Record #: Or2011-437   
Type: Order Status: Passed
Intro date: 4/13/2011 Current Controlling Legislative Body: City Council
Final action: 4/13/2011
Title: Payment of hospital and medical expenses of police officers and firefighters - Third Party Orders - each amount not to exceed $1,000
Sponsors: Burke, Edward M.
Topic: CLAIMS - Police Officer/Firefighter Injuries
Attachments: 1. Or2011-437.pdf
ORDERED, That the City Comptroller is authorized and directed to issue payments, each in an amount not to exceed $1,000.00, in conformity with the schedule herein set forth, to physicians, hospitals, nurses or other individuals, in settlement for hospital, medical and nursing services rendered to the injured members of the Police Department and/or the Fire Department herein named, 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 the Fire Department out of any sum that such member ofthe 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 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 the Fire Department and the payments are to be drawn in favor of the proper claimants and charged to the following Account Numbers: 100-57-2005-0937; 610-57-4415-0937; 740-57-4415-0937; 100-59-2005-0937; 610-59-4415-0937; and 740-59-4415-0937.
i
 
City Of Chicago
Police & Fire Third-Party Orders
Incident Date Claimant
Rank
Assigned to Unit
Insured
Total Paid
Insured Namel: City Of Chicago Fire
09/17/2006
02/15/1991
02/15/1991
07/19/1982
07/19/1982
07/19/1982
07/19/1982
07/19/1982
07/19/1982
07/19/1982
07/19/1982
Claim Total Amount -   11 $1,844.83
Insured Namel: City Of Chicago Police
02/23/2008 02/23/2008 02/23/2008 09/29/2006 09/29/2006 12/15/2006 12/15/2006 12/15/2006 09/13/2008 09/13/2008 09/13/2008 09/13/2008 05/06/2009 05/06/2009 02/09/2009
Mccormick, Denise Guzick, Lawrence Guzick, Lawrence Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S
Wilson, Thomas Wilson, Thomas Wilson, Thomas Turner, Vernal Turner, Vernal Soltis, David Soltis, David Soltis, David Salcedo, Ruben Salcedo, Ruben Salcedo, Ruben Salcedo, Ruben STEHLIK, SCOTT STEHLIK, SCOTT SHANAHAN, TIMOTHY
P P P P P P P P P P P P
9161 9161 9161
09999 00450 00450 00379 00379 00379 00379 00379 00379 00379 00379
00017
00017
00017
00018
00018
00002
00002
00002
00012
00012
00012
00012
701
701
008
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 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
$26.25
$76.57
$76.57
$81.01
$6.50
$27.45
$279.90
$36.23
$6.50
$666.90
$560.95
$320.94
$76.34
$6.50
$6.50
$76.81
$6.50
$43.01
$342.93
$15.21
$65.78
$27.60
$201.17
$115.00
$465.15
$21.56
City Of Chicago - Confidential
Page 1 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
008 City Of Chicago Police $171.12
008 City Of Chicago Police $6.50
008 City Of Chicago Police $16.87
008 City Of Chicago Police $218.82
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.57
008 City Of Chicago Police $218.72
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $218.82
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.57
008 City Of Chicago Police $129.74
008 City Of Chicago Police $6.50
008 City Of Chicago Police $218.72
008 City Of Chicago Police $171.01
008 City Of Chicago Police $6.50
008 City Of Chicago Police $16.85
008 City Of Chicago Police $218.72
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $171.01
008 City Of Chicago Police $6.50
008 City Of Chicago Police $16.85
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $218.72
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $218.82
008 City Of Chicago Police . $6.50
008 City Of Chicago Police $21.57
008 City Of Chicago Police $218.82
City Of Chicago - Confidential
Page 2 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.57
008 City Of Chicago Police $171.12
008 City Of Chicago Police $6.50
008 City Of Chicago Police $16.87
008 City Of Chicago Police $171.12
008 City Of Chicago Police $6.50
008 City Of Chicago Police $16.87
008 City Of Chicago Police $171.12
008 City Of Chicago Police $6.50
008 City Of Chicago Police $16.87
008 City Of Chicago Police $123.41
008 City Of Chicago Police $6.50
008 City Of Chicago Police $12.16
008 City Of Chicago Police $218.72
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $171.01
008 City Of Chicago Police $6.50
008 City Of Chicago Police $16.85
008 City Of Chicago Police $218.72
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $218.82
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.57
008 City Of Chicago Police $218.72
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $218.82
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.57
008 City Of Chicago Police $218.72
City Of Chicago - Confidential
Page 3 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
02/09/2009 SHANAHAN, TIMOTHY 9161
07/06/2005 Ryan, Gerald P
07/06/2005 Ryan, Gerald P
07/06/2005 Ryan, Gerald P
07/06/2005 Ryan, Gerald P
07/06/2005 Ryan, Gerald P
07/06/2005 Ryan, Gerald P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
01/28/1998 Roszak, Rose M P
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $218.72
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.56
008 City Of Chicago Police $218.82
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.57
008 City Of Chicago Police $218.82
008 City Of Chicago Police $6.50
008 City Of Chicago Police $21.57
008 City Of Chicago Police $218.72
008 City Of Chicago Police $6.50
00011 City Of Chicago Police $615.60
00011 City Of Chicago Police $6.50
00011 City Of Chicago Police $615.60
00011 City Of Chicago Police $6.50
00011 City Of Chicago Police $178.86
00011 City Of Chicago Police $6.50
00014 City Of Chicago Police $190.72
00014 City Of Chicago Police $6.50
00014 City Of Chicago Police $6.50
00014 City Of Chicago Police $90.22
00014 City Of Chicago Police $16.51
00014 City Of Chicago Police $6.50
00014 City Of Chicago Police $167.51
00014 City Of Chicago Police $16.51
00014 City Of Chicago Police $6.50
00014 City Of Chicago Police $22.04
00014 City Of Chicago Police $167.51
00014 City Of Chicago Police $6.50
00014 City Of Chicago Police $18.80
00014 City Of Chicago Police $190.72
City Of Chicago - Confidential
Page 4 of 17
 
Incident Date Claimant
Rank
01/28/1998 01/28/1998 01/28/1998 01/28/1998 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 02/21/1995 09/07/1999 09/07/1999 09/07/1999 09/07/1999 09/07/1999 09/07/1999 09/07/1999 09/07/1999
Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rosales, Edward Rodriguez-Hanley, Rodriguez-Hanley, Rodriguez-Hanley, Rodriguez-Hanley, Rodriguez-Hanley, Rodriguez-Hanley, Rodriguez-Hanley, Rodriguez-Hanley,
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
Darlene A P
Darlene A P
Darlene A P
Darlene A P
Darlene A P
Darlene A P
Darlene A P
Darlene A P
Assigned to Unit Insured Total Paid
00014 City Of Chicago Police $6.50
00014 City Of Chicago Police $18.80
00014 City Of Chicago Police $223.64
00014 City Of Chicago Police $13.97
00006 City Of Chicago Police $27.00
00006 City Of Chicago Police $12.42
00006 City Of Chicago Police $6.50
00006 City Of Chicago Police $126.07
00006 City Of Chicago Police $6.50
00006 City Of Chicago Police $11.81
00006 City Of Chicago Police $6.50
00006 City Of Chicago Police $119.81
00006 City Of Chicago Police $23.19
00006 City Of Chicago Police $6.50
00006 City Of Chicago Police $235.31
00006 City Of Chicago Police ' $6.50
00006 City Of Chicago Police $564.12
00006 City Of Chicago Police $6.50
00006 City Of Chicago Police $564.12
00006 City Of Chicago Police $6.50
00006 City Of Chicago Police $381.17
00006 City Of Chicago Police $6.50
00006 City Of Chicago Police $468.66
00006 City Of Chicago Police $6.50
00006 City Of Chicago Police $6.50
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
00013 City Of Chicago Police $190.72
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
00013 City Of Chicago Police $190.72
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
City Of Chicago - Confidential
Page 5 of 17
 
Incident Date Claimant
Rank
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
Assigned to Unit Insured Total Paid
00013 City Of Chicago Police $190.72
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
00013 City Of Chicago Police $109.03
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $190.72
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
00013 City Of Chicago Police $167.62
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $16.53.
00013 City Of Chicago Police $190.82
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.81
00013 City Of Chicago Police $190.82
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.81
00013 City Of Chicago Police $190.82
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.81
00013 City Of Chicago Police $215.32
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $21.23
00013 City Of Chicago Police $190.82
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.81
00013 City Of Chicago Police $190.72
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
00013 City Of Chicago Police $143.12
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $14.11
00013 City Of Chicago Police $190.72
City Of Chicago - Confidential
Page 6 of 17
 
Incident Date Claimant Rank
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
09/07/1999 Rodriguez-Hanley, Darlene A P
12/23/1987 Robarts-Dillon, Janice M P
12/23/1987 Robarts-Dillon, Janice M P
12/23/1987 Robarts-Dillon, Janice M P
12/23/1987 Robarts-Dillon, Janice M P
10/22/1985 Reid, Robert G P
10/22/1985 Reid, Robert G P
10/22/1985 Reid, Robert G P
10/22/1985 Reid, Robert G P
10/22/1985 Reid, Robert G P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
Assigned to Unit Insured Total Paid
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
00013 City Of Chicago Police $190.72
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
00013 City Of Chicago Police $190.72
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $18.80
00013 City Of Chicago Police $190.72
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $107.94
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $373.66
00013 City Of Chicago Police $6.50
00013 City Of Chicago Police $15.00
00013 City Of Chicago Police $6.50
00016 City Of Chicago Police $306.21
00016 City Of Chicago Police $6.50
00016 City Of Chicago Police $76.81
00016 City Of Chicago Police $6.50
00018 City Of Chicago Police $665.90
00018 City Of Chicago Police $6.50
00018 City Of Chicago Police $234.08
00018 City Of Chicago Police $6.50
00018 City Of Chicago Police $6.50
00010 City Of Chicago Police $204.83
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $13.29
00010 City Of Chicago Police $775.60
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $50.33
00010 City Of Chicago Police $432.33
City Of Chicago - Confidential
Page 7 of 17
 
Incident Date Claimant Rank
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
10/01/2007 Perez, George A P
Assigned to Unit Insured Total Paid
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $28.05
00010 City Of Chicago Police $125.48
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $8.14
00010 City Of Chicago Police $409.66
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $26.58
00010 City Of Chicago Police $68.01
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $4.41
00010 City Of Chicago Police $237.22
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $15.39
00010 City Of Chicago Police $237.22
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $15.39
00010 City Of Chicago Police $237.22
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $15.39
00010 City Of Chicago Police $87.19
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $409.66
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $26.58
00010 City Of Chicago Police $139.50
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $13.75
00010 City Of Chicago Police $292.80
00010 City Of Chicago Police $6.50
00010 City Of Chicago Police $28.86
00010 City Of Chicago Police $183.82
00010 City Of Chicago Police $6.50
City Of Chicago - Confidential
Page 8 of 17
 
Incident Date Claimant Rank
10/01/2007 Perez, George A P
11/25/1984 Overton, Susan P P
11/25/1984 Overton, Susan P P
11/25/1984 Overton, Susan P P
11/25/1984 Overton, Susan P P
11/21/1998 Oneal, Brenda P
11/21/1998 Oneal, Brenda P
11/21/1998 Oneal, Brenda P
11/21/1998 Oneal, Brenda P
11/21/1998 Oneal, Brenda P
11/21/1998 Oneal, Brenda - P
11/21/1998 Oneal, Brenda P
11/21/1998 Oneal, Brenda P
11/21/1998 Oneal, Brenda P
05/03/2008 Obrecki, Robert P
05/03/2008 Obrecki, Robert P
06/14/1998 Nemeth, Laura A B
06/14/1998 Nemeth, Laura A B
02/29/2008 Myers, Robert J P
02/29/2008 Myers, Robert J P
02/29/2008 Myers, Robert J P
06/16/2008 Minogue, William J P
06/16/2008 Minogue, William J P
06/16/2008 Minogue, William J P
06/08/1993 Miller-Shemash, Kimberly 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
11/18/2007 Miceli, Mary P
11/18/2007 Miceli, Mary P
11/18/2007 Miceli, Mary P
12/25/2006 Manning, Christopher J. P
Assigned to Unit Insured Total Paid
00010 City Of Chicago Police $18.12
00019 City Of Chicago Police $6.50
00019 City Of Chicago Police $136.95
00019 City Of Chicago Police $116.28
00019 City Of Chicago Police $6.50
00005 City Of Chicago Police $27.49
00005 City Of Chicago Police $6.50
00005 City Of Chicago Police $90.48
00005 City Of Chicago Police $6.50
00005 City Of Chicago Police $6.50
00005 City Of Chicago Police $787.50
00005 City Of Chicago Police $6.50
00005 City Of Chicago Police $140.88
00005 City Of Chicago Police $630.00
00016 City Of Chicago Police $95.32
00016 City Of Chicago Police $833.38
00007 City Of Chicago Police $46.54
00007 City Of Chicago Police $6.50
09999 City Of Chicago Police $359.78
09999 City Of Chicago Police $6.50
09999 City Of Chicago Police $107.81
00016 City Of Chicago Police $6.50
00016 City Of Chicago Police $84.98
00016 City Of Chicago Police $443.49
00010 City Of Chicago Police $180.81
00010 City Of Chicago Police $515.99
00018 City Of Chicago Police $30.04
00018 City Of Chicago Police $36.94
-00018 City Of Chicago Police $632.09
00018 City Of Chicago Police $6.50
00018 City Of Chicago Police $134.88
00018 City Of Chicago Police $9.15
00015 City Of Chicago Police $21.08
City Of Chicago - Confidential
Page 9 of 17
 
Incident Date
Claimant
Rank
Assigned to Unit
Insured
Total Paid
12/25/2006 12/10/2005 12/10/2005 12/10/2005 12/10/2005 12/10/2005 12/10/2005 12/10/2005 12/10/2005 12/10/2005 12/10/2005 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999
Manning, Christopher J. Maluchnik, Victoria J Maluchnik, Victoria J Maluchnik, Victoria J Maluchnik, Victoria J Maluchnik, Victoria J Maluchnik, Victoria J Maluchnik, Victoria J Maluchnik, Victoria J Maluchnik, Victoria J Maluchnik, Victoria J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J
00015 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044 00044
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 Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po! City Of Chicago Po City Of Chicago 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
ilice lice lice lice lice lice lice ilice lice lice •lice dice ilice ilice lice lice lice lice lice dice lice lice lice dice dice lice lice lice lice lice lice lice lice
$213.81
$84.92
$84.92
$6.50
$84.92
$6.50
$6.50
$84.92
$6.50
$6.50
$84.92
$138.22
$6.50
$1.02
$175.72
$323.49
$2.31
$6.50
$41.35
$341.76
$6.50
$24.47
$6.50
$27.34
$6.50
$88.07
$6.50
$418.00
$252.66
$6.50
$40.70
$6.50
$17.40
City Of Chicago - Confidential
Page 10 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
05/16/1999 Mackey, Patricia J P
05/16/1999 Mackey, Patricia J P
05/16/1999 Mackey, Patricia J P
05/16/1999 Mackey, Patricia J P
07/26/2009 MCGUIRE, KERRY L 9161
07/26/2009 MCGUIRE, KERRY L 9161
08/21/2003 Kitowski, Nicholas P
08/21/2003 Kitowski, Nicholas P
08/21/2003 Kitowski, Nicholas P
08/21/2003 Kitowski, Nicholas P
08/21/2003 Kitowski, Nicholas P
08/21/2003 Kitowski, Nicholas P
08/21/2003 Kitowski, Nicholas P
08/07/2008 Kirkilas, Gary S P
11/29/2006 Kereakes, Demetrios P
11/29/2006 Kereakes, Demetrios P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
00044 City Of Chicago Police $40.70
00044 City Of Chicago Police $6.50
00044 City Of Chicago Police $17.14
00044 City Of Chicago Police $41.35
017 City Of Chicago Police $175.46
017 City Of Chicago Police $269.90
00018 City Of Chicago Police $6.50 00018 City Of Chicago Police $6.50 00018 City Of Chicago Police $226.37 00018 City Of Chicago Police $112.02 00018 City Of Chicago Police $471.45 00018 City Of Chicago Police $520.00 00018 City Of Chicago Police $520.00 00012 City Of Chicago Police $18.00 00011 City Of Chicago Police $323.49 00011 City Of Chicago Police $47.25 00021 City Of Chicago Police $21.22 00021 City Of Chicago Police $6.50 00021 City Of Chicago Police $101.70 00021 City Of Chicago Police $6.50 00021 City Of Chicago Police $348.07 00021 City Of Chicago Police $6.50 00021 City Of Chicago Police $100.68 00021 City Of Chicago Police $6.50 00021 City Of Chicago Police $215.22 00021 City Of Chicago Police $6.50 00021 City Of Chicago Police $21.22 00021 City Of Chicago Police $215.22 00021 City Of Chicago Police $6.50 00021 City Of Chicago Police $21.22 00021 City Of Chicago Police $190.82 00021 City Of Chicago Police $6.50 00021 City Of Chicago Police $18.81
City Of Chicago - Confidential
Page 11 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
06/14/1997 Jones, Nadine L P
06/14/1997 Jones, Nadine L P
05/29/2009 JONES, YVETTE 9161
05/29/2009 JONES, YVETTE 9161
05/29/2009 JONES, YVETTE 9161
05/29/2009 JONES, YVETTE 9161
05/26/2008 Hayman, Phillip H P
05/26/2008 Hayman, Phillip H P
05/26/2008 Hayman, Phillip H P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
00021 City Of Chicago Police $215.32
00021 City Of Chicago Police $6.50
00021 City Of Chicago Police $21.23
00021 City Of Chicago Police $190.72
00021 City Of Chicago Police $6.50
00021 City Of Chicago Police $18.80
00021 City Of Chicago Police $215.32
00021 City Of Chicago Police $6.50
00021 City Of Chicago Police $21.23
00021 City Of Chicago Police $215.22
00021 City Of Chicago Police $21.22
00021 City Of Chicago Police $215.22
00021 City Of Chicago Police $6.50
00021 City Of Chicago Police $21.22
00021 City Of Chicago Police $101.70
00021 City Of Chicago Police $6.50
00021 City Of Chicago Police $215.22
00021 City Of Chicago Police $6.50
00021 City Of Chicago Police $21.22
00021 City Of Chicago Police $6.50
00021 City Of Chicago Police $215.22
00021 City Of Chicago Police $6.50
00005 City Of Chicago Police $242.88
00005 City Of Chicago Police $6.50
006 City Of Chicago Police $6.50 006 City Of Chicago Police $836.88 006 City Of Chicago Police $100.68 006 City Of Chicago Police $6.50 00008 City Of Chicago Police $299.04 00008 City Of Chicago Police $15.47 00008 City Of Chicago Police $6.50 00008 City Of Chicago Police $6.50 00008 City Of Chicago Police $16.85
City Of Chicago - Confidential
Page 12 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
12/15/2008 GARTH, WALTER 9161
01/14/2003 Fuda, Frank J P
01/14/2003 Fuda, Frank J P
01/14/2003 Fuda, Frank J P
01/14/2003 Fuda, Frank J P
01/14/2003 Fuda, Frank J P
01/14/2003 Fuda, Frank J P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
00008 City Of Chicago Police $60.57
00008 City Of Chicago Police $191.90
00008 City Of Chicago Police $6.50
00008 City Of Chicago Police $18.56
00008 City Of Chicago Police $400.97
00008 City Of Chicago Police $6.50
00008 City Of Chicago Police $187.71
00008 City Of Chicago Police $6.50
00008 City Of Chicago Police $18.50
00008 City Of Chicago Police $171.01
00008 City Of Chicago Police $6.50
00008 City Of Chicago Police $16.85
00008 City Of Chicago Police $171.01
00008 City Of Chicago Police $6.50
023 City Of Chicago Police $49.77
00007 City Of Chicago Police $72.96
00007 City Of Chicago Police $6.50
00007 City Of Chicago Police $4.20
00007 City Of Chicago Police $249.60
00007 City Of Chicago Police $191.99
00007 City Of Chicago Police $615.22
00002 City Of Chicago Police $5.23
00002 City Of Chicago Police $144.74
00002 City Of Chicago Police $144.74
00002 City Of Chicago Police $6.50
00002 City Of Chicago Police $386.40
00002 City Of Chicago Police $6.50
00002 City Of Chicago Police $21.15
00002 City Of Chicago Police $243.65
00002 City Of Chicago Police $29.90
00002 City Of Chicago Police $350.00
00002 City Of Chicago Police $6.50
00002 City Of Chicago Police $6.50
City Of Chicago - Confidential
Page 13 of 17
 
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 Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago 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
05/02/2006 05/02/2006 05/02/2006 05/02/2006 05/02/2006 05/02/2006 01/10/2006 02/09/2008 02/09/2008 02/09/2008 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 08/27/2003 08/27/2003 09/05/1987 09/05/1987 09/05/1987 01/07/2008 01/07/2008 01/07/2008
Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Farah, James Elliott, Jill A Elliott, Jill A Elliott, Jill A Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Dahms, David Dahms, David Crowley, James Crowley, James Crowley, James Cordova, Diana M Cordova, Diana M Cordova, Diana M
00002 00002 00002 00002 00002 00002 00018 00019 00019 00019 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00023 00023 00002 00002 00002 00189 00189 00189
lice ilice ilice lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice
$65.32
$6.50
$6.50
$1.00
$6.50
$198.00
$6.50
$6.50
$246.20
$39.03
$74.86
$6.50
$57.81
$6.50
$496.40
$6.50
$70.18
$6.50
$251.89
$6.50
$282.66
$1.95
$6.50
$133.06
$6.50
$6.50
$134.93
$430.00
$271.50
$18.38
$193.56
$371.14
$580.68
City Of Chicago - Confidential
Page 14 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
01/07/2008 Cordova, Diana M P
08/12/1996 Ciangi, Leonard F P
08/12/1996 Ciangi, Leonard F P
08/12/1996 Ciangi, Leonard F P
02/02/1986 Cage, Hosea P
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
00189 City Of Chicago Police $15.54
00189 City Of Chicago Police $495.34
00189 City Of Chicago Police $10.76
00189 City Of Chicago Police $343.13
00189 City Of Chicago Police $18.21
00189 City Of Chicago Police $6.07
00189 City Of Chicago Police $13.53
00189 City Of Chicago Police $585.08
00189 City Of Chicago Police $22.67
00189 City Of Chicago Police $6.50
00189 City Of Chicago Police $276.37
00189 City Of Chicago Police $18.36
00016 City Of Chicago Police $84.92
00016 City Of Chicago Police $6.50
00016 City Of Chicago Police $2.17
00010 City Of Chicago Police $6.50
022 City Of Chicago Police $6.50
022 City Of Chicago Police $83.67
022 City Of Chicago Police $15.37
022 City Of Chicago Police $6.50
022 City Of Chicago Police $384.00
022 City Of Chicago Police $15.37
022 City Of Chicago Police $6.50
022 City Of Chicago Police $384.00
022 City Of Chicago Police $15.37
022 City Of Chicago Police $6.50
022 City Of Chicago Police $384.00
022 City Of Chicago Police $15.37
022 City Of Chicago Police $6.50
022 City Of Chicago Police $384.00
022 City Of Chicago Police $15.37
022 City Of Chicago Police $6.50
022 City Of Chicago Police $384.00
City Of Chicago - Confidential
Page 15 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
08/30/2009 COATS, CHRISTOPHER 9161
05/06/2003 Buczko-Lunk, Kelly P
05/06/2003 Buczko-Lunk, Kelly P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
08/15/2002 Brumley, Cedric P
10/26/2009 BAILEY, MONICA 9161
10/26/2009 BAILEY, MONICA 9161
10/26/2009 BAILEY, MONICA 9161
07/28/2001 Anthony, Wanda P
07/28/2001 Anthony, Wanda P
11/06/2007 Anderson, Rhonda M P
11/06/2007 Anderson, Rhonda M P
11/06/2007 Anderson, Rhonda M P
11/06/2007 Anderson, Rhonda M P
05/28/2008 Adegbore, Juanita P
05/28/2008 Adegbore, Juanita P
022 City Of Chicago Police $30.74
022 City Of Chicago Police $1.01
022 City Of Chicago Police $768.00
022 City Of Chicago Police $6.50
00012 City Of Chicago Police $733.91
00012 City Of Chicago Police $6.50
00004 City Of Chicago Police $6.50
00004 City Of Chicago Police $46.63
00004 City Of Chicago Police $271.87
00004 City Of Chicago Police $187.11
00004 City Of Chicago Police $449.81
00004 City Of Chicago Police $5.68
00004 City Of Chicago Police $6.50
00004 City Of Chicago Police $604.44
00004 City Of Chicago Police $5.68
00004 City Of Chicago Police $177.90
00004 City Of Chicago Police $177.80
00004 City Of Chicago Police $448.66
00004 City Of Chicago Police $240.17
00004 City Of Chicago Police $47.45
00004 City Of Chicago Police $59.36
00004 City Of Chicago Police $137.37 City Of Chicago Police $221.38 City Of Chicago Police $6.50 City Of Chicago Police $54.74
00016 City Of Chicago Police $112.20
00016 City Of Chicago Police $112.20
00189 City Of Chicago Police $131.84
00189 City Of Chicago Police $6.50
00189 City Of Chicago Police $100.68
00189 City Of Chicago Police $6.50
00005 City Of Chicago Police $5.98 00005 City Of Chicago Police $227.00
City Of Chicago - Confidential
Page 16 of 17
 
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
05/28/2008       Adegbore, Juanita P
05/28/2008        Adegbore, Juanita P
05/28/2008        Adegbore, Juanita P
02/12/2009        ANDREWS, PATRICK 9161
02/12/2009 ANDREWS, PATRICK 9161
02/12/2009        ANDREWS, PATRICK 9161
02/12/2009 ANDREWS, PATRICK 9161
02/12/2009        ANDREWS, PATRICK 9161
02/12/2009 ANDREWS, PATRICK 9161
02/12/2009 ANDREWS, PATRICK 9161
02/12/2009        ANDREWS, PATRICK 9161
02/12/2009 ANDREWS, PATRICK 9161
02/12/2009 ANDREWS, PATRICK 9161
02/12/2009 ANDREWS, PATRICK 9161
02/12/2009 ANDREWS, PATRICK 9161
Claim Total Amount 525 $57,839.73
Claim Total Amount 536 $59,684.56
00005 City Of Chicago Police $8.90
00005 City Of Chicago Police $6.50
00005 City Of Chicago Police $139.30
020 City Of Chicago Police $7.47
020 City Of Chicago Police $552.39
020 City Of Chicago Police $95.81
020 City Of Chicago Police $6.50
020 City Of Chicago Police $94.81
020 City Of Chicago Police $35.83
020 City Of Chicago Police $467.25
020 City Of Chicago Police $6.50
020 City Of Chicago Police $70.28
020 City Of Chicago Police $6.50
020 City Of Chicago Police $916.50
020 City Of Chicago Police $6.50
City Of Chicago - Confidential
Page 17 of 17