$22.20

$6.50

$209.10

$6.50

$39.00

$6.50

$93.84

$5.00

$6.50

$1,149.73

$6.50

$8,085.79

$18.08

$6.50

$3.17

$6.50

$262.09

$90.70

$1,494.01

$6.50

$213.60

$10.17

City Of Chicago - Confidential

Page 64 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/07/1998 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986

Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Botica, Timothy Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David

00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00482 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475

S6.50

S176.87

$15.11

$6.50

$317.60

$10.61

$6.50

$251.37

$31.10

$6.50

$750.42

$15.55

$6.50

$375.21

$31.10

$6.50

$750.42

$26.68

$6.50

$648.19

$9.27

$312.43

$5.90

$6.50

$487.07

$4.79

$6.50

$5.79

$6.50

$477.81

$6.50

$1,170.42

City Of Chicago - Confidential

Page 65 of 249

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

06/29/1986 Billups, David

05/08/1975 Bell, Dennis

11 /25/1998 Bartgen, John R

11/25/1998 Bartgen, John R

03/22/2010 BURKE, JEFFERY

01/26/2010 BURKE SR, MARK

10/19/2010 BROWN, ALICIA

12/22/2010 BROWN JR, EGNECHLES

01/12/2011 BRNE, BERNARD

09/23/2008 BOZEMAN, DIANE

F F F F C C

8801 8801 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8801 8801 8801 8801 8801 8731 8731

00475 00482 00482 00482 00301 00301 00301

S395.30 $126.42 $1,648.87 $6.50 $2.06 $307.95 $6.50 $341.51 $5.63 $806.53 $6.50 $269.88 $6.50 $404.82 $6.50 $404.82 $6.50 $1,442.46 $6.50 $181.80 $129.60 $313.58 $6.50 $4.57 $300.78 $123.13 $2.27 $6.50 $88.92 $2.27 • $177.84 $88.92 $4.54

City Of Chicago - Confidential

Page 66 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 12/02/2010 12/02/2010 12/02/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 03/08/2010 09/28/2009 03/08/2009 03/08/2009 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/20/2010 08/20/2010 08/20/2010 01/01/2011 01/01/2011

BOZEMAN, DIANE BOZEMAN, DIANE BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOTH, SHAWN BOTH, SHAWN BOTH, SHAWN BIRMINGHAM, SCOTT BIRMINGHAM, SCOTT BIRMINGHAM, SCOTT BIRMINGHAM, SCOTT BIRMINGHAM, SCOTT BIRMINGHAM, SCOTT BEIRIGER, TERRY BEALS JR, AARON BATTISTELLA, JOHN BATTISTELLA, JOHN BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BARRY, JAMES BARRY, JAMES BARRY, JAMES BARBA, EMMANUEL BARBA, EMMANUEL

8763 8763 8763 8763 8763 8763 8763 8763 8749 8749 8749 8749 8749 8749 8749 8749 8749 Lt

8819

8801 8801 8801 8801 8801 8749 8749 8749 8801 8801

S6.50

$6.50

$180.00

$6.50

$180.00

$6.50

$180.00

$6.50

$180.00

$6.50

$7.06

$276.34

$6.50

$127.57

$6.50

$104.70

$11.69

$0.89

$3,800.00

$794.03

$6.50

$89.54

$148.18

$6.50

$5,936.07

$113.75

$71.85

$98.60

$6.50

$20.29

$133.90

$6.50

City Of Chicago - Confidential

Page 67 of 249

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 Chicag 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 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 City Of Chicago Fi City Of Chicago Fi

11/11/2010 11/11/2010 11/11/2010 11/11/2010 04/28/2008 04/28/2008 04/28/2008 04/28/2008 04/28/2008 04/28/2008 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

BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK Augle, Nada Augle, Nada Augle, Nada Augle, Nada Augle, Nada Augle, Nada 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 AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO

8735

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

00429 00429 00429 00429 00429 00429

Fi |0Fi Fi Fi Fi Fi

$194.26

$2.35

$15.23

$6.50

$1,156.96

$6.50

$104.48

$695.47

$6.50

$64.08

$6.50

$2.56

$187.20

$6.50

$14.23

$187.20

$6.50

$14.23

$187.20

$6.50

$14.23

$6.50

$187.20

$14.23

$211.99

$187.20

$14.23

$6.50

$187.20

$14.23

$6.50

$187.20

City Of Chicago - Confidential

Page 68 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/06/2010 11/06/2010 11/06/2010 11/06/2010 12/10/2010 12/10/2010 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 09/19/2010 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

AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AUGUSTINE, MARC AUGUSTINE, MARC ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO 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

8731 8731 8731 8731 8749 8749

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

$14.23

$6.50

$187.20

$14.23

$6.50

$83.60

$6.50

$356.46

$6.50

$234.14

$57.90

$6.50

$3,944.24

$6.50

$1.29

$6.50

$88.23

$2.58

$6.50

$175.60

$3.44

$6.50

$234.14

$3.44

$6.50

$234.14

City Of Chicago - Confidential

Page 69 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/19/2010

12/21/2010

10/02/2008

10/15/2010

01/15/2011

10/31/2010

11/19/2010

Number Total: 2299

ANDERSON,TODD

ANDERSON, TODD

ANDERSON, ROY

ANDERSON,ROY

ANDERSON, ROY

ANDERSON,ROY

ANDERSON,PAUL

AMBROSE, CHRISTOPHE

ALTMAN, MARK

ALLEN, DANIEL

ALICEA-ZINK, ROSITA

Amount $677,396.67

Insured Namel: City Of Chicago Police

01/26/2008 Zoldan, Anton 01/26/2008 Zoldan, Anton 01/26/2008 Zoldan, Anton 11/09/2010 ZONIS, PIERRE

8745 8745 8745 8745 8745 8745 8745 8731 8731 8731 8731

8819 8819 8819 8819 8817 8731 8731 8731 8731 8731 8731 8750

P P P

9161

00015 00015 00015

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

$3.44

$6.50

$234.14

$13.29

$6.50

$905.22

$3.44

$508.25

$6.50

$294.48

$6.50

$20.70

$6.50

$359.98

$6.50

$58.54

$269.88

$6.50

$19.93

$155.61

$1.10

$6.50

$27.20

$6.50

$5.11

$6.50

$1.00 $68.29 $6.50 $6.50

City Of Chicago - Confidential

Page 70 of 249

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

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 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

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 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

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

Pol Pol Poli

S1.29

$2.29

$6.50

$156.11

$18.91

$6.50

$1,287.88

$1.29

$6.50

$88.23

$10.73

$6.50

$11.35

$23.75

$6.50

$929.27

$6.50

$207.59

$3.40

$6.50

$231.21

$3.44

$6.50

$234.14

$2.58

$6.50

$175.60

$3.44

$6.50

$234.14

$3.73

$6.50

$253.67

City Of Chicago - Confidential

Page 71 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/09/2010 05/27/2010 05/27/2010 08/01/2010 08/01/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009

ZONIS, PIERRE ZEGA, JAMES ZEGA, JAMES ZAYAS, ALBERTO ZAYAS, ALBERTO ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZAMORA, ANTHONY ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW

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

004 004

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

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

$88.23 $207.59 $6.50 $6.50

$10,084.89

$6.50

$1,086.49

$27.76

$488.87

$6.50

$195.65

$6.50

$33.77

$18.00

$6.50

$10.12

$1.05

$1,007.98

$86.78

$165.45

$6.50

$2,550.15

$165.45

$6.50

$2,550.15

$55.79

$859.81

$65.40

$2,040.12

$6.50

$132.36

$1,287.23

$6.50

City Of Chicago - Confidential

Page 72 of 249

Incident Date Claimant Rank

12/29/2009 ZALINSKI, STANISLAW 9161

04/12/2010 ZALEWSKI, MARK 9161

04/17/2009 YANCEY, SANDRA 9161

09/08/1997 Wright-Krygowski, Tammi L P

Unit of_Insured_Total to be Paid

City Of Chicago Police $83.51

City Of Chicago Police $1,635.35

City Of Chicago Police $6.50

City Of Chicago Police $106.09

City Of Chicago Police $21.04

City Of Chicago Police $6.50

016 City Of Chicago Police $3.44

016 City Of Chicago Police $6.50

016 City Of Chicago Police $234.14

016 City Of Chicago Police $6.50

016 City Of Chicago Police $1,300.92

016 City Of Chicago Police $2.85

016 City Of Chicago Police $6.50

016 City Of Chicago Police $194.17

016 City Of Chicago Police $2.85

016 City Of Chicago Police $6.50

016 City Of Chicago Police $194.17

016 City Of Chicago Police $43.77

016 City Of Chicago Police $2,981.66

016 City Of Chicago Police $6.50

016 City Of Chicago Police $133.63

016 City Of Chicago Police $6.50

016 City Of Chicago Police $5,229.36

016 City Of Chicago Police $3.44

016 City Of Chicago Police $6.50

016 City Of Chicago Police $234.14

016 City Of Chicago Police $4.36

016 City Of Chicago Police $6.50

016 City Of Chicago Police $296.59

003 City Of Chicago Police $2.22

003 City Of Chicago Police $183.55

003 City Of Chicago Police $6.50

00022 City Of Chicago Police $1,744.79

City Of Chicago - Confidential

Page 73 of 249

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 Po¹City 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 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 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

09/08/1997 Wright-Krygowski, Tammi L

12/09/2005 Wright, Georas L

01/08/2007 Woznicki, Robert A

04/17/2008 Wooley, Desean

08/09/2006 Williams-Collins, Eleanor D

09/15/2006 Williams, Kenneth L

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 P

00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00003 00003 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00005 00005 00005 00007 00007 00007 00007 00007 00006

lice lice lice lice lice dice 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

$6.50

$21.53

$6.50

$530.40

$6.50

$1,744.79

$6.50

$1,744.79

$21.53

$6.50

$530.40

$359.99

$6.50

$1,783.57

$94.00

$6.50

$160.36

$10.61

$4.10

$94.00

$1,801.69

$10.61

$6.50

$70.20

$6.50

$13.75

$6.50

$1,401.30

$1.16

$6.50

$95.65

$6.50

City Of Chicago - Confidential

Page 74 of 249

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 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 Pot 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 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

09/15/2006 05/19/2010 05/19/2010 04/24/2009 04/24/2009 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 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 09/25/2010

Williams, Kenneth L WORTHAM,THOMAS WORTHAM, THOMAS WOLFE, RAMA WOLFE, RAMA 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 WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WITULSKI, TODD

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

00006

044

003

005 005 005 005 005 005 003

ice ice ice ce ice ice ice ice ice ice :ce ice ice ice ce ce Ice ice ice ce ce ice ice ice ice ice ce ce ice ce ce ce ce

$326.81

$563.60

$3,339.52

$2,136.40

$210.59

$2,982.58

$6.50

$15.68

$5,833.81

$6.50

$191.69

$11.67

$6.50

$355.24

$121.06

$6.50

$477.47

$11.72

$20.44

$2.97

$6.50

$73.10

$18.44

$6.50

$454.36

$6.50

$87.19

$6.50

$269.85

$340.43

$6.50

$95.74

City Of Chicago - Confidential

Page 75 of 249

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

09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 07/07/2010 07/07/2010 07/07/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 10/02/2010 10/02/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010

WITULSKI, TODD WITULSKI, TODD WITULSKI, TODD WITULSKI, TODD WITULSKI, TODD WISELOGEL, SETH WISELOGEL, SETH WISELOGEL, SETH WISELOGEL, SETH WISELOGEL, SETH WINTERS, MALAKIA WINTERS, MALAKIA WINTERS, MALAKIA WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ANTHONY WILSON, ANTHONY WILLIAMS, RAMSEY WILLIAMS, RAMSEY WILLIAMS, RAMSEY WILLIAMS, RAMSEY WILLIAMS, RAMSEY WILLIAMS, RAMSEY

9161 9161 9161 9161 9161

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

9161 9161 9161 9161 9161 9161

003 003 003 003 003

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

012 012 012 012 012 012

Poll Pol Pol

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

$1.66

$6.50

$1.26

$6.50

$72.76

$6.50

$207.59

$269.97

$6.50

$10.96

$5,803.05

$148.30

$6.50

$10.96

$140.49

$6.50

$2.06

$140.49

$283.93

$156.91

$6.50

$1,075.80

$2.06

$594.60

$6.50

$82.83

$3.43

$6.50

$283.01

$6.50

$1,127.00

City Of Chicago - Confidential

Page 76 of 249

Incident Date Claimant Rank

02/18/2010 WILLIAMS, RAMSEY 9161

02/11/2009 WILLIAMS, MELISSA

11/18/2010 WILLIAMS, MELISSA 9161

11/28/2010 WILLIAMS, CHRISTOPHER 9161

09/03/2010 WILLIAMS LEE, BELINDA 9161

09/03/2010 WILLIAMS LEE. BELINDA 9161

09/03/2010 WILLIAMS LEE, BELINDA 9161

08/07/2010 WILKOSZEWSKI, MICHELE 9161

05/21/2010 WILKOSZ, ROBERT 9161

Unit of_Insured_Total to be Paid

012 City Of Chicago Police $111.06

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1.00

012 City Of Chicago Police $162.71

012 City Of Chicago Police $6.50

012 City Of Chicago Police $2.37

City Of Chicago Police $173.09

002 City Of Chicago Police $1,179.50

002 City Of Chicago Police $38.76

002 City Of Chicago Police $6.50 City Of Chicago Police $6.50 City Of Chicago Police $207.59 City Of Chicago Police $4.04 City Of Chicago Police $6.50 City Of Chicago Police $158.00

003 City Of Chicago Police $18.27 003 City Of Chicago Police $6.50 003 City Of Chicago Police $185.27 003 City Of Chicago Police $6.02 003 City Of Chicago Police $6.50 003 City Of Chicago Police $61.03 003 City Of Chicago Police $367.64 003 City Of Chicago Police $6.50 003 City Of Chicago Police $36.24 003 City Of Chicago Police $183.82 003 City Of Chicago Police $18.12 003 City Of Chicago Police $6.50 016 City Of Chicago Police $6.50 016 City Of Chicago Police $3.47 016 City Of Chicago Police $11.61 016 City Of Chicago Police $85.58 009 City Of Chicago Police $6.50 009 City Of Chicago Police $23.56

City Of Chicago - Confidential

Page 77 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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

05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 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 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010

WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WESSELHOFF, MARK WESSELHOFF, MARK WESSELHOFF, MARK WESSELHOFF, MARK WESSELHOFF, MARK WESSELHOFF, MARK WESSELHOFF, MARK 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 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

009 009 009 009 009

314 314 314 314 314 314 314 314 314 314

$6.50

$10.64

$6.50

$975.10

$5.75

$37.50

$161.97

$184.63

$29.46

$6.50

$168.71

$28.39

$6.50

$161.97

$22.71

$6.50

$129.57

$35.22

$6.50

$184.17

$28.39

$6.50

$13.19

$226.20

$230.10

$12.86

$6.50

$246.45

$7.53

$6.50

$169.65

$13.03

City Of Chicago - Confidential

Page 78 of 249

Incident Date Claimant Rank

07/30/2010 WESSELHOFF, MARK 9161

11/23/2010 WELLER, KENNETH 9161

10/15/2010 WEATHERSBY LEE, KAREN 9161

Unit of Insured Total to be Paid

314 City Of Chicago Police

314 City Of Chicago Police $213.20

314 City Of Chicago Police $13.62

314 City Of Chicago Police $6.50

314 City Of Chicago Police $213.20

314 City Of Chicago Police $3.54

314 City Of Chicago Police $6.50

314 City Of Chicago Police $292.85

314 City Of Chicago Police $1.81

314 City Of Chicago Police $6.50

314 City Of Chicago Police $149.89

314 City Of Chicago Police $12.46

314 City Of Chicago Police $6.50

314 City Of Chicago Police $213.20

314 City Of Chicago Police $10.05

314 City Of Chicago Police $6.50

314 City Of Chicago Police

$6.50 $213.20 $12.46 $6.50

$6.50

City Of Chicago Police $500.25

City Of Chicago Police $6.50

City Of Chicago Police $210.10

City Of Chicago Police $ 1.47

City Of Chicago Police $6.50

City Of Chicago Police $25.60

City Of Chicago Police $9.34

City Of Chicago Police $6.50

City Of Chicago Police $ 162.40

City Of Chicago Police $20.30

City Of Chicago Police $6.50

City Of Chicago Police $41.86

City Of Chicago Police $1,479.07

City Of Chicago - Confidential

Page 79 of 249

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 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

10/15/2010 WEATHERSBY LEE, KAREN

10/15/2010 WEATHERSBY LEE. KAREN

10/15/2010 WEATHERSBY LEE, KAREN

11/29/2010 WATSON, GRAYLIN

07/15/2009 WATERS IV, MILTON

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

$1,113.85

$12.47

$6.50

$330.58

$0.50

$6.50

$216.56

$23.50

$6.50

$627.23

$8.32

$6.50

$686.82

$4.47

$6.50

$368.79

$12.20

$6.50

$1,007.52

$17.91

$6.50

$32.00

$27.56

$6.50

$1.84

$9.34

$6.50

$162.40

$605.50

$3.47

$5,997.22

City Of Chicago - Confidential

Page 80 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 12/11/2010 03/07/2010 03/07/2010 03/07/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010

WATERS IV, MILTON WATERS IV, MILTON WATERS IV, MILTON WATERS IV, MILTON WATERS IV, MILTON WATERS IV, MILTON WATERS IV, MILTON WATERS IV, MILTON WATERS IV, MILTON WATERS IV, MILTON WASHINGTON, TAKIA WASHINGTON, TAKIA WASHINGTON, TAKIA WASHINGTON, TAKIA WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON

9161 9161 9161 9161

S6.50

$85.58

$3.47

$6.50

$85.58

$261.94

$6.50

$448.14

$153.27

$6.50

$102.31

$673.88

$27.36

$6.50

$12.68

$200.85

$254.15

$13.40

$6.50

$254.15

$13.40

$6.50

$254.15

$12.68

$6.50

$254.15

$10.62

$6.50

$200.85

$13.40

$6.50

$254.15

$10.62

City Of Chicago - Confidential

Page 81 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 06/09/2010 06/09/2010 06/09/2010 11/21/2010 11/21/2010 11/21/2010 06/20/2010 06/20/2010 06/20/2010 01/12/2011 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010 12/06/2010

WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WARNER JR, JEROME WARNER JR, JEROME WARNER JR, JEROME WALTER, SAJIT WALTER, SAJIT WALTER, SAJIT WALLSCETTI, ADRIAN WALLSCETTI, ADRIAN WALLSCETTI, ADRIAN WALKUP, ERNEST WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, KYLE

9161 9161 9161 9161 9161 9161 9161 9161 9161 3286

044 044 044 153 153 153

012

$6.50

$200.85

$12.68

$6.50

$254.15

$1.16

$6.50

$95.65

$12.68

$6.50

$254.15

$12.68

$6.50

$254.15

$10.62

$6.50

$18.91

$125.37

$6.50

$25.60

$1.47

$6.50

$18.91

$6.50

$125.37

$6.50

$8.38

$468.56

$6.50

$90.92

$6.50

$258.36

City Of Chicago - Confidential

Page 82 of 249

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

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 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997

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, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA Velazquez, Maria Velazquez, Maria Velazquez, Maria Velazquez, Maria Velazquez, Maria Velazquez, Maria Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H

9161

192

00020

09999

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

$3.13

$202.64

$6.50

$6.38

$290.64

$6.50

$12.79

$6.50

$257.15

$21.63

$6.50

$563.22

$2.45

$6.50

$202.65

$89.17

$93.78

$1.08

$123.32

$6.50

$3.44

$6.50

$136.60

$2.01

$6.50

$234.14

$405.93

$5,090.40

$108.82

$938.61

$589.74

$206.88

City Of Chicago - Confidential

Page 83 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 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 12/05/2009 11/28/2010 11/28/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 06/25/2010

Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H 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

VILLARREAL, MARCO VILLACIS, RICKY VILLACIS, RICKY VIDALES, MICHAEL VIDALES, MICHAEL VIDALES, MICHAEL VIDALES, MICHAEL VERDIN, ROBERTO

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

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

09999

014

044 044

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

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

$375.36

$8.34

$6.50

$5,090.40

$18.65

$6.50

$729.90

$125.50

$160.36

$6.72

$235.08

$296.90

$6.50

$106.46

$41.75

$6.50

$356.33

$6.50

$5.98

$677.39

$11.00

$33.00

$17.32

$6.50

$39.00

$6.50

$1,040.75

$43.00

$6.50

City Of Chicago - Confidential

Page 84 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 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

VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 044 044 044 044 044

$82.53

$6.50

$305.16

$6.50

$331.12

$6.50

$253.27

$6.50

$51.89

$92.14

$6.50

$83.38

$75.29

$6.50

$2,946.32

$6.50

$303.55

$40.89

$6.50

$815.96

$6.50

$684.00

$6.33

$6.50

$247.47

$6.50

$592.76

$13.63

$6.50

$285.75

$333.80

City Of Chicago - Confidential

Page 85 of 249

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 Po! City Of Chicago Po 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 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 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 Po¹City Of Chicago Po

10/22/2010 VAZQUEZ, DANIEL

07/01/2010 VARGAS, ROBERTA

12/31/2010 VANDER MEY, BRYAN

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

044 044 012

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 lice lice lice lice

$741.84

$35.89

$6.50

$17.89

$412.90

$6.50

$1.16

$6.50

$95.65

$6.50

$84.91

$6.50

$615.60

$1.16

$223.76

$6.50

$7.02

$95.65

$9.43

$385.08

$262.09

$6.50

$100.68

$9.43

$6.50

$262.09

$10.77

$6.50

$299.86

$9.43

$6.50

$262.09

City Of Chicago - Confidential

Page 86 of 249

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 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 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 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 Poli

11/24/2010 UNDERWOOD JR, COLLIS

04/06/1998 Tokarz, Joyce A

08/03/2006 Thomas, Herman A

01/19/1977 Tenzer, Joseph H

12/06/1993 Taylor, Sephere

04/01/2010 TUTTLE, KEVIN

11/23/2009 TULLY, MARTIN

11 /23/2009 TULLY, MARTIN

05/20/2010 TROUPE, RONALD

10/13/2010 TROTTER, ROBERT

07/11/2010 TRACEY, KRISTIN

10/17/2010 TORRES JR, WILFREDO

9161

P.O. P.O. P.O. P.O. P.O. 9161 9161 9171 9171 9171

153

00023

00002

00012

00022

315 315 315 315 315

016 016 016

Pol Poli Poli

ice ice ce ice ice ce ice ice ice ice ce ce ice ice ice ce ice ice ice ice ce ce ce ce ce ce ce ice ce ce ice ice ^!ce

$6.50

$100.68

$6.50

$7.64

$7.56

$515.14

$521.01

$6.50

$1,861.10

$297.23

$6.50

$62.98

$3.18

$1,170.12

$566.97

$498.40

$7.96

$1,315.50

$6.90

$6.50

$46.82

$6.50

$89.00

$904.49

$6.50

$23.12

$906.75

$6.50

$1.79

$770.42

$6.50

City Of Chicago - Confidential

Page 87 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/22/2010 11/22/2010 06/23/2010 06/23/2010 06/23/2010 06/23/2010 06/23/2010 06/23/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010

THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON, THOMPSON,

RICKY RICKY KEITH KEITH KEITH KEITH KEITH KEITH ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI ABASI

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

006 006 003 003 003 003 003 003

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 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 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 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 ilice lice lice lice lice lice lice

$298.34

$6.50

$46.82

$6.50

$82.53

$6.90

$21.36

$3.16

$6.50

$261.28

$3.16

$6.50

$261.28

$3.16

$6.50

$261.28

$3.16

$6.50

$261.28

$32.32

$6.50

$80.49

$1.16

$6.50

$95.65

$1.07

$6.50

$88.75

$2.45

$6:50

$202.12

$2.86

City Of Chicago - Confidential

Page 88 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 03/30/2010 03/30/2010 03/13/2010 03/13/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 03/02/2010 03/02/2010 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

THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI TERNAND, BRANDON TERNAND,BRANDON TELLEZ, VINCENT TELLEZ, VINCENT TELLEZ, NORA TELLEZ, NORA TELLEZ, NORA TELLEZ, NORA TELLEZ, NORA TELLEZ, NORA TELLEZ, NORA TELLEZ, NORA TEGTMEIER, MATT TEGTMEIER, MATT 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

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

Pol: Pol; Poli

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

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

$6.50

$236.63

$1.16

$6.50

$95.65

$139.10

$626.48

$1,170.56

$6.50

$174.90

$6.50

$12.94

$6.50

$11.00

$6.50

$6.90

$506.22

$115.46

$102.26

$918.64

$6.50

$341.51

$6.50

$971.57

$6.50

$954.92

$886.32

$6.50

$3.15

$749.65

$6.50

City Of Chicago - Confidential

Page 89 of 249

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 Po 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 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 City Of Chicago Pol City Of Chicago Pol

10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 02/06/2000 02/06/2000 02/06/2000 02/06/2000 02706/2000 02/06/2000 12/13/2006 12/13/2006 12/13/2006 12/13/2006 11/07/2008 11/07/2008 11/07/2008 03/02/2006 03/02/2006 08/11/2006 08/11/2006 08/11/2006 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 03/25/2001 03/25/2001 05/02/2008 11/01/2008 11/01/2008

TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC Sullivan, James Sullivan, James Sullivan, James Sullivan, James Sullivan, James Sullivan, James Spaargaren, Jacqueline Spaargaren, Jacqueline Spaargaren, Jacqueline Spaargaren, Jacqueline Sommerfield, Detlef Sommerfield, Detlef Sommerfield, Detlef Smith, Wendy D Smith, Wendy D Shannon, Debora S Shannon, Debora S Shannon, Debora S Segovia, Rodolfo Segovia, Rodolfo Segovia. Rodolfo Segovia, Rodolfo Segovia, Rodolfo Sedlacek, Paul Sedlacek, Paul Scripp, Emily Salvage, Donna Salvage, Donna

9161

00009 00009 00009 00009 00009 00009 00004 00004 00004 00004 00001 00001 00001 00020 00020 00007 00007 00007 00017 00017 00017 00017 00017 00017 00017 00044 00024 00024

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

$337.35

$825.23

$472.29

$6.50

$200.00

$6.50

$140.13

$1,716.09

$6.50

$44.13

$6.50

$44.13

$4.07

$70.80

$6.50

$46.00

$6.50

$1.07

$88.75

$6.50

$33.42

$153.04

$1,671.10

$191.98

$6.50

$108.00

$6.50

$5.49

City Of Chicago - Confidential

Page 90 of 249

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 Pol City Of Chicago City Of Chicago City Of Chicago 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 Poll 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 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

11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 09/10/2010 09/10/2010 06/22/2010 06/22/2010 06/22/2010 08/30/2010

Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZUDY, EDMUND M SZUDY, EDMUND M SWEENEY, GREGORY SWEENEY, GREGORY SWEENEY, GREGORY SWARBRICK, JOHN

P P P P P P

9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9161 9161 9161 9161 9161 9161

00024

055

152

Pol Pol Poli

$6.50

$329.08

$1.33

$6.50

$23.10

$10.11

$10.05

$6.50

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$2.13

$6.50

$175.50

$226.20

$6.50

$226.20

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$10.05

$124.56

$6.50

$7.16

$176.45

$6.50

City Of Chicago - Confidential

Page 91 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 07/15/2009 07/15/2009 07/15/2009 01/19/2010 01/19/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010

SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWALINA, GLADYS SWALINA, GLADYS SWALINA, GLADYS SWALINA, DAVID SWALINA, DAVID SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL

9161 9161 9161 9161 9161 9161

005 005

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

ce ce ce

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

$6.50

$58.54

$6.58

$38.20

$6.50

$257.40

$6.50

$74.11

$3.01

$201.17

$293.69

$243.10

$12.53

$6.50

$243.10

$13.13

$6.50

$243.10

$4.42

$6.50

$82.50

$6.50

$3,140.61

$11.38

$6.50

$243.10

$11.38

$6.50

$243.10

$11.38

$6.50

$243.10

$11.38

City Of Chicago - Confidential

Page 92 of 249

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 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 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 Pot 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

05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 10/19/2010 10/19/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010

SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SUSA, TINA SUSA, TINA SURVILLION, ALLEN SURVILLION, ALLEN SURVILLION, ALLEN SURVILLION, ALLEN SURVILLION, ALLEN SURVILLION, ALLEN SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE

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

016 016 311 311 311 311 311 311 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019

Poli Poli Poli

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

$6.50

$243.10

$12.53

$6.50

$243.10

$6.50

$11.38

$6.50

$204.48

$6.50

$2.88

$133.29

$6.50

$15.42

$237.64

$14.09

$6.50

$245.03

$14.96

$6.50

$13.80

$6.50

$239.98

$25.23

$6.50

$438.64

$6.50

$100.68

$6.50

$438.62

City Of Chicago - Confidential

Page 93 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/20/2010 SULLIVAN, JULIANNE

06/13/2010 SUGRUE, DENIS

12/08/2010 STUCKEY, ANTOINNE

09/06/2009 STUBBS, LARRY

11/11/2010 STRANSKI, LORI

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

019 019 019 019 019 019 014 014 014

S6.50

$25.22

$201.06

$6.50

$11.56

$260.20

$20.85

$6.50

$131.49

$250.04

$6.50

$218.71

$6.50

$5.06

$253.02

$6.50

$0.23

$402.07

$6.50

$10.44

$6.50

$197.50

$10.44

$6.50

$197.50

$284.06

$15.98

$10.44

$6.50

$197.50

$6.50

$2.99

City Of Chicago - Confidential

Page 94 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/11/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 01/04/2011 01/04/2011 01/04/2011 09/19/2010 09/19/2010 02/02/2010 11/24/2010 11/24/2010 11/24/2010 11/24/2010 11/24/2010 11/24/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010

STRANSKI, LORI STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STILES, LAURENCE STILES, LAURENCE STILES, LAURENCE STEWART, DONALD STEWART, DONALD STEPHANY, RAYMOND STEPHANS, KEVIN STEPHANS, KEVIN STEPHANS, KEVIN STEPHANS, KEVIN STEPHANS, KEVIN STEPHANS, KEVIN STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS

9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161

153 153 153 006 006 008 002 002 002 002 002 002

Pol Pol Pol

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

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

$270.95

$148.54

$6.50

$29.54

$160.47

$6.50

$22.77

$94.58

$120.36

$6.50

$17.67

$154.83

$6.50

$18.64

$6.50

$154.83

$18.64

$10.21

$196.60

$6.50

$280.21

$6.50

$1,157.41

$6.50

$24.01

$314.44

$6.50

$8.03

$591.54

$6.50

$307.41

$1.76

$6.50

City Of Chicago - Confidential

Page 95 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicag, 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 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 Po¹City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

03/07/2010 STELLA, NICHOLAS

06/04/2010 STEINBRENNER, RICHARD

05/30/2009 STASKIEWICZ, STEVE

05/27/2010 STAPLETON, SCOTT

05/26/2010 STANULA, KEVIN

06/25/2010 STANTON, KATHRYN

10/26/2010 STAJCIC, JOHN

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

9161 9161 9161 9161 9161 9168 9168 9168 9168 9168

153 153 045 045 045 059 059 059 059 059

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 lice lice

$298.51

$75.63

$145.52

$6.50

$213.20

$6.50

$213.20

$16.39

$6.50

$166.19

$7.53

$6.50

$169.65

$12.46

$169.65

$6.50

$7.53

$169.65

$6.50

$7.53

$117.36

$6.50

$636.06

$17.80

$143.25

$6.50

$21.19

$6.50

$115.00

$6.50

$219.00

City Of Chicago - Confidential

Page 96 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 10/06/2010 10/06/2010 10/06/2010 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 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010

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 STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES

ST CLAIR II ST CLAIR I ST CLAIR II ST CLAIR II ST CLAIR II ST CLAIR I ST CLAIR II

MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL

9161 9161 9161 9161 9161 9161 9161

Poll Pol Pol

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

$97.34

$166.27

$279.96

$6.50

$9.20

$95.65

$6.50

$1.16

$729.75

$6.50

$98.09

$6.50

$413.18

$29.36

$6.50

$131.16

$810.00

$6.68

$131.03

$6.50

$175.41

$6.50

$14.28

$261.57

$10.58

$540.47

$413.83

$31.03

$6.50

$781.48

$35.18

City Of Chicago - Confidential

Page 97 of 249

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 Po! 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 Pol City Of Chicago Pol 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 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010

ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI 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 9161 9161 9161 9161 9161 9161 9161

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 lice

$6.50

$924.88

$33.09

$6.50

$786.79

$38.93

$6.50

$1,028.14

$35.04

$6.50

$920.32

$21.05

$6.50

$93.86

$6.50

$5.88

$6.50

$215.91

$207.59

$6.50

$77.52

$15.29

$6.50

$120.35

$2.32

$6.50

$90.61

$15.85

$6.50

$180.20

$263.33

City Of Chicago - Confidential

Page 98 of 249

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 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

03/01/2010 SPEARMAN, TAHANI

10/28/2010 SOUTHARD, TERRY

12/07/2009 SOREGHEN, SCOTT

03/29/2010 SONLEY, JOHN

12/15/2010 SOFRENOVIC, MILORAD

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9165 9165 9165 9165 9165 9165 9165 9165 9165

002 002 002 002 650 650 650 650 650 650 650 650 650

ilice 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

$4,579.65

$3.15

$6.50

$12.45

$184.60

$6.50

$12.45

$62.98

$12.45

$6.50

$184.60

$3.18

$6.50

$184.60

$13.15

$6.50

$14.23

$13.15

$14.23

$6.50

$313.45

$3,649.13

$6.50

$313.45

$6.50

$1,173.00

$27.68

$6.50

$47.61

$352.91

$6.50

$20.15

$788.31

City Of Chicago - Confidential

Page 99 of 249

Incident Date Claimant_Rank

03/14/2009 SNYDER, FREDERICK 9161

03/14/2009 SNYDER. FREDERICK 9161

03/14/2009 SNYDER, FREDERICK 9161

' 03/14/2009 SNYDER, FREDERICK 9161

03/14/2009 SNYDER, FREDERICK 9161

Unit of_Insured_Total to be Paid

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $5.32

189 City Of Chicago Police $6.50

189 City Of Chicago Police $101.40

189 City Of Chicago Police $10.64

189 City Of Chicago Police $202.80

189 City Of Chicago Police $13.31

189 City Of Chicago Police $253.50

189 City Of Chicago Police $13.31

189 City Of Chicago Police $253.50

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $13.31

189 City Of Chicago Police $6.50

189 City Of Chicago Police $253.50

189 City Of Chicago Police $6.50

189 City Of Chicago Police $770.65

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 100 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 09/05/2009 09/05/2009 09/05/2009 09/05/2009 09/05/2009 09/05/2009 07/05/2010 07/05/2010 07/05/2010 01/03/2011 06/07/2010 06/07/2010 06/18/2010 06/18/2010 06/18/2010

SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SLECHTER, ROBERT SINGLETON, SHAWN SINGLETON, SHAWN SINGLETON, IRENE SINGLETON, IRENE SINGLETON, IRENE

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

189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 022 022 022 022 022 022

011

Poli Poli Pol

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

$202.80

$13.31

$6.50

$253.50

$13.31

$6.50

$253.50

$6.50

$770.65

$10.64

$6.50

$202.80

$10.64

$6.50

$202.80

$10.64

$6.50

$626.88

$1.39

$6.50

$95.65

$36.03

$6.50

$146.44

$37.78

$6.50

$289.64

$138.21

$6.50

$159.00

$82.53

$21.36

$6.50

City Of Chicago - Confidential

Page 101 of 249

Incident Date Claimant Rank

06/11/2010 SIMMONS, KAREN 9161

12/14/2010 SILER SR, CHAVEZ 9161

12/17/2009 SHEPHERD, CHRISTIAN 9161

04/17/2010 SHAW, DARICE 9161

09/21/2010 SERRANO, OSCAR 9161

Unit of Insured Total to be Paid

023 City Of Chicago Police $651.10

023 City Of Chicago Police $32.21

023 City Of Chicago Police $160.36

023 City Of Chicago Police $113.75

023 City Of Chicago Police $26.43

023 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.23

044 City Of Chicago Police $187.20

013 City Of Chicago Police $100.68

013 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $72.97

044 City Of Chicago Police $0.88

044 City Of Chicago Police $2.79

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.99

044 City Of Chicago Police $230.18

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.79

044 City Of Chicago Police $226.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.75

044 City Of Chicago Police $95.65

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.16

044 City Of Chicago Police $230.18

044 City Of Chicago Police $6.50

044 City Of Chicago Police $246.64

044 City Of Chicago Police $230.18

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.79

City Of Chicago - Confidential

Page 102 of 249

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

09/21/2010 09/21/2010 09/21/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 02/20/2009 02/20/2009 02/20/2009 01/05/2011 01/05/2011 01/05/2011 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 08/19/2010 08/19/2010

SERRANO, OSCAR SERRANO, OSCAR SERRANO, OSCAR SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SELLERS, KEVIN SELLERS, KEVIN SELLERS, KEVIN SELLERS, KEVIN SELLERS, KEVIN SELLERS, KEVIN SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEGOVIA, CARLOS SEGOVIA, CARLOS SEGOVIA, CARLOS SCHWAB, JOHN SCHWAB, JOHN SCHWAB, JOHN SCHLOSS, ALLISON SCHLOSS, ALLISON SCHLOSS, ALLISON SCHLOSS, ALLISON SCHLOSS, ALLISON SCHLOSS, ALLISON SCHAFFER, JOHN SCHAFFER, JOHN

9161 9161 9161

9161 9161 9161 9161 9161 9161

9161 9161 9161 9152 9152 9152

044 044 044

007 007 007 007 007 007

715 715 715 153 153 153

Pol Poll Poli

9169 9169

055 055

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

$98.55

$1.19

$6.50

$24.58

$119.36

$6.50

$1,674.22

$6.50

$54.38

$6.50

$575.95

$207.59

$6.50

$56.00

$6.50

$249.10

$6.50

$14.32

$180.50

$6.50

$2.19

$796.01

$20.35

$6.50

$1.86

$6.50

$229.30

$6.50

$126.84

$3.36

$322.00

$6.50

City Of Chicago - Confidential

Page 103 of 249

Incident Date Claimant Rank

08/19/2010 SCHAFFER, JOHN 9169

05/14/2010 SAUTKUS, STEVEN 9161

07/23/2010 SANFIUPPO, HEATHER 9161

10/08/2010 SANDOVAL, PAUL 9161

Unit of Insured Total to be Paid

055 City Of Chicago Police S350.68

055 City Of Chicago Police S6.50

055 City Of Chicago Police $6.50

055 City Of Chicago Police $322.00

055 City Of Chicago Police $6.50

055 City Of Chicago Police $322.00

055 City Of Chicago Police $6.50

055 City Of Chicago Police $322.00

055 City Of Chicago Police $186.82

055 City Of Chicago Police $322.00

055 City Of Chicago Police $6.50

City Of Chicago Police $250.00

City Of Chicago Police $6.50

City Of Chicago Police $0.84

City Of Chicago Police $60.39

City Of Chicago Police $6.50

City Of Chicago Police $1.54

City Of Chicago Police $33.10

City Of Chicago Police $3.11

City Of Chicago Police $6.50

City Of Chicago Police $211.71

City Of Chicago Police $3.11

City Of Chicago Police $6.50

City Of Chicago Police $211.71

City Of Chicago Police $3.11

City Of Chicago Police $6.50

City Of Chicago Police $211.71

City Of Chicago Police $3.12

City Of Chicago Police $6.50

City Of Chicago Police $212.30

City Of Chicago Police $3.11

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 104 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/10/2009 10/10/2009 01/05/2011 01/05/2011 01/05/2011 11/07/2010 11/07/2010 11/07/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010

SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, JOHN SANDOVAL, JOHN SANCHEZ, MICHAEL SANCHEZ, MICHAEL SANCHEZ, MICHAEL SAMMON, DANIEL SAMMON, DANIEL SAMMON, DANIEL SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SAMANAS, RICHARD SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN

9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161

014 014 014

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

$211.71

$6.50

$225.23

$87.81

$6.50

$1.51

$6.50

$211.71

$3.11

$6.50

$293.09

$20.98

$6.50

$820.87

$6.50

$8.48

$56.56

$2.86

$137.50

$109.00

$24.16

$6.50

$1,400.00

$2.75

$6.50

$92.63

$6.50

$1.85

$6.50

$28.34

$189.90

$100.68

$9.52

City Of Chicago - Confidential

Page 105 of 249

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

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 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010

SALVAGE, MICHAELYN

SAID, WASIM

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

Poli Poli Pol

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

$123.50

$12.90

$211.25

$10.48

$156.78

$12.46

$213.20

$9.95

$156.65

$9.95

$156.65

$10.35

$6.50

$21.16

$6.50

$146.71

$1.41

$6.50

$34.85

$21.92

$6.50

$143.39

$17.82

$6.50

$96.67

$7.16

$6.50

$176.45

$6.50

$771.98

$45.47

$6.50

$1,383.85

City Of Chicago - Confidential

Page 106 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 04/27/1995 04/27/1995 04/27/1995 09/09/1993 .09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993

SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM SAID, WASIM Rycraw, Cheryl L Rycraw, Cheryl L Rycraw, Cheryl L Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie

9161

044

00006

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

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

$45.47

$6.50

$1,383.85

$6.50

$195.02

$21.95

$6.50

$141.02

$18.90

$6.50

$133.52

$20.92

$6.50

$173.68

$20.09

$6.50

$176.82

$6.50

$184.74

$4.71

$6.50

$486.51

$6.50

$17.66

$663.89

$6.50

$21.07

$301.38

$87.19

$6.50

$9.45

$557.09

City Of Chicago - Confidential

Page 107 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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

09/09/1993 Russell, Robbie

05/28/2008 Rubio, Alex

07/03/1998 Rodriguez, Abelardo

01/31/2004 Rizzo, Paul M

07/03/2008 Rivas, Gelacio

09/27/2001 Richard-Kamalu, Janice L

09/02/2007 Reyes, Ricardo

00006 00006 00006 00006 00006 00010 00010 00002 00002 00002 00009 00009 00009 00009 00009 00009 00014 00014 00014 00715 00715 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009

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 lice lice lice lice lice lice lice lice

$17.47

$456.63

$6.50

$726.57

$15.52

$6.50

$285.57

$6.50

$347.88

$1,181.33

$6.50

$1,173.63

$54.57

$985.74

$65.56

$6.50

$135.33

$23.54

$6.50

$84.92

$5.98

$6.50

$234.00

$0.22

$6.50

$148.50

$13.25

$6.50

$174.85

$10.82

$6.50

$187.85

City Of Chicago - Confidential

Page 108 of 249

Incident Date Claimant Rank

09/02/2007 Reyes, Ricardo P

09/02/2007 Reyes, Ricardo ■ P

09/02/2007 Reyes, Ricardo P

09/02/2007 Reyes, Ricardo . P

06/19/2006 Reed, Larry P

Unit of Insured Total to be Paid

00009 City Of Chicago Police $8.26

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $186.55

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $4,761.58

00009 City Of Chicago Police $0.22

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $148.50

00009 City Of Chicago Police $5.32

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $348.30

00009 City Of Chicago Police $16.89

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $231.40

00009 City Of Chicago Police $13.15

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $222.70

00009 City Of Chicago Police $10.05

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $226.20

00009 City Of Chicago Police $8.40

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $200.85

00153 City Of Chicago Police $24.57

00153 City Of Chicago Police $67.00

00153 City Of Chicago Police $249.21

00153 City Of Chicago Police $36.24

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $367.64

00153 City Of Chicago Police $15.25

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $154.75

00153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 109 of 249

Incident Date Claimant_Rank

06/19/2006 Reed, Larry P

10/21/1992 Rak, John P

09/22/2010 RZEZINSKI, ARTHUR 9161

01/04/2011 RUHL, WILLIAM 9161

03/17/2010 ROUBA, ANTHONY 9161

Unit of Insured Total to be Paid

00153 City Of Chicago Police $109.80

00153 City Of Chicago Police $18.13

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $183.80

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $350.68

00153 City Of Chicago Police $6.50

00015 City Of Chicago Police $118.58

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $118.58

00015 City Of Chicago Police $41.44

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $210.11

00015 City Of Chicago Police $40.65

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $355.74

00015 City Of Chicago Police $27.10

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $237.16

00015 City Of Chicago Police $27.10

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $237.16

00015 City Of Chicago Police $13.55

014 City Of Chicago Police $46.51

014 City Of Chicago Police $6.50

014 City Of Chicago Police $1.90

022 City Of Chicago Police $645.24

022 City Of Chicago Police $6.50

312 City Of Chicago Police $382.85

312 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 110 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Po^!City Of Chicago Po¹City Of Chicago Po¹City 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 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 Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po¹

03/17/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 12/01/2010 09/08/2010 09/08/2010 09/08/2010 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009

ROUBA, ANTHONY ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROTTMAN, JOHN ROSAS, ANTONIO ROSAS, ANTONIO ROSAS, ANTONIO ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL

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

312 044 044 044 044 044 044 044 044 044 044 044 007 007 007

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 lice lice lice lice lice

$19.99

$6.50

$656.02

$6.50

$1.74

$354.01

$6.50

$4.29

$143.42

$6.50

$95.65

$1.16

$76.38

$6.50

$5.86

$10.35

$6.50

$189.90

$6.15

$6.50

$163.25

$12.86

$6.50

$246.45

$6.50

$350.68

$6.50

$555.16

$12.46

$6.50

$213.20

$10.45

$6.50

City Of Chicago - Confidential

Page 111 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/03/2009 09/03/2009 09/03/2009 09/03/2009 01/03/2011 01/03/2011 11/18/2010 11/18/2010 11/18/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 03/17/2010 03/17/2010 03/17/2010 11/11/2010 11/11/2010 11/11/2010

ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROLLINS, SHARON ROLLINS, SHARON ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, JOSEPH RODRIGUEZ, JOSEPH RODRIGUEZ, JOSEPH RODRIGUEZ, JOSE RODRIGUEZ, JOSE RODRIGUEZ, JOSE

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

044 044 044

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

$259.45

$34.86

$6.50

$1,450.00

$6.50

$216.60

$27.49

$6.50

$251.02

$88.23

$6.50

$7.96

$6.50

$230.86

$8.04

$233.66

$6.50

$615.94

$6.50

$1.29

$18.93

$6.50

$557.63

$16.08

$6.50

$467.32

$21.04

$19.93

$20.00

$6.50

$42.00

$6.50

City Of Chicago - Confidential

Page 112 of 249

Incident Date Claimant Rank

11/11/2010 RODRIGUEZ, JOSE 9161

11/11/2010 RODRIGUEZ. JOSE 9161

11/11/2010 RODRIGUEZ, JOSE 9161

10/06/2010 RODRIGUEZ, HAROLD 9164

12/26/2008 ROCHA, NANCY

10/09/2010 RIZZO, DARREL 9161

06/08/2010 RIPLEY, MATTHEW 9161

02/17/2010 RIOS, MIGUEL 9165

11/25/2010 RIGAN, KRISTOPHER 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $443.21

044 City Of Chicago Police $6.50

044 City Of Chicago Police $19.93

044 City Of Chicago Police $10.82

044 City Of Chicago Police $19.93

044 City Of Chicago Police $6.50

044 City Of Chicago Police $405.72

044 City Of Chicago Police $6.50

044 City Of Chicago Police $443.21

044 City Of Chicago Police $6.50

044 City Of Chicago Police $496.98

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1,357.64

010 City Of Chicago Police $453.67

010 City Of Chicago Police $6.50

010 City Of Chicago Police $8.35

010 City Of Chicago Police $165.58

010 City Of Chicago Police $19.45

010 City Of Chicago Police $6.50

City Of Chicago Police $37.71

City Of Chicago Police $42.23

City Of Chicago Police $217.37

019 City Of Chicago Police $6.50

019 City Of Chicago Police $93.86

025 City Of Chicago Police $11.15

153 City Of Chicago Police $6.50

153 City Of Chicago Police $134.93

153 City Of Chicago Police $6.50

153 City Of Chicago Police $15.32

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 113 of 249

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 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 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 Poll 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

11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 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

RIGAN, KRISTOPHER RIGAN, KRISTOPHER RIGAN, KRISTOPHER RIGAN, KRISTOPHER RIGAN, KRISTOPHER RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM 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 RICHARDSON, SHANE RICHARDSON, SHANE

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

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

Poli Poli Poli

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

$181.64

$6.50

$45.00

$6.50

$311.38

$6.50

$79.80

$12.28

$6.50

$50.40

$12.28

$6.50

$50.40

$10.86

$6.50

$46.20

$12.28

$50.40

$6.50

$12.28

$50.40

$6.50

$17.45

$6.50

$122.16

$159.73

$6.50

$30.54

$929.62

$6.50

$11.43

$103.79

$6.50

City Of Chicago - Confidential

Page 114 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009

RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON, RICHARDSON,

SHANE SHANE SHANE SHANE SHANE SHANE SHANE SHANE SHANE SHANE PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP PHILLIP

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

$87.19

$6.50

$75.07

$6.50

$175.26

$6.50

$182.00

$6.50

$27.81

$20.09

$6.50

$309.50

$15.25

$6.50

$154.75

$6.50

$1,436.40

$15.25

$6.50

$154.75

$18.12

$6.50

$183.82

$39.10

$6.50

$396.68

$30.50

$61.03

$6.50

$6.02

$367.64

$6.50

$36.24

City Of Chicago - Confidential

Page 115 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 12/14/2010 01/13/2011 01/13/2011 01/13/2011 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

RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RHODES, BENJAMIN RHEIN, CHARLES RHEIN, CHARLES RHEIN, CHARLES REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE

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

353 353 353 013 013 013 013 013 013 013 013 013 013 013 013 013 013 013

$84.92

$6.50

$154.75

$6.50

$19.55

$154.75

$6.50

$15.25

$61.03

$6.50

$6.02

$198.34

$6.50

$15.25

$15.44

$989.15

$25.28

$6.50

$100.74

$269.88

$6.50

$306.21

$6.50

$238.74

$6.50

$124.55

$6.50

$306.21

$67.40

$2,596.16

$6.50

$87.19

$6.50

City Of Chicago - Confidential

Page 116 of 249

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

01/31/2010 01/31/2010 01/31/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 02/19/2010 02/19/2010 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 10/11/2009 10/11/2009 10/11/2009 10/11/2009 10/11/2009 10/11/2009 05/15/2010 05/15/2010 05/15/2010 05/20/2010 05/20/2010 05/20/2010 12/16/2009 12/16/2009 12/16/2009 12/16/2009

REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO RESENDEZ III, JESSE RESENDEZ III, JESSE RESCHKE, DANIEL RESCHKE, DANIEL RESCHKE, DANIEL RESCHKE, DANIEL RESCHKE, DANIEL RESCHKE, DANIEL REEVES, TARA REEVES, TARA REEVES, TARA REEVES, TARA REEVES, TARA REEVES, TARA RAYL, MURPHY RAYL, MURPHY RAYL, MURPHY RAMOS, FRANCIS RAMOS, FRANCIS RAMOS, FRANCIS RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT

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

013 013 013

9171 9171 9171

9161 9161 9161 9161

018 018

009 009 009

010 010 010 010

Poli Poli Poli

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

$269.88

$6.50

$325.38

$6.50

$359.06

$3.93

$6.50

$170.41

$810.64

$6.50

$14.39

$6.50

$563.10

$5.62

$6.50

$219.92

$6.50

$82.83

$1.21

$82.83

$6.50

$1.21

$163.49

$6.50

$12.53

$1.60

$132.52

$6.50

$368.34

$6.50

$4.46

City Of Chicago - Confidential

Page 117 of 249

Incident Date Claimant_Rank

12/16/2009 RAMIREZ, ROBERT 9161

08/01/2010 QUINONEZ, SERGIO 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $368.34

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.46

010 City Of Chicago Police $368.34

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.46

010 City Of Chicago Police $184.54

010 City Of Chicago Police $6.50

010 City Of Chicago Police $2.23

010 City Of Chicago Police $725.03

010 City Of Chicago Police $1.72

010 City Of Chicago Police $141.99

010 City Of Chicago Police $18.53

010 City Of Chicago Police $4.46

010 City Of Chicago Police $6.50

010 City Of Chicago Police $368.34

010 City Of Chicago Police $6.50

015 City Of Chicago Police $12.56

015 City Of Chicago Police $6.50

015 City Of Chicago Police $259.45

015 City Of Chicago Police $6.50

015 City Of Chicago Police $282.75

015 City Of Chicago Police $10.92

015 City Of Chicago Police $6.50

015 City Of Chicago Police $257.40

015 City Of Chicago Police $10.92

015 City Of Chicago Police $6.50

015 City Of Chicago Police $257.40

015 City Of Chicago Police $10.05

015 City Of Chicago Police $6.50

015 City Of Chicago Police $226.20

015 City Of Chicago Police $10.92

015 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 118 of 249

Incident Date Claimant_Rank

08/01/2010 QUINONEZ, SERGIO 9161

12/14/2009 QUINN MUNOZ, ERIN

05/24/2006 Pulido, David P

Unit of_Insured_Total to be Paid

015 City Of Chicago Police $257.40

015 City Of Chicago Police $10.45

015 City Of Chicago Police $6.50

015 City Of Chicago Police $259.45

015 City Of Chicago Police $10.92

015 City Of Chicago Police $6.50

015 City Of Chicago Police $257.40

015 City Of Chicago Police $10.45

015 City Of Chicago Police $6.50

015 City Of Chicago Police $259.45

015 City Of Chicago Police $10.05

015 City Of Chicago Police $6.50

015 City Of Chicago Police $226.20

015 City Of Chicago Police $10.45

015 City Of Chicago Police $6.50

015 City Of Chicago Police $259.45

015 City Of Chicago Police $10.45

015 City Of Chicago Police $6.50

015 City Of Chicago Police $259.45

015 City Of Chicago Police $10.45

City Of Chicago Police $6.50

City Of Chicago Police $781.52

City Of Chicago Police $350.68

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $89.54

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $136.96

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $136.96

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $228.62

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $117.99

City Of Chicago - Confidential

Page 119 of 249

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 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 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

05/24/2006 05/24/2006 05/24/2006 05/24/2006 05/24/2006 05/24/2006 09/24/2008 09/24/2008 09/24/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 12/15/1999 12/15/1999 12/15/1999 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005

Pulido, David Pulido, David Pulido, David Pulido, David Pulido, David Pulido, David Pietrowski, Robert M Pietrowski, Robert M Pietrowski, Robert M Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Payne, Felicia Payne, Felicia Payne, Felicia Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A

00010 00010 00010 00010 00010 00010 09999 09999 09999 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00044 00044 00044 00012 00012 00012 00012 00012 00012

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

$111.98

$6.50

$117.99

$6.50

$117.99

$331.95

$365.94

$28.06

$27.43

$220.36

$596.00

$6.50

$1,815.93

$12.67

$6.50

$90.22

$5.15

$6.50

$57.59

$12.67

$6.50

$90.22

$6.50

$414.64

$6.50

$6.09

$6.50

$232.66

$49.75

$6.50

$241.43

$13.55

City Of Chicago - Confidential

Page 120 of 249

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 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 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

10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 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 06/17/2010 06/17/2010 06/17/2010 06/17/2010 06/17/2010 06/17/2010

Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A PURUIS, ROBERT PURUIS, ROBERT PURUIS, ROBERT PURUIS, ROBERT PURUIS, ROBERT PURUIS, ROBERT PURUIS, ROBERT PURUIS, ROBERT PURUIS, ROBERT PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA

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

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

00012

044

008

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 lice

$6.50

$118.58

$7.57

$6.50

$625.44

$17.91

$6.50

$1,479.07

$33.87

$6.50

$175.55

$30.98

$6.50

$139.36

$43.42

$1.16

$6.50

$95.65

$6.50

$1.85

$94.64

$6.50

$125.96

$126.84

$6.50

$1.86

$1.39

$6.50

$116.37

$9.87

$6.50

$87.10

$1.41

City Of Chicago - Confidential

Page 121 of 249

Incident Date Claimant Rank

06/17/2010 PURTELL, CYNTHIA 9161

11/19/2010 PULIA, DANIEL 9161

Unit of Insured Total to be Paid

008 City Of Chicago Police $174.57

008 City Of Chicago Police $6.50

008 City Of Chicago Police $2.12

008 City Of Chicago Police $74.75

008 City Of Chicago Police $6.50

008 City Of Chicago Police $5.80

008 City Of Chicago Police $87.10

008 City Of Chicago Police $6.50

008 City Of Chicago Police $9.87

008 City Of Chicago Police $11.00

008 City Of Chicago Police $1,129.09

008 City Of Chicago Police $6.50

008 City Of Chicago Police $87.10

008 City Of Chicago Police $147.64

008 City Of Chicago Police $6.50

008 City Of Chicago Police $9.87

008 City Of Chicago Police $6.50

008 City Of Chicago Police $6.10

008 City Of Chicago Police $6.50

008 City Of Chicago Police $110.83

008 City Of Chicago Police $87.10

008 City Of Chicago Police $11.00

008 City Of Chicago Police $6.50

008 City Of Chicago Police $87.10

008 City Of Chicago Police $1.41

008 City Of Chicago Police $6.50

008 City Of Chicago Police $116.37

008 City Of Chicago Police $45.83

City Of Chicago Police $6.50

City Of Chicago Police $69.19

City Of Chicago Police $91.35

City Of Chicago - Confidential

Page 122 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/07/2010 PRONEK, NICHOLAS

10/18/2010 PRICE, RENEE

10/12/2010 PRATSCHER, MAUREEN

12/15/2010 POULOS, JOHN

06/11/2010 POPE, TRETA

10/31/2010 POPE, TRETA

09/29/2010 PODLO, FRANK

10/23/2010 PLANICA, JOHN

10/23/2009 PILGRIM, CHRISTOPHE

05/05/2010 PIETRYLA, SCOTT

11/25/2010 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

004 004 044 044 044 044 044 044 044 044 044 044 044 044 018 018

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 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 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 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 Pol

ice ice ice ce ice ice ice ice ce ice ice ice ce Ice ice ice ice ice ice ice ice ice ce ce ce ice ce ce ce ice ce ce ce

$1.08

$6.50

$89.17

$6.50

$5.37

$31.00

$6.50

$132.34

$147.33

$879.15

$6.50

$6.90

$132.02

$6.50

$28.58

$46.82

$144.35

$6.50

$17.65

$178.61

$65.08

$6.50

$526.19

$6.50

$1,120.50

$6.50

$427.95

City Of Chicago - Confidential

Page 123 of 249

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 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

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

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 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

S39.00

$359.00

$6.50

$36.80

$66.93

$792.06

$82.09

$69.00

$30,278.69

$6.50

$16.61

$11,410.49

$6.50

$1,572.58

$3,113.84

$6.50

$130.00

$131.20

$12.88

$28.29

$6.50

$109.00

$191.56

$324.93

$191.56

$118.90

$191.56

$338.00

$52.00

$29.25

$221.00

City Of Chicago - Confidential

Page 124 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/20/2009 05/20/2009 05/20/2009 05/20/2009 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 04/18/2010 04/18/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 08/15/2009 08/15/2009 08/15/2009 08/15/2009 08/15/2009 08/14/2010 08/14/2010 08/14/2010 08/14/2010 09/10/2010

PIERCE, DIONNE PIERCE, DIONNE PIERCE, DIONNE PIERCE, DIONNE 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 PICKERT, MARK PICKERT, MARK PETRULIS, AARON PETRULIS, AARON PETRULIS, AARON PETRULIS, AARON PERILLI, TINA PERILLI, TINA PERILLI, TINA PERILLI, TINA PERILLI, TINA PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, ERIK

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

393 393 393 393 253 253 253 253 009 009 009 009 009

$5.73

$171.95

$239.12

$6.68

$3,943.36

$6.50

$3.52

$6.50

$290.39

$88.75

$6.50

$1.07

$1,429.78

$6.50

$17.31

$51.93

$24.99

$17.40

$3,373.50

$6.50

$607.23

$6.50

$0.02

$228.29

$91.35

$6.50

$311.38

$45.00

$2.82

City Of Chicago - Confidential

Page 125 of 249

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 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 Poll 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 Pol 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

09/10/2010 09/10/2010 09/15/2010 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 04/27/2010 04/27/2010 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 12/11/2010 12/11/2010 12/11/2010

PEREZ, ERIK PEREZ, ERIK 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 PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA

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

Pol

Pol, Poll

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

$6.50

$69.52

$16.28

$6.50

$5.15

$89.12

$6.50

$1.31

$78.06

$6.50

$1.15

$17.32

$351.24

$6.50

$677.39

$37.00

$6.50

$469.27

$10.44

$197.50

$8.80

$6.50

$172.15

$11.43

$6.50

$217.75

$222.70

$6.50

$13.15

$176.45

$6.50

$7.16

City Of Chicago - Confidential

Page 126 of 249

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

12/11/2010 PENA, CHRISTINA

09/09/2009 PEMBERTON, KENT

12/13/2010 PAZ, FRANKLIN

06/04/2010 PAYNE, GREGORY

06/09/2010 PATTISON, JOSEPH

09/18/2010 PARTIDA, ARTURO

12/26/2010 PARKINSON, MICHELLE

12/29/2009 PAPPALARDO, 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 9161

020 020 020 013

044 044 044

Poli Poli Poli

ce ce ce

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

$767.87

$6.50

$19.62

$175.85

$6.50

$2.58

$37.37

$6.50

$327.84

$6.50

$4.81

$6.50

$46.99

$105.00

$54.25

$382.00

$6.50

$12.46

$6.50

$10.05

$169.65

$6.50

$213.20

$7.53

$226.20

$85.78

$1.04

$6.50

$3.62

$95.65

$6.50

City Of Chicago - Confidential

Page 127 of 249

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 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 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 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 Poli City Of Chicago Pol;

12/29/2009 05/29/2010 05/29/2010 05/29/2010 03/20/1996 03/20/1996 03/20/1996 03/20/1996 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 08/26/2010 08/26/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 04/25/2010

PAPPALARDO, JOHN PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP Oconnell, Edward L Oconnell, Edward L Oconnell, Edward L Oconnell, Edward L OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWSIANIAK, JACKLYN OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWENS, JOHN OWENS, JOHN OSUOJI, ERIC OSUOJI, ERIC OSUOJI, ERIC OSUOJI, ERIC OSUOJI, ERIC OSUOJI, ERIC OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON ORTIZ, EDITH

9161

9161 9161 9161 9161 9161 9161 9161

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

00044

006

Poli Pol

Poli

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

$1.16

$6.50

$7.52

$185.28

$873.29

$6.50

$140.13

$6.50

$68.50

$839.46

$2.76

$6.50

$227.98

$6.50

$108.00

$22.80

$6.50

$87.19

$6.50

$46.82

$75.18

$238.25

$6.50

$6.90

$1.00

$6.50

$82.83

$6.50

$177.47

$2.15

$18.80

City Of Chicago - Confidential

Page 128 of 249

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 Po 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 Po

04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 1-04/25/2010 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 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

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, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA

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

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 lice lice lice lice lice lice

$188.92

$6.50

$18.63

$18.28

$190.61

$6.50

$190.72

$18.78

$185.46

$6.50

$18.28

$62.98

$6.50

$3.18

$187.19

$6.50

$18.46

$6.50

$185.46

$6.50

$446.31

$6.50

$446.31

$6.50

$1,785.24

$6.50

$892.62

$6.50

$1,889.03

$6.17

$6.50

$420.51

City Of Chicago - Confidential

Page 129 of 249

Incident Date Claimant Rank

08/05/2010 ORTIZ, CYNTHIA 9161

11/21/2010 ORSA, WILLIAM 9161

12/04/2008 OLSON, THOMAS 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $550.10

044 City Of Chicago Police $778.40

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.35

044 City Of Chicago Police $13.63

044 City Of Chicago Police $6.50

044 City Of Chicago Police $6.41

044 City Of Chicago Police $199.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.11

044 City Of Chicago Police $6.50

044 City Of Chicago Police $213.20

044 City Of Chicago Police $16.29

044 City Of Chicago Police $6.50

044 City Of Chicago Police $269.75

044 City Of Chicago Police $10.05

044 City Of Chicago Police $6.50

044 City Of Chicago Police $226.20

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $10.05

044 City Of Chicago Police $6.50

044 City Of Chicago Police $226.20

044 City Of Chicago Police $10.77

044 City Of Chicago Police $6.50

044 City Of Chicago Police $243.10

044 City Of Chicago Police $5.81

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 130 of 249

Incident Date Claimant Rank

12/04/2008 OLSON, THOMAS 9161

12704/2008 OLSON, THOMAS 9161

12/04/2008 OLSON, THOMAS 9161

09/24/2009 OLSON, ERIC 9171

10/04/2010 OLIVARES, GLORIA 9161

01/08/2010 OCAMPO, MATILDE p.o.

04/25/2010 O DONNELL, MICHAEL 9165

12/16/2008 O CONNOR, DANIEL 9161

12/31/2010 O CONNELL, DANIEL 9161

07/27/2009 O BRIEN, TIMOTHY 9161

10/29/1987 Nowak, Phillip P

Unit of Insured Total to be Paid

044 City Of Chicago Police $479,04

044 City Of Chicago Police $226.20

044 City Of Chicago Police $10.67

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.62

044 City Of Chicago Police $269.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.98

044 City Of Chicago Police $269.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.98

017 City Of Chicago Police $6.50

017 City Of Chicago Police $95.45

017 City Of Chicago Police $40.12

044 City Of Chicago Police $2,444.63

044 City Of Chicago Police $6.50

002 City Of Chicago Police $778.47

610 City Of Chicago Police $259.89

009 City Of Chicago Police $40.75

009 City Of Chicago Police $5.17

009 City Of Chicago Police $6.50

022 City Of Chicago Police $6.50

022 City Of Chicago Police $216.60

022 City Of Chicago Police $135.25

022 City Of Chicago Police $6.50

044 City Of Chicago Police $8,000.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $45.70

044 City Of Chicago Police $6.50

044 City Of Chicago Police $280.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $482.19

00022 City Of Chicago Police $42.23

City Of Chicago - Confidential

Page 131 of 249

Incident Date Claimant Rank

10/29/1987 Nowak, Phillip P

03/12/2010 NUNEZ, FELIPE 9161

03/29/2010 NOWAK, THOMAS 9161

06/10/2010 NOVAK, MAUREEN 9161

07/05/2009 NICKLES, SCOTT

05/19/2010 NEBERIEZA, DAVID 9161

01/04/2011 NAVARRO, ADRIAN 9161

10/21/2009 NASH, THOMAS 9161

Unit of Insured Total to be Paid

00022 City Of Chicago Police $79.71

153 City Of Chicago Police $6.50

153 City Of Chicago Police $43.00

153 City Of Chicago Police $402.58

153 City Of Chicago Police $6.50

153 City Of Chicago Police $373.83

153 City Of Chicago Police $23.93

015 City Of Chicago Police $20.28

015 City Of Chicago Police $6.50

015 City Of Chicago Police $305.84

044 City Of Chicago Police $1,442.37

044 City Of Chicago Police $6.50

044 City Of Chicago Police $58.50

044 City Of Chicago Police $559.60

044' City Of Chicago Police $22.72

044 City Of Chicago Police $6.50 City Of Chicago Police $415.19 City Of Chicago Police $88.75 City Of Chicago Police $6.50 City Of Chicago Police $1.07

001 City Of Chicago Police $1,098.06

001 City Of Chicago Police $6.50

045 City Of Chicago Police $6.50 045- City Of Chicago Police $201.37 045 City Of Chicago Police $6.50 045 City Of Chicago Police $488.74 045 City Of Chicago Police $6.50 045 City Of Chicago Police $508.46 045 City Of Chicago Police $6.50 045 City Of Chicago Police $461.18 045 City Of Chicago Police $98.45 045 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 132 of 249

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 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 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 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;

10/21/2009 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 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010

NASH, THOMAS NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN Murphy, Michael P Murphy, Michael P Murphy, Michael P Murphy, Michael P Murphy, Michael P

9161

045

Pol Poli Poli

$6.67

$6.50

$2.77

$6.50

$3.89

$88.23

$265.38

$272.14

$6.50

$4.00

$88.23

$6.50

$0.47

$4.51

$32.20

$6.50

$307.27

$1.29

$243.84

$6.50

$3.58

$243.85

$6.50

$3.58

$188.94

$6.50

$1.29

$4.94

$6.50

$408.64

$1.16

$6.50

City Of Chicago - Confidential

Page 133 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/18/2010 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 09/25/2008 09/25/2008

Murphy, Michael P Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mui, Andy Mui, Andy

00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00008 00008

$95.65

$565.77

$5.09

$6.50

$88.51

$6.50

$10,620.96 $6.50

$10,381.48 $6.50

$10,454.25 $6.50

$10,277.48 $6.50 $10,350.56 $6.50

$10,454.56

$6.29

$6.50

$109.44

$123.86

$6.50

$2,153.67

$3.45

$6.50

$32.53

$1,352.22

$6.50

$77.75

$6.50

$60.00

$64.68

$6.50

City Of Chicago - Confidential

Page 134 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/25/2008 Mui, Andy

08/20/2010 Mudd, marcus

06/19/2006 Morris-Tillery, Mary

10/11/2008 Montejano-Kalat-Just, Doris K

10/11 /2008 Montejano-Kalat-Just, Doris K

10/11/2008 Montejano-Kalat-Just, Doris K

04/24/2007 Mihajlov, Robert

01/10/2008 Messino, William

03/31/2005 Mcnichols, Thomas D

00008

00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00376 00376 00376 00376 00376 00603 00603 00020 00020 00020 00020 00020 00020 00014 00014 00014

$7.43

$6.50

$311.38

$92.80

$6.50

$645.85

$6.50

$364.32

$5.03

$6.50

$65.32

$63.87

$6.50

$1,573.66

$189.09

$5.34

$120.00

$6.50

$897.56

$6.50

$5.82

$583.19

$6.50

$136.29

$155.69

$221.09

$6.50

$2.48

$204.22

$6.50

City Of Chicago - Confidential

Page 135 of 249

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

11/26/2000 Mcnamara, Thomas

09/21/2003 Mccann-Douchee, Deatra

01/20/2008 Maynard, Johnathan

04/04/2008 Matual, David

10/15/2008 Matker, Mark D

04/05/2008 Martinez, William

08/29/2008 Manzo, Wagner

08/05/2008 Magliano, Michael P

00024 00024 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00023 00610 00610 00610 00610 00610 00610 00610 00017 00050 00050 00050 00044 00044 00044 00006

Pol; Pol Pol

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

$31.07

$540.39

$29.62

$509.25

$456.62

$14.81

$6.50

$228.31

$29.46

$6.50

$454.19

$8.35

$6.50

$128.73

$6.50

$33.03

$6.50

$115.73

$760.00

$200.20

$0.68

$6.50

$55.79

$14.89

$6.50

$2.69

$6.50

$66.27

$351.39

$46.81

$6.50

City Of Chicago - Confidential

Page 136 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/05/2008 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010

Magliano, Michael P MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN. STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYLES, NATHANIEL MYLES, NATHANIEL MYLES, NATHANIEL MYLES, NATHANIEL MYLES, NATHANIEL MYLES, NATHANIEL MYLES, NATHANIEL

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

00006

024

Poll Pot Pol

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

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

$67.00

$6.50

$226.20

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$10.05

$226.20

$10.05

$226.20

$6.50

$10.05

$1.39

$6.50

$94.64

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$276.09 •

$117.33

$1,318.12

$6.50

$15.95

$6.50

$1.42

City Of Chicago - Confidential

Page 137 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/29/2010 MYLES, NATHANIEL

11 /29/2010 MYLES, NATHAN I EL

11/29/2010 MYLES, NATHANIEL

11/29/2010 -MYLES, NATHANIEL

11/29/2010 MYLES, NATHANIEL

11/23/2010 MURTAUGH, JOSEPH

12/06/2010 MURRAY, KIMBERLY

12/03/2010 MURPHY, WILLIAM

12/08/2010 MUHAMMAD, EMANUEL

12/08/2010 MUHAMMAD. EMANUEL

12/08/2010 MUHAMMAD, EMANUEL

02/22/2010 MOYER, CHRISTOPHE

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

004 004 015 015 015 022 022 022 022 022 022 022 022 022 022 006 006 006 006 006

Pol Poll Poli

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

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

$259.95

$6.50

$3.15

$460.97

$6.50

$68.50

$6.50

$352:06

$8.50

$6.50

$1,036.70

$338.22

$41.52

$6.50

$818.75

$6.50

$4.09

$82.83

$6.50

$1.00

$6.50

$0.95

$6.50

$311.25

$207.59

$6.50

$1.00

$17.48

$6.50

$0.35

City Of Chicago - Confidential

Page 138 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/22/2010 02/22/2010 02/22/2010 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 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010

MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE 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 MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW

9161 9161 9161

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

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

ce ce

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

$359.81

$4,171.53

$82.83

$6.50

$156.65

$134.93

$6.50

$10.82

$6.50

$187.85

$9.95

$156.65

$6.50

$9.95

$285.44

$6.50

$156.65

$9.95

$6.50

$178.50

$8.39

$6.50

$98.45

$9.27

$6.50

$214.50

$6.50

$649.88

$9.27

$6.50

$214.50

$5.71

$6.50

City Of Chicago - Confidential

Page 139 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 11/21/2008 11/21/2008 11/21/2008 11/21/2008 04/15/2010 04/15/2010 08/27/2009 08/27/2009 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010

MORGAN, ANDREW MORGAN,ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN,ANDREW MORGAN. ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN,ANDREW MORGAN,ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN,ANDREW MORGAN,ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MOORE. GEZELLE MOORE, GEZELLE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE

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

003 003

008 008 008 008 008

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

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

$128.25

$6.58

$6.50

$219.75

$6.51

$6.50

$178.50

$5.03

$6.50

$65.32

$28.44

$6.50

$331.00

$25.42

$9.27

$6.50

$214.50

$6.51

$6.50

$1,556.92

$6.50

$478.35

$6.50

$483.93

$37.17

$343.39

$6.50

$227.12

$207.59

$6.50

$105.59

City Of Chicago - Confidential

Page 140 of 249

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

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 02/24/2009 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 10/10/2010 10/10/2010 10/10/2010

MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD

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

008 008 008 008 008 008 008 008 008

011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011

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

$246.35

$6.50

$8.99

$1,007.20

$6.50

$57.91

$198.05

$6.50

$9.69

$15.21

$6.50

$202.50

$6.50

$10.05

$226.20

$6.50

$10.05

$15.53

$156.11

$6.50

$2.29

$131.72

$6.50

$1.93

$6.50

$63.32

$6.50

$108.22

$6.50

$254.50

$226.20

$10.77

$6.50

City Of Chicago - Confidential

Page 141 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/12/2008 11/12/2008 11/29/2009 11/29/2009 12/30/2009 12/30/2009 12/30/2009 12/30/2009 05/19/2009 05/19/2009 05/19/2009 05/19/2009 05/19/2009 04/07/2010 04/07/2010 04/07/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010

MIUCIN.ZORAN MIUCIN, ZORAN MITCHELL, RANITA MITCHELL, RANITA MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MIDLOWSKI, ROBERT MIDLOWSKI, ROBERT MIDLOWSKI, ROBERT MIDLOWSKI, ROBERT MIDLOWSKI, ROBERT METTS, ROBERT METTS, ROBERT METTS, ROBERT MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK

9161 9161 9161 9161 9161 9161 9165 9165 9165 9165 9165

066 066 011 011 011 011 075 075 075 075 075

Poli Poli Poli

$318.66

$6.50

$768.05

$6.50

$50.19

$256.11

$430.54

$109.50

$6.50

$248.10

$6.53

$373.79

$6.50

$15.42

$133.29

$10.05

$6.50

$226.20

$9.95

$6.50

$156.65

$11.94

$6.50

$192.40

$14.01

$6.50

$248.95

$6.50

$149.46

$6.50

$149.46

$240.75

City Of Chicago - Confidential

Page 142 of 249

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 Chicagi 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 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

11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010

MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MESSINA, MEROLA_:MEROLA, MEROLA, MEROLA, MEROLA

FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK FRANK DOMINIC DOMINIC DOMINIC DOMINIC DOMINIC

jO Pol Pol Pol Pol

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 lice lice lice lice lice lice lice lice

S6.50

$453.25

$12.46

$6.50

$213.20

$7.93

$6.50

$202.90

$7.93

$6.50

$202.90

$7.93

$6.50

$202.90

$7.93

$6.50

$202.90

$6.50

$191.15

$12.46

$6.50

$213.20

$12.46

$6.50

$213.20

$12.46

$6.50

$259.25

$6.50

$2,087.55

$10.52

$6.50

City Of Chicago - Confidential

Page 143 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/01/2011 01/01/2011 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010

MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, .MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ,

MARK

JAIME

ANGEL

9161 9161

044 044

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

010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010

Poll Poll Pol

S6.50

$583.52

$58.71

$117.28

$6.50

$7.52

$1,892.63

$6.50

$76.79

$6.50

$1,447.00

$185.28

$6.50

$282.75

$10.45

$6.50

$259.45

$10.05

$6.50

$226.20

$12.56

$6.50

$282.75

$12.56

$6.50

$282.75

$12.56

$282.75

$6.50

$12.56

$257.40

$6.50

City Of Chicago - Confidential

Page 144 of 249

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

09/15/2010 MENDEZ, ANGEL

06/10/2010 MEDINA, CARLOS

08/25/2010 MEDINA, ANITA

09/27/2010 MCQUARTER, KIMBERLY

07/07/2009 MCGUIRE, JOHN

12/08/2010 MCCURTY, JAMES

12/28/2009 MC NICHOLS, THOMAS

9161 9161 9161 9161 9161 9161 9161 9161 9169 9169 9169 9169 9169 9169

010 010 010 010 010 010 010 010 055 055 055 055 055 055

Poli Poli Poll

9161 9161 9161

ce ce ce

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

$10.92

$200.85

$6.50

$8.40

$226.20

$6.50

$100.44

$10.05

$21.36

$6.50

$82.53

$6.90

$6.50

$46.82

$6.50

$350.68

$6.50

$104.00

$17.28

$6.50

$518.54

$21.14

$6.50

$649.24

$7.91

$6.50

$243.81

$350.68

$6.50

$4,235.90

$175.25

$224.75

$6.50

City Of Chicago - Confidential

Page 145 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010

MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MCGRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH, MC GRATH,

PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK

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

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$246.45

$16.68

$6.50

$304.85

$14.16

$6.50

$248.30

$23.49

$16.95

$12.86

$6.50

$12.86

$6.50

$246.45

$6.50

$1,647.33

$12.86 .

$6.50

$279.67

City Of Chicago - Confidential

Page 146 of 249

cn^Scn^Scn^Scn£^'<>'-¹'>°-^u>

in ^ in if)

« t/> y> «

CM t- CN

(Or\J*-COO"5CD(OC<JrO

tft C/5 C^

C7>CT)0)0)C7)0>0)C7ICnO}0)C7)0)0)CT)C7)0)0)

0. O

0)C7IO)0)CT>C7)0)CTlO)0)C7)

ooooooooooooooouuooooouoouoooouoo ooooooobooooooooooooooooooooooooo

bbbbbbbbbbboobbobbbbbbbbbbobb

CM CN CM CN CN

CO CO CO

CN CN CN CM CN CO

CO CO CO CO CO CO

CD CD CO CD CD CO CD

CD CO 5) 5)

CD CO O) 5)

CO CD CD CO

CD CD CO CD CO CO

oocDcncncncjicncncDCT)

CD CD CO

Q-

2c: >c: o o

cc ct cc a:

2tr

o y

oe cc

\— i-

< <

0. a

2c: m

o o

OC cc

$ $

a. a.

XXI I— I— H

2 $ $

CD CD (J O U O 5 S 5

X X

I— (—

2 SE

CD CD

O O

5 5

I X

h- 1-

£ d

CD CD

O O

; 111 111 UJ Ul

< cc

CD CD O O 2 5

>-<

Ul LU Ul Ul

CD U

> > < < g g

LU LU

Z 2

I 1

d a

LU LU

Z 2

g g

a a

LU LU

CD CD

O O

5 S

LU LU

CD CD

O U

5 5

LU LU

CD CD

U O

5 S

Ul LU

LU LU

CD CD

U O

UJ LU p; Fi

LU Ul

CD CD

O O

2 S

LU LU

Z 2

o o

3 5

CO 05

I- H

Z 2

< <

CJ o

u o

o o

5 5

CO co O O

co co < <

CO CO

O O

CC cc

< <

DOG >->->-

o o o

o o o o

co co < <:

; U LU LU

g g 3 3 2

CNCNCNCNCNCNCNCNCN

cocorocococoaocooo

CNCNCNCNCNCNCNCNCN

CNCNCNCNCNCNCNCNCNCNCNCNCNCNCNCN

aocococococococo

CN CO

Lfi LO LO LO

CNCNCNCNCNCNCNCNCNCNCNCNCNCN

COOOCOCOaOCOCOCOCOCOCD

ct) a> cj) cn

co cn! cn" cn c\]

O T- X- T- T-

O T- *~

~ o o o

CN CN CN

o o o

CN CN CN

00 CO 00

O O O

6VZ J° 9i>l sBed

|B!;uapijuoo - oBbohjo jo Alio

099$ 06 9$

09 9$ BZ'0C$ 00 1ZZ$ 099$ ZZ'9Z$ 09'9$ 004ZZ$ ZZ9Z$ 00Zt?9$ 09 9$

0991.9$ 099$ Z6'W$ 099$ 98'66t>$ 099$ 6Z6H 66 lfrZ$ 09'9$ 98X2$ 00 1ZZ$ 099$ ZZ9ZS GO' 19$ 099$ 209$ 6Z661$ 099$ 0Z6L$

331

901

ao\

901 901 90| 90| 901 90! 90! 90! 90| 90! 931 90 93! 931 931 931 931 931 931 93! 93| 931 931 93! 90! 93! 93! 901 931 931

Pd oBeoilio jo Ajio jod oBbohjo JO Ajio |0d o6B3|40 jo ajio |0d o6e3|no jo Ajio

Pd o6e3mo jo Ajio

|Od o6bo|l|3 jo Ajio

iod oBeoilio jo Ajio

too

LOO LOO 100 100 140 HO

no uo no uo uo

140

uo uo uo uo uo no no uo uo uo uo

uo uo uo

uo uo

1916 1916 L916 1916 1.91.6 1916 1916 1916 1916 1916 1916 1916 1916 L916 1916 1916 1916 1916 191.6 1916 1916 1916 1916 1916 1916 1916 1916 1916 1916 1916 1916 L91.6 1916

iwmiM 'via^SAivw iNvmiM 'vhsxsaivw iwmiM 'visxsaivim wvmiM 'viaxsAivw

OAOm 'TI3MXVIM

aAO~n '~n3MXVw

OA011 'llBMWIri 0AO11 'H3MXVIAI

aAom "mMXVW aAom '"naMXVw

aAon 'naMXviAi aAon 'naMXvtM

OAOH '1~I3MXV\H

aAom 'naMXvirN aAom "naAAXviM aAon 'naMXViAi □Aon "nsMXVw □Aon 'naMXViAi oaoh "naMXVw aAon 'na/wxviN oaoh 'na/wxvw aAO~n 'ti3mxvw aAon "naMXViN

OAOn 'TI3MXVW OAOll 'TBMXVIAl

aAon 'tbmxviai aAon 'naMXvw aAon "naMXViN aAon "naMXviAi

OAOm ^,T13A/\XVInl

dAon 'ti3/\axvin

010Z/Z1/90 010Z/Z1/90 010Z/ZI/90 010Z/Z1790 010Z/ZI/90 010Z/0Z/8O 010Z/0Z/80 010Z/0Z/80 010Z/OZ/80 0I-0Z/0Z/80 010Z/OZ/80 010Z/0Z/80 010Z/OZ/80 010Z/0Z/80 Ol-OZ/OZ/80 010Z/0Z/80 010Z/0Z/80 010Z/0Z/80 010Z/OZ/80 010Z/0Z/8O 010Z/0Z/8O 010Z/0Z/80 010Z/0Z/80 010Z/OZ/80 010Z/OZ/80 010Z/0Z/8O 010Z/0Z/8O 010Z/0Z/80 010Z/0Z/80 010Z/0Z/80 010Z/0Z/80 010Z/0Z/80 010Z/0Z/80

piBd 9q 0) |B10J.

pgjnsui

jo Jiun

>|UBy

)UBU1|B|0 91B0 JU9p|3U|

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 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 Po!

06/12/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 08/10/2010 11/29/2008 11/29/2008 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/21/2009 12/21/2009 12/21/2009 12/21/2009

MATYSKELA, WILLIAM MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATIAS, HECTOR MATIAS, HECTOR MATIAS, HECTOR MATIAS, HECTOR MATIAS, HECTOR MATIAS, HECTOR MATIAS, HECTOR MATA, RICARDO MATA, RICARDO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ. SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, DANIEL MARTINEZ, DANIEL MARTINEZ, DANIEL MARTINEZ, DANIEL

9161 9161 9161 9161 9161 9161 9165 9165 9165 9165 9165 9165 9165

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

001

640 640 640 640 640 640 640

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 tice lice lice lice lice

$46.82

$84.92

$6.50

$83.02

$681.48

$112.03

$168.72

$6.50

$4.31

$176.45

$6.50

$7.16

$6.50

$12.39

$1,154.59

$204.15

$10.53

$204.15

$6.50

$1,192.44

$446.92

$10.53

$204.15

$8.11

$217.15

$10.53

$204.15

$30.93

$1.16

$320.48

$95.65

$6.50

City Of Chicago - Confidential

Page 149 of 249

Incident Date Claimant Rank

12/21/2009 MARTINEZ, DANIEL 9161

08/15/2010 MARTIN, DENNIS 9161

10/08/2010 MARTIN, BARBARA 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $6.50

010 City Of Chicago Police $2.33

010 City Of Chicago Police $6.50

010 City Of Chicago Police $192.29

010 City Of Chicago Police $2.33

010 City Of Chicago Police $6.50

010 City Of Chicago Police $192.29

010 City Of Chicago Police $3.88

018 City Of Chicago Police $49.82

018 City Of Chicago Police $6.50

012 City Of Chicago Police $243.39

012 City Of Chicago Police $6.50

012 City Of Chicago Police $2.95

012 City Of Chicago Police $117.33

012 City Of Chicago Police $2.95

012 City Of Chicago Police $6.50

012 City Of Chicago Police $243.39

012 City Of Chicago Police $2.95

012 City Of Chicago Police $6.50

012 City Of Chicago Police $243.39

012 City Of Chicago Police $2.95

012 City Of Chicago Police $6.50

012 City Of Chicago Police $243.39

012 City Of Chicago Police $17.86

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1,473.34

012 City Of Chicago Police $34.08

012 City Of Chicago Police $1,703.69

012 City Of Chicago Police $5.48

012 City Of Chicago Police $6.50

012 City Of Chicago Police $452.40

012 City Of Chicago Police $2.95

012 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 150 of 249

Incident Date Claimant Rank

10/08/2010 MARTIN, BARBARA 9161

06/11/2010 MARKHAM, SEAN 9161

10/11/2010 MARIANO, PABLO 9161

01/10/2011 MANNING, GARRIAN 3295

04/02/2010 MANDER, THOMAS 9201

09/21/2010 MALOY, BRIAN 9161

Unit of Insured Total to be Paid

012 City Of Chicago Police $243.39

012 City Of Chicago Police $2.95

012 City Of Chicago Police $6.50

012 City Of Chicago Police $243.39

012 City Of Chicago Police $1.42

012 City Of Chicago Police $6.50

City Of Chicago Police $7.70

City Of Chicago Police $6.50

City Of Chicago Police $170.00

002 City Of Chicago Police $6.50

City Of Chicago Police $6.50

177 City Of Chicago Police $343.56

177 City Of Chicago Police $149.46

177 City Of Chicago Police $6.50

177 City Of Chicago Police $7,305.00

177 City Of Chicago Police $6.50

153 City Of Chicago Police $12.86

153 City Of Chicago Police $68.29

153 City Of Chicago Police $246.45

153 City Of Chicago Police $12.86

153 City Of Chicago Police $6.50

153 City Of Chicago Police $246.45

153 City Of Chicago Police $12.86

153 City Of Chicago Police $6.50

153 City Of Chicago Police $246.45

153 City Of Chicago Police $12.86

153 City Of Chicago Police $6.50

153 City Of Chicago Police $246.45

153 City Of Chicago Police $12.86

153 City Of Chicago Police $6.50

153 City Of Chicago Police $246.45

153 City Of Chicago Police $1.00

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 151 of 249

Incident Date Claimant Rank

09/21/2010 MALOY, BRIAN 9161

10/12/2010 MAHAY, EDWARD 9161

05/28/2002 Lyons, Megan P

05/19/2002 Lloyd, Kimberly D P

Unit of_Insured_Total to be Paid

153 City Of Chicago Police $6.50

001 City Of Chicago Police $6.50

001 City Of Chicago Police $182.68

001 City Of Chicago Police $6.50

001 City Of Chicago Police $182.68

001 City Of Chicago Police $6.50

001 City Of Chicago Police $247.02

001 City Of Chicago Police $6.50

001 City Of Chicago Police $298.91

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 $298.91

001 City Of Chicago Police $6.50

001 City Of Chicago Police $262.58

001 City Of Chicago Police $6.50

001 City Of Chicago Police $182.68

001 City Of Chicago Police $0.82

001 City Of Chicago Police $6.50

001 City Of Chicago Police $443.48

001 City Of Chicago Police $1,155.08

001 City Of Chicago Police $182.68

00013 City Of Chicago Police $91.09

00013 City Of Chicago Police $250.04

00013 City Of Chicago Police $6,204.38

00007 City Of Chicago Police $6.50

00007 City Of Chicago Police $1,299.84

00007 City Of Chicago Police $100.68

00007 City Of Chicago Police $691.31

00007 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 152 of 249

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 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 Pol

05/19/2002 05/19/2002 12/14/2005 12/14/2005 12/14/2005 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 10/14/2006 10/14/2006 10/14/2006 10/14/2006 10/14/2006 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007

Lloyd, Kimberly D Lloyd, Kimberly D Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Leahy, Brian Leahy, Brian Leahy, Brian Leahy, Brian Leahy, Brian Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J Larson, Robert J

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 P

00007 00007 00006 00006 00006 00010 00010 00010 00010 00010 00010 00011 00011 00011 00011 00011 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044

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 lice lice lice lice lice

$6.50

$53.55

$432.04

$6.50

$184.74

$6.50

$493.03

$627.74

$6.50

$1.64

$6.50

$515.22

$1,538.52

$6.50

$254.73

$12.46

$254.73

$6.50

$12.46

$226.20

$6.50

$10.05

$6.50

$226.20

$6.50

$53.20

City Of Chicago - Confidential

Page 153 of 249

Incident Date Claimant Rank

04/03/2007 Larson, Robert J P

Unit of Insured Total to be Paid

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $18.00

00044 City Of Chicago Police $12.46

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $254.73

00044 City Of Chicago Police $12.46

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $213.20

00044 City Of Chicago Police $12.46

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $254.73

00044 City Of Chicago Police $12.46

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $254.73

00044 City Of Chicago Police $12.46

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $213.20

00044 City Of Chicago Police $13.19

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $230.10

00044 City Of Chicago Police $12.46

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $213.20

00044 City Of Chicago Police $13.03

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $213.20

00044 City Of Chicago Police $10.05

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $226.20

00044 City Of Chicago Police $12.46

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $213.20

00044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 154 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/23/1988 04/23/1988 04/23/1988 03/07/2003 03/07/2003 03/07/2003 03/07/2003 03/07/2003 02/05/2005 02/05/2005 02/05/2005 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006

Lappe, Michael Lappe, Michael Lappe, Michael Lange, Jimmie Lange, Jimmie Lange, Jimmie Lange, Jimmie Lange, Jimmie Lahori-Martinez, Myra Lahori-Martinez, Myra Lahori-Martinez, Myra Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J

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 P

00016 00016 00016 00701 00701 00701 00701 00701 00001 00001 00001 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153

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

$157.86

$215.91

$6.50

$224.75

$6.50

$130.77

$264.74

$6.50

$15.93

$6.50

$699.27

$17.06

$6.50

$263.14

$15.17

$6.50

$233.99

$6.50

$122.79

$6.85

$6.50

$13.38

$25.48

$6.50

$392.56

$6.40

$6.50

$435.32

$6.50

$16.00

$477.50

City Of Chicago - Confidential

Page 155 of 249

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

08/28/2006 08/28/2006 08/28/2006 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 03/13/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010

Laduzinsky, Mark J Laduzinsky, Mark J Laduzinsky, Mark J LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, WILLIAM LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LOPEZ, SILVIA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA

P P P

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

00153

016

050

Pol Pol Pol

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

$6.50

$13,256.87

$45.39

$691.02

$6.50

$17.66

$176.45

$6.50

$1.29

$37.37

$6.50

$88.23

$6.50

$7.16

$6.50

$12.86

$511.23

$6.50

$16.08

$683.73

$6.50

$24.21

$199.49

$6.50

$170.33

$2.93

$143.84

$10.78

$6.50

$202.25

$10.78

$6.50

$202.25

City Of Chicago - Confidential

Page 156 of 249

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 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010

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, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA

$5.02

$6.50

$113.10

$9.95

$6.50

$156.65

$5.42

$6.50

$146.35

$10.44

$6.50

$197.50

$10.44

$6.50

$197.50

$1.29

$6.50

$88.23

$10.44

$6.50

$197.50

$10.44

$6.50

$197.50

$4.64

$122.75

$9.40

$6.50

$180.80

$11.94

$6.50

$192.40

$11.94

City Of Chicago - Confidential

Page 157 of 249

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 01/10/2011 01/10/2011 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 01/11/2009 08/26/2010 08/26/2010 03/23/2010 03/23/2010 06/05/2009 08/14/2010

LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, JOSE LOPEZ, JOSE LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ MALAVE, IRMA LOMBARD, DANIEL LOMBARD, DANIEL LOHSE, WILLIAM LOHSE, WILLIAM LIPINSKI, TINA LIPINSKI, DAVID

P.O. P.O.

9161 9161 9161 9161 9161 9161 " 9161 9161 9164

044 044 044 044 044 044 044 044 010

9161

011

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

$6.50

$192.40

$12.24

$6.50

$243.10

$283.48

$6.50

$100.68

$6.50

$331.50

$6.50

$184.60

$6.50

$12.45

$26.41

$213.20

$6.50

$12.46

$6.50

$39.95

$10.74

$6.50

$1,219.48

$1.62

$264.67

$142.39

$100.68

$6.50

$59.16

$210.71

$6.50

City Of Chicago - Confidential

Page 158 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010

LIPINSKI LIPINSKI, LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI LIPINSKI 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 , DAVID

Poli Pol

Poll

$184.74

$6.50

$184.74

$6.50

$184.74

$6.50

$369.48

$24.53

$6.50

$118.37

$6.50

$12,592.96

$6.50

$148.42

$6.50

$148.42

$6.50

$148.42

$6.50

$148.42

$6.50

$173.17

$6.50

$478.35

$6.50

$250.00

$6.50

$1,505.03

$160.87

$6.50

$210.69

$6.50

City Of Chicago - Confidential

Page 159 of 249

Incident Date Claimant Rank

08/14/2010 LIPINSKI, DAVID

02/19/2009 LEWIS, RONNIE 9165

01/10/2011 LEWIS, BELINDA PO

10/13/2010 LEMUS, MARK 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $122.47

City Of Chicago Police $155.69

City Of Chicago Police $6.50

610 City Of Chicago Police $108.78

610 City Of Chicago Police $2.78

City Of Chicago Police $322.85

City Of Chicago Police $6.50

City Of Chicago Police $8.25

010 City Of Chicago Police $224.32

010 City Of Chicago Police $729.48

010 City Of Chicago Police $6.50

010 City Of Chicago Police $41.94

010 City Of Chicago Police $122.56

010 City Of Chicago Police $6.50

010 City Of Chicago Police $6.19

010 City Of Chicago Police $252.58

010 City Of Chicago Police $6.50

010 City Of Chicago Police $14.52

010 City Of Chicago Police $1,669.22

010 City Of Chicago Police $6.50

010 City Of Chicago Police $95.97

010 City Of Chicago Police $279.95

010 City Of Chicago Police $6.50

010 City Of Chicago Police $16.10

010 City Of Chicago Police $452.66

010 City Of Chicago Police $6.50

010 City Of Chicago Police $26.02

010 City Of Chicago Police $122.56

010 City Of Chicago Police $6.50

010 City Of Chicago Police $176.45

010 City Of Chicago Police $6.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $12.90

City Of Chicago - Confidential

Page 160 of 249

Incident Date Claimant Rank

10/13/2010 LEMUS, MARK 9161

05/30/2010 LEGENZA, EDWARD 9161

12/03/2010 LAURIE, CHRISTOPHER 9161

Unit of Insured Total to be Paid

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.16

010 City Of Chicago Police $11.56

010 City Of Chicago Police $6.50

010 City Of Chicago Police $201.06

010 City Of Chicago Police $12.98

010 City Of Chicago Police $6.50

010 City Of Chicago Police $257.03

010 City Of Chicago Police $6.50

010 City Of Chicago Police $296.00

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $342.48

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $87.19

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.23

044 City Of Chicago Police $107.12

City Of Chicago - Confidential

Page 161 of 249

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

12703/2010 LAURIE, CHRISTOPHER

12/03/2010 LAURIE, CHRISTOPHER

09/07/2010 LASKA, JAMES

01/04/2011 LARSON, ANDREW

04/13/2010 LARCHER, PETER

09/01/2010 LANGLE, WILLIAM

09/09/2010 LAMBERT, ISAAC

02/12/2008 Kurpiel, Joseph

08/19/2010 KkUYKENDALL, MYRON

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9201 9201 9161 9161 9161

P P P P P

9161 9161 9161

044 044 044 044 044 044 044 044 044 025 025 025 025 025 025

044 044 044

00017

765

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

$6.16

$183.50

$27.49

$6.50

$251.02

$101.88

$6.50

$204.58

$239.77

$6.50

$243.94

$6.50

$76.81

$162.40

$9.34

$6.50

$862.27

$85.58

$3.47

$6.50

$20.00

$35.00

$6.50

$461.88

$119.31

$6.50

$1.44

$3.90

$194.80

$6.50

City Of Chicago - Confidential

Page 162 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po City Of Chicag, 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 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 Po ■ City Of Chicago Pol City Of Chicago Pol City Of Chicago Po

03/14/2005 03/14/2005 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 06/27/2010 06/27/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010

Kirchner, Robert Kirchner, Robert

Killackey I Killackey I Killackey I Killackey I Killackey I

i, John E i, John E i, John E i, John E i, John E

KUSHINER, MARK KUSHINER, MARK KUSHINER, MARK KUSHINER, MARK KUSHINER, MARK KUSHINER, MARK KUHLMANN, LAURA KUHLMANN, LAURA KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN

P P P P P P P

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

09999

00011

315

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 lice

$195.19

$28.46

$26.48

$86.20

$100.68

$6.50

$1.39

$164.89

$6.50

$2.42

$94.64

$38.62

$6.50

$354.71

$6.50

$1,505.03

$17.94

$6.50

$1,686.52

$14.39

$6.50

$354.71

$12.96

$6.50

$319.41

$14.39

$6.50

$354.71

$337.19

$6.50

City Of Chicago - Confidential

Page 163 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 10/24/2009 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010

KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KONO, ROGER KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO

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

003 003 003 003 003 003 003 003 003 003 003

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

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

$350.68

$6.50

$323.82

$6.50

$14.03

$14.39

$1,026.00

$152.57

$6.50

$15.04

$116.25

$6.50

$11.46

$145.30

$6.50

$14.33

$232.50

$6.50

$22.92

$6.50

$15.04

$628.80

$19.91

$6.50

$635.36

$12.85

$6.50

$35.49

$218.82

$6.50

$11.36

City Of Chicago - Confidential

Page 164 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010

KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KINNEY, DAVID KINNEY, DAVID KINNEY, DAVID KINNEY, DAVID KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON

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

003 003 003 003 003 003 003 003 003 003 003 003 044 044 044 044

$232.00

$6.50

$13.34

$88.00

$6.50

$224.00

$6.50

$409.97

$322.40

$6.50

$17.87

$12.88

$34.85

$6.50

$1.41

$1,146.60

$6.50

$218.71

$6.50

$250.04

$10.45

$767.86

$6.50

$98.00

$6.50

$84.92

$6.50

$304.85

$56.75

$6.50

$176.23

$180.81

$12.86

City Of Chicago - Confidential

Page 165 of 249

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 Pol City Of Chicago Pol 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 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 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

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 02/26/2010 02/26/2010 02/26/2010 12/02/2010 12/02/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010

KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KILROY, KEVIN KILROY, KEVIN KILROY, KEVIN KIDD, REGINALD KIDD, REGINALD KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF

9161 9161 9161 9122 9122 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

003 003 003

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

Poll Poli Pol

$6.50

$246.45

$12.86

$6.50

$246.45

$16.68

$304.85

$6.50

$16.68

$6.50

$304.85

$246.45

$6.50

$12.86

$10.60

$6.50

$529.98

$6.50

$687.36

$282.75

$6.50

$12.56

$6.50

$282.75

$12.56

$6.50

$282.75

$12.56

$6.50

$282.75

$12.56

$6.50

City Of Chicago - Confidential

Page 166 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 07/01/2010 07/01/2010 07/01/2010 05/30/2009 05/30/2009 06/02/2010 06/02/2010 06/02/2010 06/02/2010 06/02/2010 07/08/2009 06/07/2010 06/07/2010

KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KENNELLY, MICHAEL KENNEDY, PATRICK KENNEDY, PATRICK

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

9161 9161 9161

019

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

$282.75

$12.56

$6.50

$282.75

$12.56

$6.50

$282.75

$12.56

$6.50

$282.75

$12.56

$6.50

$282.75

$12.56

$1,241.91

$6.50

$836.94

$1.29

$6.50

$88.23

$6.50

$1.29

$142.90

$53.55

$200.60

$477.25

$279.99

$6.50

$121.83

$6.50

$202.12

City Of Chicago - Confidential

Page 167 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/07/2010 KENNEDY, PATRICK

06/19/2010 KENEARD, VICTOR

10/04/2010 KELNOSKY, STEVEN

06/18/2010 KAZIMIERSKI, RICHARD

04/28/2009 KATSAROS, DIMITRIOS

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

025 025 025 019 019 019 019 019 019

$6.50

$2.45

$483.10

$438.75

$6.50

$5.32

$231.70

$6.50

$2.81

$347.69

$6.50

$241.55

$6.50

$2.92

$5.84

$6.50

$6.90

$46.82

$28.26

$129.35

$246.45

$12.86

$6.50

$21.22

$196.30

$206.12

$8,065.18

$111.39

$146.29

$42.46

$211.75

City Of Chicago - Confidential

Page 168 of 249

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 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 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 Po City Of Chicago Pol City Of Chicago Pol

09/26/2009 KAPUT, STEVEN

10/14/2010 KAMRADT, DENNIS

10/14/1992 Johnson-Swain, Marianne C

'10/14/1992 Johnson-Swain, Marianne C

10/14/1992 Johnson-Swain, Marianne C

07/17/2008 Johnson, John M

9161

044

00006

00008

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

S6.50

$59.67

$0.63

$2,335.00

$52.28

$11.80

$6.50

$3.96

$334.11

$6.50

$525.88

$6.50

$525.88

$6.50

$480.62

$6.50

$216.74

$480.62

$6.50

$485.61

$6.50

$165.04

$6.50

$91.30

$6.50

$143.65

$10.05

$6.50

$226.20

$12.38

City Of Chicago - Confidential

Page 169 of 249

Incident Date Claimant Rank

07/17/2008 Johnson, John M P

01/23/2007 Jelks, Jennifer P

Unit of Insured Total to be Paid

00008 City Of Chicago Police $230.10

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $13.19

00008 City Of Chicago Police $269.75

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $16.29

00008 City Of Chicago Police $235.30

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $17.72

00008 City Of Chicago Police $248.30

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $14.75

00008 City Of Chicago Police $1,181.33

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $347.88

00008 City Of Chicago Police $14.89

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $200.20

00013 City Of Chicago Police $6.50

00013 City Of Chicago Police $27.24

00013 City Of Chicago Police $676.89

00013 City Of Chicago Police $6.50

00013 City Of Chicago Police $3,000.00

00013 City Of Chicago Police $2.66

00013 City Of Chicago Police $6.50

00013 City Of Chicago Police $182.42

00013 City Of Chicago Police $3.45

00013 City Of Chicago Police $6.50

00013 City Of Chicago Police $284.98

00013 City Of Chicago Police $2.21

00013 City Of Chicago Police $6.50

00013 City Of Chicago Police $182.42

00013 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 170 of 249

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

01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 09/10/1994 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010

Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jackson, Talmitch JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO,STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN

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

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

00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00003

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 lice lice lice

$1,021.80

$6.50

$679.60

$6.50

$44.84

$52.10

$6.50

$4,304.14

$24.30

$6.50

$114.00

$1,645.34

$6.50

$132.33

$18.63

$6.50

$188.92

$1.07

$6.50

$88.75

$18.46

$6.50

$187.19

$14.40

$6.50

$1,189.94

$18.46

$6.50

$187.19

$18.46

$6.50

$187.19

$18.46

City Of Chicago - Confidential

Page 171 of 249

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

11/10/2010 11/10/2010 11/10/2010 10/31/2009 10/31/2009 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 08/23/2010 08/23/2010 08/23/2010 12/12/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010

JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JONES, TIMOTHY JONES, TIMOTHY JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, GREGORY JONES, ANDREW JONES,ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES JR., JEFFERY JONES JR., JEFFERY JONES JR., JEFFERY JONES JR., JEFFERY JONES JR., JEFFERY JONES JR., JEFFERY JONES JR., JEFFERY

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

015 015 015 015 015 015 015 015 015 015 015 015 312 312 312 006

044 044 044 044 044 044 044

Poli Poli Pol:

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

S6.50

$187.19

$1.60

$67.47

$6.50

$1.42

$6.50

$28.88

$6.50

$5.94

$6.50

$117.33

$0.35

$6.50

$294.48

$863.75

$448.14

$261.94

$6.50

$8.00

$6.50

$114.88

$16.63

$6.50

$16.40

$6.50

$10.15

$207.59

$6.50

$190.13

$6.50

$39.83

City Of Chicago - Confidential

Page 172 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/28/2010 JONES JR., JEFFERY

09/01/2009 JOHNSON, JOYCE

06/24/2010 JOHNSON, JORDAN

09/26/2010 JOHNSON, AJAMU BOM

09/26/2010 JOHNSON. AJAMU BOM

09/26/2010 JOHNSON, AJAMU BOM

12/03/2010 JEDRY, 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

044 044 044 044

044 044 044

$158.00

$6.50

$4.04

$56.56

$2.06

$5.65

$0.11

$170.03

$111.17

$6.50

$22.68

$6.50

$175.50

$9.67

$6.50

$203.35

$6.50

$84.92

$6.50

$350.68

$9.67

$6.50

$203.35

$13.62

$6.76

$615.60

$6.50

$156.65

$6.50

$213.20

$10.96

$1.26

City Of Chicago - Confidential

Page 173 of 249

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 City Of Chicago City Of Chicago 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! 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 City Of Chicago 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!

12/03/2010 12/03/2010 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 02/12/2010 02/12/2010 12/13/2010 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009

JEDRY, MICHAEL JEDRY, MICHAEL JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANOPOULOS, JASON JANOPOULOS, JASON JANOPOULOS, JASON JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE

Sgt

9171

9161

630 630 630 630 630 630 630 630 630 630 630 153 153 006

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

$267.53

$6.50

$1.15

$112.31

$90.61

$54.97

$19.45

$6.50

$165.58

$6.50

$45.00

$2.32

$6.50

$70.53

$35.99

$8.57

$190.00

$10.05

$6.50

$226.20

$10.92

$6.50

$257.40

$10.92

$6.50

$200.85

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$6.50

City Of Chicago - Confidential

Page 174 of 249

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 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

08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009

JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE

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 dice 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

$3,344.00

$0.23

$6.50

$763.53

$10.05

$6.50

$226.20

$10.92

$6.50

$257.40

$8.40

$6.50

$200.85

$8.40

$6.50

$200.85

$15.55

$6.50

$269.75

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$2.30

$6.50

$257.40

$10.92

$6.50

$257.40

$13.33

City Of Chicago - Confidential

Page 175 of 249

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 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

08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 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

JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANAS, JONATHAN JANAS, JONATHAN JANAS, JONATHAN JANAS, JONATHAN JANAS, JONATHAN JACKSON,DEBORAH JACKSON, DEBORAH JACKSON,DEBORAH JACKSON,DEBORAH JACKSON, DEBORAH JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA

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

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 lice lice lice

$6.50

$244.40

$10.92

$6.50

$257.40

$15.55

$6.50

$269.75

$1.29

$6.50

$87.81

$10.92

$6.50

$257.40

$8.40

$7.16

$6.50

$176.45

$6.50

$709.08

$1,400.00

$6.50

$36.09

$6.50

$275.07

$136.23

$376.98

$6.50

$30.12

$1,064.54

$6.50

$41.50

$538.58

City Of Chicago - Confidential

Page 176 of 249

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 Po! 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

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 11/13/2010 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 11/13/2010 11/13/2010 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009

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

, CARLA ,CARLA , CARLA , CARLA , CARLA , CARLA , CARLA , CARLA , CARLA , CARLA , CARLA , CARLA , CARLA ,CARLA , CARLA ,CARLA ,CARLA ,CARLA ,CARLA ,CARLA , CARLA , CARLA , CARLA ,CARLA , CARLA , CARLA , CARLA , CARLA ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE

9161 9161 9161 9161 9161

765 765 765 765 765

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

$23.25

$6.50

$707.70

$3.23

$6.50

$267.50

$67.86

$6.50

$560.00

$10.99

$6.50

$272.98

$12.85

$6.50

$332.35

$10.99

$6.50

$272.98

$13.98

$6.50

$324.98

$29.79

$6.50

$80.49

$16.97

$6.50

$718.47

$3.91

$6.50

$153.19

$6.50

$153.19

City Of Chicago - Confidential

Page 177 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po! 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 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 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

09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 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 06/30/2008 06/30/2008 06/30/2008 06/30/2008 06/30/2008 06/30/2008 06/30/2008 12/11/2006 12/11/2006 12/11/2006 12/11/2006 12/11/2006 12/11/2006

JACKSON, BRUCE JACKSON, BRUCE JACKSON,BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE 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 Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hill, Reginald Hill, Reginald Hill, Reginald Hill, Reginald Hill, Reginald Hill, Reginald

9161

765 765 765 765 765 765

00009 00009 00009 00009 00009 00009 00009 00009 00009 00006 00006 00006 00006 00006 00006

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 lice lice

$6.50

$3.91

$153.19

$100.68

$3.91

$6.50

$13.03

$6.50

$213.20

$16.33

$6.50

$272.01

$0.22

$6.50

$4.02

$6.50

$563.77

$165.66

$26.98

$6.50

$1,556.92

$45.75

$2,667.16

$1,127.10

$87.68

$6.50

$1.74

$6.50

$143.42

$17.91

$6.50

$88.75

City Of Chicago - Confidential

Page 178 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12711/2006 12711/2006 12/11/2006 12/11/2006 12/11/2006 12/11/2006 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002

Hill, Reginald

Hihn-Czyscon,

Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi

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 P

00006 00006 00006 00006 00006 00006 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050

$1.72

$6.50

$141.99

$1.07

$6.50

$1,479.07

$202.41

$1.72

$6.50

$117.07

$2.58

$6.50

$175.60

$1.72

$6.50

$117.07

$1.72

$6.50

$117.07

$2.58

$6.50

$175.60

$2.58

$6.50

$175.60

$2.58

$6.50

$175.60

$1.43

$6.50

$16.44

$20.04

$6.50

City Of Chicago - Confidential

Page 179 of 249

Incident Date Claimant

Rank

Unit ot

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 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 Poll 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 Pol City Of Chicago Poli

04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 .04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002

Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon, Hihn-Czyscon,

Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi Heidi

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 P

00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050

Pol Poli Pol

ce ce

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

$2.58

$6.50

$175.60

$58.18

$8.56

$6.50

$18.76

$1.72

$6.50

$117.07

$1.72

$6.50

$117.07

$6.50

$1.72

$6:50

$117.07

$11.07

$6.50

$754.19

$2.65

$6.50

$180.49

$9.58

$6.50

$652.73

$2.58

$6.50

$175.60

$2.58

$6.50

$175.60

$5.54

City Of Chicago - Confidential

Page 180 of 249

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 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 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 Pol; City Of Chicago Pol City Of Chicago Poli

04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 01/15/2004 11/23/2005 03/25/2010 03/25/2010 03/25/2010 09/04/2010 02/05/2010 02/05/2010 02/05/2010

Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hicks, Nathan Hernandez, Sonia HYNES, MICHAEL HYNES, MICHAEL HYNES, MICHAEL HYDE,AUGUST HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID

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 9161 9161 9161 9161 9161 9161

00050

00044

00023

044

016 016 016

Pol

Poli Poli

ce ce ce ice ce ce ce ce ice ce ce ce ce ce ce ce ce ce ice ce ce ce Ice ice ice ce ce ice ice ce ce ice ce

$6.50

$377.57

$2.58

$6.50

$175.60

$2.58

$6.50

$175.60

$4.54

$6.50

$309.28

$14.95

$6.50

$1,234.77

$2.58

$6.50

$175.60

$2.58

$6.50

$175.60

$3.01

$6.50

$175.60

$6.50

$433.50

$6.50

$2.97

$6.50

$0.30

City Of Chicago - Confidential

Page 181 of 249

Incident Date Claimant Rank

02705/2010 HUNDRIESER, DAVID 9161

02/05/2010 HUNDRIESER, DAVID 9161

01/10/2011 HUH, BENJAMIN 3286

04/07/2010 HUGHEY, ROSHAUN

11/24/2010 HUFF JR, HAROLD 9161

02/20/2010 HORAN, MARIANNE

Unit of Insured Total to be Paid

016 City Of Chicago Police $192.40

016 City Of Chicago Police $6.50

016 City Of Chicago Police $10.93

016 City Of Chicago Police $738.48

016 City Of Chicago Police $14.02

016 City Of Chicago Police $60.70

016 City Of Chicago Police $18.66

016 City Of Chicago Police $42.44

016 City Of Chicago Police $13.33

016 City Of Chicago Police $6.50

016 City Of Chicago Police $244.40

016 City Of Chicago Police $13.33

016 City Of Chicago Police $6.50

016 City Of Chicago Police $244.40

016 City Of Chicago Police $31.68

016 City Of Chicago Police $6.50

016 City Of Chicago Police $73.10

016 City Of Chicago Police $10.82

016 City Of Chicago Police $6.50

016 City Of Chicago Police $187.85

016 City Of Chicago Police $6.50

016 City Of Chicago Police $91.35

016 City Of Chicago Police $38.01

016 City Of Chicago Police $8.95

016 City Of Chicago Police $6.50

044 City Of Chicago Police $746.15

044 City Of Chicago Police $6.50

044 City Of Chicago Police $19.07

City Of Chicago Police $114.00

City Of Chicago Police $6.50

189 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 182 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02720/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 11/12/2010 11/12/2010 12/06/2010 12/06/2010

HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HOPKINS, TERRY HOPKINS, TERRY HOGAN, SEAN HOGAN, SEAN

Poli Poll Poli

9161 9161 9161 9161

334 334

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

ce ce

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

$768.00

$6.50

$38.44

$768.00

$6.50

$384.00

$38.44

$6.50

$768.00

$19.22

$6.50

$384.00

$19.22

$6.50

$384.00

$19.22

$384.00

$58.33

$6.50

$213.99

$175.84

$6.50

$574.88

$19.22

$6.50

$384.00

$39.42

$6.50

$31.00

$6.50

$1,001.70

$6.50

City Of Chicago - Confidential

Page 183 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/06/2010 HOGAN, SEAN

11/05/2010 HILLIARD, ROBERT

11 /05/2010 HILLIARD, ROBERT

11/05/2010 HILLIARD, ROBERT

08/04/2010 HILL, COURTNEY

04/29/2010 HETLAND, PATRICIA

09/27/2010 HERNANDEZ, PRISCILLA

9161

9161 9161 9161 9161 9161 9161

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

715 715 715 715 715 715 044 044

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 lice lice lice lice lice lice lice

$14.91

$20.98

$6.50

$516.96

$56.15

$6.50

$67.47

$3.01

$6.50

$74.11

$3.01

$6.50

$74.11

$1.00

$6.50

$66.45

$19.09

$6.50

$82.83

$51.19

$1.31

$6.50

$64.10

$6.50

$0.78

$8.02

$210.50

$6.50

$8.02

$210.50

$6.50

$8.02

$241.70

City Of Chicago - Confidential

Page 184 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/27/2010 09/27/2010 09/27/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 12/19/2010 12/19/2010 12/19/2010 11/19/2008 11/19/2008 11/19/2008 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

HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ, HERNANDEZ,

PRISCILLA

MARK

JOSE

DANIEL

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

$210.50

$6.50

$8.89

$93.84

$3.95

$6.50

$326.38

$0.46

$6.50

$98.67

$6.50

$334.60

$6.50

$6.60

$205.44

$273.92

$6.50

$40.35

$6.50

$1,123.98

$6.50

$269.88

$6.50

$269.88

$6.50

$3,276.81

$6.50

$269.88

$6.50

$165.04

$40.31

$6.50

City Of Chicago - Confidential

Page 185 of 249

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

08/03/2010 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 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 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010

HENRY, NICOLE HENKES, NICOLE HENKES, NICOLE HENKES, NICOLE HENKES, NICOLE HENKES, NICOLE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, RYAN HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON

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

007 007 007 007 007

044 044 044 044 044 044

123 123 123 123 123 123 123

Pol

Pol, Poli

$32.73

$6.50

$0.83

$1,009.41

$6.50

$93.84

$2,004.56

$6.50

$20.78

$130.74

$6.50

$5.25

$21.49

$6.50

$192.00

$82.00

$1.00

$6.50

$82.83

$8.80

$234.10

$8.80

$6.50

$6.55

$6.50

$327.53

$15.36

$6.50

$107.86

$2.46

City Of Chicago - Confidential

Page 186 of 249

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

04/19/2010 HARRIS, CHARLESTON

04/06/2010 HARPER, RITA

12/09/2010 HARDY, DARRYL

12/03/2010 HANDZEL, LANCE

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

123 123 123 123 123

311 311 311 008 008 008 008 008 008 008 008 008 008

lice lice lice lice lice lice lice lice lice lice lice lice lice dice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$60.72

$4.40

$6.50

$378.48

$285.95

$3.46

$6.50

$707.70

$6.50

$29.79

$6.50

$80.49

$1.16

$6.50

$95.65

$3.63

$6.50

$299.77

$136.23

$6.50

$40.13

$840.00

$6.50

$872.38

$6.50

$346.70

$1.29

$6.50

$555.57

$6.50

$108.99

$6.50

City Of Chicago - Confidential

Page 187 of 249

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

12/03/2010 HANDZEL, LANCE

10/29/2010 HAMMERMEISTER, CRAIG

10/02/2010 HALLINAN, SHAWN

12/11/2009 HALLINAN, ANNETTE

04/20/2010 HALLINAN, ANNETTE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9164 9164 9164 9164 9164 9164 9164 9164

9161 9161 9161 9161 9161 9161 9161

008 008 008 008 008 008

016 016 016 016 016 016 016

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

$467.47

$13.96

$6.50

$23.92

$6.50

$213.00

$2.13

$6.50

$83.45

$6.50

$101.70

$63.18

$6.50

$281.70

$9.49

$6.50

$7.20

$6.50

$335.10

$6.50

$91.35

$6.50

$91.35

$6.50

$91.35

$5.61

$6.50

$687.86

$6.50

$10.08

$0.29

City Of Chicago - Confidential

Page 188 of 249

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

04/20/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 02/16/2003 09/28/2004 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003

HALLINAN, ANNETTE HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD

Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinsk Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski Golosinski

Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark Mark

9161

016

00011 00024 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011

jo Pol Pol Pol 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

$19.51

$10.33

$330.09

$6.50

$12.79

$251.55

$6.50

$0.88

$8,542.69

$72.97

$17.31

$6.50

$1,429.78

$17.83

$6.50

$567.05

$31.20

$6.50

$914.82

$7.96

$6.50

$252.94

$6.73

$6.50

$213.60

$6.54

$6.50

$327.05

$9.92

$6.50

$272.00

$10.12

$6.50

City Of Chicago - Confidential

Page 189 of 249

Incident Date Claimant Rank

02/16/2003 Golosinski, Mark P

09/28/2004 Golosinski, Mark P

02/16/2003 Golosinski, Mark P

10/16/2005 Gleason-Galich, Colleen P

08/17/1990 Gillott, David A P

04/03/2007 George, Parris P

Unit of Insured Total to be Paid

00011 City Of Chicago Police $300.43

00024 City Of Chicago Police $1,708.55

00024 City Of Chicago Police $103.41

00024 ' City Of Chicago Police $6.50

00011 City Of Chicago Police $6.50 00016 City Of Chicago Police $9.19 00016 City Of Chicago Police $6.50 00016 City Of Chicago Police $199.20 00016 City Of Chicago Police $30.16 00016 City Of Chicago Police $6.50 00016 City Of Chicago Police $199.20 00016 City Of Chicago Police $9.19

00012 City Of Chicago Police $1.29 00012 City Of Chicago Police $6.50 00012 City Of Chicago Police $88.23 00012 City Of Chicago Police $5.01 00012 City Of Chicago Police $88.23 00012 City Of Chicago Police $341.47 00012 City Of Chicago Police $1.29 00012 City Of Chicago Police $6.50 00012 City Of Chicago Police $6.50 00015 City Of Chicago Police $255.61 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $561.65 00015 City Of Chicago Police $20.87 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $621.87 00015 City Of Chicago Police $31.09 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $859.99 00015 City Of Chicago Police $9.40 00015 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 190 of 249

Incident Date Claimant Rank

04/03/2007 George, Parris P

10/21/2007 Gawlowski, Iwona P

04/06/2008 Garza, Armando P

09/29/2010 GUTIERREZ, VICTORIA 9161

Unit of_Insured_Total to be Paid

00015 City Of Chicago Police $256.59

00015 City Of Chicago Police $4.62

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $113.82

00015 City Of Chicago Police $11.97

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $98.45

00015 City Of Chicago Police $9.39

00015 City Of Chicago Police $22.79

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $1.16

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $95.65

00006 City Of Chicago Police $27.49

00006 City Of Chicago Police $90.48

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $29.58

00006 City Of Chicago Police $514.31

012 City Of Chicago Police $6.50

012 City Of Chicago Police $134.93

012 City Of Chicago Police $6.50

012 City Of Chicago Police $3.28

012 City Of Chicago Police $378.88

012 City Of Chicago Police $6.50

012 City Of Chicago Police $960.17

012 City Of Chicago Police $6.50

012 City Of Chicago Police $87.19

012 City Of Chicago Police $6.50

012 City Of Chicago Police $378.88

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1,255.00

012 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 191 of 249

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 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 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 Po,

09/29/2010 GUTIERREZ, VICTORIA

10/10/2010 GUNNING, JOSEPH

11/01/2010 GUERRA, CINDY

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

012 012 012 012 012 012 012 012

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

$73.97

$311.41

$6.50

$243.94

$6.50

$332.80

$6.50

$1,100.54

$2.79

$125.96

$6.50

$1.85

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$190.27

$6.50

$2.79

$188.94

$6.50

$2.77

$190.27

$1.86

$6.50

$126.84

$1.86

$6.50

$126.84

$6.50

City Of Chicago - Confidential

Page 192 of 249

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 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 Pol City Of Chicago Pol 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 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

11/01/2010 11/01/2010 11/01/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 11/16/2010 11/16/2010 11/16/2010 02/22/2009 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/14/2009 10/14/2009 10/14/2009 10/14/2009 11/22/2010 11/22/2010 11/22/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010

GUERRA, CINDY GUERRA, CINDY GUERRA, CINDY GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GROSSJR,FRED GROSSJR,FRED GROSS JR,FRED GRIMM, THOMAS GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GREEN, RICHARD GREEN, RICHARD GREEN, RICHARD GREEN, RICHARD GRAY, JOSEPH GRAY, JOSEPH GRAY, JOSEPH GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL

9171 9171 9171 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9165 9165 9165 9165 9161 9161 9161

153 153 153 012 006 006 006 006

007 007 007

Poli Poli Poli

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

$45.00

$175.41

$6.50

$280.50

$6.50

$11.39

$6.50

$456.55

$6.50

$2,286.09

$1.16

$6.50

$95.65

$12.87

$404.82

$6.50

$337.35

$6.50

$1.29

$280.03

$6.50

$88.23

$6.50

$144.27

$6.85

$758.55

$6.50

$117.09

$258.05

$11.08

$6.50

$19.43

$331.50

City Of Chicago - Confidential

Page 193 of 249

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 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

05/19/2010 GRANNES, DANIEL

11/01/2010 GRAHAM, BRIAN

01/12/2011 GRACIA, ANTHONY

11/21/2010 GOUGIS, JEFFREY

07/31/2010 GOODWIN, TURNER

10/22/2010 GOODRICH, WILLIAM

08/26/2010 GONZALEZ, FRANCISCO

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

044 044 044 044 044 044

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

$6.50

$26.41

$74.11

$6.50

$10.27

$120.35

$206.80

$3.01

$5.90

$338.22

$6.50

$10.34

$4.09

$6.50

$101.70

$1.52

$125.69

$6.50

$96.62

$6.50

$1.17

$20.19

$513.04

$6.50

$912.93

S36.01

$1.29

$6.50

$88.23

$492.43

$2.31

$6.50

City Of Chicago - Confidential

Page 194 of 249

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

04/29/2010 04/29/2010 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 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 10/23/2010 10/23/2010 10/23/2010 07/04/2010

GONZALEZ, BILLY GONZALEZ, BILLY GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOLDEN,KENNETH GOLDEN,KENNETH GOLDEN, KENNETH GODINEZ, WILBERT

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

014 014 014 014 014 014 014 014 014 014 014 014 014 014 014 014 014 014

9161 9161 9161 9161

019 019 019

lice ilice 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

$48.81

$1.24

$280.27

$88.23

$6.50

$7.16

$210.20

$131.72

$6.50

$79.43

$6.50

$1.29

$252.25

$6.50

$6.43

$1.93

$6.50

$5.36

$6.50

$2.02

$267.15

$6.50

$16.74

$6.50

$3.58

$87.81

$6.50

$1.29

$762.63

$6.50

$7.16

$176.45

$202.41

City Of Chicago - Confidential

Page 195 of 249

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

07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 05/25/2010 05/25/2010 05/25/2010 12/21/2010 12/21/2010 12/21/2010 07/22/2010 07/22/2010 07/22/2010 05/19/2010 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

GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GIORDANO, NICOLA GIORDANO, NICOLA GIORDANO, NICOLA GILLESPIE, ANTHONY GILLESPIE, ANTHONY GILLESPIE, ANTHONY GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GHOLSTON, RENITA GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY

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

0454

019

003

Poli Poli Poli

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

$6.50

$350.68

$6.50

$134.94

$14.08

$6.50

$216.95

$6.50

$11.03

$6.50

$169.99

$6.50

$165.04

$6.50

$176.45

$7.16

$118.14

$6.50

$9.06

$3.47

$85.58

$6.50

$472.29

$6.50

$290.12

$6.50

$934.23

$677.26

$337.35

$6.50

$337.35

City Of Chicago - Confidential

Page 196 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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

09/0112010 GAYTAN, PEGGY

09/01/2010 GAYTAN .PEGGY

09/01/2010 GAYTAN, PEGGY

11/28/2009 GAYTAN, LUIS

06/26/2010 GAWLOWSKI, RADOSLAW

06/26/2010 GAWLOWSKI,.RADOSLAW

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

017 017 017 017 017 017 017 017 017 017 017 017 017 017 017 017 017 017 017 017 017 017 017

$17.31

$6.50

$234.14

$2,257.20

$6.50

$57.69

$175.60

$6.50

$2.58

$68.29

$6.50

$1.00

$18.69

$73.68

$88.23

$6.50

$1.29

$234.14

$6.50

$3.44

$1.29

$6.50

$3.44

$88.23

$6.50

$917.63

$6.50

$272.98

$38.68

$6.50

$987.91

$41.68

City Of Chicago - Confidential

Page 197 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/26/2010 GAWLOWSKI, RADOSLAW

05/26/2010 GARCIA, MARGARITA

07/11/2010 GARCIA, JOSE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

018 018 018 018 018 018 018 018 018 018 018

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

$6.50

$1,088.37

$35.26

$6.50

$11.13

$18.67

$5.02

$6.50

$125.35

$19.15

$11.96

$194.19

$6.50

$100.68

$261.92

$6.50

$221.10

$8.80

$6.50

$234.10

$95.15

$6.50

$1,359.75

$8.78

$6.50

$214.25

$9.13

$6.50

$204.75

$6.50

$215.91

$6.50

$2,206.72

City Of Chicago - Confidential

Page 198 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 09/03/2010 09/03/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010

GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLFO GARCIA, ADOLFO GANNON JR,THOMAS GANNON JR, THOMAS GANNON JR, THOMAS GANNON JR, THOMAS GANNON JR, THOMAS GANNON JR, THOMAS

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

011 011 011 011 011 011

$8.80

$6.50

$234.10

$8.80

$6.50

$234.10

$10.35

$6.50

$189.90

$11.22

$6.50

$1,785.24

$6.50

$1,442.72

$164.41

$5.16

$111.86

$6.50

$1,785.24

$6.50

$238.73

$0.53

$6.50

$25.60

$6.50

$1.47

$440.00

$17.11

$6.50

City Of Chicago - Confidential Page 199 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/04/2008 06/13/2001 06/13/2001 06/13/2001 06/13/2001 06/13/2001 06/13/2001 06/13/2001 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006

GALLARDO, SAUL GALLARDO, SAUL GALLARDO, SAUL GALLARDO, SAUL GALLARDO, SAUL GALLARDO, SAUL GALLARDO, SAUL GALLARDO, SAUL GALLARDO, SAUL Flynn, Robert Finocchio, Anthony D Finocchio, Anthony D Finocchio, Anthony D Finocchio, Anthony D Finocchio, Anthony D Finocchio, Anthony D Finocchio, Anthony D Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin

9161

00018 00014 00014 00014 00014 00014 00014 00014 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015

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 Ciry 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

S21.22

$6.50

$120.92

$10.15

$130.29

$56.56

$28.77

$6.50

$81.70

$1,998.23

$6.50

$51.06

$311.38

$6.50

$100.68

$6.50

$196.99

$44.44

$6.50

$253.10

$19.43

$6.50

$258.05

$6.50

$196.99

$44.44

$6.50

$253.10

$26.41

$6.50

City Of Chicago - Confidential

Page 200 of 249

Incident Date Claimant Rank

06/12/2006 Figueroa, Edwin P

06/12/2006 Figueroa. Edwin P

06/12/2006 Figueroa, Edwin P

12/28/2001 Fenner, Lolita P

07/22/2007 Fenner, Lolita P

12/28/2001 Fenner, Lolita P

03/20/2010 FUENTES, HECTOR 9161

06/03/2010 FRANO JR, WAYNE 9161

Unit of_Insured_Total to be Paid

00015 City Of Chicago Police $331.50

00015 City Of Chicago Police $44.44

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $20.30

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $289.25

00015 City Of Chicago Police $253.10

00015 City Of Chicago Police $48.22

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $269.89

00015 City Of Chicago Police $33.48

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $196.99

00015 City Of Chicago Police $19.43

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $33.48

00015 City Of Chicago Police $331.50

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $26.41

00015 City Of Chicago Police $258.05

00015 City Of Chicago Police $6.50

00015 City Of Chicago Police $19.43

00015 City Of Chicago Police $34.27

00001 City Of Chicago Police $6.11

00001 City Of Chicago Police $6.50

00376 City Of Chicago Police $36.53

00376 City Of Chicago Police $43.29

00376 City Of Chicago Police $6.50

00001 City Of Chicago Police $98.45

City Of Chicago Police $802.80

City Of Chicago Police $16.06

044 City Of Chicago Police $27.68

044 City Of Chicago Police $352.91

City Of Chicago - Confidential

Page 201 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/03/2010 09/17/2010 09/17/2010 09/17/2010 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 06/04/2010 06/04/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010

FRANO JR, WAYNE FORD, BRUCE FORD,BRUCE FORD,BRUCE 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 FLYNN, MARK FLYNN, MARK FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL

9161

044

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9158 9158 9161 9161 9161 9161 9161 9161 9161

603 603 189 189 189 189 189 189 189

$6.50

$8.26

$213.20

$6.50

$215.91

$6.50

$794.03

$11.94

$6.50

$118.30

$14.86

$6.50

$176.15

$17.64

$46.92

$166.27

$42.63

$8.26

$6.50

$213.20

$6.50

$47.61

$6.50

$1,173.00

$31.71

$19.70

$471.00

$250.00

$6.50

$9,061.00

$6.50

City Of Chicago - Confidential

Page 202 of 249

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

08/28/2010 08/28/2010 08/28/2010 08/10/2010 08/10/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010

FLORES, JULIO FLORES, JULIO FLORES, JULIO FLISK, TIMOTHY FLISK, TIMOTHY . FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET

9161 9161 9161 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

025 025 025 008 008

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

$6.50

$1.38

$143.48

$6.50

$13.33

$228.70

$244.40

$8.89

$6.50

$241.70

$8.89

$6.50

$241.70

$2.96

$6.50

$244.44

$1.47

$6.50

$25.60

$8.89

$6.50

$241.70

$6.50

$11.31

$254.05

$6.50

$12.95

$183.41

$6.50

$2.22

$241.70

$6.50

City Of Chicago - Confidential

Page 203 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/25/2010 FLISK, MARGARET

01/10/2011 FLAHERTY, KENNETH

10/12/2010 FITZGERALD, JOSEPH P

11/18/2008 FINLEY, ALLEN

11/17/2010 FIGUEROA, EDDIE

05/20/2010 FIELDS, JEROHN

05/20/2010 FIELDS. JEROHN

05/20/2010 FIELDS, JEROHN

9171 9171 P.O. P.O.

9161 9161 9161 9161 9161 9161 9161 9161

002 002 002 002 002 002 002 002

$8.89

$6.50

$475.51

$10.92

$3.91

$6.50

$257.40

$6.50

$266.76

$106.60

$6.50

$6.98

$1,403.31

$58.43

$6.50

$88.23

$6.50

$1.29

$483.58

$6.50

$7.10

$88.23

$1.51

$6.50

$1.16

$6.50

$95.65

$9.87

$6.50

$125.10

$817.44

$6.50

City Of Chicago - Confidential

Page 204 of 249

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 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 Po City Of Chicago Pol City Of Chicago Pol

01/09/2010 09/14/2010 09/14/2010 09/14/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 03/22/2008 03/22/2008 03/22/2008 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000

FERENZI, RICHARD FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER Evans, David J Evans, David J Evans, David J Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen

9161

9169

9161

153

055

393

00008

00016

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

$66.24

$16.02

$6.50

$55.34

$780.08

$6.50

$67.47

$160.52

$19.40

$6.50

$165.65

$78.43

$332.85

$6.50

$152.60

$17.53

$6.50

$1,002.40

$6.50

$25.46

$33.01

$6.50

$78.64

$14.80

$100.68

$6.50

$140.13

$6.50

$85.84

$6.50

$2.19

City Of Chicago - Confidential

Page 205 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poll City Of Chicagi 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 Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll 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 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

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 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 08/15/2010 08/15/2010 08/15/2010 08/12/2009 06/03/2010 06/03/2010 06/03/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010

ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ENG, DOUGLAS ENG,DOUGLAS ENG, DOUGLAS EGAN, JAMES EDWARDS, TRACEY EDWARDS, TRACEY EDWARDS, TRACEY ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES

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

9171

9161 9161 9161 9161

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

017

|0 Pol Poli Poli Poli

015 015 015 015

$5.91

$187.20

$6.50

$5.91

$187.20

$6.50

$5.91

$187.20

$6.50

$10.05

$257.40

$6.50

$10.92

$226.20

$6.50

$10.05

$257.40

$6.50

$10.92

$24.99

$226.20

$29.52

$6.50

$19.18

$18.00

$6.50

$135.16

$27.65

$6.50

$15.50

$187.20

$6.50

City Of Chicago - Confidential

Page 206 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago 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 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 Pol City Of Chicago Pol 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 08/08/2010 08/08/2010 08/08/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2004 11/18/2004 11/18/2004 11/18/2004 11/18/2004 11/18/2004 11/18/2004 11/18/2004 11/18/2004 11/18/2004 11/18/2004 11/18/2004

ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHOLS, JAMES ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek Dorau, Leszek

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161

015 015 015 015 015 015 015 015 015 015

014

00006

Pol Poli Poli

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

$14.23

$176.15

$6.50

$14.86

$165.10

$3,222.73

$6.50

$196.91

$6.50

$14.86

$6.05

$6.50

$149.10

$6.50

$149.10

$6.50

$0.77

$18.73

$6.05

$136.80

$6.50

$234.10

$6.50

$13.75

$12.56

$6.50

$282.75

$7.93

$6.50

$202.90

$11.32

$6.50

$290.65

City Of Chicago - Confidential

Page 207 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/18/2004 Dorau, Leszek

07/14/1988 Domagala, Bernard

05/27/2007 Darling, Vincent

08/01/2010 DVORATCHEK, JENNIFER

08/14/2010 DURHAM, SHENETTA

05/04/2010 DUNK, JOSEPH

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 9161 9161 9161 9161 9161 9164 9164

00006

09999

00021

015

007 007

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 lice lice lice lice lice ilice

$10.05

$6.50

$226.20

$8.80

$6.50

$139.50

$8.80

$6.50

$234.10

$8.26

$6.50

$186.55

$13.83

$6.50

$347.20

$11.32

$6.50

$290.65

$6.50

$87.19

$480.00

$6.50

$177.69

$47.23

$6.50

$5.16

$127.04

$6.50

$8.21

$113.77

$304.41

$13.25

City Of Chicago - Confidential

Page 208 of 249

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 Pol

05/04/2010 DUNK, JOSEPH

11/05/2008 DUIGNAN, MARK

11/15/2010 DUCKHORN, NICHOLAS

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

9161 9161

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

044 044

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 lice lice lice lice lice

$6.50

$326.46

$6.50

$12.36

$6.50

$326.46

$13.25

$3,166.71

$334.80

$6.50

$13.60

$269.11

$6.50

$10.93

$326.46

$6.50

$13.15

$6.50

$323.82

$13.15

$6.50

$323.82

$6.50

$1,025.68

$13.15

$6.50

$323.82

$13.25

$40.75

$6.50

$11.33

$3.76

$6.50

City Of Chicago - Confidential

Page 209 of 249

Incident Date Claimant

Rank

Unit ot

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 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 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 Po City Of Chicago Poi City Of Chicago Pol City Of Chicago Po¹

11/15/2010 DUCKHORN, NICHOLAS

11/23/2010 DUCAR, PHILIP

07/24/2010 DU BOSE, GERMAINE

05/12/2010 DRAGON, JEAN

09/27/2010 DOYLE, KATHLEEN

09/09/2010 DOWLING, DANIEL

01/31/2010 DOUGHERTY, BRANDON

9161 9161 9161 9165 9165 9165

9161 9161 9161 9161 9161 9161

044 153 153 620 620 620

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

$310.60

$6.50

$804.13

$50.03

$6.50

$1,233.28

$1,351.79

$36,025.85

$2.01

$6.50

$61.62

$14.47

$6.50

$251.58

$6.50

$290.12

$54.50

$6.50

$690.00

$75.67

$6.50

$369.00

$6.50

$207.59

$6.50

$1,244.56

$285.44

$6.50

$67.50

$1.73

City Of Chicago - Confidential

Page 210 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 03/25/2010 03/25/2010 03/25/2010 03/25/2010 03/25/2010 03/25/2010 06/10/2009 06/10/2009 07/07/2009

DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DORRIS, JOHN DONOVAN, DAVID DONOVAN, DAVID DONOVAN, DAVID DONOVAN, DAVID DONOVAN, DAVID DONOVAN, DAVID DOMIO, MALCOLM DOMIO, MALCOLM DISMUKES, MARCUS

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

009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 018 018 018 018 018 018

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

$332.12

$6.50

$350.79

$6.50

$290.59

$6.50

$226.25

$6.50

$301.92

$6.50

$283.06

$6.50

$332.12

$6.50

$280.23

$6.50

$290.59

$6.50

$280.23

$332.12

$6.50

$642.48

$6.50

$297.89

$6.50

$114.00

$6.50

$1,634.00

$32.16

$8.24

City Of Chicago - Confidential

Page 211 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 12/08/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 09/12/2009

DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DIMOFF, DAVID DIMOFF, DAVID DIMOFF, DAVID DIMOFF, DAVID DIMOFF, DAVID DIMOFF, DAVID DIAZ, EDWIN DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DENNIS, ANDRE

9161 9161 9161 9161 9161 9161 9161 9161

044 312 312 312 312 312 312 005

$6.50

$680.31

$4.57

$6.50

$377.62

$4.33

$6.50

$357.92

$6.50

$715.26

$3.58

$6.50

$295.78

$8.93

$6.50

$737.50

$3.64

$6.50

$300.73

$224.87

$69.65

$6.50

$50.92

$7.38

$6.50

$12.53

$3.94

$6.50

$326.16

$1.16

$6.50

$95.65

$87.19

City Of Chicago - Confidential

Page 212 of 249

Incident Date Claimant Rank

09/12/2009 DENNIS, ANDRE 9161

03/20/2010 DELGADO JR, PABLO 9161

10/01/2010 DECKER, LISA 9206

Unit of Insured Total to be Paid

005 City Of Chicago Police $615.60

005 City Of Chicago Police $1,231.20

005 City Of Chicago Police $166.27

005 City Of Chicago Police $25.32

005 City Of Chicago Police $15.25

005 City Of Chicago Police $6.50

005 City Of Chicago Police $180.81

005 City Of Chicago Police $221.07

005 City Of Chicago Police $6.50

005 City Of Chicago Police $309.50

005 City Of Chicago Police $30.50

005 City Of Chicago Police $309.50

005 City Of Chicago Police $30.50

005 City Of Chicago Police $154.75

005 City Of Chicago Police $15.25

005 City Of Chicago Police $154.75

005 City Of Chicago Police $15.25

005 City Of Chicago Police $154.75

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $202.40

009 City Of Chicago Police $6.50

009 City Of Chicago Police $228.32

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

020 City Of Chicago Police $26.00

020 City Of Chicago Police $18.40

020 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 213 of 249

Incident Date Claimant Rank

08/31/2010 DEBOSE, MARC 9161

05/05/2009 DAVIS, MONICA 9161

01/01/2011 DAVIS, CRAIG 9161

09/11/2010 DAVIS III, AARON 9161

10/11/2010 DAVIDSON, SUZETTE 9165

Unit of_Insured_Total to be Paid

315 City Of Chicago Police S16.46

315 City Of Chicago Police $822.91

315 City Of Chicago Police $3.53

315 City Of Chicago Police $6.50

315 City Of Chicago Police $291.02

315 City Of Chicago Police $3.47

315 City Of Chicago Police $6.50

315 City Of Chicago Police $286.09

315 City Of Chicago Police $291.02

315 City Of Chicago Police $6.50

315 City Of Chicago Police $3.53

315 City Of Chicago Police $351.87

315 City Of Chicago Police $4.27

315 City Of Chicago Police $6.50

006 City Of Chicago Police $386.68

006 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 $283.48

003 City Of Chicago Police $4,809.76

003 City Of Chicago Police $6.50

610 City Of Chicago Police $288.50

610 City Of Chicago Police $288.04

610 City Of Chicago Police $6.50

610 City Of Chicago Police $613.95

610 City Of Chicago Police $6.50

610 City Of Chicago Police $340.43

610 City Of Chicago Police $6.50

610 City Of Chicago Police $87.19

610 City Of Chicago Police $6.50

610 City Of Chicago Police $87.19

City Of Chicago - Confidential

Page 214 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/26/2010 DARWIN, CHARLOTTE

05/14/2010 DARCY, PATRICIA

10/10/2010 DANILOV, VADIM

12/20/2010 DANILOV, VADIM

09/23/2010 DALY, CHARLES

12/19/2005 Cothran, Alonzo

08/09/1995 Costello-Czubernat, Bridget

Poli Pol

9161 9161 9161 9161 9161 9161

9171

024 024 024

640

00011

00007

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

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

$6.50

$105.32

$1,533.82

$6.50

$62.27

$9.52

$6.50

$7.36

$2,596.48

$5.25

$6.50

$91.36

$23.54

$6.50

$920.89

$890.25

$6.50

$8.40

$18.76

$734.09

$6.50

$46.44

$760.51

$6.50

$84.92

$6.50

$84.92

$6.50

$87.19

$84.92

$6.50

City Of Chicago - Confidential

Page 215 of 249

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

08/09/1995 Costello-Czubernat, Bridget

12/16/2006 Connelly, Dennis M

12/16/2006 Connelly. Dennis M

02/07/2003 Ciampaglia, Daniel R

12/24/2007 Chmielik, Joseph

08/16/2007 Chaparro, Eloisa

00007 00007 00007 00007 00007 00007 00007 00007 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00021 00021 00021 00018 00018 00018 00193 00193 00193 00193

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 lice lice

$84.92

$7.73

$6.50

$78.48

$84.92

$6.50

$84.92

$1.05

$235.06

$86.78

$1.51

$6.50

$652.17

$0.83

$6.50

$235.06

$1.51

$6.50

$652.17

$0.83

$6.50

$9.91

$57.59

$6.50

$103.37

$2,676.77

$6.50

$1,389.19

$11.34

$169.65

City Of Chicago - Confidential

Page 216 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 05/12/2008 05/12/2008 10/19/2010 10/19/2010 10/19/2010 05/28/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 11/30/2010 11/30/2010 11/30/2010 11/30/2010 11/30/2010 11/30/2010 11/30/2010 11/30/2010 10/28/2010 10/28/2010 10/28/2010 01/13/2010 01/13/2010 01/05/2011 01/05/2011 01/05/2011

Chaparro, Eloisa Chaparro, Eloisa Chaparro, Eloisa Chaparro, Eloisa Chaparro, Eloisa Chaparro, Eloisa Chaparro, Eloisa Catanzara, John Catanzara, John CYGNAR, BRIAN CYGNAR, BRIAN CYGNAR, BRIAN CULLINAN, MARILYN CUEVAS, JUAN CUEVAS, JUAN CUEVAS, JUAN CUEVAS, JUAN CRUMP, MARIE CRUMP. MARIE ■ CRUMP, MARIE CRUMP, MARIE CRUMP, MARIE CRUMP, MARIE CRUMP, MARIE CRUMP, MARIE CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, CLARETHA CROSS, CLARETHA CRAWFORD, TENISHIA CRAWFORD, TENISHIA CRAWFORD, TENISHIA

P P P P P P P P P

9161 9161 9161

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

9161 9161 9161 9161 9161

00193

00018

314

007 007

$11.34

$6.50

$169.65

$35.50

$134.93

$6.50

$1,215.23

$6.50

$88.79

$3,474.40

$6.50

$441.44

$39.00

$300.00

$6.50

$207.59

$4.46

$6.50

$10.62

$102.80

$6.50

$122.82

$6.50

$157.00

$13.50

$809.64

$6.50

$275.06

$6.50

City Of Chicago - Confidential

Page 217 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/05/2011 01/05/2011 01/05/2011 01/05/2011 01/05/2011 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 12/05/2009 09/23/2009 09/23/2009 12/16/2010 12/16/2010 12/16/2010 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 05/23/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009

CRAWFORD, TENISHIA CRAWFORD, TENISHIA CRAWFORD, TENISHIA CRAWFORD, TENISHIA CRAWFORD, TENISHIA CRADICK, EDWARD CRADICK, EDWARD CRADICK, EDWARD CRADICK, EDWARD CRADICK, EDWARD CRADICK, EDWARD CRADICK, EDWARD COX, PAULINE CORTES, GUSTAVO CORTES, GUSTAVO CORIELL, JOHN CORIELL, JOHN CORIELL, JOHN CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONROY, BRIDGET CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN

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

9161 9161 9161 9161 9161

008 008 715 715 715

007 007 007 007

$83.04

$6.50

$52.00

$854.00

$421.70

$6.50

$127.04

$6.50

$305.19

$5.16

$59.92

$288.84

$5.78

$296.89

$6.50

$89.40

$539.54

$6.50

$6.53

$127.68

$6.50

$199.10

$1.55

$1,638.00

$2.41

$6.50

$1,621.83

$30.50

$6.50

$207.08

$6.50

City Of Chicago - Confidential

Page 218 of 249

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 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 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 City Of Chicago Poll City Of Chicago Poli

12716/2009 CONNORS, KEVIN

12/16/2009 CONNORS, KEVIN

12716/2009 CONNORS, KEVIN

12/16/2009 CONNORS, KEVIN

12716/2009 CONNORS, KEVIN

12/16/2009 CONNORS, KEVIN

12716/2009 CONNORS, KEVIN

12/16/2009 CONNORS, KEVIN

11/15/2010 CONNOLLY, KIMBERLY

08/12/2010 CONLEY, LORNA

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

Poli Poli Poli

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

$2.51

$1,401.30

$6.50

$95.65

$6.50

$1.16

$110.45

$6.50

$10.89

$154.75

$309.50

$15.25

$6.50

$154.75

$15.25

$6.50

$742.17

$6.50

$723.46

$6.50

$2,863.84

$6.50

$67.47

$6.50

$75.83

$6.50

$116.59

$75.07

$1.00

$6.50

$82.83

City Of Chicago - Confidential

Page 219 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/1272010 08/12/2010 08/12/2010 12/02/2010 12/02/2010 12/02/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 03/15/2010 03/15/2010 03/15/2010 05/27/2009 05/27/2009 05/27/2009 05/27/2009

CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA COMBS, ROBERT COMBS, ROBERT COMBS, ROBERT COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLEMAN, RAMONA COLEMAN, RAMONA COLEMAN, RAMONA COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY

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

171 171 171 001 001 001 001

$26.41

$6.50

$331.50

$212.63

$8.63

$6.50

$9,076.89

$1,361.53

$10.45

$6.50

$259.45

$10.45

$226.20

$6.50

$10.05

$6.50

$226.20

$6.50

$259.45

$0.98

$6.50

$138.37

$10.05

$6.50

$226.20

$10.05

$1.16

$6.50

$95.65

$1,868.40

$628.27

$1,868.41

City Of Chicago - Confidential

Page 220 of 249

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

Unit of Insured Total to be Paid

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $2,413.35

001 City Of Chicago Police $1,989.00

001 City Of Chicago Police $3,627.00

001 City Of Chicago Police $1,323.45

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,907.33

001 City Of Chicago Police $1,829.48

001 City Of Chicago Police $2,025.00

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $502.24

001 City Of Chicago Police $336.48

001 City Of Chicago Police $24.12

001 City Of Chicago Police $91.97

001 City Of Chicago Police $238.39

001 City Of Chicago Police $78.74

001 City Of Chicago Police $502.24

001 City Of Chicago Police $112.56

001 City Of Chicago Police $28.81

001 City Of Chicago Police $35.09

001 City Of Chicago Police $172.42

001 City Of Chicago Police • $163.00

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $2,067.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $69.92

001 City Of Chicago Police $2,902.00

001 City Of Chicago Police $113,557.43

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $2,057.25

001 City Of Chicago Police $1,872.00

City Of Chicago - Confidential

Page 221 of 249

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

05/27/2009 COLE II, DENSEY ■ 9161

05/27/2009 COLE II, DENSEY 9161

Unit of Insured Total to be Paid

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $1,911.00

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $2,340.00

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $2,028.00

001 City Of Chicago Police $318.67

001 City Of Chicago Police $1,870.20

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,870.20

001 City Of Chicago Police $2,183.40

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,870.20

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,870.50

001 City Of Chicago Police $2,106.00

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $2,788.50

001 City Of Chicago Police $2,778.75

001 City Of Chicago Police $1,186.08

001 City Of Chicago Police $1,365.00

001 City Of Chicago Police $238.39

001 City Of Chicago Police $1,950.00

001 City Of Chicago Police $2,255.50

001 City Of Chicago Police $741.30

001 City Of Chicago Police $153.40

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,870.20

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,870.20

City Of Chicago - Confidential

Page 222 of 249

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

Insured

Total to be Paid

$1,868.40

$2,026.20

$1,872.00

$1,868.40

$1,870.20

$1,712.70

$2,025.90

$1,870.20

$546.00

$1,560.00

$1,040.00

$1,868.40

$715.00

$714.83

$539.77

$2,411.50

$37.83

$8.45

$52.75

$26.14

$6.50

$443.72

$33.12

$6.50

$55.34

$2,325.20

$1,868.40

$459.51

$6.50

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 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

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 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 10/25/2010 10/25/2010 10/25/2010

COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COLE II, DENSEY COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, SHAWN COBB, SHAWN COBB, SHAWN

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

001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 011 011 011 011 011 011 011 011 011 011 011 011

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 lice lice lice lice lice lice lice

$40.28

$4.70

$6.50

$661.73

$6.50

$527.44

$13.14

$6.50

$70.54

$1,872.00

$6.50

$199.75

$7.31

$6.50

$74.20

$23.60

$15.54

$84.39

$6.50

$5.01

$241.55

$6.50

$2.92

$241.55

$6.50

$2.92

$5.84

$414.10

$483.10

$266.47

$6.50

$1.25

City Of Chicago - Confidential

Page 224 of 249

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

10/25/2010 COBB, SHAWN

09/16/2010 CLEVELAND, CHARLES

10/02/2010 CLARK, JOHN

11/29/2010 CLARK, ERIC

09/17/2010 CLARK, ANDRE

09/01/2010 CIOE, MICHAEL

10/21/2010 CHINCHILLA, BANEOND

11/20/2010 CHEN, BRIAN

11 /26/2010 CHAVEZ, KELLEY

11/26/2010 CHAVEZ, KELLEY

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

9161 9161 9161

003 003 003 003 003 003 008 008 007 007

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

$146.47

$0.69

$146.47

$6.50

$6.47

$196.84

$6.50

$282.98

$6.50

$9.30

$491.13

$6.50

$70.17

$6.50

$194.00

$6.05

$149.10

$6.50

$1,403.31

$269.80

$15.51

$6.50

$98.45

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

City Of Chicago - Confidential

Page 225 of 249

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

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 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 11/26/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010

CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CHAVEZ, CEPHAS, CEPHAS, CEPHAS, CEPHAS,

KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY KELLEY RYDELL RYDELL RYDELL RYDELL

9161 9161 9161 9161

001 001 001 001

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 ice ce ce ce ce ce ce

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$11.73

$6.50

$98.45

$8.43

$6.50

$40.16

$6.50

$227.00

$6.50

$227.00

$8.13

$6.50

$65.32

$6.50

$493.00

$12.08

$6.50

$3.05

$502.84

$6.50

$251.42

City Of Chicago - Confidential

Page 226 of 249

Incident Date Claimant Rank

01/07/2010 CEPHAS, RYDELL 9161

01/18/2011 CELIO, JAVIER 3286

11/21/2010 CAVAZOS, JESSE 9161

11/28/2010 CATALAN, KURT 9161

Unit of Insured Total to be Paid

001 City Of Chicago Police $3.05

001 City Of Chicago Police $6.50

001 City Of Chicago Police $251.42

001 City Of Chicago Police $6.50

001 City Of Chicago Police $1,562.14

001 City Of Chicago Police $1.21

001 City Of Chicago Police $6.50

001 City Of Chicago Police $82.83

001 City Of Chicago Police $6.10

001 City Of Chicago Police $6.50

010 City Of Chicago Police $8.82

153 City Of Chicago Police $1.84

153 City Of Chicago Police $6.50

153 City Of Chicago Police $32.00

153 City Of Chicago Police $9.34

153 City Of Chicago Police $605.50

153 City Of Chicago Police $162.40

153 City Of Chicago Police $27.56

153 City Of Chicago Police $6.50

025 City Of Chicago Police $7.16

025 City Of Chicago Police $6.50

025 City Of Chicago Police $176.45

025 City Of Chicago Police $2.99

025 City Of Chicago Police $6.50

025 City Of Chicago Police $246.64

025 City Of Chicago Police $6.39

025 City Of Chicago Police $6.50

025 City Of Chicago Police $528.38

025 City Of Chicago Police $17.31

025 City Of Chicago Police $6.50

025 City Of Chicago Police $1,429.78

025 City Of Chicago Police $3.34

City Of Chicago - Confidential

Page 227 of 249

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 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 Poli 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 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

11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/23/2010 05/22/2010 05/21/2009 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010

CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CATALAN, KURT CARY, YVONNE CARY, YVONNE CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM

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

9161

025 025 025 025 025 025 025 025 025 025 025 025 025 025 025

018

Poli Poli Pol

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

$6.50

$276.10

$6.44

$6.50

$252.22

$6.50

$76.18

$2.99

$6.50

$246.64

$2.51

$6.50

$207.08

$6.50

$44.00

$6.50

$7.63

$70.00

$22.44

$6.50

$498.30

$11.07

$6.50

$249.15

$14.06

$6.50

$301.15

$9.21

$6.50

$189.77

$14.66

$6.50

$292.00

City Of Chicago - Confidential

Page 228 of 249

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 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 Poll 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 Poli

07/21/2010 CARROLL, WILLIAM

05/05/2010 CARO, RICHARD

12/14/2010 CARO, RICHARD

10/15/2010 CANNATA, CHRISTOPHER

12/09/2010 CANNATA, CHRISTOPHER

11/02/2010 CAMPBELL, ROBERT

12/07/2009 CALLAGHAN, BRIAN

09/11/2010 CALLAGHAN, BRIAN

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

044 044 015 015 311 311 311 311 311 311 311 311

Poli Pol Poli

9171 9171 9171

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

$6.50

$358.75

$13.78

$6.50

$43.89

$308.22

$9.34

$6.50

$311.50

$162.40

$12.64

$6.50

$300.00

$6.50

$300.00

$8.40

$6.50

$200.85

$311.38

$6.50

$200.85

$6.50

$8.40

$6.50

$11.46

$61.03

$6.50

$6.02

$116.25

$234.14

$6.50

$3.44

City Of Chicago - Confidential

Page 229 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/11/2010 09/11/2010 09/11/2010 09/11/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 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 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010

CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALHOUN, CARLYLE CALHOUN, CARLYLE CALHOUN, CARLYLE CALHOUN, CARLYLE CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDWELL, JAMES CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO

9171 9171 9171 9171

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

Poli Poli Poli

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

$21.02

$88.23

$1.29

$6.50

$231.66

$6.50

$1,941.52

$204.10

$11.65

$6.50

$191.75

$12.46

$6.50

$213.20

$13.03

$6.50

$213.20

$2.48

$6.50

$649.50

$55.33

$6.50

$205.52

$6.64

$6.50

$14.23

$187.20

$6.50

$14.23

$187.20

City Of Chicago - Confidential

Page 230 of 249

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 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 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010

CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER

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

050 050 050 050 050 050 050 050 050

Poll Poll Poli Poli

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

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

$6.50

$14.23

$187.20

$6.50

$14.23

$176.45

$6.50

$14.23

$6.50

$187.20

$6.50

$100.68

$16.02

$6.50

$231.34

$187.20

$67.47

$14.23

$6.50

$187.20

$14.23

$6.50

$187.20

$7.16

$6.50

$12.46

$305.50

$6.50

$15.96

$213.20

$6.50

$8.42

City Of Chicago - Confidential

Page 231 of 249

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

10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 09/18/2010 09/18/2010 09/18/2010 12/28/2010 12/28/2010 11/16/2010 11/16/2010 11/16/2010 09/26/2010 09/26/2010 09/26/2010 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 10/07/2007 02/28/2006 02/28/2006 06/30/2002 06/30/2002 06/30/2002 06/30/2002

CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CACOK, GENEVA CACOK,GENEVA CABRERA, DANIEN CABRERA, DANIEN CABRERA, DANIEN CABALLERO, RICK CABALLERO, RICK CABALLERO, RICK Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Jeffrey J Blanden, James L Blanden, James L Biggins, David L Biggins, David L Biggins, David L Biggins, David L

9161

050 050 050 050 050

002 002

010

00008

00018

00022

00005

Poll Poll Poll

$192.40

$6.50

$10.93

$215.91

$135.85

$1.16

$95.65

$6.50

$173.84

$78.08

$6.50

$7.66

$299.67

$6.50

$0.40

$85.45

$12.37

$131.77

$94.32

$22.95

$203.14

$12.37

$18.08

$65.46

$268.83

$58.42

$198.40

$84.92

$6.50

$155.69

$6.50

$186.82

$6.50

City Of Chicago - Confidential

Page 232 of 249

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 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 Poi 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

05/09/2002 05/09/2002 05/09/2002 07/26/2008 07/26/2008 07/26/2008 07/26/2008 05/23/2010 05/23/2010 05/23/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010

Banks, David B Banks, David B Banks, David B Badillo, Enrique Badillo, Enrique Badillo, Enrique Badillo, Enrique BUX, EMIL BUX, EMIL BUX, EMIL BUSLIK, MARC BUSLIK, MARC BUSLIK, MARC BUSLIK, MARC BUSLIK, MARC BUSLIK, MARC BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE

P P P P P P P

9161 9161 9161 9175 9175 9175 9175 9175 9175 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

00002

00014

015

022 022 022 022 022 022 022 022 022 022

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

$378.88

$816.81

$6.50

$69.22

$36.47

$2,708.64

$7.68

$6.50

$122.56

$6.19

$0.81

$67.05

$261.67

$6.50

$3.17

$6.50

$143.80

$6.50

$103.80

$6.50

$143.80

$6.50

$77.85

$6.50

$13.03

$6.50

$10.05

$6.50

$226.20

$117.33

$6.50

City Of Chicago - Confidential

Page 233 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 11/20/2010 11/20/2010 11/20/2010 11/20/2010 08/05/2010 08/05/2010 08/27/2010 08/27/2010 08/27/2010 11/24/2010

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 BUCKLEY, JOEY BUCKLEY, JOEY BUCKLEY, JOEY BUCKLEY, JOEY BUCIO, MARIA BUCIO, MARIA BROADWAY, MARGIE BROADWAY, MARGIE BROADWAY, MARGIE BROADWAY, MARGIE

9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9161 9161

9161

006 006 006 006 006 006 006 006 006 006 001 001 007 007 007 007

$1.42

$117.33

$6.50

$1.42

$220.04

$6.50

$213.20

$7.53

$6.50

$169.65

$7.53

$6.50

$169.65

$12.46

$6.50

$213.20

$12.46

$6.50

$1,167.09

$142.88

$6.67

$6.50

$454.62

$6.05

$6.50

$149.10

$6.50

$21.77

$1.86

$6.50

$608.25

$6.50

City Of Chicago - Confidential

Page 234 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/24/2010 11/24/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 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 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008

BROADWAY, MARGIE BROADWAY, MARGIE BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA

9161 9161

007 007

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

024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 171 171 171 171 171 171 171 171 171 171

$1.86

$608.25

$804.14

$9.73

$6.50

$1.21

$82.83

$6.50

$243.10

$10.77

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$1.41

$6.50

$116.37

$159.16

$316.60

$2,500.00

$6.50

$1,266.40

$6.50

City Of Chicago - Confidential

Page 235 of 249

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

06/10/2009 06/10/2009 06/10/2009 12/11/2010 12/11/2010 12/11/2010 12/11/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 10/30/2010 10/30/2010 12/21/2010 09/18/2009 09/18/2009 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

BOURRET, DARRIN BOURRET, DARRIN BOURRET, DARRIN BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BONIFAZI, RAFAEL BONIFAZI, RAFAEL BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN

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

9151

9161 9161 9161 9161 9161 9161

001 001 001 016 016 016 016 022 022 022 022 022 022 022 022 022 022 022 022

153 153 153 153 153 153

Poli Poli Pol

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

$11.55

$6.50

$176.28

$1,487.65

$18.69

$38.02

$6.50

$5.01

$236.63

$2.86

$414.10

$1.43

$6.50

$118.31

$6.50

$473.26

$5.72

$6.50

$385.08

$6.50

$71.73

$202.28

$6.50

$277.52

$6.50

$11.39

$142.50

$6.50

$5.42

$84.08

$6.50

City Of Chicago - Confidential

Page 236 of 249

Incident Date Claimant Rank

04/18/2010 BOJAN, BRYAN 9161

10/07/2010 BOGGAN, KIMBERLY 9161

10/16/2010 BOETTCHER, JASON 9161

11/05/2010 BOCANEGRA, MARCOS 9161

Unit of_Insured_Total to be Paid

153 City Of Chicago Police $570.00

153 Cily Of Chicago Police $6.50

153 City Of Chicago Police $25.25

153 City Of Chicago Police $6.50

153 City Of Chicago Police $459.00

153 City Of Chicago Police $9.78

153 City Of Chicago Police $6.50

153 City Of Chicago Police $315.00

153 City Of Chicago Police $11.11

153 City Of Chicago Police $300.00

011 City Of Chicago Police $6.50

011 City Of Chicago Police $74.11

011 City Of Chicago Police $3.01

011 City Of Chicago Police $6.50

011 City Of Chicago Police $74.11

011 City Of Chicago Police $12.46

011 City Of Chicago Police $6.50

011 City Of Chicago Police $213.20

011 City Of Chicago Police $12.46

011 City Of Chicago Police $6.50

011 City Of Chicago Police $213.20

011 City Of Chicago Police $3.01

City Of Chicago Police $3.16

City Of Chicago Police $6.50

City Of Chicago Police $260.69

City Of Chicago Police $31.30

City Of Chicago Police $6.50

City Of Chicago Police $1,224.13

City Of Chicago Police $1,878.80

City Of Chicago Police $48.01

City Of Chicago Police $6.50

010 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 237 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/05/2010 BOCANEGRA, MARCOS

10/20/2010 BLOMSTRAND, HARRY A

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

010

$326.81

$272.14

$3.58

$6.50

$243.84

$2.79

$6.50

$190.27

$6.50

$45.00

$2.79

$6.50

$190.27

$6.50

$93.86

$3.36

$6.50

$229.31

$2.77

$6.50

$188.94

$3.58

$6.50

$243.85

$3.36

$6.50

$229.31

$18.91

$6.50

$1,287.88

$2.79

$6.50

$190.27

City Of Chicago - Confidential

Page 238 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 12/02/2009 12/02/2009 07/24/2010 07/24/2010 08/12/2010 08/12/2010 08/12/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010

BLOMSTRAND,

BLASZ, SCOTT

BLAIR, KEITH

BJORK. JASON

BJORK, JASON

BILES, ELGIN

BETANCOURT,

HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A HARRY A

WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM

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 9171 9171 9171 9171 9171 9171

014 014 014 014 009 009

014 014 014 014 014 014 014 014

$1.29

$6.50

$88.23

$2.79

$6.50

$190.27

$2.79

$6.50

$190.27

$2.77

$6.50

$188.94

$4.00

$6.50

$146.34

$794.03

$735.68

$6.50

$217.98

$6.50

$13.24

$43.10

$6.50 '

$827.82

$6.50

$2,316.66

$6.50

$88.92

$6.50

City Of Chicago - Confidential

Page 239 of 249

Incident Date Claimant Rank

12/15/2010 BETANCOURT, WILLIAM 9171

12/15/2010 BETANCOURT, WILLIAM 9171'

12/15/2010 BETANCOURT, WILLIAM 9171

01/07/2010 BERNATH, BRIAN 9161

.03/13/2010 BERKA, BRIAN 9161

03/13/2010 BERKA, BRIAN 9161

04/17/2010 BELL, KANETHA 9161

11/21/2010 BELL, CRYSTAL

11/23/2010 BEDNAREK, RICHARD 9171

Unit of Insured Total to be Paid

014 City Of Chicago Police $292.00

014 City Of Chicago Police $6.50

014 City Of Chicago Police $100.68

014 City Of Chicago Police $6.50

014 City Of Chicago Police $282.24

014 City Of Chicago Police $45.00

014 City Of Chicago Police $6.50

014 City Of Chicago Police $76.81

044 City Of Chicago Police $15.94

044 City Of Chicago Police $370.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.94

044 City Of Chicago Police $370.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.94

044 City Of Chicago Police $370.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.94

044 City Of Chicago Police $339.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $370.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.07

003 City Of Chicago Police $68.01

003 City Of Chicago Police $6.50

003 City Of Chicago Police $4.41

City Of Chicago Police $6.50

006 City Of Chicago Police $6.50

006 City Of Chicago Police $155.80

006 City Of Chicago Police $6.50

006 City Of Chicago Police $17,917.59

City Of Chicago - Confidential

Page 240 of 249

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

11/23/2010 BEDNAREK, RICHARD

09/21/2009 BATZER, ZOE

11/11/2010 BATZER, ZOE

06/18/2010 BATTAGLIA, CATHERINE

05/13/2009 BATES, PETER

01/08/2011 BARRIOS, JOSE

07/24/2010 BARRERA, JOSEPH

02/19/2010 BARNES, THOMAS

02/19/2010 BARN ES, THOMAS

11/21/2010 BARNES, DAVID

9171

9161

006

044 044 044 044 044 044 020 020 020 020 020 020 020 020 020 018 018 018

044 044 044

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

$113.75

$6.50

$9.14

$96.17

$6.50

$225.25

$3.90

$253.00

$5.06

$285.20

$6.50

$5.71

$253.00

$6.50

$5.06

$6.50

$8.83

$8.63

$314.83

$6.50

$12.77

$1.29

$6.50

$88.23

$6.50

$84.92

$6.50

$5.61

$10.62

$8.11

$6.50

City Of Chicago - Confidential

Page 241 of 249

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

11/21/2010 BARNES, DAVID

12/22/2009 BAQAI, FARAH

09/29/2010 BALDASSANO, VINCENT

01/15/2010 BALASZ, TIMOTHY

09/22/2010 BALACHOWSKI, GEOFFREY

9161 9161 9161 9161

9161 9161 9161 9161 9161

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

$199.75

$31.63

$779.14

$6.50

$215.91

$6.50

$215.91

$6.50

$155.04

$6.50

$87.19

$78.37

$1.29

$6.50

$468.28

$6.50

$6.88

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$93.86

$6.50

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$88.23

City Of Chicago - Confidential

Page 242 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/2272010 BALACHOWSKI, GEOFFREY

09/22/2010 BALACHOWSKI, GEOFFREY

08/18/2010 BAKER, TAMMY

08/16/2010 BAEZAJR, RAUL

08/16/2010 BAEZA JR, RAUL

08/16/2010 BAEZAJR, RAUL

02/01/2007 Arroyo, Reyna

03/25/1988 Allen, Edward

9161

023

00010

00006

lice lice ilice lice lice 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 ilice

$6.50

$1.29

$88.23

$350.68

$6.50

$12.95

$42.00

$6.50

$254.05

$6.50

$12.95

$254.05

$12.95

$223.68

$6.50

$213.20

$6.50

$13.03

$376.20

$6.50

$254.05

$6.50

$254.05

$12.95

$6.50

$316.06

$1,390.20

$6.50

$137.03

$4.48

$58.47

City Of Chicago - Confidential

Page 243 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/25/1988 Allen, Edward

04/06/2001 Alday, Martha S

09/28/2010 AUBERT, LANELL

09/26/2010 ASCENCIO, RAMON

08/17/2010 ARMSTRONG, DERRICK

P P P P P

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

00006

09999

007

$14.37

$187.47

$7.21

$42.65

$6.50

$32.03

$6.50

$198.05

$25.74

$6.50

$1,066.19

$3.07

$6.50

$54.12

$35.03

$6.50

$157.93

$6.50

$892.62

$6.50

$996.41

$6.50

$1,785.24

$1,681.45

$1,131.35

$4.32

$6.50

$75.20

$6.50

$40.37

$4.83

City Of Chicago - Confidential

Page 244 of 249

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/17/2010 ARMSTRONG, DERRICK

09/21/2010 ARCEO, LEW

12/27/2008 ARAMBULA, SAUL

11/19/2010 ANDRUZZI, MICHAEL

9161 9161 9161

9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165

044 044 044

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

City Of Chicago City Of Chicago City Of Chicago 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 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

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

$6.50

$146.97

$56.44

$5.73

$18.69

$994.50

$981.37

$6.50

$6.80

$6.50

$463.44

$6.50

$206.08-

$2.49

$69.34

$1.77

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$11.80

$6.50

$261.30

$5.02

$6.50

$113.10

$11.18

$6.50

$261.30

$6.50

$2,157.65

City Of Chicago - Confidential

Page 245 of 249

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

11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/26/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 09/01/2010

ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZJ, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDERSON, RHONDA ALMAZAN, BENJAMIN ALMAZAN, BENJAMIN ALMAZAN, BENJAMIN ALMAZAN, BENJAMIN ALMAZAN, BENJAMIN ALMAZAN, BENJAMIN ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALEXA, MICHELENE

9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165

9161 9161 9161 9161 9161 9161

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

010 010 010 010 010 010

Pol Pol

Poll

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

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$1.08

$6.50

$89.17

$6.50

$1,370.09

$10.77

$6.50

$254.50

$10.92

$6.50

$257.40

$715.00

$5.14

$212.62

$6.50

$2.57

$424.69

$6.50

$4.73

$197.50

$6.50

$10.44

$197.50

$6.50

$322.42

$10.44

$230.10

City Of Chicago - Confidential

Page 246 of 249

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 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

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 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010

ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN AKERSON, WILLIE AKERSON, WILLIE AKERSON, WILLIE AKERSON, WILLIE AKERSON, WILLIE AKERSON, WILLIE

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

010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010

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

$6.50

$15.19

$6.50

$12.46

$6.50

$213.20

$7.93

$6.50

$202.90

$12.86

$6.50

$246.45

$12.46

$6.50

$213.20

$12.46

$6.50

$213.20

$12.86

$6.50

$246.45

$14.98

$213.20

$6.50

$269.75

$66.46

$6.50

$125.37

$314.49

$561.69

$6.50

City Of Chicago - Confidential

Page 247 of 249

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

Total:

09/25/2010

09/02/2010

12/24/2009

10/16/2009

12/20/2009

11/09/2009

Number 5876

AKERSON, WILLIE

AHMAD, FADI

AHEARN, DORY

ADKINS, MARC

ACEVEZ, ANTHONY

ACCARDO,THOMAS

ACCARDO, THOMAS

Amount $1,394,467.95

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

016 016 016 016 016 016 016 715 715 715 765 765 765 765 765 024 024 024

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

$295.78

$4.32

$6.50

$356.96

$4.65

$6.50

$384.53

$3.93

$6.50

$325.38

$3.58

$6.50

$93.42

$313.45

$6.50

$88.23

$6.50

$1.29

$233.95

$4.68

$6.50

$2,225.27

$6,300.00

$6.50

$2.19

$6.50

$24.32

$6.50

$1.40

City Of Chicago - Confidential

Page 248 of 249

Number Amount Total: 8175 $2,071,864.62

BE IT FURTHER ORDERED, That the City Comptroller is authorized and directed to issue warrants, 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 Fire Department herein named, provided such members of the Police Department and/or Fire Department shall enter into an agreement in writing with the City of Chicago to the effect that, should it appear, that any of said members of the Police Department and/or Fire Department have received any sum of money from the party whose negligence caused such injury, or have instituted proceedings against such party for the recovery of damage on account of such injury or medical expenses, then in that event the City shall be reimbursed by such member of the Police Department and/or Fire Department out of any sum that such member of the Police Department and/or Fire Department has received or may hereafter receive from such third party on account of such injury or medical expenses, not to exceed the expense in accordance with Opinion No. 1422 of the Corporation Counsel of said City, dated March 19, 1926. The payment of any of these bills shall not be construed as approval of any previous claims pending claims pending or future claims for expenses or benefits on account of any alleged injury to the individuals named. The total amount of such claims, as allowed, is set opposite the names of the injured members of the Police Department and/or Fire Department and warrants are to be drawn in favor of the proper claimants and charged to Account No. 100.9112.937.

City Of Chicago

Police & Fire Third-Party Orders

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

Insured Namel: City Of Chicago Fire

03/21/2005 Roccasalva, James

05/22/2000 Mcelroy, David B

02/15/1991 Guzick, Lawrence

07/19/1982 Banks, Thomas S

Claim Total Amount 13 $1,111.14

Insured Namel: City Of Chicago Police

06/17/2002 Zygowicz, Peter

11/06/2007 Walton, Nancy

07/15/2008 Torres, Eddie J

09999 00481 00481 00481 00481 00481 00481 00450 00450 00450 00450 00379 00379

00007 00007 00007 00007 00007 00007 00005 00005 00005 00005 00005 00019 00019

$35.31

$68.50

$69.53

$65.99

$91.65

$6.50

$133.85

$6.50

$76.57

$353.42

$35.10

$6.50

$195.14

$236.67

$184.75

$6.50

$757.76

$892.70

$851.17

$446.35

$68.29

$6.50

City Of Chicago - Confidential

Page 1 of 15

Incident Date Claimant Rank

07/15/2008 Torres, Eddie J P

08/28/2006 Torres, Ebenezer P

08/20/2003 Topczewski, Bryan T P

04/05/2000 Thompson, Nicole C P

04/05/2000 . Thompson, Nicole C P

11/01/2007 Steele, Roberta D P

10/01/2007 Soto, Michael P

12/15/2006 Soltis, David P

Assigned to Unit Insured Total Paid

00019 City Of Chicago Police $219.30

00019 City Of Chicago Police $3,070.50

00019 City Of Chicago Police $1.17

00019 City Of Chicago Police $6.50

00019 City Of Chicago Police $450.00

00019 City Of Chicago Police $6.50

00018 City Of Chicago Police $794.03

00018 City Of Chicago Police $6.50

00044 City Of Chicago Police $1.39

00044 City Of Chicago Police $907.31

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $95.65

00044 City Of Chicago Police $209.91

00005 City Of Chicago Police $8.63

00005 City Of Chicago Police $83.60

00005 City Of Chicago Police $6.50

00005 City Of Chicago Police $2.04

00005 City Of Chicago Police $50.15

00005 City Of Chicago Police $6.50

00005 City Of Chicago Police $212.63

00005 City Of Chicago Police $8.21

00005 City Of Chicago Police $6.50

00005 City Of Chicago Police $113.77

00010 City Of Chicago Police $115.43

00010 City Of Chicago Police $44.63

00010 City Of Chicago Police $141.04

00010 City Of Chicago Police $543.53

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $41.87

00010 City Of Chicago Police $4.86

00002 City Of Chicago Police $17.11

City Of Chicago - Confidential

Page 2 of 15

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

12/15/2006 Soltis, David P

11/15/2008 Smolek, Michael A P

09/13/2008 Salcedo, Ruben P

03/23/2007 Saladino, Christopher P

05/06/2009 STEHLIK, SCOTT 9161

03/04/2009 SOLSKI, DAVID 9161

08/18/2006 Ryan, Thomas W P

01/28/1998 Roszak, Rose M P

00002 City Of Chicago Police $326.81

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $1,921.25

00002 City Of Chicago Police $5.62

00002 City Of Chicago Police $6.50

00013 City Of Chicago Police $733.10

00013 City Of Chicago Police $6.50

00013 City Of Chicago Police $319.85 00012 City Of Chicago Police $15.21 00025 City Of Chicago Police $87.19 00025 City Of Chicago Police $300.30 00025 City Of Chicago Police $6.50 00025 City Of Chicago Police $39.95 00025 City Of Chicago Police $6.50 701 City Of Chicago Police $19.12 701 City Of Chicago Police $19.12 005 City Of Chicago Police $11.61 00008 City Of Chicago Police $134.93 00008 City Of Chicago Police $6.50

00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $324.86 00014 City Of Chicago Police $12.46 00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $213.20 00014 City Of Chicago Police $10.82 00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $187.85 00014 City Of Chicago Police $12.46 00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $213.20 00014 City Of Chicago Police $12.46 00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $213.20

City Of Chicago - Confidential

Page 3 of 15

Incident Date

Claimant

Rank

Assigned to Unit Insured

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

01/28/1998 Roszak, Rose M P

09/07/1999 Rodriguez-Hanley, Darlene A P

12/16/2007 Prus-Bright, Elizbieta P

00014 00014 00014 00014 00014 00014 00014 00014 00014 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00023 00023 00023 00023

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

$14.89

$6.50

$200.20

$12.46

$6.50

$213.20

$12.46

$6.50

$213.20

$8.00

$16,381.10

$169.65

$8.26

$6.50

$186.55

$7.53

$6.50

$169.65

$7.53

$6.50

$169.65

$10.67

$6.50

$226.20

$10.67

$6.50

$226.20

$6.50

$2.54

$6.50

$89.64

$2.54

City Of Chicago - Confidential

Page 4 of 15

Incident Date Claimant Rank

12/16/2007 Prus-Bright, Elizbieta P

11/25/1984 Overton, Susan P P

02/24/1998 Oconnell, Dennis L P

05/03/2008 Obrecki, Robert P

01/02/2003 Moran, John W P

06/08/1993 Miller-Shemash, Kimberly P

11/18/2007 Miceli, Mary P

11/18/2007 Miceli. Mary P

11/18/2007 Miceli, Mary P

Assigned to Unit Insured Total Paid

00023 City Of Chicago Police $6.50

00023 City Of Chicago Police $89.64

00019 City Of Chicago Police $44.08

00019 City Of Chicago Police $6.50

00019 City Of Chicago Police $91.45

00019 City Of Chicago Police $6.50

00019 City Of Chicago Police $3,520.00

00006 City Of Chicago Police $71.19

00006 City Of Chicago Police $478.35

00016 City Of Chicago Police $68.77

00016 City Of Chicago Police $54.66

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $87.61

00016 City Of Chicago Police $549.19

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $116.99

00016 City Of Chicago Police $24.30

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $101.00

00016 City Of Chicago Police $210.00

00016 City Of Chicago Police $213.90

00016 City Of Chicago Police $6.50

00153 City Of Chicago Police $154.70

00010 City Of Chicago Police $180.81

00018 City Of Chicago Police $244.40

00018 City Of Chicago Police $10.35

00018 City Of Chicago Police $303.00

00018 City Of Chicago Police $15.38

00018 City Of Chicago Police $246.45

00018 City Of Chicago Police $35.10

00018 City Of Chicago Police $13.33

City Of Chicago - Confidential

Page 5 of 15

Incident Date

Claimant

Rank

Assigned to Unit Insured

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

11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 11/18/2007 03/08/2006 03/08/2006 08/04/2008 08/04/2008 12/25/2006 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999

Miceli, Mary

Miceli. Mary

Miceli, Mary

Mcmahon, Terrence G

Mattson, Kimberly M

Manning, Christopher J.

Mackey, Patricia J

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 P

00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00022 00022 00022 00022 00015 00044 00044 00044 00044 00044 00044 00044 00044

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

$244.40

$10.82

$187.85

$13.33

$244.40

$13.33

$189.90

$15.29

$233.45

$10.82

$187.85

$14.89

$200.20

$15.76

$231.40

$13.25

$174.85

$13.33

$244.40

$12.86

$6.50

$230.95

$6.50

$399.46

$18.00

$6.50

$1,698.84

$43.44

$136.93

$6.50

$1.31

$115.21

$175.33

City Of Chicago - Confidential

Page 6 of 15

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

05/16/1999 Mackey, Patricia J P

07/26/2009 MCGUIRE, KERRY L 9161

02/13/2005 Kroliczek, Les O P

02/13/2005 Kroliczek, Les 0 P

09/17/2006 Kristin, Maureen P

08/21/2003 Kitowski, Nicholas P

11/29/2006 Kereakes, Demetrios P

11/29/2006 . Kereakes, Demetrios P

02/09/2009 KAZMI, SYED 9161

00044 City Of Chicago Police $41,35

00044 City Of Chicago Police $323.49

00044 City Of Chicago Police $6.50

017 City Of Chicago Police $6.50

017 City Of Chicago Police $1,869.70

017 City Of Chicago Police $9.91

017 City Of Chicago Police $6.50

017 City Of Chicago Police $57.59

017 City Of Chicago Police $269.90

017 City Of Chicago Police $14.70 00016 City Of Chicago Police $100.68 00016 City Of Chicago Police $6.50 00022 City Of Chicago Police $7.52 00022 City Of Chicago Police $84.92 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $185.28 00022 City Of Chicago Police $84.92

00018 City Of Chicago Police $1,040.00 00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $335.45 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $189.64 00011 City Of Chicago Police $8.56

019 City Of Chicago Police $75.24 019 City Of Chicago Police $6.50 019 City Of Chicago Police $215.91 019 City Of Chicago Police $6.50 019 City Of Chicago Police $129.74 019 City Of Chicago Police $6.50 019 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 7 of 15

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

02/09/2009 KAZMI, SYED 9161

07/28/2007 Jones, Yvette A P

019 City Of Chicago Police $6,50

019 City Of Chicago Police $283.32

019 City Of Chicago Police $6.50

019 City Of Chicago Police $283.32

019 City Of Chicago Police $75.24

019 City Of Chicago Police $93.86

00021 City Of Chicago Police $0.87

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $31.20

00021 City Of Chicago Police $12.46

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $213.20

00021 City Of Chicago Police $11.31

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $228.70

00021 City Of Chicago Police $13.25

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $174.85

00021 City Of Chicago Police $15.85

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $300.95

00021 City Of Chicago Police $12.46

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $213.20

00021 City Of Chicago Police $15.85

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $300.95

00021 City Of Chicago Police $14.06

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $261.30

00021 City Of Chicago Police $11.31

00021 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 8 of 15

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

07/28/2007 Jones, Yvette A P

01/12/2003 Jenkins, Johnny B P

07/02/2005 Haynes, Sherry P

02/11/1993 Hansen, Robert E P

08/17/2006 Hallinan, Annette M P

10/26/2009 HUDSON, ROBIN 9161

00021 City Of Chicago Police $228.70

00021 City Of Chicago Police $11.31

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $228.70

00021 City Of Chicago Police $10.68

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $173.55

00021 City Of Chicago Police $11.31

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $228.70

00021 City Of Chicago Police $10.92

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $257.40

00021 City Of Chicago Police $13.90

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $244.40

00021 City Of Chicago Police $13.15

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $222.70 00045 City Of Chicago Police $2.02 00045 City Of Chicago Police $166.64 00045 City Of Chicago Police $6.50 00603 City Of Chicago Police $25.42 00603 City Of Chicago Police $6.50 00603 City Of Chicago Police $5.61

00022 City Of Chicago Police $608.55 00022 City Of Chicago Police $406.90 00022 City Of Chicago Police $216.10 00016 City Of Chicago Police $85.44

City Of Chicago Police $6.50

City Of Chicago Police $384.93

City Of Chicago Police $6.50

City Of Chicago Police $960.17

City Of Chicago - Confidential

Page 9 of 15

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

10/26/2009 HUDSON, ROBIN 9161

10/26/2009 HUDSON. ROBIN 9161

10/26/2009 HUDSON, ROBIN 9161

07/16/2002 Grachen, Frank P

09/17/2001 Gill, Brendan P

06/09/2008 Ghusain, Kassim R P

02/03/2008 Garza, Armando P

11/12/2007 Gaines, Kenyatta P

City Of Chicago Police $6,50

City Of Chicago Police $1,162.58

City Of Chicago Police $6.50

City Of Chicago Police $1,214.46

City Of Chicago Police $6.50

City Of Chicago Police $404.82

City Of Chicago Police $6.50

City Of Chicago Police $337.35

City Of Chicago Police $6.50

City Of Chicago Police $944.58

City Of Chicago Police $6.50

City Of Chicago Police $337.35

City Of Chicago Police $6.50

City Of Chicago Police $446.35

City Of Chicago Police $6.50

City Of Chicago Police $513.82

City Of Chicago Police $6.50

City Of Chicago Police $250.00

City Of Chicago Police $6.50

City Of Chicago Police $1,185.30

City Of Chicago Police $674.70

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $108.99

00715 City Of Chicago Police $6.50

00715 City Of Chicago Police $972.57

00715 City Of Chicago Police $6.50

00715 City Of Chicago Police $51.20

00001 City Of Chicago Police $555.16

00001 City Of Chicago Police $6.50

00006 City Of Chicago Police $2.90

00006 City Of Chicago Police $71.39

00006 City Of Chicago Police $6.50

00004 City Of Chicago Police $243.77

City Of Chicago - Confidential

Page 10 of 15

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

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

11/12/2007 11/12/2007 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/03/2006 01/03/2006 01/10/2006 01/10/2006 01/10/2006 01/10/2006 01/10/2006 01/10/2006 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001

Gaines, Kenyatta Gaines, Kenyatta GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fissinger, Leslie J Fissinger, Leslie J Farah, James Farah, James Farah, James Farah, James Farah, James Farah, James Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo Delrio, Gonzalo

P P

9161

00004

023

00007

00022

00018

00765

Poli Pol^;Pol

ce ce

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

$6.50

$26.72

$40.31

$1,227.04

$45.87

$1.86

$6.50

$223.50

$5.24

$6.50

$67.50

$516.51

$6.50

$70.24

$100.11

$6.50

$1,049.06

$14.47

$6.50

$356.47

$14.54

$36,580.49

$147.48

$7.45

$6.50

$75.56

$29.23

$6.50

$296.43

$18.41

$6.50

$186.72

City Of Chicago - Confidential

Page 11 of 15

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

City Of Chicago Pol 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 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 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

07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 09/05/1987

De! De De Del De De Del De De De: Del Del De Del De De De De' De De De De: Del Del De De Del De' De De De

io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo io, Gonzalo Crowley, James

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 P

00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00002

Pol Pol Poli Poli

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

$32.52

$6.50

$329.85

$712.84

$6.50

$1,650.00

$14.11

$6.50

$143.13

$9.96

$6.50

$100.99

$6.50

$58.54

$6.50

$63.00

$6.50

$38.00

$6.50

$59.16

$33.09

$6.50

$335.65

$6.50

$249.11

$6.50

$7,287.59

$181.70

$6.50

$230.00

$6.50

$363.55

City Of Chicago - Confidential

Page 12 of 15

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total 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 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

06/10/2004 Cosentino, Michael J

08/30/2009 COATS, CHRISTOPHER

08/30/2009 COATS. CHRISTOPHER

08/30/2009 COATS, CHRISTOPHER

08/15/2002 Brumley, Cedric

P P P

9161

00018

022

00004

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 dice lice lice

$6.50

$20.71

$1,410.83

$6.50

$283.92

$9.27

$6.50

$213.60

$14.79

$6.50

$283.93

$13.80

$6.50

$335.93

$6.43

$6.50

$161.60

$20.89

$6.50

$501.10

$6.50

$11.13

$6.50

$272.97

$10.81

$6.50

$10.81

$1,400.06

$6.50

$80.50

$328.55

$6.50

$5,214.92

City Of Chicago - Confidential

Page 13 of 15

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total 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 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 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 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

08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 09/08/1986 09/08/1986 08/30/2004 08/30/2004 08/30/2004 08/30/2004 08/30/2004 06/21/2009 07/28/2001 07/28/2001 02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009

Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brenner, Gayle Brenner, Gayle Baqai, Farah Baqai, Farah Baqai, Farah Baqai, Farah Baqai, Farah BORSKI, MARK Anthony, Wanda Anthony, Wanda ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK

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

9152

9161 9161 9161 9161 9161

00004

00017

00005

701

00016

020

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

$137.37

$275.83

$6.50

$5,194.19

$5.54

$137.37

$6.50

$5,235.72

$6.50

$216.90

$191.24

$1,557.04

$6.50

$5,235.72

$6.50

$5,235.72

$6.50

$920.21

$6.50

$426.46

$6.50

$774.12

$6.50

$579.25

$138.22

$112.20

$50.50

$6.50

$72.65

$22.17

$6.50

$162.79

City Of Chicago - Confidential

Page 14 of 15

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009 02/12/2009 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008

ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE

Claim Total Amount

462 $161,816.78

Claim Total Amount

475 $162,927.92

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

020 020 020 020 020 020 020 020 020 020 020 020

$29.91

$6.50

$111.96

$40.15

$526.23

$93.12

$6.50

$271.50

$6.50

$20.82

S95.81

$989.42

$20.24

$6.50

$5.73

$100.68

$6.50

$112.00

$182.80

City Of Chicago - Confidential

Page 15 of 15

Legislation Text

Legislation Details

Legislation Details (With Text)