Office of the City Clerk - Record #: Or2010-1265

Record #:

Or2010-1265

Type:

Order

Status:

Passed

Intro date:

12/8/2010

Current Controlling Legislative Body:

City Council

Final action:

12/8/2010

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. Or2010-1265.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
12/8/2010	109117	City Council	Passed	Pass	Action details	Meeting details	Not available
12/7/2010		Committee on Finance	Direct Introduction		Action details	Meeting details	Not available
12/7/2010		Committee on Finance	Recommended to Pass		Action details	Meeting details	Not available

CHICAGO December 8.2010

To the President and Members of the City Council:

Your Committee on Finance having had under consideration two (2) orders authorizing the payment of hospital and medical expenses of Police Officers and Firefighters injured in the line of duty.

having had the same under advisement, begs leave to report and recommend that your Honorable Body pass the proposed ordinance(s)/order(s) transmitted herewith.

This recommendation was concurred in by_(^Tva voce vote

of the members of the committee with_dissenting vote(,s)j.

Respectfully submitted

Chicago. Decemhpr ft, ?nm

To the President of the City Council:

Your Committee on Finance. Which has given consideration, for Hospitals, Medical and Nursing Services rendered injured members of the Police and or/ the Fire Department.

having had the same under advisement, begs leave to report and recommend that Your Honorable Body pass the proposed Orders transmitted herewith:

This recommendation was concurred in by _ ( a vica voca vote of

the ) members of the Committee (with _ dissenting vote(s) ).

Respectfully submitted

(Signed)

Chairman

FINANCE MEETING OF December 8. 2010 HOSPITAL AND MEDICAL EXPENSES OF INJURED POLICE OFFICERS AND

FIREFIGHTERS

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

POLICE "B"-- 367 -- $85,370.13

"A"-- 7932 - $1,305,196.62

FIRE "B"-- 23 -- $1,358.36

"A"-- 2573 $727,535.75

0"HARE "B"~ 0 -- $0

"A"- 0 -- $0

Total Amount Involved - 10895 $2,119,460.86

ORDERED, That the City Comptroller is authorized and directed to issue vouchers, in conformity with schedule herein set forth, to physicians, hospitals, nurses or other individuals, in settlement for hospital, medical and nursing services rendered to the injured members of the Police Department and/or the Fire Department herein named. The payment of any of these bills shall not be construed as an approval of any previous claims pending future claims for expenses or benefits on account of any alleged injury to the individuals named. The total amount of said claims is set opposite the names of the injured members of the Police Department and/or the Fire Department, and vouchers are to be drawn in favor of the proper claimants and charged to Account No. 100.9112.937.

City Of Chicago

Police & Fire Regular Orders

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Insured Namel: City Of Chicago Fire

09/22/2007 09/22/2007 09/22/2007 01/03/2010 01/03/2010 01/03/2010 01/03/2010 01/03/2010 01/03/2010 01/03/2010 01/03/2010 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008 02/15/2008

Zaccagnini, George Zaccagnini, George Zaccagnini, George YOUNG, GARRY YOUNG,GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY

Will; Willi Will Will Willi Willi Willi Willi Willi Willi Willi Willi Willi Willi Willi Willi Willi Willi

is, Rodger s, Rodger is, Rodger is, Rodger is, Rodger s, Rodger is, Rodger s, Rodger is, Rodger s, Rodger is, Rodger s, Rodger is, Rodger s, Rodger s, Rodger is, Rodger s, Rodger is, Rodger

F F F

8731

00374 00374 00374

00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359

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

$6.42

$30.07

$6,50

$67.79

$1,475.43

$682.28

$6.92

$8.27

$571.88

$6.50

$696.10

$6.50

$694.34

$6.50

$386.10

$6.50

$536.62

$6.50

$673.60

$6.50

$199.29

$6.50

$781.57

$6.50

$137.02

$6.50

$733.78

City Of Chicago - Confidential

Page 1 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/15/2008 Willis, Rodger

04/28/2003 Walz, Randall

05/11/2008 Walerowicz, Ronald

08/26/2010 WYHER, CHRISTOPHER

08/08/2009 WHITEHEAD, RICHARD

12/29/2009 WHITE, JAMES

04/16/2009 WHITE, DAVID

F F F F F F F F F C M

8801

8745

8801

8801 .

8801

00359 00359 00359 00359 00359 00359 00359 00359 00359 00410 00646

$6.50

$628.96

$6.50

$515.36

$1.23

$6.50

$15.96

$89.99

$699.54

$173.15

$6.50

$138.56

$1,887.60

$267.15

$17.33

$184.60

$12.45

$267.15

$17.33

$6.50

$165.75

$8.43

$3.01

$6.50

$74.11

$6.50

$74.11

$6.50

$3.01

$6.50

City Of Chicago - Confidential

Page 2 of 319

Incident Date Claimant_Rank

07/05/2010 WEST, STEVE 8731

07/05/2010 WEST, STEVE - 8731

07/05/2010 WEST, STEVE 8731

07/05/2010 WEST, STEVE - 8731

11/17/2009 WELLS, LAWRENCE 8731

03/23/2010 WALSH, MICHAEL 8731

Unit of_Insured_Total to be Paid

City Of Chicago Fire $0.82

City Of Chicago Fire $6.50

City Of Chicago Fire $285.03

City Of Chicago Fire $6.50

City Of Chicago Fire $5.70

City Of Chicago Fire $6.50

City Of Chicago Fire $157.04

City Of Chicago Fire $32.15

City Of Chicago Fire $6.50

City Of Chicago Fire $45.00

City Of Chicago Fire $90.38

City Of Chicago Fire $6.50

City Of Chicago Fire $5.73

City Of Chicago Fire $1,393.30

City Of Chicago Fire $6.50

City Of Chicago Fire $16.87

City Of Chicago Fire $473.44

City Of Chicago Fire $1,166.90

City Of Chicago Fire $6.50

City Of Chicago Fire $114.06

City Of Chicago Fire $86.78

City Of Chicago Fire $6.50

City Of Chicago Fire $1.05

City Of Chicago Fire $141.99

City Of Chicago Fire $6.50

City Of Chicago Fire $1.72

City Of Chicago Fire $409.70

City Of Chicago Fire $3.01

City Of Chicago Fire $3,614.02

City Of Chicago Fire $6.50

City Of Chicago Fire $146.72

City Of Chicago Fire $80.49

City Of Chicago - Confidential

Page 3 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 07/17/2010 07/17/2010 07/17/2010 07/17/2010 07/17/2010 07/17/2010 07/17/2010 09/05/2009 05/22/2010 05/22/2010 05/22/2010 05/22/2010 03/13/2010 03/13/2010 03/13/2010 09/29/2005 09/29/2005 09/29/2005 07/19/2010 07/19/2010 07/19/2010

WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, KEVIN WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, GREGG WALSH, GREGG WALSH, GREGG Venegas, Roy J Venegas, Roy J Venegas, Roy J VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL

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

8801

8811

8750 8750 8750

00457 00457 00457

$6.50

$42.44

$70.53

$6.50

$35.99

$78.43

$55.06

$340.20

$6.50

$4.12

$74.11

$6.50

$184.64

$6.35

$6.50

$112.43

$358.59

$8.38

$9.32

$6.50

$1.29

$6.50

$88.23

$85.58

$3.47

$6.50

$892.62

$6.50

$788.83

City Of Chicago - Confidential

Page 4 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010

VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS_:VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS, VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS VOJTAS

MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL

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

$6.50

$2,090.34

$6.50

$1,577.66

$6.50

$1,442.72

$6.50

$446.31

$6.50

$446.31

$6.50

$37.45

$360.30

$79.19

$1,401.30

$6.50

$1,992.82

$7.86

$6.50

$42.65

$13.63

$6.50

$90.22

$9.55

$6.50

$19.49

$639.00

$7.86

$6.50

$42.65

$22.99

$6.50

$150.19

City Of Chicago - Confidential

Page 5 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/19/2010 VOJTAS, MICHAEL

07/03/2010 VOGENTHALER, THOMAS

8750

$6.50

$1,177.09

$6.50

$6.29

$6.50

$177.55

$6.29

$6.50

$177.55

$10.77

$6.50

$243.10

$10.05

$6.50

$226.20

$6.29

$6.50

$177.55

$45.25

$10.05

$6.50

$226.20

$6.29

$6.50

$177.55

$6.50

$296.68

$6.50

$12,591.07 $19.93 $9.53 $6.50

City Of Chicago - Confidential

Page 6 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/03/2010 VOGENTHALER, THOMAS

08/25/2010 VILLANUEVA, JOSE

09/13/2010 VELLER, JOHN

01/31/2008 Ulanski, Thomas M

8811

8801

8731

00532 00532 00532 00532 00532 00532

$251.00

$6.29

$6.50

$177.55

$1,084.74

$6.50

$674.70

$6.50

$809.64

$6.50

$948.72

$6.50

$85.00

$6.50

$3.45

$269.88

$6.50

$607.23

$207.90

$17,481.53

$6.90

$6.50

$42.65

$5.31

$6.50

$449.95

$53.57

$6.50

$1,319.42

$18.27

City Of Chicago - Confidential

Page 7 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010

URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART, URQUHART,

KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH KENNETH

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 8735

$234.14

$172.68

$107.79

$6.50

$870.36

$10.32

$6.50

$702.42

$3.44

$6.50

$234.14

$3.44

$6.50

$2.54

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$231.21

$6.50

$3.40

$1,170.70

$6.50

$17.20

$141.46

$6.50

$2.08

City Of Chicago - Confidential

Page 8 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/26/2010 URQUHART, KENNETH

09/25/2009 ULRICH, CHRISTOPHER

09/25/2009 ULRICH. CHRISTOPHER

09/25/2009 ULRICH, CHRISTOPHER

05/25/2010 ULANSKI, LAWRENCE

06/01/2008 Tuma, Michael

12/09/2009 TWEEDT, ERIK

8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8801 8801 8801 8801 8801 8801 8807 8807 8807 8807 8807 8807 F

FPM FPM

00460

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$88.23

$6.50

$1.29

$234.14

$6.50

$2.27

$478.15

$4,109.80

$710.45

$6.50

$113.63

$82.50

$6.50

$2.51

$135.00

$6.50

$4.75

$6.50

$26.41

$6.50

City Of Chicago - Confidential

Page 9 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009 12/09/2009

TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT. TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT. TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT, TWEEDT,

ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK ERIK

FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM

$382.85

$20.00

$382.85

$6.50

$20.00

$382.85

$6.50

$20.00

$208.00

$6.50

$331.50

$26.41

$6.50

$331.50

$20.00

$6.50

$382.85

$698.50

$7.21 .

$6.50

$136.80

$195.60

$20.00

$6.50

$382.85

$20.00

$6.50

$382 85

$20.00

$6.50

$382.85

$20.00

$6.50

City Of Chicago - Confidential

Page 10 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago F^;City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

12/09/2009 TWEEDT, ERIK

07/21/2010 TUMA, MICHAEL

01/15/2009 TORTORELLO, CHARLES

08/13/2010 TORRISE, DANIEL

06/24/2010 TOMASZEWSKI, CHERYL

FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM 8801 8801 8801 8801 8801 8801 8731 8731 8731

88 88

Fi ,0 Fi Fi Fi Fi Fi Fi

8745 8745

$382.85

$12.46

$213.20

$12.46

$213.20

$12.46

$213.20

$12.46

$213.20

$12.46

$213.20

$12.46

$213.20

$12.46

$213.20

$13.66

$6.50

$4,370.95

$1,476.50

$6.50

$59.93

$6.50

$408.78

$175.41

$6.50

$76.81

$6.50

$76.81

$6.50

$86.35

$6.50

City Of Chicago - Confidential

Page 11 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/24/2010 TOMASZEWSKI, CHERYL

07/10/2010 THOMPSON, JAMES

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

$1.73

$427.03

$6.50

$12.40

$88.30

$315.90

$620.38

$6.50

$8.54

$12.86

$90.22

$246.45

$6.50

$213.20

$6.20

$6.50

$108.00

$12.86

$6.50

$246.45

$12.86

$6.50

$246.45

$20.88

$6.50

$211.69

$12.86

$6.50

$246.45

$12.86

$6.50

$246.45

$12.86

City Of Chicago - Confidential

Page 12 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010

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

JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES

8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764

$6.50

$246.45

$12.86

$6.50

$246.45

$12.86

$6.50

$246.45

$12.86

$6.50

$246.45

$7.62

$6.50

$23.95

$12.86

$6.50

$246.45

$12.86

$6.50

$246.45

$12.46

$6.50

$213.20

$12.86

$6.50

$246.45

$12.86

$6.50

$246.45

$7.86

$6.50

$12.46

$42.65

City Of Chicago - Confidential

Page 13 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fil City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fii City Of Chicago Fi City Of Chicago Fire City Of Chicago Fi City Of Chicago Fi, City Of Chicago Fi City Of Chicago Fii City Of Chicago Fii City Of Chicago Fi City Of Chicago Fii City Of Chicago F City Of Chicago Fii City Of Chicago Fii 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

07/10/2010 07/10/2010 07/10/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 10/20/2010 10/20/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010

THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE TERLECKY, GREG TERLECKY, GREG TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH . TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH

8764 8764 8764 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8731 8731 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745

Fire Fire Fire Fire re re e re -e re e re

$13.63

$6.50

$7.04

$266.43

$6.50

$10.81

$82.39

$6.50

$4.74

$628.30

$2,447.94

$6.50

$62.53

$275.40

$6.50

$56.00

$6.50

$59.16

$6.50

$207.59

$6.50

$92.63

$205.20

$583.50

$6.50

$1.85

$6.50

$215.37

$6.50

$10.38

City Of Chicago - Confidential

Page 14 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 02/11/2010 02/11/2010 02/11/2010 07/02/2008 07/02/2008 07/02/2008 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994

TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TANZI, MICHAEL TANZI. MICHAEL TANZI, MICHAEL Swift, Charles O Swift, Charles O Swift, Charles O Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David

8745

8731

00531 00531 00531 00615 00615 00615 00615 00615 00615

$70.67

$6.50

$1.41

$163.32

$6.50

$7.00

$70.67

$6.50

$1.41

$6.50

$70.67

$6.50

$1.41

$569.78

$6.50

$18.38

$381.07

$6.50

$14.02

$6.50

$177.69

$10.22

$6.50

$74.32

$1,830.76

$6.71

$6.50

$1,011.17

$6.50

$2,863.94

$262.49

City Of Chicago - Confidential

Page 15 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 10/10/2005 10/10/2005

Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler, Strickler Strickler, Strickler Strickler, Strickler, Strickler, Strickler Strickler, Strickler, Strickler, Strickler, Strickler, Spencer, John Spencer, John

, Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard , Bernard

00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00488 00488

$689.74

$162.74

$6.50

$34.58

$5.79

$6.50

$142.76

$73.37

$6.50

$103.99

$7.88

$6.50

$102.76

$20.94

$6.50

$38.94

$5.19

$6.50

$67.72

$5.59

$6.50

$10.70

$40.42

$6.50

$527.25

$59.86

$6.50

$162.74

$59.86

$6.50

$8.15

$2.57

$6.50

City Of Chicago - Confidential

Page 16 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 10/04/2001 10/04/2001 10/04/2001 10/04/2001 10/04/2001 10/04/2001 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/23/2007

Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Sorrenlino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy

00488 00488 00488 00488 00488 00488 00488 00488 00488 00367 00367 00367 00367 00367 00357 00357 00357 00357 00357 00357 00526 00526 00526 00526 00526 00526 00526 00526 00526 00526 00526 00526 00526

$100.57

$2.77

$6.50

$7.26

$322.50

$517.40

$0.42

$6.50

$108.31

$804.63

$128.73

$14.05

$115.90

$551.00

$6.50

$486.95

$7,506.14

$486.95

$3.01

$9.12

$482.60

$19.59

$6.50

$97.30

$5.46

$6.50

$44.72

$1,245.58

$6.50

$74.11

City Of Chicago - Confidential

Page 17 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/23/2007 12/23/2007 12/23/2007 12/23/2007 12/21/2006 12/21/2006 12/21/2006 12/21/2006 12/21/2006 12/21/2006 08/30/2008 08/30/2008 08/30/2008 09/15/2010 09/15/2010 09/15/2010 05/05/2009 05/05/2009 05/05/2009 05/05/2009 05/05/2009 05/05/2009 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 09/07/2010 09/07/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010

Sobus, Timothy Sobus, Timothy Sobus, Timothy Sobus, Timothy Serwatka, Paul Serwatka, Paul Serwatka, Paul Serwatka, Paul Serwatka, Paul Serwatka, Paul SWANSON, GREGORY SWANSON, GREGORY SWANSON, GREGORY SULLIVAN, MARK SULLIVAN, MARK SULLIVAN, MARK STRONG, ERIC STRONG, ERIC STRONG, ERIC STRONG, ERIC STRONG, ERIC STRONG, ERIC SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPALLIERO, HEATHER SPALLIERO, HEATHER SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD

8731 8731 8731 8739 8739 8739 8739 8739 8739 8731 8731 8731 8731 8731 8749 8749 8749 8749 8749 8749

00526 00526 00526 00526 00413 00413 00413 00413 00413 00413

$7.52

$6.50

$97.30

$978.33

$6.50

$193.40

$7,100.00

$1.35

$6.50

$578.36

$131.10

$6.50

$209.60

$4.19

$6.50

$1.72

$6.50

$838.60

$11.61

$6.50

$85.95

$6.50

$251.00

$598.76

$6.50

$25.16

$6.50

$207.59

$255.72

$6.50

$8.02

$347.91

City Of Chicago - Confidential

Page 18 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 07/23/2010 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009

SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF

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

$6.50

$6.96

$6.50

$20.90

$255.72

$6.50

$8.02

$606.28

$6.50

$20.90

$511.44

$6.50

$16.04

$606.28

$327.72

$6.50

$12.16

$255.72

$6.50

$8.02

$971.57

$1.00

$63.03

$6.50

$18.83

$260.65

$6.50

$18.83

$186.55

$6.50

$12.00

$260.65

$6.50

City Of Chicago - Confidential

Page 19 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/04/2009 SOFIA, JEFF

09/20/2010 SMITH, ASHFORD

04/01/2010 SMIEGOWSKI, ROBERT

06/18/2010 SLOYAN, ANDREW

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

$18.83

$260.65

$6.50

$18.83

$260.65

$6.50

$18.83

$260.65

$6.50

$18.83

$260.65

$6.50

$18.83

$260.65

$6.50

$18.83

$334.75

$6.50

$25.66

$260.65

$6.50

$18.83

$260.65

$6.50

$18.83

$260.65

$68.29

$6.50

$416.20

$769.50

$294.48

$6.50

City Of Chicago - Confidential

Page 20 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/20/2009 SHEWCHUK, MARY KATHLEEN

09/12/2010 SCANLON, MARTIN

08/24/2010 SANICKI, BRADLEY 88

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

$6.50

$1,098.06

$6.50

$1,732.33

$6.50

$437.00

$274.03

$5.29

$121.44

$6.50

$3.10

$70.53

$6.50

$45.23

$70.53

$6.50

$45.23

$11.04

$6.50

$5.77

$11.04

$6.50

$5.74

$294.80

$6.50

$116,733.40

$6.50

$2,301.32

$40.89

$348.01

$303.00

$1,868.00

City Of Chicago - Confidential

Page 21 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 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

SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT SANDRIK, ROBERT

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

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

$6.50

$267.42

$2,032.90

$6.50

$51.96

$6.50

$7.48

$212.78

$6.50

$563.60

$6.50

$514.00

$6.50

$60.35

$1,645.00

$6.50

$45.40

$311.10

$6.50

$68.10

$311.10

$6.50

$83.70

$141.99

$6.50

$1.72

$103.70

$6.50

$27.90

$311.10

$6.50

$68.10

City Of Chicago - Confidential

Page 22 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/16/2010 07/16/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 12/06/2003 06/11/2008 06/08/1994 06/08/1994 06/08/1994 06/08/1994 06/08/1994 08/12/2008 08/12/2008 08/12/2008

SANDRIK, ROBERT SANDRIK, ROBERT SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY Rogus, Andrew Rodriguez, Cynthia Robinson, Joyce Robinson, Joyce Robinson, Joyce Robinson, Joyce Robinson, Joyce Reisner, Kevin Reisner, Kevin Reisner, Kevin

8731

8801

00432 09999 00642 00642 00642 00642 00642 09999 09999 09999

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

$207.40

$6.50

$3.78

$6.50

$1,235.97

$6.50

$50.00

$57.30

$6.50

$3,902.71

$3.36

$6.50

$229.31

$3.36

$6.50

$229.31

$6.50

$311.38

$3.36

$6.50

$229.31

$257.60

$17,664.00

$6.50

$33.05

$1,293.62

$6.50

$159.60

$6.50

$15.07

$249.51

City Of Chicago - Confidential

Page 23 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 02/18/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 07/15/2010 07/15/2010 07/15/2010 09/24/2010

RUSH,ADAM RUSH,ADAM RUSH,ADAM RUSH,ADAM RUSH,ADAM RUSH,ADAM RUSH,ADAM RUSH, ADAM RUSH,ADAM RUSH, ADAM RUSH,ADAM RUSH,ADAM RUSH,ADAM RUSH,ADAM RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO RUIZ, GONZALO ROWELL, EUGENE ROWELL, EUGENE ROWELL, EUGENE ROSS, ANTHONY

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

$6.50

$37.38

$893.51

$10.75

$6.50

$186.90

$2.15

$6.50

$37.38

$5.75

$6.50

$174.89

$6.50

$2.15

$7.93

$202.90

$12.46

$6.50

$213.20

$202.90

$6.50

$7.93

$130.16

$6.50

$1.58

$2,098.33

$6.50

$25.40

$6.50

$27.13

$1.11

$6.50

$2.70

City Of Chicago - Confidential

Page 24 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/24/2010 09/24/2010 10/05/2010 10/05/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010 08/17/2010

ROSS, ANTHONY ROSS, ANTHONY ROLDAN, EDWIN ROLDAN, EDWIN RODRIGUEZ, VICTOR RODRIGUEZ, VICTOR RODRIGUEZ, VICTOR RODRIGUEZ, VICTOR RODRIGUEZ, VICTOR RODRIGUEZ, VICTOR ROCHE, MICHAEL ROCHE, MICHAEL ROCHE, MICHAEL ROCHE, MICHAEL ROCHE, MICHAEL ROCHE, MICHAEL ROCHE, MICHAEL ROCHE, MICHAEL ROCHE, MICHAEL ROCHE, MICHAEL RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO RIOS, ALFREDO

8801 8801 8801 8801 8811

8811 8811 8811 8811 8811 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728 8728

$223.25

$6.50

$2,023.35

$6.50

$1,021.80

$6.50

$340.03

$87.19

$2,084.11

$6.50

$407.36

$149.54

$6.50

$27.68

$407.36

$6.50

$97.30

$6.50

$8.65

$42.65

$106.64

$6.50

$343.61

$29.81

$6.50

$818.83

$14.45

$6.50

$15.82

$1,015.89

$6.50

$7.86

City Of Chicago - Confidential

Page 25 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/17/2010 08/17/2010 12/01/2009 12/01/2009 04/11/2010 04/11/2010 11/01/2002 11/01/2002 11/01/2002 11/01/2002 11/01/2002 11/01/2002 11/01/2002 11/01/2002 11/01/2002 11/01/2002 11/01/2002 10/19/2009 10/19/2009 07/04/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010

RIOS, ALFREDO RIOS, ALFREDO REYES, RAUL REYES, RAUL RAINES, CLAUDE RAINES, CLAUDE Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph PUGH, DONALD PUGH, DONALD PITTS, ARLENCY PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES PINKSTON, CHARLES

8728

8731

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

00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429

$39.01

$6.50

$23.26

$72.71

$6.50

$299.34

$100.68

$6.50

$1,100.00

$2,087.55

$5,869.64

$6.50

$11,397.85

$6.50

$189.31

$41.44

$2,635.94

$6.50

$337.35

$6.50

$337.35

$6.50

$944.58

$6.50

$175.41

$6.50

$337.35

$269.88

$137.50

City Of Chicago - Confidential

Page 26 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/26/2010 PINKSTON, CHARLES

08/10/2010 PELLERITO, ERIC

10/28/2010 PEACE, HEATHER

08/30/2010 PASULKA, CHRISTOPHER

09/23/2010 PAGANI, MICHAEL

09/23/2010 PAGAN I, MICHAEL

09/20/1979 Owcarz, Eugene

10/03/2010 OPIOLA, ROBERT

8801

8749

8801

8750 8750

00439 00439 00439 00439 00439 00439

$6.50

$2.75

$344.86

$6.50

$6.90

$68.00

$6.50

$3.91

$299.98

$6.50

$539.76

$6.50

$1.92

$6.50

$33.44

$575.93

$14.72

$6.50

$855.00

$6.50

$207.59

$6.50

$220.80

$4.42

$1,537.90

$6.50

$101.00

$6.50

$8.77

$60.80

$207.59

$6.50

City Of Chicago - Confidential

Page 27 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010

OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY

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

$14.01

$6.50

$85.95

$6.50

$700.35

$10.45

$6.50

$522.65

$18.48

$6.50

$1.72

$922.90

$6.50

$17,077.83

$6.50

$342.50

$6.50

$363.24

$6.50

$809.54

$6.50

$567.75

$6.50

$1,135.50

$6.50

$1,959.63

$6.50

$404.77

$6.50

$404.77

$6.50

$300.97

City Of Chicago - Confidential

Page 28 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/11/2010 05/27/2010 07/26/2010 07/26/2010 07/26/2010 12/12/2008 12/12/2008 12/11/2009 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 10/06/2010 04/05/2009 04/05/2009 10/15/2008 10/15/2008 10/15/2008 10/15/2008 10/15/2008 10/15/2008 03/31/2004 03/31/2004 03/31/2004 09/07/2007

OHSE, RORY O NEILL, SEAN O MALLEY, KEVIN O MALLEY, KEVIN O MALLEY, KEVIN O HARA, JOHN O HARA, JOHN O DONNELL, SEAN NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NOLAN, MICHAEL NIXON, PATRICK NELSON, TIMOTHY NELSON, TIMOTHY NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID Muscare, Tina Muscare, Tina Muscare, Tina Moreno, Jose

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

00375 00375 00375 00530

$705.74

$968.42

$30.98

$6.50

$1,212.34

$6.50

$384.05

$6.50

$12.11

$307.45

$252.20

$12.11

$252.20

$12.11

$252.20

$14.92

$307.45

$14.92

$221.00

$11.24

$6.50

$910.87

$6.50

$378.64

$6.50

$4.59

$795.32

$96.02

$338.22

$6.50

City Of Chicago - Confidential

Page 29 of 319

Incident Date Claimant Rank

06/11/2006 Mcvey, Michael F

05/28/1999 Mcmahon, James P F

11/28/2007 Mclean, Barry F

03/06/2004 Mckinnis, Michael C

Unit of Insured Total to be Paid

00520 City Of Chicago Fire $87.19

00520 City Of Chicago Fire $894.01

00520 City Of Chicago Fire $6.50

00520 City Of Chicago Fire $2,154.67

00520 City Of Chicago Fire $6.50

00492 City Of Chicago Fire $304.49

00492 City Of Chicago Fire $25.32

09999 City Of Chicago Fire $9.75

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $381.33

00614 City Of Chicago Fire $105.73

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $27.01

00614 City Of Chicago Fire $85.59

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $28.06

00614 City Of Chicago Fire $88.12

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $32.25

00614 City Of Chicago Fire $106.19

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $29.29

00614 City Of Chicago Fire $126.79

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $34.10

00614 City Of Chicago Fire $183.24

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $39.01

00614 City Of Chicago Fire $108.26

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $31.20

00614 City Of Chicago Fire $130.92

City Of Chicago - Confidential

Page 30 of 319

Incident Date Claimant Rank

03/06/2004 Mckinnis, Michael C

10/05/2004 Mckendry, Kevin F

05/14/2000 Mcdole, Michael C

Unit of Insured Total to be Paid

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $40.31

00614 City Of Chicago Fire $168.97

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $29.17

00614 City Of Chicago Fire $150.39

00614 City Of Chicago Fire $6.50

00614- City Of Chicago Fire $33.45

00614 City Of Chicago Fire $128.85

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $38.40

00614 City Of Chicago Fire $128.85

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $38.40

00614 City Of Chicago Fire $48.49

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $108.25

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $28.81

00614 City Of Chicago Fire $149.10

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $6.05

00614 City Of Chicago Fire $207.60

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $319.87

00614 City Of Chicago Fire $6.50

00614 City Of Chicago Fire $12.98

00473 City Of Chicago Fire $304.81

00473 City Of Chicago Fire $7,509.75

00473 City Of Chicago Fire $6.50

00473 City Of Chicago Fire $23.30

00473 City Of Chicago Fire $621.84

00331 City Of Chicago Fire $171.92

City Of Chicago - Confidential

Page 31 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/14/2000 Mcdole, Michael

08/05/2007 Magliano, Thomas

01/09/2006 Magee, Michael

08/10/2010 MURAWSKI, CHRISTOPHE

11/24/2009 MUELLER, ERNST

C F F F F F F F F F F F F F

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

88 88 88 88 88 88 88

00331 00516 00516 00516 00516 00516 00516 00516 00516 00516 00516 00346 00346 00346

$30.49

$6.50

$139.37

$6.50

$139.37

$6.50

$83.99

$6.50

$88.50

$6.50

$83.99

$6.90

$6.50

$344.95

$262.58

$6.50

$264.65

$6.50

$262.58

$6.50

$262.58

$28.81

$6.50

$262.58

$8.51

$14.00

$6.50

$30.27

$138.27

$6.50

$30.27

$138.27

City Of Chicago - Confidential

Page 32 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 09/27/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010

MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MROZEK, JOSEPH MROZEK, JOSEPH MROZEK, JOSEPH MROZEK, JOSEPH MROZEK, JOSEPH MROZEK, JOSEPH MORRIS, ROCKY MINNICK. ANGELA MINNICK, ANGELA MINNICK, ANGELA MINNICK, ANGELA MINNICK, ANGELA MINNICK, ANGELA MINNICK, ANGELA MINNICK, ANGELA MINNICK, ANGELA MINNICK, ANGELA

873

8735

8749

$6.50

$30.27

$138.27

$6.50

$30.27

$138.27

$6.50

$30.27

$138.27

$6.50

$30.27

$138.27

$6.50

$30.27

$6.50

$138.27

$166.07

$6.50

$13.64

$533.69

$6.50

$9.55

$6.50

$742.17

$6.50

$446.31

$404.82

$6.50

$892.62

$6.50

$404.82

$6.50

City Of Chicago - Confidential

Page 33 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/15/2010 MINNICK, ANGELA

04/22/2009 MICHI, ANTHONY

10/03/2010 MCKEE, ROBERT

04/21/2009 MC DONAGH, DANIEL

09/07/2010 MC DERMOTT, MATTHEW

09/05/2009 MC CAULEY, LORRAINE

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

$337.35

$6.50

$42.65

$6.50

$7.86

$446.31

$6.50

$68.00

$6.50

$3.91

$6.50

$280.23

$6.50

$425.57

$16.74

$134.93

$6.50

$124.54

$6.50

$804.94

$5,366.24

$6.50

$18.72

$18.91

$6.50

$7.42

$2.16

$15.82

$6.50

$106.64

$9.34

$6.50

$272.85

City Of Chicago - Confidential

Page 34 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/05/2009 MC CAULEY, LORRAINE

09/21/2010 MC CAMBRIDGE, JAMES

12/12/2008 MAXWELL, STEVEN

07/13/2008 MATTHEWS, ERROL

09/03/2010 MARTIN, WILLIAM

8749 8749 8749 8749 8749 8749 8749 8735 8735 8735 8735

8802 8802 8802 8802 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750

$18.92

$1.85

$6.50

$92.63

$62.05

$214.33

$6.50

$311.38

$6.50

$399.76

$6.50

$29.15

$87.19

$6.50

$166.40

$19.88

$193.05

$21.26

$166.07

$6.50

$9.55

$579.09

$6.50

$14.80

$1,935.42

$6.50

$49.46

$100.68

$6.50

$100.68

$6.50

$269.88

$6.50

City Of Chicago - Confidential

Page 35 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010

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

, WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM .WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , WILLIAM , LEFONDRA , LEFONDRA , LEFONDRA ,LEFONDRA ,LEFONDRA , LEFONDRA , LEFONDRA , LEFONDRA ,LEFONDRA

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

Fi |0 Fi Fi IO Fi F Fi Fi

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$100.68

$6.50

$274.04

$6.50

$202.41

$6.50

$100.68

$6.50

$250.15

$6.50

$278.16

$6.50

$446.26

$6.50

$446.26

$6.50

$369.52

$6.50

City Of Chicago - Confidential

Page 36 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 10/14/2009 10/14/2009 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010

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

LEFONDRA

DAREK

BARBARA

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8802 8802 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

$229.16

$6.50

$446.26

$6.50

$228.32

$6.50

$525.16

$6.50

$202.38

$6.50

$487.19

$6.50

$400.00

$517.30

$6.50

$205.00

$1.61

$6.50

$83.04

$6.50

$80.21

$8.80

$6.50

$234.10

$8.80

$6.50

$234.10

$8.80

$900.08

$234.10

City Of Chicago - Confidential

Page 37 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 09/14/2010 09/14/2010 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001

MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARCINEK, DENNIS MARCINEK, DENNIS Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela ' Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela

8749

8735

00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00626

$10.45

$6.50

$259.45

$8.80

$6.50

$234.10

$5.75

$6.50

$130.00

$547.45

$6.50

$3,000.00

$29.26

$6.50

$30.83

$6.50

$29.64

$235.70

$190.49

$202.08

$24.50

$10.66

$99.50

$28.70

$644.00

$76.40

$6.20

$58.60

$91.80

$22.30

$98.60

$498.00

$375.85

City Of Chicago - Confidential

Page 38 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 07/24/2001 12/07/2003 12/07/2003 12/07/2003 12/27/2008 12/27/2008 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010

Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lesher-Russell, Pamela Lanier, Sharrieff Lanier, Sharrieff Lanier, Sharrieff LYNCH, HERBERT LYNCH, HERBERT LUCAS, SAMUEL LUCAS, SAMUEL LUCAS. SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL

M M M M M M M M M M M M L L L

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

00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00626 00519 00519 00519

$40.25

$96.60

$81.57

$7.33

$36.40

$13.40

$5.00

$84.00

$505.12

$25.00

$720.00

$32.10

$6.50

$298.14

$6.50

$100.68

$6.50

$92.63

$17.04

$1.85

$1,432.37

$6.50

$28.65

$187.19

$6.50

$18.46

$164.46

$6.50

$16.22

$151.11

$6.50

$14.89

$164.46

City Of Chicago - Confidential

Page 39 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010

LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT

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

$6.50

$16.22

$187.19

$6.50

$18.46

$164.46

$6.50

$16.22

$139.29

$6.50

$13.73

$172.91

$6.50

$113.10

$5.42

$6.50

$146.35

$10.05

$6.50

$226.20

$113.10

$12.46

$6.50

$213.20

$7.44

$6.50

$100.10

$10.05

$6.50

$226.20

$10.05

$6.50

City Of Chicago - Confidential

Page 40 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010

LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO, LOZANO,

VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT

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

Fi 30 Fi Fi F Fi Fi Fi

$226.20

$12.56

$6.50

$282.75

$10.05

$6.50

$226.20

$7.53

$6.50

$169.65

$10.05

$6.50

$230.00

$10.05

$6.50

$226.20

$18.62

$6.50

$188.92

$12.56

$6.50

$282.75

$6.50

$488.88

$3.83

$6.50

$251.11

$6.50

$103.78

$6.50

$12.56

$6.50

$282.75

City Of Chicago - Confidential

Page 41 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

$259.45

$6.50

$259.45

$6.50

$155.67

$7.53

$6.50

$169.65

$10.05

$6.50

$226.20

$12.38

$6.50

$143.65

$7.53

$6.50

$169.65

$5.02

$6.50

$7.53

$6.50

$169.65

$7.53

$6.50

$169.65

$12.56

$6.50

$282.75

$5.42

$6.50

$146.35

$7.53

$6.50

City Of Chicago - Confidential

Page 42 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/08/2010 LOZANO, VINCENT

09/02/2010 LOPEZ, JOSEPH

11/11/2009 LONERGAN, LAWRENCE

06/28/2010 LEWANDOWSKI, ANDREW

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8817 8817 8817 8817 8817 8817 8807 8807 8807 8807 8807 8807 8807 8807 8807

$169.65

$5.02

$6.50

$113.10

$5.02

$6.50

$161.38

$6.50

$3.23

$1,384.63

$6.50

$1.16

$314.96

$6.50

$12.78

$95.65

$6.50

$27.69

$1,396.68

$6.50

$56.67

$74.11

$6.50

$3.01

$6.50

$10.05

$324.28

$6.50

$12.56

$324.28

$6.50

$226.20

$6.50

City Of Chicago - Confidential

Page 43 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010

LEWANDOWSKI LEWANDOWSKI, LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI, LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI

,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW .ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW

8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807

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

$10.05

$267.73

$6.50

$10.05

$267.73

$6.50

$10.05

$267.73

$6.50

$10.05

$267.73

$6.50

$10.05

$267.73

$6.50

$282.75

$6.50

$12.56

$100.84

$7.41

$282.75

$6.50

$12.56

$282.75

$6.50

$12.56

$328.08

$6.50

$12.56

$324.28

$6.50

$12.56

City Of Chicago - Confidential

Page 44 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI, LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI LEWANDOWSKI

,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW .ANDREW ,ANDREW ,ANDREW .ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW .ANDREW ,ANDREW ,ANDREW ,ANDREW , ANDREW .ANDREW .ANDREW .ANDREW .ANDREW ,ANDREW .ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW ,ANDREW

8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807

$6.50

$10.05

$267.73

$6.50

$10.05

$267.73

$6.50

$10.05

$324.28

$6.50

$12.56

$324.28

$6.50

$12.56

$267.73

$6.50

$10.05

$324.28

$6.50

$12.56

$267.73

$6.50

$10.05

$324.28

$6.50

$12.56

$324.28

$6.50

$12.56

$324.28

$6.50

$12.56

$267.73

City Of Chicago - Confidential

Page 45 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/28/2010 LEWANDOWSKI, ANDREW

01/21/2009 LEVIN, RICHARD

12/09/2008 LESCH, ROBERT

10/14/2007 Krawczyk, Frank

08/15/2010 KURYSZ, TOM

08/29/2008 KRAMER, RICHARD

8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8745 8745 8745

8731 8731 8731 8731

00370 00370

$6.50

$10.05

$226.20

$6.50

$10.05

$267.73

$6.50

$10.05

$267.73

$6.50

$10.05

$267.73

$6.50

$153.00

$3.49

$17.53

$123.75

$206.79

$8.04

$6.50

$83.04

$9.49

$6.50

$206.79

$6.50

$17.53

$6.50

$1,491.00

$85.74

$989.40

$6.50

$83.99

$6.50

City Of Chicago - Confidential

Page 46 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/29/2008 08/29/2008 08/29/2008 08/29/2008 08/29/2008 08/29/2008 08/29/2008 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010

KRAMER, RICHARD KRAMER, RICHARD KRAMER, RICHARD KRAMER, RICHARD KRAMER, RICHARD KRAMER, RICHARD KRAMER, RICHARD KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH. JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY

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

$88.50

$6.50

$83.99

$18.28

$6.50

$582.81

$6.50

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$243.10

$6.50

$10.77

$226.20

$6.50

$10.05

$296.00

$6.50

$795.23

$6.50

$213.20

$6.50

$12.46

$226.20

$6.50

$10.05

$226.20

City Of Chicago - Confidential

Page 47 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 09/05/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 03/21/2009 03/21/2009 03/21/2009 03/21/2009

KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KOLBASH, JEFFREY KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KLINGER, ROBERT KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE

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

$6.50

$10.05

$250.15

$6.50

$226.20

$6.50

$10.05

$311.38

$6.50

$381.07

$6.50

$14.01

$335.93

$6.50

$13.66

$207.59

$6.50

$123.29

$6.50

$89.11

$6.50

$359.04

$6.50

$7.18

$87.19

$1.07

$6.50

$88.75

$6.50

$1,089.90

$92.53

$6.50

City Of Chicago - Confidential

Page 48 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/21/2009 10/24/2010 10/24/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 08/17/2009 08/17/2009 08/17/2009 11/12/2007 11/12/2007 11/12/2007 10/13/2010 10/13/2010 10/13/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010

KINZIE, WAYNE KING, JONI KING, JONI KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES Johnson, James Johnson, James Johnson, James Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt JENKINS, TRISTAN JENKINS, TRISTAN JENKINS, TRISTAN JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK. JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH

8750

8701

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

00002 00002 00002

$27.18

$6.50

$3,760.96

$394.39

$6.50

$747.27

$6.50

$332.12

$311.36

$6.50

$1,494.00

$732.13

$6.50

$5.75

$75.00

$4.46

$10.62

$6.50

$14.86

$85.97

$6.50

$40.72

$42.65

$6.50

$9.05

$9.75

$6.50

$4.66

$176.45

$6.50

City Of Chicago - Confidential

Page 49 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 08/21/2010 10/19/2010 10/19/2010 10/19/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010

JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JANUS, KURT JANUS, KURT JANUS, KURT IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES

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

88 88 88 88 88 88 88 88 88

$7.16

$87.00

$6.50

$106.64

$46.48

$6.50

$954.96

$10.36

$6.50

$855.72

$24.24

$2,002.68

$6.50

$775.37

$131.03

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$232.51

$6.50

$269.88

$6.50

$269.88

$6.50

City Of Chicago - Confidential

Page 50 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010

IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND, IRELAND,

JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES JAMES

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

$539.76

$6.50

$100.68

$6.50

$269.88

$10.52

$6.50

$259.25

$6.50

$1,226.16

$6.50

$2,087.55

$6.50

$11,416.24

$6.50

$269.88

$6.50

$539.76

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

City Of Chicago - Confidential

Page 51 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002

IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick

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

$269.88

$6.50

$445.80

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$60.63

$6.50

$269.88

$6.50

$446.31

$6.50

$446.31

$6.50

$892.62

$6.50

$446.31

$6.50

$892.62

$6.50

$1.85

$6.50

City Of Chicago - Confidential

Page 52 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02725/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 11/22/1980 11/22/1980 11/12/1999 11/12/1999 11/12/1999 11/12/1999 11/12/1999 11/12/1999 11/12/1999 11/12/1999 02/08/2004 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007

Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri Howe, Patri

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

C C C C C C C C C

c c c c c c c c

M M F F F F F F F F F F F F F F

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

$92.63

$6.50

$446.31

$216.30

$190.20

$6.50

$446.31

$6.50

$892.62

$6.50

$892.62

$6.50

$446.31

$6.50

$892.62

$6.50

$446.31

$100.68

$6.50

$7.67

$56.18

$220.00

$28.20

$30.00

$6.91

$287.70

$314.70

$1.86

$39.95

$6.50

$1.62

$221.91

City Of Chicago - Confidential

Page 53 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007

Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean

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

$6.50

$9.04

$40.05

$6.50

$1.63

$20.67

$6.50

$0.83

$124.14

$6.50

$2.48

$242.25

$6.50

$9.83

$75.51

$6.50

$5.79

$342.50

$6.50

$685.00

$6.50

$342.50

$6.50

$300.97

$6.50

$300.97

$6.50

$1,214.31

$6.50

$1,203.95

$6.50

$685.00

$6.50

City Of Chicago - Confidential

Page 54 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 05/31/2005 11/28/2009 11/28/2009 11/28/2009 11/28/2009 11/28/2009 11/28/2009 11/28/2009 11/28/2009 11/28/2009 11/25/2008 10/08/2009 10/08/2009 10/08/2009 10/08/2009 10/08/2009 10/08/2009 07/12/2010 07/12/2010 07/12/2010 07/12/2010 07/12/2010 07/12/2010 07/12/2009

Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Halloran, Michael HUNTINGTON, STEVE HUNTINGTON, STEVE HUNTINGTON, STEVE HUNTINGTON, STEVE HUNTINGTON, STEVE HUNTINGTON, STEVE HUNTINGTON, STEVE HUNTINGTON, STEVE HUNTINGTON, STEVE HOWE, PATRICK HOWARD, CHRISTINE HOWARD, CHRISTINE HOWARD, CHRISTINE HOWARD, CHRISTINE HOWARD, CHRISTINE HOWARD, CHRISTINE HOLZMAN, PAUL HOLZMAN, PAUL HOLZMAN, PAUL HOLZMAN, PAUL HOLZMAN, PAUL HOLZMAN, PAUL HOLZMAN, PAUL

F F F F F F F F F F

8731 8731 8731 8731 8731 8731 8731 8731 8731

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

09999 09999 09999 09999 09999 09999 09999 09999 09999 00326

$1,027.50

$6.50

$685.00

$6.50

$139.42

$6.50

$2.79

$45.87

$6.50

$18.39

$21.79

$1,355.28

$6.50

$2,022.97

$465.28

$282.45

$139.58

$56.15

$45.00

$6.50

$316.06

$6.50

$45.00

$6.50

$1.72

$6.50

$20.82

$6.50

$1,182.30

$85.95

$10.80

City Of Chicago - Confidential

Page 55 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/12/2009 HOLZMAN, PAUL

09/22/2009 HOARD, ANTHONY

05/28/2010 HOANG, LONG

12/26/2009 HEINRICH, THOMAS

07/26/2010 HEINRICH, THOMAS

02/11/2010 HEENAN, MICHAEL

09/24/2008 HECKMANN, MARGARET

10/08/2009 HATTEN, OSA

09/25/2009 HAGGARD, VALERIE

09/21/2003 Guth, Sarah

8801 8801 8801 8801 8771 8801 8801 8801 8749 8749 8749

8731

8733

8807

00652 00652 00652 00652 00652 00652

$6.50

$746.90

$6.50

$18.40

$6.50

$83.34

$32.63

$6.50

$92.63

$6.50

$1.85

$44.27

$6.50

$769.87

$207.59

$6.50

$1,576.60

$6.50

$460.56

$6.50

$81.19

$27.32

$591.87

$123.75

$9.49

$123.75

$9.49

$6.50

$337.35

$6.50

$404.82

$6.50

$337.35

City Of Chicago - Confidential

Page 56 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/21/2003 09/03/2004 09/03/2004 09/03/2004 01/15/2008 01/15/2008 01/15/2008 01/15/2008 01/15/2008 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010

Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Guth, Sarah Gilhooly, Brian Gilhooly, Brian Gilhooly, Brian Gavin, Terrence Gavin, Terrence Gavin, Terrence Gavin, Terrence Gavin, Terrence GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES

M M M M M M M M M M M M M M L L L F F F F F

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00652 00529 00529 00529 00395 00395 00395 00395 00395

$6,50

$404.82

$6.50

$337.35

$6.50

$337.35

$6.50

$337.35

$6.50

$1,416.87

$6.50

$404.82

$6.50

$404.82

$46.78

$176.54

$6.50

$531.42

$337.50

$6.50

$1.39

$6.50

$96.66

$6.50

$0.92

$6.50

City Of Chicago - Confidential

Page 57 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/27/2010 03/27/2010 03/27/2010 03/27/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010-08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 03/03/2009 03/03/2009 03/03/2009 07/08/2010 07/08/2010 07/05/2009 07/05/2009 07/05/2009 09/02/2010

GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GIOVENCO, ANTHONY GIOVENCO, ANTHONY GIOVENCO, ANTHONY GIOVENCO, ANTHONY GIOVENCO, ANTHONY GIOVENCO, ANTHONY GIOVENCO, ANTHONY GIOVENCO, ANTHONY GIOVENCO, ANTHONY GARRETT, BEN GARRETT, BEN GARRETT, BEN GARRETT, BEN GARRETT, BEN GARRETT, BEN GARRETT, BEN GARRETT, BEN GARRETT, BEN GARRETT, BEN GARRETT, BEN GALVIN, PATRICK GALVIN, PATRICK GALVIN, PATRICK GALLEGOS, ARTHUR GALLEGOS, ARTHUR GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAPO, ROBERT

8749 8749 8749 8749 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8750 8750 8731 8731 8731 8735

$6.50

$21.74

$6.50

$378.07

$3.96

$179.89

$68.80

$4.60

$6.50

$809.64

$674.70

$6.50

$23.96

$6.50

$1,316.00

$6.50

$701.69

$6.50

$1,323.46

$167.06

$107.66

$6.50

$207.59

$6.50

$948.50

$2.03

$7.16

City Of Chicago - Confidential

Page 58 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/02/2010 GALLAPO, ROBERT

10/26/2007 Farias, Francisco

07/06/2010 FUCHSGRUBER, THOMAS

04/07/2010 FOX, JOHN

8735

8801 8801 8801 8801 8801 8801 8801 8801

88 88 88 88 88 88

00359 00359 00359

$6.50

$176.45

$47.21

$6.50

$1,436.94

$6.50

$1,674.22

$6.50

$845.93

$6.50

$21.02

$51.54

$2.09

$384.93

$6.50

$535.45

$6.50

$21.73

$6.50

$34.38

$87.19

$6.50

$348.72

$17.19

$174.36

$6.50

$297.77

$6.50

$92.63

$1.85

$4.78

$6.50

City Of Chicago - Confidential

Page 59 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/07/2010 04/07/2010 07/25/2010 07/25/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 02/28/2009 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/25/2010 06/25/2001 06/25/2001 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010

FOX, JOHN FOX, JOHN FOSTER, MELVON FOSTER, MELVON FLEMING, DEBRA FLEMING, DEBRA FLEMING, DEBRA FLEMING, DEBRA FLEMING, DEBRA FIELDS, COURTNEY FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERN, EDWARD Edwards, John Edwards, John ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL

8811 8811 8731 8731 8750 8750 8750 8750 8750

8731

8731 8731 8731 8731 873) 8731 8731 8731 8731

09999 09999

$5.96

$238.85

$540.77

$6.50

$54.49

$6.50

$80.77

$207.59

$6.50

$1.00

$1,334.00

$6.50

$19.81

$6.50

$3.28

$794.96

$82.83

$271.17

$17.24

$52.67

$122.91

$6.50

$5.00

$264.67

$6.50

$10.74

$1,429.78

$6.50

$17.31

$283.60

City Of Chicago - Confidential

Page 60 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 07/24/2010 07/24/2010 10/17/2007 10/17/2007 10/17/2007 01/19/2007 04/08/2010 04/08/2010 08/25/2010 08/25/2010 08/25/2010 08/19/2009 08/19/2009 08/19/2009 08/19/2009 05/28/2010 05/28/2010 05/28/2010 07/10/2010 07/10/2010 07/10/2010

ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL ENNESSER, DANIEL Dias, ROCCO Dias, ROCCO Dertz, Wayne Dertz, Wayne Dertz, Wayne Daley, John M DOODY, WILLIAM DOODY, WILLIAM DOMINICK, BRENDAN DOMINICK, BRENDAN DOMINICK, BRENDAN DIETZ, STEPHEN DIETZ, STEPHEN DIETZ, STEPHEN DIETZ, STEPHEN DE LEON, EDGAR DE LEON, EDGAR DE LEON,EDGAR DALY, DANIEL DALY, DANIEL DALY, DANIEL

8731

8801 8801 8819 8819 8819 8735 8735 8735 8735 8771 8771 8771 8819 8819 8819

00477 00477 00477 00322

$6.50

$5.68

$145.16

$6.50

$2.90

$183.35

$6.50

$3.67

$635.69

$123.25

$6.50

$20.88

$311.38

$6.50

$140.32

$3.58

$10,800.00

$6.50

$609.08

$6.50

$148.93

$54.59

$32.68

$6.50

$210.71

$6.50

$28.02

$690.54

$240.20

$6.50

$741.03

City Of Chicago - Confidential

Page 61 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

$6.50

$240.20

$6.50

$240.20

$6.50

$741.03

$6.50

$701.60

$6.50

$240.20

$6.50

$240.00

$6.50

$240.20

$6.50

$720.60

$6.50

$300.20

$6.50

$180.20

$6.50

$272.95

$6.50

$240.20

$6.50

$237.28

$6.50

$240.00

$6.50

$240.40

$6.50

$240.20

$6.50

City Of Chicago - Confidential

Page 62 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 08/05/2003 08/05/2003 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 09/09/2010 09/09/2010 09/09/2010 09/09/2010

DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL Cordt, Robert Cordt, Robert Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael, Ciara, Michael Ciara, Michael Ciara, Michael CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CRUMP, MONYETT CRUMP, MONYETT CRUMP, MONYETT CRUMP, MONYETT

8819

8750 8750 8750 8750 8750 8801 8801 8801 8801

09999 09999 00003 00003 00003 00003 00003 00003 00003 00003

$751.42

$6.50

$240.40

$6.50

$49.37

$6.50

$34.40

$351.05

$6.50

$14.25

$15,650.11

$6.50

$4,841.01

$6.50

$195.88

$60.71

$13.81

$6.50

$540.36

$1,784.39

$876.02

$101.53

$6.50

$178.50

$94.30

$6.50

$788.81

$3.84

$6.50

$290.62

$6.50

$1,355.86

City Of Chicago - Confidential

Page 63 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 10/21/2010 10/21/2010 08/16/2010 08/16/2010 06/16/2010 06/16/2010 06/16/2010 06/16/2010 06/16/2010 06/16/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010

COOPER, THOMAS COOPER, THOMAS COOPER,THOMAS COOPER, THOMAS COOPER,THOMAS COOPER, THOMAS CONTRERAS, JOHN CONTRERAS, JOHN CONROY, MICHAEL CONROY, MICHAEL

COLEMAN II COLEMAN II COLEMAN II COLEMAN II COLEMAN II COLEMAN I CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY

,BOYCE ,BOYCE ,BOYCE ,BOYCE ,BOYCE ,BOYCE

8731 8731 8731 8731 8731 8731 8731 8731 8702 8702 8731 8731 8731 8731 8731 8731 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807

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

$6.50

$99.46

$36.23

$6.50

$116.47

$17.47

$6.50

$1,030.63

$43.00

$6.50

$176.78

$3.54

$6.50

$176.78

$3.54

$6.50

$2.75

$6.50

$780.52

$6.50

$780.52

$6.50

$464.99

$6.50

$464.99

$6.50

$360.16

$6.50

$360.16

$6.50

$1,261.08

$6.50

City Of Chicago - Confidential

Page 64 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 05/18/2010 07/13/2010 07/13/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010

CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CLAY, LARRY CIMORELLI, CHARLES CIMORELLI, CHARLES CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ

8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8750 8750 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

$360.16

$6.50

$360.16

$6.50

$1,185.31

$6.50

$360.16

$6.50

$420.36

$6.50

$1,185.31

$6.50

$137.50

$2.75

$6.50

$137.50

$1,005.98

$585.60

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

City Of Chicago - Confidential

Page 65 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/15/2010 09/14/2009 09/14/2009 09/14/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009 04/11/2009

CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHISESI, VINCENT CHIKEROTIS, STEVE CHIKEROTIS, STEVE CHIKEROTIS, STEVE CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY. ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY CHERRY, ROY

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8750 8764 8764 8764 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$299.98

$6.50

$175.41

$6.50

$269.88

$6.50

$6.20

$6.50

$275.04

$384.93

$275.04

$6.50

$275.04

$6.50

$275.04

$6.50

$275.04

$6.50

$275.04

$6.50

$275.04

$6.50

City Of Chicago - Confidential

Page 66 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/11/2009 04/11/2009 04/11/2009 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010

CHERRY, ROY

CENTRACCHIO,

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

$275.04

$6.50

$10.62

$250.90

$6.50

$5.55

$200.85

$6.50

$10.62

$200.85

$6.50

$10.62

$196.62

$6.50

$4.43

$250.90

$6.50

$5.55

$250.90

$6.50

$5.55

$250.90

$6.50

$5.55

$200.85

$6.50

$10.62

$200.85

$6.50

$10.62

$179.40

$6.50

City Of Chicago - Confidential

Page 67 of 319

Incident Date Claimant_Rank

05/05/2010 CENTRACCHIO, MICHAEL 8731

07/22/2008 CAVALETTI, MARK 8819

05/08/2010 CARROLL, WILLIAM 8819

Unit of_Insured_Total to be Paid

City Of Chicago Fire $1.71

City Of Chicago Fire $200.85

City Of Chicago Fire $6.50

City Of Chicago Fire $10.62

City Of Chicago Fire $70.67

City Of Chicago Fire $6.50

City Of Chicago Fire $1.41

City Of Chicago Fire $92.63

City Of Chicago Fire $6.50

City Of Chicago Fire $1.85

City Of Chicago Fire $250.90

City Of Chicago Fire $6.50

City Of Chicago Fire $5.55

City Of Chicago Fire $250.90

City Of Chicago Fire $6.50

City Of Chicago Fire $15.53

City Of Chicago Fire $250.90

City Of Chicago Fire $6.50

City Of Chicago Fire $5.55

City Of Chicago Fire $250.90

City Of Chicago Fire $6.50

City Of Chicago Fire $5.55

City Of Chicago Fire $200.85

City Of Chicago Fire $6.50

City Of Chicago Fire $699.94

City Of Chicago Fire $6.50

City Of Chicago Fire $47.65

City Of Chicago Fire $128.02

City Of Chicago Fire $6.50

City Of Chicago Fire $32.39

City Of Chicago Fire $301.35

City Of Chicago Fire $6.50

City Of Chicago Fire $70.35

City Of Chicago - Confidential

Page 68 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010

CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL, CARROLL,

WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM WILLIAM

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

$222.28

$6.50

$55.83

$118.58

$6.50

$13.55

$138.26

$6.50

$30.28

$222.28

$6.50

$36.25

$197.66

$6.50

$2.07

$6.50

$1,342.32

$6.50

$54.48

$169.58

$6.50

$38.59

$187.71

$6.50

$28.69

$198.42

$6.50

$53.35

$52.66

$6.50

$2.14

$16,216.63 $215.79

City Of Chicago - Confidential

Page 69 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/08/2010 CARROLL, WILLIAM

01/12/2010 CARBONNEAU, THOMAS

06/29/1986 Billups, David

03/20/2005 Bartgen, William

08/14/2010 BYRNE, JAMES

03/22/2010 BURKE, JEFFERY

08/15/2010 BROWN, WILLIAM

8819

8735

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

00475 00475 00475 00475 00655 00655

$6.50

$37.75

$634.30

$176.80

$6.50

$400.95

$582.24

$149.50

$77.33

$43.65

$680.06

$6.50

$1.85

$321.81

$6.50

$6.44

$1,432.37

$6.50

$28.65

$92.63

$6.50

$1.85

$300.80

$6.50

$6.02

$52.00

$974.68

$92.63

$6.50

City Of Chicago - Confidential

Page 70 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/15/2010 08/15/2010 09/23/2010 09/23/2010 10/05/2009 10/05/2009 10/05/2009 10/05/2009 10/05/2009 10/05/2009 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 09/23/2008 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010

BROWN, WILLIAM BROWN, WILLIAM BRENNER, JEFFREY BRENNER, JEFFREY BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOZEMAN, DIANE BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM

8731 8731 8733 8733 8733 8733 8733 8733 8733 8733

8763 8763 8763 8763 8763 8763

$95.65

$1.16

$6.50

$231.66

$7.66

$6.50

$5.64

$6.50

$62.69

$36.67

$6.50

$2.27

$4.54

$6.50

$177.84

$4.54

$6.50

$177.84

$4.54

$6.50

$177.84

$4.54

$6.50

$1,580.31

$6.50

$177.84

$88.92

$180.00

$6.50

$120.00

$6.50

$120.00

$6.50

City Of Chicago - Confidential

Page 71 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 05/13/2010 05/13/2010 05/13/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010

BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE. WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BINIAK, DANIEL BINIAK, DANIEL BINIAK, DANIEL BILAL, MALICK BILAL, MALICK BILAL, MALICK BILAL, MALICK BILAL, MALICK BILAL, MALICK

8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8731 8731 8731 8801 8801 8801 8801 8801 8801

$180.00

$6.50

$180.00

$6.50

$43.60

$6.50

$210.00

$6.50

$180.00

$6.50

$129.74

$6.50

$120.00

$6.50

$120.00

$6.50

$120.00

$6.50

$1,037.95

$6.50

$85.95

$1.72

$372.41

$6.50

$92.63

$6.50

$1.85

City Of Chicago - Confidential

Page 72 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/06/2010 BILAL, MALICK

12708/2009 BIERWIRTH, THOMAS

12/08/2009 BIERWIRTH, THOMAS

12708/2009 BIERWIRTH, THOMAS

09/14/2009 BERGQUIST, BRADLEY

06/25/2008 BENDER, KATHRIN

03/08/2010 BEIRIGER, TERRY

08/07/2010 BEIRIGER, TERRY

8801

8750

8749

e re Fire

City Of Chicago Fii

Fire Fire Fire Fire Fire e re ■e re re re re

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

re ^:ire

$6.50

$92.63

$7.44

$5.81

$6.50

$0.24

$6.50

$627.00

$6.50

$2.43

$121.72

$6.50

$236.60

$11.95

$6.50

$236.60

$5.76

$6.50

$232.37

$4.43

$6.50

$248.51

$1,404.00

$8.56

$6.50

$147.55

$9.89

$6.50

$183.30

$11.95

City Of Chicago - Confidential

Page 73 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010

BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR, BATKA JR,

ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY BRADLEY

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

S6.50

$7.53

$6.50

$7.77

$6.50

$226.20

$9.72

$6.50

$282.75

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$10.05

$6.50

$226.20

$6.50

$169.65

$1.72

$330.08

$6.50

$295.80

$6.50

$591.60

$6.50

$103.79

$6.50

$122.74

$6.50

$161.38

$6.50

City Of Chicago - Confidential

Page 74 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010

BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR,BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8749 8749 8749 8749 8749 8749 8749 8749 8749

$3,23

$312.27

$6.50

$6.25

$1,432.37

$6.50

$28.65

$635.21

$6.50

$36.53

$92.63

$6.50

$1.85

$473.28

$6.50

$27.22

$473.28

$6.50

$27.22

$473.28

$6.50

$27.22

$85.95

$6.50

$17.25

$4,286.80

$76.18

$6.50

$1,876.80

$531.75

$6.50

$279.26

City Of Chicago - Confidential

Page 75 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 02/11/2009 02/11/2009 02/11/2009 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 05/06/2004 05/06/2004 05/06/2004 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010

BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BARRY, JAMES BANSLEY, JAMES BANSLEY, JAMES BANSLEY, JAMES BACK, JASON BACK, JASON BACK, JASON BACK, JASON BACK, JASON BACK, JASON Alicea, Raymond Alicea, Raymond Alicea, Raymond ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO

8749

8733

8819

00407 00407 00407

$868.00

$6.50

$151.31

$494.00

$6.50

$391.00

$6.50

$60.08

$15.87

$6.50

$38.56

$20.00

$6.50

$100.68

$202.41

$6.50

$269.88

$6.50

$474.29

$6.50

$5.75

$33.03

$830.96

$12.96

$6.50

$316.00

$217.75

$10.45

$6.50

$9.13

$259.45

$6.50

City Of Chicago - Confidential

Page 76 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 10/11/2009

ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON, TODD ALEXANDER, LAVERN

8745 8745 8745 8745 8745 8745 8731

$10.45

$259.45

$6.50

$10.45

$6.50

$10.45

$259.45

$6.50

$10.45

$259.45

$6.50

$19.08

$203.56

$6.50

$2.45

$259.45

$6.50

$10.45

$259.45

$6.50

$10.45

$3,136.00

$6.50

$86.23

$259.45

$6.50

$6.55

$6.50

$620.00

$6.50

$108.08

$9,300.00

$243.00

City Of Chicago - Confidential

Page 77 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010 02/21/2010

ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI ALESSI

SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL SAMUEL

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

$234.10

$6.50

$8.80

$232.05

$6.50

$9.27

$177.55

$6.50

$6.29

$95.65

$6.50

$1.16

$234.10

$6.50

$8.80

$175.50

$6.50

$6.76

$257.40

$6.50

$10.92

$300.95

$6.50

$15.85

$207.25

$6.50

$8.79

$184.60

$6.50

$12.45

$290.65

$6.50

$11.32

City Of Chicago - Confidential

Page 78 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/23/2009

Number Total: 2573

AIKENS, BRADLEY

Amount $727,535.75

Insured Namel: City Of Chicago Police

01/26/2008 Zoldan, Anton

01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 10/03/2009 10/03/2009 10/03/2009 07/25/2010 07/25/2010 07/25/2010 07/25/2010 05/27/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010

Zoldan, Anton Zoldan, Anton Zoldan, Anton Zoldan, Anton Zoldan, Anton ZYDEK, BRYAN ZYDEK, BRYAN ZYDEK, BRYAN ZUBECK, JAMES ZUBECK, JAMES ZUBECK, JAMES ZUBECK, JAMES ZEGA, JAMES ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO

8735 8735 8735

P P P P P P

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

00015

044

004

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

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

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

$111.72

$4.53

$6.50

$323.86

$40.95

$6.50

$631.55

$21.01

$7.16

$6.50

$176.45

$6.50

$104.84

$6.50

$391.30

$6.50

$7.53

$211.18

$6.50

$7.53

$115.21

$6.50

$250.00

$6.50

$228.08

$6.50

$8.26

$1,435.87

City Of Chicago - Confidential

Page 79 of 319

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

08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009 12/29/2009

ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZALINSKI, STAN I SLAW

ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI ZALINSKI

STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW STANISLAW

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

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

$6.50

$211.18

$136.23

$6.50

$707.70

$29.79

$6.50

$80.49

$6.50

$7.53

$6.50

$1.05

$6.50

$86.78

$44.52

$6.50

$686.60

$44.52

$6.50

$686.60

$65.70

$6.50

$1,012.86

$21.90

$6.50

$337.62

$1.68

$6.50

$84.04

$87.60

$6.50

$1,350.48

City Of Chicago - Confidential

Page 80 of 319

Incident Date Claimant Rank

12/29/2009 ZALINSKI, STANISLAW 9161

04/12/2010 ZALEWSKI, MARK 9161

08/26/2010 YAU, ALICE 9161

08/23/2010 YANEZ, JUAN 9161

Unit of Insured Total to be Paid

City Of Chicago Police $43.81

City Of Chicago Police $6.50

City Of Chicago Police $675.23

City Of Chicago Police $75.96

City Of Chicago Police $6.50

City Of Chicago Police $1,170.72

City Of Chicago Police $47.75

City Of Chicago Police $735.96

016 City Of Chicago Police $19.93

City Of Chicago Police $803.47

City Of Chicago Police $6.50

005 City Of Chicago Police $95.65

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.16

005 City Of Chicago Police $159.30

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.93

005 City Of Chicago Police $870.69

005 City Of Chicago Police $6.50

005 City Of Chicago Police $10.54

005 City Of Chicago Police $480.04

005 City Of Chicago Police $6.50

005 City Of Chicago Police $5.81

005 City Of Chicago Police $12.56

005 City Of Chicago Police $282.75

005 City Of Chicago Police $6.50

005 City Of Chicago Police $12.56

005 City Of Chicago Police $382.85

005 City Of Chicago Police $6.50

005 City Of Chicago Police $20.00

005 City Of Chicago Police $326.30

005 City Of Chicago Police $6.50

005 City Of Chicago Police $ 17.49

City Of Chicago - Confidential

Page 81 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 01/08/2007 08/09/2006

YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN YANEZ, JUAN

Woznicki Woznicki Woznick Woznicki Woznicki Woznicki Woznicki Woznicki Woznicki Woznicki Woznicki Woznicki Woznicki Woznicki Woznicki Woznicki Woznick Woznicki Woznicki Woznicki Woznicki

Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A Robert A

Williams-Collins, Eleanor D

9161

005

00016

00007

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

$269.75

$6.50

$14.98

$269.75

$6.50

$14.98

$282.75

$6.50

$15.07

$339.30

$6.50

$10.61

$417.43

$94.00

$4.10

$6.50

$160.36

$10.61

$6.50

$94.00

$10.61

$6.50

$94.00

$9.70

$6.50

$168.80

$8.75

$6.50

$152.24

$247.03

$1,077.84

$6.50

$1,400.06

City Of Chicago - Confidential

Page 82 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

08/09/2006 Williams-Collins, Eleanor D

09/15/2006 Williams, Kenneth L

04/24/2009 WOLFE, RAMA

04/24/2009 WOLFE,.RAMA

04/24/2009 WOLFE, RAMA

07/01/2010 WOLANSKI, MARGARET

10/18/2010 WOJTAN, KENNETH

P P P P P P P P P

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

00007

00006

003

044

005

lice lice lice lice lice lice lice lice ilice ilice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$80.50

$6.50

$337.19

$6.50

$116.90

$551.01

$6.59

$6.50

$9.81

$6.50

$247.38

$6.02

$6.50

$503.90

$20.88

$6.50

$496.53

$19.91

$6.50

$61.03

$6.50

$138.80

$259.09

$6.50

$285.44

$6.50

$835.59

$6.50

$1.84

$305.78

$6.50

$133.90

City Of Chicago - Confidential

Page 83 of 319

Incident Date Claimant Rank

10/18/2010 WOJTAN, KENNETH 9161

09/25/2010 WITULSKI, TODD 9161

10/09/2010 WISELOGEL, SETH

06/28/2010 WILSON, ROBERT 9161

Unit of_Insured_Total to be Paid

005 City Of Chicago Police $6.50

005 City Of Chicago Police $28.88

005 City Of Chicago Police $6.50

005 City Of Chicago Police $236.63

005 City Of Chicago Police $6.50

005 City Of Chicago Police $238.70

005 City Of Chicago Police $6.50

005 City Of Chicago Police $340.43

005 City Of Chicago Police $6.50

005 City Of Chicago Police $41.52

005 City Of Chicago Police $1,391.45

005 City Of Chicago Police $6.50

005 City Of Chicago Police $56.48

003 City Of Chicago Police $6.50

003 City Of Chicago Police $2.15

003 City Of Chicago Police $124.12

City Of Chicago Police $6.50

City Of Chicago Police $769.73

City Of Chicago Police $19.68

008 City Of Chicago Police $6.50

008 City Of Chicago Police $809.64

008 City Of Chicago Police $6.50

008 City Of Chicago Police $283.93

008 City Of Chicago Police $6.50

008 City Of Chicago Police $10.81

008 City Of Chicago Police $352.91

008 City Of Chicago Police $6.50

008 City Of Chicago Police $235.14

008 City Of Chicago Police $6.50

008 City Of Chicago Police $3.45

008 City Of Chicago Police $567.86

008 City Of Chicago Police $6.50

008 City Of Chicago Police $21.62

City Of Chicago - Confidential

Page 84 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! 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 Po¹

06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 06/28/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010

WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON, WILSON,

ROBERT

ANTHONY

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

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

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice fice lice lice fice lice fice lice lice fice lice lice

$1,616.22

$6.50

$81.60

$1,616.22

$6.50

$81.60

$350.68

$6.50

$384.93

$6.50

$1,214.46

$6.50

$404.82

$6.50

$542.26

$6.50

$20.30

$483.30

$6.50

$18.43

$343.30

$6.50

$12.82

$337.19

$6.50

$28.35

$988.78

$6.50

$931.53

$6.50

$29.19

$675.85

$21.19

City Of Chicago - Confidential

Page 85 ot 319

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

10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 08/31/2009 08/31/2009 08/31/2009 08/31/2009 08/31/2009 06/09/2009 06/09/2009 06/09/2009 06/09/2009 06/09/2009 06/09/2009 06/09/2009 06/09/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/16/2010 06/06/2010 06/06/2010 06/06/2010

WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILLIAMS, SUSAN WILLIAMS, SUSAN WILLIAMS, SUSAN WILLIAMS, SUSAN WILLIAMS, SUSAN WILLIAMS, STEVEN WILLIAMS, STEVEN WILLIAMS, STEVEN WILLIAMS, STEVEN WILLIAMS, STEVEN WILLIAMS, STEVEN WILLIAMS, STEVEN WILLIAMS, STEVEN WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, MARKUS WILLIAMS, MARKUS WILLIAMS, MARKUS WILLIAMS, MARKUS WILLIAMS, KIM WILLIAMS, KELLI WILLIAMS, KELLI WILLIAMS, KELLI

9161 9161 9161 9161 9161

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

715 715 715 715 715

006 006 006 006 006 006 006

002

ilice fice lice lice fice lice lice lice lice lice fice lice fice lice lice fice fice lice fice fice lice lice lice lice lice lice lice lice lice lice lice lice lice

$985.27

$6.50

$32.77

$904.14

$6.50

$10.96

$6.50

$180.92

$6.50

$17.84

$6.50

$2,097.68

$6.50

$101.46

$1,672.03

$6.50

$298.00

$6.50

$93.70

$6.50

$1.87

$87.19

$1,821.03

$36.42

$648.20

$6.50

$207.59

$6.50

$1,479.07

$6.50

$17.91

City Of Chicago - Confidential

Page 86 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/06/2010 WILLIAMS, KELLI

08/18/2010 WILLIAMS, BENNY

08/18/2010 . WILLIAMS, BENNY

08/18/2010 WILLIAMS, BENNY

09/03/2010 WILLIAMS LEE, BELINDA

08/07/2010 WILKOSZEWSKI, MICHELE

05/21/2010 WILKOSZ, ROBERT

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

044 044 044 044 044 044 044 044 003 003 003 003 003 003 016 016 016 016 016 009 009 009 009 009 009 009 009

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

$70.67

$6.50

$1.41

$312.58

$6.50

$3.79

$103.79

$6.50

$174.50

$6.50

$67.47

$6.50

$87.19

$6.50

$94.03

$6.50

$87.19

$6.50

$115.83

$5.53

$6.50

$377.16

$6.50

$311.38

$17.84

$6.50

$343.64

$14.68

$6.50

$148.93

$4.96

$6.50

City Of Chicago - Confidential

Page 87 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010

WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WILKOSZ, ROBERT WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN

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

009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009

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

S98.45

$6.50

$35.66

$33.88

$162.74

$6.50

$16.04

$199.06

$6.50

$19.62

$180.90

$6.50

$17.84

$78.48

$6.50

$7.73

$180.90

$6.50

$343.64

$6.50

$33.88

$361.80

$6.50

$22.71

$80.49

$6.50

$129.57

$6.50

$42.44

$6.50

$18.26

$6.50

$313.46

City Of Chicago - Confidential

Page 88 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/26/2010 WIGLEY, KEEYNAN

10/06/2010 WHITE, MARK

09/29/2010 WHIGHAM, JAMES

09/24/2009 WETTERER, DANIEL

08/08/2009 WESSELHOFF, MARK

07/02/2009 WELCH, JOHN

10/15/2010 WEATHERSBY LEE, KAREN

11/26/2009 WATSON, DAVID

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

216 216 216 216 216 216 216 216 216

001 001 012

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

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

$117.78

$6.50

$1,022.27

$13.29

$6.50

$173.25

$6.50

$311.38

$6.50

$45.00

$290.05

$6.50

$84.17

$6.50

$72.81

$66.37

$6.50

$317.00

$6.50

$1,659.36

$6.50

$316.00

$59.23

$197.50

$6.50

$10.44

$197.50

$6.50

$10.44

$6.50

$133.56

$1,071.60

$6.50

City Of Chicago - Confidential

Page 89 of 319

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

11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009 11/26/2009

WATSON WATSON, WATSON WATSON WATSON, WATSON, WATSON WATSON, WATSON WATSON WATSON, WATSON, WATSON WATSON, WATSON WATSON WATSON, WATSON, WATSON WATSON WATSON WATSON WATSON WATSON WATSON WATSON WATSON WATSON WATSON WATSON WATSON WATSON WATSON

DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice ilice lice fice lice lice lice lice lice lice lice lice fice lice

$15.73

$353.17

$6.50

$5.19

$88.23

$6.50

$1.29

$434.00

$6.50

$75.65

$90.70

$6.50

$2.22

$204.34

$6.50

$10.44

$88.23

$6.50

$1.29

$197.50

$6.50

$10.44

$197.50

$6.50

$10.44

$197.50

$6.50

$10.44

$85.50

$6.50

$2.19

$153.95

$6.50

City Of Chicago - Confidential

Page 90 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

11/26/2009 11/26/2009 11/26/2009 11/26/2009 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 09/13/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010

WATSON, DAVID WATSON, DAVID WATSON, DAVID WATSON, DAVID WASHINGTON, ROGER WASHINGTON. ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, ROGER WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON

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

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

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$5.51

$210.50

$6.50

$8.02

$1.39

$450.62

$6.50

$836.84

$6.50

$1,296.75

$6.50

$721.21

$6.50

$94.64

$6.50

$1.39

$94.64

$6.50

$1.72

$254.15

$6.50

$12.68

$254.15

$6.50

$12.68

$254.15

$6.50

$141.99

$12.68

$6.50

$254.15

$3.00

City Of Chicago - Confidential

Page 91 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010

WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE. JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE,JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH WARNKE, JOSEPH

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

018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018

$6.50

$246.92

$10.62

$12.68

$200.85

$12.68

$6.50

$254.15

$6.50

$185.09

$188.92

$6.50

$18.62

$185.09

$6.50

$18.25

$57.08

$6.50

$183.36

$6.50

$18.08

$164.46

$6.50

$16.22

$166.19

$6.50

$16.39

$185.09

$6.50

$18.25

$183.36

$6.50

City Of Chicago - Confidential

Page 92 of 319

Incident Date Claimant Rank

07/27/2010 WARNKE, JOSEPH 9161

08/07/2010 WALTHALL, MARKUS 9161

08/20/2010 WALSH JR, MICHAEL 9161

09/27/2010 WALLACE, ADAM 9161

01/09/1997 Vanvegten, Andre H P

Unit of_Insured_Total to be Paid

018 City Of Chicago Police $18.08

018 City Of Chicago Police $185.09

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.25

018 City Of Chicago Police $185.09

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.25

253 City Of Chicago Police $170.72

253 City Of Chicago Police $6.50

253 City Of Chicago Police $87.19

253 City Of Chicago Police $6.50

253 City Of Chicago Police $1,826.50

253 City Of Chicago Police $1,003.29

253 City Of Chicago Police $6.50

253 City Of Chicago Police $87.19

253 City Of Chicago Police $6.50

253 City Of Chicago Police $87.19

015 City Of Chicago Police $207.59

015 City Of Chicago Police $6.50

City Of Chicago Police $16.83

City Of Chicago Police $6.50

City Of Chicago Police $82.53

City Of Chicago Police $4.39

City Of Chicago Police $6.50

City Of Chicago Police $113.77

09999 City Of Chicago Police $252.14

09999 City Of Chicago Police $108.82

09999 City Of Chicago Police $103.73

09999 City Of Chicago Police $103.72

City Of Chicago - Confidential

Page 93 of 319

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

01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 07/21/2009 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010 06/25/2010 06/25/2010 05/07/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 09/08/2009 09/08/2009 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010

Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H VILLARREAL, MARCO VERGIL, ALEXIS VERGIL, ALEXIS VERGIL, ALEXIS VERGIL, ALEXIS VERGIL, ALEXIS VERGIL, ALEXIS VERDIN, ROBERTO VERDIN, ROBERTO VAZQUEZ, GERMAN VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VAZQUEZ, DANIEL VASSELLI, NICHOLAS VASSELLI, NICHOLAS VASQUEZ, VIDAL VASQUEZ, VIDAL VASQUEZ, VIDAL VASQUEZ, VIDAL VASQUEZ, VIDAL VASQUEZ, VIDAL VASQUEZ, VIDAL VASQUEZ, VIDAL VASQUEZ, VIDAL VASQUEZ, VIDAL

P P P P P P P

9161 9161 9161 9161 9161 9161 9161

9171 9161 9161 9161 9161

9171 9171 9171 9171 9171 9171 9171 9171 9171 9171

09999 09999 09999 09999 09999 09999 09999

010 044 044 044 044

008 008 008 008 008 008 008 008 008 008

lice lice lice fice lice lice fice ilice lice fice lice lice fice lice lice fice fice lice -lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$76.66

$178.91

$139.19

$8.00

$383.70

$233.61

$4.57

$6.50

$0.69

$6.50

$27.00

$4.77

$6.50

$186.83

$6.50

$250.15

$100.68

$1,853.52

$1,406.50

$1,302.70

$1,726.50

$283.48

$6.50

$8.40

$193.39

$6.50

$10.56

$213.20

$6.50

$12.46

$226.20

$6.50

$10.05

City Of Chicago - Confidential

Page 94 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/30/2010 VASQUEZ, VIDAL

11/01/2010 VASAVID, JAMES

04/06/2009 VARELA, JACLYN

07/02/2010 VALERIO, MAGDALENA

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

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

044

Poli Poli Poll

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

$200.85

$6.50

$8.40

$244.40

$6.50

$13.33

$98.45

$6.50

$8.39

$244.40

$6.50

$13.33

$200.85

$6.50

$354.74

$4.29

$6.50

$199.10

$2.41

$100.00

$194.14

$6.50

$84.92

$6.50

$103.12

$20.72

$87.19

$6.50

$1.25

$628.14

$6.50

City Of Chicago - Confidential

Page 95 of 319

Incident Date Claimant Rank

07/21/2009 VALENZUELA, RUTH 9161

Unit of_Insured_Total to be Paid

003 City Of Chicago Police S337.19

003 City Of Chicago Police $122.47

003 City Of Chicago Police $278.74

003 City Of Chicago Police $249.09

003 City Of Chicago Police $87.19

003 City Of Chicago Police $150.49

003 City Of Chicago Police $337.19

003 City Of Chicago Police $184.74

003 City Of Chicago Police $241.09

003 City Of Chicago Police $249.09

003 City Of Chicago Police $242.41

003 City Of Chicago Police $184.74

003 City Of Chicago Police $337.19

003 City Of Chicago Police $215.00

003 City Of Chicago Police $2.02

003 City Of Chicago Police $335.52

003 City Of Chicago Police $6.50

003 City Of Chicago Police $211.27

003 City Of Chicago Police $47.16

003 City Of Chicago Police $210.69

003 City Of Chicago Police $47.16

003 City Of Chicago Police $28,391.81

003 City Of Chicago Police $51.20

003 City Of Chicago Police $249.09

003 City Of Chicago Police $707.54

003 City Of Chicago Police $278.74

City Of Chicago - Confidential

Page 96 of 319

Incident Date Claimant Rank

07/21/2009 VALENZUELA, RUTH 9161

08/25/2010 URBAN, ANETA 9161

Unit of_Insured_Total to be Paid

003 City Of Chicago Police $306.38

003 City Of Chicago Police $188.89

003 City Of Chicago Police $249.09

003 City Of Chicago Police $188.89

003 City Of Chicago Police $101.21

003 City Of Chicago Police $337.19

003 City Of Chicago Police $250.00

003 City Of Chicago Police $155.69

003 City Of Chicago Police $148.42

003 City Of Chicago Police $47.16

003 City Of Chicago Police $210.69

003 City Of Chicago Police $148.42

003 City Of Chicago Police $210.69

003 City Of Chicago Police $337.19

003 City Of Chicago Police $210.69

003 City Of Chicago Police $ 184.74

003 City Of Chicago Police $1,039.05

003 City Of Chicago Police $338.50

003 City Of Chicago Police $89.00

003 City Of Chicago Police $53.20

003 City Of Chicago Police $11.40

003 City Of Chicago Police $695.60

003 City Of Chicago Police $250.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.75

044 City Of Chicago Police $69.83

044 City Of Chicago Police $303.58

044 City Of Chicago Police $6.50

044 City Of Chicago Police $6.07

044 City Of Chicago Police $206.26

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 97 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/2572010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/20/2010 08/20/2010 08/03/2006 08/03/2006 08/03/2006 08/03/2006 01/19/1977 01/19/1977 01/19/1977

URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA URBAN, ANETA UGARTE, RENE UGARTE, RENE Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Tenzer, Joseph H Tenzer, Joseph H Tenzer, Joseph H

9161

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

00002 00002 00002 00002 00012 00012 00012

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

$4.12

$28.88

$6.50

$137.50

$6 50

$2.75

$257.20

$6.50

$5.97

$10.62

$6.50

$5.61

$52.21

$6.50

$35.93

$137.50

$6.50

$2.75

$71.62

$6.50

$1.43

$137.50

$708.40

$6.50

$235.00

$1,300.92

$6.50

$369.99

$823.69

$6.50

City Of Chicago - Confidential

Page 98 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/01/2010 04/01/2010 04/01/2010 04/01/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 09/08/2010 09/08/2010 09/08/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 09/20/2009 09/20/2009 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010

TUTTLE, KEVIN TUTTLE, KEVIN TUTTLE, KEVIN TUTTLE, KEVIN TROMAN, ALICIA TROMAN, ALICIA TROMAN, ALICIA TROMAN, ALICIA TROMAN, ALICIA TROMAN, ALICIA TREVINO, ANTONIO TREVINO, ANTONIO TREVINO, ANTONIO TRACEY, KRISTIN TRACEY, KRISTIN TRACEY, KRISTIN TRACEY, KRISTIN TRACEY, KRISTIN TRACEY, KRISTIN TRAAN,GUAM TRAAN, GUAM TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY

9161

018 018 018 018 018 018

001 001

lice 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 fice lice

$399.46

$6.50

$486.64

$6.50

$6.84

$864.29

$6.50

$22.09

$70.92

$5.44

$134.11

$6.50

$110.12

$6.50

$2.20

$250.19

$6.50

$5.00

$6.50

$6,480.28

$257.82

$92.63

$5.16

$6.50

$8.88

$92.63

$6.50

$1.85

$38.25

$6.50

$1.55

$6.50

City Of Chicago - Confidential

Page 99 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

08/12/2010 TOWNSEND, SHELLEY

08/12/2010 TOWNSEND, SHELLEY'

08/12/2010 TOWNSEND, SHELLEY

10/18/2010 TORRES, NISSA

08/09/2009 TORRES, ANTONIO

10/17/2010 TORRES JR, WILFREDO

07/06/2010 TOMASIK, EDWARD

10/04/2010 TOLIVER, JASON

9161

9171 9171 9171 9171 9171 9171 9201 9201 9201 9201 9161 9161 9161

011 011 011 011 011 011

016 016 016 016 016 016 177 177 177 177 044 044 044

lice lice lice lice lice ilice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice fice lice ilice lice lice fice lice lice fice lice

$4.24

$444.03

$211.71

$4.68

$6.50

$233.95

$1.85

$6.50

$1.15

$6.50

$20.00

$6.50

$22.02

$542.57

$27.78

$6.50

$1.13

$100.68

$6.50

$166.07

$6.50

$9.55

$6.50

$1,086.94

$27.78

$137.41

$6.50

$69.04

$1,701.74

$1.15

$6.50

$245.15

City Of Chicago - Confidential

Page 100 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/04/2010 10/04/2010 10/04/2010 10/04/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010

TOLIVER, JASON TOLIVER, JASON TOLIVER, JASON TOLIVER, JASON TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO. JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE

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

044 044 044 044

Pol Pol

Poli

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

$8.35

$176.45

$6.50

$7.16

$6.50

$3.49

$174.20

$6.50

$12.08

$185.90

$6.50

$10.10

$165.10

$6.50

$8.61

$204.10

$6.50

$13.25

$215.80

$6.50

$11.27

$174.20

$6.50

$12.08

$174.20

$6.50

$12.08

$204.10

$6.50

$13.25

$204.10

$6.50

$204.10

City Of Chicago - Confidential

Page 101 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE

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

lice lice lice lice ilice fice lice lice fice lice fice fice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice fice lice lice lice

$6.50

$13.25

$257.40

$6.50

$16.47

$153.00

$6.50

$3.49

$174.20

$6.50

$12.08

$174.20

$6.50

$12.08

$174.20

$6.50

$12.08

$174.20

$6.50

$12.08

$153.00

$6.50

$3.49

$204.10

$6.50

$13.25

$174.20

$6.50

$12.08

$174.20

$6.50

$12.08

City Of Chicago - Confidential

Page 102 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/19/2010 07/19/2010 07/19/2010 07/19/2010 09/02/2009 09/02/2009 09/02/2009 10/07/2010 10/07/2010 10/07/2010 06/26/2010 06/26/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/30/2010 03/30/2010 03/30/2010 03/30/2010 03/30/2010 03/30/2010 03/30/2010 03/30/2010 03/30/2010 10/09/2010 10/09/2010 10/09/2010

TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TIRADO, JOSE TILLERY, MARY TILLERY, MARY TILLERY, MARY THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMAS, JAMIE THOMAS, JAMIE THILL, JOHN THILL, JOHN THILL, JOHN THILL, JOHN THILL, JOHN THILL, JOHN THILL, JOHN THILL, JOHN THILL, JOHN TERNAND,BRANDON TERNAND, BRANDON TERNAND, BRANDON TERNAND,BRANDON TERNAND,BRANDON TERNAND,BRANDON TERNAND,BRANDON TERNAND, BRANDON TERNAND,BRANDON TENCZA, DAVID TENCZA, DAVID TENCZA, DAVID

9171 9171 9171 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

044 044 044 044 044 044 044 044 044 009 009 009

$204.10

$6.50

$13.25

$153.00

$6.50

$92.63

$1.85

$337.19

$6.50

$9.52

$6.50

$3,300.00

$6.50

$5.86

$275.00

$6.50

$28.75

$239.65

$6.50

$6.51

$1,872.52

$6.50

$1,234.68

$198.17

$40.59

$6.50

$61.55

$8.04

$6.50

$5.87

City Of Chicago - Confidential

Page 103 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

10/09/2010 TENCZA, DAVID

03/0272010 TEGTMEIER, MATT

03/02/2010 TEGTMEIER, MATT

10/15/2010 TAYLOR, ERIC

09/21/2010 TAGLIERI, CHRISTOPHER

09/24/2006 Szudy, Edmund M

02/06/2000 Sullivan, James

07/09/1998 Stover, Danny

07/03/2007 Spraggins, Ronald

04/04/2003 Shaw, Joseph H

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

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

009 009 009 044 044

09999 09999 00009 00009 00009 00009 00004 00004 00004 00004 00004 00006 00006 00006 00006 00022

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice fice

$970.20

$6.50

$20.21

$13.20

$168.20

$6.50

$244.96

$6.50

$83.04

$184.51

$6.50

$851.77

$6.50

$476.19

$8.48

$6.50

$56.56

$350.68

$6.50

$140.13

$6.50

$140.13

$168.75

$6.50

$50.00

$12.94

$168.41

$6.50

$104.39

$6.50

$133.29

City Of Chicago - Confidential

Page 104 of 319

Incident Date Claimant

Rank

Unit of

04/04/2003 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995 02/14/1995

Shaw, Joseph H

Segovia Segovia Segovia Segovia Segovia Segovia Segovia Segovia Segovia Segovia, Segovia Segovia, Segovia Segovia, Segovia, Segovia Segovia Segovia Segovia Segovia Segovia Segovia Segovia Segovia Segovia Segovia Segovia, Segovia Segovia Segovia, Segovia, Segovia

Rodol Rodol Rodol Rodol Rodol Rodol Rodol Rodol Rodol Rodol Rodol Rodol Rodo¹Rodo Rodol Rodol Rodol Rodol Rodol Rodol Rodol Rodo! Rodol Rodol Rodol Rodol Rodol Rodo Rodol Rodo! Rodol Rodol

00022 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017 00017

City Of Ch

Insured

Total to be Paid

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

lice lice lice lice lice lice lice fice lice ilice fice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$1.55

$6.50

$88.00

$6.50

$110.00

$6.50

$88.00

$6.50

$88.00

$6.50

$88.00

$6.50

$88.00

$6.50

$88.00

$6.50

$88.00

$6.50

$88.00

$6.50

$88.00

$6.50

$88.00

$6.50

$278.86

$6.50

$59.16

$6.50

$278.86

$6.50

$278.86

- Confidential

Page 105 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/14/1995 05/28/2008 05/28/2008 05/28/2008 03/07/2008 03/07/2008 12/16/1999 02/04/2010 09/10/2010' 09/10/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 07/15/2009 07/15/2009 01/19/2010 01/19/2010 01/19/2010 01/19/2010 06/19/2010 06/19/2010 06/19/2010

Segovia, Rodolfo Sautkus, Steven J Sautkus, Steven J Sautkus, Steven J Saucedo, Marisa Saucedo, Marisa Salyers, John C SZURA, WILLIAM SZUDY, EDMUND M SZUDY, EDMUND M SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWALINA, GLADYS SWALINA, GLADYS SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID

P P P P P P P

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

00017

00008

00001

00020

055

152

9161 9161 9161

005 005 005 005 005 005 005

Poli Poli Pol

ice ice ice ice ice ce ice ice ce ce ice ice ce ice ice ce ice ice ce ce ce ce ce ce oe ce ce ce ce ce ce ice

$128.18

$6.50

$199.72

$8.11

$386.94

$6.50

$1,175.04

$32.57

$1,309.02

$6.50

$93.86

$6.50

$93.86

$6.50

$2,636.10

$6.50

$67.37

$249.10

$6.50

$14.32

$93.86

$6.50

$93.86

$6.50

$390.28

$94.50

$3.01

$6.50

$74.11

$6.50

$1.24

City Of Chicago - Confidential

Page 106 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Poi City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Po 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 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010

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 SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL

9161 9161 9161 9161 9161 9161 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

lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice fice lice lice lice lice lice lice lice

$6.50

$0.93

$198.36

$6.50

$0.93

$198.36

$6.50

$0.93

$198.36

$6.50

$0.93

$264.48

$6.50

$264.48

$5.03

$6.50

$65.32

$6.50

$301.01

$198.36

$11.38

$5,600.28

$243.10

$11.38

$6.50

$243.10

$11.38

$6.50

$243.10

$6.50

$8.69

$6.50

$186.55

City Of Chicago - Confidential

Page 107 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 10/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010

SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SWAINE, DANIEL SUSA, TINA SURGIT, CELAL SURGIT, CELAL SURGIT. CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

016

$11.38

$6.50

$243.10

$11.38

$6.50

$243.10

$11.38

$6.50

$243.10

$25.81

$6.50

$979.80

$11.38

$6.50

$243.10

$11.38

$6.50

$243.10

$12.41

$6.50

$269.75

$6.50

$188.92

$18.62

$6.50

$188.92

$6.50

$187.19

$1.29

$6.50

City Of Chicago - Confidential

Page 108 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/19/2010 01/19/2010 01/19/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010

SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE

9161 9161 9161

lice lice lice lice fice lice lice lice lice lice fice fice lice fice lice lice fice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$88.23

$18.62

$18.46

$6.50

$1,621.18

$15.67

$6.50

$395.30

$21.04

$6.50

$584.24

$131.55

$6.50

$2,262.40

$9.85

$6.50

$242.62

$15.67

$6.50

$395.30

$33.20

$6.50

$849.97

$15.67

$6.50

$395.30

$4.66

$6.50

$114.69

$65.79

$6.50

$1,621.18

$3.01

City Of Chicago - Confidential

Page 109 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 09/06/2009 09/06/2009 09/06/2009

SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE STUBBS, LARRY STUBBS, LARRY STUBBS, LARRY

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

019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019

$6.50

$74.11

$3.01

$6.50

$74.11

$3.01

$6.50

$74.11

$48.75

$6.50

$70.53

$65.79

$6.50

$225.08

$81.00

$3,186.00

$6.50

$81.42

$142.51

$6.50

$42.69

$136.67

$6.50

$44.02

$275.56

$6.50

$73.24

$255.33

$6.50

$93.16

$6.50

$257.82

$5.16

City Of Chicago - Confidential

Page 110 of 319

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

08/12/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 03/02/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 09/19/2010 09/19/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010

STREFF JR, WILLARD STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STEWART, DONALD STEWART, DONALD STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS

9206

377

9168 9168 9168 9168 9168 9168 9161 9161

059 059 059 059 059 059 006 006

lice lice lice lice lice lice lice lice lice lice lice lice lice lice dice lice lice fice lice lice lice fice lice lice fice lice lice lice lice lice lice lice lice

$6.50

$7.67

$17.84

$6.50

$180.92

$7.73

$6.50

$78.48

$6.50

$114.92

$0.76

$194.33

$16.54

$6.50

$4.24

$35.95

$6.50

$885.81

$3.01

$6.50

$74.11

$6.50

$207.59

$322.00

$6.50

$275.04

$6.50

$275.04

$6.50

$94.99

$6.50

$275,04

City Of Chicago - Confidential

Page 111 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/0772010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009

STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE

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

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

$6.50

$322.00

$6.50

$322.00

$6.50

$322.00

$6.50

$322.00

$6.50

$322.00

$6.50

$322.00

$6.50

$644.00

$6.50

$322.00

$6.50

$322.00

$6.50

$8.40

$200.85

$6.50

$7.50

$6.50

$9.52

$0.68

$6.50

$34.07

$16.35

$6.50

$111.92

$30.74

$8.40

City Of Chicago - Confidential

Page 112 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 10/26/2010 10/26/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 11/06/2010 11/06/2010 11/06/2010 09/01/2010 09/01/2010 09/01/2010

STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STAJCIC, JOHN STAJCIC, JOHN STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STCI-AIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL

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

059 059

9161 9161 9161

$6.50

$200.85

$7.53

$6.50

$169.65

$200.85

$6.50

$8.40

$187.85

$6.50

$212.98

$6.50

$2.58

$10.82

$34.51

$6.50

$259.44

$42.23

$162.67

$6.43

$6.50

$6.90

$6.50

$46.82

$6.50

$28.69

$321.81

$165.58

$19.45

$6.50

$461.60

$2.32

$12.48

City Of Chicago - Confidential

Page 113 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/28/2010 10/28/2010 12/07/2009 12/07/2009 12/07/2009 12/07/2009

ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL

ST CLAIR I ST CLAIR I ST CLAIR I

MICHAEL MICHAEL MICHAEL

ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL

ST CLAIR I ST CLAIR I

MICHAEL MICHAEL

ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL

ST CLAIR I ST CLAIR I

MICHAEL MICHAEL

SPIZZIRRI, EDWARD SPIZZIRRI, EDWARD SPIZZIRRI, EDWARD SPIZZIRRI, EDWARD SPIZZIRRI, EDWARD SPIZZIRRI, EDWARD SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SOUTHARD,TERRY SOUTHARD,TERRY SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN, SCOTT

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

012 012 012 012 012 012

lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice

$831.90

$6.50

$34.57

$2,539.60

$188.96

$6.50

$4,655.50

$6.50

$90.61

$16.20

$6.50

$30.57

$6.50

$72.96

$87.86

$6.50

$8.41

$15.32

$6.50

$15.32

$17.02

$482.22

$6.50

$12.32

$6.50

$585.82

$6.50

$133.29

$6.28

$6.50

City Of Chicago - Confidential

Page 114 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/07/2009 1270772009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 03/15/2009 03/15/2009 03/15/2009 05/23/2010 05/23/2010 05/23/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010 08/15/2010

SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN, SCOTT SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN, SCOTT SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN,SCOTT SOREGHEN,SCOTT SOPIKIOTIS, CHRIS SOPIKIOTIS, CHRIS SOPIKIOTIS, CHRIS SOLOMON, JOHN SOLOMON, JOHN SOLOMON, JOHN SOBCZYK, MARK SOBCZYK, MARK SOBCZYK, MARK SOBCZYK, MARK SOBCZYK, MARK

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

313 313 313 023 023 023

$40.16

$14.23

$6.50

$13.15

$14.23

$6.50

$13.15

$6.50

$79.68

$6.50

$376.10

$5.03

$6.50

$65.32

$5.03

$6.50

$65.32

$14.23

$6.50

$15.42

$13.15

$6.50

$185.79

$2.72

$6.50

$1,500.00

$1.16

$6.50

$998.48

$6.50

$207.59

$35.22

City Of Chicago - Confidential

Page 115 of 319

Incident Date Claimant Rank

08/15/2010 SOBCZYK, MARK

03/14/2009 SNYDER, FREDERICK 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $7.26

City Of Chicago Police $6.50

City Of Chicago Police $25.51

189 City Of Chicago Police $6.50

189 City Of Chicago Police $13.31

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $15.97

189 City Of Chicago Police $6.50

189 City Of Chicago Police $304.20

189 City Of Chicago Police $15.97

189 City Of Chicago Police $6.50

189 City Of Chicago Police $304.20

189 City Of Chicago Police $15.97

189 City Of Chicago Police $6.50

189 City Of Chicago Police $304.20

189 City Of Chicago Police $10.64

189 City Of Chicago Police $6.50

189 City Of Chicago Police $202.80

189 City Of Chicago Police $15.97

189 City Of Chicago Police $6.50

189 City Of Chicago Police $304.20

189 City Of Chicago Police $15.97

189 City Of Chicago Police $6.50

189 City Of Chicago Police $304.20

189 City Of Chicago Police $13.31

189 City Of Chicago Police $6.50

189 City Of Chicago Police $253.50

189 City Of Chicago Police $10.64

City Of Chicago - Confidential

Page 116 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 03/14/2009 09/05/2009 09/05/2009 09/05/2009 09/05/2009 09/05/2009 09/05/2009 09/05/2009 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010

SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SNYDER, FREDERICK SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, WILLIE SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES

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

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

Pol Pol

Poli

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

$6.50

$202.80

$3.93

$6.50

$83.60

$13.31

$6.50

$253.50

$202.80

$10.64

$6.50

$15.97

$6.50

$304.20

$15.97

$6.50

$304.20

$253.50

$359.13

$3.92

$6.50

$195.74

$6.50

$404.24

$4.90

$254.05

$6.50

$12.95

$254.05

$6.50

$12.95

$298.25

$10.54

City Of Chicago - Confidential

Page 117 of 319

Incident Date Claimant Rank

07/05/2010 SMITH, MERCEDES 9161

09/15/2010 SLATTERY, MICHAEL PO

07/27/2010 SKARUPINSKI, CHRIS 9161

05/17/2009 SIMMONS, OSCAR 9161

06/11/2010 SIMMONS, KAREN 9161

12/17/2009 SHEPHERD, CHRISTIAN 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $267.05

City Of Chicago Police $6.50

City Of Chicago Police $82.56

City Of Chicago Police $11.41

City Of Chicago Police $4.17

City Of Chicago Police $56.56

City Of Chicago Police $6.50

City Of Chicago Police $6.90

City Of Chicago Police $46.82

City Of Chicago Police $6.50

City Of Chicago Police $10.15

005 City Of Chicago Police $87.19

005 City Of Chicago Police $6.50

005 City Of Chicago Police $816.58

005 City Of Chicago Police $91.79

012 City Of Chicago Police $148.50

012 City Of Chicago Police $6.50

012 City Of Chicago Police $0.22 023 City Of Chicago Police $6.50 023 City Of Chicago Police $1,826.88

013 City Of Chicago Police $6.50 013 City Of Chicago Police $100.68 013 City Of Chicago Police $8,922.51 013 City Of Chicago Police $6.50 013 City Of Chicago Police $776.44 013 City Of Chicago Police $149.46 013 City Of Chicago Police $6.50 013 City Of Chicago Police $6.50 013 City Of Chicago Police $224.19

City Of Chicago - Confidential

Page 118 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/17/2009 SHEPHERD, CHRISTIAN

04/17/2010 SHAW, DARICE

09/21/2010 SERRANO, OSCAR

01/28/2009 SERPE, CHARLES

07/01/2010 SEPULVEDA, DAVID

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

013 013 013 044 044 044 044 044 044 044 044 044 044 044 044

Poll Pol Poli

$6.50

$149.46

$6.50

$72.97

$108.70

$6.50

$420.00

$0.88

$4.28

$6.50

$353.78

$0.48

$6.50

$59.15

$6.30

$6.50

$109.60

$226.20

$6.50

$10.05

$11.80

$6.50

$5.57

$1,005.20

$6.50

$30.30

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

City Of Chicago - Confidential

Page 119 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/04/2010 10/04/2010 10/18/2009 10/18/2009 10/18/2009 10/18/2009 10/18/2009 10/18/2009 09/15/2010 09/15/2010 09/15/2010 09/15/2010

SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEDORY, MATTHEW SEDORY, MATTHEW SEDORY, MATTHEW SEDORY, MATTHEW SEALS, HARVEY SEALS, HARVEY SCHREIBER, ERIC SCHREIBER, ERIC SCHREIBER, ERIC SCHREIBER, ERIC SCHREIBER, ERIC SCHREIBER, ERIC SCHNIER, BRIAN SCHNIER, BRIAN SCHNIER, BRIAN SCHNIER, BRIAN

9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9171 9171 9171 9171

044 044 044 044 044 044

Pol Poli Pol

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

$210.50

$6.50

$8.02

$186.55

$6.50

$8.26

$226.20

$6.50

$10.05

$6.50

$10.05

$30.49

$6.50

$226.20

$6.50

$10.05

$384.14

$6.50

$50.16

$6.50

$207.59

$6.50

$560.70

$20.02

$6.50

$280.35

$10.01

$103.79

$251.19

$6.50

City Of Chicago - Confidential

Page 120 of 319

Incident Date Claimant Rank

01/13/2010 SCHLOSS, ALLISON

07/06/2010 SCHALLER, MATTHEW 9161

08/19/2010 SCHAFFER, JOHN 9169

Unit of_Insured_Total to be Paid

City Of Chicago Police $3.78

City Of Chicago Police $257.60

City Of Chicago Police $6.50

City Of Chicago Police $8.86

City Of Chicago Police $6.50

City Of Chicago Police $8.77

055 City Of Chicago Police $6.50

055 City Of Chicago Police $249.09

055 City Of Chicago Police $6.50

055 City Of Chicago Police ■ $242.41

055 City Of Chicago Police $6.50

055 City Of Chicago Police $202.41

055 City Of Chicago Police $6.50

055 City Of Chicago Police $202.41

055 City Of Chicago Police $6.50

055 City Of Chicago Police $202.41

055 City Of Chicago Police $6.50

055 City Of Chicago Police $249.09

055 City Of Chicago Police $6.50

055 City Of Chicago Police $211.27

055 City Of Chicago Police $6.50

055 City Of Chicago Police $221.65

055 City Of Chicago Police $6.50

055 City Of Chicago Police $134.94

055 City Of Chicago Police $6.50

055 City Of Chicago Police $211.27

055 City Of Chicago Police $6.50

055 City Of Chicago Police $211.27

055 City Of Chicago Police $6.50

055 City Of Chicago Police $211.27

055 City Of Chicago Police $6.50

055 City Of Chicago Police $165.04

055 City Of Chicago Police $211.27

City Of Chicago - Confidential

Page 121 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/19/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010

SCHAFFER, JOHN SAVAGE, RAYMOND SAVAGE, RAYMOND SAVAGE, RAYMOND SAVAGE, RAYMOND SAVAGE, RAYMOND SAVAGE, RAYMOND SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN

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

055 025 025 025 025 025 025

Poli Poll Pol

$6.50

$607.28

$6.50

$7.16

$6.50

$176.45

$15.52

$6.50

$181.66

$27.95

$16.71

$6.50

$2,137.29

$15.52

$6.50

$3,629.42

$72.82

$6.50

$4,659.47

$6.50

$77.85

$228.38

$103.80

$6.50

$148.42

$6.50

$148.42

$6.50

$148.42

$6.50

$164.00

$6.50

$164.00

City Of Chicago - Confidential

Page 122 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 08/01/2010 08/01/2010 08/01/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 07/07/2010 07/07/2010 07/07/2010 05/27/2010 11/07/2010 05/20/2010

SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS,STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS, STEVEN SAUTKUS,STEVEN SAUTKUS, STEVEN. SAUTKUS,STEVEN SAUTKUS, STEVEN SANTIAGO, JASON SANTIAGO, JASON SANTIAGO, JASON SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, JOHN SANDOVAL, JOHN SANDOVAL, JOHN SAMPSON, ESTHER SAMMON, DANIEL SALVAGE, MICHAELYN

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

9161

010 010 010

Pol Pol Poli

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

$6.50

$164.00

$6.50

$164.00

$6.50

$268.30

$6.50

$122.47

$6.50

$164.00

$6.50

$164.00

$6.50

$220.50

$5.64

$6.50

$3.11

$303.73

$6.50

$4.47

$211.71

$6.50

$3.11

$211.71

$0.45

$6.50

$10.98

$41.92

$259.89

$6.50

City Of Chicago - Confidential

Page 123 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 04/03/2010 09/11/1992 09/11/1992 09/11/1992 09/11/1992 09/11/1992 09/11/1992 09/11/1992 10/29/2008 01/26/2008 01/26/2008 01/26/2008 09/09/1993 09/09/1993 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006

SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVADOR, RICHARD SALVADOR, RICHARD SALVADOR, RICHARD SALVADOR, RICHARD SALVADOR, RICHARD SALVADOR, RICHARD SALVADOR, RICHARD SALAZAR, JUAN Ryzner, Ronald Ryzner, Ronald Ryzner, Ronald Ryzner, Ronald Ryzner, Ronald Ryzner, Ronald Ryzner, Ronald Ryerson, Lynn Ryan, John W Ryan, John W Ryan, John W Russell, Robbie Russell, Robbie Rollins, Charles J Rollins, Charles J Rollins, Charles J Rollins, Charles J Rollins, Charles J Rollins, Charles J

9161 9161 9161 9161 9161 9161 9161

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

00002 00002 00002 00002 00002 00002 00002 00640 00153 00153 00153 00006 00006 00009 00009 00009 00009 00009 00009

Poli Poll Poli

ce ce

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

$114.21

$4,469.12

$7.90

$6.50

$309.20

$25.32

$6.50

$132.59

$5.38

$595.82

$6.50

$39.00

$6.50

$63.21

$160.00

$29.94

$60.00

$120.00

$60.00

$80.00

$6.50

$103.13

$17.22

$6.50

$6,014.93

$6.50

$208.46

$6.50

$89.00

$11.06

$152.24

$6.50

City Of Chicago - Confidential

Page 124 of 319

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

12/16/2006 09/0272007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 09/02/2007 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 09/18/2008 09/18/2008 09/18/2008

Rollins, Charles J Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reyes, Ricardo Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Randle, Reginald Randle, Reginald Randle, Reginald

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

00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00009 00153 00153 00153 00153 00153 00153 00153 00153 00153 00014 00014 00014

lice lice ilice lice lice lice lice fice lice lice lice fice lice fice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$2.88

$6.50

$606.98

$6.50

$2.18

$175.50

$6.50

$4.49

$175.50

$6.50

$159.22

$6.50

$63.84

$5.98

$6.50

$234.00

$5.98 .

$6.50

$234.00

$4.49

$16.97

$52.24

$6.50

$8.34

$6.50

$264.74

$6.50

$350.68

$6.50

$2.51

$380.37

City Of Chicago - Confidential

Page 125 of 319

Incident Date Claimant_Rank

09/18/2008 Randle, Reginald P

10/21/1992 Rak, John P

06/24/2010 RUHNKE. ERIK 9161

06/24/2010 RUHNKE, ERIK 9161

08/30/2010 RUGE, STEVEN 9161

Unit of_Insured_Total to be Paid

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $4.61

00014 City Of Chicago Police $207.45

00015 City Of Chicago Police $25.31 00015 City Of Chicago Police $72.97 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $0.88 00015 City Of Chicago Police $2,100.82 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $42.02 00015 City Of Chicago Police $2,169.33 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $26.26 00015 City Of Chicago Police $1,003.84 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $12.15 00015 City Of Chicago Police $148.54 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $798.25 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $15.96 00015 City Of Chicago Police $297.78 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $122.49 00015 City Of Chicago Police $1.16 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $6.50 00015 City Of Chicago Police $3.60 00015 City Of Chicago Police $95.65

City Of Chicago Police $9.68

City Of Chicago Police $484.14

50 City Of Chicago Police $9.55

50 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 126 of 319

Incident Date Claimant Rank

08/30/2010 RUGE, STEVEN 9161

09/09/2010 ROUNDS, DEBRA 9161

09/08/2010 ROSAS, ANTONIO 9161

10/01/2010 ROSAS JR, FIUBERTO 9161

10/01/2010 ROSAS JR, FILIBERTO 9161

Unit of_Insured_Total to be Paid

50 City Of Chicago Police $24.13

50 City Of Chicago Police $6.50

50 City Of Chicago Police $943.97

50 City Of Chicago Police $99.41

50 City Of Chicago Police $6.50

50 City Of Chicago Police $166.07

005 City Of Chicago Police $6.50

005 City Of Chicago Police $12.95

005 City Of Chicago Police $1,365.02

007 City Of Chicago Police $5.61

007 City Of Chicago Police $6.50

007 City Of Chicago Police $10.62

007 City Of Chicago Police $8.63

007 City Of Chicago Police $6.50

007 City Of Chicago Police $11.04

007 City Of Chicago Police $3.01

007 City Of Chicago Police $6.50

007 City Of Chicago Police $74.11

007 City Of Chicago Police $5.44

007 City Of Chicago Police $6.50

007 City Of Chicago Police $134.11

007 City Of Chicago Police $53.71

007 City Of Chicago Police $6.50

007 City Of Chicago Police $799.49

007 City Of Chicago Police $1,323.38

007 City Of Chicago Police $32.44

007 City Of Chicago Police $6.50

044 City Of Chicago Police $742.90

044 City Of Chicago Police $6.50

044 City Of Chicago Police $295.07

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.90

044 City Of Chicago Police $97.00

City Of Chicago - Confidential

Page 127 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 09/20/2010 09/20/2010 06/29/2009 06/29/2009 06/29/2009 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 03/17/2010 10/23/2010 10/23/2010 10/23/2010

ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO RONAN,SEAN RONAN,SEAN RODRIGUEZ, MARIAN RODRIGUEZ, MARIAN RODRIGUEZ, MARIAN RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, JOSEPH RODRIGUEZ, JESSE RODRIGUEZ, JESSE RODRIGUEZ, JESSE

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

044 044 044 044 044 044 044 044 044 044

009 009 009

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

lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice fice lice lice lice lice lice ilice fice lice fice lice lice fice lice fice fice lice lice

$6.50

$0.85

$209.26

$6.50

$2.00

$207.59

$6.50

$274.00

$6.50

$2.64

$6.50

$181.64

$1,081.95

$6.50

$38.00

$420.89

$8.04

$6.50

$233.66

$8.18

$238.23

$6.50

$13.91

$508.43

$6.50

$17.37

$28.88

$6.50

$19.93

$7.11

$233.54

$6.50

City Of Chicago - Confidential

Page 128 of 319

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

10/23/2010 10/23/2010 12/26/2008 12/26/2008 12/26/2008 12/26/2008 08/13/2009 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 06/08/2010 02/17/2010 02/17/2010 01/30/2009 01/30/2009 01/30/2009 01/30/2009 01/30/2009 01/30/2009 01/30/2009 01/30/2009 01/30/2009 01/30/2009

RODRIGUEZ, JESSE RODRIGUEZ, JESSE ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROBERTS, MICHELLE RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIPLEY, MATTHEW RIOS, MIGUEL RIOS. MIGUEL RIGAN, KEITH RIGAN, KEITH RIGAN, KEITH RIGAN, KEITH RIGAN, KEITH RIGAN, KEITH RIGAN, KEITH RIGAN, KEITH RIGAN, KEITH RIGAN, KEITH

9161 9161

009 009

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

009 025 025 025 025 025 025 025 025 025 025 025 025 025 025 153 153 153 153 153 153 153 153 153 153 153 153

fice lice lice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice . fice lice ilice lice lice ilice lice lice lice fice lice lice lice lice lice

S6.50

$258.55

$6.50

$877.11

$6.50

$674,70

$6.50

$1.05

$6.50

$86.78

$1.68

$6.50

$84.04

$6.50

$394.43

$6.50

$1,494.68

$6.50

$1,660.76

$6.50

$1,183.29

$6.50

$1,104.13

$97.06

$6.16

$6.50

$151.77

$8.60

$3.94

$211.76

$6.50

$8.60

$211.76

City Of Chicago - Confidential

Page 129 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/30/2009 01/30/2009 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 05/27/2010 05/27/2010

RIGAN, KEITH RIGAN, KEITH RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RIGA JR, WILLIAM RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP REY, EDUARDO REY, EDUARDO

9161 9161 9161 9161 9161 9161 9161 9161 9161

153 153 044 044 044 044 044 044 044

9161 9161

lice lice lice lice lice lice lice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice lice fice lice lice lice

$6.50

$72.00

$6.50

$8.51

$264.00

$6.50

$85.94

$25.87

$16.47

$6.50

$154.75

$15.25

$6.50

$154.75

$15.25

$76.42

$1.96

$84.92

$6.50

$154.75

$6.50

$15.25

$154.75

$6.50

$15.25

$194.16

$154.75

$6.50

$15.25

$80.21

$5.06

City Of Chicago - Confidential

Page 130 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010

REY,EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY. EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO

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

Pol Poli Poli

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

$1.61

$253.02

$6.50

$5.06

$253.02

$6.50

$5.06

$200.52

$6.50

$4.02

$92.63

$6.50

$1.85

$253.02

$6.50

$5.06

$6.50

$253.02

$3.16

$6.50

$261.28

$195.74

$6.50

$3.92

$253.02

$6.50

$5.06

$253.02

$6.50

$5.06

$253.02

$6.50

City Of Chicago - Confidential

Page 131 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 10/11/2009 10/11/2009 10/11/2009 10/03/2010 10/03/2010 10/03/2010 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009

REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REY, EDUARDO REEVES, TARA REEVES, TARA REEVES, TARA REEVES, LANDRY REEVES, LANDRY REEVES, LANDRY RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT

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

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

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

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice fice lice fice fice lice lice

$5.06

$195.74

$6.50

$3.92

$261.28

$6.50

$3.16

$195.74

$6.50

$3.92

$206.93

$6.50

$4.14

$1.00

$6.50

$82.83

$32.88

$6.50

$162.67

$6.50

$2.75

$238.85

$6.50

$3.73

$371.58

$6.50

$4.50

$368.34

$6.50

$4.46

$371.58

$6.50

$4.50

City Of Chicago - Confidential

Page 132 of 319

Incident Date Claimant Rank

12/16/2009 RAMIREZ, ROBERT 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $368.34

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.46

010 City Of Chicago Police $368.34

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.46

010 City Of Chicago Police $371.58

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.50

010 City Of Chicago Police $100.68

010 City Of Chicago Police $739.67

010 City Of Chicago Police $6.50

010 City Of Chicago Police $30.02

010 City Of Chicago Police $359.84

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.20

010 City Of Chicago Police $359.84

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.20

010 City Of Chicago Police $359.84

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.20

010 City Of Chicago Police $297.77

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.96

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.78

010 City Of Chicago Police $307.49

010 City Of Chicago Police $359.84

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.20

010 City Of Chicago Police $359.84

010 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 133 of 319

Incident Date Claimant Rank

12/16/2009 RAMIREZ, ROBERT 9161

Unit of Insured Total to be Paid

010 City Of Chicago Police $7.20

010 City Of Chicago Police $359.84

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.20

010 City Of Chicago Police $141.99

010 City Of Chicago Police $6.50

010 City Of Chicago Police $1.72

010 City Of Chicago Police $238.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.78

010 City Of Chicago Police $477.70

010 City Of Chicago Police $6.50

010 City Of Chicago Police $9.56

010 City Of Chicago Police $297.77

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.96

010 City Of Chicago Police $477.70

010 City Of Chicago Police $6.50

010 City Of Chicago Police $9.56

010 City Of Chicago Police $238.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.78

010 City Of Chicago Police $297.77

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.96

010 City Of Chicago Police $297.77

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.96

010 City Of Chicago Police $297.77

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.96

010 City Of Chicago Police $238.85

010 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 134 of 319

Incident Date Claimant Rank

12/16/2009 RAMIREZ, ROBERT 9161

08/28/2010 RAMIREZ, CRHISTIAN 9161

12/21/2009 RAMIREZ JR, MARGARITO 9161

06/27/2010 QUINT, STEVE 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $4.78

010 City Of Chicago Police $238.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.78

010 City Of Chicago Police $238.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.78

010 City Of Chicago Police $371.58

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.50

010 City Of Chicago Police $359.84

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.20

010 City Of Chicago Police $238.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.78

010 City Of Chicago Police $307.49

010 City Of Chicago Police $6.50

010 City Of Chicago Police $3.73

010 City Of Chicago Police $137.50

025 City Of Chicago Police $1,964.07

025 City Of Chicago Police $6.50

025 City Of Chicago Police $50.19

025 City Of Chicago Police $249.10

025 City Of Chicago Police $6.50

025 City Of Chicago Police $14.32

014 City Of Chicago Police $3.65

014 City Of Chicago Police $6.50

014 City Of Chicago Police $89.99

018 City Of Chicago Police $6.50

018 City Of Chicago Police $88.75

018 City Of Chicago Police $6.50

018 City Of Chicago Police $1.07

City Of Chicago - Confidential

Page 135 of 319

Incident Date Claimant Rank

06/27/2010 QUINT, STEVE 9161

08/01/2010 QUINONEZ, SERGIO 9161

Unit of_Insured_Total to be Paid

018 City Of Chicago Police $944.58

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $68.50

015 City Of Chicago Police $6.50

015 City Of Chicago Police $49.82

015 City Of Chicago Police $6.50

015 City Of Chicago Police $68.50

015 City Of Chicago Police $6.50

015 City Of Chicago Police $49.82

015 City Of Chicago Police $6.50

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $246.90

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.77

015 City Of Chicago Police $99.64

015 City Of Chicago Police $6.50

015 City Of Chicago Police $49.82

015 City Of Chicago Police $6.50

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 136 of 319

Incident Date Claimant Rank

08/01/2010 QUINONEZ, SERGIO 9161

12/15/2002 Pringle, Terry J P

11/27/2007 Podlo, Frank W P

08/18/2008 Philp, Danielle P

06/06/1997 Paszowski, Thomas A P

08/31/2010 PURUIS, ROBERT 9161

06/17/2010 PURTELL, CYNTHIA 9161

Unit of_Insured_Total to be Paid

015 City Of Chicago Police $10.92

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $6.50

015 City Of Chicago Police $261.20

015 City Of Chicago Police $10.92

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

00022 City Of Chicago Police $9.00

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $85.88

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $140.13

00005 City Of Chicago Police $422.94

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $98.61

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $94.99

044 City Of Chicago Police $6.50

044 City Of Chicago Police $632.23

044 City Of Chicago Police $9.28

008 City Of Chicago Police $10.84

008 City Of Chicago Police $6.50

008 City Of Chicago Police $230.75

008 City Of Chicago Police $10.84

008 City Of Chicago Police $6.50

008 City Of Chicago Police $230.75

008 City Of Chicago Police $10.44

City Of Chicago - Confidential

Page 137 of 319

Incident Date Claimant Rank

06/17/2010 PURTELL, CYNTHIA 9161

10/07/2010 PRONEK, NICHOLAS 9161

07/02/2010 PROANO, MARCO 9161

06/21/2010 PRENDKOWSKI, KEVIN 9161

Unit of Insured Total to be Paid

008 City Of Chicago Police $197.50

008 City Of Chicago Police $254.05

008 City Of Chicago Police $6.50

008 City Of Chicago Police $187.85

008 City Of Chicago Police $6.50

008 City Of Chicago Police $10.82

008 City Of Chicago Police $12.95

008 City Of Chicago Police $197.50

008 City Of Chicago Police $6.50

008 City Of Chicago Police $10.44

008 City Of Chicago Police $92.63

008 City Of Chicago Police $6.50

008 City Of Chicago Police $1.85

008 City Of Chicago Police $172.15

008 City Of Chicago Police $6.50

008 City Of Chicago Police $8.80

008 City Of Chicago Police $197.50

008 City Of Chicago Police $6.50

008 City Of Chicago Police $10.44

008 City Of Chicago Police $197.50

008 City Of Chicago Police $6.50

008 City Of Chicago Police $10.44

City Of Chicago Police $1,032.37

City Of Chicago Police $6.50

City Of Chicago Police $311.38

City Of Chicago Police $6.50

City Of Chicago Police $290.62

City Of Chicago Police $6.50

153 City Of Chicago Police $412.25

153 City Of Chicago Police $6.50

153 City Of Chicago Police $65.32

City Of Chicago - Confidential

Page 138 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/21/2010 PRENDKOWSKI, KEVIN

10/12/2010 PRATSCHER, MAUREEN

11/29/2009 PRADO, ROCIO

9161 9161

153 153

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

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

lice lice lice lice lice ilice lice lice lice fice lice lice lice fice fice lice lice fice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice

$5.68

$16.74

$14.32

$6.50

$28.74

$3.11

$6.50

$257.37

$3.23

$6.50

$161.38

$147.33

$213.60

$9.27

$443.72

$6.50

$17.84

$480.97

$6.50

$22.66

$62.98

$6.50

$3.18

$299.38

$6.50

$12.65

$482.74

$6.50

$24.07

$522.12

$6.50

$22.21

City Of Chicago - Confidential

Page 139 of 319

Incident Date Claimant Rank

11/29/2009 PRADO, ROCIO 9161

10/25/2010 POZULP, KERRY 9161

06/13/2010 POWERS, COLIN 9161

Unit of_Insured_Total to be Paid

006 City Of Chicago Police $694.13

006 City Of Chicago Police $26.95

006 City Of Chicago Police $299.38

006 City Of Chicago Police $12.65

006 City Of Chicago Police $546.76

006 City Of Chicago Police $22.46

006 City Of Chicago Police $495.73

006 City Of Chicago Police $20.83

006 City Of Chicago Police $213.60

006 City Of Chicago Police $9.27

006 City Of Chicago Police $272.98

006 City Of Chicago Police $11.28

006 City Of Chicago Police $538.57

006 City Of Chicago Police $23.25

006 City Of Chicago Police $540.35

006 City Of Chicago Police $24.66

006 City Of Chicago Police $493.96

006 City Of Chicago Police $6.50

006 City Of Chicago Police $19.42

006 City Of Chicago Police $213.60

006 City Of Chicago Police $6.50

311 City Of Chicago Police $1.00

311 City Of Chicago Police $6.50

311 City Of Chicago Police $124.70

311 City Of Chicago Police $6.50

311 City Of Chicago Police $95.71

311 City Of Chicago Police $145.16

311 City Of Chicago Police $6.50

311 City Of Chicago Police $2.90

311 City Of Chicago Police $82.83 City Of Chicago Police " $20.02

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 140 of 319

Incident Date Claimant Rank

06/13/2010 POWERS. COLIN 9161

06/13/2010 POWERS, COLIN 9161

10/06/2010 POULOS, JORDAN 9161

10/31/2010 POPE, TRETA 9161

04/18/2010 PICKERT, MARK 9161

09/29/2009 PICKENS, AURY 9164

11/08/2010 PHILP, ALLEN 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $560.70

City Of Chicago Police $6.50

City Of Chicago Police $448.38

City Of Chicago Police $149.46

City Of Chicago Police $6.50

044 City Of Chicago Police $207.59

044 City Of Chicago Police $6.50

044 City Of Chicago Police $39.21

044 City Of Chicago Police $6.50

044 City Of Chicago Police $179.44

044 City Of Chicago Police $9.34

044 City Of Chicago Police $6.50

044 City Of Chicago Police $162.40

044 City Of Chicago Police $37.33

044 City Of Chicago Police $3,089.63

044 City Of Chicago Police $6.50

044 City Of Chicago Police $78.96

044 City Of Chicago Police $12.31

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.32

044 City Of Chicago Police $919.55

044 City Of Chicago Police $6.50

393 City Of Chicago Police $35.10

393 City Of Chicago Police $38.52

City Of Chicago Police $17.00

City Of Chicago Police $6.50

City Of Chicago Police $17.00

City Of Chicago Police $6.50

City Of Chicago Police $955.30

City Of Chicago Police $6.50

009 City Of Chicago Police $54.31

009 City Of Chicago Police $54.94

009 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 141 of 319

Incident Date Claimant

Rank

Unit of

Insured

City Of Chicago Pol City Of Chicago Pol City Of Chicagi City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po^:City Of Chicago Pol City Of Chicago Pol City Of Chicago 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

Total to be Paid

10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/13/2010 10/13/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 06/11/2009 06/11/2009 06/11/2009 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010

PETRULIS, AARON PETRULIS, AARON PETRULIS, AARON PETRULIS, AARON PETRULIS, AARON PETRULIS, AARON PEREZ, MANUEL PEREZ, MANUEL PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, JUAN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID

9161 9161 9161 9161 9161 9161

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

253 253 253 253 253 253

044 044 044 044 044 044 044

lice lice lice ilice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice fice lice lice lice fice lice lice lice fice fice lice lice lice lice

$28.70

$13.18

$6.50

$7.00

$125.37

$6.50

$254.41

$6.50

$6.54

$96.45

$326.38

$96.45

$1.93

$6.50

$1.93

$6.50

$100.68

$6.50

$953.12

$6.50

$24.37

$1,935.42

$49.46

$6.50

$12.95

$6.50

$12.95

$6.50

$254.05

$12.95

$6.50

City Of Chicago - Confidential

Page 142 of 319

Incident Date Claimant Rank

09/15/2010 PEREZ, DAVID 9161

09/23/2009 PEPPER, KENDRA 9161

07/08/2009 PEOT, MARCIA 9161

04/27/2010 PENA, CHRISTINA 9161

09/09/2009 PEMBERTON, KENT 9161

07/03/2009 PAYNE, GREGORY 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $254.05

044 City Of Chicago Police $13.33

044 City Of Chicago Police $6.50

044 City Of Chicago Police $244.40

044 City Of Chicago Police $5.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $354.17

044 City Of Chicago Police $13.33

044 City Of Chicago Police $6.50

044 City Of Chicago Police $244.40

044 City Of Chicago Police $17.65

044 City Of Chicago Police $254.05

044 City Of Chicago Police $6.50

044 City Of Chicago Police $244.40

044 City Of Chicago Police $144.35

044 City Of Chicago Police $114.00

044 City Of Chicago Police $6.50

City Of Chicago Police $210.71

City Of Chicago Police $49.00

City Of Chicago Police $6.50

City Of Chicago Police $35.00

020 City Of Chicago Police $516.00

020 City Of Chicago Police $6.50

020 City Of Chicago Police $870.34

015 City Of Chicago Police $554.13

015 City Of Chicago Police $6.50

015 City Of Chicago Police $21.48

015 City Of Chicago Police $265.60

015 City Of Chicago Police $12.65

015 City Of Chicago Police $12.26

City Of Chicago - Confidential

Page 143 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

07/03/2009 07/03/2009 07/03/2009 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 07/08/2010 07/08/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 05/29/2010 05/29/2010 05/29/2010

PAYNE, GREGORY PAYNE, GREGORY PAYNE, GREGORY PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PATTISON, JOSEPH PARKER, MICHAEL PARKER, MICHAEL PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP

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

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

015 015 015

lice ilice lice lice lice fice lice lice fice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice fice fice lice fice fice lice fice lice lice

$299.38

$6.50

$49.46

$1,935.42

$6.50

$180.67

$6.50

$72.65

$93.06

$6.50

$1,428.00

$6.50

$794.03

$17.65

$6.50

$144.35

$6.50

$7.24

$6.50

$400.00

$113.77

$6.50

$310.35

$6.50

$243.72

$6.50

$8.21

$358.75

$6.50

$14.52

City Of Chicago - Confidential

Page 144 of 319

Incident Date Claimant Rank

05/29/2010 PAOLINO, PHILIP 9161

05/29/2010 PAOLINO. PHILIP 9161

05/29/2010 PAOLINO, PHILIP 9161

09/10/2009 PACHECO JR, ENRIQUE 9161

03/20/1996 Oconnell, Edward L P

Unit of Insured Total to be Paid

City Of Chicago Police $213.60

City Of Chicago Police $6.50

City Of Chicago Police $82.56

City Of Chicago Police $6.50

City Of Chicago Police $4.17

City Of Chicago Police $20.26

City Of Chicago Police $6.50

City Of Chicago Police $486.58

City Of Chicago Police $12.12

City Of Chicago Police $9.13

City Of Chicago Police $265.60

City Of Chicago Police $6.50

007 City Of Chicago Police $6.50

007 City Of Chicago Police $1,992.89

007 City Of Chicago Police $6.50

00044 City Of Chicago Police $21.94

00044 City Of Chicago Police $140.13

00044 City Of Chicago Police $2,014.00

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $337.03

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $1,138.25

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $965.29

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $524.15

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $787.84

00044 City Of Chicago Police $1,037.65

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $3,095.00

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $41.04

City Of Chicago - Confidential

Page 145 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/20/1996 03/20/1996 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010

Oconnell, Edward L Oconnell, Edward L OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OSWALD, DENISE OSWALD, DENISE OSWALD, DENISE OSWALD, DENISE OSWALD, DENISE OSWALD, DENISE OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON OSTROWSKI, JON

00044 00044

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

Pol Pol Poli Poli

ce ce ce

ice ice ce ce ice ice ice ce ce ice ice ice ice ice ice ice ice ce ce ce ce ce ice ce ce ce oe ice ice ce

$6.50

$478.51

$6.50

$67.47

$6.50

$43.60

$152.58

$6.50

$879.00

$29.66

$3.76

$14.75

$6.50

$229.16

$6.50

$4.59

$88.00

$6.50

$229.16

$6.50

$4.59

$267.37

$6.50

$5.35

$475.00

$6.50

$235.75

City Of Chicago - Confidential

Page 146 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/22/2010

OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI OSTROWSKI

, JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON , JON

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

Pol Poli Poll

$267.37

$6.50

$5.35

$267.37

$6.50

$5.35

$267.37

$161.38

$6.50

$3.23

$6.50

$5.35

$80.21

$6.50

$1.61

$353.32

$6.50

$7.07

$1,146.16

$6.50

$267.37

$6.50

$5.35

$229.16

$6.50

$4.59

$92.63

$6.50

$87.19

$6.22

$6.50

$512.71

$6.50

City Of Chicago - Confidential

Page 147 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/22/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010

OSTROWSKI, JON ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA

9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po; City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago 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 Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po' City Of Chicago Po City Of Chicago Pol City Of Chicago Po¹City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

lice lice fice lice lice fice lice lice lice lice fice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$1.85

$187.19

$6.50

$18.46

$185.46

$6.50

$18.28

$187.19

$6.50

$18.46

$187.19

$6.50

$18.46

$185.46

$6.50

$18.28

$185.46

$6.50

$18.28

$187.19

$6.50

$18.46

$825.23

$6.50

$911.36

$6.50

$851.20

$6.50

$539.76

$6.50

$633.20

$6.50

$472.29

City Of Chicago - Confidential

Page 148 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010

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

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

Poll Poll Pol

ce ce ce ce ce ce ice ice ce ice ice ce ice ice ice ce ce ce ce ce ce ice ice ice ice ice ice ice ce ice ice ce oe

$9.84

$6.50

$106.67

$17.65

$6.50

$144.35

$17.65

$6.50

$144.35

$6.79

$6.50

$462.47

$1.29

$6.50

$88.23

$6.50

$1,447.95

$6.50

$539.76

$117.61

$6.50

$2,045.35

$6.50

$316.60

$6.50

$93.44

$6.50

$311.41

$6.50

$41.53

$6.50

$1,095.11

$6.50

City Of Chicago - Confidential

Page 149 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 07/06/2010 07/06/2010 07/06/2010 09/17/2010 09/17/2010 09/24/2009 09/24/2009 09/24/2009 09/24/2009 09/24/2009 09/24/2009

ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA ORTIZ, CYNTHIA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLUGBALA, ASSATA OLSZEWSKI, MAREK OLSZEWSKI, MAREK OLSON, ERIC OLSON, ERIC OLSON, ERIC OLSON, ERIC OLSON, ERIC OLSON, ERIC

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

9171 9171 9171 9171 9171 9171

017 017 017 017 017 017

lice fice lice lice fice lice lice fice fice lice fice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$892.62

$6.50

$539.76

$6.50

$367.07

$6.50

$1,069.17

$6.50

$5.00

$2.70

$13.97

$5.00

$6.50

$273.50

$6.50

$5.47

$250.19

$6.50

$222.90

$6.50

$4.46

$250.19

$368.84

$6.50

$9.42

$462.18

$6.50

$80.24

$190.90

$338.19

$534.69

$4.18

City Of Chicago - Confidential

Page 150 of 319

Incident Date Claimant Rank

09/24/2009 OLSON, ERIC 9171

10/04/2010 OLIVARES, GLORIA 9161

08/11/2010 OCARROLL, RANDI 9152

08/18/2010 O NEILL, BRIAN <

08/18/2010 O NEILL, BRIAN

04/25/2010 O DONNELL, MICHAEL 9165

Unit of Insured Total to be Paid

017 City Of Chicago Police $6.50

017 City Of Chicago Police $82.50

017 City Of Chicago Police $80.24

017 City Of Chicago Police $6.50

017 City Of Chicago Police $190.90

017 City Of Chicago Police $40.12

017 City Of Chicago Police $6.50

017 City Of Chicago Police $95.45

017 City Of Chicago Police $7.63

017 City Of Chicago Police $6.50

017 City Of Chicago Police $135.00

017 City Of Chicago Police $6.50

017 City Of Chicago Police $60.00

017 City Of Chicago Police $69.85

017 City Of Chicago Police $168.62

017 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.74

044 City Of Chicago Police $264.67

153 City Of Chicago Police $6.50

153 City Of Chicago Police $61.24

153 City Of Chicago Police $76.81

153 City Of Chicago Police $49.41

153 City Of Chicago Police $6.50

City Of Chicago Police $1,045.38

City Of Chicago Police $6.50

610 City Of Chicago Police $6.50

610 City Of Chicago Police $184.79

610 City Of Chicago Police $4,256.91

610 City Of Chicago Police $10.64

610 City Of Chicago Police $6.50

610 City Of Chicago Police $206.60

City Of Chicago - Confidential

Page 151 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/20/2010 O CONNOR, TERRENCE

07/27/2009 O BRIEN, TIMOTHY

10/15/2010 O BRIEN, MATTHEW

10/29/1987 Nowak, Phillip

11/24/2007 Nelson, Richard L

08/31/2010 NYKIEL, CRAIG

10/01/2010 NYKIEL, CRAIG

03/12/2010 NUNEZ, FELIPE

06/28/2010 NOWAK, MATTHEW

09/04/2010 NOVY, WAYNE

9161 9161 9161 9161 9161 9161

P P P P P P P

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

044 044

00022

00013

014

153

Pol Poli Pol

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

$6.50

$207.59

$6.50

$41.52

$6.50

$100.68

$103.79

$6.50

$567.70

$6.50

$23.31

$13.28

$18.30

$183.71

$10.35

$6.50

$254.96

$6.50

$311.38

$269.88

$17.65

$6.50

$144.35

$6.50

$331.50

$26.41

$6.50

$174.10

$2.55

$6.50

$250.15

$108.99

City Of Chicago - Confidential

Page 152 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/04/2010 NOVY, WAYNE

06/10/2010 NOVAK, MAUREEN

07/05/2009 NICKLES, SCOTT

09/23/2010 NICHOLS JR, DOUGLAS

05/19/2010 NEBERIEZA, DAVID

9161 9161 9161 9161 9161 9161 9161 9161 9161

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

044 044 044 044 044 044 044 044 044

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

$6.50

$1,222.34

$1,407.15

$6.50

$57.05

$6.50

$3.01

$6.50

$74.11

$49.58

$15.28

$597.75

$6.50

$207.59

$114.95

$4.12

$6.50

$206.26

$21.33

$6.50

$1,066.28

$2.75

$6.50

$137.50

$12.46

$6.50

$213.20

$14.98

$6.50

$269.75

$14.98

$6.50

City Of Chicago - Confidential

Page 153 of 319

Incident Date Claimant

Rank

Unit of

Insured

City Of Chicago Poi City Of Chicago Po! City Of Chicagi City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicagi City Of Chicago City Of Chicago Po, City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago PC City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po^!City Of Chicago Pol

Total to be Paid

05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010

NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA, NEBERIEZA,

DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID DAVID

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

lice lice lice lice lice lice lice lice lice lice lice dice lice lice dice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$269.75

$0.36

$6.50

$14.02

$14.89

$6.50

$200.20

$9.95

$6.50

$156.65

$9.95

$6.50

$156.65

$12.46

$6.50

$213.20

$3.83

$6.50

$199.22

$12.46

$6.50

$213.20

$12.46

$6.50

$213.20

$3.83

$6.50

$199.22

$7.66

$6.50

$190.88

$3.83

$6.50

City Of Chicago - Confidential

Page 154 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 10/21/2009 10/21/2009 10/21/2009

NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NEBERIEZA, DAVID NAVEZ, PETAIN NAVEZ, PETAIN NAVEZ, PETAIN NAVEZ, PETAIN NAVEZ, PETAIN NAVEZ, PETAIN NASH, THOMAS NASH,THOMAS NASH, THOMAS

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

017 017 017 017 017 017 045 045 045

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

lice fice fice lice fice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice lice lice lice fice lice lice

$199.22

$12.46

$6.50

$213.20

$3.83

$6.50

$199.22

$12.46

$6.50

$213.20

$3.83

$6.50

$199.22

$3.83

$6.50

$199.22

$12.46

$6.50 .

$213.20

$3.83

$6.50

$199.22

$2.30

$6.50

$17.94

$6.50

$9.84

$106.67

$312.00

$6.50

$250.00

City Of Chicago - Confidential

Page 155 of 319

Incident Date Claimant Rank

10/21/2009 NASH, THOMAS 9161

10/21/2009 NASH. THOMAS 9161

10/21/2009 NASH, THOMAS 9161

10/17/1996 Mullen, James P

Unit of_Insured_Total to be Paid

045 City Of Chicago Police $46.08

045 City Of Chicago Police $6.50

045 City Of Chicago Police $534.53

045 City Of Chicago Police $6.50

045 City Of Chicago Police $6.67

045 City Of Chicago Police $6.50

045 City Of Chicago Police $98.45

045 City Of Chicago Police $6.67

045 City Of Chicago Police $6.50

045 City Of Chicago Police $98.45

045 City Of Chicago Police $6.67

045 City Of Chicago Police $6.50

045 City Of Chicago Police $98.45

045 City Of Chicago Police $6.67

045 City Of Chicago Police $6.50

045 City Of Chicago Police $98.45

045 City Of Chicago Police $6.50

045 " City Of Chicago Police $337.19

045 City Of Chicago Police $6.50

045 City Of Chicago Police $317.47

045 City Of Chicago Police $6.50

045 City Of Chicago Police $337.19

045 City Of Chicago Police $6.50

045 City Of Chicago Police $17.00

045 City Of Chicago Police $211.27

045 City Of Chicago Police $6.50

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $490.15

00024 City Of Chicago Police $9.96

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $2,008.11

City Of Chicago - Confidential

Page 156 of 319

Incident Date Claimant

Rank

Unit of

Insured

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 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 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

Total to be Paid

10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 09/25/2008 09/25/2008 09/25/2008 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006

Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mui, Andy Mui, Andy Mui, Andy Morris-Tillery, Mary Morris-Tillery, Mary Morris-Tillery, Mary Morris-Tillery, Mary Morris-Tillery, Mary Morris-Tillery, Mary Morris-Tillery, Mary

00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00008 00008 00008 00022 00022 00022 00022 00022 00022 00022

lice lice lice ilice lice lice lice lice lice ilice lice lice fice fice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice

$437.76 $6.50

$10,145.09

$6.50

$9,902.66

$6.50

$9,787.84

$12.02

$208.94

$6.50

$1,335.32

$3.45

$6.50

$60.00

$77.75

$6.50

$1,352.22

$6.50

$6.38

$6.50

$110.97

$0.57

$6.50

$7.43

$6.50

$64.68

$20.11

$6.50

$198.02

$0.95

$6.50

$37.38

$6.50

City Of Chicago - Confidential

Page 157 of 319

Incident Date Claimant

Rank

Unit of

06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006

Morris-Ti Morris-Ti Morris-Ti Morris-T: Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-T Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti Morris-Ti

illery, Mary llery, Mary llery, Mary fiery, Mary llery, Mary llery, Mary fiery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary llery, Mary illery, Mary illery, Mary llery, Mary illery, Mary illery, Mary llery, Mary illery, Mary illery, Mary llery, Mary illery, Mary llery, Mary

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

00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022

City Of Chi

Insured

Total to be Paid

City Of Chicago Police $87.19

City Of Chicago Police $17.52

City Of Chicago Police $6.50

City Of Chicago Police $969.50

City Of Chicago Police $6.50

City Of Chicago Police $357.07

City Of Chicago Police $6.50

City Of Chicago Police $396.67

City Of Chicago Police $6.50

City Of Chicago Police $289.60

City Of Chicago Police $6.50

City Of Chicago Police $353.96

City Of Chicago Police $6.50

City Of Chicago Police $353.96

City Of Chicago Police $6.50

City Of Chicago Police $353.96

City Of Chicago Police $6.50

City Of Chicago Police $114.00

City Of Chicago Police $6.50

City Of Chicago Police $364.32

City Of Chicago Police $6.50

City Of Chicago Police $289.60

City Of Chicago Police $6.50

City Of Chicago Police $364.32

City Of Chicago Police $6.50

City Of Chicago Police $364.32

City Of Chicago Police $6.50

City Of Chicago Police $364.32

City Of Chicago Police $6.50

City Of Chicago Police $364.32

City Of Chicago Police $6.50

City Of Chicago Police $299.96

City Of Chicago Police $6.50

Confidential

Page 158 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 09/24/2008 09/24/2008 10/11/2008 10/11/2008

Morris-Tillery, Mary

Morandi, Kelly

Morales, Lorraine T

Montejano-Kalat-Just, Doris K

00022 00022 00022 00022 00022 00022 00022 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00169 00169 00376 00376

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

lice lice lice lice lice lice lice lice lice fice lice lice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$256.38

$6.50

$431.79

$6.50

$781.64

$6.50

$506.37

$32.40

$6.50

$618.44

$34.85

$6.50

$673.64

$28.95

$6.50

$537.22

$17.10

$6.50

$330.82

$19.35

$6.50

$382.82

$6.50

$384.93

$41.10

$6.50

$350.68

$6.50

City Of Chicago - Confidential

Page 159 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/24/2008 07/24/2008 07/24/2008 07/24/2008 07/24/2008 07/24/2008 07/24/2008 12/06/1993 12/06/1993 12/06/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 04/02/1992 04/02/1992 04/02/1992 04/02/1992 04/02/1992 04/02/1992 04/02/1992 04/02/1992 04/02/1992 07/26/2003 07/26/2003 07/26/2003 08/23/2009 08/23/2009

Miller, Eugenia Miller, Eugenia Miller, Eugenia Miller, Eugenia Miller, Eugenia Miller, Eugenia Miller, Eugenia Meyers-Lewis, Darletta Meyers-Lewis, Darletta Meyers-Lewis, Darletta Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mazurski, Thomas L Mazurski, Thomas L Mazurski, Thomas L Mazurski, Thomas L Mazurski, Thomas L Mazurski, Thomas L Mazurski, Thomas L Mazurski, Thomas L Mazurski, Thomas L Malkowski, Carmen Malkowski, Carmen Malkowski, Carmen MYTHEN, STEPHEN MYTHEN, STEPHEN

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

9161 9161

00012

00022

00024

00740

00006

024

$8.74

$6.50

$88.65

$87.19

$6.50

$39.79

$341.97

$6.50

$55.00

$100.80

$55.00

$100.80

$55.00

$100.80

$6.50

$0.87

$80.21

$6.50

$1.61

$80.21

$11.40

$1.61

$6.50

$268.73

$6.50

$266.55

$10.05

$6.50

City Of Chicago - Confidential

Page 160 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 09/12/2010 09/12/2010 09/12/2010 09/12/2010 11/06/2010 11/06/2010 11/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010

MYTHEN, MYTHEN, MYTHEN, MYTHEN, MYTHEN, MYTHEN, MYTHEN, MYTHEN. MYTHEN, MYTHEN, MYTHEN, MYTHEN, MYTHEN, MYTHEN, MYTHEN, MYTHEN, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY, MURPHY,

STEPHEN

ROBERT

LOREAL

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

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

02-4 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024

044 044 044 044 044 044 044 044 044 044

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

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$94.64

$6.50

$1.39

$226.20

$207.59

$6.50

$399.00

$47.01

$106.98

$6.50

$1,008.21

$6.50

$5.94

$176.43

$6.50

$176.43

$6.50

$176.43

$6.50

$238.70

City Of Chicago - Confidential

Page 161 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010

MURPHY, LOREAL MURPHY, LOREAL MURPHY, LOREAL MURPHY, LOREAL MURPHY, LOREAL MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE

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

044 044 044 044 044

lice ilice lice fice lice lice lice lice lice lice fice lice lice fice lice lice fice lice lice fice lice lice lice fice lice lice lice lice lice lice lice lice lice

$6.50

$228.32

$6.50

$487.19

$6.50

$664.51

$6.50

$326.92

$6.50

$155.69

$4.87

$6.50

$243.48

$6.50

$326.92

$6.50

$254.29

$6.50

$959.45

$358.07

$6.50

$529.30

$6.50

$429.67

$6.50

$326.92

$6.50

$529.30

$6.50

$264.65

City Of Chicago - Confidential

Page 162 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010

MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYER, CHRISTOPHE MOYA, FRANCISCO MOYA, FRANCISCO MOYA, FRANCISCO MOYA, FRANCISCO MOYA, FRANCISCO MOYA, FRANCISCO MOYA, FRANCISCO MOYA, FRANCISCO MOYA, FRANCISCO MOYA, FRANCISCO MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD

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

044 044 044 044 044 044 044 044 044 044

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice fice lice ilice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$264.65

$6.50

$264.65

$6.50

$625.73

$6.50

$337.33

$6.50

$243.91

$3.92

$6.50

$195.74

$8.60

$6.50

$7.16

$6.50

$176.45

$6.50

$39.95

$6.50

$175.41

$1.62

$6.50

$227.31

$67.11

$15.29

$6.50

$233.45

$8.40

$6.50

$200.85

$8.40

City Of Chicago - Confidential

Page 163 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/20/2010 09/20/2010

MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MORGAN, TIMOTHY MORGAN, TIMOTHY

Poli Poli Poli

9161 9161

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

$6.50

$200.85

$13.33

$6.50

$244.40

$6.50

$134.93

$13.76

$6.50

$212.65

$24.95

$6.50

$542.00

$5.00

$6.50

$163.25

$6.50

$90.70

$245.36

$6.50

$645.85

$11.33

$6.50

$225.65

$11.03

$6.50

$261.95

$6.00

$6.50

$148.85

$6.50

$345.10

$6.50

City Of Chicago - Confidential

Page 164 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/20/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010

MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN, MORGAN,

TIMOTHY ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW

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

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

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

$6.80

$6.54

$6.50

$332.00

$64.68

$6.50

$384.27

$6.50

$191.25

$6.50

$381.80

$6.50

$266.80

$6.50

$283.86

$9.34

$6.50

$162.40

$5.03

$6.50

$65.32

$6.50

$15.47

$6.50

$381.23

$6.50

$266.80

$15.39

$26.78

$10.28

$235.86

$6.50

City Of Chicago - Confidential

Page 165 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/06/2010 MORGAN, ANDREW

10/10/2009 MORENO, NANCY

01/04/2010 MOORE, LATANYA

08/27/2009 MOORE, GEORGE

10/10/2010 MONTESDEOCA, JOSEPH

06/15/2010 MOLAS JR, ENRIQUE

09/06/2010 MIUCIN.ZORAN

09/06/2010 MIUCIN, ZORAN

09/06/2010 MIUCIN.ZORAN

11/29/2009 MITCHELL, RANITA

9161

9161 9161

9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161

044 044

066 066 066 066

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 Pol City Of Chicago 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

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 fice lice lice fice lice lice lice fice

$183.97

$716.52

$6.50

$16.12

$6.50

$319.22

$31.00

$6.50

$477.68

$15.50

$6.50

$238.84

$46.50

$84.92

$6.50

$41.52

$6.50

$30.00

$6.50

$20.24

$109.97

$24.85

$6.50

$2,087.55

$2.30

$6.50

$114.95

$193.26

$2,476.05

$4.94

$6.50

City Of Chicago - Confidential

Page 166 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 12/30/2009 12/30/2009 12/30/2009 12/30/2009 12/30/2009 12/30/2009 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010

MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER. BRIAN MILNER, BRIAN MILNER. BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

066 066 066 066 066 011 011 011 011 011 011

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

$6.50

$86.96

$1.16

$6.50

$95.65

$34.77

$6.50

$149,82

$44.85

$6.50

$220.16

$6.50

$605.65

$6.50

$342.52

$6.50

$238.73

$6.50

$337.35

$6.50

$231.66

$6.50

$554.77

$6.50

$88.23

$6.50

$1.29

$347.71

$6.50

$231.66

$6.50

$88.23

$6.50

City Of Chicago - Confidential

Page 167 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010 07/02/2010

MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER, MILNER,

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

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice ilice lice lice lice lice lice lice

$1.29

$219.66

$6.50

$88.23

$6.50

$1.29

$259.52

$6.50

$1,480.81

$6.50

$238.73

$6.50

$88.23

$6.50

$1.29

$144.35

$6.50

$17.65

$581.90

$6.50

$2,948.83

$6.50

$167.20

$6.50

$326.99

$6.50

$1,319.11

$6.50

$19.37

$257.89

$6.50

$289.57

$6.50

City Of Chicago - Confidential

Page 168 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/0272010 07/02/2010 07/02/2010 07/02/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 09/04/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010

MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MILNER, BRIAN MICHEL, JONATHAN MICHEL, JONATHAN MICHEL, JONATHAN MICHEL, JONATHAN MICHEL, JONATHAN MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDEZ. JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME

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

044 044 044 044 044

$183.52

$6.50

$7.45

$227.81

$6.50

$207.59

$39.95

$6.50

$1.62

$372.64

$6.50

$591.67

$6.50

$1,073.30

$6.50

$306.21

$6.50

$298.92

$6.50

$373.68

$6.50

$306.21

$6.50

$306.21

$6.50

$222.66

$36.15

$6.50

$891.39

$28.72

$6.50

$707.59

City Of Chicago - Confidential

Page 169 of 319

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

05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 09/10/2009 09/10/2009 09/10/2009 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 06/10/2010

MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, JAIME MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MENDEZ, ANGEL MEDINA, CARLOS

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

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

lice fice lice lice lice lice lice lice ilice lice lice fice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$3.01

$6.50

$74.11

$21.24

$71.27

$6.50

$1,757.32

$6.50

$348.25

$6.50

$1,744.96

$76.76

$6.50

$1,892.50

$87.46

$6.50

$2,155.93

$4.83

$6.50

$189.00

$205.12

$23.21

$6.50

$5.64

$6.50

$220.50

$8.40

$6.50

$69.56

$200.85

$1,456.00

$20.13

City Of Chicago - Confidential

Page 170 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/10/2010 MEDINA, CARLOS

08/25/2010 MEDINA, ANITA

09/27/2010 MCQUARTER, KIMBERLY

9169 9169

055 055

lice ilice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice fice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice

$6.50

$642.05

$518.54

$6.50

$17.28

$503.09

$6.50

$16.55

$518.54

$6.50

$17.28

$21.02

$3.01

$6.50

$74.11

$5.44

$6.50

$134.11

$3.01

$6.50

$74.11

$6.50

$205.00

$110.25

$6.50

$365.64

$6.50

$905.09

$22.12

$87.45

$6.50

$211.27

$6.50

City Of Chicago - Confidential

Page 171 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/27/2010 MCQUARTER, KIMBERLY

09/06/2010 MC VICKER, ROSALIND

12/28/2009 MC NICHOLS, THOMAS

09/01/2010 MC LOUGHLIN, NEAL

09/10/2010 MC HALE, ROBERT

07/28/2010 MC GRATH, PATRICK

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

9161 9161 9161 9161 9161

fice lice lice lice lice lice fice lice lice lice fice lice lice lice lice lice lice lice lice fice lice lice ilice fice lice fice lice lice lice lice lice lice lice

$6.50

$143.80

$2.70

$6.50

$223.25

$6.50

$143.80

$6.50

$165.04

$239.76

$6.50

$39.95

$6.50

$984.37

$2.47

$123.65

$6.50

$1,275.79

$57.00

$6.50

$311.38

$6.50

$47.00

$202.50

$5.18

$6.50

$26.78

$55.12

$6.50

$27.34

City Of Chicago - Confidential

Page 172 of 319

Incident Date Claimant_Rank

07/28/2010 MC GRATH, PATRICK 9161

08/23/2010 MC GEE, DWAYNE 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $9.13

City Of Chicago Police $6.50

City Of Chicago Police $223.07

City Of Chicago Police $20.96

City Of Chicago Police $19.93

City Of Chicago Police $6.50

City Of Chicago Police - $176,45

City Of Chicago Police $6.50

City Of Chicago Police $7.16

312 City Of Chicago Police $6.50

312 City Of Chicago Police $371.53

312 City Of Chicago Police $3.01

312 City Of Chicago Police $6.50

312 City Of Chicago Police $74.11

312 City Of Chicago Police $6.50

312 City Of Chicago Police $72.96

312 City Of Chicago Police $30.87

312 City Of Chicago Police $6.50

312 City Of Chicago Police $899.28

312 City Of Chicago Police $17.82

312 City Of Chicago Police $6.50

312 City Of Chicago Police $551.52

312 City Of Chicago Police $6.76

312 City Of Chicago Police $6.50

312 City Of Chicago Police $207.26

312 City Of Chicago Police $20.52

312 City Of Chicago Police $6.50

312 City Of Chicago Police $577.84

312 City Of Chicago Police $6.59

312 City Of Chicago Police $6.50

312 City Of Chicago Police $210.07

312 City Of Chicago Police $16.05

312 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 173 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/23/2010 MC GEE, DWAYNE

07/14/2010 MC DERMOTT, MICHAEL

08/16/2010 MCADOO, OBERRIAN

08/16/2010 MC ADOO, OBERRIAN

07/22/2010 MAZURSKI, MICHAEL

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

312 312 312 312 312 312 312 312 312 312 312 312 312 312 312 312 312 312 016 016 016

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

lice lice lice lice lice lice lice lice lice fice ilice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$511.49

$16.38

$6.50

$505.84

$6.50

$460.00

$7.52

$6.50

$185.28

$42.16

$6.50

$114.59

$5.77

$6.50

$11.04

$6.50

$205.00

$135.12

$62.98

$6.50

$3.18

$6.50

$249.11

$234.56

$217.96

$174.36

$6.50

$236.63

$6.50

$176.43

$6.50

$176.43

$6.50

City Of Chicago - Confidential

Page 174 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 12/14/2009 12/14/2009 12/14/2009 12/14/2009 12/14/2009 12/14/2009 08/20/2010 08/20/2010 08/20/2010

MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAZURSKI, MICHAEL MAYAS, CARLOS MAYAS, CARLOS MAYAS, CARLOS MAYAS, CARLOS MAYAS, CARLOS MAYAS, CARLOS MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD

9161 9161 9161

011 011 011

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

$134,93

$6.50

$298.90

$6.50

$238.70

$6.50

$238.70

$6.50

$238.70

$6.50

$269.85

$6.50

$238.70

$6.50

$176.43

$6.50

$238.70

$6.50

$87.19

$6.50

$238.70

$6.50

$82.04

$98.45

$6.67

$6.50

$310.57

$6.50

$36.40

$49.23

City Of Chicago - Confidential

Page 175 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 08/20/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 06/21/2010 08/10/2010 08/10/2010 07/18/2009 07/18/2009 07/18/2009 07/18/2009 07/18/2009 07/26/2010 07/26/2010 07/26/2010 07/26/2010

MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MATTHEWS, HAVEN MATTHEWS, HAVEN MATTHEWS, HAVEN MATTHEWS, HAVEN MATTHEWS, HAVEN MATTHEWS, HAVEN MATLOB, KENNETH MATIAS, HECTOR MATIAS, HECTOR MARTINEZ, REYES MARTINEZ, REYES MARTINEZ, REYES MARTINEZ, REYES MARTINEZ, REYES MARTINEZ, JOHN MARTINEZ, JOHN MARTINEZ, JOHN MARTINEZ, JOHN

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

9161 9165 9165

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

640 640

9161 9161 9161 9161

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

$6.50

$97.34

$6.21

$6.50

$108.00

$6.50

$10.96

$6.50

$87.19

$6.50

$84.92

$57.27

$6.50

$1,171.10

$87.19

$6.50

$275.31

$98.67

$1.29

$0.46

$259.89

$43.00

$6.50

$84.92

$1.96

$6.50

$76.42

$6.50

$74.11

$1,446.52

$6.50

$58.71

City Of Chicago - Confidential

Page 176 of 319

Incident Date Claimant Rank

07/26/2010 MARTINEZ, JOHN 9161

12/21/2009 MARTINEZ, DANIEL 9161

08/15/2010 MARTIN, DENNIS 9161

10/08/2010 MARTIN, BARBARA 9161

Unit of Insured Total to be Paid

City Of Chicago Police $44.00

City Of Chicago Police $6.50

City Of Chicago Police $902.46

City Of Chicago Police $6.50

City Of Chicago Police $36.62

City Of Chicago Police $6.50

City Of Chicago Police $3.01

City Of Chicago Police $74.11

City Of Chicago Police $6.50

City Of Chicago Police $3.01

010 City Of Chicago Police $186.22

010 City Of Chicago Police $6.50

010 City Of Chicago Police $3.72

010 City Of Chicago Police $6.50

010 City Of Chicago Police $186.22

010 City Of Chicago Police $3.72

010 City Of Chicago Police $6.50

010 City Of Chicago Police $186.22

010 City Of Chicago Police $3.72

010 City Of Chicago Police $6.50

010 City Of Chicago Police $186.22

010 City Of Chicago Police $3.72

010 City Of Chicago Police $497.25

010 City Of Chicago Police $186.22

010 City Of Chicago Police $6.50

018 City Of Chicago Police $6.50

018 City Of Chicago Police $87.19

018 City Of Chicago Police $6.50

018 City Of Chicago Police $87.19

018 City Of Chicago Police $6.50

012 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 177 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/08/2010 MARTIN, BARBARA

03/31/2010 MARLO, MICHAEL

06/11/2010 MARKHAM, SEAN

10/11/2010 MARIANO, PABLO

04/12/2009 MANNING, CHRISTOPHE

9161 9161

012 012

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

002

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

$6.50

$233.30

$6.50

$18.36

$300.95

$6.50

$15.85

$1,359.75

$6.50

$95.15

$6.50

$217.51

$300.95

$6.50

$15.85

$326.30

$6.50

$17.49

$300.95

$6.50

$15.85

$357.50

$98.45

$135.08

$6.50

$28.61

$8.13

$6.50

$11.73

$65.32

$6.50

$1,409.33

City Of Chicago - Confidential

Page 178 of 319

Incident Date Claimant Rank

04/12/2009 MANNING, CHRISTOPHE 9161

09/27/2010 MANKER, SWAZTLA

09/27/2010 MANKER, SWAZILA

07/07/2010 MANDILE, ANGELO 9161

09/21/2010 MALOY, BRIAN 9161

09/30/2010 MALONEY, JAMES 9173

07/19/2010 MALLEK, WILLIAM 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $33.85

City Of Chicago Police $6.50

City Of Chicago Police $46.82

City Of Chicago Police $6.90

044 City Of Chicago Police $186.83

044 City Of Chicago Police $6.50

044 City Of Chicago Police $354.16

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.77

153 City Of Chicago Police $1,016.30

153 City Of Chicago Police $6.50

160 City Of Chicago Police $6.50

160 City Of Chicago Police $144.35

160 City Of Chicago Police $17.65

160 City Of Chicago Police $6.50

160 City Of Chicago Police $144.35

160 City Of Chicago Police $6.50

160 City Of Chicago Police $4,370.72

160 City Of Chicago Police $17.65

160 City Of Chicago Police $6.50

160 City Of Chicago Police $144.35

160 City Of Chicago Police $17.65

160 City Of Chicago Police $6.50

160 City Of Chicago Police $144.35

014 City Of Chicago Police $290.00

014 City Of Chicago Police $3.82

014 City Of Chicago Police $6.50

014 City Of Chicago Police $315.53

014 City Of Chicago Police $17.80

014 City Of Chicago Police $6.50

014 City Of Chicago Police $290.00

City Of Chicago - Confidential

Page 179 of 319

Incident Date Claimant Rank

07/19/2010 MALLEK, WILLIAM 9161

Unit of Insured Total to be Paid

014 City Of Chicago Police $13.65

014 City Of Chicago Police $6.50

014 City Of Chicago Police $208.10

014 City Of Chicago Police $16.47

014 City Of Chicago Police $6.50

014 City Of Chicago Police $290.30

014 City Of Chicago Police $1.07

014 City Of Chicago Police $6.50

014 City Of Chicago Police $88.75

014 City Of Chicago Police $17.40

014 City Of Chicago Police $6.50

014 City Of Chicago Police $256.75

014 City Of Chicago Police $11.53

014 City Of Chicago Police $6.50

014 City Of Chicago Police $246.75

014 City Of Chicago Police $16.47

014 City Of Chicago Police $6.50

014 City Of Chicago Police $290.30

014 City Of Chicago Police $16.47

014 City Of Chicago Police $6.50

014 City Of Chicago Police $290.30

014 City Of Chicago Police $17.80

014 City Of Chicago Police $6.50

014 City Of Chicago Police $290.00

014 City Of Chicago Police $14.98

014 City Of Chicago Police $6.50

014 City Of Chicago Police $269.75

014 City Of Chicago Police $7.16

014 City Of Chicago Police $6.50

014 City Of Chicago Police $176.45

014 City Of Chicago Police $17.80

014 City Of Chicago Police $6.50

014 City Of Chicago Police $290.00

City Of Chicago - Confidential

Page 180 of 319

Incident Date Claimant Rank

07/19/2010 MALLEK, WILLIAM 9161

Unit of Insured Total to be Paid

014 City Of Chicago Police $14.98

014 City Of Chicago Police $6.50

014 City Of Chicago Police $269.75

014 City Of Chicago Police $14.98

014 City Of Chicago Police $6.50

014 City Of Chicago Police $269.75

014 City Of Chicago Police $12.86

014 City Of Chicago Police $6.50

014 City Of Chicago Police $246.45

014 City Of Chicago Police $17.80

014 City Of Chicago Police $6.50

014 City Of Chicago Police $290.00

014 City Of Chicago Police $12.78

014 City Of Chicago Police $6.50

014 City Of Chicago Police $176.90

014 City Of Chicago Police $10.05

014 City Of Chicago Police $6.50

014 City Of Chicago Police $226.20

014 City Of Chicago Police $10.05

014 City Of Chicago Police $6.50

014 City Of Chicago Police $226.20

014 City Of Chicago Police $5.32

014 City Of Chicago Police $6.50

014 City Of Chicago Police $439.56

014 City Of Chicago Police $1.90

014 City Of Chicago Police $6.50

014 City Of Chicago Police $398.29

014 City Of Chicago Police $15.29

014 City Of Chicago Police $6.50

014 City Of Chicago Police $233.45

014 City Of Chicago Police $5.06

014 City Of Chicago Police $6.50

014 City Of Chicago Police $253.06

City Of Chicago - Confidential

Page 181 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 01/05/2001

MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK," WILLIAM MALLEK, WILLIAM MALDONADO, IVETTE MALDONADO, IVETTE MALDONADO, IVETTE MALDONADO, IVETTE MALDONADO, IVETTE MALDONADO, IVETTE MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD Lloyd, Kimberly D

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 P

014 014 014 014 014 014 014 014 014 014 014

001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 00007

$15.29

$6.50

$233.45

$17.80

$6.50

$290.00

$17.80

$6.50

$290.00

$17.80

$6.50

$15.11

$6.50

$372.30

$5.19

$6.50

$127.92

$6.50

$96.60

$556.34

$6.50

$687.52

$6.50

$27.94

$30.04

$530.00

$0.98

$6.50

$138.37

$52.38

$6.50

$107.65

$6.50

City Of Chicago - Confidential

Page 182 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

01/05/2001 01/05/2001 01/05/2001 01/05/2001 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 12/14/2005 09/12/2008

Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lipinski, David

00007 00007 00007 00007 00007 00007 00007 00007 00007 00007 00007 00007 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00010

ilice lice fice lice lice lice lice lice lice lice lice lice lice fice fice lice lice lice lice lice lice fice lice fice lice lice lice lice lice lice lice lice lice

S57.59

$6.50

$1,390.93

$9.91

$6.50

$175.41

$6.50

$472.29

$6.50

$404.82

$165.04

$3.50

$275.75

$299.89

$53.55

$404.85

$6.50

$263.86

$6.50

$263.86

$6.50

$263.86

$6.50

$131.81

$6.50

$263.86

$6.50

$117.21

$6.50

$131.81

$6.50

City Of Chicago - Confidential

Page 183 of 319

Incident Date Claimant

Rank

Unit of

09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 09/12/2008 03/07/2003 03/07/2003 03/07/2003 03/07/2003 03/07/2003 03/07/2003 03/07/2003

Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lipinski, David Lange, Jimmie Lange, Jimmie Lange, Jimmie Lange, Jimmie Lange, Jimmie Lange, Jimmie Lange, Jimmie

00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00010 00701 00701 00701 00701 00701 00701 00701

City Of Chi

Insured

Total to be Paid

City Of Chicago Police $182.52

City Of Chicago Police $6.50

City Of Chicago Police $202.41

City Of Chicago Police $6.50

City Of Chicago Police $202.41

City Of Chicago Police $534.40

City Of Chicago Police $6.50

City Of Chicago Police $10.62

City Of Chicago Police $6.50

City Of Chicago Police $7.11

City Of Chicago Police $424.20

City Of Chicago Police $6.50

City Of Chicago Police $21.49

City Of Chicago Police $165.04

City Of Chicago Police $6.50

City Of Chicago Police $53.96

City Of Chicago Police $130.94

City Of Chicago Police $6.50

City Of Chicago Police $21.63

City Of Chicago Police $6.50

City Of Chicago Police $1,556.92

City Of Chicago Police $6.50

City Of Chicago Police $202.41

City Of Chicago Police $6.50

City Of Chicago Police $202.41

City Of Chicago Police $189.46

City Of Chicago Police $534,97

City Of Chicago Police $6.50

City Of Chicago Police $534.97

City Of Chicago Police $6.50

City Of Chicago Police $174.43

City Of Chicago Police $6.50

Confidential

Page 184 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/07/2003 Lange, Jimmie

02/05/2005 Lahori-Martinez, Myra

10/11/2010 LYNCH, THOMAS

10/08/2010 LUSK, KEVIN

06/14/2010 LUEVANO, FRANCISCO

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

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

00701

00001

050

018

044

Pol Pol Pol

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

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

$237.24

$6.50

$130.77

$6.50

$534.97

$6.50

$189.46

$6.50

$237.24

$6.50

$6.98

$6.50

$284.11

$274.21

$6.50

$29.46

$231.66

$7.30

$13.32

$140.00

$6.50

$12.20

$363.70

$6.50

$184.36

$6.50

$7,214.45

$23.77

$6.50

$630.24

$2.75

City Of Chicago - Confidential

Page 185 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

06/14/2010 LUEVANO, FRANCISCO

06/14/2010 LUEVANO. FRANCISCO

06/14/2010 LUEVANO, FRANCISCO

11/27/2009 LOPEZ, JAMES

07/29/2010 LOPEZ, DANIEL

01/11/2009 LOPEZ MALAVE, IRMA

08/22/2010 LOMBARD, 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 9164 9164

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

311 311 311 010 010

lice lice lice lice lice lice lice fice lice fice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice fice fice fice lice lice lice fice

S6.50

$137.50

$315.12

$6.50

$315.12

$2.75

$6.50

$137.50

$12.25

$6.50

$242.72

$3.06

$6.50

$60.68

$6.30

$6.50

$12.60

$630.24

$6.50

$12.60

$6.30

$6.50

$100.68

$145.32

$100.68

$6.50

$1.16

$6.50

$95.65

$358.56

$6.50

$164.62

City Of Chicago - Confidential

Page 186 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

08/22/2010 08/22/2010 08/22/2010 08/26/2010 08/26/2010 08/26/2010 02/20/2010 02/20/2010 02/20/2010 12/27/2009 12/27/2009 12/27/2009 12/27/2009 12/27/2009 12/27/2009 12/27/2009 12/27/2009 12/27/2009 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010

LOMBARD, RICHARD LOMBARD, RICHARD LOMBARD, RICHARD LOMBARD, DANIEL LOMBARD, DANIEL LOMBARD, DANIEL LOBIANCO, ROBERT LOBIANCO, ROBERT LOBIANCO, ROBERT LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT LIEBHABER, SCOTT

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

044 044 044 253 253 253 253 253 253 253 253 253

lice fice lice lice lice fice lice lice lice lice lice lice lice lice fice lice lice fice lice ilice lice lice lice lice lice lice fice lice lice lice fice lice fice

$6.50

$67.47

$100.68

$6.50

$131.03

$7.16

$280.24

$6.50

$3.01

$607.83

$6.50

$74.11

$829.54

$6.50

$33.65

$24.66

$6.50

$196.91

$14.86

$6.50

$196.91

$14.86

$6.50

$182.99

$14.23

$6.50

$187.20

$5.06

$6.50

$253.06

$14.86

City Of Chicago - Confidential

Page 187 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010

LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER, LIEBHABER,

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

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

S6.50

$196.91

$14.86

$6.50

$196.91

$15.50

$6.50

$185.86

$14.86

$6.50

$176.15

$1.91

$6.50

$95.49

$14.23

$6.50

$187.20

$14.86

$6.50

$196.91

$14.23

$6.50

$187.20

$14.86

$6.50

$196.91

$6.50

$114.88

$14.86

$187.20

$6.50

$14.23

$212.48

City Of Chicago - Confidential

Page 188 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/21/2010 LIEBHABER, SCOTT

08/14/2010 LEWIS, DANIEL

07/13/2010 LEUENBERGER, MARTIN

07/15/2010 LEMUS, MARK

05/30/2010 LEGENZA, EDWARD

9161 9161 9161 9161 9161 9161 9161

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

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

lice lice lice lice ilice lice ilice lice fice lice fice fice lice lice lice fice fice lice fice lice lice lice fice lice lice fice lice lice lice fice lice lice fice

$6.50

$14.86

$176.15

$14.86

$6.50

$294.48

$6.50

$46.84

$6.50

$724.64

$722.21

$6.50

$47.00

$478.49

$6.50

$258.28

$6.50

$16.75

$148.08

$6.50

$1,561.00

$6.50

$314.47

$6.50

$347.69

$6.50

$288.52

$6.50

$228.32

$6.50

$295.80

$6.50

$176.43

City Of Chicago - Confidential

Page 189 of 319

Incident Date Claimant Rank

05/30/2010 LEGENZA, EDWARD 9161

12/01/2009 LEE JR, DEWEY 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $6.50

044 City Of Chicago Police $295.80

044 City Of Chicago Police $6.50

044 City Of Chicago Police $262.58

044 City Of Chicago Police $6.50

044 City Of Chicago Police $98.36

044 City Of Chicago Police $6.50

044 City Of Chicago Police $321.74

044 City Of Chicago Police $6.50

044 City Of Chicago Police $228.32

044 City Of Chicago Police $6.50

044 City Of Chicago Police $254.27

044 City Of Chicago Police $6.50

044 City Of Chicago Police $199.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $295.80

044 City Of Chicago Police $6.50

044- City Of Chicago Police $98.36

044 City Of Chicago Police $6.50

044 City Of Chicago Police $228.32

044 City Of Chicago Police $6.50

044 City Of Chicago Police $254.27

021 City Of Chicago Police $6.50

021 City Of Chicago Police $250.19

021 City Of Chicago Police $6.50

021 City Of Chicago Police $5.00

021 City Of Chicago Police $492.50

021 City Of Chicago Police $6.50

021 City Of Chicago Police $2.57

021 City Of Chicago Police $1,145.80

021 City Of Chicago Police $212.02

021 City Of Chicago Police $61.00

City Of Chicago - Confidential

Page 190 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/26/2009 LEAHY, BRIAN

08/23/2010 LASCOLA, SUSAN

10/09/2009 LANZA, OSCAR

08/16/2010 LANDRUM, CRAIG

09/14/2010 LAKSANAPROM, SUPATCHARA

01/08/1997 Koman, Matthew H

08/19/2010 KkUYKENDALL, MYRON

9161 9161 9161 9161 9161 9161 9161

9161 9161

9161 9161 9161 P

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

007 007

00044

765

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

lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice fice lice ilice fice lice fice fice fice fice lice

$5.98

$234.00

$5.98

$234.00

$5.98

$6.50

$334.68

$6.50

$861.70

$14.89

$1,282.10

$6.50

$207.59

$645.24

$8.61

$6.50

$720.30

$6.50

$115.83

$51.31

$74.31

$6.50

$444.98

$6.50

$8.91

$80.21

$6.50

$1.61

$78.00

$6.50

$431.00

City Of Chicago - Confidential

Page 191 of 319

Incident Date Claimant Rank

08/19/2010 KkUYKENDALL, MYRON 9161

03/13/2007 King, Alfred J P

06/25/2004 Killackey lii, John E P

09/06/1995 Karney, Christopher P

Unit of_Insured_Total to be Paid

765 City Of Chicago Police S6.50

765 City Of Chicago Police $6.50

00018 City Of Chicago Police $342.51

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $264.67

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $202.40

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $264.67

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $264.67

00018 City Of Chicago Police $87.19

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $57.61

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $22.40

00018 City Of Chicago Police $120.75

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $48.12

00018 City Of Chicago Police $109.63

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $33.43

00011 City Of Chicago Police $6.50

00011 City Of Chicago Police $129.84

00011 City Of Chicago Police $9.15

00011 City Of Chicago Police $6.50

00011 City Of Chicago Police $13.80

00011 City Of Chicago Police $6.50

00011 City Of Chicago Police $139.96

00011 City Of Chicago Police $27.67

00011 City Of Chicago Police $92.73

00020 City Of Chicago Police $325.00

City Of Chicago - Confidential

Page 192 of 319

Incident Date Claimant

Rank

Unit of

Insured

City Of Chicago Pol City Of Chicago Pol City Of Chicag 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 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 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

Total to be Paid

07/08/2005 Kaporis-Mccarrick, Mary J

09/30/2009 KUMIGA, MICHAEL

08/07/2010 KUBIAK, CAROLYN

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

00050

fice lice ilice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice fice fice lice lice fice lice lice lice lice lice

$6.50

$9.17

$623.89

$6.50

$381.17

$14.57

$6.50

$359.12

$12.96

$6.50

$319.41

$10.87

$6.50

$267.87

$3.47

$6.50

$85.58

$12.96

$6.50

$319.41

$3.47

$6.50

$85.58

$12.17

$6.50

$300.00

$12.96

$6.50

$5.98

$6.50

$147.20

$10.63

City Of Chicago - Confidential

Page 193 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010

KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK, KUBIAK,

CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN CAROLYN

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

Pol Pol Pol

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

$6.50

$262.06

$10.63

$319.41

$12.17

$6.50

$300.00

$10.63

$6.50

$262.06

$10.63

$6.50

$262.06

$10.63

$6.50

$262.06

$12.17

$6.50

$300.00

$12.96

$6.50

$319.41

$12.17

$6.50

$300.00

$2.89

$6.50

$71.33

$6.50

$262.06

$10.63

$6.50

$262.06

City Of Chicago - Confidential

Page 194 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN KUBIAK, CAROLYN

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 fice fice lice lice fice fice lice lice lice lice lice lice lice lice fice lice lice lice lice fice lice lice lice fice lice lice ilice lice lice lice lice

$10.74

$6.50

$264.70

$10.74

$6.50

$264.70

$5.58

$6.50

$137.42

$15.71

$6.50

$386.98

$15.47

$6.50 .

$381.17

$3.65

$6.50

$90.01

$12.96

$6.50

$319.41

$12.35

$6.50

$304.41

$15.47

$6.50

$381.17

$14.57

$6.50

$359.12

$2.39

$6.50

$58.90

City Of Chicago - Confidential

Page 195 of 319

Incident Date Claimant_Rank

08/07/2010 KUBIAK, CAROLYN 9161

08/13/2010 KRAMER, WAYNE 9161

08713/2010 KRAMER, WAYNE 9161

08/13/2010 KRAMER, WAYNE 9161

10/24/2010 KOMOSA, EVAN 9161

09/10/2010 KOKIC, MARKO 9161

07/12/2010 KLIMASZEWSKI, GREGORY 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $15.47

018 City Of Chicago Police $87.19

018 City Of Chicago Police $6.50

018 City Of Chicago Police $0.78

018 City Of Chicago Police $6.50

018 City Of Chicago Police $110.74

City Of Chicago Police $6.50

City Of Chicago Police $1,867.60

City Of Chicago Police $6.50

City Of Chicago Police $67.92

City Of Chicago Police $279.87

City Of Chicago Police $6.50

City Of Chicago Police $114.59

City Of Chicago Police $6.50

City Of Chicago Police $42.16

City Of Chicago Police $25.08

003 City Of Chicago Police $10.52

003 City Of Chicago Police $6.50

003 City Of Chicago Police $208.28

003 City Of Chicago Police $1,437.12

003 City Of Chicago Police $6.50

003 City Of Chicago Police $47.21

003 City Of Chicago Police $97.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $0.85

003 City Of Chicago Police $205.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $110.25

003 City Of Chicago Police $6.50

003 City Of Chicago Police $365.64

315 City Of Chicago Police $285.46

315 City Of Chicago Police $6.50

315 City Of Chicago Police $285.46

City Of Chicago - Confidential

Page 196 of 319

Incident Date Claimant Rank

07/12/2010 KLIMASZEWSKI, GREGORY 9161

06/21/2010 KIRCHENS, JAMES 9161

Unit of_Insured_Total to be Paid

315 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.45

044 City Of Chicago Police $1.55

044 City Of Chicago Police $6.50

044 City Of Chicago Police $127.68

044 City Of Chicago Police $7.93

044 City Of Chicago Police $6.50

044 City Of Chicago Police $202.90

044 City Of Chicago Police $12.86

044 City Of Chicago Police $6.50

044 City Of Chicago Police $246.45

044 City Of Chicago Police $10.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $10.35

044 City Of Chicago Police $6.50

044 City Of Chicago Police $189.90

044 City Of Chicago Police $10.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $43.59

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1,073.86

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14,401.86

044 City Of Chicago Police $12.86

044 City Of Chicago Police $6.50

044 City Of Chicago Police $250.25

044 City Of Chicago Police $10.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.45

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 197 of 319

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 Pol City Of Chicago Pol City Of Chicago 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

06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009

KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK

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

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

lice ilice lice lice fice lice lice lice fice lice lice fice lice lice lice fice lice lice lice lice lice lice lice lice fice fice lice lice lice lice lice lice lice

$259.45

$12.86

$6.50

$246.45

$1.30

$6.50

$64.93

$10.45

$6.50

$259.45

$170.95

$6.50

$8,547.45

$10.45

$6.50

$259.45

$10.45

$6.50

$259.45

$10.45

$6.50

$259.45

$1.72

$6.50

$85.95

$259.45

$74.11

$6.50

$3.01

$64.36

$6.50

$10.50

City Of Chicago - Confidential

Page 198 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010

KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON

|0 Poli Poli Pol Pol

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

$64.36

$6.50

$10.50

$155.95

$6.50

$31.21

$1,556.47

$6.50

$13.07

$320.00

$6.50

$165.65

$6.50

$26.83

$6.50

$202.00

$6.50

$56.54

$30.40

$6.50

$31.77

$6.50

$21.02

$97.30

$6.50

$8.65

$12.86

$246.45

$12.86

$6.50

$246.45

$12.86

City Of Chicago - Confidential

Page 199 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010

KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF

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

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

|0 Pol Po

Pol Po!

lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice fice fice lice lice lice lice lice

$6.50

$246.45

$12.86

$6.50

$246.45

$6.50

$715.26

$109.07

$6.50

$4,267.63

$4.53

$6.50

$177.16

$9.95

$6.50

$156.65

$12.86

$6.50

$259.45

$12.56

$6.50

$282.75

$10.05

$10.92

$6.50

$257.40

$12.56

$6.50

$282.75

$12.56

$6.50

$282.75

City Of Chicago - Confidential

Page 200 of 319

Incident Date Claimant Rank

05/08/2010 KHAN, KASHIF 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $226.20

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $259.45

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 201 of 319

Incident Date Claimant Rank

05/08/2010 KHAN, KASHIF 9161

05/08/2010 KHAN. KASHIF 9161

05/08/2010 KHAN, KASHIF 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $259.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $1.16

044 City Of Chicago Police $6.50

044 City Of Chicago Police $95.65

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $259.45

044 City Of Chicago Police $3.78

044 City Of Chicago Police $6.50

044 City Of Chicago Police $188.78

044 City Of Chicago Police $12.56

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 202 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/08/2010 05/08/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 06/02/2010

KHAN, KASHIF KHAN, KASHIF KHAN, FAIZULLAH KHAN, FAIZULLAH KHAN, FAIZULLAH KHAN, FAIZULLAH KHAN, FAIZULLAH KHAN, FAIZULLAH KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERIN, ELIZABETH

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

044 044 191 191 191 191 191 191

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

fice ilice lice lice fice lice lice fice fice lice fice lice lice lice lice lice lice lice lice lice lice fice lice fice lice lice lice lice lice lice lice lice lice

$282.75

$6.50

$16.55

$6.50

$500.38

$10.01

$6.50

$255.02

$234.14

$2.58

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$6.50

$231.21

$6.50

$3.40

$231.21

$6.50

$3.40

$307.78

$6.50

$4.51

$175.60

$6.50

City Of Chicago - Confidential

Page 203 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010

KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK

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

$6.50

$0.69

$228.04

$6.50

$96.56

$464.50

$6.50

$196.98

$6.50

$1,013.05

$6.50

$821.23

$558.09

$6.50

$8.20

$313.50

$6.50

$3.80

$87.81

$6.50

$1.29

$773.21

$121.10

$1.15

$6.50

$254.27

$6.50

$300.99

$6.50

$254.27

$6.50

City Of Chicago - Confidential

Page 204 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010

KENNEDY KENNEDY, KENNEDY KENNEDY KENNEDY, KENNEDY, KENNEDY KENNEDY, KENNEDY, KENNEDY, KENNEDY, KENNEDY, KENNEDY, KENNEDY, KENNEDY KENNEDY, KENNEDY, KENNEDY KENNEDY, KENNEDY KENNEDY, KENNEDY KENNEDY KENNEDY, KENNEDY, KENNEDY, KENNEDY KENNEDY KENNEDY, KENNEDY, KENNEDY, KENNEDY, KENNEDY,

, PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK , PATRICK

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

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

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

$404.76

$6.50

$300.99

$6.50

$626.66

$6.50

$423.00

$6.50

$19.41

$243.91

$6.50

$243.91

$6.50

$524.14

$6.50

$295.80

$6.50

$223.15

$6.50

$243.91

$6.50

$243.91

$6.50

$217.96

$6.50

$212.79

$6.50

$186.19

$6.50

$3.72

$295.80

$6.50

$430.70

City Of Chicago - Confidential

Page 205 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/07/2010 06/19/2010 06/19/2010 10/04/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 07/01/2010 07/01/2010 09/17/2009 09/17/2009

KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENEARD, VICTOR KENEARD, VICTOR KELNOSKY, STEVEN KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KEATING, JAMES KEATING, JAMES KEANY, ANTHONY KEANY, ANTHONY

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

9161 9161 9161 9161 9796 9796 9161 9161

007 007 007 007

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

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

$6.50

$202.38

$6.50

$700.57

$6.50

$254.27

$6.50

$228.32

$6.50

$243.91

$190.96

$6.50

$3.82

$19.00

$6.50

$224.40

$6.50

$4.48

$482.62

$6.50

$243.91

$6.50

$41.00

$20.79

$6.50

$207.59

$6.50

$361.30

$234.58

$6.50

$12.45

$6.50

City Of Chicago - Confidential

Page 206 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/17/2009 KEANY, ANTHONY

04/28/2009 KATSAROS, DIMITRIOS

09/26/2009 KAPUT, STEVEN

10/02/2010 KANSKI, WOJCIECH

10/14/1992 Johnson-Swain, Marianne C

9161

019

024

00006

Pol Pol Poli

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

$184.60

$19.43

$6.50

$258.05

$19.43

$6.50

$258.05

$26.41

$6.50

$331.50

$19.43

$6.50

$258.05

$1.29

$307.45

$14.92

$88.23

$6.50

$146.29

$4.10

$6.50

$205.32

$563.10

$6.50

$14.39

$13.63

$614.47

$6.50

$13.63

$335.75

$6.50

City Of Chicago - Confidential

Page 207 of 319

Incident Date Claimant_Rank

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

03/27/1992 Johnson, Sabrina T P

03/22/2007 Johnson, Leslie E P

01/23/2007 Jelks, Jennifer P

08/06/2007 Jaycoz, Patrick W P

08/14/2006 Jara, Jose P

09/10/1994 Jackson, Talmitch P

Unit of_Insured_Total to be Paid

00006 City Of Chicago Police $335.75

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $10.60

00006 City Of Chicago Police $15.20

00005 City Of Chicago Police . $1.85

00005 City Of Chicago Police $6.50

00005 City Of Chicago Police $92.63

00013 City Of Chicago Police $0.85

00013 City Of Chicago Police $6.50

00013 City Of Chicago Police $97.00

00013 City Of Chicago Police $0.85

00013 City Of Chicago Police $216.77

00013 City Of Chicago Police $97.00

00013 City Of Chicago Police $4.33

00013 City Of Chicago Police $6.50

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $329.47

00012 City Of Chicago Police $27.31

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $96.24

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $54.10

00012 City Of Chicago Police $125.46

00012 City Of Chicago Police $31.06

00008 City Of Chicago Police $6.50

00003 City Of Chicago Police $205.00

00003 City Of Chicago Police $262.11

00003 City Of Chicago Police $1,789.44

00003 City Of Chicago Police $138.89

00003 City Of Chicago Police $6.50

00003 City Of Chicago Police $5.64

City Of Chicago - Confidential

Page 208 of 319

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 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

09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009

JOYNER, ROBBIE JOYNER, ROBBIE JOYNER. ROBBIE JOYNER, ROBBIE JOYNER, ROBBIE . JOYNER, ROBBIE JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY

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

715 715 715 715 715 715

lice lice lice lice fice lice lice lice lice lice fice fice fice fice fice fice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice fice lice

$6.50

$207.59

$21.82

$6.50

$82.53

$41.89

$12.46

$156.65

$6.50

$9.95

$67.47

$6.50

$100.68

$6.50

$233.45

$6.50

$15.29

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$316.00

$6.50

$12.96

$120.35

City Of Chicago - Confidential

Page 209 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009

JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES. TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 fice lice lice lice lice lice lice lice lice fice lice lice lice lice fice fice lice lice lice lice fice lice ilice fice lice lice fice fice lice lice lice

$6.50

$10.27

$233.45

$6.50

$15.29

$187.85

$6.50

$10.82

$113.10

$6.50

$5.02

$189.90

$6.50

$10.35

$189.90

$6.50

$10.35

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$233.45

$6.50

$15.29

$246.45

$6.50

$12.86

$189.90

City Of Chicago - Confidential

Page 210 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES. TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY

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

lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice fice fice fice lice lice lice lice lice lice lice lice lice lice lice lice fice

$6.50

$10.35

$233.45

$6.50

$15.29

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$164.55

$6.50

$8.71

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$233.45

$6.50

$15.29

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$233.45

$6.50

$15.29

$246.45

City Of Chicago - Confidential

Page 211 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 10/31/2009 09/14/2010 09/14/2010 09/14/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010

JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES, TIMOTHY JONES,THERON JONES,THERON JONES,THERON JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY

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

9161 9161 9161 9161

312 312 312 312

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

ce ce

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

$6.50

$12.86

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$329.03

$6.50

$67.47

$6.50

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$113.10

$6.50

$5.02

$213.20

$6.50

$55.00

$13.34

$6.50

$92.63

$1.85

$6.50

$92.63

City Of Chicago - Confidential

Page 212 of 319

Incident Date Claimant Rank

08/23/2010 JONES, RODNEY 9161

Unit of Insured Total to be Paid

312 City Of Chicago Police $1.38

312 City Of Chicago Police $6.50

312 City Of Chicago Police $68.72

312 City Of Chicago Police $289.49

312 City Of Chicago Police $20.02

312 City Of Chicago Police $6.50

312 City Of Chicago Police $560.70

312 City Of Chicago Police $10.01

312 City Of Chicago Police $6.50

312 City Of Chicago Police $280.35

312 City Of Chicago Police $20.02

312 City Of Chicago Police $6.50

312 City Of Chicago Police $560.70

312 City Of Chicago Police $10.01

312 City Of Chicago Police $6.50

312 City Of Chicago Police $280.35

312 City Of Chicago Police $71.23

312 City Of Chicago Police $6.50

312 City Of Chicago Police $1,953.56

312 City Of Chicago Police $20.02

312 City Of Chicago Police $6.50

312 City Of Chicago Police $560.70

312 City Of Chicago Police $10.29

312 City Of Chicago Police $6.50

312 City Of Chicago Police $19.09

312 City Of Chicago Police $6.50

312 City Of Chicago Police $66.45

312 City Of Chicago Police $36.66

312 City Of Chicago Police $6.50

312 City Of Chicago Police $96.61

312 City Of Chicago Police $13.24

312 City Of Chicago Police $6.50

312 City Of Chicago Police $43.10

City Of Chicago - Confidential

Page 213 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 08/23/2010 09/19/2010 09/19/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 08/31/2010 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

JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, RODNEY JONES, GREGORY JONES, GREGORY JONES, ERIN JONES, ERIN JONES, ERIN JONES, ERIN JONES, ERIN JONES, ERIN JONES,ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES,ANDREW JONES, ANDREW JONES, ANDREW JONES,ANDREW JONES, ANDREW JONES,ANDREW JONES, ANDREW

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

312 312 312 312 312 312 312 312 312 312 312 312 312 312 006 006

Poll Pol Pol

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

$42.16

$6.50

$114.59

$13.36

$6.50

$19.08

$10.01

$6.50

$280.35

$1.85

$6.50

$92.63

$1.85

$6.50

$207.59

$6.50

$162.40

$9.34

$585.37

$6.50

$23.76

$5.96

$6.50

$297.94

$1.16

$97.00

$6.50

$0.85

$171.87

$6.50

$3.44

$95.65

City Of Chicago - Confidential

Page 214 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/27/2010 JONES, ANDREW

09/26/2010 JOHNSON, AJAMU BOM

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

Poll Poll Pol

ce ce

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

$6.50

$10.84

$6.50

$230.75

$5.91

$6.50

$187.20

$5.03

$6.50

$65.32

$13.27

$6.50

$217.75

$1.00

$6.50

$213.62

$6.38

$6.50

$185.15

$8.80

$6.50

$172.15

$8.80

$6.50

$172.15

$6.50

$15.76

$187.20

$6.50

$5.91

$128.60

$6.50

$3.87

City Of Chicago - Confidential

Page 215 of 319

Incident Date Claimant Rank

09/26/2010 JOHNSON, AJAMU BOM 9161

09/10/2010 JIMENEZ, LUIS 9161

06/17/2010 JENKINS, JUDITH 9161

10/28/2010 JENKINS, ERICA 9161

11/05/2009 JANUS, RICHARD Sgt

Unit of_Insured_Total to be Paid

City Of Chicago Police $1,060.00

City Of Chicago Police $6.50

City Of Chicago Police $193.20

City Of Chicago Police $65.32

City Of Chicago Police $6.50

City Of Chicago Police $231.40

City Of Chicago Police $5.03

765 City Of Chicago Police $1,024.96

765 City Of Chicago Police $6.50

005 City Of Chicago Police $6.50

005 City Of Chicago Police $269.88

005 City Of Chicago Police $6,50

005 City Of Chicago Police $269.88

005 City Of Chicago Police $109.80

005 City Of Chicago Police $6.50

005 City Of Chicago Police $5.54

005 City Of Chicago Police $6.50

021 City Of Chicago Police $1.46

021 City Of Chicago Police $3.81

021 City Of Chicago Police $2.77

021 City Of Chicago Police $7.16

021 City Of Chicago Police $6.50

021 City Of Chicago Police $176.45

021 City Of Chicago Police $21.91

021 City Of Chicago Police $667.00

021 City Of Chicago Police $6.50

630 City Of Chicago Police $112.31

630 City Of Chicago Police $3.44

630 City Of Chicago Police $6.50

630 City Of Chicago Police $134.51

630 City Of Chicago Police $0.33

City Of Chicago - Confidential

Page 216 of 319

Incident Date Claimant_Rank

11/05/2009 JANUS, RICHARD Sgt

08/22/2009 JANDA, LIANE 9161

09/20/2009 JACKSON, BRUCE 9161

Unit of_Insured_Total to be Paid

630 City Of Chicago Police $87.81

630 City Of Chicago Police $3,295.00

630 City Of Chicago Police $6.50

630 City Of Chicago Police $249.10

630 City Of Chicago Police $1.29

630 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $1,245.54

City Of Chicago Police $6.50

City Of Chicago Police $73.31

City Of Chicago Police $2,302.04

City Of Chicago Police $6.50

City Of Chicago Police $25.13

City Of Chicago Police $1,115.00

City Of Chicago Police $249.27

765 City Of Chicago Police $6.50

765 City Of Chicago Police $874.32

765 City Of Chicago Police $6.50

765 City Of Chicago Police $500.69

765 City Of Chicago Police $3.72

765 City Of Chicago Police $6.50

765 City Of Chicago Police $145.72

765 City Of Chicago Police $22.32

765 City Of Chicago Police $145.72

765 City Of Chicago Police $3.91

765 City Of Chicago Police $6.50

765 City Of Chicago Police $153.19

765 City Of Chicago Police $3.91

765 City Of Chicago Police $6.50

765 City Of Chicago Police $153.19

765 City Of Chicago Police $6.50

765 City Of Chicago Police $3.72

City Of Chicago - Confidential

Page 217 of 319

Incident Date Claimant_Rank

09/20/2009 JACKSON, BRUCE 9161

07/10/2009 IVERS, NEAL 9161

08/11/2010 IRLWEG, CHRISTOPHER 9161

06/30/2008 Hoover, Tracy L P

09/07/2008 Holy, Bryan P

08/24/2008 Henkes, Nicole L P

06/01/2006 Hansen, Neil T P

Unit of Insured Total to be Paid

765 City Of Chicago Police $100.68

765 City Of Chicago Police $6.50

765 City Of Chicago Police $226.09

765 City Of Chicago Police $6.50

765 City Of Chicago Police $5.77

765 City Of Chicago Police $12.79

City Of Chicago Police $49.12

City Of Chicago Police $98.24

City Of Chicago Police $17.71

City Of Chicago Police $207.21

City Of Chicago Police $50.00

City Of Chicago Police $22.16

City Of Chicago Police $10.99

City Of Chicago Police $84.71

City Of Chicago Police $129.35

City Of Chicago Police $6.50

City Of Chicago Police $28.26

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $18.84

00009 City Of Chicago Police $573.55

00650 City Of Chicago Police $10.00

00650 City Of Chicago Police $4.16

00650 City Of Chicago Police $7.67

00007 City Of Chicago Police $7,516.69

00008 City Of Chicago Police $6.50 00008 City Of Chicago Police $344.94 00008 City Of Chicago Police $6.50 00008 City Of Chicago Police $6.50 00008 City Of Chicago Police $134.93 00008 City Of Chicago Police $6.50 00008 City Of Chicago Police $200.33 00008 City Of Chicago Police $6.50 00008 City Of Chicago Police $384.93

City Of Chicago - Confidential

Page 218 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/01/2006 06/01/2006 06/01/2006 06/01/2006 06/01/2006 03/25/2010 03/25/2010 03/25/2010 03/25/2010 03/25/2010 03/25/2010 03/25/2010 03/25/2010 03/25/2010 10/23/2010 10/23/2010 10/23/2010 10/23/2010 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 02/05/2010 02/05/2010 02/05/2010 02/05/2010

Hansen, Neil T Hansen, Neil T Hansen, Neil T Hansen, Neil T Hansen, Neil T HYNES, MICHAEL HYNES, MICHAEL HYNES, MICHAEL HYNES, MICHAEL HYNES, MICHAEL HYNES, MICHAEL HYNES, MICHAEL HYNES, MICHAEL HYNES, MICHAEL HUNTER, MICHAEL HUNTER, MICHAEL HUNTER, MICHAEL HUNTER, MICHAEL HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID

P P P P P

9161 9161 9161 9161 9161 9161 9161 9161 9161

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

00008

044

016 016 016 016 016 016 016 016 016 016 016 016 016 016 016

lice lice lice lice fice lice lice fice lice lice fice ilice lice fice lice lice lice lice lice lice lice fice lice fice fice lice lice fice lice lice fice lice lice

$96.60

$6.50

$530.00

$6.50

$603.94

$190.27

$6.50

$2.79

$190.27

$6.50

$2.79

$6.50

$50.00

$6.50

$491.94

$6.50

$226.20

$10.05

$57.20

$6.50

$0.93

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$6.50

$226.20

$14.02

City Of Chicago - Confidential

Page 219 of 319

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 Po¹City Of Chicago Po 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

02705/2010 02/20/2010 02720/2010 02720/20 1 0 02720/2010 09/0272010 09/02/2010 09/02/2010 10/03/2010 10/03/2010 10/03/2010 10/03/2010 10/03/2010 10/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010

HUNDRIESER, DAVID HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HOPKINS, TERRY HOPKINS, TERRY HOPKINS, TERRY HOLTON, AARON HOLTON, AARON HOLTON, AARON HOLTON, AARON HOLTON, AARON HOLTON, AARON HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN,SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN,SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN

9161

016

9161 9161 9161

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

044 044 044

ilice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice fice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$28.47

$20.48

$6.50

$28.26

$129.35

$6.50

$22.74

$6.50

$6.90

$106.11

$46.82

$1.06

$6.50

$72.20

$35.00

$6.50

$666.64

$54.36

$6.50

$1,032.36

$50.22

$712.96

$6.50

$28.89

$338.82

$6.50

$18.26

$862.56

$6.50

$28.61

City Of Chicago - Confidential

Page 220 of 319

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

05/03/2010 05/03/2010 05/03/2010 05/03/2010 05/03/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 09/15/2010 09/15/2010 09/15/2010 11/05/2010 11/05/2010 09/22/2010 09/22/2010 09/22/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 08/04/2010 11/06/2010 11/06/2010

HOGAN,SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HOGAN, SEAN HITIRIS, EVANGELOS HITIRIS, EVANGELOS HITIRIS, EVANGELOS HITIRIS, EVANGELOS HINTON, KRISTA HINTON, KRISTA HINTON, KRISTA HILLIARD, ROBERT HILLIARD, ROBERT HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HILL, COURTNEY HIGHLAND, JESSICA HIGHLAND, JESSICA

9161 9161 9161 9161 9161

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

715 715 715 715 715 715 715 715 715 715 715 715 715 715

lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice fice lice lice lice lice ilice lice lice fice lice lice lice lice lice lice lice lice

$749.64

$6.50

$40.66

$960.36

$6.50

$42.00

$6.50

$814.79

$391.73

$6.50

$15.90

$6.50

$44.84

$6.50

$362.06

$6.50

$47.75

$199.30

$6.50

$12.76

$113.51

$6.50

$31.39

$132.73

$6.50

$32.26

$134.93

$6.50

$567.82

$6.50

City Of Chicago - Confidential

Page 221 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/09/2009 HERVAI, KARL

09/27/2010 HERNANDEZ, PRISCILLA

03/19/2010 HERNANDEZ, NICHOLAS

08/03/2010 HENRY, NICOLE

10/28/2010 HENNING, PERCY

9161 9161 9161 9161 9161 9161 9161 9161 9161 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

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

lice dice fice lice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice

$772.20

$54.18

$200.85

$16.00

$269.89

$5.91

$6.50

$187.20

$6.50

$114.69

$77.44

$6.50

$1,909.77

$4.66

$6.50

$114.69

$77.84

$6.50

$1,919.32

$14.70

$6.50

$362.41

$53.29

$1,314.13

$4.66

$6.50

$1.85

$6.50

$92.63

$7.16

$6.50

$176.45

City Of Chicago - Confidential

Page 222 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/28/2010 HENNING, PERCY

09/03/2010 HEFFERNAN, EILEEN

02/22/2010 HAYMAKER, ALAN

08/08/2010 HAWTHORNE, CASSANDRA

02/21/2009 HARRIS, JENNIFER

07/02/2010 HARDMAN JR, LLOYD

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

9161 9161

620 620 620 620 620 620 620 620 620 620 620 620 620 620 620 620 620 620 620 620 620 620 023 023 008 008

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

lice fice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice fice lice lice lice fice lice lice lice fice

$21.91

$667.00

$6.50

$1.03

$1,111.29

$442.56

$6.50

$236.64

$6.50

$174.36

$6.50

$61.44

$6.50

$234.56

$6.50

$204.48

$6.50

$215.89

$6.50

$87.19

$243.86

$6.50

$613.95

$6.50

$36.00

$6.50

$311.38

$6.50

$111.10

$21.20

$488.25

$6.50

City Of Chicago - Confidential

Page 223 of 319

Incident Date Claimant Rank

07/02/2010 HARDMAN JR, LLOYD 9161

07/27/2010 HANSON, KRISTEN 9161

10/29/2010 HAMMERMEISTER, CRAIG 9161

10/16/2009 HAMIDEH, ZIAD 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $269.86

City Of Chicago Police $1.39

City Of Chicago Police $6.50

City Of Chicago Police $94.64

City Of Chicago Police $45.01

City Of Chicago Police $6.50

013 City Of Chicago Police $168.15

013 City Of Chicago Police $10.45

013 City Of Chicago Police $303.00

013 City Of Chicago Police $6.50

013 City Of Chicago Police $15.38

013 City Of Chicago Police $329.03

013 City Of Chicago Police $6.50

013 City Of Chicago Police $303.00

013 City Of Chicago Police $6.50

013 City Of Chicago Police $15.38

013 City Of Chicago Police $303.00

013 City Of Chicago Police $6.50

013 City Of Chicago Police $15.38

013 City Of Chicago Police $246.45

013 City Of Chicago Police $6.50

013 City Of Chicago Police $12.86

013 City Of Chicago Police $259.45

013 City Of Chicago Police $6.50

013 City Of Chicago Police $6.50 City Of Chicago Police $166.07 City Of Chicago Police $6.50 City Of Chicago Police $9.55 City Of Chicago Police $744.08 -City Of Chicago Police $6.50 City Of Chicago Police $19.02

014 City Of Chicago Police $6.50 014 City Of Chicago Police $425.00

City Of Chicago - Confidential

Page 224 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/16/2009 10/16/2009 10/16/2009 10/16/2009 10/16/2009 10/16/2009 10/16/2009 10/16/2009 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 12/11/2009 04/20/2010 04/20/2010 04/20/2010 04/20/2010 04/20/2010

HAMIDEH, HAMIDEH, HAMIDEH, HAMIDEH, HAMIDEH, HAMIDEH, HAMIDEH, HAMIDEH, HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN, HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN

ZIAD ZIAD ZIAD ZIAD ZIAD ZIAD ZIAD ZIAD , SHAWN , SHAWN SHAWN , SHAWN SHAWN , SHAWN SHAWN SHAWN SHAWN , SHAWN SHAWN , SHAWN SHAWN , SHAWN SHAWN SHAWN SHAWN , SHAWN SHAWN ,ANNETTE ANNETTE ,ANNETTE ANNETTE ANNETTE ANNETTE

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

9161 9161 9161 9161 9161

014 014 014 014 014 014 014 014

;o Pol Po Pol Pol

016 016 016 016 016

lice lice ilice lice lice lice lice lice lice lice lice lice lice fice lice fice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$532.00

$6.50

$525.00

$6.50

$67.00

$6.50

$227.00

$6.50

$187.85

$5.93

$6.50

$231.93

$6.50

$156.65

$6.50

$9.95

$246.75

$6.50

$11.53

$134.93

$6.50

$134.93

$10.82

$6.50

$187.85

$10.82

$247.03

$62.70

$6.50

$7.45

$59.81

$54.78

City Of Chicago - Confidential

Page 225 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/20/2010 HALLINAN, ANNETTE

10/18/2010 HALL, CLIFFORD

09/19/2008 Griffin, Burdett

06/06/2008 Gricki-Onorato, Victoria V

10/16/2005 Gleason-Galich, Colleen

9161

016

00010 00010 00010 00010 00010 00010 00010 00014 00014 00014 00014 00014 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016

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

lice lice lice lice lice lice lice fice lice fice fice fice lice lice fice lice lice lice dice lice lice lice lice lice lice lice fice lice lice lice lice lice lice

$6.50

$163.33

$6.85

$6.50

$342.83

$12.88

$3.27

$6.50

$443.88

$6.50

$395.96

$2.82

$6.50

$232.75

$83.07

$6.50

$1.66

$587.44

$6.50

$9.78

$93.86

$215.80

$9.19

$6.50

$199.20

$9.19

$6.50

$199.20

$9.00

$6.50

$199.20

$9.19

City Of Chicago - Confidential

Page 226 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/16/2005 10/16/2005 10/16/2005 10/16/2005 10/16/2005 10/16/2005 10/16/2005 10/16/2005 10/16/2005 10/16/2005 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 02/17/2007 02/17/2007

Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich. Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris Gass, George W Gass, George W

00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00153 00153

$6.50

$199.20

$9.19

$6.50

$199.20

$9.19

$6.50

$199.20

$6.50

$20.04

$619.91

$551.40

$9.39

$6.50

$255.61

$10.02

$6.50

$275.70

$9.39

$6.50

$255.61

$11.54

$6.50

$324.12

$19.90

$6.50

$533.61

$22.19

$6.50

$210.00

$6.50

City Of Chicago - Confidential

Page 227 of 319

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

02/17/2007 Gass, George W

09/29/2010 GUTIERREZ, VICTORIA

10/23/2009 GUTIERREZ, GEORGE

10/10/2010 GUNNING, JOSEPH

10/28/2010 GUEVARA, CARLOS

05/07/2010 GUERRERO, ALEX

P P P P

9161 9161 9161 9161 9161 9161 9161 9161

00153

012

Poli Poli Poll

$6.50

$384.93

$594.60

$671.55

$6.50

$703.41

$6.50

$5.15

$6.50

$205.93

$3.31

$211.25

$6.50

$15.11

$6.50

$59.37

$207.59

$6.50

$20.21

$6.50

$492.80

$5.57

$6.50

$11.80

$92.63

$6.50

$1.85

$319.66

$6.50

$10.03

$1,042.64

$32.71

City Of Chicago - Confidential

Page 228 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

05/07/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010

GUERRERO, ALEX GUARNIERI, PAUL GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI, GUARNIERI,

PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL PAUL

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

lice lice lice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice ilice fice fice lice lice lice lice lice

$6.50

$257.40

$6.50

$10.92

$316.00

$6.50

$12.96

$313.95

$6.50

$13.43

$257.40

$6.50

$10.92

$316.00

$6.50

$12.96

$257.40

$399.46

$6.50

$13.43

$313.95

$6.50

$13.43

$313.95

$6.50

$13.43

$313.95

$6.50

$13.43

$313.95

$6.50

$13.43

$313.95

City Of Chicago - Confidential

Page 229 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010

GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIER GUARNIERI GUARNIERI GUARNIER GUARNIERI GUARNIERI GUARNIERI GUARNIERI, GUARNIERI GUARNIERI GUARNIER

, PAUL , PAUL , PAUL , PAUL , PAUL , PAUL . PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL . PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL

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

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

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

$6.50

$13.43

$257.40

$6.50

$10.92

$313.95

$6.50

$13.43

$257.40

$6.50

$10.92

$313.95

$6.50

$10.92

$257.40

$6.50

$10.92

$257.40

$6.50

$10.92

$257.40

$6.50

$10.92

$313.95

$6.50

$13.43

$6.50

$13.43

$313.95

$6.50

$13.43

$313.95

$6.50

City Of Chicago - Confidential

Page 230 of 319

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

05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010

GUARNIERI GUARNIERI GUARNIERI, GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI GUARNIERI

, PAUL , PAUL ', PAUL . PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL , PAUL

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

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

$13.43

$257.40

$6.50

$10.92

$399.46

$6.50

$313.95

$6.50

$13.43

$313.95

$6.50

$13.43

$313.95

$6.50

$13.43

$313.95

$6.50

$13.43

$313.95

$6.50

$13.43

$257.40

$6.50

$10.92

$257.40

$6.50

$10.92

$313.95

$6.50

$13.43

$313.95

$6.50

$313.95

City Of Chicago - Confidential

Page 231 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/14/2010 05/14/2010 05/27/2010 05/27/2010 10/0272010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 03/01/2010 03/01/2010 03/01/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010

GUARNIERI, PAUL GUARNIERI, PAUL GROBLA, MAREK GROBLA, MAREK GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREY, KATRINA GREER, HOWARD GREER, HOWARD GREER, HOWARD GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON

9161 9161

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

9161 9161 9161 9161 9161

006 006 006 006 006 006 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023

021 021 021 021 021

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

ilice lice lice lice fice fice lice fice lice fice lice fice fice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$13.43

$298.68

$6.50

$5.28

$6.50

$90.00

$6.25

$6.50

$312.27

$99.46

$6.50

$1,272.57

$6.50

$41.81

$98.45

$6.50

$17.47

$7.16

$6.50

$11.73

$112.45

$6.50

$13.40

$176.45

$650.24

$6.50

$26.39

$2.86

$316.56

$6.50

$291.23

$6.50

City Of Chicago - Confidential

Page 232 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 03/28/2009 03/28/2009 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010

GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GREEN, SINGLETON GRAU, CARMEN GRAU, CARMEN GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL

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

021 021 021 021 021 021 021 021 021 021 021 021 021

Poll Pot Poli

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

$5.82

$291.23

$6.50

$5.82

$80.21

$6.50

$1.61

$316.56

$6.50

$236.63

$6.50

$2.94

$199.99

$6.50

$7.84

$259.45

$6.50

$10.45

$122.54

$6.50

$0.36

$303.00

$6.50

$15.38

$259.45

$6.50

$10.45

$169.65

$6.50

$7.53

$259.45

City Of Chicago - Confidential

Page 233 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES,

DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL DANIEL

$6,50

$10.45

$133.35

$6.50

$7.84

$133.35

$6.50

$7.84

$133.35

$6.50

$7.84

$259.45

$6.50

$10.45

$133.35

$6.50

$7.84

$189.90

$6.50

$10.35

$6.50

$12.86

$202.90

$6.50

$7.93

$246.45

$6.50

$12.86

$189.90

$6.50

$10.35

$202.90

$6.50

City Of Chicago - Confidential

Page 234 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES. GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES,

lice lice lice fice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice fice fice lice lice lice fice lice lice lice lice

$7.93

$189.90

$6.50

$10.35

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$87.19

$6.50

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$303.00

$6.50

$15.38

$259.45

$6.50

$10.45

$359.55

$6.50

$17.89

$246.45

$6.50

$12.86

City Of Chicago - Confidential

Page 235 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010

GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GRANNES, GOODWIN, GOODWIN, GOODWIN, GOODWIN, GOODWIN, GOODWIN, GOODWIN, GOODWIN, GOODWIN, GOODWIN,

DANIEL

TURNER

Poli Poli Pol

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

$122.54

$6.50

$0.36

$122.54

$6.50

$0.36

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$303.00

$6.50

$133.35

$15.38

$246.45

$6.50

$12.86

$189.90

$6.50

$10.35

$246.45

$6.50

$348.53

$839.99

$6.50

$37.24

$839.07

$6.50

$31.78

$870.01

$6.50

City Of Chicago - Confidential

Page 236 of 319

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

07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 07/31/2010 10/22/2010 09/28/2010 09/28/2010

GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODWIN, TURNER GOODRICH, WILLIAM GONZALEZ, SERGIO GONZALEZ, SERGIO

9161 9161

011 011

lice lice lice lice lice lice lice lice lice ilice lice lice lice fice -lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$35.17

$848.23

$6.50

$32.08

$137.50

$6.50

$2.75

$110.12

$6.50

$2.20

$342.83

$6.50

$6.85

$88.30

$6.50

$1.77

$8.81

$6.50

$0.18

$900.20

$6.50

$34.91

$934.02

$6.50

$35.46

$7.54

$6.97

$139.27

$6.50

$2.78

$16.95

$491.27

$6.50

City Of Chicago - Confidential

Page 237 of 319

Incident Date Claimant Rank

09/07/2010 GONZALEZ, EDUARDO 9161

09/17/2009 GOMEZ, MARILYN 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $1,133.17

City Of Chicago Police $207.59

City Of Chicago Police $6.50

City Of Chicago Police $28.96

City Of Chicago Police $6.50

014 City Of Chicago Police $294.30

014 City Of Chicago Police $4.89

014 City Of Chicago Police $7.51

014 City Of Chicago Police $219.55

014 City Of Chicago Police $6.50

014 City Of Chicago Police $5.61

014 City Of Chicago Police $298.62

014 City Of Chicago Police $6.50

014 City Of Chicago Police $7.63

014 City Of Chicago Police $277.63

014 City Of Chicago Police $6.50

014 City Of Chicago Police $7.09

014 City Of Chicago Police $340.07

014 City Of Chicago Police $6.50

014 City Of Chicago Police $8.68

014 City Of Chicago Police $200.87

014 City Of Chicago Police $6.50

014 City Of Chicago Police $5.12

014 City Of Chicago Police $131.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $1.93

014 City Of Chicago Police $342.45

014 City Of Chicago Police $6.50

014 City Of Chicago Police $5.02

014 City Of Chicago Police $88.23

014 City Of Chicago Police $6.50

014 City Of Chicago Police $1.29

014 City Of Chicago Police $470.26

City Of Chicago - Confidential

Page 238 of 319

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

09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 09/17/2009 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010

GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, MARILYN GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX

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

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

lice lice lice lice lice lice lice lice lice lice lice ilice lice lice fice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50-

$6.90

$1,287.88

$6.50

$18.91

$252.25

$6.50

$6.44

$280.27

$6.50

$7.16

$219.55

$6.50

$5.61

$241.57

$6.50

$6.18

$200.84

$6.50

$5.13

$191.50

$6.50

$195.13

$3.58

$6.50

$762.63

$13.95

$6.50

$231.00

$12.86

$6.50

$246.45

City Of Chicago - Confidential

Page 239 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 08/25/2010 08/25/2010 08/25/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010

GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOMEZ, ALEX GOLBECK, JAMES GOLBECK. JAMES GOLBECK, JAMES GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT

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

016 016 016

lice lice lice lice lice lice fice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice fice lice lice

$12.86

$6.50

$246.45

$12.86

$6.50

$246.45

$12.86

$6.50

$246.45

$6.50

$43.00

$12.86

$6.50

$246.45

$2.87

$6.50

$6.16

$6.50

$107.12

$6.50

$231.53

$44.13

$6.50

$679.96

$6.50

$850.08

$52.85

$6.50

$814.37

$6.50

$1,163.79

$6.50

$122.48

City Of Chicago - Confidential

Page 240 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicag City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po¹City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po; City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago 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 Po

07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 08/19/2009 08/19/2009 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 10/06/2010 10/06/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 07/22/2010 07/22/2010 07/22/2010

GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GODINEZ, WILBERT GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GLYNN, THOMAS GLYNN, THOMAS GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS

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

008 008

019 019 019

lice ilice fice lice lice lice lice lice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice lice fice fice lice lice lice lice lice lice lice

$23.37

$6.50

$360.26

$44.65

$6.50

$688.16

$6.50

$337.19

$6.50

$151.78

$15.03

$566.73

$36.77

$6.50

$84.92

$72.15

$6.50

$3,184.30

$6.50

$6.63

$9.75

$250.15

$6.50

$586.76

$6.50

$7.16

$176.45

$6.50

$15.00

$269.88

$6.50

$269.88

City Of Chicago - Confidential

Page 241 of 319

Incident Date Claimant Rank

07/22/2010 GIANNOS, ELIAS 9161

07/22/2010 GIANNOS. ELIAS 9161

07/22/2010 GIANNOS, ELIAS 9161

07/22/2010 GIANNOS, ELIAS ' 9161

07/22/2010 GIANNOS, ELIAS 9161

03/22/2010 GIANGROSSO, CARL 9161

Unit of

Insured

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

Total to be Paid

019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice fice lice ilice lice ilice fice lice lice lice lice lice lice lice

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$7.76

$6.50

$303.70

$203.30

$6.50

$161.50

$6.50

$320.32

$6.50

$100.68

$6.50

$100.68

$6.50

$269.88

$6.50

$226.20

$10.05

$269.75

$6.50

$14.98

$226.20

$6.50

City Of Chicago - Confidential

Page 242 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/2272010 03/2272010 03/22/2010 03/22/2010 03/2272010 03/22/2010 03/22/2010 03/2272010 03/2272010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010

GIANGROSSO GIANGROSSO GIANGROSSO, GIANGROSSO GIANGROSSO GIANGROSSO, GIANGROSSO, GIANGROSSO GIANGROSSO GIANGROSSO, GIANGROSSO, GIANGROSSO GIANGROSSO GIANGROSSO, GIANGROSSO, GIANGROSSO, GIANGROSSO GIANGROSSO, GIANGROSSO, GIANGROSSO, GIANGROSSO GIANGROSSO GIANGROSSO, GIANGROSSO, GIANGROSSO GIANGROSSO GIANGROSSO, GIANGROSSO GIANGROSSO GIANGROSSO GIANGROSSO GIANGROSSO GIANGROSSO

CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL CARL

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 Poll Poll

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

$10.05

$257.40

$6.50

$10.92

$290.65

$6.50

$11.32

$290.65

$6.50

$11.32

$290.65

$6.50

$11.32

$290.65

$6.50

$11.32

$347.20

$6.50

$13.83

$347.20

$6.50

$13.83

$347.20

$6.50

$13.83

$347.20

$6.50

$13.83

$290.65

$6.50

$11.32

$226.20

$6.50

City Of Chicago - Confidential

Page 243 of 319

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 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

03/22/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 .09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 11/28/2009

GIANGROSSO, CARL GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, PEGGY GAYTAN, LUIS

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

017

fice lice lice ilice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$107.42

$6.50

$1,598.58

$137.23

$6.50

$4,176.49

$6.50

$964.33

$6.50

$1,328.70

$4.14

$6.50

$101.99

$10.79

$6.50

$265.91

$6.50

$825.23

$16.76

$6.50

$412.90

$2.02

$6.50

$166.64

$2.75

$6.50

$107.42

$2.75

$6.50

$1,230.05

$18.69

City Of Chicago - Confidential

Page 244 of 319

Incident Date Claimant Rank

11/28/2009 GAYTAN, LUIS 9171

Unit of_Insured_Total to be Paid

017 City Of Chicago Police $51.92

017 City Of Chicago Police $6.50

017 City Of Chicago Police $2,031.48

017 City Of Chicago Police $2.58

017 City Of Chicago Police $6.50

017 City Of Chicago Police $175.60

017 City Of Chicago Police $3.44

017 City Of Chicago Police $6.50

017 City Of Chicago Police $234.14

017 City Of Chicago Police $172.92

017 City Of Chicago Police $6.50

017 City Of Chicago Police $992.00

017 City Of Chicago Police $1.63

017 City Of Chicago Police $6.50

017 City Of Chicago Police $111.22

017 City Of Chicago Police $3.44

017 City Of Chicago Police $6.50

017 City Of Chicago Police $234.14

017 City Of Chicago Police $2.58

017 City Of Chicago Police $6.50

017 City Of Chicago Police $175.60

017 City Of Chicago Police $3.44

017 City Of Chicago Police $6.50

017 City Of Chicago Police $234.14

017 City Of Chicago Police $3.44

017 City Of Chicago Police $6.50

017 City Of Chicago Police $234.14

017 City Of Chicago Police $3.44

017 City Of Chicago Police $6.50

017 City Of Chicago Police $234.14

017 City Of Chicago Police $2.58

017 City Of Chicago Police $6.50

017 City Of Chicago Police $175.60

City Of Chicago - Confidential

Page 245 of 319

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

06/26/2010 GAWLOWSKI, RADOSLAW

06/26/2010 GAWLOWSKI, RADOSLAW 06/26/2010 . GAWLOWSKI, RADOSLAW

06/26/2010 GAWLOWSKI, RADOSLAW

07/08/2009 GARZA JR, ARMANDO

06/07/2010 GARCIA, WILLIAM

05/26/2010 GARCIA, MARGARITA

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

018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018

ilice lice lice lice fice lice lice lice fice lice lice fice fice lice fice fice lice lice lice fice lice lice lice lice lice lice lice lice lice lice fice lice lice

$224.81 $6.50 $9.12 $1,634.88 $6.50 $529.35 $6.50 $21.49 $700.18 $6.50 $29.67 $70.80 $4.07 $6.50 $307.66 $1,097.05 $19.95 $469.58 $6.50 $30.46 $574.84 ■$6.50 $37.29 $6.02 $6.50 $61.03 $71.15 $6.50 $6.50 $12.46 $6.50 $213.20 $18.46

City Of Chicago - Confidential

Page 246 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010

GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA,

MARGARITA

JOSE

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

018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018 018

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

fice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice ilice lice lice lice lice lice lice fice lice lice lice lice

$6.50

$187.19

$12.46

$213.20

$6.50

$213.20

$18.46

$6.50

$187.19

$12.46

$6.50

$213.20

$12.46

$6.50

$213.20

$22.94

$6.50

$232.69

$246.45

$6.50

$189.90

$12.86

$6.50

$246.45

$10.35

$6.50

$189.90

$6.50

$13.44

$12.86

$10.35

City Of Chicago - Confidential

Page 247 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 11/02/2010 11/02/2010 11/02/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010

GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO' GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GARCIA, ADOLPHO GANNON JR, THOMAS GANNON JR, THOMAS GANNON JR, THOMAS 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

044 044 044 044 044 044 044 044 044 044 044 044 044 011 011 011

lice lice ilice lice lice lice lice lice lice fice lice lice lice fice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice lice lice lice lice

$246.45

$6.50

$12.86

$156.65

$6.50

$9.95

$246.45

$6.50

$12.86

$248.95

$6.50

$1,201.01

$6.50

$37.69

$6.50

$92.63

$6.50

$1.85

$203.40

$6.50

$4.07

$319.66

$6.50

$10.03

$730.23

$29.65

$6.50

$94.64

$6.50

$290.65

$11.32

$6.50

City Of Chicago - Confidential

Page 248 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

Poli Poll Poli

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

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

$290.65

$11.32

$6.50

$290.65

$11.32

$6.50

$290.65

$5.75

$6.50

$130.00

$11.32

$6.50

$290.65

$11.32

$6.50

$290.65

$11.32

$6.50

$290.65

$11.32

$6.50

$290.65

$4.54

$6.50

$309.29

$8.80

$6.50

$234.10

$11.32

$6.50

$290.65

$11.32

$6.50

City Of Chicago - Confidential

Page 249 of 319

Incident Date Claimant

Rank

Unit of

07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 06/12/2006 07/22/2007 07/22/2007 07/22/2007 03/20/2010 03/20/2010 03/20/2010

GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ. ISRAEL Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Fenner, Lolita Fenner, Lolita Fenner, Lolita FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR

9161

9161 9161 9161

00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00376 00376 00376

City Of Ch

Insured

Total to be Paid

$290.65

$8.40

$6.50

$200.85

$1.39

$11.32

$138.27

$35.42

$30.27

$138.27

$6.50

$30.27

$138.27

$6.50

$30.27

$138.27

$6.50

$30.27

$138.27

$6.50

$30.27

$138.27

$6.50

$30.27

$155.86

$6.50

$240.00

$2.33

$6.50

$5,352.03

$210.50

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 09/15/2009 09/15/2009 09/26/2010 09/26/2010 09/26/2010 09/26/2010 08/25/2010 08/25/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010

FUENTES, HECTOR FUENTES, HECTOR FUENTES. HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUELLING, KEITH FUELLING, KEITH FRIAS, RUDY FRIAS. RUDY FRIAS, RUDY FRIAS, RUDY FRANKLIN, ROBERT FRANKLIN, ROBERT FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE

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

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

012 012 012 012 015 015 005 005 005 005 005 005 005 005 005 005 005

lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$8.02

$197.50

$6.50

$10.44

$197.50

$107.04

$10.44

$210.50

$6.50

$8.02

$141.99

$6.50

$1.72

$6.50

$947.10

$1,233.59

$6.50

$311.38

$6.50

$207.59

$6.50

$92.63

$6.50

$1.85

$337.35

$6.50

$337.35

$6.50

$337.35

$6.50

$607.23

City Of Chicago - Confidential

Page 251 of 319

Incident Date Claimant Rank

09/03/2010 FOUCH, NICOLE 9161

10/28/2010 FONSECA, ORLANDO 9161

10/17/2010 FOERTSCH, JOHN 9161

03/23/2010 FLORES, SAMUEL 9161

08/28/2010 FLORES, JULIO 9161

Unit of_Insured_Total to be Paid

005 City Of Chicago Police 3446.31

005 City Of Chicago Police $6.50

005 City Of Chicago Police $788.83

005 City Of Chicago Police $6.50

010 City Of Chicago Police $6.50

010 City Of Chicago Police $667.00

010 City Of Chicago Police $21.91

010 City Of Chicago Police $176.45

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.16

003 City Of Chicago Police $5.77

003 City Of Chicago Police $129.35

003 City Of Chicago Police $11.04

003 City Of Chicago Police $75.81

003 City Of Chicago Police $6.50

003 City Of Chicago Police $191.98

003 City Of Chicago Police $6.86

003 City Of Chicago Police $6.50

003 City Of Chicago Police $13.18

003 City Of Chicago Police $48.75

003 City Of Chicago Police $6.50

003 City Of Chicago Police $70.53

003 City Of Chicago Police $56.56

003 City Of Chicago Police $6.50

003 City Of Chicago Police $10.15

003 City Of Chicago Police $28.26

003 City Of Chicago Police $6.50

189 City Of Chicago Police $159.98

189 City Of Chicago Police $6.50

189 City Of Chicago Police $551.84

189 City Of Chicago Police $6.50

025 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 252 of 319

Incident Date Claimant Rank

08/28/2010 FLORES, JULIO 9161

Unit of Insured Total to be Paid

025 City Of Chicago Police $991.25

025 City Of Chicago Police $23.08

025 City Of Chicago Police $6.50

025 City Of Chicago Police $1,266.30

025 City Of Chicago Police $7.16

025 City Of Chicago Police $6.50

025 City Of Chicago Police $176.45

025 City Of Chicago Police $24.85

025 City Of Chicago Police $6.50

025 City Of Chicago Police $109.97

025 City Of Chicago Police $13.25

025 City Of Chicago Police $6.50

025 City Of Chicago Police $174.85

025 City Of Chicago Police $9.13

025 City Of Chicago Police $6.50

025 City Of Chicago Police $217.75

025 City Of Chicago Police $9.84

025 City Of Chicago Police $6.50

025 City Of Chicago Police $106.67

025 City Of Chicago Police $9.84

025 City Of Chicago Police $6.50

025 City Of Chicago Police $106.67

025 City Of Chicago Police $6.07

025 City Of Chicago Police $42.02

025 City Of Chicago Police $6.50

025 City Of Chicago Police $235.50

025 City Of Chicago Police $27.13

025 City Of Chicago Police $6.50

025 City Of Chicago Police $147.00

025 City Of Chicago Police $65.14

025 City Of Chicago Police $6.50

025 City Of Chicago Police $534.73

025 City Of Chicago Police $53.39

City Of Chicago - Confidential

Page 253 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

FLORES, JULIO FLORES, JULIO FLORES, JULIO FLISK, MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET , MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET , MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET , MARGARET , MARGARET ,MARGARET ,MARGARET ,MARGARET , MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET ,MARGARET

FLISK FLISK FLISK FLISK FLISK FLISK FLISK FLISK FLISK FLISK, FLISK, FLISK FLISK FLISK, FLISK, FLISK FLISK FLISK FLISK FLISK FLISK FLISK FLISK FLISK FLISK, FLISK, FLISK FLISK FLISK,

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

025 025 025

lice lice lice fice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice fice lice fice

$6.50

$292.60

$25.33

$6.50

$11.31

$6.50

$228.70

$34.82

$6.50

$858.23

$10.82

$6.50

$187.85

$11.31

$6.50

$228.70

$1.99

$6.50

$99.30

$8.03

$6.50

$314.44

$10.82

$6.50

$187.85

$13.33

$6.50

$244.40

$1.24

$6.50

$102.54

$10.54

City Of Chicago - Confidential

Page 254 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po¹. City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City 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

08/25/2010 FLISK, MARGARET

10/12/2010 FITZGERALD, JOSEPH P

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

lice lice fice ilice lice fice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice fice lice fice lice fice lice lice fice lice lice fice

$6.50

$870.69

$35.82

$6.50

$2,958.14

$13.10

$6.50

$654.96

$1.47

$6.50

$25.60

$11.31

$6.50

$228.70

$10.35

$6.50

$189.90

$11.31

$6.50

$228.70

$9.13

$6.50

$217.75

$11.31

$6.50

$228.70

$6.50

$10.82

$261.30

$6.50

$14.06

$187.85

City Of Chicago - Confidential

Page 255 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/12/2010 FITZGERALD, JOSEPH P

05/20/2010 FIELDS, JEROHN

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

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

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice

$6.50 $10.82 $359.07 $6.50 $5.27 $187.85 $14.38 $362.90 $6.50 $7.25 $391.55 ■ $6.50 $7.82 $391.55 $6.50 $7.82 $71.62 $6 50 $1.43 $329.48 $6.50 $6.58 $386.76 $6.50 $7.73 $410.59 $6.50 $8.20 $186.22 $6.50 $3.72 $348.57 $6.50

City Of Chicago - Confidential

Page 256 of 319

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

05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 10/01/2010 10/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010

FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FERRERAS, LEONIDAS FERRERAS, LEONIDAS FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED

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

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

lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice fice fice fice lice fice fice fice fice fice fice fice lice fice lice

$6.96

$568.20

$6.50

$11.35

$152.79

$6.50

$720.01

$14.88

$6.50

$744.86

$6.20

$6.50

$310.36

$6.50

$124.54

$6.50

$3.05

$184.74

$6.50

$207.59

$122.42

$41.56

$6.50

$244.84

$20.78

$6.50

$122.42

$30.53

$6.50

$112.11

$6.50

$168.24

City Of Chicago - Confidential

Page 257 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po^:City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po, City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010

FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA, FERREIRA,

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

lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice fice lice lice fice lice lice lice fice

$30.53

$6.50

$168.24

$22.77

$6.50

$161.51

$20.78

$6.50

$122.42

$36.04

$6.50

$206.56

$20.78

$6.50

$122.42

$20.78

$6.50

$122.42

$45.90

$6.50

$329.80

$6.50

$87.19

$29.82

$6.50

$176.54

$1.64

$6.50

$627.74

$2.46

$6.50

$722.54

$20.78

City Of Chicago - Confidential

Page 258 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 06/01/2010 01/09/2010 01/09/2010 01/09/2010 01/09/2010 01/09/2010 01/09/2010 09/14/2010 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 12/19/2008 12/19/2008 12/19/2008 09/15/2010 09/15/2010 09/15/2010 10/26/2010 10/26/2010

FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERENZI, RICHARD FERENZI, RICHARD FERENZI, RICHARD FERENZI, RICHARD FERENZI, RICHARD FERENZI, RICHARD FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEENEY, NOREEN FEENEY, NOREEN FEENEY, NOREEN FAZY, JOHN FAZY, JOHN FAZY, JOHN FARY, TIMOTHY FARY, TIMOTHY

9161

9169

9161

153 153 153 153 153 153 055 055 055 055 393 393 393 393 393 393 001 001 001

044 044

fice lice lice lice lice lice lice lice lice lice ilice fice lice lice lice lice lice lice lice lice lice lice lice fice -lice lice lice lice fice lice lice lice lice

$6.50

$122.42

$6.50

$534.93

$37.95

$6.50

$1,209.96

$20.78

$6.50

$11.65

$6.50

$1.16

$168.35

$95.65

$6.50

$4,433.73

$6.50

$831.29

$6.50

$177.55

$94.50

$46.49

$6.29

$78.43

$6.50

$83.27

$3.38

$6.50

$10.15

$56.56

$433.18

$6.50

City Of Chicago - Confidential

Page 259 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/1272010 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 02/10/2007 02/10/2007 02/10/2007 02/10/2007 02/10/2007 02/10/2007 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010

FAGAN, DANIEL Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Echavarria, Victor Echavarria, Victor Echavarria, Victor Echavarria, Victor Echavarria, Victor Echavarria, Victor ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR,GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO

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

9161 9161 9161 9161 9161 9161 9161 9161 9161

00006

00016

00001

002

$6.50

$29.04

$6.50

$2,089.18

$56.68

$6.50

$1,132.21

$107.42

$6.50

$2.75

$78.93

$6.50

$107.42

$6.50

$2.75

$140.13

$2.01

$302.81

$6.50

$13.71

$60.38

$6.50

$20.74

$28.87

$6.50

$878.80

$26.39

$244.39

$650.24

$9.92

$6.50

City Of Chicago - Confidential

Page 260 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/15/2010 ENG, DOUGLAS

09/16/2010 ELDRIDGE, MARK

07/02/2010 EDWARDS, JEFFREY

07/02/2010 EDWARDS. JEFFREY

07/02/2010 EDWARDS, JEFFREY

08/04/2010 ECHEVERRIA, ROBERTO

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

008 008 008 008 008 008 008 008 008 008 008 015 015 015 015 015 015 015 015 015 015 015 015 015

lice lice fice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice ilice lice fice lice lice lice lice lice

$4.75

$6.50

$1,940.68

$49.60

$6.50

$185.89

$341.46

$6.50

$13.86

$344.10

$6.50

$226.76

$6.50

$9.20

$87.19

$13.97

$0.84

$6.50

$14.59

$2.32

$6.50

$90.61

$31.71

$6.50

$139.80

$2.76

$6.50

$108.00

$3.57

$14.32

$352.91

$6.50

City Of Chicago - Confidential

Page 261 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 08/08/2010 07/08/2010 07/08/2010 07/08/2010 07/14/1988 07/14/1988 07/14/1988 07/14/1988 07/14/1988 07/14/1988 07/14/1988 06/15/2007 06/15/2007 11/28/2002 11/28/2002 11/28/2002 11/28/2002 11/28/2002

ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR ECHEVERRIA, CESAR EARNEST, EVONA EARNEST, EVONA EARNEST, EVONA Domagala, Bernard Domagala, Bernard Domagala, Bernard Domagala, Bernard Domagala, Bernard Domagala, Bernard Domagala, Bernard Delia, Yvonne Delia, Yvonne Davis, Monica M Davis, Monica M Davis, Monica M Davis, Monica M Davis, Monica M

9161

09999 09999 09999 09999 09999 09999 09999 00008 00008 00006 00006 00006 00006 00006

lice lice lice lice lice lice ilice lice fice fice lice lice fice lice lice lice fice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice

$10.73

$369.98

$6.50

$18.68

$245.59

$6.50

$60.00

$6.50

$62.98

$6.50

$3.18

$841.89

$6.50

$21.52

$11.35

$6.50

$127.56

$104.51

$6.50

$337.50

$76.07

$523.45

$863.06

$12,091.10

$1,708.58

$483.37

$514.97

$6.50

City Of Chicago - Confidential

Page 262 of 319

Incident Date Claimant Rank

08/25/2010 DZIADKOWIEC, TERESA 9161

08/01/2010 DVORATCHEK, JENNIFER 9161

09/01/2010 DURST, DANIEL 9161

08/14/2010 DURHAM, SHENETTA 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $137.50

City Of Chicago Police $6.50

City Of Chicago Police $2.75

City Of Chicago Police $234.93

City Of Chicago Police $18.22

City Of Chicago Police $4.70

City Of Chicago Police $34.42

City Of Chicago Police $6.50

015 City Of Chicago Police $13.43

015 City Of Chicago Police $127.04

015 City Of Chicago Police $313.95

015 City Of Chicago Police $13.43

015 City Of Chicago Police $6.50

015 City Of Chicago Police $313.95

015 City Of Chicago Police $5.16

015 City Of Chicago Police $6.50

015 City Of Chicago Police $127.04

015 City Of Chicago Police $5.16

015 City Of Chicago Police $6.50

015 City Of Chicago Police $127.04

015 City Of Chicago Police $34.49

015 City Of Chicago Police $6.50

015 City Of Chicago Police $1,349.53

015 City Of Chicago Police $5.16

015 City Of Chicago Police $6.50

019 City Of Chicago Police $6.50

019 City Of Chicago Police $1,224.03

019 City Of Chicago Police $31.28

City Of Chicago Police $6.50

City Of Chicago Police $33.38

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 263 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010

DURHAM, SHENETTA DURHAM, SHENETTA DURHAM,SHENETTA DURHAM, SHENETTA DURHAM, SHENETTA DURHAM,SHENETTA DURHAM,SHENETTA DURHAM, SHENETTA DURHAM, SHENETTA DURHAM,SHENETTA DURHAM, SHENETTA DURHAM, SHENETTA DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK. JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH

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

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

Poll Poll Poli Poli

ce ce

ice ce ce ce ice ice ice ice ice ice ice ice ice ce ce ce ce ce ice ice ce ice ice ce ice 'ce ice ice ce ice ice

$6.50

$299.96

$6.50

$242.88

$6.50

$799.22

$6.50

$364.32

$74.90

$6.50

$40.00

$242.88

$6.50

$60.20

$6.50

$60.20

$6.50

$60.20

$6.50

$120.40

$6.50

$207.59

$0.88

$6.50

$120.28

$6.50

$23,951.65

$6.50

$182.67

$6.50

$120.40

City Of Chicago - Confidential

Page 264 of 319

Incident Date Claimant Rank

05/04/2010 DUNK, JOSEPH 9164

Unit of_Insured_Total to be Paid

007 City Of Chicago Police $6.50

007 City Of Chicago Police $108.99

007 City Of Chicago Police $18.97

007 City Of Chicago Police $6.50

007 City Of Chicago Police $1,044.40

007 City Of Chicago Police $6.50

007 City Of Chicago Police $237.18

007 City Of Chicago Police $6.50

007 City Of Chicago Police $286.52

007 City Of Chicago Police $6.50

007 City Of Chicago Police $182.67

007 City Of Chicago Police $6.50

007 City Of Chicago Police $120.40

007 City Of Chicago Police $6.50

007 City Of Chicago Police $120.40

007 City Of Chicago Police $6.50

007 City Of Chicago Police $182.67

007 City Of Chicago Police $6.50

007 City Of Chicago Police $182.67 .

007 City Of Chicago Police $0.96

007 City Of Chicago Police $6.50

007 City Of Chicago Police $119.89

007 City Of Chicago Police $6.50

007 City Of Chicago Police $304.11

007 City Of Chicago Police $6.50

007 City Of Chicago Police $108.99

007 City Of Chicago Police $6.50

007 City Of Chicago Police $311.39

007 City Of Chicago Police $6.50

007 City Of Chicago Police $43.17

007 City Of Chicago Police $6.50

007 City Of Chicago Police $87.19

007 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 265 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/04/2010 05/01/2009 05/01/2009 05/01/2009 05/01/2009 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 04/23/2009 04/23/2009 04/23/2009 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010

DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUGAN, DANIEL DUGAN, DANIEL DUGAN, DANIEL DUGAN, DANIEL DU BOSE, GERMAINE DU BOSE, GERMAINE DU BOSE, GERMAINE DU BOSE, GERMAINE DU BOSE, GERMAINE DU BOSE, GERMAINE DU BOSE, GERMAINE DU BOISE JR, JOHN DU BOISE JR, JOHN DU BOISE JR, JOHN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN

9164 9164 9164 9164 9164 9796 9796 9796 9796 9165 9165 9165 9165 9165 9165 9165 9161 9161 9161

007 007 007 007 007 153 153 153 153 620 620 620 620 620 620 620 715 715 715

ilice lice lice lice fice lice lice lice fice fice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$120.40

$6.50

$182.67

$6.50

$120.40

$6.50

$6,400.00

$6.50

$949.74

$85.36

$6.50

$2,336.92

$6.50

$94.82

$401.26

$2,103.10

$6.50

$8.76

$215.82

$256.56

$6.50

$256.56

$6.50

$256.56

$6.50

$256.56

$6.50

$132.86

$6.50

City Of Chicago - Confidential

Page 266 of 319

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

05/12/2010 05/12/2010 05/12/2010 09/10/2010 09/10/2010 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 09/12/2009 09/12/2009 09/12/2009 09/12/2009 09/12/2009 09/12/2009 09/12/2009 09/12/2009

DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DIXON, RICARDO DIXON, RICARDO DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE

9161 9161

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

007 007 007 007 007 007 007 007 007 007 007 007 005 005 005 005 005 005 005 005

lice fice lice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice fice fice lice lice lice fice lice

$7.64

$87.19

$6.50

$1,089.58

$6.50

$25.08

$2.69

$250.00

$6.50

$2,636.41

$66.27

$632.50

$48.81

$6.50

$848.96

$6.50

$570.10

$6.50

$207.59

$0.66

$6.50

$54.23

$6.50

$87.19

$25.32

$312.40

$6.50

$30.80

$87.19

$6.50

$154.75

City Of Chicago - Confidential

Page 267 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/1272009 09/12/2009 09/12/2009 09/12/2009 09/12/2009 09/12/2009 09/12/2009 09/12/2009 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/20/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 03/21/2010 08/31/2010 08/31/2010

DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DENNIS, ANDRE DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DEBOSE, MARC DEBOSE, MARC

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

005 005 005 005 005 005 005 005 009 009 009 009 009 009 009 009 009 009 009

Poli Poli Poli

9161 9161

315 315

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

$15.25

$108.86

$25.80

$108.86

$25.80

$166.27

$881.28

$6.50

$613.95

$6.50

$288.50

$97.57

$6.50

$78.47

$6.50

$2.01

$142.00

$6.50

$3.63

$52.70

$6.50

$1,274.35

$18.39

$6.50

$1,264.20

351.21

$6.50

$1,204.83

$53.07

$6.50

$239.82

$230.18

$2.79

City Of Chicago - Confidential

Page 268 of 319

Incident Date Claimant Rank

08/31/2010 DEBOSE, MARC 9161

Unit of_Insured_Total to be Paid

315 City Of Chicago Police S6.50

315 City Of Chicago Police $230.18

315 City Of Chicago Police $2.79

315 City Of Chicago Police $6.50

315 City Of Chicago Police $230.18

315 City Of Chicago Police $1.72

315 City Of Chicago Police $6.50

315 City Of Chicago Police $85.95

315 City Of Chicago Police $2.79

315 City Of Chicago Police $6.50

315 City Of Chicago Police $230.18

315 City Of Chicago Police $4.46

315 City Of Chicago Police $6.50

315 City Of Chicago Police $222.90

315 City Of Chicago Police $4.46

315 City Of Chicago Police $6.50

315 City Of Chicago Police $222.90

315 City Of Chicago Police $4.46

315 City Of Chicago Police $6.50

315 City Of Chicago Police $222.90

315 City Of Chicago Police $5.64

315 City Of Chicago Police $6.50

315 City Of Chicago Police $245.59

315 City Of Chicago Police $6.50

315 City Of Chicago Police $281.83

315 City Of Chicago Police $4.46

315 City Of Chicago Police $6.50

315 City Of Chicago Police $222.90

315 City Of Chicago Police $4.46

315 City Of Chicago Police $6.50

315 City Of Chicago Police $222.90

315 City Of Chicago Police $4.78

315 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 269 of 319

Incident Date Claimant Rank

08/31/2010 DEBOSE, MARC 9161

Unit of_Insured_Total to be Paid

315 City Of Chicago Police $238.85

315 City Of Chicago Police $4.78

315 City Of Chicago Police $6.50

315 City Of Chicago Police $238.85

315 City Of Chicago Police $4.29

315 City Of Chicago Police $6.50

315 City Of Chicago Police $214.58

315 City Of Chicago Police $4.78

315 City Of Chicago Police $6.50

315 City Of Chicago Police $238.85

315 City Of Chicago Police $5.64

315 City Of Chicago Police $6.50

315 City Of Chicago Police $281.83

315 City Of Chicago Police $1.72

315 City Of Chicago Police $6.50

315 City Of Chicago Police $36.00

315 City Of Chicago Police $85.95

315 City Of Chicago Police $4.45

315 City Of Chicago Police $6.50

315 City Of Chicago Police $222.26

315 City Of Chicago Police $8.67

315 City Of Chicago Police $6.50

315 City Of Chicago Police $433.53

315 City Of Chicago Police $21.53

315 City Of Chicago Police $6.50

315 City Of Chicago Police $842.53

315 City Of Chicago Police $3.53

315 City Of Chicago Police $6.50

315 City Of Chicago Police $291.02

315 City Of Chicago Police $2.79

315 City Of Chicago Police $6.50

315 City Of Chicago Police $230.18

City Of Chicago - Confidential

Page 270 of 319

Incident Date Claimant Rank

08/31/2010 DEBOSE, MARC 9161

06/27/2010 DAVIS, QUINTON 9161

Unit of_Insured_Total to be Paid

315 City Of Chicago Police $2.79

315 City Of Chicago Police $6.50

701 City Of Chicago Police $4.14

701 City Of Chicago Police $6.50

701 City Of Chicago Police $96.00

701 City Of Chicago Police $6.13

701 City Of Chicago Police $383.88

701 City Of Chicago Police $4.55

701 City Of Chicago Police $6.50

701 City Of Chicago Police $287.43

701 City Of Chicago Police $6.13

701 City Of Chicago Police $6.50

701 City Of Chicago Police $386.49

701 City Of Chicago Police $6.13

701 City Of Chicago Police $6.50

701 City Of Chicago Police $386.49

701 City Of Chicago Police $38.16

701 City Of Chicago Police $6.50

701 City Of Chicago Police $57.09

701 City Of Chicago Police $8.21

701 City Of Chicago Police $6.50

701 City Of Chicago Police $113.77

701 City Of Chicago Police $8.21

701 City Of Chicago Police $6.50

701 City Of Chicago Police $113.77

701 City Of Chicago Police $14.03

701 City Of Chicago Police $6.50

701 City Of Chicago Police $44.00

701 City Of Chicago Police $6.50

701 City Of Chicago Police $1,737.06

701 City Of Chicago Police $13.58

701 City Of Chicago Police $6.50

701 City Of Chicago Police $305.28

City Of Chicago - Confidential

Incident Date Claimant Rank

06/27/2010 DAVIS, QUINTON 9161

Unit of Insured Total to be Paid

701 City Of Chicago Police $16.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $359.04

701 City Of Chicago Police $6.50

701 City Of Chicago Police $98.36

701 City Of Chicago Police $16.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $359.04

701 City Of Chicago Police $16.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $359.04

701 City Of Chicago Police $20.06

701 City Of Chicago Police $6.50

701 City Of Chicago Police $447.36

701 City Of Chicago Police $6.50

701 City Of Chicago Police $175.41

701 City Of Chicago Police $5.13

701 City Of Chicago Police $6.50

701 City Of Chicago Police $323.38

701 City Of Chicago Police $6.13

701 City Of Chicago Police $6.50

701 City Of Chicago Police $386.49

701 City Of Chicago Police $6.13

701 City Of Chicago Police $6.50

701 City Of Chicago Police $386.49

701 City Of Chicago Police $5.17

701 City Of Chicago Police $6.50

701 City Of Chicago Police $326.28

701 City Of Chicago Police $6.13

701 City Of Chicago Police $6.50

701 City Of Chicago Police $386.49

701 City Of Chicago Police $6.50

701 City Of Chicago Police $386.49

City Of Chicago - Confidential

Page 272 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/27/2010 06/27/2010 06/27/2010 06/27/2010 06/27/2010 06/27/2010 06/27/2010 06/27/2010 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009

DAVIS, DAVIS, DAVIS, DAVIS DAVIS DAVIS, DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS DAVIS, DAVIS, DAVIS DAVIS, DAVIS, DAVIS, DAVIS, DAVIS, DAVIS, DAVIS, DAVIS,

QUINTON QUINTON QUINTON QUINTON QUINTON QUINTON QUINTON QUINTON DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE DANIELLE

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

701 701 701 701 701 701 701 701

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice fice lice lice lice fice lice fice lice lice lice

$5.17

$6.50

$326.28

$7.44

$16.02

$6.50

$359.04

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$7.67

$6.50

$0.76

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$404.95

$6.50

$33.38

$222.60

$6.50

$12.91

City Of Chicago - Confidential

Page 273 of 319

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

08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 08/26/2009 09/11/2010 09/11/2010 09/11/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010

DAVIS, DANIELLE DAVIS, DANIELLE DAVIS, DANIELLE DAVIS, DANIELLE DAVIS, DANIELLE DAVIS, DANIELLE DAVIS, DANIELLE DAVIS, DANIELLE DAVIS III, AARON DAVIS III, AARON DAVIS III, AARON DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA

9164 9164 9164 9164 9164 9164 9164 9164 9161 9161 9161

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

003 003 003

lice ilice lice lice lice lice lice lice lice lice lice lice lice fice lice fice lice lice fice fice lice lice lice fice lice fice lice lice lice lice lice lice lice

$331.50

$6.50

$331.50

$26.41

$6.50

$331.50

$26.41

$135.72

$37.55

$6.50

$1,277.79

$1,623.99

$51.82

$6.50

$65.88

$342.60

$6.50

$342.60

$6.50

$342.60

$6.50

$114.20

$6.50

$132.00

$6.50

$456.80

$6.50

$228.40

$6.50

$87.00

City Of Chicago - Confidential

Page 274 of 319

Incident Date Claimant Rank

05/14/2010 DARCY, PATRICIA 9161

06/02/2010 Cuevas, Ricardo

12/16/2006 Connelly, Dennis M S

01/18/1999 Clifton-Cole, Everly V P

Unit of_Insured_Total to be Paid

City Of Chicago Police $228.40

City Of Chicago Police $6.50

City Of Chicago Police $176.45

City Of Chicago Police $7.16

City Of Chicago Police $6.50

00022 City Of Chicago Police $348.53

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $6.97

00022 City Of Chicago Police $65.39

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $5.01

00022 City Of Chicago Police $65.39

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $5.01

00022 City Of Chicago Police $65.39

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $5.01

00022 City Of Chicago Police $652.17

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $1.51

00022 City Of Chicago Police $213.84

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $16.47

00022 City Of Chicago Police $652.17

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $1.51

00022 City Of Chicago Police $236.24

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $0.55

00022 City Of Chicago Police $304.16

00022 City Of Chicago Police $6.50

00011 City Of Chicago Police $6.50

00011 City Of Chicago Police $87.19

City Of Chicago - Confidential

Page 275 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

12/24/2007 12724/2007 01/25/1998 01/25/1998 01/25/1998 01/25/1998 01/25/1998 01/25/1998 01/25/1998 01/25/1998 01/25/1998 01/25/1998 08/14/2004 08/14/2004 08/14/2004 0972472008 09/24/2008 09/24/2008 03702/2004 03/02/2004 03/02/2004 11/06/2010 11/06/2010 10/19/2010 10/19/2010 10/19/2010 09/12/2010 09/12/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010

Chmielik, Joseph Chmielik, Joseph Cato, Eric D Cato, Eric D Cato, Eric D Cato, Eric D Cato, Eric D Cato, Eric D Cato, Eric D Cato, Eric D Cato, Eric D Cato, Eric D Catlin, Leroi J Catlin, Leroi J Catlin, Leroi J Carrethers, Nicole J Carrethers, Nicole J Carrethers, Nicole J Calhoun, Rose Calhoun, Rose Calhoun, Rose CZARNIK, MARK CZARNIK, MARK CYGNAR, BRIAN CYGNAR, BRIAN CYGNAR, BRIAN CURCIO, MICHAEL CURCIO, MICHAEL CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN

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

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

00018

00005

00004

00008

00007

023

314

ilice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice fice fice lice fice lice lice lice lice lice lice

$99.00

$6.50

$134.94

$165.04

$6.50

$134.94

$6.50

$134.94

$6.50

$350.68

$6.50

$72.33

$6.50

$60.40

$71.32

$127.95

$6.50

$1.72

$85.95

$6.50

$1,315.49

$6.50

$57.41

$284.14

$6.50

$207.59

$6.50

$298.91

$6.50

$236.64

$2,022.15

City Of Chicago - Confidential

Page 276 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 06/08/2010 06/08/2010 05/06/2010 05/06/2010 05/06/2010 05/06/2010 05/06/2010 05/06/2010 05/06/2010 05/06/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010

CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CROSBY, GEORGE CROSBY, GEORGE CROSBY, GEORGE CROSBY, GEORGE CRAWFORD, MICHAEL CRAWFORD, MICHAEL CRAWFORD, ALVIN CRAWFORD, ALVIN CRAWFORD, ALVIN CRAWFORD, ALVIN CRAWFORD, ALVIN CRAWFORD, ALVIN CRAWFORD, ALVIN CRAWFORD, ALVIN CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT

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

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

765 765 765 765

017 017 017 017 017 017 017 017

Pol Pol Poli

ice ice ice ce ice ice ice ice ice ice ce ice ice ice Ice ice ice ice ice ice ice ce ce ce ce oe ce ce ce ice ce ce ce

$1.88

$6.50

$318.48

$6.50

$549.96

$6.50

$405.85

$6.50

$87.19

$6.50

$2.59

$6.50

$87.19

$6.50

$544.16

$6.50

$87.19

$892.52

$6.50

$88.21

$6.50

$892.52

$6.50

$892.52

$6.50

$305.93

$41.70

$6.50

$642.88

$6.50

$30.00

$14.18

City Of Chicago - Confidential

Page 277 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/17/2010 03/17/2010 03/17/2010 03/17/2010 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010

CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK

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

017 017 017 017

Poll Pol Poli

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

$6.50

$218.61

$10.96

$269.97

$202.96

$6.50

$2.98

$257.31

$4.27

$56.77

$291.19

$6.50

$23.19

$32.73

$19.43

$6.50

$203.04

$29.31

$6.50

$249.97

$27.75

$6.50

$280.00

$28.17

$6.50

$477.17

$7.65

$6.50

$14.47

$15.39

$6.50

$15.87

$6.50

City Of Chicago - Confidential

Page 278 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/16/2010 08/16/2010 08/16/2010 10/13/2010 10/13/2010 10/13/2010 09/27/2009 09/27/2009 09/27/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 07/27/2010 07/27/2010

COVELLO, FRANK COVELLO, FRANK COVELLO, FRANK COSENTINO, MICHAEL COSENTINO, MICHAEL COSENTINO, MICHAEL CORTES, JOSE . CORTES, JOSE CORTES, JOSE CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORONA, RODRIGO CORONA, RODRIGO CORONA, RODRIGO CORONA, RODRIGO CORONA, RODRIGO COOPER, GARY COOPER, GARY

9161 9161 9161 9161 9161 9161

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

016 016 016

008 008 008 008 008 008 008 008 008 008 008 008 008 008 008 008 008 009 009 009 009 009 011 011

$391.00

$6.50

$232.51

$18.26

$6.50

$9.26

$9.56

$6.50

$235.57

$114.96

$4.66

$6.50

$232.81

$6.50

$7.01

$350.66

$6.50

$3.14

$507.69

$6.50

$2.30

$259.35

$5.02

$6.50

$251.16

$6.50

$144.05

$6.50

$5.85

$311.38

$6.50

$291.23

City Of Chicago - Confidential

Page 279 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/23/2009 07/23/2009 07/23/2009 07/23/2009 04/20/2010 04/20/2010 04/20/2010 12716/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009

COOPER, GARY COOPER, GARY COOPER, GARY COOPER, GARY COOPER, GARY COOPER, GARY COOPER, GARY COOPER, GARY COOPER, GARY COOPER, GARY CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, DANIEL CONWAY, DANIEL CONWAY, DANIEL CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

011 011 011 011 011 011 011 011 011 011

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

Poll Pol

Poli

ce ce ce

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

$6.50

$409.98

$6.50

$5.82

$3.64

$6.50

$300.73

$6.50

$192.03

$275.03

$190.36

$6.50

$3.81

$382.20

$109.42

$6.50

$64.69

$15.25

$309.50

$6.50

$30.50

$154.75

$6.50

$15.25

$154.75

$6.50

$15.25

$154.75

$6.50

$15.25

$154.75

$6.50

$15.25

City Of Chicago - Confidential

Page'280of 319

Incident Date Claimant Rank

12716/2009 CONNORS, KEVIN 9161

12/16/2009 CONNORS, KEVIN 9161

Unit of Insured Total to be Paid

007 City Of Chicago Police $309.50

007 City Of Chicago Police $6.50

007 City Of Chicago Police $30.50

007 City Of Chicago Police $84.92

007 City Of Chicago Police $6.50

007 City Of Chicago Police $435.92

007 City Of Chicago Police $6.50

007 City Of Chicago Police $8.72

007 City Of Chicago Police $6.50

007 City Of Chicago Police $84.92

007 City Of Chicago Police $154.75

007 City Of Chicago Police $6.50

007 City Of Chicago Police $15.25

007 City Of Chicago Police $154.75

007 City Of Chicago Police $6.50

007 City Of Chicago Police $15.25

007 City Of Chicago Police $154.75

007 City Of Chicago Police $6.50

007 City Of Chicago Police $15.25

007 City Of Chicago Police $154.75

007 City Of Chicago Police $6.50

007 City Of Chicago Police $15.25

007 City Of Chicago Police $154.75

007 City Of Chicago Police $6.50

007 City Of Chicago Police $15.25

007 City Of Chicago Police $309.50

007 City Of Chicago Police $6.50

007 City Of Chicago Police $30.50

007 City Of Chicago Police $154.75

007 City Of Chicago Police $6.50

007 City Of Chicago Police $15.25

007 City Of Chicago Police $154.75

007 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 281 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/1272010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 08/12/2010 01/22/2010 07/19/2009 03/15/2010 03/15/2010 03/15/2010 03/15/2010 03/15/2010 03/15/2010 09/10/2010

CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA COLLINS, RAYMOND COLLINS, ELEANOR COLEMAN, RAMONA COLEMAN, RAMONA COLEMAN, RAMONA COLEMAN, RAMONA COLEMAN, RAMONA COLEMAN, RAMONA COLEMAN, DIANA

9161

9161 9161 9161 9161 9161 9161 9161

171 171 171 171 171 171 006

$411.54"

$6.50

$272.14

$9.75

$6.50

$486.96

$5.45

$6.50

$272.14

$6.59

$6.50

$329.42

$1.00

$6.50

$82.83

$6.59

$6.50

$329.42

$5.45

$6.50

$272.14

$8.24

$5.45

$6.50

$2.59

$6.50

$89.41

$2.59

$6.50

$89.41

$239.76

City Of Chicago - Confidential

Page 282 of 319

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

09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 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 05/27/2009

COLEMAN, DIANA COLEMAN, DIANA COLEMAN, DIANA COLEMAN, DIANA COLEMAN, DIANA COLEMAN, DIANA 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 ,DENSEY ,DENSEY

COLE

COLE II

COLE

COLE II

COLE

COLE II

COLE

COLE II

COLE

COLE II

COLE

COLE II

COLE

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

006 006 006 006 006 006 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001

lice lice ilice lice lice lice lice lice fice fice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

""$6.50 $233.70 $6.50 $9.38 $205.00 $6.50 $6.50 $350.40 $6.50 $259.48 $1.66 $6.50 $83.07 $6.50 $10.64 $1,538.20 $2,043.40 $1,495.61 $29.69 $163.00 $130.00 $521.38 $28.81 $23.31 $16.04 $6.50 $209.25 $6.10 $6.50 $358.40 $13.20 $6.50 $372.60

City Of Chicago - Confidential

Page 283 of 319

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 $24.92

001 City Of Chicago Police $6.50

001 City Of Chicago Police $191.66

001 City Of Chicago Police $14.31

001 City Of Chicago Police $6.50

001 City Of Chicago Police $212.58

001 City Of Chicago Police $6.50

001 City Of Chicago Police $11.05

001 City Of Chicago Police $32.09

001 City Of Chicago Police $6.50

001 City Of Chicago Police $418.50

001 City Of Chicago Police $8.64

001 City Of Chicago Police $6.50

001 City Of Chicago Police $337.50

001 City Of Chicago Police $316.40

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,714.20

001 City Of Chicago Police $2,273.70

001 City Of Chicago Police $10.26

001 City Of Chicago Police $19.76

001 City Of Chicago Police $491.41

001 City Of Chicago Police $1,714.20

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $2,179.80

001 City Of Chicago Police $1,714.20

011 City Of Chicago Police $6.50

011 City Of Chicago Police $946.99

011 City Of Chicago Police $13.68

011 City Of Chicago Police $6.50

011 City Of Chicago Police $300.76

011 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 284 of 319

Incident Date Claimant Rank

06/09/2010 COBB, TORRENO 9161

Unit of_Insured_Total to be Paid

Ori City Of Chicago Police SlToT

011 City Of Chicago Police S571.85

011 City Of Chicago Police $6.50

011 City Of Chicago Police $6.91

011 City Of Chicago Police $224.40

011 City Of Chicago Police $6.50

011 City Of Chicago Police $4.48

011 City Of Chicago Police $1,328.34

011 City Of Chicago Police $6.50

011 City Of Chicago Police $210.06

011 City Of Chicago Police $6.50

011 City Of Chicago Police $4.20

011 City Of Chicago Police $233.93

011 City Of Chicago Police $6.50

011 City Of Chicago Police $4.68

011 City Of Chicago Police $212.76

011 City Of Chicago Police $6.50

011 City Of Chicago Police $176.64

011 City Of Chicago Police $6.50

011 City Of Chicago Police $3.54

011 City Of Chicago Police $576.36

011 City Of Chicago Police $6.50

011 City Of Chicago Police $11.53

011 City Of Chicago Police $233.93

011 City Of Chicago Police $6.50

011 City Of Chicago Police $4.68

011 City Of Chicago Police $233.93

011 City Of Chicago Police $6.50

011 City Of Chicago Police $4.68

011 City Of Chicago Police $233.93

011 City Of Chicago Police $6.50

011 City Of Chicago Police $4.68

011 City Of Chicago Police $212.76

City Of Chicago - Confidential

Page 285 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/09/2010 COBB, TORRENO

03/01/2010 CLISHAM, MICHAEL

07/17/2010 CLINKSCALES, PHYLLIS

09/16/2010 CLEVELAND, CHARLES

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

011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 055 055 055 055 055 055 055 005 005 005 003 003 003

Poli Poli Poli

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

$6.50

$202.38

$6.50

$202.38

$6.50

$254.27

$6.50

$202.38

$6.50

$295.80

$6.50

$1,115.54

$6.50

$254.27

$6.50

$467.05

$16.63

$6.50

$16.40

$3,000.00

$133.29

$6.50

$259.49

$6.50

$39.00

$15.42

$167.00

$6.50

$98.81

$6.50

$2,251.01

$73.96

City Of Chicago - Confidential

Page 286 of 319

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

CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL CIOE, MICHAEL

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

"$"17112715" $6.50 $311.38 $6.50 $2,319.34 $6.50 $311.38 $6.50 $173.00 $6.50 $1,692.99 $6.50 $6.50 $381.97 $213.20 $14.98 $12.46 $74.11 $6.50 $3.01 $6.50 $6.50 $256.75 $6.50 $17.40 $213.20 $6.50 $12.46 $244.40 $6.50 $13.33 $21.91 $56.26

City Of Chicago - Confidential

Page 287 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/01/2010 CIOE, MICHAEL

10/18/2009 CIFUENTES, JUAN

01/07/2010 CEPHAS, RYDELL

07/12/2010 CAVANAUGH, MICHAEL

08/02/2010 CATTERSON, COLIN

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

015 015 001 001 001 001 001 001 001 001 001 001 001

lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice ilice lice fice lice lice fice lice lice fice fice

$282.75

$6.50

$12.56

$269.75

$6.50

$14.98

$326.30

$6.50

$17.49

$269.75

$9.33

$375.30

$404.76

$6.50

$202.38

$6.50

$186.19

$6.50

$3.72

$202.38

$6.50

$202.38

$6.50

$87.19

$6.50

$175.62

$6.50

$67.47

$6.50

$261.41

$6.50

$17.82

$87.19

City Of Chicago - Confidential

Page 288 of 319

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

08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 04/08/2010 04/08/2010 04/08/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 03/11/2010 03/11/2010 03/11/2010 03/11/2010

CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CATTERSON, COLIN CASTRO. ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASASANTO, DANIEL CASASANTO, DANIEL CASASANTO, DANIEL CASASANTO, DANIEL

Pol Poli Poli Pol

9161 9161 9161 9161

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

$551.53

$8.48

$6.50

$262.05

$8.48

$6.50

$262.05

$6.50

$104.84

$15.53

$6.50

$478.44

$8.63

$6.50

$266.65

$6.50

$104.84

$6.50

$235.19

$6.50

$190.26

$2.79

$6.50

$400.00

$1,170.12

$6.50

$10.45

$6.50

$259.45

$202.90

City Of Chicago - Confidential

Page 289 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/11/2010 03/11/2010 03/11/2010 03/11/2010 03/11/2010 10/18/2010 10/18/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010

CASASANTO, DANIEL CASASANTO, DANIEL CASASANTO, DANIEL CASASANTO, DANIEL CASASANTO, DANIEL CARTER, CARL CARTER, CARL CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, PETER CARROLL, PETER CARROLL, PETER CARROLL, PETER CARROLL, PETER CARROLL, PETER CARROLL, PETER CARROLL, PETER

9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161

001 001 001 001 001 001 001 001

$259.45

$6.50

$10.45

$6.50

$7.93

$566.96

$6.50

$308.52

$6.50

$13.09

$567.82

$6.50

$23.94

$659.90

$6.50

$28.72

$297.61

$6.50

$11.38

$297.61

$6.50

$11.38

$11.28

$272.98

$6.50

$275.98

$6.50

$5.52

$372.44

$6.50

$7.44

$186.22

$6.50

City Of Chicago - Confidential

Page 290 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli

07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 07/30/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010

PETER

JOSEPH

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

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

Poli Pol Pol

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

$3.72

$92.63

$6.50

$1.85

$186.22

$6.50

$3.72

$372.44

$6.50

$7.44

$114.88

$6.50

$87.70

$319.66

$6.50

$87.70

$1.43

$6.50

$149.46

$22.68

$6.50

$706.80

$40.12

$6.50

$1,278.64

$11.34

$6.50

$353.40

$13.80

$6.50

$423.85

$11.04

$6.50

City Of Chicago - Confidential

Page 291 of 319

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 Po¹City 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 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

05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010

JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH JOSEPH

lice ilice lice lice lice lice fice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice fice fice lice

$52.69

$0.84

$6.50

$0.84

$6.50

$87.70

$2.92

$6.50

$88.00

$39.66

$6.50

$1,216.20

$39.66

$6.50

$1,216.20

$2.64

$6.50

$56.00

$45.48

$6.50

$1,449.07

$13.22

$6.50

$405.40

$22.67

$6.50

$706.80

$20.06

$6.50

$639.32

$30.09

$6.50

$958.98

City Of Chicago - Confidential

Page 292 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010 05/05/2010

CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARRANZA, AARON CARRANZA, AARON CARRANZA, AARON CARRANZA, AARON CARRANZA, AARON CARRANZA, AARON CARRANZA, AARON CARRANZA, AARON CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD

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

$11.34

$6.50

$353.40

$10.03

$6.50

$0.84

$464.10

$6.50

$18.84

$6.50

$1.00

$108.99

$138.28

$104.64

$6.50

$325.20

$139.52

$6.50

$433.60

$76.43

$6.50

$389.82

$182.83

$6.50

$582.16

$34.88

$6.50

$108.40

$34.88

$6.50

$108.40

$174.40

City Of Chicago - Confidential

Page 293 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/05/2010 CARO, RICHARD

10/29/2010 CARDENAS, JUAN

10/15/2010 CANNATA, CHRISTOPHER

10/10/2009 CAMPOS, MARCO

12/07/2009 CALLAGHAN, BRIAN

09/11/2010 CALLAGHAN, BRIAN

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

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

153 153 044 044 044

Poll Poll Pol

$6.50

$542.00

$34.88

$6.50

$108.40

$6.50

$381.41

$39.40

$294.87

$6.50

$202.62

$6.50

$11.65

$202.62

$6.50

$11.65

$6.02

$6.50

$61.03

$234.14

$4.14

$6.50

$282.37

$6.50

$1,190.34

$6.50

$3.44

$6.50

$199.99

$2.94

$254.25

$1,403.31

$6.50

City Of Chicago - Confidential

Page 294 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010

CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER

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

050 050 050 050 050 050 050 050 050 050 050 050 050 050

Pol IO Po Pol Pol Po Pol Pol Po

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

lice lice lice lice lice lice lice dice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice lice

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$351.24

$6.50

$5.15

$144.35

$6.50

$17.65

$43.00

$6.50

$144.35

$6.50

$17.65

$805.43

$6.50

$7.37

$27.66

$6.50

$11.85

$163.51

$6.50

$10.14

$529.97

$6.50

$57.06

$6.50

$14.47

$18.03

$1.72

City Of Chicago - Confidential

Page 295 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010

CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CALDER, WERNER CAJUCOM, BROOK CAJUCOM, BROOK CAJUCOM,BROOK CAJUCOM, BROOK CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS

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

050 050 050 050 050 050 050 001 001 001 001

Pol Pol Pot

ce ce

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

$6.50

$710.28

$6.50

$40.84

$377.00

$6.50

$313.66

$6.50

$475.86

$6.50

$311.38

$207.59

$20.70

$187.23

$6.50

$18.47

$188.96

$6.50

$18.64

$203.40

$6.50

$4.07

$188.96

$6.50

$18.64

$183.73

$6.50

$18.12

$95.65

$6.50

$1.16

$803.00

$6.50

City Of Chicago - Confidential

Page 296 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/18/2010 09/2272003 09/2272003 09/2272003 09/2272003 09/22/2003 04/12/2008 04/24/2007 04/24/2007 04/24/2007 10/25/2006 10/25/2006 01/28/2006 01/28/2006 07/18/2010 07/18/2010 07/18/2010 07/18/2010 05/06/2010 05/06/2010 08/05/2010 08/05/2010

CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS CAIN, ROZILLIUS Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Buckley, James M Brown, James E Brown, James E Brown, James E Boggan, Kimberly L Boggan, Kimberly L Battaglia, Catherine T Battaglia, Catherine T BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BUKOWSKI, GEORGE BUKOWSKI, GEORGE BUCIO, MARIA BUCIO, MARIA

9161

00008 00008 00008 00008 00008 00019 00012 00012 00012 00015 00015 00020 00020

Poll Poli Poli

9161 9161 9161 9161

016 016 001 001

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

$0.46

$95.65

$6.50

$1.16

$288.37

$5.77

$187.23

$6.50

$18.47

$209.96

$6.50

$49.54

$65.46

$117.27

$259.40

$58.42

$190.54

$53.76

$366.24

$6.50

$52.00

$6.50

$13.57

$16.21

$1.42

$6.50

$117.33

$6.50

$297.89

$1,044.98

$6.50

City Of Chicago - Confidential

Page 297 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 08/05/2010 11/01/2009 10/01/2010 10/01/2010 10/05/2010 10/05/2010 10/26/2010 10/26/2010

BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO, MARIA BUCIO. MARIA BUCIO, MARIA BUCIO, MARIA BRYJA, JOHN BRYANT, SANDRA BRYANT, SANDRA BROWN, EDGAR BROWN, EDGAR BROWN, CYNTHIA BROWN, CYNTHIA

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

001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 001 011 610 610

023 023

lice ilice fice lice lice lice lice fice fice fice lice fice lice lice fice lice fice fice lice fice lice lice lice fice lice lice lice fice lice lice lice fice lice

S46.64

$272.98

$6.90

$11.13

$416.55

$6.50

$17.70

$384.35

$6.50

$15.98

$272.97

$6.50

$11.13

$21.77

$320.46

$6.50

$114.64

$46.82

$6.50

$6.75

$6.50

$338.00

$1.41

$6.50

$70.67

$6.50

$749.07

$207.59

$6.50

$488.82

$6.50

City Of Chicago - Confidential

Page 298 of 319

Incident Date Claimant Rank

10/26/2010 BROWN, CYNTHIA 9161

04/14/2010 BROWN, ANTHONY 9161

05/11/2009 BROWN JR, HERBERT 9171

08/27/2010 BROADWAY, MARGIE

06/12/2010 BRATEK, CHRISTOPHER

Unit of_Insured_Total to be Paid

023 City Of Chicago Police $42.00

023 City Of Chicago Police $6.50

023 City Of Chicago Police $259.48

023 City Of Chicago Police $1,220.14

002 City Of Chicago Police $484.87

002 City Of Chicago Police $6.50

002 City Of Chicago Police $17.27

002 City Of Chicago Police $8.03

002 City Of Chicago Police $6.50

002 City Of Chicago Police $0.25

002 City Of Chicago Police $3.08

002 City Of Chicago Police $6.50

002 City Of Chicago Police $209.78

002 City Of Chicago Police $7.17

002 City Of Chicago Police $6.50

002 City Of Chicago Police $228.35

002 City Of Chicago Police $4.01

002 City Of Chicago Police $6.50

002 City Of Chicago Police $127.88

002 City Of Chicago Police $21.49

002 City Of Chicago Police $554.13

002 City Of Chicago Police $6.50

City Of Chicago Police $241.21

007 City Of Chicago Police $6.50

007 City Of Chicago Police $69.25

007 City Of Chicago Police $108.99

007 City Of Chicago Police $6.50

007 City Of Chicago Police $43.41

007 City Of Chicago Police $6.50

007 City Of Chicago Police $1,552.26

007 City Of Chicago Police $50.69

City Of Chicago Police $67.47

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 299 of 319

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 08/29/2010 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 09/08/2010 09/08/2010

BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRAGIEL, LAURA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BOYD, STEPHEN BOYD, STEPHEN

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

171 171 171 171 171 171 171 171 171 171 171 171 171 171 171 171 171 003 003

lice lice lice lice fice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice lice fice lice lice lice lice lice lice

$6.50

$164.00

$6.50

$311.38

$1,682.43

$757.71

$6.50

$86.00

$6.50

$337.19

$6.50

$169.19

$6.50

$157.07

$116.37

$6.50

$1.41

$444.58

$6.50

$781.68

$6.50

$31.73

$143.80

$6.50

$1.74

$157.87

$6.50

$4.03

$3,017.77

$58.86

$6.50

City Of Chicago - Confidential

Page 300 of 319

Incident Date Claimant Rank

09/08/2010 BOYD, STEPHEN 9161

04/28/2010 BOYD, JONATHAN

05/30/2010 BOONE, RICKY 9171

Unit of_Insured_Total to be Paid

003 City Of Chicago Police $5.80

003 City Of Chicago Police $129.32

003 City Of Chicago Police $6.50

003 City Of Chicago Police $12.74

003 City Of Chicago Police $129.32

003 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $442.95

022 City Of Chicago Police $6.50

022 City Of Chicago Police $2.95

022 City Of Chicago Police $211.99

022 City Of Chicago Police $6.50

022 City Of Chicago Police $0.18

022 City Of Chicago Police $248.87

022 City Of Chicago Police $6.50

022 City Of Chicago Police $0.05

022 City Of Chicago Police $248.87

022 City Of Chicago Police $6.50

022 City Of Chicago Police $0.05

022 City Of Chicago Police $248.87

022 City Of Chicago Police $6.50

022 City Of Chicago Police $0.05

022 City Of Chicago Police $211.99

022 City Of Chicago Police $6.50

022 City Of Chicago Police $0.18

022 City Of Chicago Police $497.74

022 City Of Chicago Police $6.50

022 City Of Chicago Police $0.10

022 City Of Chicago Police $248.87

022 City Of Chicago Police $6.50

022 City Of Chicago Police $0.05

022 City Of Chicago Police $248.87

City Of Chicago - Confidential

Page 301 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010 05/30/2010

BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY BOONE, RICKY

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

022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022 022

lice fice lice lice lice lice fice fice lice lice lice lice lice fice lice lice fice fice lice lice lice lice lice lice fice fice lice lice lice fice fice lice lice

$6.50

$0.05

$308.78

$6.50

$0.59

$315.11

$6.50

$6.31

$229.16

$6.50

$4.59

$25.95

$6.50

$229.15

$6.50

$4.58

$253.02

$6.50

$5.06

$286.44

$6.50

$5.73

$195.74

$6.50

$3.92

$6.50

$0.05

$248.87

$391.72

$6.50

$1.80

$458.32

$6.50

City Of Chicago - Confidential

Page 302 of 319

Incident Date Claimant Rank

05/30/2010 BOONE, RICKY 9171

09/18/2009 BOND, WENDY

04/18/2010 BOJAN, BRYAN 9161

Unit of_Insured_Total to be Paid

022 City Of Chicago Police $9.18

022 City Of Chicago Police $92.63

022 City Of Chicago Police $6.50

022 City Of Chicago Police $1.85

022 City Of Chicago Police $7,421.40

022 City Of Chicago Police $6.50

022 City Of Chicago Police $462.32

022 City Of Chicago Police $89.41

022 City Of Chicago Police $6.50

022 City Of Chicago Police $2.59

022 City Of Chicago Police $146.56

022 City Of Chicago Police $6.50

022 City Of Chicago Police $2.10

022 City Of Chicago Police $488.51

022 City Of Chicago Police $6.50

022 City Of Chicago Police $2.22

022 City Of Chicago Police $253.02

022 City Of Chicago Police $6.50

022 City Of Chicago Police $5.06

022 City Of Chicago Police $142.86

City Of Chicago Police $6.50

City Of Chicago Police $32.00

City Of Chicago Police $6.50

City Of Chicago Police $170.28

153 City Of Chicago Police $82.50

153 City Of Chicago Police $4.75

153 City Of Chicago Police $6.50

153 City Of Chicago Police $135.00

153 City Of Chicago Police $6.08

153 City Of Chicago Police $6.50

153 City Of Chicago Police $150.00

153 City Of Chicago Police $4.75

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 303 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/18/2010 BOJAN, BRYAN

10/16/2010 BOETTCHER, JASON

11/05/2010 BOCANEGRA, MARCOS

07/19/2010 BLASZ, SCOTT

09/16/2010 BITTNER, SCOTT

06/07/2010 BINFA, DANIEL

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

153 153 153 153 153 153 153 153 153

010 010 014 014 014 014 014 014

lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice fice fice lice lice lice lice lice lice lice lice lice lice lice lice

$135.00

$6.50

$84.08

$7.32

$6.50

$2.51

$135.00

$4.75

$6.50

$22.58

$46.00

$6.50

$172.08

$2.08

$6.50

$6.00

$6.50

$495.65

$883.28

$6.50

$2,929.57

$44.99

$6.50

$5.06

$44.99

$6.50

$5.06

$8.89

$6.50

$20.37

$5.00

$250.19

City Of Chicago - Confidential

Page 304 of 319

Incident Date Claimant Rank

06/07/2010 BINFA, DANIEL

08/12/2010 BILES, ELGIN 9161

08/07/2010 BIALEK, TIMOTHY 9173

03/13/2010 BERKA, BRIAN 9161

Unit of _Insured_Total to be Paid

City Of Chicago Police $4,46

City Of Chicago Police $6.50

City Of Chicago Police $222.90

City Of Chicago Police $6.50

City Of Chicago Police $27.13

City Of Chicago Police $6.50

City Of Chicago Police $570.74

City Of Chicago Police $13.53

City Of Chicago Police $267.37

City Of Chicago Police $6.50

008 City Of Chicago Police $6.50

008 City Of Chicago Police $141.99

008 City Of Chicago Police $4.07

008 City Of Chicago Police $203.40

008 City Of Chicago Police $1.72

044 City Of Chicago Police $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.43

044 City Of Chicago Police $6.50

044 City Of Chicago Police $313.95

044 City Of Chicago Police $10.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $257.40

044 City Of Chicago Police $13.43

044 City Of Chicago Police $12.56

044 City Of Chicago Police $513.41

044 City Of Chicago Police $6.50

044 City Of Chicago Police $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

044 City Of Chicago Police $370.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.94

City Of Chicago - Confidential

Page 305 of 319

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

03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 04/17/2010 04/17/2010 04/17/2010 04/17/2010 04/17/2010 04/17/2010 04/17/2010 04/17/2010

BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BENNETT, JOSEPH BENNETT, JOSEPH BENNETT, JOSEPH BENNETT, JOSEPH BENNETT, JOSEPH BENNETT, JOSEPH BENNETT, JOSEPH BENNETT, JOSEPH BELL, KANETHA BELL, KANETHA BELL, KANETHA BELL, KANETHA BELL, KANETHA BELL, KANETHA BELL, KANETHA BELL, KANETHA

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

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

Poli Poli Poli Poli

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

$282.75

$6.50

$12.56

$226.20

$6.50

$10.05

$257.40

$6.50

$10.92

$257.40

$6.50

$10.92

$313.95

$6.50

$13.43

$313.95

$6.50

$8.21

$113.77

$6.50

$8.21

$113.77

$6.50

$15.25

$154.75

$6.50

$15.25

$6.50

$20.97

$267.69

City Of Chicago - Confidential

Page 306 of 319

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

04/17/2010 BELL, KANETHA'

04/17/2010 BELL, KANETHA

08/18/2010 BAY, ANNETTE

06/18/2010 BATTAGLIA, CATHERINE

10/08/2010 BARTEL, JEFF

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

003 003 003 003 003 003 044 044 044 044 044 020 020 020 020 020 020 020 020 020 020 020 020 020 020 020

lice lice lice lice lice lice lice lice lice lice ilice lice fice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$84.92

$6.50

$154.75

$6.50

$15.25

$154.75

$249.10

$6.50

$38.20

$14.32

$1.73

$6.50

$6.45

$506.00

$6.50

$10.12

$86.35

$6.50

$1.73

$473.80

$6.50

$9.48

$86.35

$96.46

$18.60

$747.73

$159.40

$6.50

$25.14

$6.50

$458.25

City Of Chicago - Confidential

Page 307 of 319

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

10/08/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 07/24/2010 02/19/2010 02/19/2010 02/19/2010 02/19/2010 09/24/2010 09/24/2010 09/24/2010 09/24/2010

BARTEL, JEFF BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARRERA, JOSEPH BARNES, THOMAS BARNES, THOMAS BARNES, THOMAS BARNES, THOMAS BARANOWSKI, JOHN BARANOWSKI, JOHN BARANOWSKI, JOHN BARANOWSKI, JOHN

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

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

|0 Pol Pol Pol Pol

024 024 024 024

ilice lice lice lice fice lice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice lice fice lice lice lice lice lice fice lice

$6.50

$24.78

$292.00

$460.00

$24.78

$6.50

$460.00

$81.34

$6.50

$110.31

$20.23

$6.50

$376.00

$24.78

$6.50

$460.00

$20.23

$6.50

$376.00

$20.23

$6.50

$376.00

$15.68

$6.50

$84.92

$6.50

$84.92

$6.50

$14.76

$17.65

$6.50

City Of Chicago - Confidential

Page 308 of 319

Incident Date Claimant Rank

09/24/2010 BARANOWSKI, JOHN 9171

07/24/2010 BARAK, JOHN 9161

Unit of Insured Total to be Paid

024 City Of Chicago Police $14435

024 City Of Chicago Police $1,500.00

024 City Of Chicago Police $6.50

024 City Of Chicago Police $144.35

024 City Of Chicago Police $9.59

024 City Of Chicago Police $6.50

024 City Of Chicago Police $17.65

153 City Of Chicago Police $269.88

153 City Of Chicago Police $6.50

153 City Of Chicago Police $269.88

153 City Of Chicago Police $6.50

153 City Of Chicago Police $306.21

153 City Of Chicago Police $6.50

153 City Of Chicago Police $269.88

153 City Of Chicago Police $6.50

153 City Of Chicago Police $171.27

153 City Of Chicago Police $6.50

153 City Of Chicago Police $171.27

153 City Of Chicago Police $6.50

153 City Of Chicago Police $1,648.00

153 City Of Chicago Police $6.50

153 City Of Chicago Police $214.35

153 City Of Chicago Police $6.50

153 City Of Chicago Police $76.81

153 City Of Chicago Police $6.50

153 City Of Chicago Police $76.81

153 City Of Chicago Police $6.50

153 City Of Chicago Police $76.81

153 City Of Chicago Police $6.50

153 City Of Chicago Police $212.80

153 City Of Chicago Police $6.50

153 City Of Chicago Police $212.80

153 City Of Chicago Police $299.98

City Of Chicago - Confidential

Page 309 of 319

Incident Date Claimant_Rank

07/24/2010 BARAK, JOHN 9161

12/22/2009 BAQAI, FARAH 9161

10/14/2009 BANIK, MARIBETH

01/15/2010 BALASZ, TIMOTHY 9161

09/22/2010 BALACHOWSKI, GEOFFREY

08/18/2010 BAKER, TAMMY 9161

Unit of Insured Total to be Paid

153 City Of Chicago Police $6.50

City Of Chicago Police $4.66

City Of Chicago Police $6.50

City Of Chicago Police $114.69

City Of Chicago Police $3.01

City Of Chicago Police $6.50

City Of Chicago Police $74.11

City Of Chicago Police $1,042.13

City Of Chicago Police $6.50

City Of Chicago Police $430.34

City Of Chicago Police $6.50

City Of Chicago Police $1,210.28

City Of Chicago Police $6.50

City Of Chicago Police $17.47

City Of Chicago Police $7,422.80

City Of Chicago Police $148.46

City Of Chicago Police $6.50

City Of Chicago Police $1,816.25

City Of Chicago Police $6.50

City Of Chicago Police $234.14

City Of Chicago Police $3.44

City Of Chicago Police $1.72

City Of Chicago Police $6.50

City Of Chicago Police $141.99

City Of Chicago Police $7.51

City Of Chicago Police $6.50

City Of Chicago Police $375.28

City Of Chicago Police $6.50

City Of Chicago Police $496.15

City Of Chicago Police $6.50

City Of Chicago Police $496.15

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 310 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/18/2010 BAKER, TAMMY

08/16/2010 BAEZAJR, RAUL

08/16/2010 BAEZA JR, RAUL

08/16/2010 BAEZAJR, RAUL

08/10/2006 Allen-Harper-Tate, Jytonne

10/13/2000 Allen, Deborah

9161

023

09999

00015

Poll Pol, Poli

$496.15

$6.50

$496.15

$6.50

$499.26

$6.50

$478.51

$6.50

$1.26

$12.95

$6.50

$254.05

$12.95

$6.50

$254.05

$12.95

$6.50

$254.05

$12.95

$6.50

$254.05

$6.50

$1,089.90

$13.33

$6.50

$244.40

$85.87

$30.40

$6.50

$7.43

$371.91

$1,401.30

$6.50

City Of Chicago - Confidential

Page 311 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol

10/13/2000 Allen, Deborah

05/07/2006 Adams, Jerry M

11/28/2007 Adams, Craig li

04/21/2009 AYANGOKE, CONSANDRA

09/28/2010 AUBERT, LANELL

09/26/2010 ASCENCIO, RAMON

08/12/2009 ARROYO, RICHARD

12/19/2009 ARROYO, REYNA

09/15/2010 ARRINGTON, REGINALD

08/17/2010 ARMSTRONG, DERRICK

P P P P P P P P P

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161

00015

00004

00022

005

007

005 005

Poli Poll Poli Pol Pol Poli

Poll

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

$6.50

$12.15

$6.50

$71.46

$6.50

$385.08

$6.50

$32.50

$30.43

$6.50

$185.84

$6.50

$43.40

$185.84

$50.27

$43.40

$223.42

$6.50

$30.55

$5.73

$6.50

$221.54

$2,975.00

$6.50

$293.26

$6.50

$515.21

$6.50

$157.78

$6.50

$81.91

City Of Chicago - Confidential

Page 312 of 319

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

08/17/2010 ARMSTRONG, DERRICK

09/18/2010 ARGUETA, VILMA

02/08/2010 ARES NANFRIA, FRANCES

09/21/2010 ARCEO, LEW

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

009 009

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

lice lice lice lice lice lice lice lice ilice ilice lice lice lice lice lice fice lice lice lice lice fice lice lice lice lice lice fice fice lice lice lice lice fice

$67.47

$6.50

$87.19

$6.50

$87.19

$6.50

$67.47

$6.50

$81.91

$207.59

$6.50

$15.92

$6.50

$276.80

$1.33

$6.50

$23.20

$1.47

$25.60

$6.50

$10.44

$1.29

$6.50

$88.23

$10.44

$6.50

$197.50

$10.44

$197.50

$186.55

$6.50

City Of Chicago - Confidential

Page 313 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/21/2010 09/21/2010 09/21/2010 09/21/2010 09/21/2010 09/21/2010 12/27/2008 12/27/2008 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010

ARCEO, LEW ARCEO, LEW ARCEO, LEW ARCEO, LEW ARCEO, LEW ARCEO, LEW ARAMBULA. SAUL ARAMBULA, SAUL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL

9161 9161 9161 9161 9161 9161

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

044 044 044 044 044 044

Poll Poli Poli

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

$197.50

$4.54

$6.50

$309.70

$10.56

$6.50

$87.19

$6.50

$0.16

$227.66

$203.36

$6.50

$210.50

$24.75

$6.50

$315.70

$10.44

$6.50

$197.50

$3.99

$6.50

$167.43

$8.02

$6.50

$210.50

$5.02

$6.50

$183.84

$8.02

$6.50

$210.50

$0.48

$6.50

City Of Chicago - Confidential

Page 314 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 03/14/2009 03/14/2009 03/14/2009

ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ANDRADE, ALMAZAN, ALMAZAN, ALMAZAN,

DANIEL

BENJAMIN

9161 9161 9161 9161 9161 9161 9161 9161 9161 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

010 010 010

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

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

$59.15

$6.50

$41.52

$8.02

$6.50

$210.50

$6.50

$815.79

$2.62

$6.50

$45.60

$8.02

$6.50

$210.50

$3.99

$6.50

$188.18

$3.99

$6.50

$188.18

$8.02

$6.50

$210.50

$8.02

$6.50

$210.50

$8.02

$0.16

$6.50

$311.41

$6.50

City Of Chicago - Confidential

Page 315 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/14/2009 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010

ALMAZAN, BENJAMIN ALEXANDER, DANA

ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER, ALEXANDER ALEXANDER ALEXANDER, ALEXANDER, ALEXANDER ALEXANDER, ALEXANDER, ALEXANDER, ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER ALEXANDER

DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA DANA

9161 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796

010 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212 212

City Of <

f 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 Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Poi City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol 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 fice lice lice lice lice lice lice lice lice lice lice lice lice fice lice ilice lice lice lice lice lice lice lice lice dice lice lice

$622.82

$6.50

$10.89

$6.50

$12.74

$367.64

$6.50

$36.24

$590.68

$6.50

$58.22

$292.80

$6.50

$28.86

$183.82

$6.50

$18.12

$140.23

$6.50

$13.83

$2,655.10

$6.50

$73.30

$391.00

$6.50

$15.87

$87.19

$183.82

$6.50

$18.12

$340.46

$6.50

$169.30

City Of Chicago - Confidential

Page 316 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010

ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN

9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796

212 212 212 212 212 212 212 212 212 212 212 212 212 212

9161 9161 9161 9161

010 010 010 010

S6.50

$16.70

$152.00

$6.50

$15.18

$454.00

$6.50

$45.02

$175.22

$20.79

$6.50

$72.96

$6.50

$129.32

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$189.90

$6.50

$10.35

$120.35

$6.50

$10.27

$16.95

$88.39

City Of Chicago - Confidential

Page 317 of 319

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/31/2010 06/24/2010 06/24/2010 09/09/2010 09/09/2010 09/09/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009

ALANIZ, BRIAN ALANIZ, ARTHUR ALANIZ, ARTHUR ALAMILLO, ARMANDO ALAMILLO, ARMANDO ALAMILLO, ARMANDO AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHMAD, FADI AHEARN,DORY AHEARN, DORY AHEARN, DORY AHEARN, DORY AHEARN,DORY AHEARN, DORY AHEARN,DORY AHEARN, DORY AHEARN,DORY

9161 9153 9153 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

010 050 050

016 016 016 016 016 016 016 016 016

$16.95

$7.51

$0.44

$6.50

$38.11

$1.55

$212.76

$3.88

$6.50

$320.43

$5.28

$6.50

$264.21

$5.06

$6.50

$253.02

$6.50

$380.61

$6.50

$212.76

$3.16

$6.50

$261.31

$2.58

$270.00

$3.44

$234.14

$175.60

$6.50

$234.14

$3.44

$442.12

City Of Chicago - Confidential

Page 318 of 319

_Incident Date Claimant_Rank

~ 12/24/2009 AHEARN, DORY 9161

12/24/2009 AHEARN, DORY 9161

10/16/2009 ADKINS, MARC 9161

10/04/2010 ACHILLY, LISA 9161

12/20/2009 ACEVEZ, ANTHONY 9161

12/20/2009 ACEVEZ. ANTHONY 9161

Number Amount Total: 7932 $1,305,196.62

Number Amount Total: 10505 $2,032,732.37

Unit of_Insured_Total to be Paid

016 City Of Chicago Police $6.50

016 City Of Chicago Police $8.85

016 City Of Chicago Police $127.50

016 City Of Chicago Police $6.50

016 City Of Chicago Police $5.18

016 City Of Chicago Police $6.50

016 City Of Chicago Police $395.07

715 City Of Chicago Police $727.56

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.56

024 City Of Chicago Police $6.50

024 City Of Chicago Police $655.14

024 City Of Chicago Police $4.75

024 City Of Chicago Police $16.74

024 City Of Chicago Police $185.89

024 City Of Chicago Police $6.50

765 City Of Chicago Police $6.50

765 City Of Chicago Police $100.68

City Of Chicago - Confidential

Page 319 of 319

To"t^e^rPresident of the City"Council:

Your Committee on Finance. Which has given consideration, for Hospitals, Medical and Nursing Services rendered injured members of the Police and or/ the Fire Department.

having had the same under advisement, begs leave to report and recommend Your Honorable Body pass the proposed Orders transmitted herewith:

This recommendation was concurred in by _. ( a vica voca vote.

the ) members of the Committee (with _ dissenting vote(s) i.

Respectfully submitted

hat

(Signed)

Chairman

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

City Of Chicago

Police & Fire Third-Party Orders

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

Insured Namel: City Of Chicago Fire

03/21/2005 Roccasalva, James

05/22/2000 Mcelroy, David B

09/17/2006 Mccormick, Denise

12/24/1985 Lamonica, Joseph

02/15/1991 Guzick, Lawrence

07/19/1982 Banks, Thomas S

Claim Total Amount 23 $1,358.36

Insured Namel: City Of Chicago Police

11/03/2004 Williams, Stanley E

11 /03/2004 Williams, Stanley E

11/03/2004 Williams, Stanley E

F F F F F F L L F F F F F F F M M M E E F F F

09999 09999 09999 09999 09999 09999 00481 00481 09999 09999 09999 09999 09999 09999 09999 00311 00311 00311 00450 00450 00379 00379 00379

00018 00018 00018

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

$2.07

$6.50

$51.03

$31.01

$6.50

$157.79

$6.50

$1.81

$6.50

$90.50

$26.72

$243.77

$6.50

$85.58

$6.50

$3.47

$25.67

$76.57

$163.87

$285.30

$61.20

$909.24

$6.50

$100.68

City Of Chicago - Confidential

Page 1 of 13

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

11/03/2004 03/29/2006 03/29/2006 03/29/2006 03/29/2006 03/29/2006 03/29/2006 03/29/2006 11/06/2007 11/06/2007 11/06/2007 11/19/2002 11/19/2002 11/19/2002 11/19/2002 11/19/2002 11/19/2002 08/28/2006 08/28/2006 08/28/2006 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 11/01/2007 11/01/2007 11/01/2007 12/15/2006

Williams, Stanley E Watson, Henry Watson, Henry Watson, Henry Watson, Henry Watson, Henry Watson, Henry Watson, Henry Walton, Nancy Walton, Nancy Walton, Nancy Villanueva, Kristen Villanueva, Kristen Villanueva, Kristen Villanueva, Kristen Villanueva, Kristen Villanueva, Kristen Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Steele, Roberta D Steele, Roberta D Steele, Roberta D Soltis, David

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

00018 00701 00701 00701 00701 00701 00701 00701 00005 00005 00005 00007 00007 00007 00007 00007 00007 00019 00019 00019 00044 00044 00044 00044 00044 00044 00044 00044 00044 00005 00005 00005 00002

$6.50

$1.16

$95.65

$6.50

$74.11

$6.50

$11.80

$6.50

$52.50

$3.01

$49.46

$6.50

$1,935.42

$1.16

$526.50

$6.50

$95.65

$366.51

$6.50

$459.40

$120.40

$6.50

$228.34

$1,128.26

$6.50

City Of Chicago - Confidential

Page 2 of 13

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

12/15/2006 12/15/2006 12/15/2006 03/04/2009 03/04/2009 03/04/2009 03/04/2009 02/05/2009 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 02/21/1995 02/21/1995 12/23/1987 12/23/1987

Soltis, David Soltis, David Soltis, David SOLSKI, DAVID SOLSKI, DAVID SOLSKI, DAVID SOLSKI, DAVID SANDOVAL, JOSE Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Rosales, Edward Rosales, Edward Robarts-Dillon, Janice M Robarts-Dillon, Janice M

P P P

9161

00002

005

002

00014

00006

00016

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

lice lice ilice lice lice fice fice fice fice lice fice lice fice lice lice fice lice lice lice lice fice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$250.00

$593.58

$6.50

$2,145.22

$6.50

$262.52

$269.75

$6.38

$6.50

$14.98

$694.00

$6.50

$20.58

$244.40

$6.50

$13.33

$262.60

$6.50

$12.46

$223.60

$6.50

$11.80

$230.10

$6.50

$13.19

$185.15

$6.50

$181.65

$6.50

$238.74

$6.50

City Of Chicago - Confidential

Page 3 of 13

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

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

12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987 12/23/1987

Robarts-Di Robarts-D Robarts-Di Robarts-Di Robarts-Di Robarts-Di Robarts-Di Robarts-Di Robarts-D Robarts-Di Robarts-D Robarts-Di Robarts-D Robarts-D Robarts-D Robarts-D Robarts-D Robarts-D Robarts-Di Robarts-Di Robarts-Di Robarts-Di Robarts-Di Robarts-Di Robarts-Di Robarts-D Robarts-Di Robarts-D Robarts-Di Robarts-D Robarts-Di Robarts-D Robarts-D

lion lion lion Hon lion lion lion lion lion lion lion lion illon lion illon Hon illon illon lion llon_:Hon, Hon Hon, lion Hon, lion Hon lion lion Hon lion Hon lion

, Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M ,, Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M , Janice M

00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016

lice lice lice lice lice lice fice lice lice ilice lice fice lice fice lice lice lice lice lice lice lice lice fice lice lice lice fice lice lice lice lice lice lice

$238.74

$6.50

$76.81

$6.50

$100.68

$6.50

$1,984.20

$6.50

$296.44

$269.88

$6.50

$306.21

$6.50

$306.21

$6.50

$269.88

$6.50

$306.21

$6.50

$140.12

$6.50

$238.74

$6.50

$4,556.82

$6.50

$373.68

$6.50

$50.16

$6.50

$134.94

$6.50

$238.74

City Of Chicago - Confidential

Page 4 of 13

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

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

12/23/1987 Robarts-Dillon, Janice M

12/23/1987 Robarts-Dillon, Janice M

12/23/1987 Robarts-Dillon, Janice M

12/23/1987 Robarts-Dillon, Janice M

12/23/1987 Robarts-Dillon, Janice M

12/2371987 Robarts-Dillon, Janice M

12/23/1987 Robarts-Dillon, Janice M

12/23/1987 Robarts-Dillon, Janice M

12/23/1987 Robarts-Dillon, Janice M

12/16/2007 Prus-Bright, Elizbieta

06/06/1988 Phillips, Susan

02/02/2009 PARKER, CAROL

11/25/1984 Overton, Susan P

09/24/2008 Odonnell, Weslene

02/24/1998 Oconnell, Dennis L

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

9161

00016

00023

00004

021

00019

00013

00006

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice fice lice fice ilice lice fice lice lice lice

$6.50

$165.04

$6.50

$269.88

$6.50

$306.21

$6.50

$306.21

$6.50

$269.88

$6.50

$89.97

$6.50

$227.94

$6.50

$5.83

$84.92

$6.50

$84.92

$20.52

$6.50

$3,956.00

$73.72

$6.50

$299.95

$397.46

City Of Chicago - Confidential

Page 5 of 13

Incident Date

Claimant

Rank

Assigned to Unit Insured

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

Total Paid

02/24/1998 Oconnell, Dennis L P

06/08/1993 Miller-Shemash, Kimberly P

11/18/2007 Miceli, Mary P

03/07/2002 Merriweather, Sheila A P

12/26/2007 Maravic, Mane M P

05/16/1999 Mackey, Patricia J P

07/26/2009 MCGUIRE, KERRY L 9161

10/13/2007 Lusk, Kevin J P

06/21/2006 Locke, Lisa R P

00006

00010

00018

00005

00001

00044

017

00018

00002

lice lice ilice lice fice fice lice fice fice fice fice lice fice lice lice lice lice lice fice lice fice lice lice lice fice lice lice lice lice fice lice lice lice

$131.03

$180.45

$315.39

$6.50

$35.10

$30.04

$607.20

$6.50

$337.35

$39.40

$137.98

$6.50

$2.76

$2.20

$6.50

$221.54

$364.84

$12,447.71

$175.72

$6.50

$175.46

$57.59

$6.50

$9.91

$583.33

$8.40

$102.87

$325.68

$6.50

City Of Chicago - Confidential

Page 6 of 13

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

08/05/2006 Latsos, George P

08/21/2003 Kitowski, Nicholas P

11/29/2006 Kereakes, Demetrios P

11/28/2006 Keating, Renata M P

11/28/2006 Keating, Renata M P

03/16/2009 KINNEY, JEANNE 9161

02/09/2009 KAZMI, SYED 9161

01/12/2003 Jenkins, Johnny B P

00008 City Of Chicago Police $6.50

00018 City Of Chicago Police $20.98

00018 City Of Chicago Police $205.65

00018 City Of Chicago Police $580.73

00018 City Of Chicago Police $108.82 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $6.50 00013 City Of Chicago Police $97.99 00013 City Of Chicago Police $6.50 00013 City Of Chicago Police $133.12 00013 City Of Chicago Police $1.61 005 City Of Chicago Police $175.08 005 City Of Chicago Police $6.50 005 City Of Chicago Police $4.47 005 City Of Chicago Police $175.08 005 City Of Chicago Police $6.50 005 City Of Chicago Police $4.47

019 City Of Chicago Police $283.32 019 City Of Chicago Police $6.50 00045 City Of Chicago Police $6.50 00045 City Of Chicago Police $162.00 00045 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 7 of 13

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

01/12/2003 Jenkins, Johnny B P

05/29/2009 JONES, YVETTE 9161

07/02/2005 Haynes, Sherry P

01/14/2003 Fuda, Frank J P

05/02/2006 Foster, Teresa P

04/22/2006 Eigenbauer, Robert P

00045 City Of Chicago Police $114,76

00045 City Of Chicago Police $6.50

006 City Of Chicago Police $395.47

006 City Of Chicago Police $6.50 00603 City Of Chicago Police $707.70 00603 City Of Chicago Police $46.99 00603 City Of Chicago Police $6.50

00007 City Of Chicago Police $6.90 00007 City Of Chicago Police $6.50 00007 City Of Chicago Police $50.00 00007 City Of Chicago Police $191.99 00007 City Of Chicago Police $490.00 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $200.33 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $21.53 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $530.40 00002 City Of Chicago Police $200.33 00014 City Of Chicago Police $260.52 00014 City Of Chicago Police $31.72 00014 City Of Chicago Police $206.71 00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $372.30 00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $155.28 00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $500.30 00014 City Of Chicago Police $6.50 00014 City Of Chicago Police $181.04 00014 City Of Chicago Police $438.48 00014 City Of Chicago Police $155.28

City Of Chicago - Confidential

Page 8 of 13

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

04/22/2006 Eigenbauer, Robert P

09/05/1987 Crowley, James P

08/12/1996 Ciangi, Leonard F P

02/02/1986 Cage, Hosea P

08/30/2009 COATS, CHRISTOPHER 9161

08/15/2002 Brumley, Cedric P

00014

00002

00016

00010

022

00004

Pol Poli Poli

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

ce ce

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

$455.83

$43.51

$6.50

$287.80

$160.00

$25.26

$6.50

$33.52

$29.46

$34.20

$335.93

$6.50

$13.80

$335.93

$6.50

$13.80

$272.98

$6.50

$11.13

$731.23

$6.50

$822.51

$6.50

$87.19

$33.36

$6.50

$811.86

$6.50

$5,190.47

$6.50

$5,214.99

City Of Chicago - Confidential

Page 9 of 13

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

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

08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 12/31/1995 12/31/1995 12/31/1995 12/31/1995 12/31/1995 12/31/1995 12/31/1995 10/18/2007 10/18/2007 10/18/2007 10/18/2007 10/18/2007 10/18/2007 10/18/2007 10/18/2007 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009 10/26/2009

Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Benigno, Lisa Benigno, Lisa Benigno, Lisa Benigno, Lisa Benigno, Lisa Benigno, Lisa Benigno, Lisa Badus, Christina Badus, Christina Badus, Christina Badus, Christina Badus, Christina Badus, Christina Badus, Christina Badus, Christina BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA BAILEY, MONICA

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

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

00004 00004 00004 00004 00004 00010 00010 00010 00010 00010 00010 00010 00004 00004 00004 00004 00004 00004 00004 00004

Pol

Poll Poli

ce ce ce ce

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

$191.24

$4,986.12

$6.50

$64.60

$6.50

$1,100.75

$6.50

$85.02

$313.45

$456.69

$6.50

$184.74

$6.50

$184.74

$6.50

$184.74

$6.50

$106.77

$18.82

$75.10

$19.89

$110.69

$27.13

$21.07

$6.50

$26.58

$112.73

$6.50

$26.11

$95.93

City Of Chicago - Confidential

Page 10 of 13

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

10/26/2009 BAILEY, MONICA 9161

07/28/2001 Anthony, Wanda P

11/06/2007 Anderson, Rhonda M P

City Of Chicago Police $110.69

00016 City Of Chicago Police $69,54

00189 City Of Chicago Police $14.63

00189 City Of Chicago Police $156.10

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $11.25

00189 City Of Chicago Police $235.95

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $15.87

00189 City Of Chicago Police $212.65

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $13.76

00189 City Of Chicago Police $269.20

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $16.27

00189 City Of Chicago Police $269.20

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $16.27

00189 City Of Chicago Police $300.40

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $17.14

00189 City Of Chicago Police $256.85

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $12.20

00189 City Of Chicago Police $300.40

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $17.14

00189 City Of Chicago Police $286.75

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $10.51

00189 City Of Chicago Police $300.40

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $17.14

City Of Chicago - Confidential

Page 11 of 13

Incident Date Claimant Rank

11/06/2007 Anderson, Rhonda M P

11/06/2007 Anderson, Rhonda M P

11/06/2007 Anderson, Rhonda M P

11/06/2007 Anderson, Rhonda M P

11/06/2007 Anderson, Rhonda M P

11/06/2007 Anderson, Rhonda M P

11/06/2007 Anderson, Rhonda M P

11/06/2007 Anderson, Rhonda M P

11/06/2007 Anderson, Rhonda M P

02/12/2009 ANDREWS, PATRICK 9161

Assigned to Unit Insured ' Total Paid

00189 City Of Chicago Police $243.85

00189 City Of Chicago Police $6.50

00189 . City Of Chicago Police $14.63

00189 City Of Chicago Police $300.40

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $17.14

00189 City Of Chicago Police $269.20

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $16.27

00189 City Of Chicago Police $212.65

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $13.76

00189 City Of Chicago Police $300.40

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $17.14

00189 City Of Chicago Police $243.85

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $14.63

00189 City Of Chicago Police $256.85

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $12.20

00189 City Of Chicago Police $311.38

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $300.40

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $17.14

00189 City Of Chicago Police $2,220.25

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $243.85

00189 City Of Chicago Police $6.50

020 City Of Chicago Police $102.95

020 City Of Chicago Police $95.81

020 City Of Chicago Police $424.27

City Of Chicago - Confidential

Page 12 of 13

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

12/04/2008 ALLEN, PHOEBE City Of Chicago Police $6.50

Claim Total Amount 367 $85,370.13

Claim Total Amount 390 $86,728.49

City Of Chicago - Confidential

Page 13 of 13

Legislation Text

Legislation Details

Legislation Details (With Text)