Office of the City Clerk - Record #: Or2011-737

Record #:

Or2011-737

Type:

Order

Status:

Passed

Intro date:

7/6/2011

Current Controlling Legislative Body:

City Council

Final action:

7/6/2011

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. Or2011-737.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
7/6/2011	2666	City Council	Passed	Pass	Action details	Meeting details	Not available
7/6/2011	2666	Committee on Finance	Recommended to Pass	Pass	Action details	Meeting details	Not available
7/6/2011		Committee on Finance	Direct Introduction		Action details	Meeting details	Not available

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

City Of Chicago

Police & Fire Regular Orders

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Insured Namel: City Of Chicago Fire

02/21/2005 Wilson, David 02/21/2005 01/12/1999 01/12/1999 01/12/1999 04/21/2011 04/21/2011 04/21/2011 04/21/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 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 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009

Wilson, David Walz, Randall Walz, Randall Walz, Randall WILLIAMS, STANLEY WILLIAMS, STANLEY WILLIAMS, STANLEY WILLIAMS, STANLEY WHITERS, STEVEN WHITERS, STEVEN WHITERS, STEVEN WHITERS, STEVEN WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID

F F F F F

8811 8811 8811 8811 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

00496 00496 00432 00432 00432

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

$6.50

$76.00

$1,354.33

$37,940.77

$9,028.86

$1,171.10

$4.41

$68.01

$6.50

$1,548.15

$6.50

$23.99

$243.32

$3.04

$6.50

$74.86

$7.20

$6.50

$177.35

$6.50

$3,409.16

$11.03

$6.50

$431.51

$3,409.16

$4.14

$6.50

$102.00

$4.14

City Of Chicago - Confidential

Page 1 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011

WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID

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 8819 8819 8819 8819 8819 8819 8819 8819

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

$102.00

$7.20

$6.50

$177.35

$7.20

$6.50

$177.35

$6.50

$196.29

$6.50

$196.29

$11.03

$6.50

$431.51

$9.37

$6.50

$230.81

$4.14

$6.50

$102.00

$9.27

$6.50

$228.35

$6.50

$34.79

$293.56

$6.50

$172.90

$303.36

$6.50

City Of Chicago - Confidential

Page 2 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/24/2011 WELSH, DAVID

03/23/2010 WALSH, MICHAEL

11/16/2010 WALSH, JAMES

07/03/2010 VOGENTHALER, THOMAS

02/08/2010 VITULLI, KATHLEEN

01/02/2011 VELLER, CARL

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8731 8731 8731 8731 8807 8807 8807 8807 8807 8807 8811 8749 8749 8749 8801 8801 8801 8801

$64.05

$517.92

$21.35

$6.50

$101.12

$21.35

$6.50

$101.12

$21.35

$171.66

$101.12

$6.50

$958.90

$6.27

$6.50

$2,183.23

$2,695.82

$556.40

$1,247.56

$6.50

$14.71

$0.46

$12,316.50

$10,473.09

$1,244.18

$1,100.96

$6.50

$378.94

$9.68

$6.50

$14,899.87

$180.36

$1,148.47

City Of Chicago - Confidential

Page 3 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/25/2009 ULRICH, CHRISTOPHER

05/16/2011 TREZEK, WILLIAM

03/16/2011 TONNE, ROBERT

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

$108.28

$1,076.01

$6.50

$49.49

$6.50

$2.85

$1,516.08

$6.50

$10,823.69

$6.50

$190.82

$6.50

$18.81

$23.51

$6.50

$238.53

$18.81

$6.50

$190.82

$14.11

$6.50

$143.12

$15.74

$6.50

$159.71

$21.57

$6.50

$218.82

$16.87

$6.50

$171.12

$18.81

City Of Chicago - Confidential

Page 4 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fii City Of Chicago Fire City Of Chicago Fire City Of Chicago Fi; City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire 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 Fii City Of Chicago Fi; City Of Chicago Fii City Of Chicago Fii City Of Chicago Fi; City Of Chicago Fi; City Of Chicago Fi; 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

03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 07/10/2010 07/10/2010 10/20/2010 10/20/2010 10/20/2010 05/02/2010 11/30/1994 08/05/2003 08/05/2003 08/05/2003 04/10/1990 10/10/2005 10/10/2005

TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT TONNE,ROBERT TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT TONNE, ROBERT THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JAMES THOMPSON, JAMES TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TAVITAS, JOSEPH Sutton, David Strong, Eric Strong, Eric Strong, Eric Strickler, Bernard Spencer, John Spencer, John

8735

8731

8764

8731

8745

00615 00483 00483 00483 00320 00488 00488

Fire Fire Fire

re re re re re re ^re ■e re e re ■e

$6.50

$190.82

$18.81

$301.94

$17.54

$6.50

$270.40

$84.72

$6.50

$1,305.89

$22.58

$6.50

$348.18

$190.82

$567.72

$6.50

$6.87

$1.01

$83.67

$6.50

$1,218.60

$1,290.16

$6,672.00

$5,004.00

$4,910.55

$189.30

$1,396.30

$509.60

$6.50

$4.92

$561.56

$31.32

$87.20

City Of Chicago - Confidential

Page 5 of 93

Incident Date Claimant

Rank

Unit of

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 10/25/2001 10/25/2001 10/25/2001 10/25/2001 10/25/2001 10/25/2001 10/25/2001 10/25/2001 12/03/2000 12/03/2000 12/03/2000 02/05/2008 02/05/2008 11/20/2009 11/29/2010 04/18/2011 04/18/2011 04/18/2011

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 Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sinopoli, Enzo Sinopoli, Enzo Sinopoli, Enzo Santoyo, Richard Santoyo, Richard SUTKUS, THOMAS STINNETT, GREGORY SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID

F F F F F F F F F F F F F F F F F F

F ■

8817 8745 8731 8731 8731

00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00367 00367 00367 00367 00367 00367 00367 00367 09999 09999 09999 00435 00435

City Of Chicago

Insured

Total to be Paid

$6.50

$26.09

$87.20

$6.50

$26.09

$65.00

$6.50

$6.76

$107.80

$6.50

$142.28

$6.50

$166.32

$1.01

$6.50

$1,561.46

$12.80

$6.50

$389.69

$1,277.69

$41.99

$6.50

$9,275.82

$6.50

$936.00

$23.92

$8.31

$204.82

$6.50

$1,222.21

$17.46

$239.50

$6.50

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 12/12/2010 05/14/2011 05/14/2011 05/14/2011 05/14/2011 02/02/2011 02/02/2011 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/11/2011 05/11/2011 05/11/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 12/06/2003

SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPANGELO, ANTHONY SHMERL, DAVID SHMERL, DAVID SHMERL, DAVID SHMERL, DAVID SHANAHAN, MICHAEL SHANAHAN, MICHAEL SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SANTOYO, RICHARD SANTOYO, RICHARD SANTOYO, RICHARD SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY Rogus, Andrew

8731

8801

8735

873

8763

00432

$25.56 $30.00 $10.00 $6.81

$19,150.54

$3.49

$10.00

$4.22

$1,495.90

$202.02

$1,002.75

$2.97

$6.50

$18.00

$6.50

$48.79

$30,499.96

$2,036.68

$1,144.73

$7,631.56

$6.50

$1,309.27

$2,838.75

$141.36

$6,098.97

$6.50

$4.20

$95.00

$1.15

$6.50

$346.56

$17,388.00

City Of Chicago - Confidential

Page 7 of 93

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 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

03/21/2011 RYAN, PETER

11/28/2009 RUNAS, MARK

02/07/2010 ROSAS, JUAN

01/21/2011 ROMERO, PETER

10/26/2010 RODRIGUEZ, ANTHONY

12/07/2010 RICHARDSON, LEANDER

8731 8731 8731 8811

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

$615.52

$7.45

$6.50

$1,025.39

$6.50

$2.53

$6.50

$209.16

$838.32

$6.50

$3,000.00

$6.50

$56.19

$2.89

$6.50

$239.04

$3.98

$6.50

$328.68

$6.50

$14.44

$2.89

$6.50

$239.04

$1,467.82

$3,095.00

$5,275.44

$6.50

$188.94

$3.42

$6.50

$233.30

$2.77

City Of Chicago - Confidential

Page 8 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010

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,

LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER LEANDER

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

$117.27

$9.14

$6.50

$1.72

$3.42

$117.27

$6.50

$1.72

$263.50

$6.50

$10.69

$241.40

$6.50

$3.12

$6.50

$212.88

$6.50

$233.30

$2.77

$6.50

$188.94

$2.50

$6.50

$170.32

$2.50

$6.50

$170.32

$225.25

$13.04

$6.50

$321.30

$9.80

City Of Chicago - Confidential

Page 9 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02727/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009

REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

$47.45

$278.95

$6.50

$8.90

$333.74

$6.50

$11.97

$42.65

$6.50

$8.04

$874.12

$6.50

$101.70

$18.81

$6.50

$190.82

$10.49

$6.50

$258.44

$14.49

$6.50

$168.00

$6.99

$6.50

$121.49

$18.81

$6.50

$190.82

$18.81

$6.50

$190.82

$6.50

City Of Chicago - Confidential

Page 10 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/27/2009 REIMER, RICHARD

05/27/2011 RADTKE, DANIEL

01/14/2005 Patton, John

03/29/2011 POWER, THOMAS

02/17/2011 PERREAULT, KELLY

11/07/2010 PASULKA, CHRISTOPHER

07/28/2010 PANG, KYUNG

8733

8749

8750 8801 8801 8731 8731 8731

00482 00482

$2,293.17

$13.93

$6.50

$141.37

$6.50

$68.15

$6.50

$2,965.87

$14.11

$6.50

$143.12

$14.11

$6.50

$143.12

$18.81

$6.50

$190.82

$4.70

$6.50

$47.71

$14.11

$6.50

$143.12

$1,605.79

$6.50

$100.00

$396.07

$1,371.51

$16,032.81

$1,080.00

$717.50

$1,317.74

$6.50

City Of Chicago - Confidential

Page 11 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/20/1979 09/20/1979 03/03/2011 03/03/2011 03/03/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 12/12/2008 12/12/2008 12/12/2008 12/12/2008 12/12/2008 12/12/2008 02/03/2011 02/03/2011 02/03/2011 12/22/2010 12/22/2010 06/02/2011 10/04/2009 10/05/2004 10/05/2004 10/05/2004 10/05/2004 10/05/2004 10/05/2004 05/09/2011 05/09/2011 05/09/2011 05/14/2011

Owcarz, Eugene Owcarz, Eugene OPIOLA, ROBERT OPIOLA, ROBERT OPIOLA, ROBERT O LEARY, TIMOTHY O LEARY, TIMOTHY O LEARY, TIMOTHY O LEARY, TIMOTHY O LEARY, TIMOTHY O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O HARA, JOHN O BRIEN, LAWRENCE O BRIEN, LAWRENCE NORWOOD, CLAUDE NELSON, ROBERT Mckendry, Kevin Mckendry, Kevin Mckendry, Kevin Mckendry, Kevin Mckendry, Kevin Mckendry, Kevin MUSIL, SCOTT MUSIL, SCOTT MUSIL, SCOTT MURDEN, VINCENT

F F

8750 8750 8750 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8811 8811

8819

8771 8771 8771 8801

00439 00439

00473 00473 00473 00473 00473 00473

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

$2,276.83

$1,159.98

$1,126.30

$19.96

$6.50

$178.24

$44.00

$7.23

$6.50

$5.13

$109.55

$424.07

$6.50

$1.33

$93.75

$7.19

$6.50

$11,168.84

$1,675.31

$6.50

$1,187.77

$550.76

$22.35

$23.58

$581.10

$48.21

$6.93

$351.40

$6.50

City Of Chicago - Confidential

Page 12 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/14/2011 MURDEN, VINCENT

08/10/2010 MURAWSKI, CHRISTOPHE

03/26/2011 MITCHELL, BARRY

01/12/2011 MC CORMICK, MICHAEL

8801

8749

873

$6.50

$47.21

$6.50

$935.32

$1,444.22

$1,022.92

$1,000.18

$44.63

$6.50

$1,097.06

$15.37

$6.50

$381.47

$15.37

$6.50

$381.47

$12.69

$6.50

$318.15

$15.89

$6.50

$397.97

$495.50

$6.50

$1,227.90

$39.54

$6.50

$220.19

$263.03

$6.50

$25.93

$220.19

City Of Chicago - Confidential

Page 13 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/12/2011 MC CORMICK, MICHAEL

03/12/2011 MC CLUSKEY, KRISTIN

07/20/2009 MAYNOR, ADAM

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

$21.23

$6.50

$215.32

$25.93

$6.50

$263.03

$26.40

$6.50

$267.90

$25.93

$6.50

$263.03

$25.93

$6.50

$263.03

$25.93

$6.50

$263.03

$21.70

$6.50

$21.70

$6.50

$190.82

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$226.27

$6.50

$20.54

City Of Chicago - Confidential

Page 14 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/12/2008 MAXWELL, STEVEN

04/06/2011 MALITO, SCOTT

06/18/2004 Levin, Richard

10/19/2004 Lane, Russell

05/14/2008 Lambert, Joseph W

04/19/2011 LUNZ, JOHN

11/07/2010 LOPEZ, JOSEPH .

02/03/2011 LANIER, SHARRIEFF

10/30/2010 LAMM, PHILIP

04/23/2011 LA BONTE, DAN I EL

04/23/2011 LA BONTE, DANIEL

10/22/2010 KWASNY, RICHARD

04/15/2011 KOZLOWSKI, KENNETH

8807

8750 8750 8731 8735 8735 8735

8750 8750 8750 8807 8735

00636 00636 00636 00636 00636 00636 00636 00636 00665 00665 00665 00434

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

joF

Fi Fi Fi Fi Fi Fi Fi Fi

$6.50

$76.00

$1,336.58

$2,375.34

$31,786.72

$871.41

$871.41 '

$6.50

$871.41 .

$6.50

$871.41

$6.50

$96.98

$1,306.43

$6.50

$1,976.79

$11.64

$6.50

$230.40

$6.50

$1,435.59

$1,030.59

$18,970.05

$1,030.59

$6.50

$29.43

$1,151.48

$1,596.45

$4.81

City Of Chicago - Confidential

Page 15 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/15/2011 KOZLOWSKI, KENNETH

01/21/2011 KOSTER II, RICHARD

04/12/2011 KOERTGEN, TIMOTHY

12/27/2010 KIERNICKI, NICOLE

12/16/2010 KASPER, ANTHONY

03/07/2011 JURASZ JR, KENNETH

01/18/2011 JESSEE, PATRICK

8735 8735 8801 8801 8801 8801 8737 8737 8750 8817 8817 8817 8817 8817 8817 8817 8817 8817 8731 8731 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

$12.08

$6.50

$13.58

$6.50

$1,823.53

$269.12

$226.46

$6.50

$3,685.26

$6,623.38

$1,197.66

$1,232.74

$1,123.82

$3,271.28

$1,226.73

$1,197.66

$1,086.90

$6.50

$147.05

$1,803.40

$6.50

$901.70

$6.50

$450.85

$6.50

$450.85

$6.50

$901.70

$6.50

$262.10

$1,157.22

$1,352.55

City Of Chicago - Confidential

Page 16 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/18/2011 JESSEE, PATRICK

10/30/2010 JENKINS, JAMES

03/29/2011 HERRING, RODNEY

03/06/2011 HERRING, CYNTHIA

12/28/2009 HECKMANN, MARGARET

05/16/2011 HANNON, MICHELLE

12/17/2010 GODINEZ, JUAN

05/22/2011 GARCIA, ALEJANDRO

01/31/2011 GALLAS, CHRISTOPHE

04/20/2011 FORTUNA, NICHOLAS

05/03/2011 FLAVIN, GARRETT

09/01/2010 ENNESSER, DANIEL

8819 8793

88 88 88 88 88 88

8817 8750 8750 8819 8801 8801 8801 8731 8731 8731 8801 8801 8801 8801 8801 8801 8819 8819 8819 8819 8819 8819 8731

$1,352.55

$1,259.92

$6.50

$130.50

$235.75

$475.00

$1,305.89

$1,429.78

$1,254.18

$6.50

$8.03

$0.25

$6.50

$383.71

$6.50

$383.71

$6.50

$10.62

$5.61

$6.50

$1,046.50

$6.50

$31.23

$2,022.93

City Of Chicago - Confidential

Page 17 of 93

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

09/01/2010 ENNESSER, DANIEL

04/13/2010 DUNN, MARK

03/09/2011 DORICH, STEVEN

05/24/2011 DIETZ, JUAN

04/15/2011 DEAR, AARON

03/19/2002 Collins, John

04/08/2011 CRONIN, TIMOTHY

01/19/2011 CORDER, SILVIANA

01/13/2011 CECICH, MICHAEL

01/12/2010 CARBONNEAU, THOMAS

8731

8750 8750 8750 8750 8750 8750 8750

8701

8749

8735

00320

jo Fi Fi Fi Fi Fi Fi Fi Fi Fi

$66.47

$1,589.83

$6.50

$242.18

$219.92

$6.50

$5.62

$22.32

$6.50

$123.07

$10.08

$6.50

$155.45

$856.80

$7.98

$1,375.60

$8,448.00

$205.20

$11,168.84

$6.50

$20.43

$171.01

$16.85

$207.31

$171.01

$16.85

$6.50

$171.01

$16.85

$6.50

$4,357.43

City Of Chicago - Confidential

Page 18 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/28/2011

03/27/2011

08/15/2010

10/19/2010

01/12/2011

04/27/2011

04/26/2011

06/01/2011

01/15/2011

Number Total: 618

CAMPBELL, BRIAN

CALLAGHAN, KEVIN

BROWN, WILLIAM

BROWN, ALICIA

BRNE, BERNARD

BRNE,BERNARD

BRNE, BERNARD

BRNE,BERNARD

BRNE, BERNARD

BELLUOMINI, TERRY

AUSTIN, ROBBIE

ARROYO,CESAR

ALTMAN, MARK

Amount $585,275.80

8731

8749

8731

8801

8817

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

Insured NameV. City Of Chicago Police

08/23/2008 Zayas, Alberto 01/18/2011 ZOLDAN, ANTON

3286

00015 015

City Of Chicago Police City Of Chicago Police

$1,550.51

$1,083.15

$1,305.89

$0.69

$639.94

$6.50

$27.00

$18.00

$16.36

$6.50

$0.46

$6.50

$1,100.68

$1,090.40

$2,083.90

$104.65

$2,069.37

$80,975.68

$6.50

$2.67

$6.50

$866.40

$41.28

$6.50

$2,068.50

$6.50

$314.52

$3,487.10

$29,574.48 $1,354.00

City Of Chicago - Confidential

Page 19 of 93

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 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 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 Pol City Of Chicago Pol

01/18/2011 ZALINSKI, STANISLAW

02/17/2011 ZAHLMANN, KRISTINE

04/06/2011 ZACCAGNINO, JOSEPH

05/14/2011 YOCKEY, RODNEY

01/08/2007 Woznicki, Robert A

09/30/2006 Watson, Gregory

03/14/2011 WONG, BENNY

05/13/2011 WOLFE, RAMA

3286

9161

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

010 010 010 024 024 024 024 024 024

00016

00701

018

003

>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

$1,724.76

$1,682.62

$1,653.36

$1,300.02

$6.50

$143.42

$1.74

$16.61

$6.50

$650.16

$187.77

$6.50

$4.80 .

$28.56

$6.50

$95.60

$1.40

$6.50

$1,117.62

$1,283.84

$54.78

$1,160.71

$6.50

$247.63

$20.64

$6.50

$570.74

$9.62

$6.50

$284.74

$0.69

$6.50

$147.95

City Of Chicago - Confidential

Page 20 of 93

Incident Date Claimant Rank

05/13/2011 WOLFE, RAMA 9161

06/28/2010 WILSON, ROBERT 9161

Unit of Insured Total to be Paid

003 City Of Chicago Police $21.72

003 City Of Chicago Police $6.50

003 City Of Chicago Police $549.29

003 City Of Chicago Police $0.69

003 City Of Chicago Police $6.50

003 City Of Chicago Police $147.95

003 City Of Chicago Police $0.69

003 City Of Chicago Police $6.50

003 City Of Chicago Police $147.95

003 City Of Chicago Police $0.47

003 City Of Chicago Police $6.50

003 City Of Chicago Police $99.67

003 City Of Chicago Police $1.16

008 City Of Chicago Police $12.85

008 City Of Chicago Police $361.06

008 City Of Chicago Police $301.08

008 City Of Chicago Police $22.71

008 City Of Chicago Police $6.50

008 City Of Chicago Police $550.16

008 City Of Chicago Police $2.08

008 City Of Chicago Police $6.50

008 City Of Chicago Police $2.08

008 City Of Chicago Police $6.50

008 City Of Chicago Police $141.91

008 City Of Chicago Police $12.85

008 City Of Chicago Police $6.50

008 City Of Chicago Police $301.08

008 City Of Chicago Police $25.70

008 City Of Chicago Police $6.50

008 City Of Chicago Police $602.16

008 ' City Of Chicago Police $24.59

008 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 21 of 93

Incident Date Claimant Rank

06/28/2010 WILSON, ROBERT 9161

06/28/2010- WILSON, ROBERT 9161

06/28/2010 WILSON, ROBERT 9161

01/29/2011 WILLIAMS, LUNYE

06/08/2011 WETZEL, DAVID 9161

12/11/2009 WESTON, ROBERT 9161

Unit of Insured Total to be Paid

008 City Of Chicago Police $610.13

008 City Of Chicago Police $22.71

008 City Of Chicago Police $6.50

008 City Of Chicago Police $550.16

008 City Of Chicago Police $12.85

008 City Of Chicago Police $6.50

008 City Of Chicago Police $301.08

008 City Of Chicago Police $13.21

008 City Of Chicago Police $6.50

008 City Of Chicago Police / $307.42

008 City Of Chicago Police $2.08

008 City Of Chicago Police $6.50

008 City Of Chicago Police $141.91

008 City Of Chicago Police $12.85

008 City Of Chicago Police $6.50

008 City Of Chicago Police $301.08

008 City Of Chicago Police $6.50

008 City Of Chicago Police $141.91

008 City Of Chicago Police $20.40

008 City Of Chicago Police $6.50

008 City Of Chicago Police $476.37

008 City Of Chicago Police $27.63

008 City Of Chicago Police $6.50

008 City Of Chicago Police $707.03

008 City Of Chicago Police $24.95

008 City Of Chicago Police $6.50

008 City Of Chicago Police $643.72

008 City Of Chicago Police $14.73

City Of Chicago Police $2,713.32

City Of Chicago Police $1,356.66

City Of Chicago Police $6.50

City Of Chicago Police $283.48

050 City Of Chicago Police $4,382.00

City Of Chicago - Confidential

Page 22 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/11/2009 WESTON, ROBERT

07/02/2009 WELCH, JOHN

08/16/2010 WEITZMAN, JOSHUA

10/15/2010 WEATHERSBY LEE, KAREN

02/23/2011 WARNER, BRIAN

01/01/2011 WALLACE, JLYNN

03/26/2006 Viramontes, Ricardo

01/09/1997 Vanvegten, Andre H

9161 9161 9161

9161

3286

9161

050

018 018

00008 00008 00008 00008 00008 00008 00008 00008 00008 00008 00008 00008 00008 00008 09999 09999 09999 09999 09999 09999 09999

Poli Poll Poli Poll

$4,971.55

$6.50

$273.92

$6.50

$101.70

$3,000.00

$2,993.09

$28,075.14

$6.50

$876.76

$44.97

$127.26

$29.11

$6.50

$103.42

$8.44

$6.50

$15.32

$6.50

$171.01

$6.50

$110.82

$6.50

$2,435.13

$16.85

$5,604.48

$6.50

$54.75

$5,604.48

$5,572.97

$5,604.48

City Of Chicago - Confidential

Page 23 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/09/1997 01/09/1997 07/02/2008 07/02/2008 07/02/2008 03/09/2011 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 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010

Vanvegten, Andre H Vanvegten, Andre H Valenti, Ross Valenti, Ross Valenti, Ross VLCANSKY, MILAN VERDIN, ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO ,ROBERTO

VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN

09999 09999 00019 00019 00019

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

$453.26

$5,541.45

$1.17

$6.50

$96.62

$1,246.00

$23.87

$242.19

$6.50

$23.87

$6.50

$242.19

$6.50

$833.55

$23.87

$6.50

$242.19

$6.50

$833.55

$6.50

$450.85

$6.50

$833.55

$23.87

$6.50

$242.19

$23.87

$6.50

$242.19

$23.87

$6.50

City Of Chicago - Confidential

Page 24 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/25/2010 VERDIN, ROBERTO

01/07/2011 VEGA, ANA

07/02/2010 VALERIO, MAGDALENA

04/10/2011 ULDRYCH, TIMOTHY

10/22/2010 ULDRYCH, MELISSA

05/09/2008 Thompson, Belinda

08/03/2006 Thomas, Herman A

3286 3286

9161 9161 9161

00002 00002 00002 00002 00002 00002 00002 00002

$242.19

$11.04

$6.50

$1,268.65

$6.50

$954.10

$112.00

$23.87

$89.46

$3.84

$113.12

$10.15

$6.50

$56.56

$2.33

$6.50

$192.23

$20.30

$6.50

$16.85

$6.50

$171.01

$6.50

$150.97

$6.50

$507.31

$272.60

$408.90

$6.50

$340.75

City Of Chicago - Confidential

Page 25 of 93

Incident Date Claimant_Rank

08/03/2006 Thomas, Herman A P

08/03/2006 . Thomas, Herman A P

08/03/2006 Thomas, Herman A P

04/06/2011 TURNER, DEJUAN 9161

01/01/2011 TRIPOLI, JOSEPH 9165

-01/01/2011 TRIPOLI, JOSEPH 9165

01/01/2011 TRIPOLI, JOSEPH 9165

05/03/2011 TRAYNOR, FRANK 9165

Unit of_Insured _Total to be Paid

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $817.80

00002 City Of Chicago Police $6.50

00002 " City Of Chicago Police $319.79

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $1,210.49

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $139.05

00002 City Of Chicago Police $272.60

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $446.47

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $1,158.55

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $923.78

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $114.41

005 City Of Chicago Police $2,872.10

650 City Of Chicago Police $1.31

650 City Of Chicago Police $6.50

650 City Of Chicago Police $89.12

650 City Of Chicago Police $6.50

650 City Of Chicago Police $20.58

650 City Of Chicago Police $6.50

650 City Of Chicago Police $212.31

650 City Of Chicago Police $694.00

650 City Of Chicago Police $5.42

023 City Of Chicago Police $19.16

023 City Of Chicago Police $6.50

023 City Of Chicago Police $749.64

023 City Of Chicago Police $178.24

023 City Of Chicago Police $7.23

023 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 26 of 93

Incident Date Claimant Rank

05/03/2011 TRAYNOR, FRANK 9165

05/13/2011 TIRADO, EUGENIO 9161

01/18/2011 THEODORE, PETER 3286

05/20/2011 TANG, WILLIAM 9161

08/11/2008 Swanson, David O P

08/11/2006 Shannon, Debora S P

11/01/2008 Salvage, Donna P

02/04/2010 SZURA, WILLIAM 9169

02/04/2011 SZURA, WILLIAM 3295

Unit of Insured Total to be Paid

023 City Of Chicago Police $6.50

023 City Of Chicago Police $43.00 044 City Of Chicago Police $243.46 044 City Of Chicago Police $6.50 044 City Of Chicago Police $3.57 044 City Of Chicago Police $600.00 044 City Of Chicago Police $6.50 044 City Of Chicago Police $223.71

City Of Chicago Police $44.97

024 City Of Chicago Police $6.50 024 City Of Chicago Police $344.96 024 City Of Chicago Police $6.50 024 City Of Chicago Police $177.18 024 City Of Chicago Police $34.15 024 City Of Chicago Police $6.50 024 City Of Chicago Police $1,335.96 024 City Of Chicago Police $6.50 024 City Of Chicago Police $314.55 024 City Of Chicago Police $6.50 024 City Of Chicago Police $314.55 024 City Of Chicago Police $6.50 024 City Of Chicago Police $101.70 024 City Of Chicago Police $6.50 024 City Of Chicago Police $77.59 00001 City Of Chicago Police $6.50 00001 City Of Chicago Police $2,362.81 00007 City Of Chicago Police $925.92 00007 City Of Chicago Police $6.50 00024 City Of Chicago Police $26,856.67 055 City Of Chicago Police $1,408.00 055 City Of Chicago Police $2,704.88 055 City Of Chicago Police $16.53 055 City Of Chicago Police $176.02

City Of Chicago - Confidential

Page 27 of 93

Incident Date Claimant Rank

02/04/2011 SZURA, WILLIAM 3295

05/16/2011 SWIATKOWSKI, BRIAN 9161

06/19/2010 SWALINA, DAVID 9161

Unit of Insured Total to be Paid

055 City Of Chicago Police $6.50

055 City Of Chicago Police $167.62

055 City Of Chicago Police $14.11

055 City Of Chicago Police $6.50

055 City Of Chicago Police $143.12

055 City Of Chicago Police $17.35

055 City Of Chicago Police $6.50

City Of Chicago Police $6,183.04

005 City Of Chicago Police $267.15

005 City Of Chicago Police $6.50

005 City Of Chicago Police $303.12

005 City Of Chicago Police $1.11

005 City Of Chicago Police $6.50

005 City Of Chicago Police $236.33

005 City Of Chicago Police $1.42

005 City Of Chicago Police $6.50

005 City Of Chicago Police $303.12

005 City Of Chicago Police $0.94

005 City Of Chicago Police $6.50

005 City Of Chicago Police $200.36

005 City Of Chicago Police $0.94

005 City Of Chicago Police $6.50

005 City Of Chicago Police $200.36

005 City Of Chicago Police $6.50

005 City Of Chicago Police $267.15

005 City Of Chicago Police $1.25

005 City Of Chicago Police $6.50

005 City Of Chicago Police $267.15

005 City Of Chicago Police $1.25

005 City Of Chicago Police $6.50

005 City Of Chicago Police $267.15

005 City Of Chicago Police $0.94

005 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 28 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 05/29/2011 05/29/2011 05/29/2011 05/29/2011 05/29/2011 05/29/2011 05/29/2011

SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SUTTON, ROSILYNN SUTTON, ROSILYNN SUTTON, ROSILYNN SUTTON, ROSILYNN SUTTON, ROSILYNN SUTTON, ROSILYNN SUTTON, ROSILYNN

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

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

lice lice lice 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

$200.36

$1.25

$6.50

$267.15

$1.42

$6.50

$303.12

$1.42

$1.25

$6.50

$267.15

$1.25

$6.50

$267.15

$1.25

$0.63

$6.50

$133.57

$1.25

$6.50

$267.15

$1.25

$6.50

$267.15

$1.25

$6.50

$119.85

$10.90

$6.50

$2,599.12

$10.85

$6.50

City Of Chicago - Confidential

Page 29 of 93

Incident Date Claimant Rank

05/29/2011 SUTTON, ROSILYNN

03/27/2010 SURVILLION, ALLEN 9161

Unit of Insured Total to be Paid

City Of Chicago Police $267.34

City Of Chicago Police $4.87

City Of Chicago Police $268.59

311 City Of Chicago Police $189.42

311 City Of Chicago Police $209.61

311 City Of Chicago Police $41.89

311 City Of Chicago Police $6.50

311 City Of Chicago Police $245.70

311 City Of Chicago Police $47.98

311 City Of Chicago Police $6.50

311 City Of Chicago Police $262.22

311 City Of Chicago Police $37.32

311 City Of Chicago Police $6.50

311 City Of Chicago Police $229.97

311 City Of Chicago Police $34.48

311 City Of Chicago Police $6.50

311 City Of Chicago Police $179.42

311 City Of Chicago Police $5.23

311 City Of Chicago Police $6.50

311 City Of Chicago Police $65.32

311 City Of Chicago Police $32.18

311 City Of Chicago Police $6.50

311 City Of Chicago Police $189.42

311 City Of Chicago Police $64.36

311 City Of Chicago Police $6.50

311 City Of Chicago Police $378.84

311 City Of Chicago Police $32.18

311 City Of Chicago Police $6.50

311 City Of Chicago Police $31.23

311 City Of Chicago Police $6.50

311 City Of Chicago Police $213.45

311 City Of Chicago Police $31.23

311 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 30 of 93

Incident Date Claimant Rank

03/27/2010 SURVILLION, ALLEN 9161

02/05/2011 SULLINS, EDWARD Sgt

05/25/2011 SPRENG, MICHAEL 9161

02/26/2011 SOTO, NEFTALI 3286

03/11/2011 SMITH, DAINA

Unit of Insured Total to be Paid

311 City Of Chicago Police $194.45

311 City Of Chicago Police $31.23

311 City Of Chicago Police $6.50

311 City Of Chicago Police $213.45

311 City Of Chicago Police $3.49

311 City Of Chicago Police $6.50

311 City Of Chicago Police $237.52

311 City Of Chicago Police $35.46

311 City Of Chicago Police $6.50

311 City Of Chicago Police $202.28

311 City Of Chicago Police $27.74

311 City Of Chicago Police $6.50

311 City Of Chicago Police $5.23

311 City Of Chicago Police $6.50

311 City Of Chicago Police $65.32

311 City Of Chicago Police $31.23

311 City Of Chicago Police $6.50

311 City Of Chicago Police $213.45

311 City Of Chicago Police $35.60

311 City Of Chicago Police $6.50

311 City Of Chicago Police $194.45

311 City Of Chicago Police $2.08

311 City Of Chicago Police $6.50

311 City Of Chicago Police $141.91

311 City Of Chicago Police $2.08

311 City Of Chicago Police $6.50

311 City Of Chicago Police $141.91

City Of Chicago Police $1,310.40

044 City Of Chicago Police $133.67

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.43

City Of Chicago Police $1,382.46

009 City Of Chicago Police $117.54

City Of Chicago - Confidential

Page 31 of 93

Incident Date Claimant Rank Unit of

03/11/2011 SMITH, DAINA 009

04/07/2011 SIMMONS, OSCAR "9161 012

02/01/2011 SIMMONS, FREDDIE

03/17/2011 SIMMONS, BEVERLY 9161 192

03/17/2011 SIMMONS, BEVERLY 9161 ■ 192

03/17/2011 SIMMONS, BEVERLY 9161 192

03/17/2011 ' SIMMONS, BEVERLY 9161 192

03/17/2011 SIMMONS, BEVERLY 9161 192

City Of Ch

Insured

Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $ 1.42

City Of Chicago Police $190.61

City Of Chicago Police $153.50

City Of Chicago Police $18.78

City Of Chicago Police $6.50

City Of Chicago Police $1.86

City Of Chicago Police $1,495.31

City Of Chicago Police $6,343.03

City Of Chicago Police $1,210.94

City Of Chicago Police $6.50

City Of Chicago Police $96.62

City Of Chicago Police $194.23

City Of Chicago Police $1.57

City Of Chicago Police $6.50

City Of Chicago Police $129.49

City Of Chicago Police $1.17

City Of Chicago Police $6.50

City Of Chicago Police $96.62

City Of Chicago Police $2.35

City Of Chicago Police $6.50

City Of Chicago Police $2.35

City Of Chicago Police $6.50

City Of Chicago Police $194.23

City Of Chicago Police $6.50

City Of Chicago Police $471.78

City Of Chicago Police $1.17

City Of Chicago Police $6.50

City Of Chicago Police $96.62

City Of Chicago Police $2.35

City Of Chicago Police $6.50

City Of Chicago Police $194.23

Confidential Page 32 of 93

Incident Date Claimant Rank

03/17/2011 SIMMONS, BEVERLY 9161

05/24/2011 SILER SR, CHAVEZ 9161

05/19/2011 SHIRAHAMA, GLEN 9161

01/21/2011 SHILNEY, JOHN 3608

05/04/2011 SHERLOCK, ANTHONY 9161

01/24/2011 SHEARER, ERIK 3286

10/07/2010 SEISER, MICHAEL

Unit of_Insured_Total to be Paid

192 City Of Chicago Police $2.35

192 City Of Chicago Police $6.50

192 City Of Chicago Police $194.23

192 City Of Chicago Police $1.17

192 City Of Chicago Police $6.50

192 City Of Chicago Police $96.62

192 City Of Chicago Police $0.18

192 City Of Chicago Police $6.50

192 City Of Chicago Police $138.66

192 City Of Chicago Police $1.17

044 City Of Chicago Police $1.16

044 City Of Chicago Police $247.63

044 City Of Chicago Police $6.50

City Of Chicago Police $6.50

189 City Of Chicago Police $245.95

189 City Of Chicago Police $25.03

189 City Of Chicago Police $6.50

189 City Of Chicago Police $253.93

189 City Of Chicago Police $24.24

189 City Of Chicago Police $6.50

189 City Of Chicago Police $24.46

189 City Of Chicago Police $245.95

189 City Of Chicago Police $6.50

189 City Of Chicago Police $248.15

189 City Of Chicago Police $24.24

189 City Of Chicago Police $6.50

189 City Of Chicago Police $245.95

189 City Of Chicago Police $24.24

189 City Of Chicago Police $6.50

City Of Chicago Police $9.98

City Of Chicago Police $12.49

044 City Of Chicago Police $1,957.00

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 33 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/07/2010 10/07/2010 05/14/2011 05/14/2011 05/14/2011 05/14/2011 05/14/2011 05/14/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 05/31/2011 05/31/2011 05/31/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011

SEISER, MICHAEL SEISER, MICHAEL SEGURA, STEVEN SEGURA, STEVEN SEGURA, STEVEN SEGURA, STEVEN SEGURA, STEVEN SEGURA, STEVEN SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SANCHEZ, JOSE SANCHEZ, JOSE SANCHEZ, JOSE SANCHEZ, CAM I LA SANCHEZ, CAM I LA SANCHEZ, CAM I LA SANCHEZ, CAM I LA SANCHEZ, CAM I LA SANCHEZ, CAMILA SANCHEZ, CAMILA

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

010 010 010 010 010 010 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 015 015 015 044 044 044 044 044 044 044

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

$14.63

$572.36

$9.66

$237.94

$600.00

$6.50

$184.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$12.08

$6.50

$98.45

$6.50

$38.65

$6.50

$315.00

$10.85

$3,603.16

$6.50

$92.08

$100.94

$6.50

$406.17

City Of Chicago - Confidential

Page 34 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 04/04/2011 03/22/2011 03/22/2011 11/21/2010 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011

SANCHEZ, CAMILA SANCHEZ, CAMILA SANCHEZ, CAMILA SANCHEZ, CAMILA SANCHEZ, CAMILA SANCHEZ, CAMILA SANCHEZ, CAMILA SANCHEZ, CAMILA SANCHEZ, CAMILA SANCHEZ, CAMILA SAMPSON, ESTHER SALGADO, CLAUDIO SALGADO, CLAUDIO SAID, WASIM RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS RUMSA, NICHOLAS

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

044 044 044 044 044 044 044 044 044 044

044 044 044

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

$53.11

$2,078.78

$6.50

$267.37

$13.99

$6.50

$344.90 .

$13.99

$6.50

$344.90

$1,363.00

$490.67

$6.50

$69.84

$15.05

$17,192.38

$152.63

$15.05

$6.50

$152.63

$15.05

$6.50

$152.63

$12.65

$6.50

$128.26

$15.05

$6.50

$152.63

$17.58

$6.50

$178.32

$15.05

City Of Chicago - Confidential

Page 35 of 93

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

01/14/2011 RUMSA, NICHOLAS

06/24/2010 RUHNKE, ERIK

05/16/2011 ROWLAND, LUCIUS

05/16/2011 ROSS, KAMARI

03/28/2011 RONAN, RUTH

05/04/2011 ROMAN, EDWIN

06/06/2011 RODRIGUEZ, VENUS

02/18/2011 RODRIGUEZ, MARCELO

9161 9161 9161 9161 9161 9161 9161

9171 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

312 312 312 312

192 192 192 192 007 007 007 007 007 007

lice ■ lice lice lice lice lice lice lice lice lice lice lice lice lice lice tice lice lice lice lice lice lice lice lice lice tice lice lice lice lice tice lice lice

$6.50

$152.63

$15.31

$6.50

$155.29

$6.50

$181.93

$38.85

$1,089.57

$101.70

$4,414.86

$6.50

$759.07

$2,293.17

$6.50

$1,897.77

$2,138.18

$6.50

$271.04

$6.94

$340.23

$0.40

$6.50

$86.31

$1.60

$2,167.41

$11,717.12

$445.14

$17,417.98

$2,796.93

City Of Chicago - Confidential

Page 36 of 93

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

05/08/2009 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 10/09/2010 10/09/2010 10/09/2010 03/14/2009 11/29/2010

RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA ROBINSON, WILLIA RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RICHTER, ERICH RICHARDSON, SHANE

9161

192

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 '9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

019 019 019 017

lice lice lice lice lice lice lice lice lice lice lice lice tice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$123.41

$6.50

$12.16

$190.72

$171.01

$18.80

$6.50

$16.85

$6.50

$171.12

$19.29

$6.50

$195.62

$16.87

$391.28

$6.50

$5.74

$171.12

$6.50

$16.87

$171.12

$6.50

$16.87

$6.50

$16.87

$171.12

$2,067.74

$2,062.38

$2,948.49

$2,144.07

$1,190.07

City Of Chicago - Confidential

Page 37 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011

REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN

9161 9161 9161 9161 9161 9161 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3.607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607

013 013 013 013 013 013 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 284

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

$6.50

$136.29

$209.70

$136.29

$6.50

$16.87

$6.50

$171.12

$21.57

$6.50

$218.82

$190.82

$21.57

$6.50

$218.82

$19.29

$6.50

$195.62

$23.99

$6.50

$243.32

$19.29

$6.50

$195.62

$6.50

$60.00

$247.75

$6.50

$613.95

$50.97

$6.50

$1,255.75

City Of Chicago - Confidential

Page 38 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/18/2011 REIDY, BRIAN

02/18/201,1 REIDY, BRIAN

02/18/2011 REIDY, BRIAN

02/17/2011 RAMIREZ, VERONICA

05/04/2011 RAICA, KRISTEN

05/26/2011 QUINN III, JOSEPH

10/03/1992 Phillips-Ramirez, Samella

06/17/2010 PURTELL, CYNTHIA

05/11/2011 PURDIMAN, PAMELA

04/21/2011 PULIDO, DAVID

3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3286 3286 3286 9161 9161 P

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

284 284 284 284 284 284 284 284 284 284 284 284 284 284 284 044 044 044

00020

008

007

010

ilice ilice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice tice lice lice lice

$20.92

$6.50

$212.21

$21.57

$6.50

$754.37

$6.50

$218.82

$6.50

$476.41

$19.29

$6.50

$195.62

$18.81

$6.50

$17.19

$6.50

$82.53

$10.16

$6.50

$1,258.24

$156.34

$6.50

$15.41

$6.50

$205.78

$88.07

$6.50

$75.75

$6.50

$88.07

$6.50

City Of Chicago - Confidential

Page 39 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/09/2011 10/25/2010 10/25/2010 10/25/2010 12/15/2010 02/23/2011 02/23/2011 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 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

PUCHALSKI, WALTER POZULP, KERRY POZULP, KERRY POZULP, KERRY POULOS, JOHN PILAFAS, STEVE PILAFAS, STEVE PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT

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

022 311 311 311 004 018 018

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

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

$1,167.15

$19.20

$6.50

$1.10

$1,018.02

$6.18

$6.50

$40.32

$6.50

$453.60

$13.44

$6.50

$151.20

$18.98

$6.50

$198.45

$13.44

$6.50

$151.20

$21.62

$6.50

$220.50

$15.47

$6.50

$605.09

$53.76

$6.50

$604.80

$54.04

$6.50

$601.65

$8.32

$6.50

City Of Chicago - Confidential

Page 40 of 93

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 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 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 02/26/2011 02/26/2011 02/26/2011

PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PHILLIPS, JEFFRY PHILLIPS, JEFFRY PHILLIPS, JEFFRY

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 3286 3286 3286

012 012 012

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

$278.88

$14.60

$6.50

$408.24

$47.52

$6.50

$548.10

$8.41

$6.50

$215.04

$11.65

$6.50

$240.80

$60.01

$6.50

$693.00

$10.46

$6.50

$248.08

$15.33

$6.50

$600.02

$1,323.00

$1.09

$6.50

$3,239.28

$1,090.40

$6.50

$10,465.52

$89.64

$6.50

$2.26

$186.26

City Of Chicago - Confidential

Page 41 of 93

Incident Date Claimant Rank

08/15/2009 PERILLI, TINA 9161

09/09/2009 PEMBERTON, KENT 9161

03/06/2011 PEDRAZA JR, JOSE 3295

04/08/2011 PEDRAZA JR, JOSE 9161

05/13/2011 PARUSZKIEWICZ, KEVIN 9161

01/12/2011 PARTIPILO, MICHAEL 9171

Unit of Insured Total to be Paid

009 City Of Chicago Police $6.50

009 City Of Chicago Police $5.68

009 City Of Chicago Police $65.32

020 City Of Chicago Police $6.50

020 City Of Chicago Police $694.07

020 City Of Chicago Police $16,510.31

020 City Of Chicago Police $1,442.68

020 City Of Chicago Police $1,155.00

020 City Of Chicago Police $2,194.36

020 City Of Chicago Police $9,834.84

020 City Of Chicago Police $1,155.00

020 City Of Chicago Police $254.17

020 City Of Chicago Police $6.50

020 City Of Chicago Police $890.00

020 City Of Chicago Police $6.50

020 City Of Chicago Police $6,664.34

153 City Of Chicago Police $8.11

153 City Of Chicago Police $6.50

153 City Of Chicago Police $199.75

153 City Of Chicago Police $6.50

153 City Of Chicago Police $326.33

153 City Of Chicago Police $6.50

153 City Of Chicago Police $139.44

153 City Of Chicago Police $6.50

153 City Of Chicago Police $937.84

153 City Of Chicago Police $6.50

153 City Of Chicago Police $139.44

153 City Of Chicago Police $25.02

153 City Of Chicago Police $5,620.71

City Of Chicago Police $6.50

City Of Chicago Police $6.63

124 City Of Chicago Police $9.20

124 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 42 of 93

Incident Date Claimant Rank

01/12/2011 PARTIPILO, MICHAEL 9171

09/18/2010 PARTIDA, ARTURO 9161

04/09/2011 PAPKE, JOSEPH 9161

02/06/2011 PALIKIJ, MARY 3286

Unit of Insured Total to be Paid

124 City Of Chicago Police $360.00

044 City Of Chicago Police $2.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $83.67

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.01

044 City Of Chicago Police $184.24

044 City Of Chicago Police $243.99

044 City Of Chicago Police $2.77

044 City Of Chicago Police $6.50

044 City Of Chicago Police $229.06

044 City Of Chicago Police $2.23

044 City Of Chicago Police $6.50

City Of Chicago Police $18.80

City Of Chicago Police $190.72

City Of Chicago Police $6.50.

City Of Chicago Police $18.80

City Of Chicago Police $6.50

City Of Chicago Police $190.72

023 City Of Chicago Police $6.50

023 City Of Chicago Police $9.43

023 City Of Chicago Police $410.00

023 City Of Chicago Police $6.50

023 City Of Chicago Police $6.51

023 City Of Chicago Police $241.12

023 City Of Chicago Police $6.50

023 City Of Chicago Police $101.70

023 City Of Chicago Police $6.50

023 City Of Chicago Police $207.63

023 City Of Chicago Police $6.50

023 City Of Chicago Police $207.63

023 City Of Chicago Police $6.50

023 City Of Chicago Police $272.68

City Of Chicago - Confidential

Page 43 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/06/2011 PALIKIJ, MARY

09/20/2010 OWENS, MESHAY

08/05/2010 ORTIZ, CYNTHIA

02/07/2011 ORTIZ, CARLOS

05/07/2011 ORTIZ CLAUDIO, SUSIE

01/07/2011 OLSON, ERIC

01/31/2011 O SHAUGHNESSY, JENNIFER

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

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

023 023 023 023 023 023 023 023 023 023 023

004 004 004

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

$6.50

$272.68

$6.50

$30.06

$6.50.

$0.29

$55.25

$6.50

$367.00

$6.50

$146.70

$2.38

$196.77

$6.50

$134.94

$539.76

$269.88

$742.17

$114.19

$472.29

$337.35

$6.50

$167.62

$6.50

$16.53

$94.81

$6.50

$17,809.31

$397.00

$6.50

$53.77

$5,766.41

$16.51

City Of Chicago - Confidential

Page 44 of 93

Incident Date Claimant Rank

01/31/2011 0 SHAUGHNESSY, JENNIFER

01/31/2011 O SHAUGHNESSY, JENNIFER

06/06/2011 O GRADY, JAMES 9171

06/06/2011 0 GRADY, JAMES 9171

06/06/2011 O GRADY, JAMES 9171

10/25/2010 O DONNELL, CHRISTINE 9161

07/27/2009 O BRIEN, TIMOTHY 9161

02/02/2011 O BRIEN, AMIE PO

11/30/2008 NORWOOD II, JAMES

05/03/2011 NELSON, JERALD 9161

04/16/2011 NEALS, GERALD 9161

04/19/2011 NAUGHTON, PATRICK 9161

Unit of_Insured__Total to be Paid

City Of Chicago Police $6.50 ■

City Of Chicago Police $167.51

024 City Of Chicago Police $4,670.35

024 City Of Chicago Police $6.50

024 City Of Chicago Police $119.36

024 City Of Chicago Police $162.83

024 City Of Chicago Police $6.50

024 City Of Chicago Police $71.63

024 City Of Chicago Police $56.93

024 City Of Chicago Police $12.08

024 City Of Chicago Police $6.50

City Of Chicago Police $0.01

044 City Of Chicago Police $1,252.23

020 City Of Chicago Police $198.51

020 City Of Chicago Police $6.50

020 City Of Chicago Police $2.92

City Of Chicago Police $6.50

024 City Of Chicago Police $28.24

024 City Of Chicago Police $6.50

024 City Of Chicago Police $1,105.21

024 City Of Chicago Police $187.77

024 City Of Chicago Police $6.50

024 City Of Chicago Police $4.80

044 City Of Chicago Police $823.07

044 City Of Chicago Police $6.50

044 City Of Chicago Police $96.62

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.17

044 City Of Chicago Police $6.50

044 City Of Chicago Police $106.67

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.19

044 City Of Chicago Police $106.67

City Of Chicago - Confidential

Page 45 of 93

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

04/19/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011

11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 11/15/2004 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008

NAUGHTON, PATRICK NAPOLI, MICHAEL NAPOLI, MICHAEL NAPOLI, MICHAEL NAPOLI, MICHAEL NAPOLI, MICHAEL NAPOLI, MICHAEL NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Muhammad, Vanessa Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda

9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 044

00024 00024 00024 00024 00024 00002 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006

Poli Pot Pol

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

$10.19

$32.53

$622.83

$6.50

$569.62

$6.50

$8.36

$6.50

$10.19

$1,954.97

$106.67

$6.50

$49.96

$1,703.05

$10,412.49

$10,507.03

$10,412.49

$10,391.48

$1,494.01

$267.38

$39.36

$6.50

$267.38

$19.68

$6.50

$133.69

$6.50

$127.76

$6.50

$39.36

$23.94

$6.50

City Of Chicago - Confidential

Page 46 of 93

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

01/26/2008 Michael, Linda

10/06/2006 Mcmahon, Mary L

06/09/2011 MURTAUGH, JOSEPH

03/05/2011 MURRAY, BABETTE

10/06/2010 MOYA, FRANCISCO

06/02/2011 MOSES HUGHES, KATHERINE

04/30/2011 MORRISON, HENRY

10/10/2009 MORENO, NANCY

05/05/2011 MORALES JR, ANTHONY

01/04/2010 MOORE, LATANYA

P P P P P P P

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

9161 9161 9161 9161 9161 9161 9161

00006

004

044

006 006 006 006 006 006 006 006 006

010 010

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

$290.12

$201.12

$23.45

$1,238.52

$34,305.46

$1,161.19

$1,018.40

$2,001.80

$6.50

$1.17

$96.62

$6.50

$1,097.13

$229.51

$6.50

$2.78

$193.97

$6.50

$913.41

$6.50

$65.58

$89.10

$14.76

$6.50

$1,702.25

$6.50

$944.73

$6.50

$84.92

$15.69

$6.50

$914.13

City Of Chicago - Confidential

Page 47 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 04/30/2011

MOORE, LATANYA MOORE, LATANYA . MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MONTOYA, VICTOR

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

018

lice lice lice tice lice lice tice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice ilice lice ilice lice ilice

$14.18

$6.50

$719.60

$6.50

$84.92

$6.50

$980.63

$1.93

$6.50

$98.00

$4.41

$6.50

$68.01

$6.50

$140.00

$6.50

$980.00

$6.50

$980.00

$6.50

$980.00

$6.50

$980.00

$6.50

$84.92

$15.08

$6.50

$862.40

$14.77

$6.50

$867.23

$15.09

$11.62

City Of Chicago - Confidential

Page 48 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 12/30/2009 01/22/2011 02/08/2011 02/08/2011 05/18/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011 02/16/2011

MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MONTOYA, VICTOR MIRANDA, ROBERTO MINGO, TARA MILOVICH, CANDACE MILOVICH, CANDACE MILLS, JOEL MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN MENAGH,SHAUN

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

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

018 018 018 018 018 018 018 018 018 018 018 018 018 011 006

008

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

$6.50

$236.93

$5.65

$6.50

$180.57

$794.20

$6.50

$700.62

$2.85

$6.50

$49.49

$6.50

$36.16

$5,441.91

$1,914.44

$49.00

$6.50

$223.44

$6.50

$1,790.10

$2.16

$6.50

$53.19

$10.85

$6.50

$267.34

$4.04

$6.50

$123.02

$7.34

$6.50

City Of Chicago - Confidential

Page 49 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/16/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 05/03/2011 05/03/2011 05/03/2011 12/08/2010 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011

MENAGH,SHAUN MCLEMORE, LAVAR MCLEMORE, LAVAR MCLEMORE, LAVAR MCLEMORE, LAVAR MCLEMORE, LAVAR MCLEMORE, LAVAR MCKEE, MICHAEL MCKEE, MICHAEL . MCKEE, MICHAEL MCCURTY, JAMES MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN,RAYMOND MCCANN, RAYMOND MCCANN,RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND

9161

3286

153 153 153

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

ilice ilice ilice ilice ilice lice dice dice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice tice tice lice lice lice lice lice tice

$72.66

$187.27

$6.50

$166.97

$68.15

$6.50

$493.50

$6.50

$1.51

$1,007.24

$613.95

$153.90

$6.50

$148.57

$26.09

$6.50

$153.90

$26.09

$6.50

$153.90

$26.09

$6.50

$153.90

$6.50

$247.75

$536.29

$6.50

$386.48

$6.50

$1,602.57

$6.50

$536.29

City Of Chicago - Confidential

Page 50 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/11/2011 MCCANN, RAYMOND

05/13/2011 MCCALLUM, RICHARD

04/10/2011 MC NICHOLS, THOMAS

05/05/2011 MC KENZIE, ROBIN

04/27/2011 MC GOVERN, SHAUN

02/23/2011 MC GEE, ROBERT

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

008 008 008 008 253

003 003 003 007 007 007

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

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

$6.50

$22.50

$6.50

$26.09

$1,195.94

$51.75

$6.50

$600.00

$6.50

$357.59

$4.32

$1.08

$18.85

$6.50

$21.53

$6.50

$530.40

$6.50

$1,200.50

$23.51

$6.50

$238.53

$6.50

$213.00

$1,210.94

$286.23

$400.00

$6.50

$28.21

$6.50

$286.23

$28.21

City Of Chicago - Confidential

Page 51 of 93

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 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 Poi City Of Chicago Pol City Of Chicago Pol

02/23/2011 MC GEE, ROBERT

05/11/2011 MC CLAIN, RODERIQUE

05/11/2011 MAY, EDWARD

06/21/2010 MATLOB; KENNETH

06/21/2010 MATLOB, KENNETH

05/31/2011 MARTINO, JASON

05/07/2011 MARTINEZ JR, JOSE

04/18/2011 MANNING, TIMOTHY

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

153 153 008 008 008 008 008 008 008 008 008 008

013

tice lice lice lice lice lice lice ilice lice lice lice lice lice lice ilice lice lice lice lice lice dice lice lice lice lice lice lice tice lice, lice lice lice lice

$6.50

$286.23

$28.21

$6.50

$286.23

$28.21

$2,032.53

$7,327.68

$13.26

$159.37

$1,061.20

$6.50

$88.07

$6.50

$83.67

$6.50

$1.01

$6,704.16

$11,072.10

$6.50

$32.39

$3,796.20

$767.79

$213.70

$1,231.20

$2.10

$1,316.82

$6.50

$371.17

$1,375.90

$101.24

$6.50

City Of Chicago - Confidential

Page 52 of 93

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

04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011

MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA-MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA

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

Poli Poli Pot Poli

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

$3,961.62

$30.33

$6.50

$925.84

$10.56

$6.50

$305.30

$56.24

$6.50

$1,432.78

$397.98

$338.00

$6.50

$14.01

$111.97

$6.50

$4.87

$6.50

$9.24

$6.50

$160.65

$15.89

$6.50

$397.98

$12.85

$6.50

$301.08

$42.80

$6.50

$1,081.96

$23.91

$6.50

$597.94

City Of Chicago - Confidential

Page 53 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/26/2011 04/26/2011 04/26/2011 04/26/2011 07/19/2010 05/16/2011 05/16/2011 05/16/2011 05/16/2011 10/12/2010 06/09/2011 06/09/2011 01/05/2001 01/05/2001 01/05/2001 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008

MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MALLEK, WILLIAM MALDONADO, IVETTE MALDONADO, IVETTE MALDONADO, IVETTE MALDONADO, IVETTE MAHAY, EDWARD MACFARLANE, TIMOTHY MACFARLANE, TIMOTHY Lloyd, Kimberfy D Lloyd, Kimberly D Lloyd, Kimberly D

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

9161

014

145

001

044

00007

00010

lice lice lice lice lice ilice ilice ilice lice ilice >lice ilice dice ilice lice lice lice lice lice lice lice lice fice lice lice lice lice tice tice tice tice tice tice

$17.73

$6.50

$402.67

$15.89

$1,253.42

$6.50

$7,194.06

$6.50

$1,138.79

$6.50

$10.15

$57.59

$188.70

$6.50

$188.70

$6.50

$188.70

$6.50

$188.70

$6.50

$188.70

$6.50

$377.40

$6.50

$204.45

$6.50

$188.70

$6.50

City Of Chicago - Confidential

Page 54 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/12/2008 Lipinski, David

05/29/2011 LOVELESS, ANTOINETT

05/29/2011 LOVELESS, ANTOINETT 06/10/2010 ■ LOTITO, MATTHEW

06/10/2010 LOTITO, MATTHEW

05/16/2011 LOHSE, WILLIAM

05/15/2011 LODUCA, BRADLEY

05/25/2011 LIPSEY, MIREYA

05/25/2011 LIPSEY, MIREYA 05/25/2011 . LIPSEY, MIREYA

04/21/2011 LEWIS, EILEEN

02/07/2011 LEBENSORGER, FRED

05/20/2011 LEAHY, BRIAN

P P P P P P

9161 9161 9161 9161 9168 9168 9168 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161

00010

044

009

011

314 314 314 314 008 008

314 314 314 314

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

$204.45

$6.50

$231.48

$6.50

$7.23

$6.50

$178.24

$1,279.65

$6.50

$28.70

$125.37

$6.50

$634.00

$16.20

$1,897.77

$314.52

$6.50

$69.96

$6.50

$51.36

$6.50

$72.82

$6.84

$6.50

$1,681.50

$1,300.89

$6.50

$182.70

$6.50

$210.41

City Of Chicago - Confidential

Page 55 of 93

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

05/20/2011 05/20/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 06/25/2007 11/29/2007 06/25/2007 11/29/2007 05/04/1993 05/04/1993 05/04/1993 05/04/1993 04/06/2008 04/06/2008 03/27/2005 09/03/2007 09/03/2007 05/25/2011 05/25/2011 05/25/2011 05/25/2011 08/07/2010 08/07/2010 08/07/2010

LEAHY, BRIAN LEAHY, BRIAN LARSON,ANDREW LARSON,ANDREW LARSON, ANDREW LARSON,ANDREW LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE Kujawa, Eric E Kujawa, Eric E Kujawa, Eric E Kujawa, Eric E Kopsky, Christine A Kopsky, Christine A Kopsky, Christine A Kopsky, Christine A King, Stevie King, Stevie Kennelly, Michael V Kelly, Bernard K Kelly, Bernard K KURI, CESAR KURI, CESAR KURI, CESAR KURI, CESAR KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN

9161

9161 9161 9161 9161 9161 9161 9161

314 314

012

00009

00012

00002

00019

00002

314

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

$4.67

$435.17

$916.02

$14.10

$4,322.73

$6.50

$1,071.60

$3.42

$6.50

$233.30

$3.42

$6.50

$233.30

$30.00

$6.50

$29.00

$92.00

$6.50

$46.00

$6.50

$64.99

$6.50

$3,035.25

$6.50

$127.46

$10.19

$106.67

$6.50

$1,189.64

$6.50

$408.90

City Of Chicago - Confidential

Page 56 of 93

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

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 05/11/2011 05/11/2011 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 05/03/2011 05/03/2011 05/03/2011 05/03/2011 05/03/2011 12/22/2010 04/14/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011

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 KROB, THOMAS KROB, THOMAS KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONO, ROGER KONO, ROGER KONO, ROGER KONO, ROGER KONO, ROGER KNUDSEN,SARA KIZZIAH, AARON KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN

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

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

007 007

023 023 023 023 023 044 023

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

$188.70

$6.50

$188.70

$6.50

$204.45

$6.50

$322.00

$2,201.92

$322.00

$6.50

$322.00

$6.50

$437.24

$2,097.78

$1,794.65

$5,625.35

$1,117.04

$1,449.79

$63.00

$6.50

$1,070.62

$4.84

$6.50

$1,065.21

$2,018.40

$3.77

$6.50

$36.74

$256.24

$6.50

$265.07

City Of Chicago - Confidential

Page 57 of 93

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

02/09/2011 KINSLOW, STEVEN

05/19/2009 KINNEY, DAVID

05/08/2010 KHAN, KASHIF

11/01/2010 KESSEM, BRIAN

05/25/2011 KEREAKES, DEMETRIOS

05/26/2011 KELLINGER, ROBERT

10/08/2010 KELLAM, ROBERT

10/14/1992 Johnson-Swain, Marianne C

3286

9171

9161

072 044

314

044

009

00006

Poli Poli

Poll

Poli

$6.50

$3.77

$256.24

$6.50

$3.77

$256.24

$6.50

$284.84

$71.51

$1,295.00

$6.50

$89.12

$3.47

$1.31

$236.50

$51.36

$6.50

$91.30

$1,781.36

$216.74

$91.30

$6.50

$91.30

$6.50

$166.71

$6.50

$338.71

$6.50

$306.89

City Of Chicago - Confidential

Page 58 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 10/14/1992 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 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007 01/23/2007

Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Johnson-Swain, Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer

Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C Marianne C

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 00006 00006 00006 00006 00006 00006 00006 00006 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013

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

lice lice lice lice lice lice ilice ilice ilice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice tice tice tice lice lice lice lice lice lice lice

$443.19

$6.50

$336.64

$6.50

$250.00

$6.50

$50.60

$4.10

$6.50

$346.00

$6.50

$50.60

$6.50

$1.17

$6.50

$96.62

$3.43

$6.50

$283.88

$3.01

$6.50

$249.01

$3.43

$6.50

$283.88

$1.17

$6.50

$96.62

$6.44

$6.86

$6.50

$567.76

City Of Chicago - Confidential

Page 59 of 93

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

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 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 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

Jelks, Jelks, Jelks, Jelks, Jelks, Jelks, Jelks, Jelks Jelks, Jelks, Jelks, Jelks, Jelks, Jelks, Jelks, Jelks, Jelks, Jelks Jelks, Jelks, Jelks, Jelks, Jelks Jelks Jelks, Jelks, Jelks Jelks Jelks, Jelks Jelks Jelks Jelks

Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer Jennifer

00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013 00013

lice lice lice ilice ilice ilice ilice ilice 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

$3.43

$6.50

$283.88

$6.50

$532.89

$3.01

$6.50

$249.01

$3.43

$6.50

$283.88

$1.17

$6.50

$96.62

$3.43

$6.50

$283.88

$3.01

$6.50

$249.01

$3.01

$6.50

$249.01

$3.43

$6.50

$283.88

$2.35

$6.50

$194.23

$0.76

$6.50

$63.06

$3.01

City Of Chicago - Confidential

Page 60 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/23/2007 01/23/2007 09/10/1994 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 05/19/2011 05/19/2011 05/19/2011 05/19/2011 05/19/2011 05/19/2011 05/19/2011 05/19/2011 05/19/2011 05/19/2011 05/19/2011 11/29/2010 11/29/2010 11/29/2010 11/29/2010

Jelks, Jennifer Jelks, Jennifer Jackson, Talmitch JONES, ANDREW JONES,ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES,ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES,ANDREW JONES, ANDREW JONES,ANDREW JONES, ANDREW JONES, ANDREW JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, MARK JOHNSON, LAWRENCE JOHNSON, LAWRENCE JOHNSON, LAWRENCE JOHNSON, LAWRENCE

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

00013 00013 00003

006 006 006 006 006 006 006 006 006 006 006

lice lice lice lice ilice lice lice dice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice tice tice lice lice lice lice lice

$6.50

$249.01

$2,217.39

$328.66

$7.22

$298.79

$6.50

$3.61

$1.17

$597.58

$6.50

$3.98

$1.17

$6.50

$96.62

$6.50

$96.62

$6.50

$31.00

$6.50

$0.59

$254.07

$0.49

$6.50

$104.19

$1.19

$124.99

$6.50

$1.40

$95.60

$2,631.60

City Of Chicago - Confidential

Page 61 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 08/22/2009 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 05/13/2011 05/13/2011 05/13/2011 05/01/2011 11/13/2010 03/26/2011 02/11/2011 02/11/2011 02/11/2011

JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JOHNSON, JOYCE JANDA, LIANE JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, JAMESA JACKSON, JAMESA JACKSON, JAMESA JACKSON, CORTNEY JACKSON, CARLA JACKSON JR, WILLIAM IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS

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

9161 9161 9161 9161

9206 9161 9161 9161

044 044 044 004

lice tice lice tice lice ilice lice lice lice lice lice ilice lice ilice lice ilice dice ilice ilice ilice lice lice ilice lice lice lice lice lice lice lice lice lice lice

$167.51

$6.50

$16.51

$1,359.71

$6.50

$1.74

$81.67

$6.50

$73.71

$6.50

$0.89

$167.51

$6.50

$16.51

$167.51

$6.50

$16.51

$4,218.50

$5,174.84

$1,900.67

$6.50

$2,325.65

$2,207.61

$2,687.41

$6.50

$1,202.95

$7.00

$1,352.24

$4,519.43

$1,071.60

$6.50

$1.47

$25.60

City Of Chicago - Confidential

Page 62 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/25/2011 04/25/2011 04/25/2011 04/25/2011 04/25/2011 04/25/2011 04/25/2011 04/25/2011 05/03/2011 05/03/2011 05/03/2011 05/03/2011 05/03/2011 05/03/2011 05/03/2011 05/12/2006 05/12/2006 05/12/2006 11/23/2005 11/23/2005 11/23/2005 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010

IZA, FRANCISCO IZA, FRANCISCO IZA, FRANCISCO IZA, FRANCISCO IZA, FRANCISCO IZA, FRANCISCO IZA, FRANCISCO IZA, FRANCISCO ITHAL, ALAN ITHAL, ALAN ITHAL, ALAN ITHAL, ALAN . ITHAL, ALAN ITHAL, ALAN ITHAL, ALAN Hitiris, Evangelos Hitiris, Evangelos Hitiris, Evangelos Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID

9161

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

253

00019

00023

016

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

ice ice ice ice ce ice ice 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

$13.33

$6.50

$214.16

$6.50

$2.59

$1,101.05

$6.50

$1.86

$6.50

$42.35

$164.66

$6.50

$6.00

$6.50

$2,402.40

$6.50

$95.30

$232.84

$6.50

$31.99

$788.12

$238.53

$23.51

$6.50

$238.53

$23.51

$6.50

$238.53

$23.51

$6.50

$238.53

$6.50

$2,242.67

City Of Chicago - Confidential

Page 63 of 93

Incident Date Claimant Rank

02/05/2010 HUNDRIESER, DAVID 9161

Unit of_Insured_Total to be Paid

016 City Of Chicago Police $6.50

016 City Of Chicago Police $68.15

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $238.53

016 City Of Chicago Police $10.85

016 City Of Chicago Police $6.50

016 City Of Chicago Police $267.34

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $238.53

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $238.53

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $238.53

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $238.53

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $238.53

016 City Of Chicago Police $23.51

016 City Of Chicago Police $238.53

016 City Of Chicago Police $6.50

016 City Of Chicago Police $68.15

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $238.53

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 64 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/02/2011 05/08/2011 05/08/2011 05/25/2011 05/25/2011 05/25/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 05/11/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011

HOZZIAN, JOANNE HOLLIDAY, DAVID HOLLIDAY, DAVID HOFFMAN, NICOLE HOFFMAN, NICOLE HOFFMAN, NICOLE HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HINES, VANETTA HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN

9161

3286 3286 3286 3286 3286 3286 3286

001

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

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

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

$1,897.77

$6.50

$209.69

$550.96

$14.08

$6.50

$26.55

$354.95

$269.33

$0.88

$6.50

$1.17

$6.50

$96.62

$7.23

$6.50

$178.24

$15.58

$6.50

$158.06

$16.20

$6.50

$164.39

$4.29

$6.50

$239.02

$6.50

$2.89

$2,421.92

$6.50

$328.66

City Of Chicago - Confidential

Page 65 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 01/21/2011 11/25/2010 05/18/2011 05/18/2011 05/18/2011 05/18/2011 10/22/2010 10/22/2010 10/22/2010 10/22/2010 05/02/2011 03/11/2011

HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBERGER, SHELLY HEBEIN, HERBERT HEALY, RYAN HAUSER, ROBERT HAUSER, ROBERT HAUSER, ROBERT HAUSER, ROBERT HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HALERZ, JOHN HAESE, ALLISON

3286

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3295

005 005 005 005 005 005 005 005 005 005 005 005 005 005 005 022 044

008 153

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice tice lice tice lice lice lice tice tice lice tice lice tice lice

$83.67

$6.50

$1.01

$3.98

$7,361.68

$29.32

$1,572.52

$351.70

$6.50

$1,503.33

$6.50

$1,965.65

$6.50

$1,965.65

$6.50

$199.75

$6.50'

$8.11

$351.70

$6.50

$37.62

$1,528.23

$53.00

$6.50

$988.29

$6.50

$1,167.15

$1,501.50

$1,730.95

$1,281.93

$1,323.44

$218.72

City Of Chicago - Confidential

Page 66 of 93

Incident Date Claimant_Rank

03/11/2011 HAESE, ALLISON 3295

Unit of_Insured_Total to be Paid

153 City Of Chicago Police $171.12

153 City Of Chicago Police $16.87

153 City Of Chicago Police $6.50

153 City Of Chicago Police $171.12

153 City Of Chicago Police $12.15

153 City Of Chicago Police $6.50

153 City Of Chicago Police $123.31

153 City Of Chicago Police $16.87

153 City Of Chicago Police $6.50

153 City Of Chicago Police $16.87

153 City Of Chicago Police $6.50

153 City Of Chicago Police $171.12

153 City Of Chicago Police $16.85

153 City Of Chicago Police $6.50

153 City Of Chicago Police $171.01

153 City Of Chicago Police $18.80

153 City Of Chicago Police $6.50

153 City Of Chicago Police $190.72

153 City Of Chicago Police $16.85

153 City Of Chicago Police $6.50

153 City Of Chicago Police $92.27

153 City Of Chicago Police $6.50

153 City Of Chicago Police $78.00

153 City Of Chicago Police $16.87

153 City Of Chicago Police $6.50

153 City Of Chicago Police $171.12

153 City Of Chicago Police $15.74

153 City Of Chicago Police $6.50

153 City Of Chicago Police $159.71

153 City Of Chicago Police $21.23

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 67 of 93

Incident Date Claimant Rank

03/11/2011 HAESE, ALLISON 3295

03/11/2011 HAESE, ALLISON " 3295

03/11/2011 HAESE, ALLISON 3295

03/11/2011' HAESE, ALLISON 3295

03/11/2011 HAESE, ALLISON 3295

.03/11/2011 HAESE, ALLISON 3295

03/11/2011 HAESE, ALLISON 3295

08/03/2006 Groh, Joseph R P

07/11/2006 Greif, Robert F P

02/17/2007 Gass, George W P

Unit of_Insured_Total to be Paid

153 City Of Chicago Police $215.32

153 City Of Chicago Police $16.53

153 City Of Chicago Police $6.50

153 City Of Chicago Police $167.62

153 City Of Chicago Police $7.23

153 City Of Chicago Police $6.50

153 City Of Chicago Police $283.07

153 City Of Chicago Police $6.50

153 City Of Chicago Police $21.56

153 City Of Chicago Police $92.27

153 City Of Chicago Police $6.50

153 City Of Chicago Police $218.82

153 City Of Chicago Police $6.50

153 City Of Chicago Police $21.57

153 City Of Chicago Police $218.82

153 City Of Chicago Police $21.57

153 City Of Chicago Police $6.50

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $68.15

00024 City Of Chicago Police $12.62

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $50.50

00024 City Of Chicago Police $0.59

00024 City Of Chicago Police $1,976.08

00024 City Of Chicago Police $74.88

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $257.43

00024 . City Of Chicago Police $101.70

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $50.16

00024 City Of Chicago Police $6.50

00153 City Of Chicago Police $1,565.41

City Of Chicago - Confidential

Page 68 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/29/2010 GUTIERREZ, VICTORIA

04/02/2010 GRUBE, PATRICK

03/12/2011 GROH, JOSEPH

12/16/2010 GRASSER, ANGELE

05/08/2011 GRANATO, MICHAEL

02/09/2011 GRANADO, DAVID

11/01/2010 GRAHAM, BRIAN

05/07/2011 GRAF, MATTHEW

04/10/2011 GORZKOWSKI, TIMOTHY

01/12/2011 GOODSON, LARRY

10/22/2010 GOODRICH, WILLIAM

11/05/2010 GOMEZ, MIGUEL

9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3249

012 012 012 012 012 012 012

153 153

044 044 025 025 025 153 153 153 153 153 153 153 153 153 153 177

Poli Poli Poli Pot

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

$1,006.48

$2,673.46

$1,111.32

$1,908.12

$1,006.48

$2,222.64

$2,778.30

$2,495.28

$1,001.26

$1,444.22

$209.69

$6.50

$1,869.98

$3,000.00

$89.12

$6.50

$1.31

$6.50

$128.34

$128.44

$6.50

$12.66

$166.71

$6.50

$16.43

$1,032.10

$12.65

$1,773.22

$1,287.88

$2.65

$6.50

$34.50

City Of Chicago - Confidential

Page 69 of 93

Incident Date Claimant Rank

04/27/2011 GOMEZ, MIGUEL 9161

05/22/2011 GLOVER, LILLIE 9161

Unit of Insured Total to be Paid

013 City Of Chicago Police $6.50

013 City Of Chicago Police $2276

013 City Of Chicago Police $10.19

013 City Of Chicago Police $6.50

013 City Of Chicago Police $106.67

013 City Of Chicago Police $6.50

013 City Of Chicago Police $75.00

013 City Of Chicago Police $83.22

013 City Of Chicago Police $6.50

013 City Of Chicago Police $3,253.49

013 City Of Chicago Police $6.94

013 City Of Chicago Police $6.50

013 City Of Chicago Police $271.04

013 City Of Chicago Police $51.36

013 City Of Chicago Police $6.50

013 City Of Chicago Police $209.69

013 City Of Chicago Police $10.19

013 City Of Chicago Police $6.50

013 City Of Chicago Police $106.67

013 City Of Chicago Police $6.94

013 City Of Chicago Police $6.50

013 City Of Chicago Police $271.04

013 City Of Chicago Police $6.34

013 City Of Chicago Police $6.50

013 City Of Chicago Police $247.20

013 City Of Chicago Police $35.17

013 City Of Chicago Police $6.50

013 City Of Chicago Police $1,375.90

007 City Of Chicago Police $23.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $587.08

007 City Of Chicago Police $12.85

City Of Chicago - Confidential Page 70 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/22/2011 05/22/2011 05/22/2011 05/22/2011 05/22/2011 07/22/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 05/23/2011 06/07/2010 05/13/2011 05/13/2011 05/13/2011 04/11/2011 04/11/2011 04/11/2011 12/26/2008 12/26/2008 12/26/2008 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010

GLOVER, LILLIE GLOVER, LILLIE GLOVER, LILLIE GLOVER, LILLIE GLOVER, LILLIE GIANNOS, ELIAS GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GATICA, ROBB GARCIA, WILLIAM GARCIA, ANTHONY GARCIA, ANTHONY GARCIA, ANTHONY GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL

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

9161 9161 9161 9161 9161 9161 9161 9161

007 007 007 007 007 019

018 011 011 011

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

lice lice lice lice lice lice lice lice lice lice lice lice tice tice tice lice tice tice tice lice lice lice lice lice ilice dice ilice ilice lice lice lice lice lice

$676.34

$301.08

$28.42

$6.50

$2,428.88

$1,352.55

$1,011.80

$1,216.25

$1,536.86

$1,494.01

$1,111.32

$1,803.40

$1,322.86

$1,070.43

$6.50

$438.28

$11.21

$4,12

$6.50

$237.90

$6.50

$823.50

$4,293.39

$168.80

$23.87

$6.50

$242.19

$23.87

$6.50

$242.19

$23.87

City Of Chicago - Confidential

Page 71 of 93

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 Poi 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 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 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 City Of Chicago Po City Of Chicago Pol

07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010

GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ, GAMEZ GAMEZ, GAMEZ, GAMEZ GAMEZ, GAMEZ, GAMEZ,

ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 dice ilice lice lice lice lice lice lice lice lice lice dice dice dice lice lice lice lice lice lice dice dice lice lice lice lice lice lice lice dice

$6.50

$242.19

$16.64

$6.50

$168.80

$23.87

$6.50

$242.19

$12.60

$6.50

$74.95

$1.40

$6.50

$95.60

$23.87

$6.50

$242.19

$23.87

$6.50

$242.19

$6.50

$23.87

$6.50

$242.19

$23.87

$6.50

$242.19

$23.87

$6.50

$242.19

$16.64

$6.50

$168.80

City Of Chicago - Confidential

Page 72 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/16/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010

GAMEZ, ISRAEL GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FORD,BRUCE FORD,BRUCE FORD,BRUCE FORD, BRUCE FORD,BRUCE FORD, BRUCE FORD,BRUCE FORD,BRUCE FORD,BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD,BRUCE

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

$16.64

$1,027.45

$8,060.12

$37.38

$6.50

$920.88

$6.50

$356.49

$6.50

$98.36

$6.50

$328.17

$6.50

$488.07

$6.50

$239.02

$206.54

$747

$6.50

$1,047.90

$1,595.10

$17.36

$6.50

$176.12

$17.36

$6.50

$176.12

$17.36

$6.50

$176.12

$13.02

$6.50

$132.09

City Of Chicago.- Confidential

Page 73 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 11/06/2010 12/21/2010

FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD, BRUCE FORD,BRUCE FORD, BRUCE FORD, BRUCE FORD,BRUCE FOLINO, ANTHONY FLEPS, HORST

9161 9161

018

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

$17.36

$6.50

$176.12

$17.36

$6.50

$176.12

$17.36

$6.50

$176.12

$17.85

$6.50

$181.09

$13.02

$6.50

$132.09

$340.04

$6.50

$13,305.81

$17.36

$6.50'

$176.12

$13.02

$6.50

$132.09

$17.36

$6.50

$176.12

$17.36

$6.50

$176.12

$6.50

$2,313.65

$14,539.25

City Of Chicago - Confidential

Page 74 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 03/02/2010 03/02/2010 03/02/2010 10/01/2010 10/01/2010 10/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 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 06/03/2011 06/03/2011

FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FERRERAS, LEONIDAS FERRERAS, LEONIDAS FERRERAS, LEONIDAS FERRERAS, LEONIDAS FERRERAS, LEONIDAS FERRERAS, LEONIDAS FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED 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 FARY, TIMOTHY FARY, TIMOTHY

9161 9161 9161 9161 9161 9161 9161 9161

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

002 002 002 002 002

055

393

ilice tice lice lice lice lice dice lice dice lice lice lice lice lice lice lice lice lice lice lice dice dice lice lice lice lice lice lice lice lice dice dice dice

$31.07

$765.51

$1,268.12

$6.50

$300.20

$6.50

$1.47

$25.60

$11.31

$1,096.50

$6.50

$1,227.90

$0.80

$6.50

$43.23

$6.50

$447.65

$55.34

$6.50

$16.02

$147.82

$6.50

$1,097.25

$15,474.90

$2,411.40

$6.50

$1,586.20

$2,022.29

$250.80

$6.50

$2,604.82

$7.81

$6.50

City Of Chicago - Confidential

Page 75 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/16/2000 Edenhofer, Carleen

03/21/2011 ESPINOSA, OPAL

12/18/2009 ESPARZA HALL, ALEXSANDRI

04/23/2011 ENG, DOUGLAS

05/12/2011 DOUGLAS, MARIANN

02/27/2011 DIMALANTA, RENE

05/19/2011 DENNIS, ANDRE

05/16/2011 DELUCA, NICOLE

04/25/2011 DEEREN, KEVIN

00016 00016 00016

9161 9161 9161 9161 9161 9161

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

115 115 115 015 015 015 015 015 044 025 025 025 005 005 005 005 005 005 005 005 005 005

$6.67

$180.32

$6.50

$21.93

$541.80

$6.50

$341.60

$8.73

$209.69

$245.00

$6.50

$21.23

$6.50

$7,468.66

$1,954.97

$5,674.45

$6.50

$204.83

$6.50

$13.29

$261.57

$16.98

$6.50

$261.57

$16.98

$1,080.80

$6.50

$3.11

$121.73

$150.97

$6.50

City Of Chicago - Confidential

Page 76 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/02/2008 DECKER, MICHAEL

06/03/2011 DEBERRY, TIMMIE

05/12/2011 DEADY, KENNETH

04/16/2009 DE FELICE, RICHARD

05/27/2011 DE DORE, JACK

06/27/2010 DAVIS, QUINTON

12/20/2010 DANILOV, VADIM

02/02/2001 Cornelius, Don

11/06/2010 CZARNIK, MARK

05/14/2011 CULLOTON, VINCENT

05/23/2011 CROTTY, SEAN

03/23/2011 CRANFIELD, BERTRAM

9152 9152 9152 9161 9161 9161 9161 9161 9161 9161 9161 9171 9171 9161 9161

P P P

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

701 701 701

018 018 018 015 015 214 214 701 701

00005

023

001 001 001 001

Pol; Pol Pol Pol

$6.50

$18.93

$740.66

$106.67

$10.19

$6.50

$1,004.95

$288.77

$6.50

$209.69

$1,341.73

$6.50

$1,873.61

$3.67

$143.43

$6.50

$1.09

$90.07

$6.50

$0.74

$28.80

$6.50

$251.63

$6.50

$46.12

$257.26

$1.64

$6.50

$135.57

City Of Chicago - Confidential

Page 77 of 93

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

03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011

CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD

BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM BERTRAM

Pol Pol Pol

ice ice 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 ce ce ce ce ice

$3.11

$17.48

$6.50

$1,444.22

$6.50

$257.26

$7.68

$6.50

$634.66

$18.08

$6.50

$1,494.01

$3.11

$6.50

$257.26

$6.50

$4.26

$6.50

$351.62

$4.62

$6.50

$382.86

$5.24

$6.50

$433.72

$2.99

$6.50

$247.28

$2.04

$6.50

$168.32

$2.21

$6.50

City Of Chicago - Confidential

Page 78 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/23/2011 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010

CRANFIELD,

CRANFIELD CRANFIELD, CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANFIELD CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT

BERTRAM

9161 9161 9161 9161 9161 9161

017 017 017 017 017 017

lice lice lice lice lice 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 tice tice lice

$182.54

$1.59

$6.50

$131.68

$1.74

$6.50

$143.42

$13.36

$6.50

$240.80

$2.25

$6.50

$186.44

$2.00

$6.50

$165.44

$3.27

$6.50

$271.12

$2.73

$6.50

$226.29

$2.99

$6.50

$247.28

$3.11

$6.50

$39.57

$6.50

$784.08

$101.88

$2,201.80

$1,227.72

City Of Chicago - Confidential

Page 79 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/17/2010 CRANE, ROBERT

12/05/2009 COX, PAULINE

12/16/2009 CONNORS, KEVIN

11/15/2010 CONNOLLY, KIMBERLY

01/22/2010 COLLINS, RAYMOND

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

017 017 017

007 007 007 007 007 007

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

ilice lice lice lice lice lice ilice lice ilice lice lice lice ilice lice lice tice lice lice lice lice ilice lice ilice lice lice lice lice lice lice lice lice lice lice

$1,253.51

$1,227.72

$1,004.20

$1,200.00

$330.00

$6.50

$180.00

$6.50

$360.00

$6.50

$58.60

$315.58

$31.11

$6.50

$315.58

$31.11

$6.50

$23.87

$6.50

$242.19

$11.04

$6.50

$112.00

$18.81

$6.50

$190.82

$31.11

$6.50

$315.58

$23.87

$6.50

$1,100.96

$6.50

City Of Chicago - Confidential

Page 80 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009

COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLE II, DENSEY

COLE II COLE II COLE II COLE II COLE II, COLE II, COLE II, COLE II, COLE II, COLE II, COLE II, COLE II, COLE II COLE II, COLE II COLE II COLE II COLE II COLE II COLE II COLE II COLE II COLE II COLE II COLE II

DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY 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 9161 9161 9161

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

$108.52

$31.11

$6.50

$488.07

$242.19

$315.58

$6.50

$38,763.20

$2,419.94

$1,713.60

$1,555.20

$1,713.60

$1,555.20

$6.50

$1,143.07

$6.50

$231.04

$2,380.00

$5.85

$6.50

$11.04

$31.32

$6.50

$204.29

$1.21

$6.50

$138.60

$3.97

$6.50

$201.60

$59.32

$6.50

$282.16

City Of Chicago - Confidential

Page 81 of 93

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

06/09/2010 COBB, TORRENO 9161

Unit of_Insured_Total to be Paid

001 City Of Chicago Police $19.85

001 City Of Chicago Police $6.50

001 City Of Chicago Police $489.54

001 City Of Chicago Police $6.50

001 City Of Chicago Police $630.80

001 City Of Chicago Police $1.43

001 City Of Chicago Police $6.50

001 City Of Chicago Police $118.38

011 City Of Chicago Police $17.79

011 City Of Chicago Police $2.66

011 City Of Chicago Police $222.66

011 City Of Chicago Police $1.01

011 City Of Chicago Police $6.50

011 City Of Chicago Police $83.67

011 City Of Chicago Police $2.05

011 City Of Chicago Police $6.50

011 City Of Chicago Police $169.30

011 City Of Chicago Police $2.96

011 City Of Chicago Police $6.50

011 City Of Chicago Police $243.99

011 City Of Chicago Police $2.66

011 City Of Chicago Police .- $6.50

011 City Of Chicago Police $219.09

011 City Of Chicago Police $5.73

011 City Of Chicago Police $6.50

011 City Of Chicago Police $473.05

011 City Of Chicago Police $3.75

011 City Of Chicago Police $6.50

011 City Of Chicago Police $308.73

011 City Of Chicago Police $6.50

011 City Of Chicago Police $219.09

011 City Of Chicago Police $2.66

011 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 82 of 93

Incident Date Claimant_Rank

06/09/2010 COBB, TORRENO 9161

02/12/2011 CLINKSCALES, PHYLLIS 3286

04/11/2011 CIOE, MICHAEL 9161

03/15/2011 CIFUENTES, JUAN 9161

Unit of Insured Total to be Paid

011 City Of Chicago Police $219.09

011 City Of Chicago Police $2.66

011 City Of Chicago Police $6.50

011 City Of Chicago Police $219.09

011 City Of Chicago Police $2.66

011 City Of Chicago Police $6.50

011 City Of Chicago Police $219.09

011 City Of Chicago Police $1.01

011 City Of Chicago Police $6.50

011 City Of Chicago Police $83.67

011 City Of Chicago Police $3.75

011 City Of Chicago Police $6.50

011 City Of Chicago Police $308.73

011 City Of Chicago Police $2.05

011 City Of Chicago Police $6.50

011 City Of Chicago Police $169.30

011 City Of Chicago Police $2.66

011 City Of Chicago Police $6.50

011 City Of Chicago Police $219.09

011 City Of Chicago Police $2.66

011 City Of Chicago Police $6.50

011 City Of Chicago Police $219.09

011 City Of Chicago Police $2.66

011 City Of Chicago Police $6.50

011 City Of Chicago Police $219.09

011 City Of Chicago Police $6.50

005 City Of Chicago Police $1,143.27

005 City Of Chicago Police $4,347.61

005 City Of Chicago Police $2,912.58

153 City Of Chicago Police $6.50

153 City Of Chicago Police $215.32

153 City Of Chicago Police $21.23

City Of Chicago Police $1,128.87

City Of Chicago - Confidential

Page 83 of 93

Incident Date Claimant_Rank

03/15/2011 CIFUENTES, JUAN 9161

04/27/2011 CIANCIO, VINCENT 9161

03/16/2011 CHESTER, PAUL 3286

06/06/2011 CERDA, JORGE 9161

04/23/2011 CAVANAUGH, MICHAEL 9161

05/26/2011 CASTRO, SUSAN 9165

Unit of Insured Total to be Paid

City Of Chicago Police $1,047.62

044 City Of Chicago Police $1,157.36

044 City Of Chicago Police $6.50

044 City Of Chicago Police $42.48

City Of Chicago Police $17.09

City Of Chicago Police $479.73

City Of Chicago Police $6.50

315 City Of Chicago Police $17.37

315 City Of Chicago Police $679.46

315 City Of Chicago Police $6.50

253 City Of Chicago Police $16.85

253 City Of Chicago Police $6.50

253 City Of Chicago Police $171.01

253 City Of Chicago Police $16.85

253 City Of Chicago Police $6.50

253 City Of Chicago Police $171.01

253 City Of Chicago Police $235.75

253 City Of Chicago Police $6.50

253 City Of Chicago Police $600.00

253 City Of Chicago Police $16.85

253 City Of Chicago Police $6.50

253 City Of Chicago Police $171.01

253 City Of Chicago Police $18.80

253 City Of Chicago Police $6.50

253 City Of Chicago Police $190.72

253 City Of Chicago Police $8.11

253 City Of Chicago Police $6.50

253 City Of Chicago Police $199.75

253 City Of Chicago Police $6.50

253 City Of Chicago Police $74.99

253 City Of Chicago Police $62.70

253 City Of Chicago Police $6.50

620 City Of Chicago Police $2.78

City Of Chicago - Confidential

Page 84 of 93

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 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 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

05/26/2011 CASTRO, SUSAN

04/03/2011 CARTER, ACSHRAMM ADAR

07/21/2010 CARROLL, WILLIAM

07/21 /2010 CARROLL, WI LLIAM

07/21/2010 CARROLL, WILLIAM

04/21/2011 CARROLL, MICHAEL

04/06/2011 CARROLL, JOSEPH

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

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

620 620 620 620 620 620 620 620 008 008 008 008 008 008

253 253 253 253 004 004 004 004 004 004 004 004 004

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

$6.50

$138.89

$2.78

$515.92

$138.89

$10.34

$6.50

$4.70

$6.50

$115.85

$817.80

$6.50

$1,132.35

$2.08

$6.50

$2.08

$141.91

$6.50

$1.09

$6.50

$0.50

$6.50

$253.96

$1.01

$6.50

$83.67

$3.07

$6.50

$253.96

$3.07

$6.50

City Of Chicago - Confidential

Page 85 of 93

Incident Date Claimant Rank

04/06/2011 CARROLL, JOSEPH 9164

Unit of _Insured_Total to be Paid

004 City Of Chicago Police $253.96

004 City Of Chicago Police $1.01

004 City Of Chicago Police $6.50

004 City Of Chicago Police $235.75

004 City Of Chicago Police $6.50

004 City Of Chicago Police $475.00

004 City Of Chicago Police $83.67

004 City Of Chicago Police $6.21

004 City Of Chicago Police . $6.50

004 City Of Chicago Police $512.90

004 City Of Chicago Police $2.35

004 City Of Chicago Police $6.50

004 City Of Chicago Police $194.20

004 City Of Chicago Police $3.44

004 City Of Chicago Police $6.50

004 City Of Chicago Police $283.84

004 City Of Chicago Police $1.01

004 City Of Chicago Police $6.50

004 City Of Chicago Police $83.67

004 City Of Chicago Police $65.70

004 City Of Chicago Police $6.50

004 City Of Chicago Police $364.01

004 City Of Chicago Police $6.50

004 City Of Chicago Police $277.81

004 City Of Chicago Police $3.19

004 City Of Chicago Police $6.50

004 City Of Chicago Police $263.92

004 City Of Chicago Police $3.07

004 City Of Chicago Police $6.50

004 City Of Chicago Police $253.96

004 City Of Chicago Police $3.07

004 City Of Chicago Police $6.50

004 City Of Chicago Police $253.96

City Of Chicago - Confidential

Incident Date Claimant Rank

04/06/2011 CARROLL, JOSEPH 9164

03/11/2011 CARRILLO, IGNACIO 9161

03/20/2011 CARRANZA, AARON 3286

03/12/2011 CARDENAS, JUAN 9161

05/21/2011 CABALLERO, RICK 9161

09/22/2003 Burke, Margaret P

04/24/2007 Brown, James E P

. 04/24/2007 Brown, James E P

04/24/2007 Brown, James E P

06/30/2002 Biggins, David L P

05/23/2010 BUX, EMIL 9161

Unit of Insured Total to be Paid

004 City Of Chicago Police $3.07

004 City Of Chicago Police $6.50 044 City Of Chicago Police $1,034.01

City Of Chicago Police $1,782.66

153 City Of Chicago Police $6.50

153 City Of Chicago Police $170.28

153 City Of Chicago Police $1,296.00

010 City Of Chicago Police $1,173.94

010 City Of Chicago Police $8.70

010 City Of Chicago Police $3,186.42

010 City Of Chicago Police $98.45

010 City Of Chicago Police $6.50

00008 City Of Chicago Police $108.82

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $168.33

00008 City Of Chicago Police $482.87

00008 City Of Chicago Police $9.87

00008 City Of Chicago Police $57.00

00008 City Of Chicago Police $4.37

00008 City Of Chicago Police $171.72

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $94.32

00012 City Of Chicago Police $1,015.00

00012 City Of Chicago Police $6,200.00

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $2,312.40

00012 City Of Chicago Police $596.79

00012 City Of Chicago Police $40.93

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $11.08

00005 City Of Chicago Police $1,638.00 00005 City Of Chicago Police $4,662.35 015 City Of Chicago Police $123.80

City Of Chicago - Confidential

Page 87 of 93

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

05/23/2010 BUX, EMIL

11/03/2010 BURNETTE, MICHAEL

05/05/2011 BRUNO, MARCO

02/24/2011 BROWN JR, HERBERT

04/20/2011 BROWN JOHNSON, LOLITA

12/07/2010 BREIER, NICHOLAS

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

015 015 015 015 015 022 022 011 011 011 011 011 011 011 011 011 011 011

123 123 123 123 123 123

lice lice lice lice tice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice tice tice tice lice lice lice lice lice

$6.50

$6.25

$123.80

$6.50

$6.25

$1,556.92

$1,753.11

$3.89

$316.75

$6.50

$4.65

$4.67

$265.11

$1.31

$6.50

$89.12

$6.50

$5.14

$6.50

$40.55

$4.04

$6.50

$123.02

$6.07

$6.50

$954.98

$6.50

$285.27

$4.04

$2.89

$239.04

$6.50

City Of Chicago - Confidential

Page 88 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 04/15/2011 04/15/2011 04/02/2011 04/02/2011 04/02/2011 04/02/2011 04/02/2011 04/02/2011 04/02/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 05/15/2011 05/15/2011 05/15/2011 12/11/2010 12/11/2010 05/25/2011

BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BRADLEY, VALENA BRADLEY, VALENA BOYKE, EVELYN BOYKE, EVELYN BOYKE, EVELYN BOYKE, EVELYN BOYKE, EVELYN BOYKE, EVELYN BOYKE, EVELYN BOYD, STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOROFF, JOSEPH BOROFF, JOSEPH BOROFF, JOSEPH BORCHERS, DANIEL BORCHERS, DANIEL BOLTON, RICHARD

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

025 025 025 025 025 025 025 003 003 003 003 003 003 003 003 003

016 016

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

lice tice lice tice lice lice tice lice tice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice fice lice lice lice lice lice lice

$239.04

$2.54

$6.50

$209.15

$6.50

$2.89

$239.04

$6.50

$50.03

$282.20

$1,307.30

$0.34

$6.50

$1.16

$271.15

$6.50

$58.34

$57.93

$6.50

$2.35

$57.93

$6.50

$2.35

$6.50

$1,437.46

$2,048.20

$6.50

$330.25

$1,083.25

$6.50

City Of Chicago - Confidential

Page 89 of 93

Incident Date Claimant Rank

05/25/2011 BOLTON, RICHARD 9161

01/31/2011 BOGGAN, KIMBERLY P.O

05/15/2011 BLESSING, ANTHONY 9161

02/07/2011 BLAYDES, CURTIS

12/15/2010 BETANCOURT, WILLIAM 9171

04/09/2011 BEHREND, DONNA 9161

11/23/2010 BEDNAREK, RICHARD 9171

11/11/2010 BATZER, ZOE 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $288.33

City Of Chicago Police $6.50

City Of Chicago Police $21.54

City Of Chicago Police $218.61

City Of Chicago Police $6.50

City Of Chicago Police $218.61

City Of Chicago Police $21.54

City Of Chicago Police $6.50

City Of Chicago Police $209.69

253 City Of Chicago Police $1,357.23

014 City Of Chicago Police $8,392.73

012 City Of Chicago Police $4,417.32

006 City Of Chicago Police $286.23

006 City Of Chicago Police $6.50

006 City Of Chicago Police $52.00

006 City Of Chicago Police $28.21

006 City Of Chicago Police $6.50

006 City Of Chicago Police $286.23

006 City Of Chicago Police $6.50

006 City Of Chicago Police $88.07

006 City Of Chicago Police $28.21

006 City Of Chicago Police $6.50

006 City Of Chicago Police $286.23

006 City Of Chicago Police $22.12

006 City Of Chicago Police $28.21

006 City Of Chicago Police $6.50

006 City Of Chicago Police $286.23

006 City Of Chicago Police $28.21

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1,296.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4,766.72

City Of Chicago - Confidential

Page 90 of 93

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

05/25/2011 BARANOWSKI, JOHN

05/24/2011 BANDOLA, ROBERT

01/15/2010 BALASZ, TIMOTHY

05/11/2011 BAEZ, RONALD

05/16/2011 AUGUSTYNIAK, CHESTER

05/23/2011 ARJONA, J UAN

05/08/2011 ANGELO, DEAN

9171 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9206 9161 9161 9161 9161 9161 9161 9161

011

004 004 004 013 013 013 013 013 377 044 044 044 044 044 044 044

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

$165.58

$11.03

$6.50

$170.02

$21.48

$6.50

$331.13

$4.41

$6.50

$68.01

$326.27

$6.50

$21.17

$156.26

$10.14

$6.50

$1,596.87

$6.50

$36.80

$2.12

$170.46

$6.50

$20.40

$595.55

$106.67

$207.57

$209.74

$6.50

$23.41

$106.67

$6.50

$10.19

$106.67

City Of Chicago - Confidential

Page 91 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/08/2011 05/08/2011 05/08/2011 05/08/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 06/05/2011 06/05/2011 03/14/2009 03/14/2009 03/14/2009 12/24/2009 12/24/2009 04/26/2011 02/22/2011 04/24/2011 04/24/2011 04/24/2011 04/24/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011

ANGELO, DEAN ANGELO, DEAN ANGELO,DEAN ANGELO,DEAN AMOJE, JOSEPH AMOJE, JOSEPH AMOJE, JOSEPH AMOJE, JOSEPH AMOJE, JOSEPH ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALONSO JR, JAVIER ALONSO JR, JAVIER ALMAZAN, BENJAMIN ALMAZAN, BENJAMIN ALMAZAN, BENJAMIN AHEARN, DORY AHEARN, DORY ADAMS JR, EDWARD ADAIR, KENNETH ACEVES, JUAN ACEVES, JUAN ACEVES, JUAN ACEVES, JUAN ACEVEDO, MARTIN ACEVEDO, MARTIN ACEVEDO, MARTIN ACEVEDO, MARTIN ACEVEDO, MARTIN ACEVEDO, MARTIN

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

9161 9161 9161 9161 9161 9171

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044

044 044 044 044 044

010 010 010 016 016 610

010 010 010 0.10 010 010

$49.10 $600.00 . $6.50 $51.75 $6.50 $6.50 $273.57 $6.50 $1.28 $1,720.36 $2,956.15 $3,813.75 $5,288.47 $6.50 $54.52 $6.50 $6.50 $213.36 $2.58 $234.14 $3.44 $1,768.20 $1,494.01 $2.68 $6.50 $2.68 $6.50 $3.24 $6.50 $2.04 $32.90 $6.50 $6.50

City Of Chicago - Confidential

Page 92 of 93

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Total:

05/13/2011

Number 2413

Number 3031

ACEVEDO, MARTIN

Amount $1,133,019.49

Amount $1,718,295.29

9161 9161

010 010

City Of Chicago Police City Of Chicago Police

$3.46 $6.50

City Of Chicago - Confidential

Page 93 of 93

Legislation Text

Legislation Details

Legislation Details (With Text)