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Record #: Or2017-200   
Type: Order Status: Passed
Intro date: 4/19/2017 Current Controlling Legislative Body: Committee on Finance
Final action: 4/19/2017
Title: Payment of hospital and medical expenses of Police and Firefighters - Regular Orders - all amounts
Sponsors: Burke, Edward M.
Topic: CLAIMS - Police Officer/Firefighter Injuries
Attachments: 1. Or2017-200.pdf

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

 

FINANCE MEETING OF APRIL 19th. 2017 HOSPITAL AND MEDICAL EXPENSES OF INJURED POLICE OFFICERS AND FIREFIGHTERS

 

 

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

 

POLICE      "B"--5                     -                     $6,082.18

"A"-- 467                     -                     $434,404.76

FIRE      "BM-0                     "                     $0.00

"A"-- 141                     -                     $84,620.20

O'HARE      "B"--0                     --                     $0

"A"-- 0                     --                     $0

 

$525,107.14

- 613

Total Amount Involved -

 

City Of Chicago

Police & Fire Regular Orders

 

Incident Date Claimant

Rank

Total to be Paid

 

Unit of Assignment Insured

 

Insured Namel: City Of Chicago Fire

02/26/2016 02/26/2016 10/14/2016 10/14/2016 10/14/2016 10/14/2016 10/14/2016 10/14/2016 10/14/2016 08/29/2016 08/29/2016 08/29/2016 10/19/2016 02/12/2017 06/25/2016 06/25/20'l6 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016 06/25/2016

ZOLLNER, BRIAN ZOLLNER, BRIAN WILLIAMS, LONE WILLIAMS, LONE WILLIAMS, LONE WILLIAMS, LONE WILLIAMS, LONE WILLIAMS. LONE WILLIAMS, LONE WATERS JR, JOHN WATERS JR, JOHN WATERS JR, JOHN VOGENTHALER, THOMAS VILLANOVA, CURT TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL

 

8802 8802 8801 8801 8801 8801 8801 8801 8801 8750 8750 8750 8817 8801 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

 

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

 

$570.89 $1 98 $4 00 $18.36 $5,172 64 $173 97 $972 15 $4.00 .$1,252.00 $4 00 $119.90 $0 85 $1,522.77 $1,125.70 $93.88 S4.00 $0 10 $200 28 $4 00 $200 28 $0 21 $4.00 $0.21 $140.82 $4.00 $0 15 $153.34 $4.00 SO 16

 

Page 1 of 19

 

City Of Chicago - Confidential

 

 

»

 

Incident Date Claimant

06/25/2016                     TUMA. MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

06/25/2016                     TUMA, MICHAEL

09/19/2016                     TORTORELLO, PATRICK

10/27/2016                     THRUN, JEFFREY

10/27/2016                     THRUN, JEFFREY

10/27/2016                     THRUN, JEFFREY

05/23/2016                     THEEKE, JANIECE

11/29/2016                     SOLMS, KARL

11/29/2016                     SOLMS, KARL

11/29/2016                     SOLMS, KARL

11/29/2016                     SOLMS, KARL

11/29/2016                     SOLMS, KARL

11/29/2016                     SOLMS, KARL

02/06/2017                     SIMON, RONALD

04/22/2016                     SHAW, AARON

04/22/2016                     SHAW. AARON

04/22/2016                     SHAW, AARON

12/25/2016                     SCARBOROUGH, PHILLIP

12/25/2016                     SCARBOROUGH, PHILLIP

12/25/2016                     SCARBOROUGH, PHILLIP

12/25/2016                     SCARBOROUGH, PHILLIP

12/25/2016                     SCARBOROUGH, PHILLIP

12/25/2016                     SCARBOROUGH, PHILLIP

 

Rank

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8801 8749 8749 8749 8745 8731 8731 8731 8731 8731 8731 8728 8802 8802 8802 8801 8801 8801 8801 8801 8801

 

Unit of Assignment Insured

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

 

Total to be Paid

S140 82

S4.00

$0.15

$200.28

$4 00

$0.21

$0 10

$4.00

S93.88

$0.21

$4.00

$200.28

$1,161 87

$4.00

$1,910.15

S2.93

S1.095 47

$1.33

$70.52

$4 55

$4 00

$4 00

S240 75

$1,333.26

$256.22

$0.51

$4 00

S0.26

$4.00

$165 87

$0 33

$4 00

$212 66

 

Page 2 of 19

 

 

City Of Chicago - Confidential

 

Total to be Paid

Rank

Incident Date Claimant

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

12/25/2016                     SCARBOROUGH, PHILLIP                     8801

07/31/2016                     RICE, MATTHEW                     8801

07/31/2016                     PHILLIPS, LEROY                     8745

07/31/2016                     PHILLIPS, LEROY                     8745

12/17/2016                     OLMSTEAD, ROBERT                     8749

08/23/2016                     NOLE, ROBERT                     8731

02/01/2017                     LAKAWITCH, JAMES                     8801

02/01/2017                     LAKAWITCH, JAMES                     8801

02/01/2017                     LAKAWITCH. JAMES                     8801

02/01/2017                     LAKAWITCH, JAMES                     8801

02/01/2017                     LAKAWITCH, JAMES                     8801

02/01/2017                     LAKAWITCH, JAMES                     8801

02/01/2017                     LAKAWITCH, JAMES                     8801

02/01/2017                     LAKAWITCH, JAMES                     8801

02/12/2006                     Kotlarz, Stanley T                     F

Unit of Assignment Insured

City Of Chicago Fire                     $4 00

City Of Chicago Fire                     $0 52

City Of Chicago Fire                     $4 00

City Of Chicago Fire                     $329.79

City Of Chicago Fire                     $0 26

City Of Chicago Fire                     $4 00

City Of Chicago Fire                     $165.87

City Of Chicago Fire                     $0 24

City Of Chicago Fire                     $4.00

City Of Chicago Fire                     $151 98

City Of Chicago Fire                     $0.45

City Of Chicago Fire                     $4.00

City Of Chicago Fire                     $284.95

City Of Chicago Fire                     S0.30

City Of Chicago Fire                     $4.00

City Of Chicago Fire                     $185.59

City Of Chicago Fire                     $0 24

City Of Chicago Fire                     $4 00

City Of Chicago Fire                     $153.93

City Of Chicago Fire                     $1,254.36

City Of Chicago Fire                     $4 00

City Of Chicago Fire                     $281.57

City Of Chicago Fire                     $1,450 00

City Of Chicago Fire                     $1,935.90

City Of Chicago Fire                     $4 00

City Of Chicago Fire                     $163 18

City Of Chicago Fire                     $97.71

City Of Chicago Fire                     $1 37

City Of Chicago Fire                     $4 00

City Of Chicago Fire                     $4.00

City Of Chicago Fire                     $32.18

City Of Chicago Fire                     $4.90

09999                     City Of Chicago Fire                     $2,627.14

 

Page 3 of 19

 

 

City Of Chicago - Confidential

 

 

 

09/25/2015 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017 01/15/2017

Incident Date Claimant

KEMPF. WILLIAM KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY. MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL KELLY, MICHAEL

 

Rank

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

 

Unit of Assignment Insured

ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire Of Chicago Fire Of Chicago Fire Of Chicago Fire Of Chicago Fire Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire

 

Total to be Paid

$4 00

$1,138.55

$270.32

$4 00

$2.42

$231.55

$4 00

$0 45

$184 85

$0.36

$4.00

$229.60

$4.00

$0.45

$184 85

$4.00

SO 36

S276.30

$4 00

$0 54

$0.53

$4 00

$269.62

$0.53

$4.00

$269.62

$0 53

$4 00

$269.62

$0.53

$4 00

$269.62

$0.53

 

Page 4 of 19

 

 

City Of Chicago - Confidential

 

Total to be Paid

Rank

Incident Date Claimant

01/15/2017                     KELLY, MICHAEL                     8731

01/15/2017                     KELLY, MICHAEL                     8731

08/31/2016                     JONES, DARRYL                     8801

10/05/2016                     DUNFORD, MICHAEL                     8801

10/05/2016                     DUNFORD, MICHAEL                     8801

10/05/2016                     DUNFORD, MICHAEL                     8801

01/28/2017                     DUNCAN, EMMANUEL                     8811

01/28/2017                     DUNCAN, EMMANUEL                     8811

01/28/2017                     DUNCAN, EMMANUEL                     8811

01/28/2017                     DUNCAN, EMMANUEL                     8811

07/13/2016                     DIAZ, CARLOS                     8802

01/12/2017                     COTTON JR, TYRONE                     8802

02/22/2017                     ARTIS, ANTONIO                     8801

Number                     Amount

Total.       141                     $84,620 20

Insured Namel: City Of Chicago Police

03/27/2017                     ZELITZKY, ADAM                     9171

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

07/04/2001                     Walker, Clay T                     P

07/04/2001                     Walker, Clay T                     P

07/04/2001                     Walker, Clay T                     P

07/04/2001                     Walker, Clay T                     P

07/04/2001                     Walker, Clay T                     P

08/12/2012                     WILLIAMS, KELLI                     9161

08/12/2012                     WILLIAMS, KELLI                     9161

08/12/2012                     WILLIAMS, KELLI                     9161

08/12/2012                     WILLIAMS, KELLI                     9161

08/12/2012                     WILLIAMS, KELLI                     9161

08/12/2012                     WILLIAMS, KELLI                     9161

08/12/2012                     WILLIAMS, KELLI                     9161

10/18/2015                     WICKRAMASEKERA, CHARLES                     9153

10/18/2015                     WICKRAMASEKERA, CHARLES                     9153

10/18/2015                     WICKRAMASEKERA, CHARLES                     9153

Unit of Assignment Insured

City Of Chicago Fire                     $4.00

City Of Chicago Fire                     $269 62

City Of Chicago Fire                     $1,288.12

City Of Chicago Fire                     $26,162.14

City Of Chicago Fire                     $17,311 38

City Of Chicago Fire                     $1,150.00

City Of Chicago Fire                     $708.31

City Of Chicago Fire                     $4.00

City Of Chicago Fire                     $94.18

City Of Chicago Fire                     $1,300.00

City Of Chicago Fire                     $1,631.63

City Of Chicago Fire                     $1,760.25

City Of Chicago Fire                     $1,239.16

 

 

 

City Of Chicago Police                     $33 47

00022                     City Of Chicago Police                     $1,069.19

00014                     City Of Chicago Police                     $4.00

00014                     City Of Chicago Police                     $27 63

00014                     City Of Chicago Police                     $1,635.94

00014                     City Of Chicago Police                     $2,546.77

00014                     City Of Chicago Police                     $2,815.58

City Of Chicago Police                     $4.00

City Of Chicago Police                     $3,807.05

City Of Chicago Police                     $40 41

City Of Chicago Police                     $4.00

City Of Chicago Police                     $243 99

City Of Chicago Police                     $80.09

City Of Chicago Police                     $4.00

704                     City Of Chicago Police                     $0 79

704                     City Of Chicago Police                     $60.20

704                     City Of Chicago Police                     $4.00

 

Page 5 of 19

 

 

City Of Chicago - Confidential

 

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

Incident Date Claimant

04/15/2013                     WHELAN. SEAN

03/11/2016                     WASZAK, JOSEPH

03/11/2016                     WASZAK. JOSEPH

03/11/2016                     WASZAK. JOSEPH

03/11/2016                     WASZAK, JOSEPH

03/11/2016                     WASZAK, JOSEPH

03/11/2016                     WASZAK, JOSEPH

03/03/2015                     WALKER, CLAY

11/04/2016                     VASQUEZ, VINCENT

12/03/2016                     VALDES, NORA

12/03/2016                     VALDES, NORA

12/03/2016                     VALDES, NORA

12/03/2016                     VALDES, NORA

12/03/2016                     VALDES, NORA

12/03/2016                     VALDES, NORA

12/03/2016                     VALDES, NORA

12/03/2016                     VALDES, NORA

12/03/2016                     VALDES, NORA

12/05/2016                     TWAROWSKI, MICHAEL

12/05/2016                     TWAROWSKI, MICHAEL

12/05/2016                     TWAROWSKI, MICHAEL

02/13/2016                     TULACZ, MICHAL

02/13/2016                     TULACZ, MICHAL

02/13/2016                     TULACZ, MICHAL

02/13/2016                     TULACZ, MICHAL

02/13/2016                     TULACZ, MICHAL

02/13/2016                     TULACZ, MICHAL

10/22/2016                     TREPELAS, MICHAEL

02/11/2017                     TOWNSEND, SHELLEY

02/11/2017                     TOWNSEND, SHELLEY

02/11/2017                     TOWNSEND, SHELLEY

02/11/2017                     TOWNSEND, SHELLEY

02/11/2017                     TOWNSEND, SHELLEY

 

Rank

9161 9161 9161 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 9161 9161 9161 9161 9161

 

 

004 022 022 022 022 022 022 014 044 123 123 123 123 123 123 123 123 123

Unit of Assignment Insured

City City City

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

 

Total to be Paid

$1,296.00

$76.82

$0.69

S4.00

$4.00

S269 53

S0.58

$2,112 64

$2,898 72

S4.00

$170.89

S1.38

S72 77

S1.38

$4.00

S72.77

$1.21

$4.00

S0.25

S230 49

$4.00

$180 67

$0.52

$4.00

$0 35

$268.94

$4.00

$5,460 01

$263.21

$0 51

$4.00

$263 21

$0 52

 

Page 6 of 19

 

 

City Of Chicago - Confidential

 

02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 "02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 02/11/2017 07/02/2016 07/02/2016 07/02/2016 01/01/2017 01/01/2017 01/01/2017 01/01/2017 01/01/2017

Incident Date Claimant

TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TOWNSEND, SHELLEY TORRES, JOSE TORRES, JOSE TORRES, JOSE SPEARS, CHARLES SPEARS, CHARLES SPEARS, CHARLES SPEARS, CHARLES SPEARS, CHARLES

 

Rank

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

 

Unit of Assignment Insured

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

 

Total to be Paid

$4 00 $267.39 $0 52 $4 00 $265 44 $0.51 $4 00 $263 21 $0 50 $4 00 $258 48 $0.51 $4 00 $263.21 $4 00 $0 51 $323.01 $4.00 $0 63 $263 21 $4 00 $0 51 $258 48 $0 50 $4.00 $0 28 $4 00 $262.23 $0 58 $4.00 $0 58 $298.50 $4.00

 

Page 7 of 19

 

 

City Of Chicago - Confidential

 

Total to be Paid

Rank

Incident Date Claimant

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS. CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS. CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS, CHARLES                     9161

01/01/2017                     SPEARS. CHARLES                     9161

03/01/2010                     SPEARMAN, TAHANI                     9161

06/10/2016                     SORIA, ANTHONY                     9161

06/10/2016                     SORIA, ANTHONY                     9161

06/10/2016                     SORIA, ANTHONY                     -9161

06/10/2016                     SORIA, ANTHONY                     9161

06/10/2016                     SORIA, ANTHONY                     9161

06/10/2016                     SORIA, ANTHONY                     9161

11/30/2016                     SMITH, LARRY                     9161

Unit of Assignment Insured

City Of Chicago Police                     $0 58

City Of Chicago Police                     $345 75

City Of Chicago Police                     $4 00

City Of Chicago Police                     $0 67

City Of Chicago Police                     $343.25

City Of Chicago Police                     $4.00

City Of Chicago Police                     $0.67

City Of Chicago Police                     $298 50

City Of Chicago Police                     $4.00

City Of Chicago Police                     $341.02

City Of Chicago Police                     S4.00

City Of Chicago Police                     $0.58

City Of Chicago Police                     $4 00

City Of Chicago Police                     $298.50

City Of Chicago Police                     $0 67

City Of Chicago Police                     $4.00

City Of Chicago Police                     $343 25

City Of Chicago Police                     $298 50

City Of Chicago Police                     $0.58

City Of Chicago Police                     $4.00

City Of Chicago Police                     S298 50

City Of Chicago Police                     SO.58

City Of Chicago Police                     S4.00

City Of Chicago Police                     $298.50

City Of Chicago Police                     $0.66

City Of Chicago Police                     $3,192 73

City Of Chicago Police                     $0 52

City Of Chicago Police                     $216.45

City Of Chicago Police                     $4 00

City Of Chicago Police                     $0.43

City Of Chicago Police                     $262 65

City Of Chicago Police                     $4.00

153                     City Of Chicago Police                     $1.38

 

Page 8 of 19

 

 

City Of Chicago - Confidential

 

11/30/2016 11/30/2016 11/30/2016 11/30/2016 11/30/2016 02/14/2017 02/14/2017 02/14/2017 10/30/2016 10/30/2016 10/30/2016 10/30/2016 10/30/2016 10/30/2016 10/30/2016 10/30/2016 10/30/2016 01/16/2017 01/16/2017 01/16/2017 01/16/2017 01/16/2017 01/16/2017 01/16/2017 01/16/2017 01/16/2017 01/16/2017 01/16/2017 01/16/2017 06/02/2015 08/04/2015 08/04/2015 08/04/2015

Incident Date Claimant

SMITH, LARRY SMITH, LARRY SMITH, LARRY SMITH, LARRY SMITH, LARRY SINKS, KEITH SINKS, KEITH SINKS, KEITH SINGLETON, IRENE SINGLETON, IRENE SINGLETON, IRENE SINGLETON, IRENE SINGLETON, IRENE SINGLETON, IRENE SINGLETON. IRENE SINGLETON, IRENE SINGLETON, IRENE SCOUFIS, GEORGE SCOUFIS, GEORGE SCOUFIS, GEORGE SCOUFIS, GEORGE SCOUFIS. GEORGE SCOUFIS, GEORGE SCOUFIS, GEORGE SCOUFIS, GEORGE SCOUFIS, GEORGE SCOUFIS, GEORGE SCOUFIS, GEORGE SCOUFIS, GEORGE SCHLOSS, ALLISON SCHAADE, ERIC SCHAADE, ERIC SCHAADE, ERIC

 

Rank

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9173 9161 9161 9161

 

 

153 153 153 153 153 393 393 393

Unit of Assignment Insured

059 044 044 044

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

 

Total to be Paid

$4 00

$1.38

$72 77

S4.00

$72 77

$283.01

$4 00

$0 54

$0 21

$4 00

$192 03

$0.21

S4.00

$192.03

S0.35

$4 00

$316.24

$253 16

$0.49

$4.00

$253.16

$18.91

$4.00

$114.13

$0.58

$4.00

$299.86

$0 49

$4 00

$4,139.07

$781.74

$4.00

$0 27

 

Page 9 of 19

 

 

City Of Chicago - Confidential

 

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

Incident Date Claimant

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/04/2015                     SCHAADE, ERIC

08/15/2014                     SARDO, MICHAEL

12/28/2016                     SADOWSKY JR, DANIEL

12/28/2016                     SADOWSKY JR, DANIEL

12/28/2016                     SADOWSKY JR, DANIEL

02/17/2017                     PURUIS, ROBERT

02/17/2017                     PURUIS, ROBERT

02/17/2017                     PURUIS, ROBERT

05/13/2016                     PONTO, JAMES

11/11/2016                     PLANEY, JEFFERY

12/10/2016                     PINA, RICHARD

12/10/2016                     PINA, RICHARD

01/25/2015                     PEREZ, VICTOR

01/25/2015                     PEREZ, VICTOR

05/09/2016                     PANEK, SHERYL

10/17/2007                     Odonnell, James C

04/25/2016                     OKON, EDDDIE

04/25/2016                     OKON. EDDDIE

06/16/2016                     OCASIO, ANTHONY

03/21/2016                     O SULLIVAN, DAMIAN

12/31/2016                     NIEVES, JASON

08/24/2007                     Murphy-Webb, Margaret C

 

Rank

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9171 9161 9161 9161 9161 9161 P

9161

9161

9161

PO

9161

P

 

 

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

010 010 010 044 044 044

024 018 018 010 010 025 00006

Unit of Assignment Insured

City City City

00023

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

S781.74

$0 54

$4.00

$521 16

$0 81