Office of the City Clerk - Record #: Or2011-62

Record #:

Or2011-62

Type:

Order

Status:

Passed

Intro date:

1/13/2011

Current Controlling Legislative Body:

City Council

Final action:

1/13/2011

Title:

Payment of hospital and medical expenses of Police Officers and Firefighters - Regular Orders - all amounts

Sponsors:

Burke, Edward M.

Topic:

CLAIMS - Police Officer/Firefighter Injuries

Attachments:

1. Or2011-62.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
1/13/2011	110314	City Council			Not available	Meeting details	Not available
1/13/2011		Committee on Finance	Recommended to Pass	Pass	Action details	Meeting details	Not available
1/13/2011	110314	Committee on Finance	Direct Introduction		Action details	Meeting details	Not available

CHICAGO January 13.2011

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 of the members of the committee with_

_(^Tva voce vote

. dissenting voters)).

Respectfully submitted

(signed)__

Chairman

FINANCE MEETING OF January 13, 2011

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" -

549

$155,749.75

A" --

10293

$2,174,985.77

FIRE

A" --

B" --

3182 --

$21,033.08 $1,118,366.25

CHARE

B" -

•A" -

Total Amount Involved - 14,049

$3,470,134.85

Chicago. January 13. 2011

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

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.

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 recomr.er.c 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

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 Regular Orders

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Insured Namel: City Of Chicago Fire

07/06/2010 07/06/2010 07/06/2010 07/06/2010 07/06/2010 07/06/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 11/08/2009 1/16/2010 1/16/2010 1/16/2010 1/16/2010 1/16/2010 1/16/2010 1/16/2010 1/16/2010

meske, norman meske, norman meske, norman meske, norman meske, norman meske, norman ZUKLIC, JASON ZUKLIC, JASON ZUKLIC, JASON ZUKLIC, JASON ZUKLIC, JASON ZUKLIC, JASON ZILCH, MARK ZILCH, MARK ZILCH, MARK ZILCH, MARK ZILCH, MARK ZILCH, MARK ZILCH, MARK ZILCH, MARK ZARATE. RICHARD ZAHN, MICHELLE ZAHN, MICHELLE ZAHN, MICHELLE ZAHN, MICHELLE ZAHN, MICHELLE ZAHN, MICHELLE ZAHN, MICHELLE ZAHN, MICHELLE

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8807 8750 8750 8750 8750 8750 8750 8750 8750

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

$295.45

$6.50

$22.97

$399.45

$6.50

$16.99

$508.21

$10.16

$3,388.05

$6.50

$67.76

$7.16

$6.50

$176.45

$6.50

$59.00

$11.61

$838.60

$6.50

$1.05

$6.50

$5.57

$10.74

$6.50

$264.67

$86.78

City Of Chicago - Confidential Page 1 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/16/2010 01/03/2010 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 02/15/2008 04/28/2003 04/28/2003 04/28/2003 04/28/2003

ZAHN, MICHELLE YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG,GARRY YOUNG,GARRY YOUNG,GARRY YOUNG, GARRY YOUNG, GARRY

Wi Wi Wi Wi

Wi! Wil Wi Wi Wil Wil Wil Wil Wil Wil Wi Wil Wi Wil Wi

His, Rodger His, Rodger His, Rodger His, Rodger His, Rodger His, Rodger His, Rodger His, Rodger His, Rodger His, Rodger His, Rodger Ilis, Rodger illis, Rodger ill is, Rodger illis, Rodger illis, Rodger illis, Rodger Ilis, Rodger Ilis, Rodger Walz, Randall Walz, Randall Walz, Randall Walz, Randall

8750

8731

c c

00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00359 00410 00410 00410 00410

$460.07

$269.40

$502.42

$547.94

$57.59

$11.48

$8.34

$90.22

$6.50

$207.59

$6.50

$709.93

$409.00

$145.32

$40.56

$6.50

$1,587.20

$2.89

$6.50

$197.50

$6.50

$44.00

$6.50

$1,606.67

$6.50

$1,281.82

$6.50

$144.01

$188.35

$29.14

$188.35

City Of Chicago - Confidential

Page 2 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/04/2009 11/04/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 11/17/2009 11/17/2009 11/17/2009 10/30/2010 10/30/2010 10/30/2010 10/27/2010 10/27/2010

WOLKOWICZ, JAMES WOLKOWICZ, JAMES WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WEST, STEVE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WELLS, LAWRENCE WARD, PATRICK WARD, PATRICK

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 8731 8731 8731 8731 8731 8812 8812

$6.50

$1,152.56

$74.11

$6.50

$7,455.09

$3.01

$302.60

$1,085.18

$2.01

$6.50

$78.47

$5.36

$209.77

$1.55

$6.50

$60.72

$5.01

$6.50

$196.18

$6.50

$27.76

$275.18

$6.50

$7.04

$6.50

$5.61

$10.62

$6.50

$1,177.40

$6.50

$34.97

$291.66

$6.50

City Of Chicago - Confidential

Page 3 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010

WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD, WARD, WARD, WARD, WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD WARD

PATRICK

CHARLES

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

$353.60

$6.50

$15.03

$149.46

$6.50

$1,024.55

$6.50

$240.00

$6.50

$10.79

$45.00

$6.50

$62.00

$6.50

$554.06

$6.50

$23.20

$299.38

$6.50

$12.80

$166.64

$6.50

$2.02

$840.00

$6.50

$11.63

$6.50

$183.40

$6.50

$3.62

$299.98

$59.00

City Of Chicago - Confidential

Page 4 of 409

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 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 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010

WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH WALSH

MICHAEL

KEVIN

JAMES

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 8801 8801 8801 8801 8801 8801 8801 8801

$604.00

$6.50

$3,106.54

$6.50

$126.11

$3,671.30

$6.50

$149.04

$1,419.49

$128.18

$1.55

$6.50

$124.34

$6.50

$132.00

$6.50

$1,171.10

$6.50

$57.19

$74.11

$6.50

$3.01

$3,062.92

$6.50

$358.59

$257.40

$10.92

$257.40

$10.92

$226.20

$10.05

$213.42

$21.04

City Of Chicago - Confidential

Page 5 of 409

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

05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 05/22/2010 10/13/2010

WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALSH, JAMES WALLACE, DORIS

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 8745

$213.42

$21.04

$236.15

$23.28

$188.92

$18.62

$257.40

$10.92

$6.50

$141.99

$6.50

$1.72

$222.11

$6.50

$281.23

$6.50

$44.77

$40.60

$6.50

$257.40

$10.92

$226.20

$10.05

$213.42

$21.04

$213.42

$21.04

$188.92

$18.62

$4.00

$282.75

$12.56

$6.50

City Of Chicago - Confidential

Page 6 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 09/29/2005 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010

WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS WALLACE, DORIS Venegas, Roy J VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL VOJTAS, MICHAEL

8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 F

8750 8750 8750 8750 8750 8750 8750 8750

00457

Fire Fire Fire re e re e re e re

$102.94

$329.03

$6.50

$469.89

$259.25

$6.50

$10.52

$6.50

$836.26

$6.50

$29.88

$609.99

$6.50

$21.07

$273.02

$6.50

$9.53

$2,087.55

$6.50

$806.13

$6.50

$478.49

$6.50

$17.38

$302.40

$37.32

$809.64

$6.50

$337.35

$6.50

$1,785.24

$6.50

City Of Chicago - Confidential

Page 7 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/19/2010 VOJTAS, MICHAEL

07/03/2010 VOGENTHALER, THOMAS

8750

$1,401.30

$6.50

$692.90

$462.89

$6.50

$462.89

$6.50

$8.40

$6.50

$8.80

$45.25

$234.10

$4.23

$19.93

$372.55

$6.50

$15.47

$339.30

$6.50

$15.07

$372.55

$6.50

$15.47

$372.55

$6.50

$15.47

$282.75

$6.50

$12.56

$339.30

$6.50

$15.07

City Of Chicago - Confidential

Page 8 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/03/2010 VOGENTHALER, THOMAS

08/25/2010 VILLANUEVA, JOSE

880

$339.30

$6.50

$15.07

$339.30

$6.50

$15.07

$271.95

$6.50

$0.40

$290.65

$6.50

$11.32

$232.47

$6.50

$290.65

$6.50

$11.32

$202.90

$6.50

$7.93

$202.90

$6.50

$7.93

$200.85

$6.50

$95.47

$674.70

$6.50

$337.35

$6.50

$408.96

$6.50

City Of Chicago - Confidential

Page 9 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/25/2010 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 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010

VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VILLANUEVA, JOSE VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VAIL, RICHARD VAIL, RICHARD VAIL, RICHARD VAIL, RICHARD VAIL, RICHARD VAIL, RICHARD VAIL, RICHARD VAIL, RICHARD

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8733 8733 8733 8733 8733 8733 8733 8733 8733 8749 8749 8749 8749 8749 8749 8749 8749

Fi Fi |0 Fi Fi Fi Fl Fi

$1,484.34

$6.50

$1,866.06

$6.50

$134.94

$6.50

$4,124.30

$6.50

$82.48

$1,780.19

$6.50

$352.64

$6.50

$674.70

$6.50

$1.15

$6.50

$252.60

$19.76

$6.50

$8.61

$7.77

$6.50

$237.60

$772.92

$6.50

$3.58

$88.23

$6.50

$1.29

$68.00

$6.50

$3.91

City Of Chicago - Confidential

Page 10 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010 10/27/2010

VAIL, VAIL, VAIL VAIL VAIL VAIL, VAIL, VAIL, VAIL, VAIL, VAIL VAIL VAIL, VAIL, VAIL, VAIL, VAIL, VAIL VAIL VAIL, VAIL, VAIL, VAIL, VAIL VAIL VAIL VAIL VAIL VAIL VAIL, VAIL, VAIL, VAIL

RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

Fi |0 Fi

)0 Fi

Fi Fi Fi Fi

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

$207.59

$6.50

$243.84

$6.50

$3.58

$243.85

$6.50

$3.58

$243.85

$6.50

$3.58

$243.85

$6.50

$3.58

$297.57

$6.50

$4.37

$88.23

$6.50

$1.29

$243.85

$6.50

$3.58

$243.85

$3.58

$6.50

$243.85

$3.21

$6.50

$218.56

$88.23

$6.50

$1.29

City Of Chicago - Confidential

Page 11 of 409

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

01/31/2008 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

Ulanski, Thomas M URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART,KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART, KENNETH URQUHART,KENNETH URQUHART, KENNETH URQUHART, 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

00532

|0 Fi ,0 Fi Fi Fi Fi Fi Fi Fi Fi

$6.50

$234.14

$6.50

$234.14

$6.50

$3.44

$1.29

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$317.10

$6.50

$4.66

$234.14

$6.50

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

City Of Chicago - Confidential

Page 12 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/26/2010 URQUHART, KENNETH

09/25/2009 ULRICH, CHRISTOPHER

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

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

$234.14

$6.50

$3.44

$229.69

$6.50

$3.37

$88.23

$13.17

$140.40

$259.45

$6.50

$10.45

$272.10

$6.50

$13.17

$215.55

$6.50

$10.66

$272.10

$6.50

$13.17

$215.55

$6.50

$10.66

$215.55

$6.50

$10.66

$215.55

$6.50

$10.66

$215.55

$6.50

$10.66

City Of Chicago - Confidential

Page 13 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/25/2009 ULRICH, CHRISTOPHER

04/16/2007 Thompson, Charles

12/09/2009 TWEEDT, ERIK

8801

FPM FPM FPM FPM FPM

00417 00417 00417

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

$285.10

$6.50

$10.76

$723.08

$278.70

$245.45

$6.50

$8.97

$117.33

$6.50

$1.42

$336.70.

$6.50

$31.58

$272.10

$6.50

$13.17

$215.55

$6.50

$10.66

$272.10

$6.50

$13.17

$272.10

$6.50

$2,354.02

$135.36

$6.50

$26.41

$6.50

$26.41

$167.70

City Of Chicago - Confidential

Page 14 of 409

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

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

$184.60

$6.50

$12.45

$258.05

$6.50

$19.43

$258.05

$6.50

$19.43

$258.05

$6.50

$19.43

$3.93

$258.05

$6.50

$19.43

$1,089.90

$6.50

$107.43

$83.60

$6.50

$84.90

$6.50

$12.45

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$667.44

$6.50

$184.60

City Of Chicago - Confidential

Page 15 of 409

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 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 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/19/2010

TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT. ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TWEEDT, ERIK TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TUMA, MICHAEL TRUJILLO, AMERICO TRUJILLO, AMERICO TRUJILLO, AMERICO TRUJILLO, AMERICO TRUJILLO, AMERICO TRUJILLO, AMERICO TRACY III, JAMES

FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM FPM 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8811

88 88

8731

$6.50

$12.45

$258.05

$6.50

$19.43

$544.30

$184.60

$6.50

$12.45

$258.05

$6.50

$19.43

$331.50

$889.58

$6.50

$475.88

$6.50

$80.81

$2.28

$6.50

$25.31

$56.19

$6.50

$122.49

$6.50

$356.72

$15.60

$6.50

$610.30

$20.51

$57.00

City Of Chicago - Confidential

Page 16 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/19/2010 TRACY III. JAMES

11/19/2010 TRACY III, JAMES

01/15/2009 TORTORELLO, CHARLES

06/24/2010 TOMASZEWSKI, CHERYL

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

$6.50

$794.96

$6.50

$207.59

$6.50

$151.71

$6.50

$151.71

$6.50

$224.41

$6.50

$6,834.59

$125.69

$316.06

$6.50

$6.29

$6.50

$14.85

$268.85

$6.50

$3.25

$382.05

$6.50

$4.63

$440.95

$6.50

$5.34

$89.17

$6.50

$1.08

$645.20

$6.50

City Of Chicago - Confidential

Page 17 of 409

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

06/24/2010 TOMASZEWSKI, CHERYL

07/10/2010 THOMPSON, JAMES

05/13/2010 THEEKE, JANIECE

8745 8745 8745 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8749 8749 8749 8749 8749 8749 8749 8749 8749

Fi Fi ,0 Fi |o Fi F Fi Fi

$7.80

$314.79

$742.59

$6.50

$5.61

$11.63

$17.48

$6.50

$228.00

$29.58

$6.50

$343.55

$16.09

$6.50

$59.79

$15.80

$6.50

$76.30

$103.71

$123.71

$6.50

$27.65

$1,803.61

$6.50

$763.03

$9.44

$6.50

$232.56

$6.50

$2,350.14

$6.50

$2,916.29

City Of Chicago - Confidential

Page 18 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 05/13/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 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

THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG 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 TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH

8749

8731.

8731

8745

$6.50

$29,857.10

$1,146.87

$6.50

$47.27

$728.68

$2,270.24

$6.50

$320.73

$6.50

$100.68

$6.50

$1,512.00

$301.01

$6.50

$91.32

$45.66

$6.50

$1.43

$45.66

$6.50

$1.43

$428.00

$6.50

$72.00

$6.50

$4.14

$6.50

$1,473.44

$29.47

$2.86

City Of Chicago - Confidential

Page 19 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 11/30/1994 04/10/1990 04/10/1990 04/10/1990 04/10/1990 10/10/2005 10/10/2005 10/10/2005 10/10/2005

10/10/2005

10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/25/2001 10/25/2001

Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Strickler, Bernard Strickler, Bernard Strickler, Bernard Strickler, Bernard Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Sorrentino, Nicholas Sorrentino, Nicholas

M .

00615 00615 00615 00615 00615 00615 00615 00615 00615 00615 00615 00615 00615 00615 00615 00615 00615 00320 00320 00320 00320 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00367 00367

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

$110.00

$981.67

$29.50

$981.67

$790.00

$6.50

$131.66

$128.18

$6.50

$1.55

$299.45

$6.50

$141.90

$55.23

$0.67

$29.50

$225.00

$167.27

$855.63

$167.27

$522.47

$1,910.00

$179.21

$6.50

$4.57

$15.34

$6.50

$4.64

$1,268.57

$6.50

$181.94

$1,431.61

$8.34

City Of Chicago - Confidential

Page 20 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 09/25/2007 12/23/2007 12/23/2007 12/23/2007 12/03/2000 12/03/2000 12/03/2000 12/03/2000 12/03/2000 12/03/2000 12/03/2000 12/03/2000 12/03/2000 12/21/2006 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 09/09/2009 09/09/2009 05/05/2009 05/05/2009 09/13/2008

Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Solano, Hector Sobus, Timothy Sobus, Timothy Sobus, Timothy Sinopoli, Enzo Sinopoli, Enzo Sinopoli, Enzo Sinopoli, Enzo Sinopoli, Enzo Sinopoli, Enzo Sinopoli, Enzo Sinopoli, Enzo Sinopoli, Enzo Serwatka, Paul SZALA, DIANE SZALA, DIANE SZALA, DIANE SZALA, DIANE SZALA, DIANE SULLIVAN, BRIAN SULLIVAN, BRIAN STRONG, ERIC STRONG, ERIC STORCK, RAYMOND

F F F E E E E E E F F F F M M M M M M M M M F

8745 8745 8745 8745 8745 8731 8731 8739 8739

00367 00367 00367 00357 00357 00357 00357 00357 00357 00449 00526 00526 00526 09999 09999 09999 09999 09999 09999 09999 09999 09999 00413

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

$14.05

$1,431.61

$110.60

$327.79

$674.72

$6.50

$10,547.66

$61.86

$6.50

$550.00

$6.50

$80.50

$1,345.50

$6.50

$68.65

$776.16

$38.64

$19.84

$1,512.00

$6.50

$1,852.25

$6.50

$8.87

$286.72

$59.00

$6.50

$27.28

City Of Chicago - Confidential

Page 21 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/13/2008 09/13/2008 09/13/2008 09/13/2008 09/13/2008 09/13/2008 09/13/2008 09/13/2008 04/04/2010 04/04/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010

STORCK, RAYMOND STORCK, RAYMOND STORCK, RAYMOND STORCK, RAYMOND STORCK, RAYMOND STORCK, RAYMOND STORCK, RAYMOND STORCK, RAYMOND STEVENS, BRIAN STEVENS, BRIAN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN STEINMETZ, JOHN SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK

8801 8801 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

S74.11

$6.50

$97.34

$6.50

$27.75

$6.50

$90.39

$3.01

$645.64

$6.50

$754.62

$6.50

$19.28

$325.00

$6.50

$34.51

$404.09

$6.50

$10.33

$1,349.91

$6.50

$8.31

$23.48

$6.50

$598.76

$6.50

$25.02

$293.85

$6.50

$3.56

$3,191.24

City Of Chicago - Confidential

Page 22 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 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

SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD SOSO, RICHARD

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

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 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

$6.50

$129.53

$554.13

$6.50

$21.18

$984.09

$6.50

$11.92

$494.76

$6.50

$19.32

$809.21

$6.50

$809.21

$6.50

$65.29

$6.50

$2.65

$65.29

$6.50

$2.65

$408.35

$186.85

$6.50

$621.06

$219.20

$6.50

$6.88

$621.06

$6.50

$19.48

$621.06

$6.50

City Of Chicago - Confidential

Page 23 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/23/2010 SOSO, RICHARD

12/14/2009 SORGANI.JOHN

10/04/2009 SOFIA, JEFF

09/20/2010 SMITH, ASHFORD

04/01/2010 SMIEGOWSKi, ROBERT

04/01/2010 SMIEGOWSKI, ROBERT

10/13/2010 SIRCHER, DAVID

10/29/2010 SINDELAR, MARISOL

8749 8749 8749 8749 8749 8731 8731 8733 8733 8733 8733 8733 8733 8801 8801 8801 8801 8801 8811 8811 8811 8731 8731 8731 8731 8731 8731 8731 8731 8750 8750 8750 8750

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

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

$19.48

$382.53

$6.50

$13.88

$19.48

$102.19

$6.50

$1,287.88

$6.50

$18.91

$209.75

$6.50

$3.08

$142.00

$6.50

$1,951.00

$3,359.46

$6.50

$64.99

$6.50

$16,269.15

$237.33

$6.50

$172.53

$26.36

$6.50

$7.74

$311.38

$6.50

$214.32

$6.50

$207.59

$6.50

City Of Chicago - Confidential

Page 24 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/29/2010 06/12/2010 11/15/2010 11/15/2010 11/15/2010 11/28/2010 11/28/2010 11/28/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010 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 08/24/2010 08/24/2010 08/24/2010 08/24/2010 08/24/2010

SINDELAR, MARISOL SILVA, JUANITA SHIBATA, SABU SHIBATA, SABU SHIBATA, SABU SCHULZ, JENNIFER SCHULZ, JENNIFER SCHULZ, JENNIFER SCANLON, MARTIN SCANLON, MARTIN SCANLON, MARTIN SCANLON, MARTIN 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 SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY

8750 8801

8745 8745 8745

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

$12.32 $6.50 $22.18 $6.50 $385.78 $21.95 $6.50 $381.69 $6.50 $771.23 $6.50 $1,440.75 $6.50 $100.91 $482.55 $62.90 $6.50 $291.96 $19.25 $6.50 $975.10 $55.53 $2,172.40 $3.62 $6.50 $141.10 $8.77 $216.15 $348.01 - $9,983.32 $6.50 $1,221.00 $7.48

City Of Chicago - Confidential

Page 25 of 409

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

08/24/2010 08/24/2010 08/24/2010 08/0272010 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 08/02/2010 08/02/2010 03/11/2007 12/06/2003 12/06/2003 12/06/2003 12/06/2003 12/06/2003

SANICKI, BRADLEY SANICKI, BRADLEY SANICKI, BRADLEY 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 SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY Rose, Don Rogus, Andrew Rogus, Andrew Rogus, Andrew Rogus, Andrew Rogus, Andrew

8811

8801

00531 00432 00432 00432 00432 00432

|0 Fi Fi Fi Fi

Fi Fi Fi

$181.80

$6.50

$1,739.50

$229.31

$3.36

$6.50

$229.31

$3.36

$6.50

$229.31

$3.36

$6.50

$229.31

$6.50

$3.36

$229.31

$3.36

$6.50

$229.31

$3.36

$6.50

$1,878.80

$6.50

$48.01

$229.31

$6.50

$3.36

$6.50

$101.24

$6.50

$75.48

City Of Chicago - Confidential

Page 26 of 409

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

12/06/2003 12/06/2003 12/06/2003 12/06/2003 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 07/15/2010 07/15/2010 07/10/2008 03/26/2010 03/26/2010 03/26/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010 08/09/2010

Rogus, Andrew Rogus, Andrew Rogus, Andrew Rogus, Andrew 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 ROWELL, EUGENE ROWELL, EUGENE ROWAN, MICHAEL ROSING, JOHN ROSING, JOHN ROSING, JOHN ROSA, ANNA ROSA, ANNA ROSA, ANNA ROSA, ANNA ROSA, ANNA ROSA, ANNA

F F F F

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

8731 8731 8731 8749 8749 8749 8749 8749 8749

00432 00432 00432 00432

|0 Fi Fi

|0 Fi Fi Fi Fi Fi Fi

$6.50

$130.30

$17,388.00

$221.68

$34.71

$6.50

$3.06

$90.22

$6.50

$11.48

$564.28

$6.50

$3,420.14

$285.16

$422.64

$67.53

$140.88

$22.51

$69.70

$2.83

$6.50

$353.97

$470.93

$11.39

$280.50

$6.50

$605.52

$6.50

$4.08

$15.47

$278.06

City Of Chicago - Confidential

Page 27 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/24/2009 ROJAS, ROBERT

10/26/2010 RODRIGUEZ, ANTHONY

8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817

|0 Fi Fi

jo F. Fi Fi Fi Fi Fi

$6.50

$5.90

$401.51

$6.50

$213.20

$10.67

$6.50

$140.40

$10.67

$6.50

$140.40

$10.67

$14.23

$140.40

$6.50

$187.20

$8.26

$140.40

$6.50

$10.67

$140.40

$6.50

$10.67

$88.53

$6.50

$91.35

$6.50

$522.08

$6.50

$1,660.72

$6.50

$389.22

City Of Chicago - Confidential

Page 28 of 409

Incident Date Claimant

Rank

Unit ot

Insured

Total to be Paid

10/26/2010 RODRIGUEZ, ANTHONY

06/05/2010 ROBERTS, KURT

10/25/2010 ROACH, GERALD

09/07/2010 RIVERA, EDWIN

10/11/2010 RIO, VINCENT

8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8801 8801 8801 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

8801 8801 8801

$6.50

$348.49

$6.50

$1,743.02

$6.50

$140.40

$6.50

$10.67

$36.33

$6.50

$6.48

$6.50

$159.56

$78.09

$6.50

$5.99

$1,479.07

$6.50

$17.91

$95.65

$6.50

$1.16

$1,440.82

$6.50

$36.81

$24.00

$6.50

$10.04

$6.50

$79.35

$9.30

$207.59

$6.50

City Of Chicago - Confidential

Page 29 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/11/2010

03/29/2010

06/23/2010

09/11/2009

11/16/2010

11/16/2010'

11/16/2010

12/21/2003

01/14/2005

RIO, VINCENT RIO, VINCENT REILLY, SEAN REILLY, SEAN REILLY, SEAN REILLY, SEAN REED, WILLIAM REED, WILLIAM REED, WILLIAM RAMIREZ, JOSEPH RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT RAICA, ROBERT Peterson, Richard Peterson, Richard Peterson, Richard Patton, John Patton, John Patton, John Patton, John Patton, John

8801

8731

8734

09999 09999 09999 00482 00482 00482 00482 00482

)0 Fi

Fi Fi Fi Fi Fi Fi Fi Fi

$363.72

$6.50

$286.00

$179.97

$6.50

$43.61

$6.50

$1,706.53

$6.50

$8.26

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$187.85

$6.50

$10.82

$269.75

$6.50

$14.98

$186.55

$6.50

$201.50

$2.44

$6.50

$371.53

$7.86

$6.50

$42.65

City Of Chicago - Confidential

Page 30 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/14/2005 01/14/2005 01/14/2005 01/14/2005 01/14/2005 01/14/2005 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 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 11/01/2002 11/01/2002 11/01/2002 11/01/2002 11/01/2002

Patton, John Patton, John Patton, John Patton, John Patton, John Patton, John Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph

F F F F F F E E E E E E E E E E E E E E E E E E E E E E E E E E E

00482 00482 00482 00482 00482 00482 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429

$135.12

$6.50

$42.65

$6.50

$87.19

$7.86

$10.29

$1,123.98

$6.50

$545.96

$6.50

$22.26

$299.38

$6.50

$12.65

$272.98

$13.99

$6.50

$11.13

$6.50

$3.68

$272.98

$6.50

$11.13

$605.33

$6.50

$24.12

$545.96

$6.50

$262.32

$12.99

$6.50

$332.35

City Of Chicago - Confidential

Page 31 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicag: City Of Chicago City Of 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 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

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 08/13/2009 11/09/2010 11/09/2010 11/09/2010 11/09/2010 11/09/2010 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 03/03/2010 03/03/2010 07/25/2010 07/25/2010 08/10/2010 08/10/2010 08/10/2010 10/28/2010 10/28/2010

Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph Palenik, Joseph PUGH,DONALD PUGH,DONALD PRICE, MAURICE PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY POWELL, JASON POWELL, JASON POWELL, JASON POWELL, JASON POWELL, JASON POWELL, JASON POWELL, JASON POWELL, JASON POWELL, JASON PILLON JR, ROBERT PILLON JR, ROBERT PEROVIC, JEFF PEROVIC, JEFF PELLERITO, ERIC PELLERITO, ERIC PELLERITO, ERIC PEACE, HEATHER PEACE, HEATHER

E E E E E E E

8811 8811 8801 8731 8731 8731 8731 8731 8728 8728 8728 8728 8728 8728 8728 8728 8728 8735 8735 8811 -8811 8801 8801 8801 8749 8749

00429 00429 00429 00429 00429 00429 00429

|0 Fi Fi

|0 Fi F F Fi Fi Fi Fi Fi Fi

$13.80

$6.50

$335.93

$6.50

$22.26

$67.47

$193.82

$26.56

$6.50

$56.00

$6.50

$176.45

$7.16

$1,383.53

$6.50

$45.46

$264.67

$1.83

$10.74

$45.05

$6.50

$1.52

$31.84

$6.50

$207.59

$6.50

$47.33

$2.72

$274.30

$6.50

City Of Chicago - Confidential

Page 32 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010

PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE PEACE, PEACE, PEACE, PEACE PEACE PEACE

HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER HEATHER

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

$11.64

$221.10

$6.50

$11.22

$221.10

$6.50

$11.22

$106.64

$6.50

$13.67

$164.46

$6.50

$187.85

$221.10

$6.50

$11.22

$221.10

$6.50

$11.22

$187.85

$6.50

$10.82

$221.10

$6.50

$11.22

$221.10

$6.50

$11.22

$221.10

$6.50

$11.22

$1,173.00

$6.50

City Of Chicago - Confidential

Page 33 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/28/2010 PEACE, HEATHER

11/07/2010 PASULKA, CHRISTOPHER

11/07/2010 PASULKA. CHRISTOPHER

11/07/2010 PASULKA, CHRISTOPHER

8749 8749 8749 8749 8749 8749 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

$47.61

$176.45

$6.50

$7.16

$10.82

$6.50

$187.85

$10.82

$6.50

$16.22

$3.36

$6.50

$3.36

$88.23

$6.50

$1.29

$311.38

$6.50

$1,410.83

$6.50

$20.71

$257.60

$6.50

$3.78

$797.24

$6.50

$662.48

$6.50

$9.72

$229.30

$6.50

$3.36

City Of Chicago - Confidential

Page 34 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/07/2010 PASULKA, CHRISTOPHER

09/20/1979 Owcarz, Eugene

12/20/2008 ORTIZ, BETTY

08/06/2010 ORTEGA, JOHN

8801

8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

00439 00439 00439 00439

$229.30

$6.50

$1,197.00

$204.75

$6.50

$59.00

$295.00

$6.50

$239.85

$6.50

$11.24

$6.50

$239.85

$6.50

$11.24

$239.85

$6.50

$11.24

$239.85

$6.50

$11.24

$239.85

$6.50

$11.24

$234.21

$6.50

$1.03

$213.85

$6.50

$14.34

City Of Chicago - Confidential

Page 35 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010

ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN

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 8733 8733 8733 8733

Fi Fi Fi Fi |0 Fi F, Fi Fi

$239.85

$6.50

$11.24

$187.20

$6.50

$13.31

$213.85

$6.50

$187.20

$6.50

$13.31

$14.34

$6.50

$48.00

$6.50

$59.16

$6.50

$35.87

$6.50

$2.06

$15.21

$239.85

$6.50

$11.24

$239.85

$6.50

$11.24

$239.85

$6.50

$11.24

$239.85

$6.50

$11.24

City Of Chicago - Confidential

Page 36 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 08/06/2010 09/02/2010 11/03/2010 11/03/2010 11/03/2010 07/24/2010 07/24/2010 07/24/2010

ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JANET ORAHA, MARLINE ORAHA, MARLINE ORAHA, MARLINE OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO

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 8750 8750 8750 8750 8801 8801 8801

$213.20

$6.50

$10.21

$186.55

$6.50

$8.69

$226.85

$6.50

$12.79

$239.85

$6.50

$11.24

$213.20

$6.50

$10.21

$239.85

$6.50

$11.24

$213.85

$6.50

$14.34

$239.85

$6.50

$11.24

$239.85

$6.50

$149.85

$105.86

$6.50

$7.16

$490.84

$6.50

City Of Chicago - Confidential

Page 37 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/24/2010 07/24/2010 07/24/2010 06/22/2010 06/22/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 02/15/2010 02/15/2010 02/15/2010 11/14/2008 11/14/2008 11/14/2008 05/27/2010 05/27/2010 05/27/2010 12/11/2009

OLVERA, MARCO OLVERA, MARCO OLVERA, MARCO OLSON, WILLIAM OLSON, WILLIAM OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY O SHEA, KAREN O SHEA, KAREN O SHEA, KAREN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O NEILL, SEAN O DONNELL, SEAN

8801 8801 8801 8801 8801 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8801 8801 8801 8801 8801 8801 8750 8750 8750

8731 8731 8731 8731

$6.50

$176.45

$9.82

$183.92

$6.50

$1,023.40

$59.00

$6.12

$6.50

$416.62

$6.50

$15.25

$726.30

$6.50

$3.41

$694.80

$6.50

$1,063.83

$8.11

$6.50

$199.75

$6.50

$751.07

$19.19

$6.50

$85.50

$2.19

$6.50

$1.50

$58.50

$17,195.67

City Of Chicago - Confidential

Page 38 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/11/2009 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/19/2010 11/19/2010 01/26/2009 10/04/2009 10/04/2009 10/15/2008 10/15/2008 10/15/2008 10/15/2008 10/15/2008 03/31/2004 03/31/2004 03/31/2004 03/05/2006 03/05/2006 05/16/2006 05/28/1999 11/20/2000 11/28/2007 03/06/2004 03/06/2004

O DONNELL, SEAN O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL O BOYLE, MICHAEL NOLAN, SAMUEL NOLAN, SAMUEL NOKES, JOHN NELSON, ROBERT NELSON, ROBERT NAVARRO JR. DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID Muscare, Tina Muscare, Tina Muscare, Tina Milton, William Milton, William Miller, Matthew E Mcmahon, James P Mclean, Barry Mclean, Barry Mckinnis, Michael Mckinnis, Michael

8731

8763 8819 8819

F F F F F F F M F C C

00375 00375 00375 00349 00349 00458 00492 09999 09999 00614 00614

$343.91

$5.00

$6.50

$1,771.39

$6.50

$6.08

$6.50

$165.04

$6.50

$93.84

$39.00

$6.50

$2.19

$85.50

$6.50

$4.59

$6.50

$378.64

$6.50

$170.13

$9.05

$6.50

$134.93

$6.50

$304.49

$6.50

$2,802.26

$6.50

$37.92

City Of Chicago - Confidential

Page 39 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/06/2004 03/06/2004 03/06/2004 03/06/2004 10/05/2004 10/05/2004 10/05/2004 10/05/2004 10/05/2004 02/22/2007 02/22/2007 08/05/1985 08/05/1985 08/05/1985 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 07/05/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010

Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckinnis, Michael Mckendry, Kevin Mckendry, Kevin Mckendry, Kevin Mckendry, Kevin Mckendry, Kevin Mcgrath, Michael Mcgrath, Michael Mcdonough, Thomas Mcdonough, Thomas Mcdonough, Thomas MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS

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

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

00614 00614 00614 00614 00473 00473 00473 00473 00473 00471 00471 00402 00402 00402

|0 Fi Fi Fi Fi F, Fi Fi Fi Fi

$130.91

$126.79

$6.50

$34.10

$100.16

$2,470.16

$7.63

$187.93

$6.50

$1,149.65

$9.69

$168.57

$6.50

$157.88

$10.24

$157.88

$6.50

$10.24

$6.50

$0.83

$134.08

$6.50

$5,246.93

$69.02

$6.50

$75.24

$6.50

$5,172.10

$290.62

$6.50

City Of Chicago - Confidential

Page 40 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/04/2010 MURPHY, THOMAS

08/10/2010 MURAWSKI, CHRISTOPHE

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

$392.78

$6.50

$290.59

$6.50 ,

$290.59

$6.50

$314.47

$6.50

$6,358.51

$6.50

$376.74

$6.50

$262.58

$6.50

$407.89

$6.50

$288.52

$6.50

$262.58

$6.50

$314.47

$6.50

$25.08

$316.54

$6.50

$953.78

$262.58

$316.54

$6.50

$290.59

$6.50

$5,211.00

$6.50

City Of Chicago - Confidential

Page 41 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/10/2010 MURAWSKI, CHRISTOPHE

09/28/2010 MULVIHILL, MICHAEL

11/24/2009 MUELLER, ERNST

10/04/2010 MORRIS, GREGORY

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

88 88 88 88 88 88 88 88

8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745

$384.01

$6.50

$316.54

$6.50

$262.58

$6.50

$290.59

$6.50

$290.59

$6.50

$288.80

$207.59

$6.50

$30.27

$138.27

$6.50

$138.27

$30.27

$1,073.46

$15.44

$261.39

$32.90

$3.84

$68.29

$6.50

$1.00

$213.20

$6.50

$12.46

$187.85

$6.50

City Of Chicago - Confidential

Page 42 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 10/04/2010 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 02/01/2010 02/01/2010 02/01/2010 02/01/2010 02/01/2010 05/15/2009 05/15/2009 11/05/2010 11/05/2010 11/05/2010 12/05/2008

MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MORRIS, GREGORY MILLER, MICHAEL MILLER, MICHAEL MILLER, MICHAEL MILLER, MICHAEL MILLER, MICHAEL MIENTUS, STEVEN MIENTUS, STEVEN METZGER, JOHN METZGER, JOHN METZGER, JOHN MCVICKER, DANIEL

8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8801 8801 8801 8801 8801 8811 8811 8731 8731 8731

$10.82

$243.10

$6.50

$10.77

$244.40

$6.50

$13.33

$716.31

$6.50

$18.31

$88.23

$6.50

$1.29

$166.07

$6.50

$9.55

$286.70

$6.50

$4.21

$447.00

$6.50

$17.11

$190.21

$5.62

$27.87

$1,170.12

$6.50

$149.57

$8.60

$6.50

$3,988.32

City Of Chicago - Confidential

Page 43 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/03/2010 MCKEE, ROBERT

11/15/2010 MCCALPIN, MONICA

11/04/2008 MC MULLIN, SEAN

03/07/2010 MC MIKEL, DUANE

05/12/2009 MC GRATH, MICHAEL

09/05/2009 MC CAULEY, LORRAINE

04/16/2010 MC CANN, JOHN

8801 8801 8749 8749 8749 8749 8749

8731 8731 8731 8731 8731 8731 8731 8731 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8817 8817

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

10 Fi

|0 Fi Fi Fi

Fi Fi

$6.50

$62.27

$611.66

$6.50

$187.46

$207.59

$6.50

$89.68

$48.99

$6.50

$2.82

$16.20

$149.99

$3,695.24

$6.50

$0.41

$6.50

$886.82

$1.85

$6.50

$92.63

$0.88

$6.50

$72.97

$7.52

$6.50

$621.24

$7.86

$6.50

$42.65

$130.46

$3.34

City Of Chicago - Confidential

Page 44 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/21/2010 MC CAMBRIDGE, JAMES

11/17/2010 MC ALEER, SEAN

07/20/2009 MAYNOR, ADAM

8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8750 8750 8750 8750 8750 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801

$11.24

$186.55

$6.50

$8.69

$186.55

$6.50

$8.69

$186.55

$6.50

$8.69

$186.55

$6.50

$8.69

$239.85

$6.50

$11.24

$239.85

$6.50

$771.89

$6.50

$38.00

$19.72

$3,000.00

$6.50

$1,780.20

$6.50

$98.61

$5.73

$6.50

$62.50

$102.85

City Of Chicago - Confidential

Page 45 ot 409

Incident Date Claimant

Rank

Unit ot

Insured

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

Total to be Paid

07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009 07/20/2009

MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR, ADAM MAYNOR, ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR, ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR, ADAM MAYNOR, ADAM MAYNOR,ADAM MAYNOR, ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR, ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR, ADAM MAYNOR, ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR, ADAM MAYNOR,ADAM MAYNOR,ADAM

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

$286.44

$50.73

$1,279.08

$6.50

$213.60

$6.50

$12.29

$96.68

$6.50

$38.71

$85.95

$6.50

$1.72

$25.08

$6.50

$311.36

$6.50

$311.36

$6.50

$311.36

$6.50

$311.36

$6.50

$311.36

$6.50

$311.36

$6.50

$249.09

$6.50

$383.00

$6.50

$13.72

City Of Chicago - Confidential

Page 46 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/20/2009 07/20/2009 07/20/2009 07/20/2009 12/12/2008 12/12/2008 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 01/06/2009 01/06/2009 01/06/2009 10/19/2008 10/19/2008 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 06/11/2010

MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAYNOR,ADAM MAXWELL, STEVEN MAXWELL, STEVEN MATTHEWS, CHRIS MATTHEWS, CHRIS MATTHEWS, CHRIS MATTHEWS, CHRIS MATTHEWS, CHRIS MATTHEWS, CHRIS MATTHEWS, CHRIS MATTHEWS, CHRIS MATERA, MARK MATERA, MARK MATERA, MARK MARTINEZ, ISRAEL MARTINEZ, ISRAEL MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA MARTIN, LEFONDRA

8801 8801 8801 8801

8749 8749 8749 8749 8749 8749 8749 8749

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

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

Fi F Fi Fi |0 Fi Fi F Fi

$560.45

$6.50

$622.77

$6.50

$87.19

$6.50

$207.59

$95.71

$6.50

$124.70

$1.10

$19.20

$6.50

$13.60

$6.50

$25.85

$6.50

$323.45

$6.50

$262.58

$6.50

$446.26

$6.50

$446.26

$6.50

$225.00

$73.59

$6,833.92

$6.50

$496.36

$109.60

City Of Chicago - Confidential

Page 47 of 409

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 06/11/2010 06/11/2010 06/11/2010 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

BARBARA

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 8749 8749 8749 8749 8749 8749 8749 8749

$6.50

$446.26

$6.50

$8,157.67

$6.50

$1.05

$6.50

$236.63

$304.11

$6.50

$236.63

$8.80

$259.45

$6.50

$234.10

$10.45

$6.50

$259.45

$6.50

$25.08

$6.50

$10.45

$316.00

$6.50

$12.96

$4,168.22

$6.50

City Of Chicago - Confidential

Page 48 of 409

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 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 08/21/2010 08/21/2010 10/26/2010 10/26/2010 10/26/2010 06/21/2010 06/21/2010

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 MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARCUS, CHRISTINE MARCUS, CHRISTINE MANGAN, MARK MANGAN, MARK MANGAN, MARK MACGLASHAN,KAREN MACGLASHAN, KAREN

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8750 8750 8817 8817 8817 8749 8749

$83.36

$6.50

$282.75

$6.50

$12.56

$200.54

$6.50

$4.01

$365.64

$6.50

$110.25

$234.10

$6.50

$8.80

$259.45

$6.50

$10.45

$202.90

$6.50

$7.93

$234.10

$6.50

$8.80

$919.62

$6.50

$434.72

$6.50

$1,175.06

$38.61

$565.60

$6.50

City Of Chicago - Confidential Page 49 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/10/2010 10/10/2010 04/27/2008 04/27/2008 04/27/2008 04/27/2008 10/19/2004 10/19/2004 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010

MACGLASHAN, KAREN MACGLASHAN, KAREN Luther, Thomas Luther, Thomas Luther, Thomas Luther, Thomas Lane, Russell Lane, Russell 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 LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL

Amb

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

00345 00345 00345 00345 00665 00665

$565.60

$6.50

$179.98

$7,134.95

$410.26

$8.12

$6.50

$187.19

$6.50

$18.46

$187.19

$6.50

$18.46

$183.36

$6.50

$18.08

$187.19

$6.50

$18.46

$188.92

$6.50

$18.62

$183.36

$6.50

$18.08

$187.19

$6.50

$18.46

$188.92

$6.50

City Of Chicago - Confidential

Page 50 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 10/12/2010 10/12/2010 10/12/2010 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 LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LUBOMSKI, NEIL LUBOMSKI, NEIL LUBOMSKI, NEIL 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 8801 8801 8801 8801 8801 8801 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$18.62

$188.92

$6.50

$18.62

$5,879.43

$6.50

$117.59

$151.11

$6.50

$14.89

$6.50

$18.46

$187.19

$6.50

$18.46

$187.19

$718.70

$18.37

$6.50

$15.07

$9,890.39

$6.50

$1,947.33

$339.30

$6.50

$15.07

$339.30

$6.50

$15.07

$339.30

$6.50

City Of Chicago - Confidential

Page 51 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010 09/02/2010

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 LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOPEZ, JOSEPH LOPEZ, JOSEPH LOPEZ, JOSEPH LOPEZ, JOSEPH LOPEZ, JOSEPH LOPEZ, JOSEPH LOPEZ, JOSEPH LOPEZ, JOSEPH

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

$15.07

$339.30

$6.50

$15.07

$339.30

$6.50

$15.07

$339.30

$6.50

$15.07

$339.30

$6.50

$15.07

$339.30

$6.50

$15.07

$282.75

$6.50

$12.56

$339.30

$6.50

$15.07

$311.34

$6.50

$339.30

$1,223.21

$6.50

$178.47

$6.50

$3.83

$6.50

$8.07

City Of Chicago - Confidential

Page 52 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/02/2010 LOPEZ, JOSEPH

11/29/2010 LIVERMORE, BRIAN

06/28/2010 LEWANDOWSKI, ANDREW

01/21/2009 LEVIN, RICHARD

09/16/2010 LEVERENZ, KENNETH

11/06/2010 LEONARD, JOHN

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

Fi ,0 Fi

Fi Fi Fi Fi Fi Fi

$178.47

$6.50

$225.44

$6.50

$262.60

$63.12

$206.28

$6.50

$3.02

$12.46

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$6.50

$213.20

$12.46

$213.20

$6.50

$7.66

$6.50

$159.90

$6.50

$207.59

$6.50

$48.00

$103.79

$93.84

City Of Chicago - Confidential

Page 53 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/06/2010 11/06/2010 02/22/2010 02/22/2010 02/22/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 02/12/2006 02/12/2006 02/12/2006 02/12/2006 10/18/2007 10/18/2007 10/21/2007

LEONARD, JOHN LEONARD, JOHN LEMKE, KURT LEMKE, KURT LEMKE, KURT LEA, PAUL LEA, PAUL LEA, PAUL LEA, PAUL LEA, PAUL LEA, PAUL LEA, PAUL LEA, PAUL LEA, PAUL LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP Kotlarz, Stanley T Kotlarz, Stanley T Kotlarz, Stanley T Kotlarz, Stanley T Koranda, Robert J. Koranda, Robert J. Kleinick, James

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

09999 09999 09999 09999 00468 00468 00457

$6.50

$452.54

$18.37

$6.50

$7.65

$6.50

$21.64

$4.75

$185.89

$14.76

$846.96

$6.50

$228.36

$6.50

$7.17

$252.94

$6.50

$8.20

$508.65

$6.50

$16.22

$252.94

$6.50

$8.20

$261.42

$6.50

$217.96

$6.50

$110.00

City Of Chicago - Confidential

Page 54 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/21/2007 10/21/2007 10/21/2007 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 12/08/2009 12/08/2009 12/08/2009 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010 01/10/2010

Kleinick, James Kleinick, James Kleinick, James KWASNY, RICHARD KWASNY, RICHARD KWASNY, RICHARD KWASNY, RICHARD KWASNY, RICHARD KWASNY, RICHARD KWASNY, RICHARD KOWALUK, ANDREW KOWALUK, ANDREW KOWALUK, ANDREW KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN. GEORGE KORZEN. GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE KORZEN, GEORGE

F F F

8807 8807 8807 8807 8807 8807 8807 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

00457 00457 00457

$8.59

$112.10

$6.50

$39.00

$6.50

$561.57

$6.50

$108.68

$168.57

$6.50

$9.69

$3.58

$243.85

$6.50

$3.58

$45.00

$6.50

$481.00

$6.50

$7.05

$6.50

$1,383.27

$6.50

$207.59

$6.50

$243.84

$6.50

$3.58

$218.56

$6.50

$3.21

City Of Chicago - Confidential

Page 55 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/10/2010 01/10/2010 08/09/2010 08/09/2010 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 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 10/24/2010

KORZEN, GEORGE KORZEN, GEORGE KONCHAR JR, GARRY KONCHAR JR, GARRY 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 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 KING, JONI

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

$243.84

$6.50

$454.62

$6.50

$10.05

$1,487.50

$6.50

$146.63

$149.46

$6.50

$113.10

$6.50

$5.02

$282.75

$226.20

$12.56

$6.50

$715.94

$6.50

$27.48

$788.00

$6.50

$24.70

$1,674.22

$373.40

$6.50

$13.59

$337.95

$6.50

$10.60

$6.50

$92.00

City Of Chicago - Confidential

Page 56 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/24/2010 10/24/2010 10/24/2010 06/20/2009 06/20/2009 06/20/2009 06/20/2009 06/20/2009 06/20/2009 06/20/2009 06/20/2009 06/20/2009 02/19/2010 02/19/2010 02/19/2010 12/16/2008 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010

KING, JONI KING, JONI KING, JONI KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KENDA, JOHN KEMPF, WILLIAM KEMPF, WILLIAM KEMPF, WILLIAM KELLY, JOSEPH KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES KELLY, JAMES

8750 8750 8750 8801 8801 8801 8801 8801 8801 8801 8801 8801 8802 8802 8802

8701 8701 8701 8701 8701 8701 8701 8701 8701 8701 8701 8701 8701 8701 8701 8701 8701

$6.50

$485.76

$6.50

$4,151.82

$866.70

$22,673.60

$197.60

$6.50

$299.00

$399.60

$6.50

$1.86

$45.87

$58.50

$6.50

$404.77

$6.50

$809.54

$6.50

$342.50

$6.50

$404.77

$6.50

$394.39

$6.50

$394.39

$6.50

$809.54

$6.50

$332.12

City Of Chicago - Confidential

Page 57 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/15/2010 06/15/2010 06/15/2010 06/22/2010 06/22/2010 06/22/2010 06/22/2010 06/22/2010 07/17/2009 07/17/2009 07/17/2009 07/17/2009 07/17/2009 11/28/2010 11/28/2010 11/28/2010 06/09/2007 06/09/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 02/07/2009 10/02/2010 10/02/2010 10/02/2010 10/02/2010 12/15/2009

KELLY, JAMES KELLY, JAMES KELLY, JAMES KEITH, DENNIS KEITH, DENNIS KEITH, DENNIS KEITH, DENNIS KEITH, DENNIS KEHOE, PATRICK KEHOE, PATRICK KEHOE, PATRICK KEHOE, PATRICK KEHOE, PATRICK KAPPEL, MICHAEL KAPPEL, MICHAEL KAPPEL, MICHAEL Joyner, Kevin Joyner, Kevin Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt Jenssen, Kirt JOHNSON, LEON JOHNSON, KEVIN JOHNSON, KEVIN JOHNSON, KEVIN JOHNSON, KEVIN JOHNSON, JAMES

8701

8735

8763

8811

8731

00502 00502 00002 00002 00002 00002 00002 00002 00002 00002 00002

8801

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

$6.50

$394.39

$404.77

$8.25

$207.56

$6.50

$213.20

$6.50

$241.86

$118.14

$6.50

$7.20

$6.50

$12,399.10

$531.31

$6.50

$82.37

$6.50

$16.97

$241.58

$6.50

$40.80

$74.72

$6.50

$24.42

$264.74

$550.29

$6.50

$517.00

$6.50

$4,171.17

$2,064.88

City Of Chicago - Confidential

Page 58 of 409

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 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 10/13/2010 10/13/2010 10/30/2010 10/30/2010 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

JOHNSON,HERBERT JOHNSON,HERBERT JOHNSON,HERBERT JOHNSON,HERBERT JOHNSON,HERBERT JOHNSON, HERBERT JOHNSON,HERBERT JOHNSON,HERBERT JOHNSON,HERBERT JEZIOR, MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JENKINS, TRISTAN JENKINS, TRISTAN JENKINS, JAMES JENKINS, JAMES JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH JEDYNAK, JOSEPH

88 88 88 88 88 88 88 88 88

8728 8728 8728 8728 8728 8728 8728 8728 8728 8801 8801 8793 8793 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

$3.46

$6.50

$286.30

$8.24

$6.50

$228.55

$1.68

$6.50

$84.04

$1,388.80

$6.50

$22.65

$82.83

$7.56

$1.00

$378.16

$6.50

$207.59

$6.50

$1,566.76

$6.50

$14.02

$24,500.00

$6.50

$1,263.78

$6.50

$2.53

$209.05

$6.50

$1,947.33

City Of Chicago - Confidential

Page 59 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 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

JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT JANUS, KURT 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

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

$311.38

$6.50

$14.38

$6.50

$4.05

$310.60

$1.16

$6.50

$95.65

$13.67

$6.50

$435.58

$11.95

$6.50

$380.78

$18.06

$6.50

$553.33

$3.76

$6.50

$4,314.77

$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 60 of 409

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 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 07/04/2009 12/24/2006 02/25/2002 02/25/2002 02/25/2002 11/22/1980 11/22/1980 11/22/1980 02/08/2004 02/08/2004 02/08/2004 02/08/2004

IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES IRELAND, JAMES INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM INENDINO, SAM Humphries, Curtis Howe, Patrick Howe, Patrick Howe, Patrick Heierling, Elizabeth Heierling, Elizabeth Heierling, Elizabeth Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa

881 881 881 881 881

F C C

M M M F F F F

00468 09999 09999 09999 00601 00601 00601 00397 00397 00397 00397

$269.88

$6.50

$269.88

$6.50

$97.70

$130.16

$1,970.15

$6.50

$22.70

$6.50

$103.70

$10,933.95

$20.16

$6.50

$467.35

$89.78

$6.50

$7,417.11

$1.58

$6.50

$372.90

$498.30

$429.80

$6.50

$186.55

$8.26

$6.50

$4.84

$11.63

$6.50

City Of Chicago - Confidential

Page 61 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004 02/08/2004

Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa Hatten, Osa

00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397 00397

$6.07

$90.22

$6.50

$13.63

$24.37

$2.61

$79.19

$6.50

$37.45

$6.50

$4.43

$433.20

$6.50

$9.75

$23.25

$6.50

$4.09

$57.59

$6.50

$9.91

$2,560.50

$6.50

$130.33

$392.70

$18.32

$392.70

$18.32

$334.75

$25.66

$334.75

$25.66

$334.75

$25.66

City Of Chicago - Confidential

Page 62 of 409

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

02708/2004 Hatten, Osa

02/08/2004 Hatten, Osa

07/28/2007 Hannon, Sean

05/31/2005 Halloran, Michael

12/22/2010 HURLEY, JOHN

11/28/2009 HUNTINGTON, STEVE

10/23/2010 HUNTER, CHRISTOPHER

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

8771 8771 8731 8731 8731 8731 8750

00397 00397 00397 00397 00397 00397 00397 00397 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 00326 00326 00326

$334.75

$25.66

$293.80

$19.26

$8,192.70

$6.50

$209.37

$65.60

$6.50

$24,773.04

$342.50

$6.50

$1,987.04

$6.50

$769.56

$747.84

$6.50

$214.65

$6.74

$8,509.65

$103.01

$1,721.27

$37.03

$6.50

$291.96

$93.84

$6.50

$530.00

$96.60

$6.50

$334.60

City Of Chicago - Confidential

Page 63 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/23/2010 HUNTER, CHRISTOPHER

02/06/2010 HORKAVY, GARY

07/12/2010 HOLZMAN, PAUL

10/24/2010 HERNANDEZ, JESUS

10/15/2009 HATZIS, JOHN

10/08/2009 HATTEN, OSA

11/04/2010 HART, BUFORD

11/04/2010 HART. BUFORD

11/04/2010 HART, BUFORD

12/22/2010 HAMADEH, HAMADEH

09/25/2009 HAGGARD, VALERIE

8750 8750 8731 8731 8731 8801 8801 8801 8801 8801 8731 8731 8731 8733 8733 8733 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8819 8819 8807 8807 8807

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

Fi |0 Fi Fi IO Fi Fi Fi Fi Fi

$6.60

$6.50

$115.38

$25.50

$6.50

$1,066.41-

$21.33

$2,024.25

$66.51

$6.50

$142.24

$38.30

$293.28

$37.00

$6.50

$101.46

$114.78

$6.50

$27.73

$6.50

$1,085.40

$5.73

$6.50

$224.10

$13.94

$6.50

$12.00

$97.30

$294.38

$6.50

$123.75

$6.50

$9.49

City Of Chicago - Confidential

Page 64 of 409

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

09/25/2009 HAGGARD, VALERIE

10/23/2010 HACKSTOCK, EDWARD

07/29/1997 Gutierrez-Ogar, Bernadette

09/21/2003 Guth, Sarah

03/19/2008 Gomez, Scott

09/03/2004 Gilhooly, Brian

11/01/2007 Galloza, Edward

10/24/2010 GRUBER, RANDY

03/27/2010 GRAY, JAMES

8807

8750

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

00665 00652 00652 00652 00652 00652 00652 00652 00643 00529 00529 00377 00377 00377

Fi ,oFi F Fi Fi Fi F,

$9.49

$123.75

$273.06

$133.90

$6.50

$193.37

$6.50

$4,393.74

$6.50

$250.00

$337.35

$110.00

$6,438.10

$17.39

$351.88

$6.50

$246.75

$6.50

$0.76

$1,038.34

$6.50

$311.38

$6.50

$47.00

$6.50

$73.40

$6.50

$96.66

$6.50

$0.92

City Of Chicago - Confidential

Page 65 of 409

Incident Date Claimant

Rank

Unit ot

Insured

Total to be Paid

03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010 03/27/2010

GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES GRAY, JAMES

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

$6.50

$186.22

$6.50

$3.72

$6.50

$768.00

$6.50

$28.66

$384.00

$14.33

$384.00

$14.33

$384.00

$14.33

$768.00

$28.66

$384.00

$14.33

$384.00

$14.33

$384.00

$14.33

$768.00

$28.66

$384.00

$14.33

$6.50

City Of Chicago - Confidential

Page 66 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/27/2010 GRAY, JAMES

11/03/2010 GIOVENCO, ANTHONY

01/14/2009 GILMORE, GARY

11/05/2010 GIANNAKOUROS, PATRIKIOS

10/08/2010 GATEWOOD JR., STEVE

12/26/2009 GARR, KEITH

03/24/2010 GARITI, JOHN

11/10/2009 GARITI, JILL

11/05/2010 GARCIA, JOSE

10/23/2010 GARA, SHEILA

09/02/2010 GALLAPO, ROBERT

8749 8801 8801 8801

8801 8801 8801 8801 8801 8801 8801 8801 8750 8811 8811 8745 8745 8801 8801 8801 8801 8745 8745 8745 8735 8735 8735

S6.50

$830.38

$6.50

$21.22

$1,962.24

$262.56

$1,978.56

$270.91

$6.50

$217.35

$5.56

$6.50

$568.40

$6.50

$14.53

$40.00

$6.50

$12.47

$31.24

$769.78

$6.50

$300.00

$6.50

$91.35

$872.42

$6.50

$6.60

$334.60

$6.50

$523.07

$682.57

$6.50

City Of Chicago - Confidential

Page 67 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/02/2010 09/02/2010 02/19/2010 12/02/1985 05/16/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 04/07/2010 04/07/2010 11/20/2008 11/20/2008 11/20/2008 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010

GALLAPO, ROBERT GALLAPO, ROBERT GAICHAS, ERNEST Fornell, Roger C FRICKS, GREGORY FREEMAN, EDWARD FREEMAN, EDWARD FREEMAN, EDWARD FREEMAN, EDWARD FOX, JOHN FOX, JOHN FITZGIBBON, JAMES FITZGIBBON, JAMES FITZGIBBON, JAMES FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FINNERTY, RYAN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERNANDEZ, JOHN FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD

8735 8735 8819 M

8819 8731 8731 8731 8731 8811 8811

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

00391

$30.08

$6.50

$112.09

$6.50

$166.07

$6.50

$827.82

$6.50

$45.00

$494.08

$6.50

$5.61

$10.62

$103.79

$6.50

$38.20

$2.78

$6.50

$750.96

$6.50

$1.00

$3,403.60

$6.50

$316.99

$6.50

$168.66

$82.83

$11.22

$213.20

$6.50

$12.46

City Of Chicago - Confidential

Page 68 of 409

Incident Date Claimant

Rank

Unit ot

Insured

Total to be Paid

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

09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010

FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD FERN, EDWARD

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 Fi jo Fi

Fi Fi Fi Fi

$197.50

$6.50

$10.44

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$67.05

$6.50

$0.81

$185.15

$6.50

$6.38

$187.85

$189.90

$6.50

$10.35

$6.50

$10.82

$221.10

$6.50

$11.22

$213.20

$6.50

$12.46

$213.20

$6.50

$221.10

$11.22

$6.50

City Of Chicago - Confidential

Page 69 of 409

Incident Date Claimant Rank

09/25/2010 FERN, EDWARD 8731

03/06/2003 Enhelder, Paul L

06/25/2001 Edwards, John M

02/28/1997 Edingburg, Gregory F

07/15/2009 ENOS, BARBARA 8750

09/01/2010 ENNESSER. DANIEL 8731

11/18/2010 EASTMAN JOHNSON, JUNELLEN 8745

07/24/2010 Dias, ROCCO 8731

Unit of_Insured_Total to be Paid

City Of Chicago Fire $221.10

City Of Chicago Fire $12.46

City Of Chicago Fire $6.50

City Of Chicago Fire $213.20

City Of Chicago Fire $12.46

00377 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $134.93

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $202.40

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $2,736.50

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $247.03

09999 City Of Chicago Fire $342.52

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $137.42

00329 City Of Chicago Fire $12.00

00329 City Of Chicago Fire $6.50

00329 City Of Chicago Fire $97.30

City Of Chicago Fire $6.50

City Of Chicago Fire $36.00

City Of Chicago Fire $6.50

City Of Chicago Fire $2.45

City Of Chicago Fire $6.50

City Of Chicago Fire $3.76

City Of Chicago Fire $562.00

City Of Chicago Fire $6.50

City Of Chicago Fire $6.81

City Of Chicago Fire $251.42

City Of Chicago - Confidential

Page 70 of 409

Incident Date Claimant

Rank

Unit ot

Insured

Total to be Paid

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

07/24/2010 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 07/28/2009 07/28/2009 07/28/2009 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/22/2010 10/22/2010

Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO Dias, ROCCO DUNFORD, MICHAEL DUNFORD, MICHAEL DUNFORD, MICHAEL DOWNING, ANTHONY DOWNING, ANTHONY DOWNING, ANTHONY DOWNING, ANTHONY DOWNING, ANTHONY DOWNING, ANTHONY DORNEKER, RONALD DORNEKER, RONALD

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

8724 8724

$6.50

$3.05

$6.50

$625.73

$6.50

$427.19

$6.50

$147.91

$6.50

$1.79

$6.50

$202.12

$6.50

$2.45

$404.24

$6.50

$4.90

$6.50

$306.18

$6.50

$202.12

$310.58

$35.20

$2.02

$6.50

$667.00

$10.74

$6.50

$264.67

$21.91

$6.50

$25,000.00

City Of Chicago - Confidential

Page 71 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/11/2010 10/11/2010 08/19/2009 08/19/2009 04/13/2010 04/13/2010 04/09/2010 04/09/2010 04/09/2010 04/09/2010 04/09/2010 04/09/2010 10/15/2010 10/15/2010

DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER,RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DORNEKER, RONALD DILLOW, MYRON DILLOW, MYRON DIETZ, STEPHEN DIETZ, STEPHEN DIETZ, KEVIN DIETZ. KEVIN DIETZ, DAVID DIETZ, DAVID DIETZ, DAVID DIETZ, DAVID DIETZ, DAVID DIETZ, DAVID DEVER, LEWIS DEVER, LEWIS

8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8724 8819 8819 8735 8735 8811 8811 8701 8701 8701 8701 8701 8701 8801 8801

$6.50

$29.37

$186.55

$6.50

$8.26

$347.20

$6.50

$13.83

$290.65

$6.50

$11.32

$6.50

$399.76

$6.50

$1,769.13

$6.50

$168.20

$464.99

$478.69

$6.50

$621.84

$303.41

$6.50

$253.68

$3.72

$6.50

$253.68

$3.72

$67.69

$1.34

City Of Chicago - Confidential

Page 72 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/15/2010 10/23/2010 10/23/2010 10/23/2010 10/23/2010 10/23/2010 10/23/2010 10/23/2010 10/23/2010 10/23/2010 10/23/2010 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

DEVER, LEWIS DATI, THOMAS DATI, THOMAS DATI, THOMAS DATI, THOMAS DATI, THOMAS DATI, THOMAS DATI, THOMAS DATI, THOMAS DATI, THOMAS DATI, THOMAS 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

8801 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

$6.50

$146.35

$6.50

$2.15

$795.72

$15.53

$207.59

$6.50

$9,260.98

$6.50

$530.35

$6.50

$240.40

$6.50

$240.20

$6.50

$240.40

$6.50

$216.53

$6.50

$240.40

$6.50

$242.48

$6.50

$232.09

$6.50

$232.09

$6.50

$180.20

$6.50

$2,527.53

$6.50

City Of Chicago - Confidential

Page 73 of 409

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 02/17/2007 02/17/2007 02/17/2007 02/17/2007 02/17/2007 02/17/2007 02/17/2007 02/17/2007 01/08/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008 03/24/2008

DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL DALY, DANIEL Craven, Patrick Craven, Patrick Craven, Patrick Craven, Patrick Craven, Patrick Craven, Patrick Craven, Patrick Craven, Patrick Clancy, John P Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael Ciara, Michael

8819

00443 00443 00443 00443 00443 00443 00443 00443 00373 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003

$4,589.31

$6.50

$216.53

$6.50

$67.47

$6.50

$102.00

$6.50

$3.60

$82.04

$81.22

$2.40

$6.50

$38.98

$36.07

$6.50

$443.58

$6.50

$168.14

$6.50

$168.14

$68.21

$6.50

$311.25

$6.50

$68.21

$6.50

$68.21

$6.50

$68.21

City Of Chicago - Confidential

Page 74 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/24/2008 03/24/2008 03/24/2008 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 09/28/2009 09/28/2009 08/31/2010 08/31/2010 09/22/2008 09/22/2008 09/22/2008 09/22/2008 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010

Ciara, Michael Ciara, Michael Ciara, Michael CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CURTIN, JAMES CURTIN, JAMES CROWLEY, RICHARD CROWLEY, RICHARD CORBETT, KATHLEEN CORBETT, KATHLEEN CORBETT, KATHLEEN CORBETT, KATHLEEN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN CONTRERAS, JOHN

P P P

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

00003 00003 00003

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

$9.91

$6.50

$57.59

$239.76

$6.50

$405.40

$110.00

$6.50

$661.16

$6.50

$240.80

$33,490.24

$6.50

$7.37

$145.99

$6.50

$41.52

$6.50

$180.00

$6.50

$269.88

$6.50

$202.41

$6.50

$134.94

$6.50

$299.98

$6.50

$223.17

$6.50

$134.94

$6.50

City Of Chicago - Confidential

Page 75 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/21/2010 10/21/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010

CONTRERAS, JOHN CONTRERAS, JOHN CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK CONNORS, PATRICK COMITO, JOSEPH COMITO, JOSEPH COMITO, JOSEPH COMITO, JOSEPH COMITO, JOSEPH COMITO, JOSEPH COMITO, JOSEPH

8731 8731 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8733 8733 8733 8733 8733 8733 8733

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

$6.50

$269.88

$118.70

$694.82

$6.50

$2,483.87

$28.20

$6.50

$1.44

$4,022.04

$6.50

$144.14

$974.68

$6.50

$371.57

$6.50

$4.50

$6.50

$292.03

$6.50

$11.85

$258.24

$6.50

$3.13

$30.07

$6.50

$166.07

$8.24

$33.71

$9.55

$1,319.20

$6.50

City Of Chicago - Confidential

Page 76 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/06/2010 11/06/2010 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 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 11/28/2010 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 06/15/2010

CLEMENS,THOMAS CLEMENS, THOMAS 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 CISZEK, JOHN CISZEK, JOHN CISZEK, JOHN CISZEK, JOHN CISZEK, JOHN CISZEK, JOHN CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHYCHULA, ANDRIJ CHISESI, VINCENT CHISESI, VINCENT

8731

8807

881

8819

8750

$6.50

$283.48

$1,081.98

$6.50

$470.11

$2,793.13

$6.50

$420.36

$6.50

$420.36

$6.50

$420.36

$6.50

$540.99

$6.50

$464.99

$55.86

$861.16

$6.50

$21.74

$378.07

$6.50

$22.01

$61.24

$6.50

$2,087.55

$6.50

$7,006.18

$6.50

$311.38

$6.50

$85.58

City Of Chicago - Confidential

Page 77 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/15/2010 CHISESI, VINCENT

04/11/2009 CHERRY, ROY

05/05/2010 CENTRACCHIO, MICHAEL

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

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

$6.50

$3.47

$100.68

$6.50

$100.68

$149.46

$6.50

$149.46

$39.69

$977.85

$6.50

$1,422.18

$134.94

$114.18

$171.27

$10.62

$6.50

$7.16

$916.64

$6.50

$829.34

$6.50

$88.75

$6.50

$1.07

$147.55

$6.50

$8.56

$200.85

City Of Chicago - Confidential

Page 78 of 409

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

05/05/2010 CENTRACCHIO, MICHAEL

10/16/2010 CAVALETTI, MARK

05/08/2010 CARROLL, WILLIAM

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 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

$10.62

$200.85

$6.50

$10.62

$200.85

$6.50

$10.62

$200.85

$176.45

$32.00

$6.50

$595.82

$6.50

$90.04

$1,431.81

$6.50

$58.11

$9,128.88

$110.50

$563.52

$6.50

$90.04

$563.52

$6.50

$112.55

$370.94

$6.50

$229.81

$432.29

$6.50

$73.90

$563.52

City Of Chicago - Confidential

Page 79 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 05/08/2010 01/12/2010 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986

CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARBONNEAU, THOMAS

Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David illups, David Hups, David illups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David Hups, David

8819

8735

00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475 00475

$6.50

$90.04

$86.78

$6.50

$1.05

$704.40

$6.50

$355.12

$19,519.59

$5.90

$942.56

$582.24

$212.63

$6.50

$8.63

$614.26

$6.50

$7.44

$7,532.01

$6.50

$150.65

$1,125.29

$6.50

$13.62

$1,563.35

$6.50

$63.45

$264.67

$6.50

$10.74

$487.07

$6.50

City Of Chicago - Confidential

Page 80 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/20/2005 03/10/2005 03/10/2005 03/10/2005 03/27/2009 03/27/2009 03/27/2009 03/27/2009 12/01/2010 12/01/2010 12/01/2010 12/01/2010 04/14/2010 04/14/2010 04/14/2010 04/14/2010 04/14/2010 06/11/2010 06/11/2010 06/11/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 03/22/2010 01/26/2010 01/26/2010 01/26/2010 08/15/2010 08/15/2010 10/19/2010 10/19/2010

Bartgen, William Baldacci. Joseph Baldacci, Joseph Baldacci, Joseph BYRNE, JAMES BYRNE, JAMES BYRNE, JAMES BYRNE, JAMES BUTLER, DANTE BUTLER, DANTE BUTLER, DANTE BUTLER, DANTE BURKE, JULIE BURKE, JULIE BURKE, JULIE BURKE, JULIE BURKE, JULIE BURKE, JULIE BURKE, JULIE BURKE, JULIE BURKE, JEFFERY BURKE, JEFFERY BURKE, JEFFERY BURKE, JEFFERY BURKE, JEFFERY BURKE, JEFFERY BURKE SR, MARK BURKE SR, MARK BURKE SR, MARK BROWN, WILLIAM BROWN, WILLIAM BROWN, ALICIA BROWN, ALICIA

F F F F

8733 8733 8733 8733

00655 00656 00656 00656

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

$326.58

$6.50

$63.84

$394.94

$7,518.10

$10.32

$1,127.72

$68.82

$440.21

$6.50

$207.59

$6.50

$1.24

$306.00

$76.81

$6.50

$7.16

$176.45

$22.57

$3.45

$213.25

$6.50

$42.98

$8.11

$6.50

$199.75

$2,232.13

$6.50

$1,554.70

$1.16

City Of Chicago - Confidential

Page 81 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 09/23/2010 09/23/2010 09/23/2010 10/05/2009 10/05/2009 10/05/2009 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 09/23/2008

BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BRITTON, T C BRITTON, T C BRITTON, TC BRITTON, T C BRITTON, TC BRITTON, T C BRENNER, JEFFREY BRENNER, JEFFREY BRENNER, JEFFREY BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRANNIGAN, MICHAEL BRADFORD, RUSSELL BRADFORD, RUSSELL BRADFORD, RUSSELL BRADFORD, RUSSELL BRADFORD, RUSSELL BRADFORD, RUSSELL BOZEMAN, DIANE

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

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

$6.50 $95.65 $6.50 $59.00 $1.16 $6.50 $95.65 $235.75 $6.50 $475.00 $6.50 $74.70 $20.42 $6.50 $6.50 $1,559.44 $8.04 $244.72 $6.50 $51.24 $6.50 $2,287.44 $58.45 $224.47 $224.47 $7.21 $6.50 $3.76 $193.23 $6.50 $61.36 $92.64 - $266.76

City Of Chicago - Confidential

Page 82 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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

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 BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM

8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763

S4.54

$41.31

$4.54

$177.84

$6.50

$4.54

$40.75

$6.50

$5.17

$88.92

$6.50

$2.27

$177.84

$6.50

$180.00

$6.50

$25,206.81

$6.50

$305.17

$4,400.00

$6.50

$2,280.44

$6.50

$180.00

$6.50

$180.00

$6.50

$180.00

$6.50

$180.00

City Of Chicago - Confidential

Page 83 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/04/2010 07/04/2010 07/04/2010 05/29/2010 05/29/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 02/23/2010 02/23/2010 02/23/2010 11/06/2008 11/06/2008 11/06/2008 11/06/2008 05/13/2010 05/13/2010 05/13/2010 05/13/2010 04/12/2010 12/08/2009 12/08/2009 09/25/2010 09/25/2010 09/25/2010 09/25/2010 09/25/2010

BOYLE, WILLIAM BOYLE, WILLIAM BOYLE, WILLIAM BORNELL, ROBERT BORNELL, ROBERT BOMELY, MATTHEW BOMELY, MATTHEW BOMELY, MATTHEW BOMELY, MATTHEW BOMELY, MATTHEW BOMELY, MATTHEW BOMELY, MATTHEW BOMELY, MATTHEW BOMELY, MATTHEW BOLDEN, THEODORE BOLDEN,THEODORE BOLDEN,THEODORE BLANDIN, MAURICE BLANDIN, MAURICE BLANDIN, MAURICE BLANDIN, MAURICE BINIAK, DANIEL BINIAK, DANIEL BINIAK, DANIEL BINIAK, DANIEL BIGONESS, JAMES BIERWIRTH, THOMAS BIERWIRTH, THOMAS BERGQUIST, BRADLEY BERGQUIST, BRADLEY BERGQUIST, BRADLEY BERGQUIST, BRADLEY BERGQUIST, BRADLEY

8763 8763 8763 8749 8749 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8731 8731 8731 8731 8731 8801 8801 8750 8750 8750 8750 8750

$6.50

$134.93

$6.50

$300.00

$6.50

$7.65

$846.96

$21.64

$6.50

$7.62

$6.50

$14.76

$298.00

$6.50

$238.73

$4.77

$22.50

$6.50

$0.58

$6.50

$10.74

$264.70

$6.50

City Of Chicago - Confidential

Page 84 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/25/2010 BERGQUIST, BRADLEY

06/25/2008 BENDER, KATHRIN

03/08/2010 BEIRIGER, TERRY

08/07/2010 BEIRIGER, TERRY

8750

8749

$6.50

$199.50

$14.01

$254.15

$6.50

$12.68

$6.50

$289.90

$14.75

$6.50

$307.45

$14.01

$6.50

$289.90

$232.37

$6.50

$5.76

$169.00

$6.50

$12.01

$629.47

$1,429.78

$6.50

$17.31

$95.65

$6.50

$1.16

$9.89

$10.92

$21.66

City Of Chicago - Confidential

Page 85 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

BEIRIGER, BEIRIGER, BEIRIGER, BEIRIGER, BEIRIGER, BEIRIGER, BEIRIGER, BEIRIGER, BEIRIGER, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND, BEHLAND,

TERRY

ANTHONY

881

8819

$6.50

$14.24

$223.33

$6.50

$2.71

$183.30

$6.50

$161.15

$6.50

$324.28

$6.50

$2,087.55

$9.72

$267.73

$6.50

$311.38

$6.50

$175.41

$6.50

$324.28

$7.77

$8.49

$9.72

$282.75

$6.50

$9.72

$1,512.26

$282.75

$6.50

$9.72

City Of Chicago - Confidential

Page 86 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/01/2010 09/01/2010 12/14/2009 12/14/2009 12/14/2009 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 09/28/2009 08/22/2010 08/22/2010 08/22/2010 08/22/2010 08/20/2010 08/20/2010 08/20/2010 01/14/2010 01/14/2010 01/14/2010 01/14/2010 01/14/2010 01/14/2010 11/11/2010 11/11/2010 11/11/2010

BEHLAND, ANTHONY BEHLAND, ANTHONY BEDFORD, WILLIE BEDFORD, WILLIE BEDFORD, WILLIE BEARD, LISA BEARD, LISA BEARD, LISA BEARD, LISA BEARD, LISA BEARD, LISA BEARD, LISA BEARD, LISA BEARD, LISA BEARD, LISA BEARD, LISA BEALS JR, AARON BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BATKA JR, BRADLEY BARRY, JAMES BARRY, JAMES BARRY, JAMES BARBA, MARTIN BARBA, MARTIN BARBA, MARTIN BARBA, MARTIN BARBA, MARTIN BARBA, MARTIN BAKER, PATRICK BAKER, PATRICK BAKER, PATRICK

8819 8819 8731 8731 8731 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8819 8801 8801 8801 8801 8749 8749 8749 8801 8801 8801 8801 8801 8801 8735 8735 8735

$284.63

$6.50

$524.95

$6.50

$4.62

$6.50

$3.59

$262.60

$10.00

$1,045.10

$6.50

$31.00

$6.50

$296.29

$639.40

$6.50

$794.03

$29.15

$694.82

$28.20

$6.50

$705.46

$9,795.09

$6.50

$54.98

$2,151.14

$21.24

$6.50

$11.22

$207.59

$6.50

City Of Chicago - Confidential

Page 87 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/11/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 10/21/2010 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004

BAKER, PATRICK BAILEY, KIMBERLY BAILEY, KIMBERLY BAILEY, KIMBERLY BAILEY, KIMBERLY BAILEY, KIMBERLY BAILEY, KIMBERLY

icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond icea, Raymond cea, Raymond cea, Raymond cea, Raymond cea, Raymond cea, Raymond

8735

8750

00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407

$216.60

$6.50

$93.84

$207.59

$6.50

$1,006.25

$6.50

$4.92

$6.50

$1.46

$496.53

$6.50

$6.01

$74.27

$6.50

$3.04

$60.72

$6.50

$2.46

$6.50

$281.43

$6.50

$11.43

$137.50

$6.50

$2.75

$51.00

$6.50

$2.07

$412.90

$6.50

$16.76

City Of Chicago - Confidential

Page 88 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004

Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond

00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407

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

$1,432.37

$6.50

$28.65

$379.76

$6.50

$15.41

$2,345.03

$6.50

$95.18

$30,005.08

$6.50

$363.22

$961.20

$6.50

$5,557.13

$6.50

$366.74

$246.14

$6.50

$9.99

$385.50

$6.50

$15.65

$45.87

$6.50

$1.86

$51,207.22

$6.50

$359.16

$139.65

$1.69

$1,477.94

$6.50

City Of Chicago - Confidential

Page 89 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/06/2004 05/06/2004 05/06/2004 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010

Alicea, Raymond Alicea, Raymond Alicea, Raymond AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO

F F F

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

00407 00407 00407

$59.99

$406.68

$36.18

$6.50

$187.20

$6.50

$14.23

$176.15

$6.50

$14.86

$72.97

$6.50

$0.88

$213.20

$6.50

$8.26

$187.20

$6.50

$14.23

$237.64

$6.50

$2.88

$187.20

$6.50

$14.23

$187.20

$6.50

$14.23

$306.20

$6.50

$12.43

$187.20

City Of Chicago - Confidential

Page 90 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/06/2010 11/06/2010 11/06/2010 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 09/12/2010 09/12/2010 09/12/2010 09/12/2010 09/12/2010

AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO 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 ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO

8731 8731 8731

$6.50

$14.23

$10.45

$6.50

$10.45

$6.50

$259.45

$7.93

$6.50

$202.90

$6.50

$258.71

$6.50

$3,432.00

$95.65

$6.50

$1.16

$259.45

$6.50

$10.45

$259.45

$6.50

$435.17

$259.45

$6.50

$10.45

City Of Chicago - Confidential

Page 91 of 409

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 04/24/2009 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010

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 ARANDA, ARTHUR ARANDA, ARTHUR ARANDA, ARTHUR ARANDA, ARTHUR ARANDA,ARTHUR ARANDA,ARTHUR ARANDA, ARTHUR ARANDA, ARTHUR ARANDA,ARTHUR ARANDA, ARTHUR ANELLO, PHILLIP ANELLO, PHILLIP ANELLO, PHILLIP ANELLO, PHILLIP ANELLO, PHILLIP ANDERSON,TODD ANDERSON,TODD ANDERSON,TODD ANDERSON, TODD ANDERSON, TODD

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8801 8801 8801 8801 8801 8745 8745 8745 8745 8745

$259.45

$6.50

$10.45

$259.45

$6.50

$10.45

$6.50

$259.45

$6.50

$10.45

$6.50

$126.42

$6.50

$175.00

$5.56

$217.35

$14.53

$6.50

$568.40

$20.70

$6.50

$7.16

$176.45

$6.50

$45.00

$175.60

$6.50

$2.58

$199.99

$6.50

City Of Chicago - Confidential

Page 92 of 409

Incident Date Claimant Rank

09/19/2010 ANDERSON, TODD 8745

10/15/2010 AMBROSE, CHRISTOPHE 8819

Unit of Insured Total to be Paid

City Of Chicago Fire $2.94

City Of Chicago Fire $175.60

City Of Chicago Fire $6.50

City Of Chicago Fire $2.58

City Of Chicago Fire $131.72

City Of Chicago Fire $6.50

City Of Chicago Fire $1.93

City Of Chicago Fire $175.60

City Of Chicago Fire $6.50

City Of Chicago Fire $2.58

City Of Chicago Fire $175.60

City Of Chicago Fire $6.50

City Of Chicago Fire $2.58

City Of Chicago Fire $175.60

City Of Chicago Fire $6.50

City Of Chicago Fire $2.58

City Of Chicago Fire $175.60

City Of Chicago Fire $6.50

City Of Chicago Fire $2.58

City Of Chicago Fire $175.60

City Of Chicago Fire $6.50

City Of Chicago Fire $2.58

City Of Chicago Fire $175.60

City Of Chicago Fire $6.50

City Of Chicago Fire $2.58

City Of Chicago Fire $853.79

City Of Chicago Fire $6.50

City Of Chicago Fire $21.82

City Of Chicago Fire $175.41

City Of Chicago Fire $6.50

City Of Chicago Fire $100.68

City Of Chicago Fire $6.50

City Of Chicago Fire $306.21

City Of Chicago - Confidential

Page 93 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/15/2010 AMBROSE, CHRISTOPHE

03/13/2010 ALLEN, 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 8731 8731 8731 8731 8731 8731

$6.50

$202.41

$6.50

$367.45

$6.50

$100.68

$6.50

$137.47

$6.50

$269.88

$6.50

$273.68

$6.50

$269.88

$6.50

$306.21

$6.50

$100.68

$6.50

$76.81

$6.50

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$243.39

$8.00

$27.20

$45.01

$1.10

City Of Chicago - Confidential

Page 94 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/13/2010 03/13/2010 03/13/2010 10/31/2010 10/31/2010 10/31/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 10/11/2009 10/11/2009 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

ALLEN, DANIEL ALLEN, DANIEL ALLEN, DANIEL ALLEN, DANIEL ALLEN, DANIEL ALLEN, DANIEL ALICEA-ZINK, ROSITA ALICEA-ZINK, ROSITA ALICEA-ZINK, ROSITA ALICEA-ZINK, ROSITA ALICEA-ZINK, ROSITA ALEXANDER, LAVERN ALEXANDER, LAVERN ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL ALESSI, SAMUEL

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

$1,369.99

$6.50

$6.47

$196.84

$6.50

$10.30

$6.50

$19.43

$331.50

$6.50

$26.41

$95.65

$6.50

$1.16

$1,520.00

$6.50

$8.51

$258.05

$6.50

$19.43

$184.60

$6.50

$12.45

$6.50

$12.45

$258.05

City Of Chicago - Confidential

Page 95 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/21/2010 02721/2010 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

$6.50

$331.50

$6.50

$258.05

$6.50

$19.43

$331.50

$6.50

$26.41

$331.50

$19.43

$6.50

$26.41

$393.25

$6.50

$27.16

$26.41

$184.60

$6.50

$12.45

$184.60

$6.50

$12.45

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

City Of Chicago - Confidential

Page 96 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/21/2010

07/23/2009

07/15/2009

Number Total: 3182

ALESSI, SAMUEL

AIKENS, BRADLEY

AHLFELD, DANIEL

Amount $1,118,366.25

Insured Namel: City Of Chicago Police

10/16/2008 Zonis, Pierre

01/26/2008 Zoldan, Anton

01/26/2008 Zoldan. Anton

01/26/2008 Zoldan, Anton

08/23/2008 Zayas, Alberto

8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8735 8735 8735 8801 8801 8801 8801 8801

00023 00023 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$258.05

$265.00

$37.92

$6.50

$162.77

$210.71

$15.38

$568.19

$6.50

$45.96

$10.76

$6.50

$708.45

$6.50

$1,242.81

$6.50

$80.63

$165.99

$0.45

City Of Chicago - Confidential

Page 97 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/23/2008 08/23/2008 07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 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 12701/2008 12/01/2008 12/01/2008 12/01/2008 12/29/2009 12/29/2009 12729/2009 12729/2009 12/29/2009 12/29/2009 04/12/2010 04/12/2010 04/12/2010 04/1272010

Zayas, Alberto Zayas, Alberto ZUBECK, JAMES ZUBECK, JAMES ZUBECK, JAMES ZUBECK, JAMES ZUBECK, JAMES ZUBECK, JAMES ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAVALA, WENSESLAO ZAPATA, JOSHUA ZAPATA, JOSHUA ZAPATA, JOSHUA ZAPATA, JOSHUA ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALEWSKI, MARK ZALEWSKI, MARK ZALEWSKI, MARK ZALEWSKI, MARK

P P

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

00015 00015

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

016 . 016 016 016

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

$6.50

$64.48

$202.38

$6.50

$202.38

$6.50

$200.31

$6.50

$10.05

$6.50

$226.20

$6.50 '

$226.20

$7.53

$10.05

$250.00

$211.18

$6.50

$1,260.80

$6.50

$149.46

$6.50

$1,012.86

$113.63

$6.50

$1,752.09

$65.70

$871.92

$6.50

$211.71

$6.50

City Of Chicago - Confidential

Page 98 of 409

Incident Date Claimant_Rank

04/12/2010 ZALEWSKI, MARK 9161

Unit of_Insured_Total to be Paid

016 City Of Chicago Police $3.11

016 City Of Chicago Police $13.86

016 City Of Chicago Police $234.14

016 City Of Chicago Police $6.50

016 City Of Chicago Police $234.14

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.44

016 City Of Chicago Police $234.14

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.44

016 City Of Chicago Police $234.14

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.44

016 City Of Chicago Police $253.67

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.73

016 City Of Chicago Police $249.08

016 City Of Chicago Police $6.50

016 City Of Chicago Police $546.38

016 City Of Chicago Police $6.50

016 City Of Chicago Police $8.02

016 City Of Chicago Police $234.14

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.44

016 City Of Chicago Police $195.11

016 City Of Chicago Police $6.50

016 City Of Chicago Police $2.86

016 City Of Chicago Police $1,393.70

016 City Of Chicago Police $6.50

016 City Of Chicago Police $502.36

016 City Of Chicago Police $66.83

016 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 99 of 409

Incident Date Claimant Rank

04/12/2010 ZALEWSKI, MARK 9161

10/12/2009 YANEZ, JUAN 9161

03/12/2010 YANEZ, JUAN 9161

08/23/2010 YANEZ, JUAN 9161

09/24/2002 Wyatt-White-Bowens, Michelle P

" 09/24/2002 Wyatt-White-Bowens, Michelle P

09/24/2002 Wyatt-White-Bowens, Michelle P

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

Unit of_Insured_Total to be Paid

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.44

016 City Of Chicago Police $9,747.92

016 City Of Chicago Police $86.35

016 City Of Chicago Police $6.50

016 City Of Chicago Police $1.73

005 City Of Chicago Police $22.86

005 City Of Chicago Police $1,152.36

005 City Of Chicago Police $6.50

005 City Of Chicago Police $95.65

005 City Of Chicago Police $1.16

005 City Of Chicago Police $23.05

005 City Of Chicago Police $1.16

005 City Of Chicago Police $6.50

005 City Of Chicago Police $95.65

00021 City Of Chicago Police $185.00

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $134.93

00021 City Of Chicago Police $6.50

00022 City Of Chicago Police $2,672.00 00022 City Of Chicago Police $130.62 00022 City Of Chicago Police $130.62 00022 City Of Chicago Police $21.28 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $580.18 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $580.18 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $23.55 00022 City Of Chicago Police $296.66 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 100 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/08/1997 Wright-Krygowski, Tammi L

01/08/2007 Woznicki, Robert A

01 /08/2007 Woznicki, Robert A

01/08/2007 Woznicki, Robert A

08/09/2006 Williams-Collins, Eleanor D

09/15/2006 Williams, Kenneth L

09/15/2006 Williams; Kenneth L

05/31/2007 White, Steven L

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

00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00016 00016 00016 00016 00016 00007 00007 00007 00007 00007 00007 00007 00006 00006 00006 00006 00006 00044

$6.50

$23.55

$5,725.22

$6.50

$176.35

$200.33

$6.50

$2,128.00

$6.50

$2,672.00

$6.50

$159.05

$100.68

$9.14

$6.50

$97.00

$6.50

$76.81

$6.50

$0.85

$6.50

$74.70

$34.51

$6.50

$2,255.46

$6.50

$104.00

$1.09

City Of Chicago - Confidential Page 101 of 409

Incident Date Claimant_Rank

05/31/2007 White, Steven L P

05/24/2008 West, Cassie D. P

10/04/1995 Watts, Van P

08/26/2000 Ward, Aaron A P

04/11/2008 Walker, Corey L P

03/22/2007 Wager, Gary P

03/2272007 Wager, Gary P

03/22/2007 Wager, Gary P

05/19/2010 WORTHAM, THOMAS 9161

07/20/2010 WOLFF, SCOTT 9161

10/18/2010 WOJTAN, KENNETH 9161

Unit of_Insured_Total to be Paid

00044 City Of Chicago Police $7.05

00007 City Of Chicago Police $151.28

00007 City Of Chicago Police $9.82

00007 City Of Chicago Police $6.50

00003 City Of Chicago Police $6.46

00003 City Of Chicago Police $6.50

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $3.05

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $75.22

00650 City Of Chicago Police $883.93

00650 City Of Chicago Police $6.50

00650 City Of Chicago Police $140.13

00650 City Of Chicago Police $6.50

00650 City Of Chicago Police $6.03

00650 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

014 City Of Chicago Police $2.80

014 City Of Chicago Police $6.50

014 City Of Chicago Police $914.25

005 City Of Chicago Police $390.60

005 City Of Chicago Police $6.50

005 City Of Chicago Police $22.23

005 City Of Chicago Police $17.11

005 City Of Chicago Police $6.50

005 City Of Chicago Police $5.62

005 City Of Chicago Police $6.50

005 City Of Chicago Police $679.74

005 City Of Chicago Police $238.70

005 City Of Chicago Police $6.50

005 City Of Chicago Police $238.70

005 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 102 of 409

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 Poi 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 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

10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 09/25/2010 09/25/2010 09/25/2010 10/09/2010 10/09/2010 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 10/02/2010 08/31/2009 08/31/2009

WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WOJTAN, KENNETH WITULSKI, TODD WITULSKI, TODD WITULSKI, TODD WISELOGEL, SETH WISELOGEL, SETH WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ROBERT WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILSON, ANTHONY WILLIAMS, SUSAN WILLIAMS, SUSAN

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

9161 9161 9161 9161

005 005 005 005 005 005 005 005 005 005 005 005 003 003 003

008 008 008 008

9161 9161

715 715

lice lice lice lice 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

$238.70

$6.50

$238.70

$6.50

$238.70

$6.50

$249.08

$6.50

$877.59

$6.50

$87.19

$7,252.70

$1.66

$95.74

$6.50

$36.00

$6.50

$175.41

$301.01

$6.50

$15.17

$350.68

$6.50

$45.04

$6.50

$423.61

$35.62

$6.50

$1,058.48

$6.50

$6.02

City Of Chicago - Confidential

Page 103 of 409

Incident Date Claimant Rank

08/31/2009 WILLIAMS, SUSAN 9161

02/18/2010 WILLIAMS, RAMSEY 9161

11/18/2010 WILLIAMS, MELISSA 9161

08/10/2010 WILLIAMS, DONYAL 9161

09/03/2010 WILLIAMS LEE, BELINDA 9161

Unit of Insured Total to be Paid

715 City Of Chicago Police $61.03

715 City Of Chicago Police $60.38

012 City Of Chicago Police $82.83

012 City Of Chicago Police $3.66

012 City Of Chicago Police $6.50

012 City Of Chicago Police $302.72

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1.00

002 City Of Chicago Police $6.50

002 City Of Chicago Police $261.94

002 City Of Chicago Police $329.28

002 City Of Chicago Police $448.14

002 City Of Chicago Police $33.52

002 City Of Chicago Police $6.50

002 City Of Chicago Police $56.24

002 City Of Chicago Police $264.67

002 City Of Chicago Police $6.50

002 City Of Chicago Police $16.42

002 City Of Chicago Police $6.50

002 City Of Chicago Police $33.62

002 City Of Chicago Police $10.74 701 City Of Chicago Police $6.50 701 City Of Chicago Police $362.54

003 City Of Chicago Police $6.50 003 City Of Chicago Police $18.12 003 City Of Chicago Police $183.82 003 City Of Chicago Police $6.50 003 City Of Chicago Police $18.12 003 City Of Chicago Police $21.71 003 City Of Chicago Police $78.48 003 " City Of Chicago Police $6.50 003 City Of Chicago Police $7.73 003 City Of Chicago Police $183.82

City Of Chicago - Confidential

Page 104 of 409

Incident Date Claimant Rank

09/03/2010 WILLIAMS LEE, BELINDA 9161

Unit of Insured Total to be Paid

003 City Of Chicago Police S57.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $219.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $169.36

003 City Of Chicago Police $16.69

003 City Of Chicago Police $238.32

003 City Of Chicago Police $6.50

003 City Of Chicago Police $23.50

003 City Of Chicago Police $129.40

003 City Of Chicago Police $6.50

003 City Of Chicago Police $12.75

003 City Of Chicago Police $249.21

003 City Of Chicago Police $6.50

003 City Of Chicago Police $24.57

003 City Of Chicago Police $207.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $20.43

003 City Of Chicago Police $127.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $7.08

003 City Of Chicago Police $6.50

003 City Of Chicago Police $18.12

003 City Of Chicago Police $473.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $46.68

003 City Of Chicago Police $78.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $7.85

003 City Of Chicago Police $2,200.21

003 City Of Chicago Police $6.50

003 City Of Chicago Police $311.38

003 City Of Chicago Police $183.82

City Of Chicago - Confidential

Page 105 of 409

Incident Date Claimant Rank

09/03/2010 WILLIAMS LEE, BELINDA 9161

08/07/2010 WILKOSZEWSKI, MICHELE 9161

Unit of_Insured_Total to be Paid

003 City Of Chicago Police $6.50

003 City Of Chicago Police $287.82

003 City Of Chicago Police $6.50

003 City Of Chicago Police $180.92

003 City Of Chicago Police $61.03

003 City Of Chicago Police $6.50

003 City Of Chicago Police $6.02

003 City Of Chicago Police $6.50

003 City Of Chicago Police $17.84

003 City Of Chicago Police $154.75

003 City Of Chicago Police $6.50

003 City Of Chicago Police $15.25

003 City Of Chicago Police $183.82

003 City Of Chicago Police $6.50

003 City Of Chicago Police $18.12

003 City Of Chicago Police $6.50

003 City Of Chicago Police $18.12

003 City Of Chicago Police $7.67

003 City Of Chicago Police $6.50

003 City Of Chicago Police $0.76

003 City Of Chicago Police $158.39

003 City Of Chicago Police $6.50

003 City Of Chicago Police $15.61

003 City Of Chicago Police $220.22

003 City Of Chicago Police $6.50

016 City Of Chicago Police $13.89

016 City Of Chicago Police $187.11

016 City Of Chicago Police $6.50

016 City Of Chicago Police $7.76

016 City Of Chicago Police $202.41

016 City Of Chicago Police $6.50

016 City Of Chicago Police $202.41

City Of Chicago - Confidential

Page 106 of 409

Incident Date Claimant Rank

08/07/2010 WILKOSZEWSKI, MICHELE 9161

05/21/2010 WILKOSZ, ROBERT 9161

Unit of_Insured_Total to be Paid

016 City Of Chicago Police $6.50

016 City Of Chicago Police $100.68

016 City Of Chicago Police $6.50

016 City Of Chicago Police $2,405.46

016 City Of Chicago Police $6.50

016 City Of Chicago Police $61.47

016 City Of Chicago Police $1,178.95

016 City Of Chicago Police $6.50

016 City Of Chicago Police $47.85

016 City Of Chicago Police $149.10

016 City Of Chicago Police $6.05

016 City Of Chicago Police $6.50

016 City Of Chicago Police $161.50

016 City Of Chicago Police $6.50

016 City Of Chicago Police $303.70

009 City Of Chicago Police $15.33

009 City Of Chicago Police $180.90

009 City Of Chicago Police $6.50

009 City Of Chicago Police $17.84

009 City Of Chicago Police $97.01

009 City Of Chicago Police $9.56

009 City Of Chicago Police $97.01

009 City Of Chicago Police $9.56

009 City Of Chicago Police $61.03

009 City Of Chicago Police $6.50

009 City Of Chicago Police $6.02

009 City Of Chicago Police $159.82

009 City Of Chicago Police $6.50

009 City Of Chicago Police $15.75

009 City Of Chicago Police $162.74

009 City Of Chicago Police $6.50

009 City Of Chicago Police $16.04

009 City Of Chicago Police $322.56

City Of Chicago - Confidential

Page 107 of 409

Incident Date Claimant Rank

05/21/2010 WILKOSZ, ROBERT 9161

Unit of_Insured_Total to be Paid

009 City Of Chicago Police $6.50

009 City Of Chicago Police $31.79

009 City Of Chicago Police $97.01

009 City Of Chicago Police $6.50

009 City Of Chicago Police $9.56

009 City Of Chicago Police $6.50

009 City Of Chicago Police $180.92

009 City Of Chicago Police $6.50

009 City Of Chicago Police $0.76

009 City Of Chicago Police $89.52

009 City Of Chicago Police $3.63

009 City Of Chicago Police $7.67

009 City Of Chicago Police $155.47

009 City Of Chicago Police $6.50

009 City Of Chicago Police $15.33

009 City Of Chicago Police $226.68

009 City Of Chicago Police $6.50

009 City Of Chicago Police $22.35

009 City Of Chicago Police $6.50

009 City Of Chicago Police $17.84

009 City Of Chicago Police $180.90

009 City Of Chicago Police $6.50

009 City Of Chicago Police $17.84

009 City Of Chicago Police $162.74

009 City Of Chicago Police $6.50

009 City Of Chicago Police $215.79

009 City Of Chicago Police $6.50

009 City Of Chicago Police $21.28

009 City Of Chicago Police $16.04

009 City Of Chicago Police $162.74

009 City Of Chicago Police $6.50

009 City Of Chicago Police $16.04

City Of Chicago - Confidential

Page 108 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/21/2010 05/21/2010 05/21/2010 05/21/2010 05/21/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 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 WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN 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

lice lice lice lice lice lice lice ■lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$78.48

$6.50

$7.73

$155.47

$6.50

$150.17

$6.50

$23.94

$273.14

$6.50

$3.30

$129.57

$6.50

$22.71

$139.98

$6.50

$25.09

$146.47

$6.50

$0.69

$151.77

$6.50

$29.54

$161.97

$6.50

$28.39

$1,171.10

$6.50

$57.19

$151.77

$6.50

$29.54

$97.18

City Of Chicago - Confidential

Page 109 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 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 05/26/2010

WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGLEY, KEEYNAN WIGGINS, PATRICIA

9161 .9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

io Poli Pol Pol Poli Poli

015

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

$6.50

$17.03

$33.91

$184.63

$6.50

$37.50

$129.57

$6.50

$22.71

$203.17

$6.50

$43.02

$71.79

$6.50

$12.14

$82.83

$6.50

$1.00

$129.57

$6.50

$22.71

$161.97

$6.50

$28.39

$180.51

$6.50

$839.66

$6.50

$425.12

$173.96

$6.50

$36.37

$6.50

City Of Chicago - Confidential

Page 110 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/06/2010 WHITE, MARK

11/18/2010 WEST, KENNETH

07/30/2010 WESSELHOFF, MARK

10/15/2010 WEATHERSBY LEE, KAREN

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

216 216 216 014 014 014 014 014 014 314 314 314

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ■lice lice

$44.99

$5.06

$6.50

$264.78

$6.05

$6.50

$149.10

$6.50

$400.00

$435.17

$6.50

$258.00

$6.50

$27.52

$298.74

$6.50

$2.87

$494.25

$6.50

$18.26

$6.50

$1.62

$653.63

$6.50

$25.30

$345.94

$621.88

$6.50

$21.56

$1,521.49

$6.50

$18.42

$1,244.32

City Of Chicago - Confidential

Page 111 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 9161 9161 9161

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

$6.50

$24.57

$562.26

$6.50

$1.30

$2.46

$1,145.81

$6.50

$42.90

$842.85

$6.50

$29.86

$203.38

$745.97

$25.29

$6.50

$653.65

$9.67

$6.50

$483.37

$6.50

$294.48

$6.50

$8.02

$10.44

$3,833.25

$16.71

$17.58

$210.50

$6.50

$8.02

$197.50

$6.50

City Of Chicago - Confidential

Page 112 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/26/2009 WATSON, DAVID

11 /26/2009 WATSON, DAVID

11/26/2009 WATSON, DAVID

11 /26/2009 WATSON, DAVI D

07/15/2009 WATERS IV, MILTON

03/07/2010 WASHINGTON, TAKIA

09/13/2010 WASHINGTON, ROGER

03/14/2010 WASHINGTON, AARON

9161 9161 9161 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

$10.44

$4,559.99

$6.50

$66.95

$197.50

$6.50

$197.50

$6.50

$10.44

$210.50

$6.50

$396.88

$74.11

$26.39

$6.50

$74.11

$53.71

$6.50

$1,323.38

$6.50

$650.24

$3.01

$6.50

$3.01

$6.50

$583.60

$6.50

$386.22

$12.68

$254.15

$6.50

$12.68

$254.15

City Of Chicago - Confidential

Page 113 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010 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 08/07/2010 08/07/2010

WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON 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 WALTHALL, MARKUS WALTHALL, MARKUS

9161 9161

253 253

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

S6.50

$12.68

$254.15

$6.50

$12.68

$254.15

$6.50

$12.68

$254.15

$6.50

$12.68

$254.15

$6.50

$12.68

$6.50

$254.15

$12.68

$6.50

$254.15

$12.68

$6.50

$254.15

$12.68

$6.50

$254.15

$14.75

$6.50

$307.45

$12.68

$6.50

$254.15

$6.50

$295.00

City Of Chicago - Confidential

Page 114 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/07/2010 08/07/2010 08/07/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010

WALTHALL, MARKUS WALTHALL, MARKUS WALTHALL, MARKUS WALTER, SAJIT WALTER, SAJIT WALTER, SAJIT WALTER, SAJIT WALTER, SAJIT WALTER, SAJIT WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM

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

253 253 253 153 153 153 153 153 153

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

$6.50

$7.59

$76.81

$6.50

$24.99

$6.50

$615.88

$162.40

$9.34

$13.33

$269.75

$6.50

$244.40

$12.46

$6.50

$213.20

$13.33

$6.50

$244.40

$14.98

$2.51

$269.75

$6.50

$61.75

$14.98

$6.50

$269.75

$14.98

$6.50

$269.75

$14.98

$6.50

City Of Chicago - Confidential

Page 115 of 409

Incident Date Claimant

Rank

Unit of

09/27/2010 09/27/2010 09/27/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 07/10/2008 07/10/2008 07/10/2008 02/15/2007 02/15/2007 02/15/2007 02/15/2007 02/15/2007 02/15/2007 02/15/2007 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997

WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER,ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA Viverito, Vincent Viverito, Vincent Viverito, Vincent Vega, Gerardo Vega, Gerardo Vega, Gerardo Vega, Gerardo Vega, Gerardo Vega, Gerardo Vega, Gerardo Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H

9161

192

00025

00011

09999

City Of Chi

Insured

Total to be Paid

$269.75

$6.50

$14.98

$223.25

$1.08

$6.50

$89.17

$3.91

$1.08

$323.00

$6.50

$2.70

$89.17

$6.50

$550.00

$195.50

$6.50

$148.60

$252.14

$98.06

$5,090.40

$6.50

$17.96

$5,090.40

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 03/25/1990 03/25/1990 03/25/1990 12/05/2009 12/05/2009 12/05/2009 12/05/2009 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

Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Vanvegten, Andre H Valient, Bridget Valient, Bridget Valient, Bridget VILLARREAL, MARCO VILLARREAL, MARCO VILLARREAL, MARCO VILLARREAL, MARCO VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR VILLANUEVA, HECTOR

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

9161 9161 9161 9161

09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 00007 00007 00007

$6.50

$11.52

$6.50

$3.79

$116.24

$6.50

$992.52

$815.20

$5,090.40

$6.50

$5,546.40

$6.50

$5,069.60

$6.50

$8.84

$2.75

$137.50

$6.50

$1,681.46

$8.60

$6.50

$211.76

$229.69

$6.50

$47.20

$95.46

$6.50

$14.80

$102.18

$10.15

$6.50

$56.56

$6.50

City Of Chicago - Confidential

Page 117 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/14/2010 08/24/2010 08/24/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010

VILLANUEVA, HECTOR VERGIL, ALEXIS

VERGIL VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN, VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN VERDIN

ALEXIS

ROBERTO

9161 9161

$23.71

$609.45

$6.50

$237.69

$6.50

$1,042.15

$6.50

$4,019.82

$6.50

$102.73

$53.43

$6.50

$305.16

$6.50

$372.63

$6.50

$5,330.13

$6.50

$1,053.58

$6.50

$149.46

$6.50

$767.08

$6.50

$19.60

$253.27

$6.50

$82.56

$6.50

$4.17

$325.12

$38.39

City Of Chicago - Confidential

Page 118 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 06/25/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010 09/13/2010 09/13/2010 09/13/2010 10/16/2010 10/16/2010 10/16/2010 10/16/2010

VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VENEGAS, JASON VENEGAS, JASON VENEGAS, JASON VENEGAS, JASON VENEGAS, JASON VENEGAS, JASON VENEGAS, JASON VENEGAS, JASON VELEZ, ALEXANDER VELEZ, ALEXANDER VELEZ, ALEXANDER VAZQUEZ, MIGUEL VAZQUEZ, MIGUEL VAZQUEZ, MIGUEL VAZQUEZ, MIGUEL

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

009 009 009 009 009 009 009 009 044 044 044

$82.68

$6.50

$76.61

$6.50

$52.07

$100.68

$6.50

$170.22

$305.16

$6.50

$305.16

$6.50

$305.16

$6.50

$933.17

$305.16

$6.50

$103.86

$207.59

$3.96

$129.89

$6.50

$11.80

$6.50

$8.21

$6.50

$113.77

$6.50

$311.38

$6.50

$165.66

City Of Chicago - Confidential

Page 119 of 409

Incident Date Claimant Rank

10/16/2010 VAZQUEZ, MIGUEL 9161

05/16/2009 VAZQUEZ, MIGDALIZ 9161

10/22/2010 VAZQUEZ, DANIEL 9161

06/30/2010 VASQUEZ, VIDAL 9171

Unit of Insured Total to be Paid

City Of Chicago Police $276.01

City Of Chicago Police $6.50

044 City Of Chicago Police $720.00

044 City Of Chicago Police $89.03

044 City Of Chicago Police $6.50

044 City Of Chicago Police $891.00

044 City Of Chicago Police $25.68

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1,040.40

044 City Of Chicago Police $20.65

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1,057.40

044 City Of Chicago Police $8.97

044 City Of Chicago Police $6.50

044 City Of Chicago Police $221.00

044 City Of Chicago Police $10.03

044 City Of Chicago Police $451.35

044 City Of Chicago Police $6.50

044 City Of Chicago Police $53.74

008 City Of Chicago Police $8.39

008 City Of Chicago Police $6.50

008 City Of Chicago Police $7.53

008 City Of Chicago Police $6.50

008 City Of Chicago Police $169.65

008 City Of Chicago Police $200.85

008 City Of Chicago Police $7.53

008 City Of Chicago Police $6.50

008 City Of Chicago Police $169.65

008 City Of Chicago Police $8.40

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.46

City Of Chicago - Confidential

Page 120 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/30/2010 VASQUEZ, VIDAL

06/30/2010 VARGAS JR, RODOLFO

07/02/2010 VALERIO, MAGDALENA

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

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

$6.50

$213.20

$12.46

$6.50

$213.20

$7.53

$6.50

$169.65

$12.46

$6.50

$213.20

$98.45

$134.93

$6.50

$13.60

$232.89

$6.50

$7.30

$447.52

$6.50

$14.04

$295.76

$6.50

$11.16

$84.92

$6.50

$95.65

$6.50

$1.16

$641.80

$6.50

$22.53

$95.65

City Of Chicago - Confidential

Page 121 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/02/2010 VALERIO, MAGDALENA

07/21/2009 VALENZUELA, RUTH

11/07/2009 VALENCIA, JOHN

09/30/2010 URBAN, PAUL

08/25/2010 URBAN, ANETA

07/08/2010 UGARTE, ARMANDO

10/12/2007 Tobin, Michael T

08/03/2006 Thomas, Herman A

9161 9161 9161

9161

003 003 003

015 015 015 015 015 044 044 044

00630 00630 00630 00630 00630 00630 00002 00002 00002 00002 00002 00002 00002 00002 00002

Poli Poll Poli

$6.50

$1.16

$433.81

$6.50

$87.19

$2,504.14

$104.32

$33.63

$6.50

$207.59

$6.50

$314.00

$3.91

$6.50

$195.77

$235.00

$6.50

$494.45

$1.76

$6.50

$119.83

$7.26

$6.50

$3.04

$3,049.30

$6.50

$1,404.79

$6.50

$20.62

$116.10

$6.50

City Of Chicago - Confidential

Page 122 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/03/2006 Thomas, Herman A

11/12/1999 Thelen, Patrick M

07/19/2010 TULLY, MARTIN

08/05/2010 TROMAN, ALICIA

09/23/2010 TRIPLETT, LAFAYETTE

08/12/2010 TOWNSEND, SHELLEY

08/12/2010 TOWNSEND. SHELLEY

08/12/2010 TOWNSEND, SHELLEY

08/11/2010 TORRES, THERESA

10/17/2010 TORRES JR, WILFREDO

07/06/2010 TOMASIK, EDWARD

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

9161

9171

9201

00002

00011

009

018

189 189 189 016 016 016 016 177

$1.70

$7,023.90

$6.50

$103.12

$52.81

$11.05

$6.50

$66.83

$14,478.04

$6.50

$5.74

$32.30

$90.30

$1.79

$4.02

$332.30

$6.50

$0.85

$6.50

$97.00

$259.49

$601.96

$6.50

$26.07

$529.90

$556.35

56.50

$48.98

$6.50

$30.26

City Of Chicago - Confidential

Page 123 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD 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 THOMPSON, RICKY THOMPSON, RICKY THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI

9201 9201 9201 9201 9201 9201 9201 9201 9201 9201 , 9201 9161 9161 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9161 9161 9161 9161 9161 9161 9161 9161

177 177 177 177 177 177 177 177 177 177 177 044 044

006 006

$6.50

$745.92

$62.80

$6.50

$1,548.04

$48.15

$6.50

$76.30

$6.50

$1,880.28

$1,186.53

$1,319.00

$6.50

$153.40

$10.59

$165.10

$6.50

$3.50

$2.66

$152.10

$6.50

$7.98

$50.70

$6.50

$262.60

$6.50

$139.42

$6.50

$2.79

$707.70

$251.13

$6.50

City Of Chicago - Confidential

Page 124 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 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 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/30/2010 03/30/2010 03/30/2010 03/30/2010 03/30/2010

THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THOMPSON, ABASI THILL, JOHN THILL, JOHN THILL, JOHN THILL, JOHN 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

9161 9161 9161 9161 9161 9161 9161 9161 9161 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

$5,02

$95.65

$6.50

$1.16

$415.79

$6.50

$5.04

$113.23

$6.50

$207.07

$7.39

$6.50

$611.31

$2.51

$6.50

$57.69

$1,432.72

$386.00

$246.51

$2,257.20

$6.50

$2,257.20

$2.98

$6.50

$58.11

$6.50

$57.69

$6.51

$6.50

$1,918.11

$198.17

$6.50

City Of Chicago - Confidential

Page 125 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/30/2010 10/09/2010 10/09/2010 10/09/2010 03/13/2010 03/13/2010 03/13/2010 10/15/2010 10/15/2010 10/15/2010 09/24/2006 09/24/2006 02/06/2000 02/06/2000 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998

TERNAND,BRANDON TENCZA, DAVID TENCZA, DAVID TENCZA, DAVID TELLEZ, VINCENT TELLEZ, VINCENT TELLEZ, VINCENT TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC Szudy, Edmund M Szudy, Edmund M Sullivan, James Sullivan, James Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny

9161

044 009 009 009

09999 09999 00009 00009 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004

lice 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 dice lice

$63.05

$6.50

$223.25

$2.70

$45.87

$1.86

$6.50

$166.64

$2.02

$6.50

$1,206.04

$6.50

$100.68

$50.00

$6.50

$2.53

$6.50

$99.00

$3.12

$6.50

$121.50

$6.67

$6.50

$45.00

$6.50

$261.00

$6.50

$6.67

$99.00

$6.50

$2.53

$180.00

City Of Chicago - Confidential

Page 126 of 409

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 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 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

Total to be Paid

07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 08/05/2007 08/05/2007 08/05/2007 01/31/2005 01/31/2005 02/21/2007

Stover,

Danny

Stover, Danny

Stewart-Dyess, Maria Ellena

Staskiewicz, Steve

Stankowski, Donald D

00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00001 00001 00001 00044 00044 00018

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

$6.50

$4.60

$175.50

$6.50

$4.49

$90.00

$6.50

$2.30

$126.00

$6.50

$3.23

$207.00

$6.50

$5.29

$126.00

$6.50

$3.22

$90.00

$6.50

$2.30

$126.00

$6.50

$3.22

$261.00

$6.50

$6.67

$261.00

$167.72

$6.50

$9.64

$530.97

$6.50

$378.89

City Of Chicago - Confidential

Page 127 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/21/2007 Stankowski, Donald D

02721/2007 Stankowski, Donald D

02/21/2007 Stankowski, Donald D

09/03/1996 Spaargaren-Juarez, Donna R

06/12/2003 Smith-Holmes, Necole

08/16/2006 Smith, Larry

10/02/2007 Silva, Ramon

04/04/2003 Shaw, Joseph H

02/14/1995 Segovia, Rodolfo

00018 00018 00018 00011 00011 00011 00011 00011 00011 00004 00004 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00010 00022 00022 00022 00017 00017 00017 00017 00017 00017 00017

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

lice lice lice ilice lice lice lice lice lice lice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice fice lice lice

$6.50

$32.30

$50.85

$340.20

$6.50

$17.53

$1,002.40

$6.50

$217.35

$411.60

$6.50

$7.31

$52.29

$6.50

$264.74

$16.97

$6.50

$18.16

$710.16

$6.50

$11.22

$6.50

$249.96

$113.77

$8.21

$6.50

$278.86

$6.50

$278.86

$6.50

$341.13

$6.50

City Of Chicago - Confidential

Page 128 of 409

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 Pot 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 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

02714/1995 02/14/1995 02/14/1995 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 11/27/2002 07/13/2008 07/13/2008 07/13/2008 07/13/2008 07/13/2008

Segovia, Rodolfo Segovia, Rodolfo Segovia, Rodolfo Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Schak, Edward C Scales, Monica Scales, Monica Scales, Monica Scales, Monica Scales, Monica

00017 00017 00017 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00003 00003 00003 00003 00003

Poli Poll Poli

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

$242.86

$6.50

$278.86

$40.52

$255.61

$6.50

$37.03

$6.50

$129.74

$6.50

$794.03

$6.50

$66.83

$6.50

$93.86

$9.39

$324.12

$6.50

$11.54

$1,073.47

$6.50

$307.61

$6.50

$11.03

$580.97

$6.50

$21.92

$6.50

$326.81

$6.50

$1,198.93

$6.50

City Of Chicago - Confidential

Page 129 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/13/2008 07/13/2008 07/13/2008 07/13/2008 07/13/2008 07/13/2008 07/13/2008 03/07/2008 03/07/2008 03/07/2008 12/16/1999 12/16/1999 12/16/1999 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 02/27/2008 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010 02/04/2010

Scales, Monica Scales, Monica Scales, Monica Scales, Monica Scales, Monica Scales, Monica Scales, Monica Saucedo, Marisa Saucedo, Marisa Saucedo, Marisa Salyers, John C Salyers, John C Salyers, John C Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Saladino, Michael V SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM

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

9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169 9169

00003

00001

00020

00024

00006

055

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

S534.39

$6.50

$635.81

$6.50

$317.47

$6.50

$354.19

$35.06

$6.50

$863.64

$225.00

$207.36

$110.00

$6.50

$213.20

$11.77

$180.80

$6.16

$238.00

$234.58

$366.96

$6.50

$186.55

$169.65

$6.50

$7.53

$1,328.34

$6.50

$226.20

$6.50

$10.05

$226.20

$6.50

City Of Chicago - Confidential

Page 130 of 409

Incident Date Claimant_Rank

02704/2010 SZURA, WILLIAM 9169

02/04/2010 SZURA, WILLIAM 9169

Unit of_Insured_Total to be Paid

055 City Of Chicago Police $10.05

055 City Of Chicago Police $226.20

055 City Of Chicago Police $6.50

055 City Of Chicago Police $10.05

055 City Of Chicago Police $226.20

055 City Of Chicago Police $6.50

055 City Of Chicago Police $10.05

055 City Of Chicago Police $169.65

055 City Of Chicago Police $6.50

055 City Of Chicago Police $7.53

055 City Of Chicago Police $169.65

055 City Of Chicago Police $6.50

055 City Of Chicago Police $7.53

055 City Of Chicago Police $6.50

055 City Of Chicago Police $10.05

055 City Of Chicago Police $169.65

055 City Of Chicago Police $6.50

055 City Of Chicago Police $7.53

055 City Of Chicago Police $226.20

055 City Of Chicago Police $32.57

055 City Of Chicago Police $247.49

055 City Of Chicago Police $6.50

055 City Of Chicago Police $3.00

055 City Of Chicago Police $45.87

055 City Of Chicago Police $6.50

055 City Of Chicago Police $1.86

055 City Of Chicago Police $221.10

055 City Of Chicago Police $6.50

055 City Of Chicago Police $169.65

055 City Of Chicago Police $6.50

055 City Of Chicago Police $7.53

055 City Of Chicago Police $16,419.30

055 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 131 of 409

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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 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

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 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 08/30/2010 07/15/2009 07/15/2009 07/15/2009 01/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 01/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010

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 SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWALINA, GLADYS SWALINA, GLADYS SWALINA, GLADYS SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, 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

005 005 005 005 005 005 005 005 005 005

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

$6.50

$233.53

$6.50

$233.53

$6.50

$233.53

$6.50

$233.53

$6.50

$249.08

$6.50

$851.81

$233.53

$6.50

$230.42

$6.50

$21.77

$233.53

$6.50

$243.65

$24.46

$74.11

$6.50

$4.66

$3.01

$114.69

$6.50

$132.24

$6.50

$0.62

$595.08

City Of Chicago - Confidential

Page 133 of 409

Incident Date Claimant Rank

06/19/2010 SWALINA, DAVID 9161

Unit of_Insured_Total to be Paid

005 City Of Chicago Police $6.50

005 City Of Chicago Police $2.79

005 City Of Chicago Police $198.36

005 City Of Chicago Police $6.50

005 City Of Chicago Police $0.93

005 City Of Chicago Police $65.32

005 City Of Chicago Police $6.50

005 City Of Chicago Police $5.03

005 City Of Chicago Police $760.85

005 City Of Chicago Police $6.50

005 City Of Chicago Police $644.48

005 City Of Chicago Police $6.50

005 Cily Of Chicago Police $462.84

005 City Of Chicago Police $6.50

005 City Of Chicago Police $264.48

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.24

005 City Of Chicago Police $264.48

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.24

005 City Of Chicago Police $462.84

005 City Of Chicago Police $6.50

005 City Of Chicago Police $2.17

005 City Of Chicago Police $264.48

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.24

005 City Of Chicago Police $264.48

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.24

005 City Of Chicago Police $264.48

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.24

005 City Of Chicago Police $264.48

City Of Chicago - Confidential

Page 134 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 06/19/2010 05/17/2010 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 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

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

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

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice •lice dice lice lice lice

$6.50

$264.48

$6.50

$1.24

$264.48

$1.24

$264.48

$6.50

$65.32

$6.50

$65.32

$6.50

$5.03

$65.32

$5.03

$6.50

$2.17

$1.24

$6.50

$1.24

$46.27

$6.50

$198.36

$6.50

$0.93

$28,438.05

$243.10

$6.50

$11.38

$237.46

$6.50

$1.17

City Of Chicago - Confidential

Page 135 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 05/17/2010 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

SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE SWAINE, SWAINE SWAINE SWAINE, SWAINE, SWAINE, SWAINE, SWAINE, SWAINE, SWAINE, SWAINE, SWAINE, SWAINE,

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

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

$243.10

$11.38

$243.10

$6.50

$11.38

$6.50

$243.10

$6.50

$11.38

$219.90

$6.50

$3.47

$243.10

$6.50

$11.38

$243.10

$6.50

$11.38

$213.20

$6.50

$10.21

$243.10

$6.50

$11.38

$243.10

$6.50

$11.38

$243.10

$6.50

$11.38

$243.10

$6.50

$11.38

City Of Chicago - Confidential

Page 136 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

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 SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SUSA, TINA SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE

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

016 016 016 016 016 016

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

$243.10

$6.50

$11.38

$243.10

$6.50

$11.38

$243.10

$6.50

$11.38

$67.47

$6.50

$243.10

$6.50

$11.38

$16.92

$327.84

$661.91

$37.37

$6.50

$4.81

$18.46

$48.78

$6.50

$0.72

$187.19

$6.50

$18.46

$187.19

$6.50

$1,066.63

$45.64

$43.29

$577.00

City Of Chicago - Confidential

Page 137 of 409

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 Cily 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 Po City Of Chicago Pol

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 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

SUMMERS SUMMERS SUMMERS SUMMERS SUMMERS SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SUMMERS, SULLIVAN, SULLIVAN, SULLIVAN, SULLIVAN, SULLIVAN, SULLIVAN, SULLIVAN, SULLIVAN, SULLIVAN, SULLIVAN,

BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE BRUCE JULIANNE JULIANNE JULIANNE JULIANNE JULIANNE JULIANNE JULIANNE JULIANNE JULIANNE JULIANNE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

019 019 019 019 019 019 019 019 019 019

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

$6.50

$22.21

$989.45

$6.50

$31.46

$100.02

$114.69

$6.50

$4.66

$856.74

$6.50

$16.35

$6.50

$20.24

$6.50

$856.74

$6.50

$114.69

$6.50

$4.66

$1,402.79

$6.50

$2.13

$83.45

$4.12

$71.94

$83.45

$6.50

$2.13

$220.98

$6.50

City Of Chicago - Confidential

Page 138 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 06/13/2010 06/13/2010 06/13/2010 06/13/2010 06/13/2010 09/12/2009 09/12/2009 09/12/2009 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 03/02/2010 03/02/2010

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 SUGRUE, DENIS SUGRUE, DENIS SUGRUE, DENIS SUGRUE, DENIS SUGRUE, DENIS STROMEK, WALTER STROMEK, WALTER STROMEK, WALTER STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANSKI, LORI STRANGE, KIMBERLY STRANGE, KIMBERLY

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

019 019 019 019 019 019 019 019 019 019 019 019 019 014 014 014 014 014 701 701 701

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

$12.71

$239.22

$6.50

$13.76

$380.43

$6.50

$21.86

$100.68

$6.50

$478.45

$6.50

$27.50

$6.50

$35.00

$2.49

$6.50

$169.31

$200.85

$6.50

$13.61

$1,659.63

$8.58

$6.50

$517.59

$6.50

$608.61

$6.50

$7.50

$1,505.03

$6.50

$122.42

$14.13

City Of Chicago - Confidential

Page 139 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STEWART, JOHN STEWART, JOHN STEWART, JOHN STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD

9168 9168 9168 9168 9168 9168 9165 9165 9165 9161 9161 9161 9161 9161

059 059 059 059 059 059 011 011 011 006 006 006 006 006

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

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

$6.02

$6.50

$61.03

$69.90

$28.43

$3.76

$841.88

$6.50

$22.77

$6.50

$160.47

$194.89

$310.60

$6.50

$20.78

$94.24

$6.50

$49.37

$6.50

$1,216.76

$67.49

$1,663.65

$6.50

$67.74

$1.36

$290.59

$6.50

$378.82

$6.50

City Of Chicago - Confidential

Page 140 of 409

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 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 Po¹City Of Chicago Pol City Of Chicago Pol

09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 09/19/2010 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 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010

STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD STEWART, DONALD 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 STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

006 006 006 006 006 006 006 006 006 006 006

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

$384.01

$6.50

$1,290.31

$6.50

$347.69

$6.50

$290.59

$6.50

$342.48

$6.50

$347.67

$458.32

$6.50

$322.00

$6.50

$275.04

$6.50

$186.83

$6.50

$399.46

$6.50

$221.65

$6.50

$107.47

$6.50

$107.47

$6.50

$154.19

$6.50

$107.47

$6.50

$399.46

$6.50

City Of Chicago - Confidential

Page 141 of 409

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 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 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

03/07/2010 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 03/07/2010 03/07/2010 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 11/0272010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010

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 STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM

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

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

$275.04

$6.50

$275.04

$6.50

$160.87

$6.50

$174.94

$6.50

$107.47

$6.50

$160.87

$6.50

$399.46

$6.50

$815.18

$6.50

$155.67

$200.85

$8.40

$6.50

$57.76

$3.01

$6.50

$169.40

$6.50

$6.88

$83.04

$6.50

$74.11

$6.50

$3.01

$74.11

City Of Chicago - Confidential

Page 142 of 409

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

11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 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

STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STARK, ADAM STAPLETON, SCOTT STAPLETON, SCOTT STAPLETON, SCOTT STAPLETON, SCOTT STAPLETON, DANIEL STAPLETON, DANIEL STAPLETON, DANIEL STAPLETON, DANIEL STAJCIC, JOHN STAJCIC, JOHN STAJCIC, JOHN STAJCIC, JOHN STAJCIC, JOHN STAJCIC, JOHN STAJCIC, JOHN STAJCIC, JOHN STAJCIC, JOHN STAJCIC, JOHN STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID

9161 9161 9161 9161 9161 9161 9161

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

216 216 216 216 059 059 059 059 059 059 059 059 059 059

Poli Pol Poli

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

$6.50

$1,423.09

$56.26

$6.50

$490.01

$167.11

$6.50

$337.19

$6.50

$1,712.62

$87.19

$6.50

$98.36

$6.50

$160.13

$6.50

$357.64

$42.23

$3,861.99

$6.50

$24.00

$435.17

$6.50

$2.95

$6.50

$1.16

$6.50

$95.65

$1.16

City Of Chicago - Confidential

Page 143 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010

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

Poli Poli Poll Poli

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

$6.50

$95.65

$286.84

$6.50

$1,057.71

$5.54

$6.50

$17.44

$0.70

$243.56

$58.18

$1.16

$6.50

$95.65

$3.56

$6.50

$293.86

$1.16

$811.30

$992.22

$75.13

$2,075.91

$6.50

$48.01

$6.50

$1,878.80

$18.41

$6.50

$231.34

$7.81

$6.50

$1,101.58

City Of Chicago - Confidential

Page 144 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/06/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010

STAGEN, JAMES

MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL MICHAEL

ST CLAIR I! ST CLAIR I! ST CLAIR I! ST CLAIR I' ST CLAIR II ST CLAIR I' ST CLAIR II ST CLAIR II ST CLAIR II SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON

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

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

$6.50

$244.51

$6.50

$6.24

$960.88

$35.18

$36.44

$924.85

$6.50

$2,262.40

$5.88

$137.12

$258.56

$6.50

$13.99

$44.00

$6.50

$2.53

$26.40

$6.50

$1.52

$90.61

$6.50

$2.32

$90.61

$6.50

$2.32

$1,775.90

$6.50

$113.70

$194.40

$6.50

City Of Chicago - Confidential

Page 145 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010

SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, QWON SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPENCER, JORDAN SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI

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

$11.18

$794.03

$6.50

$157.87

$6.50

$4.03

$6.50

$851.77

$6.50

$114.78

$6.50

$13.94

$18.17

$83.04

$6.50

$97.30

$6.50

$12.00

$97.30

$6.50

$12.00

$337.35

$6.50

$119.38

$139.98

$6.50

$25.09

$139.98

$6.50

$25.09

$119.38

$6.50

City Of Chicago - Confidential

Page 146 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 03/01/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010

SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPEARMAN, TAHANI SPACEK, GEORGE SPACEK, GEORGE SPACEK, GEORGE SPACEK, GEORGE SPACEK, GEORGE SPACEK, GEORGE SOUTHARD,TERRY SOUTHARD,TERRY SOUTHARD,TERRY SOUTHARD,TERRY SOUTHARD,TERRY

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

007 007 007 007 007 007

Poli Poll Poli

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

$23.86

$41.04

$6.50

$1.05

$23.86

$6.50

$16.72

$20.56

$6.50

$154.53

$44.86

$6.50

$15.94

$1,873.25

$6.50

$501.32

$119.84

$6.50

$26.14

$112.84

$6.50

$43.27

$3.08

$6.50

$120.51

$26.37

$6.50

$649.88

$6.50

$10.05

$6.50

$10.05

$226.20

City Of Chicago - Confidential

Page 147 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD, SOUTHARD, SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD SOUTHARD, SOUTHARD

,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY ,TERRY

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 Pol

Poll

Poli

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

$243.10

$6.50

$10.77

$6.50

$10.05

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$307.26

$6.50

$15.51

$226.20

$282.75

$6.50

$12.56

$226.20

$6.50

$10.05

$282.75

$6.50

$12.56

$226.20

$6.50

$10.05

$62.98

$6.50

$3.18

City Of Chicago - Confidential

Page 148 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/28/2010 SOUTHARD, TERRY

09/28/2010 SORENSEN, STEPHANIE

12/07/2009 SOREGHEN, SCOTT

03/29/2010 SONLEY, JOHN

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

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

002 002 002 002 002 002 002 002

$184.60

$6.50

$12.45

$184.60

$6.50

$12.45

$184.60

$6.50

$12.45

$282.75

$6.50

$12.56

$167.11

$6.50

$16.47

$226.20

$1.16

$6.50

$95.65

$6.50

$13.15

$65.32

$6.50

$5.03

$14.23

$6.50

$2,225.27

$6.50

$6,309.52

$6.50

$6,196.63

$6.50

$108.82

City Of Chicago - Confidential

Page 149 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/29/2010 SONLEY, JOHN

10/21/2010 SOLIVAN, JORGE

12/09/2009 SOBIERAJ. GREGORY

12/09/2009 SOBIERAJ, GREGORY

12/09/2009 SOBIERAJ. GREGORY

03/23/2009 SOBCZYNSKI, ELIZABETH

03/14/2009 SNYDER, FREDERICK

09/05/2009 SMITH, WILLIE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

002 002 002 002 002 002 002 002 002 002 002

189 189 189 022 022 022

Poli Poli Poli

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

$626.96

$149.46

$6.50

$1,815.93

$6.50

$95.32

$900.00

$100.68

$6.50

$67.47

$6.50

$67.47

$6.50

$46.92

$6.50

$1,346.95

$6.50

$52.18

$341.99

$1,750.00

$6.50

$284.90

$879.70

$6.50

$54.89

$2.89

$6.50

$2.45

City Of Chicago - Confidential

Page 150 of 409

Incident Date Claimant Rank

09/05/2009 SMITH, WILLIE 9161

Unit of Insured Total to be Paid

022 City Of Chicago Police $6.50

022 City Of Chicago Police $202.12

022 City Of Chicago Police $3.91

022 City Of Chicago Police $6.50

022 City Of Chicago Police $322.45

022 City Of Chicago Police $18.14

022 City Of Chicago Police $6.50

022 City Of Chicago Police S236.69

022 City Of Chicago Police $63.37

022 City Of Chicago Police $1.16

022 City Of Chicago Police $95.65

022 City Of Chicago Police $6.50

022 City Of Chicago Police $1.16

022 City Of Chicago Police $211.99

022 City Of Chicago Police $0.18

022 City Of Chicago Police $294.94

022 City Of Chicago Police $6.50

022 City Of Chicago Police $404.24

022 City Of Chicago Police $6.50

022 City Of Chicago Police $4.90

022 City Of Chicago Police $84.11

022 City Of Chicago Police $17.85

022 City Of Chicago Police $2.45

022 City Of Chicago Police $2.59

022 City Of Chicago Police $202.12

022 City Of Chicago Police $312.27

022 City Of Chicago Police $6.50

022 City Of Chicago Police $6.25

022 City Of Chicago Police $199.32

022 City Of Chicago Police $6.50

022 City Of Chicago Police $128.95

022 City Of Chicago Police $248.87

022 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 151 of 409

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

09/05/2009 SMITH, WILLIE

11/20/2010 SMITH. CHAD

11/20/2010 SMITH, CHAD

03/02/2010 SIVICEK, DANIEL

05/17/2009 SIMMONS, OSCAR

06/11/2010 SIMMONS, KAREN

12/29/2009 SIERRA, GILDARDO

12/17/2009 SHEPHERD, CHRISTIAN

9161 9161 9161

022 022 022

9153 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

153 012 012 012 023 023

013 013 013 013 013 013 013 013 013

Poll Poll Poll

$0.05

$95.65

$6.50

$26.98

$6.50

$210.74

$17.65

$6.50

$144.35

$356.83

$6.50

$14.00

$54.87

$9.12

$6.50

$10.35

$134.94

$1.05

$632.38

$6.50

$540.60

$4.87

$40.00

$6.50

$149.46

$6.50

$327.99

$6.50

$100.68

$6.50

$900.00

City Of Chicago - Confidential

Page 152 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/17/2009 SHEPHERD, CHRISTIAN

07/06/2010 SHEN, DAVID

07/03/2009 SHEEHY, DANIEL

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 9161 9161 9161 9161

013 013 013 153 022 022 022 044 044 044 044 044 044 044 044 044 044 044 044

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

$1,002.72

$3,649.13

$6.50

$1,344.96

$26.27

$641.61

$6.50

$303.71

$2.32

$90.61

$3.15

$6.50

$77.52

$6.90

$6.50

$569.12

$3.68

$6.50

$645.83

$6.50

$11.18

$221.28

$6.50

$7,689.25

$169.65

$7.53

$6.50

$337.19

$1.05

$6.50

$8.11

$10.05

City Of Chicago - Confidential

Page 153 of 409

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

07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 10/18/2009 10/18/2009 10/18/2009 10/18/2009 11/11/2009

SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEPULVEDA, DAVID SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SEISER, MICHAEL SCHULZ, ANTHONY SCHULZ, ANTHONY SCHULZ, ANTHONY SCHULZ, ANTHONY SCHREIBER, ERIC SCHREIBER, ERIC SCHREIBER, ERIC SCHREIBER, ERIC SCHOBER,SUSAN

9171 9171 9171 9171 9161 9161 9161 9161 9161

044 044 044 044 050

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

$6.50

$226.20

$6.50

$86.78

$6.50

$199.75

$6.50

$3.22

$126.00

$6.50

$3.22

$126.00

$98.58

$6.50

$3,855.91

$6.50

$1,984.55

$3.22

$32.85

$1,285.36

$50.75

$6.50

$126.00

$283.48

$207.59

$6.50

$27.26

$22.26

$545.96

$705.79

$171.27

City Of Chicago - Confidential

Page 154 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/11/2009 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010

SCHOBER, SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS

SUSAN , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON . ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON

9161

050

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

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

$6.50

$2.43

$165.88

$6.50

$2.43

$122.20

$6.50

$1.80

$165.88

$6.50

$2.43

$165.88

$6.50

$2.43

$165.88

$6.50

$2.43

$126.84

$6.50

$1.86

$229.30

$6.50

$229.31

$6.50

$3.36

$218.56

$6.50

$3.21

$3.36

$165.88

$6.50

$2.43

City Of Chicago - Confidential

Page 155 of 409

Incident Date Claimant_Rank

01/13/2010 SCHLOSS, ALLISON

08/19/2010 SCHAFFER, JOHN 9169

Unit of_Insured_Total to be Paid

City Of Chicago Police $165.88

City Of Chicago Police $6.50

City Of Chicago Police $2.43

City Of Chicago Police $165.88

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 $205.00

055 City Of Chicago Police $6.50

055 City Of Chicago Police $350.68

055 City Of Chicago Police $6.50

055 City Of Chicago Police $202.41

055 City Of Chicago Police $322.00

055 City Of Chicago Police $6.50

055 City Of Chicago Police $778.50

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 $322.00

055 City Of Chicago Police $6.50

055 City Of Chicago Police $322.00

055 City Of Chicago Police $6.50

055 City Of Chicago Police $322.00

055 City Of Chicago Police $6.50

055 City Of Chicago Police $322.00

055 City Of Chicago Police $6.50

055 City Of Chicago Police $322.00

055 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 156 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/19/2010 SCHAFFER, JOHN

11/12/2009 SCAPARDINE, MICHAEL

05/14/2010 SAUTKUS, STEVEN

9169 9169 9169 9169 9169 9169 9169 9169 9169

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

055 055 055 055 055 055 055 055 055

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

$322.00

$6.50

$322.00

$6.50

$322.00

$6.50

$322.00

$6.50

$202.41

$6.50

$84.92

$6.50

$84.92

$238.74

$6.50

$171.27

$6.50

$166.07

$210.69

$6.50

$181.66

$6.50

$181.66

$6.50

$181.66

$6.50

$171.27

$166.07

$6.50

$210.69

$6.50

City Of Chicago - Confidential

Page 157 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/14/2010 SAUTKUS, STEVEN

08/17/2009 SANTANGELO, PAUL

07/23/2010 SANFILIPPO, HEATHER

10/08/2010 SANDOVAL, PAUL

06/15/2010 SANCHEZ, 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

Pol Pol Pol

ce ce

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

$238.74

$6.50

$354.84

$6.50

$226.27

$6.50

$106.81

$1,857.60

$6.50

$194.10

$7.88

$3.11

$211.71

$6.50

$3.11

$211.71

$6.50

$3.11

$291.70

$6.50

$4.29

$211.71

$6.50

$3.11

$330.74

$6.50

$4.86

$211.71

$6.50

$18.52

City Of Chicago - Confidential

Page 158 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/15/2010 SANCHEZ, JOHN

11/07/2010 SAMMON, DANIEL

11/23/2010 SAMANAS, RICHARD

05/20/2010 SALVAGE, MICHAELYN

02/01/2009 SALDANA, TIMOTHY

11/23/2009 SALADINO, CHRISTOPHER

04/27/1995 Rycraw, Cheryl L

09/09/1993 Russell, Robbie

9161 9161 9161

9161

153

00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006

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

$456.14

$6.50

$43.47

$1,701.16

$13.35

$6.50

$645.36

$6.50

$2.76

$190.40

$3.44

$54.78

$134.51

$6.50

$46.00

$168.57

$6.50

$9.69

$21.92

$6.50

$140.00

$9.91

$13.64

$301.00

$6.50

$353.38

$6.50

$11.34

$353.38

$6.50

$11.34

$814.59

City Of Chicago - Confidential

Page 159 of 409

Incident Date Claimant

Rank

Unit of

09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 09/09/1993 07/03/1998 07/03/1998 07/03/1998 07/03/1998 07/03/1998 07/03/1998 08/27/1989 08/27/1989 04/26/2008 04/26/2008 04/26/2008 07/03/2008 07/03/2008 07/03/2008 09/30/1988 09/30/1988 09/30/1988 09/30/1988 09/30/1988 09/30/1988 09/30/1988

Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rodriguez, Abelardo Rivas, Gelacio Rivas, Gelacio Rivas, Gelacio Riggenbach, Carl Riggenbach, Carl Riggenbach, Carl Riggenbach, Carl Riggenbach, Carl Riggenbach, Carl Riggenbach, Carl

00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00002 00002 00002 00002 00002 00002 00002 00002 00003 00003 00003 00014 00014 00014 00007 00007 00007 00007 00007 00007 00007

City Of Chicago

Insured

Total to be Paid

$6.50

$25.79

$787.89

$6.50

$27.10

$1,011.22

$6.50

$711.32

$6.50

$22.83

$87.19

$6.50

$290.65

$6.50

$11.32

$290.65

$6.50

$11.32

$1,104.60

$25.44

$6.50

$613.95

$6.50

$323.85

$243.86

$87.19

$6.50

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/17/2007 03/17/2007 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 11/06/2006 11/06/2006 05/31/2003 05/31/2003 09/18/2008 09/18/2008 09/18/2008 09/18/2008 09/18/2008 09/18/2008 09/18/2008 09/18/2008 09/22/2010 09/22/2010 09/22/2010 04/23/2010 07/17/2010 07/17/2010

Rezny, Lance M Rezny, Lance M 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 Reidy, Brian Reidy, Brian Regnier, Richard Regnier, Richard Randle, Reginald Randle, Reginald Randle, Reginald Randle, Reginald Randle, Reginald Randle, Reginald Randle, Reginald Randle, Reginald RZEZINSKI, ARTHUR RZEZINSKI, ARTHUR RZEZINSKI, ARTHUR RYBKA, BRIAN RYAN, JOHN RYAN, JOHN

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 9161 9171 9161 9161

00018

00009

00007

00005

00014

014

012

$38.98

$33.28

$38.00

$234.00

$43.02

$6.50

$515.20

$6.50

$68.58

$6.50

$5.98

$161.33

$6.50

$1,683.00

$0.33

$2.11

$6.50

$6.14

$1,305.62

$6.50

$52.99

$343.71

$6.50

$1.73

$2,765.00

$142.97

$85.58

$3.47

$6.50

$129.74

City Of Chicago - Confidential

Page 161 of 409

Incident Date Claimant Rank

07/17/2010 RYAN, JOHN 9161

07/01/2009 RUBALD, ZACHARY 9161

03/17/2010 ROUBA, ANTHONY 9161

03/01/2010 ROSE IV, ADAM 9161

09/08/2010 ROSAS, ANTONIO 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $520.01

044 City Of Chicago Police $203.43

044 City Of Chicago Police $2.99

044 City Of Chicago Police $6.50

312 City Of Chicago Police $19.43

312 City Of Chicago Police $6.50

312 City Of Chicago Police $258.05

312 City Of Chicago Police $12.45

312 City Of Chicago Police $6.50

312 City Of Chicago Police $87.19

312 City Of Chicago Police $203.79

312 City Of Chicago Police $6.50

312 City Of Chicago Police $613.95

312 City Of Chicago Police $6.50

312 City Of Chicago Police $184.60

City Of Chicago Police $45.00

City Of Chicago Police $968.60

City Of Chicago Police $46.00

City Of Chicago Police $6.50

007 City Of Chicago Police $6.50

007 City Of Chicago Police $2.51

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 $83.73

007 City Of Chicago Police $269.29

007 City Of Chicago Police $6.50

007 City Of Chicago Police $10.93

007 City Of Chicago Police $2,064.30

007 City Of Chicago Police $6.50

007 City Of Chicago Police $30.56

007 City Of Chicago Police $207.08

City Of Chicago - Confidential

Page 162 of 409

Incident Dale Claimant_Rank

09/08/2010 ROSAS, ANTONIO 9161

10/01/2010 ROSAS JR, FILIBERTO 9161

Unit of_Insured_Total to be Paid

007 City Of Chicago Police $6.50

007 City Of Chicago Police $753.38

044 City Of Chicago Police $707.70

044 City Of Chicago Police $6.50

044 City Of Chicago Police $136.23

044 City Of Chicago Police $186.22

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.72

044 City Of Chicago Police $493.04

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.98

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.29

044 City Of Chicago Police $281.03

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.41

044 City Of Chicago Police $95.65

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.16

044 City Of Chicago Police $246.52

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.99

044 City Of Chicago Police $283.98

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.72

044 City Of Chicago Police $283.98

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.72

044 City Of Chicago Police $271.18

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.29

044 City Of Chicago Police $202.41

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 163 of 409

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

10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 10/01/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 11/18/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010

ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROONEY, EUGENE ROONEY, EUGENE ROONEY, EUGENE ROONEY, EUGENE ROONEY, EUGENE ROONEY, EUGENE ROONEY, EUGENE ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI ROLDAN, GIOVANNI RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA

9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 044

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 lice fice fice lice ilice lice lice dice

$236.67

$6.50

$2.87

$552.21

$6.50

$6.70

$271.18

$45.00

$6.50

$827.82

$7.16

$176.45

$6.50

$22.00

$6.50

$12.88

$165.58

$6.50

$10.36

$106.67

$6.50

$9.84

$405.42

$6.50

$19.45

$549.54

$6.50

$15.72

$6.50

$456.43

$18.66

$6.50

City Of Chicago - Confidential

Page 164 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/10/2010 RODRIGUEZ, LYDIA

03/17/2010 RODRIGUEZ, JOSEPH

11/11/2010 RODRIGUEZ, JOSE

12/26/2008 ROCHA, NANCY

9161 9161 9161 9161 9161 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

City Of Chicago Police Cily 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

$549.54

$7.43

$6.50

$505.98

$18.66

$6.50

$549.54

$18.66

$19.93

$223.16

$6.50

$446.32

$6.50

$2,043.22

$6.50

$2,911.58

$6.50

$84.00

$6.50

$45.00

$6.50

$223.16

$19.93

$13.95

$52.21

$19.93

$6.50

$2,459.02

$1,125.21

$6.50

City Of Chicago - Confidential

Page 165 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 12/26/2008 08/13/2009 08/13/2009 08/13/2009 08/13/2009 04/28/2009 04/28/2009 04/28/2009 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010 10/09/2010

ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROCHA, NANCY ROBERTS, MICHELLE ROBERTS, MICHELLE ROBERTS, MICHELLE ROBERTS, MICHELLE ROBERISON, GWENDA ROBERISON, GWENDA ROBERISON, GWENDA RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL RIZZO, DARREL

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

009 009 009 009 015 015 015 019 019 019 019 019 019 019 019 019 019 019 019

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

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

$1,079.52

$6.50

$100.68

$6.50

$4,250.61

$6.50

$944.58

$6.50

$1,146.99

$6.50

$100.68

$6.50

$100.68

$82.83

$6.50

$1.00

$6.50

$122.56

$6.50

$6.19

$12.62

$191.10

$6.50

$12.62

$9.58

$6.50

$10.45

$72.65

$524.15

$6.50

$93.86

$6.50

City Of Chicago - Confidential

Page 166 of 409

Incident Date Claimant Rank

10/09/2010 RIZZO, DARREL 9161

11/18/2009 RIVERA, SEBASTIAN 9161

09/05/2009 RIPLEY, MATTHEW 9161

06/08/2010 RIPLEY, MATTHEW 9161

02/17/2010 RIOS, MIGUEL 9165

Unit of Insured Total to be Paid

019 City Of Chicago Police $221.00

019 City Of Chicago Police $6.50

019 City Of Chicago Police $13.79

019 City Of Chicago Police $221.00

019 City Of Chicago Police $6.50

019 City Of Chicago Police $13.79

019 City Of Chicago Police $6.50

019 City Of Chicago Police $250.15

019 City Of Chicago Police $6.50

019 City Of Chicago Police $207.59

019 City Of Chicago Police $6.50

019 City Of Chicago Police $206.70

019 City Of Chicago Police $6.50

019 City Of Chicago Police $13.81

019 City Of Chicago Police $314.06

019 City Of Chicago Police $6.50

019 City Of Chicago Police $8.03

019 City Of Chicago Police $191.10

019 City Of Chicago Police $6.50

016 City Of Chicago Police $112.00

016 City Of Chicago Police $6.50

016 Cily Of Chicago Police $19.09

City Of Chicago Police $14.66

City Of Chicago Police $6.50

City Of Chicago Police $361.25

025 City Of Chicago Police $15.44

025 City Of Chicago Police $6.50

025 City Of Chicago Police $394.43

025 City Of Chicago Police $22.99

025 City Of Chicago Police $6.50

025 City Of Chicago Police $150.19

153 City Of Chicago Police $1,171.90

153 City Of Chicago Police $1,124.17

City Of Chicago - Confidential

Page 167 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/17/2010 02/17/2010 02/17/2010 11/25/2010 11/25/2010 04/07/2010 04/07/2010 04/07/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 11/29/2010 11/29/2010 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009

RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIGAN, KRISTOPHER RIGAN, KRISTOPHER RIGAN, KEITH 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 RIGA JR, WILLIAM RICHTER, ERICH RICHTER, ERICH RICHTER, ERICH RICHTER, ERICH RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP

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

9161 9161

153 153 153

001 001 001 044 044 044 044 044 044 044 044

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 ilice lice dice lice

$6.50

$134.93

$202.40

$2,221.02

$6.50

$220.20

$475.00

$9.43

$20.97

$6.50

$105.00

$46.08

$6.50

$918.57

$68.00

$76.81

$283.35

$6.50

$3.85

$2.53

$15.25

$154.75

$6.50

$15.25

$61.03

$6.50

$6.02

$154.75

$6.50

$15.25

$154.75

City Of Chicago - Confidential

Page 168 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 10/27/2009 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 03/30/2010 03/30/2010

RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP 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 RICHARDS, WARREN RICHARDS, WARREN

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

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

$15.25

$154.75

$6.50

$15.25

$154.75

$6.50

$15.25

$6.50

$76.42

$6.50

$1.96

$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

$154.75

$6.50

$15.25

$154.75

$6.50

$226.20

City Of Chicago - Confidential

Page 169 of 409

Incident Date Claimant Rank

03/30/2010 RICHARDS, WARREN

01/31/2010 REYES, LIZETTE 9161

Unit of Insured Total to be Paid

City Of Chicago Police $10.05

013 City Of Chicago Police $269.88

013 City Of Chicago Police $6.50

013 City Of Chicago Police $295.82

013 City Of Chicago Police $6.50

013 City Of Chicago Police $134.94

013 City Of Chicago Police $6.50

013 City Of Chicago Police $269.88

013 City Of Chicago Police $6.50

013 City Of Chicago Police $422.58

013 City Of Chicago Police $6.50

013 City Of Chicago Police $332.14

013 City Of Chicago Police $6.50

013 City Of Chicago Police $299.96

013 City Of Chicago Police $6.50

013 City Of Chicago Police $367.43

013 City Of Chicago Police $299.96

013 City Of Chicago Police $6.50

013 City Of Chicago Police $331.10

013 City Of Chicago Police $6.50

013 City Of Chicago Police $100.74

013 City Of Chicago Police $6.50

013 City Of Chicago Police $100.74

013 City Of Chicago Police $274.02

013 City Of Chicago Police $6.50

013 City Of Chicago Police $310.35

013 City Of Chicago Police $6.50

013 City Of Chicago Police $367.43

013 City Of Chicago Police $6.50

013 City Of Chicago Police $87.19

City Of Chicago - Confidential

Page 170 of 409

Incident Date Claimant Rank

01/31/2010 REYES, LIZETTE 9161

Unit of Insured Total to be Paid

013 City Of Chicago Police $6.50

013 City Of Chicago Police $205.51

013 City Of Chicago Police $6.50

013 City Of Chicago Police $274.02

013 City Of Chicago Police $6.50

013 City Of Chicago Police $310.35

013 City Of Chicago Police $6.50

013 City Of Chicago Police $310.35

013 City Of Chicago Police $6.50

013 City Of Chicago Police $274.02

013 City Of Chicago Police $6.50

013 City Of Chicago Police $238.74

013 City Of Chicago Police $6.50

013 City Of Chicago Police $331.10

013 City Of Chicago Police $480.99

013 City Of Chicago Police $6.50

013 City Of Chicago Police $100.74

013 City Of Chicago Police $6.50

013 City Of Chicago Police $331.10

013 City Of Chicago Police $6.50

013 City Of Chicago Police $377.82

013 City Of Chicago Police $6.50

013 City Of Chicago Police $274.02

013 City Of Chicago Police $6.50

013 City Of Chicago Police $310.35

013 City Of Chicago Police $6.50

013 City Of Chicago Police $274.02

013 City Of Chicago Police $6.50

013 City Of Chicago Police $269.88

013 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 171 of 409

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 Po¹City 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

01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 05/27/2010 10/11/2009 10/11/2009 10/11/2009 10/11/2009 10/11/2009 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 12/16/2009 12/16/2009 12/16/2009 08/28/2010 08/28/2010 06/27/2010

REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE 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, TARA REEVES, TARA RAMOS, FRANCIS RAMOS, FRANCIS RAMOS, FRANCIS RAMOS, FRANCIS RAMOS, FRANCIS RAMOS, FRANCIS RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, ROBERT RAMIREZ, CRHISTIAN RAMIREZ, CRHISTIAN QUINT, STEVE

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

9161 9161 9161 9161 9161 9161

013 013 013 013 013

010 010 010 025 025 018

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

$171.27

$6.50

$263.63

$6.50

$331.10

$6.50

$550.06

$152.93

$6.50

$464.33

$6.50

$368.45

$87.19

$6.50

$87.19

$6.02

$6.50

$497.96

$23.34

$25.07

$95.65

$6.50

$828.82

$6.50

$33.64

$1.16

$166.39

$4.25

$6.50

$231.66

$6.50

$67.76

City Of Chicago - Confidential

Page 172 of 409

Incident Date Claimant Rank

06/27/2010 QUINT, STEVE 9161

08/01/2010 QUINONEZ, SERGIO 9161

09/09/2008 Puentes, Antonio P

Unit of Insured Total to be Paid

018 City Of Chicago Police $3,388.05

018 City Of Chicago Police $10.16

018 City Of Chicago Police $508.21

018 City Of Chicago Police $1,281.93

018 City Of Chicago Police $1,889.16

018 City Of Chicago Police $6.50

018 City Of Chicago Police $5,765.05

018 City Of Chicago Police $6.50

015 City Of Chicago Police $257.40

015 City Of Chicago Police $228.50

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $259.45

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.45

015 City Of Chicago Police $91.35

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 $155.69

015 City Of Chicago Police $6.50

015 City Of Chicago Police $457.00

015 City Of Chicago Police $6.50

015 City Of Chicago Police $228.50

015 City Of Chicago Police $6.50

015 City Of Chicago Police $228.50

015 City Of Chicago Police $6.50

00021 City Of Chicago Police $7.25

00021 City Of Chicago Police $13.14

00021 City Of Chicago Police $66.95

City Of Chicago - Confidential

Page 173 of 409

Incident Date Claimant

Rank

Unit of

09/09/2008 09/09/2008 09/23/2007 09/23/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 11/27/2007 06/24/2005 06/24/2005 06/24/2005 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 08/18/2008 12/15/1999 12/15/1999

Puentes, Antonio Puentes, Antonio Puchalski, Therese Puchalski, Therese Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Podlo, Frank W Piper, Peter J Piper, Peter J Piper, Peter J Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Payne, Felicia Payne, Felicia

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

00021 00021 00101 00101 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00020 00020 00020 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00044 00044

City Of Chi

Insured

Total to be Paid

$323.65

$6.50

$221.09

$140.13

$6.50

$694.18

$6.50

$140.13

$6.50

$203.30

$6.50

$924.16

$6.50

$114.08

$1,888.73

$6.50

$8.42

$148.80

$6.12

$6.50

$5.15

$934.17

$299.08

$57.59

$299.08

$90.22

$6.50

$12.67

$220.36

$956.07

$14.04

Incident Date Claimant Rank

12/15/1999 Payne, Felicia P

08/31/2010 PURUIS, ROBERT 9161

06/17/2010 PURTELL, CYNTHIA 9161

Unit of Insured Total to be Paid

00044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $222.46

008 City Of Chicago Police $6.50

008 City Of Chicago Police $172.15

008 City Of Chicago Police $1.15

008 City Of Chicago Police $6.50

008 City Of Chicago Police $95.47

008 City Of Chicago Police $8.33

008 City Of Chicago Police $6.50

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 $9,305.49

008 City Of Chicago Police $6.50

008 City Of Chicago Police $143.48

008 City Of Chicago Police $95.65

008 City Of Chicago Police $6.50

008 City Of Chicago Police $1.16

008 City Of Chicago Police $185.15

008 City Of Chicago Police $6.50

008 City Of Chicago Police $6.38

008 City Of Chicago Police $8.80

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

008 City Of Chicago Police $185.15

008 City Of Chicago Police $6.50

008 City Of Chicago Police $6.38

008 City Of Chicago Police $172.15

City Of Chicago - Confidential

Page 175 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/17/2010 06/17/2010 06/17/2010 06/17/2010 06/17/2010 06/17/2010 06/17/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/19/2010 11/08/2010 11/08/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 06/16/2010 06/21/2010

PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PULIA, DANIEL PULIA, DANIEL PULIA, DANIEL PULIA, DANIEL PULIA, DANIEL PULIA, DANIEL PULIA, DANIEL PULIA, DANIEL PRUSZEWSKI, DANIEL PRUSZEWSKI, DANIEL PRONEK, NICHOLAS PRONEK, NICHOLAS PRONEK, NICHOLAS PRONEK, NICHOLAS PRONEK, NICHOLAS PRONEK, NICHOLAS PRONEK, NICHOLAS PRONEK, NICHOLAS PROHASKA, MICHAEL PROHASKA, MICHAEL PROHASKA, MICHAEL PROHASKA, MICHAEL PROHASKA, MICHAEL PROHASKA, MICHAEL PREROST, JAMES PRENDKOWSKI, 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 9161 9161 9161 9161 9161 9161 9161

008 008 008 008 008 008 008

153 153 153 153 153 153 011 153

$6.50

$8.80

$197.50

$6.50

$10.44

$197.50

$174.20

$765.96

$6.50

$155.69

$6.50

$31.56

$6.50

$298.94

$6.50

$336.20

$6.50

$89.17

$1.08

$6.50

$3.06

$6.50

$152.78

$1,370.09

$6.50

$9.34

$26.37

$6.50

$649.88

$6.50

$162.40

$6.50

$65.32

City Of Chicago - Confidential

Page 176 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/21/2010 PRENDKOWSKI, KEVIN

10/12/2010 PRATSCHER, MAUREEN

11/29/2009 PRADO, ROCIO

10/25/2010 POZULP, KERRY

05/05/2010 POPP, KAREN

9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9171

153 153 153 153 153 153 153 153

006 006 006 006 006 311 311 059

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 Cily Of Chicago Police Cily Of Chicago Police Cily 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

$6.50

$5.68

$65.32

$6.50

$5.68

$65.32

$6.50

$5.68

$7.74

$6.50

$82.83

$6.50

$825.23

$147.33

$87.19

$6.50

$392.70

$6.50

$1.00

$652.92

$6.50

$446.35

$6.50

$378.88

$6.50

$62.98

$1,408.61

$71.12

$3.18

$6.50

$207.59

$46.90

City Of Chicago - Confidential

Page 177 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/05/2010 05/05/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 02/28/2010 02/28/2010 02/28/2010 02/28/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 04/18/2010 04/18/2010

POPP, KAREN POPP, KAREN POPE, TRETA POPE, TRETA POPE, TRETA POPE, TRETA POPE, TRETA PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIERCE, DIONNE PIERCE, DIONNE PIERCE, DIONNE PIERCE, DIONNE PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PICKERT, MARK PICKERT, MARK

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 9161 9171 9171 9171 9171 9161 9161

059 059 044 044 044 044 044

393 393

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

$6.50

$200.90

$6.50

$23.56

$6.50

$101.70

$921.35

$194.94

$0.43

$6.50

$17.10

$0.70

$6.50

$27.36

$1.01

$326.97

$6.50

$1,207.90

$6.50

$4.99

$39.67

$6.50

$33.54

$6.50

$1,675.96

$6.50

$55.63

$6.50

$840.23

$6.50

$17.40

$6.50

City Of Chicago - Confidential

Page 178 of 409

Incident Date Claimant_Rank

04/18/2010 PICKERT, MARK 9161

09/29/2009 PICKENS, AURY 9164

11/08/2010 PHILP, ALLEN 9161

10/24/2010 PETRULIS, AARON 9161

08/10/2010 PEREZ, MICHELLE 9161

Unit of_Insured__Total to be Paid

393 City Of Chicago Police $34.48

393 City Of Chicago Police $10.08

393 City Of Chicago Police $6.50

393 City Of Chicago Police $34.48

393 City Of Chicago Police $157.05

393 City Of Chicago Police $6.38

393 City Of Chicago Police $35.10

393 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $203.87

City Of Chicago Police $247.00

City Of Chicago Police $6.50

009 City Of Chicago Police $64.19

009 City Of Chicago Police $6.50

009 City Of Chicago Police $311.38

009 City Of Chicago Police $5.94

253 City Of Chicago Police $704.80

253 City Of Chicago Police $6.50

253 City Of Chicago Police $1,079.52

253 City Of Chicago Police $6.50

014 City Of Chicago Police $34.85

014 City Of Chicago Police $6.50

014 Cily Of Chicago Police $1.41

014 City Of Chicago Police $54.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $111.72

014 City Of Chicago Police $54.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $7.16

014 City Of Chicago Police $176.45

014 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 179 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/13/2010 10/13/2010 06/11/2009 06/11/2009 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 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 07/08/2009 07/08/2009 07/08/2009 04/27/2010 04/27/2010 04/27/2010 04/27/2010 04/27/2010

PEREZ, MANUEL PEREZ, MANUEL PEREZ, EVELYN PEREZ, EVELYN PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK PEREZ, ERIK 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 PEOT, MARCIA PEOT, MARCIA PEOT, MARCIA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA PENA, CHRISTINA

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

044 044 044 044 044 044 044

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

$6.50

$100.68

$10.00

$7.57

$6.50

$65.54

$2,563.36

$60.38

$85.51

$19.09

$61.71

$6.50

$66.45

$6.84

$6.50

$70.92

$6.50

$2,413.92

$254.25

$228.55

$88.23

$1.29

$8.24

$6.50

$24.32

$951.28

$6.50

$178.65

$6.50

$23.68

$6.50

$152.63

City Of Chicago - Confidential

Page 180 of 409

Incident Dale Claimant_Rank

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

City Of Chicago Police $7.16

City Of Chicago Police $6.50

City Of Chicago Police $176.45

City Of Chicago Police $7.25

City Of Chicago Police $6.50

City Of Chicago Police $311.44

City Of Chicago Police $6.50

City Of Chicago Police $149.46

City Of Chicago Police $6.19

020 City Of Chicago Police $46.99

020 City Of Chicago Police $105.00

020 City Of Chicago Police $6.50

020 City Of Chicago Police $105.00

020 City Of Chicago Police $6.50

020 City Of Chicago Police $46.99

015 City Of Chicago Police $299.38

015 City Of Chicago Police $12.80

015 City Of Chicago Police $12.65

015 City Of Chicago Police $6.50

015 City Of Chicago Police $299.38

015 City Of Chicago Police $6.50

015 City Of Chicago Police $12.65

015 City Of Chicago Police $579.73

015 City Of Chicago Police $6.50

015 City Of Chicago Police $22.80

015 City Of Chicago Police $545.96

015 City Of Chicago Police $6.50

015 City Of Chicago Police $22.26

015 City Of Chicago Police $272.98

015 City Of Chicago Police $6.50

015 City Of Chicago Police $11.13

015 City Of Chicago Police $272.98

City Of Chicago - Confidential

Page 181 of 409

Incident Date Claimant Rank

07/03/2009 PAYNE, GREGORY 9161

06/04/2010 PAYNE, GREGORY 9161

06/09/2010 PATTISON, JOSEPH 9161

08/23/2010 PASCHKE, ROBERT 9161

07/25/2010 PARKER, HENRIETTA 9161

Unit of Insured Total to be Paid

015 City Of Chicago Police $6.50

015 City Of Chicago Police $11.13

015 City Of Chicago Police $272.98

015 City Of Chicago Police $6.50

015 City Of Chicago Police $11.13

015 City Of Chicago Police $272.98

015 City Of Chicago Police $6.50

015 City Of Chicago Police $11.13

015 City Of Chicago Police $332.35

015 City Of Chicago Police $6.50

015 City Of Chicago Police $12.99

015 City Of Chicago Police $6.50

015 City Of Chicago Police $299.38

015 City Of Chicago Police $14.51

015 City Of Chicago Police $6.50

015 City Of Chicago Police $358.75

015 City Of Chicago Police $29.42

015 City Of Chicago Police $643.38

City Of Chicago Police $6.50

City Of Chicago Police $108.45

City Of Chicago Police $1.31

City Of Chicago Police $6.50

City Of Chicago Police $217.51

City Of Chicago Police $257.41

701 City Of Chicago Police $294.04

701 City Of Chicago Police $6.50

701 City Of Chicago Police $27.78

701 City Of Chicago Police $1.13

701 City Of Chicago Police $6.50

City Of Chicago Police $280.26

City Of Chicago Police $6.50

City Of Chicago Police $207.59

City Of Chicago - Confidential

Page 182 of 409

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

07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 07/25/2010 12/29/2009 12/29/2009 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 07/14/2010 07/14/2010 07/14/2010 07/14/2010 07/14/2010 07/14/2010 07/14/2010 07/14/2010 03/20/1996 03/20/1996 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/08/2010 09/08/2010

PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PARKER, HENRIETTA PAPPALARDO, JOHN PAPPALARDO, JOHN PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PADAR, JAMES PADAR, JAMES PADAR, JAMES PADAR, JAMES PADAR, JAMES PADAR, JAMES PADAR, JAMES PADAR, JAMES Oconnell, Edward L Oconnell, Edward L OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWEN, JAMES OWEN, JAMES

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

00044 00044

Poll Pol Pol

PO PO

153 153

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

$6.50

$357.07

$6.50

$125.37

$66.46

$6.50

$391.32

$6.50

$49.00

$6.50

$4.17

$82.56

$6.50

$9.71

$192.36

$49.41

$6.50

$982.39

$6.50

$25.11

$166.07

$9.55

$6.50

$1,074.19

$111.53

$357.64

$6.50

$388.37

$6.50

$488.87

City Of Chicago - Confidential

Page 183 of 409

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

08/22/2010 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 11/25/2010 11/25/2010 04/25/2010 04/25/2010 04/25/2010

OSTROWSKI, JON

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

OSHAUGHNESSY, THOMAS OSHAUGHNESSY, THOMAS ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH

9161 9161 9161 9161 9161 9161 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

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

$6.50

$5.74

$95.65

$6.50

$177.47

$6.50

$2.15

$231.71

$6.50

$2.80

$348.75

$6.50

$473.26

$5.73

$6.50

$473.26

$2.87

$6.50

$236.63

$6.50

$249.09

$1.16

$223.16

$290.62

$6.50

$155.69

$6.50

$627.07

$6.50

$3.18

$185.46

$6.50

City Of Chicago - Confidential

Page 184 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 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

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, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH

Poll Pol Poli

$18.28

$187.19

$6.50

$18.46

$139.96

$6.50

$13.80

$187.19

$6.50

$18.46

$185.46

$6.50

$18.28

$62.98

$6.50

$3.18

$187.19

$6.50

$18.46

$187.19

$6.50

$187.19

$6.50

$18.46

$187.19

$6.50

$18.46

$187.19

$6.50

$18.46

$187.19

$6.50

City Of Chicago - Confidential

Page 185 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 09/11/2010 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, ORTIZ, ORTIZ, ORTIZ, ORTIZ ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ ORTIZ ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ, ORTIZ ORTIZ ORTIZ

EDITH

DEAN

CYNTHIA

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

Poll Poli Poli Poli

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

$18.46

$185.46

$6.50

$187.19

$6.50

$18.46

$18.28

$185.46

$6.50

$18.28

$185.46

$6.50

$18.28

$62.98

$6.50

$7.79

$6.50

$8.86

$6.50

$8.77

$249.39

$6.50

$304.87

$742.17

$6.50

$337.35

$6.50

$316.60

$6.50

$337.35

$6.50

$1.29

City Of Chicago - Confidential

Page 186 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/05/2010 ORTIZ, CYNTHIA

06/02/2010 ORTIZ BUCHANAN, CYNTHIA

03/07/2010 OLUGBALA, ASSATA

09/24/2009 OLSON, ERIC

10/04/2010 OLIVARES, GLORIA

06/27/2009 O SHEA, LORIE

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

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

017 017 017 017 044 044 044 044 044 044

fice 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 ilice lice lice lice lice

$939.45

$6.50

$316.60

$6.50

$851.20

$6.50

$690.29

$6.50

$2,023.97

$6.50

$269.88

$6.50

$607.23

$6.50

$88.23

$43.00

$6.50

$112.69

$6.50

$2.25

$38.24

$6.50

$49.37

$379.65

$1.73

$6.50

$42.50

$6.50

$106.25

$4.31

$442.29

$6.50

City Of Chicago - Confidential

Page 187 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/18/2010 O NEILL, BRIAN

03/11/2010 O KEEFE, SHEILA

03/02/2009 O KEEFE, JOHN

03/10/2010 O DONNELL, WILLIAM

04/25/2010 O DONNELL, MICHAEL

10/25/2010 O DONNELL, CHRISTINE

11/13/2009 O BRIEN, DENNIS

10/29/1987 Nowak, Phillip

09/05/2007 Norberg, Thomas J

9161

9165

9161

9171

019 019 019 010 010 010 701 701 701 701 701 701 610 610 610

124

00022

00017

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

$436.13

$6.41

$6.50

$60.72

$6.50

$0.89

$48.99

$6.50

$142.00

$10.62

$6.50

$723.95

$1.00

$68.29

$6.50

$2.75

$6.50

$187.75

$1,336.67

$34.16

$170.37

$6.50

$113.00

$53.03

$6.50

$40.00

$42.23

$23.31

$6.50

$7.50

$511.24

City Of Chicago - Confidential

Page 188 of 409

Incident Date Claimant Rank

06/25/2003 Nazario, Theresa P

08/31/2010 NYKIEL, CRAIG 9161

10/01/2010 NYKIEL, CRAIG 9161

03/12/2010 NUNEZ, FELIPE 9161

Unit of Insured Total to be Paid

00044 City Of Chicago Police $6.50

014 City Of Chicago Police $6.50

014 City Of Chicago Police $730.22

014 City Of Chicago Police $57.00

014 City Of Chicago Police $6.50

014 City Of Chicago Police $144.35

014 City Of Chicago Police $6.50

014 City Of Chicago Police $17.65

014 City Of Chicago Police $404.82

014 City Of Chicago Police $6.50

014 City Of Chicago Police $337.35

014 City Of Chicago Police $6.50

014 City Of Chicago Police $202.41

014 City Of Chicago Police $6.50

014 City Of Chicago Police $337.35

014 City Of Chicago Police $6.50

014 City Of Chicago Police $607.23

014 City Of Chicago Police $6.50

014 City Of Chicago Police $269.88

014 City Of Chicago Police $6.50

014 City Of Chicago Police $269.88

014 City Of Chicago Police $6.50

014 City Of Chicago Police $600.05

014 City Of Chicago Police $6.50

014 City Of Chicago Police $360.71

014 City Of Chicago Police $60.00

014 City Of Chicago Police $6.50

014 City Of Chicago Police $85.15

014 City Of Chicago Police $269.88

014 City Of Chicago Police $6.50

153 City Of Chicago Police $215.91

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 189 of 409

Incident Date Claimant Rank

03/12/2010 NUNEZ, FELIPE 9161

Unit of Insured Total to be Paid

153 City Of Chicago Police $66.83

153 City Of Chicago Police $6.50

153 City Of Chicago Police $331.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $331.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $257.40

153 City Of Chicago Police $6.50

153 City Of Chicago Police $10.92

153 City Of Chicago Police $331.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $26.41

153 City Of Chicago Police $331.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $26.41

153 City Of Chicago Police $258.05

153 City Of Chicago Police $6.50

153 City Of Chicago Police $19.43

153 City Of Chicago Police $258.05

153 City Of Chicago Police $6.50

153 City Of Chicago Police $19.43

153 City Of Chicago Police $184.60

153 City Of Chicago Police $6.50

153 City Of Chicago Police $12.45

153 City Of Chicago Police $300.95

153 City Of Chicago Police $6.50

153 City Of Chicago Police $15.85

153 City Of Chicago Police $215.91

153 City Of Chicago Police $6.50

153 City Of Chicago Police $215.91

153 City Of Chicago Police $6.50

153 City Of Chicago Police $31.00

City Of Chicago - Confidential Page 190 of 409

Incident Date Claimant Rank

03/12/2010 NUNEZ, FELIPE 9161

03/29/2010 NOWAK, THOMAS 9161

Unit of_Insured_Total to be Paid

153 City Of Chicago Police $6.50

153 City Of Chicago Police $19.43

153 City Of Chicago Police $258.05

153 City Of Chicago Police $6.50

153 City Of Chicago Police $1943

153 City Of Chicago Police $258.05

153 City Of Chicago Police $331.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $26.41

153 City Of Chicago Police $6.50

153 City Of Chicago Police $26.41

153 City Of Chicago Police $258.05

153 City Of Chicago Police $19.43

153 City Of Chicago Police $258.05

153 City Of Chicago Police $6.50

153 City Of Chicago Police $19.43

153 City Of Chicago Police $331.50

153 City Of Chicago Police $26.41

153 City Of Chicago Police $6.50

153 City Of Chicago Police $26.41

153 City Of Chicago Police $331.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $26.41

153 City Of Chicago Police $184.60

153 City Of Chicago Police $6.50

153 City Of Chicago Police $12.45

153 City Of Chicago Police $331.50

153 City Of Chicago Police $26.41

153 City Of Chicago Police $331.50

153 City Of Chicago Police $26.41

015 City Of Chicago Police $6.50

015 City Of Chicago Police $2,653.83

City Of Chicago - Confidential

Page 191 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 03/29/2010 08/07/2009 08/07/2009 08/07/2009 08/07/2009 08/07/2009 08/07/2009 08/07/2009 08/07/2009 08/07/2009 06/10/2010 06/10/2010 06/10/2010 06/10/2010 06/10/2010 06/10/2010 06/10/2010 06/10/2010 06/10/2010 07/05/2009 07/05/2009 07/05/2009 11/12/2010 11/12/2010

NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NOVAK, MAUREEN NICKLES, SCOTT NICKLES, SCOTT NICKLES, SCOTT NELSON, JERALD NELSON, JERALD

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161

015 015 015 015 015 015 015 015 015 015

044 044 044 044 044 044 044 044 044

024 024

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

$88.23

$6.50

$1.29

$3.29

$1,069.50

$6.50

$38.96

$6.50

$88.23

$1.29

$2.33

$6.50

$116.31

$6.50

$38.78

$21.75

$22.49

$75.85

$0.78

$6.50

$1,230.65

$3.01

$6.50

$49.90

$42.78

$6.50

$1,055.12

$74.11

$2,304.55

$33.83

$6.50

$185.89

$6.50

City Of Chicago - Confidential

Page 192 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 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

NELSON, JERALD NELSON, JERALD NELSON, JERALD NELSON, JERALD NELSON, JERALD NELSON, JERALD NELSON, JERALD 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 NEBERIEZA, DAVID 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 9161 9161 9161 9161

024 024 024 024 024 024 024

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

$4.75

$715.46

$7.24

$18.29

$11.52

$6.50

$15.47

$12.46

$156.65

$6.50

$9.95

$156.65

$6.50

$9.95

$213.20

$6.50

$12.46

$200.20

$6.50

$14.89

$200.20

$6.50

$14.89

$213.20

$6.50

$12.46

$200.20

$6.50

$14.89

$213.20

$6.50

$12.46

City Of Chicago - Confidential

Page 193 of 409

Incident Date Claimant Rank

05/19/2010 NEBERIEZA, DAVID 9161

06/19/2010 NAVEZ, PETAIN 9161

Unit of Insured Total to be Paid

City Of Chicago Police $213.20

City Of Chicago Police $6.50

City Of Chicago Police $12.46

City Of Chicago Police $6.50

City Of Chicago Police $213.20

City Of Chicago Police $6.50

City Of Chicago Police $12.46

City Of Chicago Police $213.20

City Of Chicago Police $6.50

City Of Chicago Police $12.46

City Of Chicago Police $213.20

City Of Chicago Police $6.50

City Of Chicago Police $213.20

City Of Chicago Police $6.50

City Of Chicago Police $12.46

City Of Chicago Police $773.92

017 City Of Chicago Police $88.23

017 City Of Chicago Police $6.50

017 City Of Chicago Police $1.29

017 City Of Chicago Police $2,043.22

017 City Of Chicago Police $6.50

017 City Of Chicago Police $52.21

017 City Of Chicago Police $106.67

017 City Of Chicago Police $6.50

017 City Of Chicago Police $9.84

017 City Of Chicago Police $274.30

017 City Of Chicago Police $6.50

017 City Of Chicago Police $226.20

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.05

017 City Of Chicago Police $88.23

017 City Of Chicago Police $6.50

017 City Of Chicago Police $1.29

City Of Chicago - Confidential

Page 194 of 409

Incident Date Claimant Rank

06/19/2010 NAVEZ, PETAIN 9161

Unit of Insured Total to be Paid

017 City Of Chicago Police $226.20

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.05

017 City Of Chicago Police $169.65

017 City Of Chicago Police $7.53

017 City Of Chicago Police $200.85

017 City Of Chicago Police $6.50

017 City Of Chicago Police $8.40

017 City Of Chicago Police $464.40

017 City Of Chicago Police $6.50

017 City Of Chicago Police $11.86

017 City Of Chicago Police $576.62

017 City Of Chicago Police $6.50

017 City Of Chicago Police $8.47

017 City Of Chicago Police $11.64

017 City Of Chicago Police $6.50

017 City Of Chicago Police $3,596.82

017 City Of Chicago Police $6.50

017 City Of Chicago Police $91.89

017 City Of Chicago Police $573.72

017 City Of Chicago Police $6.50

017 City Of Chicago Police $226.20

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.05

017 City Of Chicago Police $226.20

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.05

017 City Of Chicago Police $226.20

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.05

017 City Of Chicago Police $226.20

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.05

City Of Chicago - Confidential

Page 195 of 409

Incident Date Claimant Rank

06/19/2010 NAVEZ, PETAIN 9161

10/21/2009 NASH, THOMAS 9161

11/11/2010 NAJM, SEAN

03/17/2008 Murphy, William P

10/17/1996 Mullen, James P

Unit of Insured Total to be Paid

017 City Of Chicago Police $257.40

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.92

017 City Of Chicago Police $257.40

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.92

017 City Of Chicago Police $257.40

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.92

017 City Of Chicago Police $200.85

017 City Of Chicago Police $6.50

017 City Of Chicago Police $8.40

045 City Of Chicago Police $35.10

045 City Of Chicago Police $166.27

City Of Chicago Police $106.34

00189 City Of Chicago Police $5.98

00189 City Of Chicago Police $6.50

00189 City Of Chicago Police $103.98

00024 City Of Chicago Police $1,008.00

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $40.80

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $2.35

00024 City Of Chicago Police $597.94

00024 City Of Chicago Police $34.41

00024 City Of Chicago Police $124.80

00024 City Of Chicago Police $7.18

00024 City Of Chicago Police $100.68

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $10,173.48

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $109.44

City Of Chicago - Confidential

Page 196 of 409

Incident Date Claimant

Rank

Unit of

Insured

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 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

Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James

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

00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024

$6.50

$6.29

$1,352.22

$6.50

$77.75

$397.12

$6.50

$22.84

$2,462.29

$6.50

$141.62

$60.00

$6.50

$3.45

$10,332.85

$6.50

$8,770.32

$6.50

$559.51

$28.33

$1,067.11

$59.13

$637.55

$36.67

$746.08

$42.92

$134.66

$7.76

$1,012.22

$58.20

$106.13

$6.10

$4,757.02

City Of Chicago - Confidential

Page 197 of 409

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

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

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 Morris-Tillery, Mary Morris-Tillery, Mary Morris-Tillery, Mary Morandi, Kelly Morandi, Kelly Morandi, Kelly Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just,

Doris K Doris K Doris K Doris K Doris K Doris K Doris K Doris K

00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00022 00022 00022 00004 00004 00004 00376 00376 00376 00376 00376 00376 00376 00376

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

$1,528.54

$86.04

$241.90

$13.91

$198.38

$11.41

$128.80

$7.41

$1,012.22

$58.20

$433.86

$24.98

$562.93

$32.38

$1,012.22

$58.20

$474.24

$27.27

$264.31

$1,148.65

$92.16

$185.70

$20.96

$6.50

$668.80

$6.50

$5.03

$65.32

$6.50

$5.03

$6.50

$5.03

$65.32

City Of Chicago - Confidential

Page 198 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/11/2008 10/11/2008 10/11/2008 10/11/2008 10/11/2008 10/11/2008 10/11/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 08/22/2007 08/22/2007 08/22/2007 04/03/2008 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 12/01/2007 12/01/2007 12/01/2007 12/01/2007 12/01/2007 12/01/2007 12/01/2007 12/01/2007 12/01/2007 04/02/1992 04/02/1992

Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Montejano-Kalat-Just, Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Medley, Eric N Medley, Eric N Medley, Eric N Medina, Antonio Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcadoo, Oberrian Mcadoo, Oberrian Mcadoo, Oberrian Mcadoo, Oberrian Mcadoo, Oberrian Mcadoo, Oberrian Mcadoo, Oberrian Mcadoo, Oberrian Mcadoo, Oberrian Mazurski, Thomas L Mazurski, Thomas L

Doris K Doris K Doris K Doris K Doris K Doris K Doris K

00376 00376 00376 00376 00376 00376 00376 00006 00006 00006 00006 00006 00006 00017 00017 00017 00014 00006 00006 00006 00006 00006 00004 00004 00004 00004 00004 00004 00004 00004 00004 00740 00740

$65.32

$5.36

$6.50

$131.99

$86.44

$2,129.77

$6.50

$110.48

$6.50

$1.00

$82.83

$6.50

$4.49

$149.10

$6.05

$6.50

$38.98

$6.50

$258.50

$6.50

$647.39

$10.49

$19.32

$6.50

$6.21

$6.50

$335.96

$5.75

$6.50

$99.99

$152.97

$6.50

$1.61

City Of Chicago - Confidential

Page 199 of 409

(

Incident Date Claimant Rank

04/02/1992 Mazurski, Thomas L P

09/14/2004 Matthis, Mary J P

12/27/2007 Mason Jr., Marshall L P

05/21/2003 Mack, Frank C P

08/23/2009 MYTHEN, STEPHEN 9161

Unit of Insured Total to be Paid

00740 City Of Chicago Police $80.21

00166 City Of Chicago Police $6.50

00166 City Of Chicago Police $180.00

00166 City Of Chicago Police $6.50

00166 City Of Chicago Police $18.05

00166 City Of Chicago Police $10.96

00166 City Of Chicago Police $4.51

00166 City Of Chicago Police $6.50

00166 City Of Chicago Police $68.87

00189 City Of Chicago Police $6.50

00153 City Of Chicago Police $0.46

00153 City Of Chicago Police $639.09

00153 City Of Chicago Police $6.50

024 City Of Chicago Police $226.20

024 City Of Chicago Police $10.05

024 City Of Chicago Police $226.20

024 City Of Chicago Police $6.50

024 City Of Chicago Police $10.05

024 City Of Chicago Police $226.20

024 City Of Chicago Police $6.50

024 City Of Chicago Police $10.05

024 City Of Chicago Police $226.20

024 City Of Chicago Police $6.50

024 City Of Chicago Police $10.05

024 City Of Chicago Police $226.20

024 City Of Chicago Police $6.50

024 City Of Chicago Police $10.05

024 City Of Chicago Police $226.20

024 City Of Chicago Police $6.50

024 City Of Chicago Police $10.05

024 City Of Chicago Police $226.20

024 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 200 of 409

Incident Date Claimant

Rank

Unit of

Insured

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 11/23/2010 11/23/2010 11/23/2010 11/23/2010 03/21/2010 03/21/2010 03/21/2010 08/31/2010 08/31/2010 08/31/2010 11/06/2010 11/06/2010 11/06/2010 10/06/2010 10/06/2010 10/06/2010 10/06/2010 02/22/2010 02/22/2010 02/22/2010

MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN,STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MURTAUGH, JOSEPH MURTAUGH, JOSEPH MURTAUGH, JOSEPH MURTAUGH, JOSEPH MURPHY, ROBERT MURPHY, ROBERT MURPHY, ROBERT MURPHY, ROBERT MURPHY, ROBERT MURPHY, ROBERT MURPHY, ROBERT MURPHY, ROBERT MURPHY, ROBERT MURPHY, LOREAL MURPHY, LOREAL MURPHY,LOREAL MURPHY, LOREAL 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

024 024 024 024 024 024 024 024 024 024 024 024 024 004 004 004 004

044 044 044 044

S10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$40.00

$6.50

$207.59

$176.45

$6.50

$7.16

$176.45

$6.50

$29.67

$6.50

$1,642.20

$176.43

$6.50

$259.47

$6.50

$306.18

$11.53

City Of Chicago - Confidential

Page 201 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/22/2010 02/22/2010 02/22/2010 02/22/2010 02722/2010 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

MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER, MOYER, MOYER, MOYER, MOYER, MOYER, MOYER, MOYER, MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER MOYER

, CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , CHRISTOPHE , 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

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

$621.16

$6.50

$7.52

$621.16

$6.50

$7.52

$281.69

$6.50

$5.63

$310.58

$6.50

$3.76

$310.58

$6.50

$3.76

$562.00

$6.50

$6.81

$326.92

$6.50

$264.65

$6.50

$233.95

$6.50

$4.68

$367.64

$6.50

$7.35

$300.76

$6.50

$6.01

$254.29

$6.50

City Of Chicago - Confidential

Page 202 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 02/22/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 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

MOYER, MOYER, MOYER, MOYER, MOYER, MOYER, MOYER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER, MOSER,

CHRISTOPHE

EDWARD

9161 9161 9161 9161 9161 9161 9161

$280.23

$6.50

$326.92

$6.50

$591.57

$6.50

$576.36

$451.06

$10.82

$134.93

$119.36

$6.50

$187.85

$6.50

$10.82

$187.85

$6.50

$10.82

$244.40

$6.50

$13.33

$200.85

$6.50

$8.40

$244.40

$6.50

$13.33

$6.50

$187.85

$6.50

$10.82

$187.85

City Of Chicago - Confidential

Page 203 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN,ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN, ANDREW MORGAN,ANDREW MORGAN,ANDREW

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

$6.50

$10.82

$187.85

$6.50

$10.82

$187.85

$6.50

$214.50

$6.50

$9.27

$163.50

$6.50

$9.47

$214.50

$175.86

$29.98

$163.50

$6.50 ■

$6.39

$219.75

$6.50

$6.58

$93.87

$6.50

$26.71

$429.00

$6.50

$18.54

$214.50

$6.50

$280.00

$6.50

City Of Chicago - Confidential

Page 204 of 409

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 Poi 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 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 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

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 10/10/2009 10/10/2009 10/10/2009 10/10/2009

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, MORENO, MORENO, MORENO, MORENO,

ANDREW

NANCY

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

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

$9.27

$1,419.75

$6.50

$1.06

$212.25

$6.50

$7.86

$255.75

$6.50

$9.33

$219.75

$6.50

$6.58

$434.25

$6.50

$15.84

$248.33

$6.50

$214.50

$6.50

$9.27

$6.50

$9.27

$255.75

$6.50

$9.33

$214.50

$6.50

$9.27

$18.91

$122.56

$6.50

$6.19

City Of Chicago - Confidential

Page 205 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/10/2009 10/10/2009 10/10/2009 10/10/2009 10/10/2009 10/10/2009 10/10/2009 10/10/2009 05/26/2009 10/22/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010

MORENO, NANCY MORENO, NANCY MORENO,NANCY MORENO,NANCY MORENO, NANCY MORENO, NANCY MORENO, NANCY MORENO,NANCY MORALES, JOSE MOORE, MARCUS MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA

9161 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

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

$291.47

$6.50

$57.59

$238.84

$6.50

$15.50

$109.97

$1,418.88

$470.11

$6.50

$15.25

$309.50

$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

$154.75

$6.50

$15.25

$154.75

$15.25

$3.84

$6.50

$0.38

City Of Chicago - Confidential

Page 206 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010

MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE_:MOORE MOORE MOORE_:MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE MOORE

LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA LATANYA

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

Poli Poli Poli Pol

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

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

$6.50

$11.20

$154.75

$6.50

$154.75

$6.50

$15.25

$154.75

$15.25

$154.75

$6.50

$154.75

$6.50

$61.03

$6.50

$6.02

$215.97

$15.25

$6.50

$15.25

$6.50

$84.92

$6.50

$84.92

$6.50

$83.02

$6.50

$15.25

$154.75

$6.50

$154.75

$6.50

City Of Chicago - Confidential

Page 207 of 409

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

05/18/2009 05/18/2009 05/18/2009 05/18/2009 05/18/2009 05/18/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/15/2010 08/15/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 11/1272008 11/12/2008 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

MOORE, KENNETH MOORE, KENNETH MOORE, KENNETH MOORE, KENNETH MOORE, KENNETH MOORE, KENNETH MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE JR, LOUIS MOORE JR, LOUIS MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN, ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN, ZORAN MIUCIN, ZORAN MIUCIN, ZORAN

9161 9161 9161 9161 9161

011 011 011 011 011

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

$20.12

$6.50

$213.60

$6.50

$9.13

$486.57

$6.50

$11.21

$76.42

$6.50

$1.96

$50.88

$15.90

$341.15

$81.00

$6.50

$785.10

$6.50

$22.68

$6.50

$6,400.00

$6.50

$232.51

$259.25

$6.50

$10.52

$283.36

$6.50

$269.88

$100.68

$6.50

$269.88

$6.50

City Of Chicago - Confidential

Page 208 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 09/06/2010 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009

MIUCIN.ZORAN MIUCIN, ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN, ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN, ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN, ZORAN MIUCIN, ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN.ZORAN MIUCIN, ZORAN MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA

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

066 066 066 066 066 066 066 066 066 066 066 066

$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

$269.88

$6.50

$269.88

$6.50

$269.88

$6.50

$107.42

$1.16

$6.50

$95.65

$2.75

$6.50

$107.42

$601.80

$6.50

$13.90

City Of Chicago - Confidential

Page 209 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/29/2009 12/30/2009 12/30/2009 12/30/2009 05/11/2010 05/11/2010 05/11/2010 05/19/2009 05/19/2009 05/19/2009 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010

MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL. RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MILAM, DERONTI MILAM, DERONTI MILAM, DERONTI MIDLOWSKI, ROBERT MIDLOWSKI, ROBERT MIDLOWSKI, ROBERT MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK MESSINA, FRANK

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

9165 9165 9165

066 066 066 066 066 066 066 066 066 066 066 066 011 011 011

075 075 075

$95.65

$6.50

$1.16

$826.01

$2.75

$16.52

$18.81

$1,062.85

$6.50

$15.33

$100.68

$6.50

$1,634.88

$420.16

$6.50

$8.40

$80.36

$192.01

$6.50

$276.35

$6.50

$11.17

$202.90

$6.50

$379.87 '

$149.46

$6.50

$88.00

$6.50

$343.56

City Of Chicago - Confidential

Page 210 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/16/2010 MESSINA, FRANK

11/20/2010 MEROLA, DOMINIC

02/10/2010 MERCADO, JULIO

09/04/2010 MENDOZA, MARCO

11/08/2010 MENDIOLA KUNIS, SANDRA

04/29/2010 MENDEZ, JOSE

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206

018 018 018 018

$6.50

$7.93

$46.00

$6.50

$745.61

$6.50

$19.06

$385.08

$6.50

$306.00

$9.60

$168.46

$6.50

$492.40

$6.50

$2.31

$6.50

$2.30

$918.63

$6.50

$489.69

$6.50

$175.41

$6.50

City Of Chicago - Confidential

Page 211 of 409

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 Cily Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago 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 Po¹City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol 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 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 09/15/2010 09/15/2010 09/15/2010

MENDEZ, MENDEZ MENDEZ, MENDEZ, MENDEZ MENDEZ, MENDEZ, MENDEZ, MENDEZ MENDEZ MENDEZ MENDEZ MENDEZ MENDEZ MENDEZ, MENDEZ MENDEZ MENDEZ, MENDEZ, MENDEZ, MENDEZ MENDEZ MENDEZ, MENDEZ MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ, MENDEZ MENDEZ, MENDEZ,

, JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME , JAIME . JAIME , JAIME , JAIME , JAIME , JAIME :, JAIME , JAIME ,ANGEL ,ANGEL ,ANGEL

9161 9161 9161

010 010 010

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

$1,577.91

$6.50

$64.00

$74.11

$6.50

$3.01

$50.92

$6.50

$247.00

$14,504.42

$194.30

$6.50

$2,820.62

$6.50

$283.48

$27.15

$6.50

$668.93

$42.58

$6.50

$4,787.14

$1,609.33

$18.00

$24.99

$65.30

$6.50

$200.85

$6.50

$8.40

City Of Chicago - Confidential

Page 212 of 409

Incident Date Claimant Rank

09/15/2010 MENDEZ, ANGEL 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $200.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $8.40

010 City Of Chicago Police $82.56

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.17

010 City Of Chicago Police $200.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $8.40

010 City Of Chicago Police $257.40

010 City Of Chicago Police $6.50

010 City Of Chicago Police $10.92

010 City Of Chicago Police $200.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $8.40

010 City Of Chicago Police $200.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $8.40

010 City Of Chicago Police $202.90

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.93

010 City Of Chicago Police $285.10

010 City Of Chicago Police $6.50

010 City Of Chicago Police $10.76

010 City Of Chicago Police $228.55

010 City Of Chicago Police $6.50

010 City Of Chicago Police $8.24

010 City Of Chicago Police $200.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $8.40

010 City Of Chicago Police $259.45

010 City Of Chicago Police $6.50

010 City Of Chicago Police $10.45

City Of Chicago - Confidential

Page 213 of 409

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

09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 09/15/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010

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 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, ANITA MEDINA, ANITA MEDINA, ANITA MEDINA, ANITA MEDINA, ANITA MEDINA, ANITA

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

010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 -010 010 010 010 010 010 010 010

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

$62.98

$6.50

$3.18

$316.00

$6.50

$12.96

$259.45

$6.50

$10.45

$259.45

$6.50

$10.45

$282.75

$6.50

$12.56

$202.90

$6.50

$7.93

$282.75

$6.50

$12.56

$226.20

$6.50

$10.05

$62.98

$6.50

$3.18

$553.70

$6.50

$17.38

$367.82

$9.91

$13.93

City Of Chicago - Confidential

Page 214 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/25/2010 MEDINA, ANITA

09/27/2010 MCQUARTER, KIMBERLY

04/30/2010 MCMILLAN, RICHARD

07/07/2009 MCGUIRE, JOHN

12/01/2009 MCCORMICK, DONALD E

09/06/2010 MCVICKER, ROSALIND

09/06/2010 MC VICKER, ROSALIND

04/19/2009 MCVICKER, ROBERT

12/28/2009 MC NICHOLS, THOMAS

9161 9161 9161

9165 9165 9165 9165 9165 9165 9161

002 002 002

620 620 620 620 620 620

$307.73

$6.50

$211.27

$212.79

$6.50

$1,712.62

$337.19

$6.50

$337.19

$6.50

$337.19

$6.50

$577.32

$6.50

$132.84

$811.22

$6.50

$2.02

$166.64

$6.50

$806.13

$6.50

$185.09

$6.50

$178.25

$6.50

$266.56

$6.50

City Of Chicago - Confidential

Page 215 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/28/2009 12728/2009 12/28/2009 12/28/2009 09/10/2010 09/10/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010 07/28/2010

MC NICHOLS, THOMAS MC NICHOLS, THOMAS MC NICHOLS, THOMAS MC NICHOLS, THOMAS MC HALE, ROBERT MC HALE, ROBERT MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, PATRICK MC GRATH, 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

$95.69

$7,905.40

$9,512.88

$190.25

$1,086.58

$6.50

$301.01

$25.32

$45.25

$6.50

$2,270.24

$6.50

$11.22

$221.10

$16.95

$221.10

$6.50

$11.22

$21,000.00

$6.50

$37.75

$6.50

$11.22

$221.10

$6.50

$11.22

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

City Of Chicago - Confidential

Page 216 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/28/2010 MC GRATH, PATRICK

08/23/2010 MC GEE, DWAYNE

11/10/2010 MC CLENDON, EMMETT

11/12/2010 MC CLAIN, RODERIQUE

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

312 312 312 312 312 312 312 312 312 312 312 312 312 312 312 312 312 312

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 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 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 Po City Of Chicago Pol City Of Chicago Po

ilice ilice lice fice lice lice ilice 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

$246.45

$6.50

$12.86

$6.50

$23.49

$6.50

$200.92

$6.50

$6.30

$187.93

$6.50

$7.63

$223.76

$6.50

$269.43

$6.50

$7.02

$499.52

$6.50

$15.93

$8.45

$341.43

$6.50

$12.59

$86.60

$6.50

$239.76

$13.64

$6.50

$1,126.26

$6.50

$541.71

$6.50

City Of Chicago - Confidential

Page 217 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/25/2009 MC CAULEY, MEGHANN

11/08/2010 MCCABE, SEAN

11/10/2010 MCCABE, SEAN

07/22/2010 MAZURSKI, MICHAEL

10/24/2010 MAYNARD, JOHNATHAN

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

020

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

007 007 007 007 007 007

023 023 023 023 023 023 023 023 023 023 023 023 023 023 023

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

$17.19

$6.50

$16.86

$6.50

$293.30

$250.15

$68.50

$6.50

$822.73

$6.50

$267.79

$134.93

$6.50

$238.70

$134.93

$353.18

$6.50

$3.53

$358.00

$6.50

$85.93

$197.50

$6.50

$2.89

$7.56

$6.50

$8.13

$9.69

$6.50

City Of Chicago - Confidential

Page 218 of 409

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

10/24/2010 MAYNARD, JOHNATHAN

04/28/2010 MAYER, JEFFREY

12/14/2009 MAYAS, CARLOS

08/20/2010 MAXWELL, LLOYD

9161 9161 9161 9161

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

023 023 253 253

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

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

$8.86

$240.99

$60.00

$6.50

$98.45

$6.50

$386.39

$6.67

$164.12

$6.50

$82.04

$310.57

$6.50

$470.82

$6.50

$46.43

$215.79

$6.50

$21.28

$172.20

$271.00

$6.50

$26.72

$241.93

$6.50

$23.85

$6.50

$54.94

$292.80

$6.50

$28.86

$180.00

City Of Chicago - Confidential

Page 219 of 409

Incident Date Claimant Rank

08/20/2010 MAXWELL, LLOYD 9161

Unit of Insured Total to be Paid

011 City Of Chicago Police $6.50

011 City Of Chicago Police $18.05

011 City Of Chicago Police $152.00

011 City Of Chicago Police $15.18

011 City Of Chicago Police $471.00

011 City Of Chicago Police $6.50

011 City Of Chicago Police $46.61

011 City Of Chicago Police $76.42

011 City Of Chicago Police $6.50

011 City Of Chicago Police $1.96

011 City Of Chicago Police $6.50

011 City Of Chicago Police $16.98

011 City Of Chicago Police $58.95

011 City Of Chicago Police $230.31

011 City Of Chicago Police $41.61

011 City Of Chicago Police $6.50

011 City Of Chicago Police $271.00

011 City Of Chicago Police $6.50

011 City Of Chicago Police $26.72

011 City Of Chicago Police $183.82

011 City Of Chicago Police $6.50

011 City Of Chicago Police $18.12

011 City Of Chicago Police $271.00

011 City Of Chicago Police $6.50

011 City Of Chicago Police $26.72

011 City Of Chicago Police $270.00

011 City Of Chicago Police $6.50

011 City Of Chicago Police $26.94

011 City Of Chicago Police $271.00

011 City Of Chicago Police $6.50

011 City Of Chicago Police $26.72

011 City Of Chicago Police $271.00

011 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 220 of 409

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

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 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 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010

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 MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MAXWELL, LLOYD MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH

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

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

Poli Poll Pol

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

$26.72

$597.95

$6.50

$259.38

$6.50

$25.57

$6.50

$22.70

$422.12

$6.50

$271.74

$6.50

$26.80

$259.38

$25.57

$259.38

$6.50

$25.57

$501.31

$6.50

$49.42

$557.26

$769.41

$6.50

$75.86

$129.32

$6.50

$12.74

$87.18

$6.50

$8.59

$129.32

$6.50

City Of Chicago - Confidential

Page 221 of 409

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 Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago 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 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010

MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB MATLOB

, 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

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

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

$12.74

$84.92

$6.50

$129.32

$6.50

$12.74

$129.32

$6.50

$12.74

$162.75

$6.50

$16.05

$129.32

$6.50

$12.74

$7.67

$6.50

$0.76

$129.32

$6.50

$29.15

$129.32

$6.50

$154.75

$6.50

$15.25

$6.50

$12.74

$129.32

$6.50

$12.74

$85.73

$6.50

City Of Chicago - Confidential

Page 222 of 409

incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 08/10/2010 08/10/2010 08/10/2010 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 01/26/2010 01/26/2010 01/26/2010 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 12/21/2009 12/21/2009

MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATIAS, HECTOR MATIAS, HECTOR MATIAS, HECTOR MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, RAFAEL MARTINEZ, RAFAEL MARTINEZ, RAFAEL MARTINEZ, MANUEL MARTINEZ, MANUEL MARTINEZ, MANUEL MARTINEZ, MANUEL MARTINEZ, MANUEL MARTINEZ, MANUEL MARTINEZ, MANUEL MARTINEZ, MANUEL MARTINEZ, MANUEL MARTINEZ, DANIEL MARTINEZ, DANIEL

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

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

640 640 640

010 010

$8.45

$12.74

$129.32

$12.74

$129.32

$6.50

$12.74

$868.00

$9.55

$6.50

$76.81

$232.51

$6.50

$1,311.76

$6.50

$100.68

$6.50

$30.93

$6.50

$3.72

$253.68

$6.50

$574.45

$10.21

$6.50

$196.60

$1.47

$25.60

$6.50

$23.31

$192.29

$6.50

City Of Chicago - Confidential

Page 223 of 409

Incident Date Claimant Rank

12/21/2009 MARTINEZ, DANIEL 9161

12/21/2009 MARTINEZ. DANIEL 9161

12/21/2009 MARTINEZ, DANIEL 9161

08/15/2010 MARTIN, DENNIS 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $320.48

010 City Of Chicago Police $6.50

010 City Of Chicago Police $3.88

010 City Of Chicago Police $6.50

010 City Of Chicago Police $87.75

010 City Of Chicago Police $6.50

010 City Of Chicago Police $3.72

010 City Of Chicago Police $192.29

010 City Of Chicago Police $2.33

010 City Of Chicago Police $186.22

018 City Of Chicago Police $19.48

018 City Of Chicago Police $14.75

018 City Of Chicago Police $6.50

018 City Of Chicago Police $15.33

018 City Of Chicago Police $6.50

018 City Of Chicago Police $12.89

018 City Of Chicago Police $149.66

018 City Of Chicago Police $6.50

018 City Of Chicago Police $152.00

018 City Of Chicago Police $15.18

018 City Of Chicago Police $155.47

018 City Of Chicago Police $6.50

018 City Of Chicago Police $1,172.00

018 City Of Chicago Police $6.50

018 City Of Chicago Police $115.51

018 City Of Chicago Police $16.04

018 City Of Chicago Police $162.74

018 City Of Chicago Police $15.90

018 City Of Chicago Police $88.33

018 City Of Chicago Police $162.74

018 City Of Chicago Police $6.50

018 City Of Chicago Police $162.74

City Of Chicago - Confidential

Page 224 of 409

Incident Date Claimant Rank

08/15/2010 MARTIN, DENNIS 9161

08/15/2010 MARTIN. DENNIS 9161

08/15/2010 MARTIN, DENNIS 9161

Unit of Insured Total to be Paid

018 City Of Chicago Police $6.50

018 City Of Chicago Police $16.04

018 City Of Chicago Police $6.50

018 City Of Chicago Police $16.04

018 City Of Chicago Police $161.29

018 City Of Chicago Police $6.50

018 City Of Chicago Police $199.06

018 City Of Chicago Police $6.50

018 City Of Chicago Police $19.62

018 City Of Chicago Police $130.77

018 City Of Chicago Police $6.50

018 City Of Chicago Police $12.89

018 City Of Chicago Police $186.72

018 City Of Chicago Police $18.41

018 City Of Chicago Police $6.50

018 City Of Chicago Police $78.00

018 City Of Chicago Police $6.50

018 City Of Chicago Police $7.85

018 City Of Chicago Police $197.61

018 City Of Chicago Police $6.50

018 City Of Chicago Police $526.00

018 City Of Chicago Police $6.50

018 City Of Chicago Police $51.86

018 City Of Chicago Police $123.50

018 City Of Chicago Police $6.50

018 City Of Chicago Police $12.17

018 City Of Chicago Police $186.72

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.41

018 City Of Chicago Police $409.00

018 City Of Chicago Police $6.50

018 City Of Chicago Police $40.33

018 City Of Chicago Police $130.77

City Of Chicago - Confidential

Page 225 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 03/31/2010 03/31/2010 03/31/2010 03/31/2010 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 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, BARBARA MARTIN, BARBARA . MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARTIN, BARBARA MARLO, MICHAEL MARLO, MICHAEL MARLO, MICHAEL MARLO, MICHAEL MARKHAM,SEAN MARKHAM,SEAN MARKHAM, SEAN MARKHAM, SEAN MARKHAM,SEAN MARKHAM,SEAN MARKHAM, SEAN MARKHAM,SEAN MARKHAM,SEAN MARKHAM, SEAN MARKHAM,SEAN MARKHAM,SEAN MARKHAM, SEAN MARKHAM,SEAN MARKHAM, SEAN MARKHAM, SEAN MARKHAM,SEAN MARKHAM,SEAN MARKHAM,SEAN MARKHAM,SEAN

9161 9161 9161 9161 9161 9161 9161 9161 9161

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

012 012 012 012 012 012 012 012 012

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

$256.62

$1.55

$6.50

$128.18

$3.42

$6.50

$281.74

$3.11

$73.05

$945.67

$768.07

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$266.00

$6.50

$227.00

$6.50

$227.00

$6.50

City Of Chicago - Confidential

Page 226 of 409

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 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 06/11/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010

MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM, MARKHAM. MANNOTT, MANNOTT, MANNOTT, MANNOTT, MANNOTT, MANNOTT,

SEAN

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

315 315 315 315 315 315

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

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

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$93.42

$6.50

$391.00

$6.50

$15.87

$249.11

$6.50

$266.00

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$227.00

$6.50

$1,047.65

$6.50

$44.00

$6.50

City Of Chicago - Confidential

Page 227 of 409

Incident Date Claimant Rank

10/13/2010 MANNOTT, MICHAEL 9161

09/21/2010 MALOY, BRIAN 9161

Unit of_Insured_Total to be Paid

315 City Of Chicago Police $26.77

153 City Of Chicago Police $500.85

153 City Of Chicago Police $6.50

153 City Of Chicago Police $246.45

153 City Of Chicago Police $12.86

153 City Of Chicago Police $7.35

153 City Of Chicago Police $6.50

153 City Of Chicago Police $12.86

153 City Of Chicago Police $246.45

153 City Of Chicago Police $12.86

153 City Of Chicago Police $6.50

153 City Of Chicago Police $246.45

153 City Of Chicago Police $12.86

153 City Of Chicago Police $230.75

153 City Of Chicago Police $6.50

153 City Of Chicago Police $10.84

153 City Of Chicago Police $230.75

153 City Of Chicago Police $6.50

153 City Of Chicago Police $10.84

153 City Of Chicago Police $246.45

153 City Of Chicago Police $6.50

153 City Of Chicago Police $12.86

153 City Of Chicago Police $246.45

153 City Of Chicago Police $6.50

153 City Of Chicago Police $12.86

153 City Of Chicago Police $246.45

153 City Of Chicago Police $6.50

153 City Of Chicago Police $13.44

153 City Of Chicago Police $248.95

153 City Of Chicago Police $1.00

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 228 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/21/2010 09/21/2010 09/21/2010 09/21/2010 09/21/2010 09/21/2010 09/21/2010 09/30/2010 09/30/2010 09/30/2010 09/30/2010 09/30/2010 09/30/2010 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 09/01/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010

MALOY, BRIAN MALOY, BRIAN MALOY, BRIAN MALOY, BRIAN MALOY, BRIAN MALOY, BRIAN MALOY, BRIAN MALONEY, JAMES MALONEY, JAMES MALONEY, JAMES MALONEY, JAMES MALONEY, JAMES MALONEY, JAMES MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALDONADO, IVETTE 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

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

9161 9161 9161 9161 9161 9161 9161

153 153 153 153 153 153 153 160 160 160 160 160 160 014 014 014 014 014 014

001 001 001 001 001 001 001

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 lice lice lice lice lice lice lice lice

$68.29

$12.86

$202.90

$6.50

$7.93

$246.45

$6.50

$12.56

$6.50

$491.40

$38.15

$6.50

$1,492.56

$1.73

$6.50

$142.97

$1.04

$215.92

$6.50

$1,070.63

$6.50

$39.00

$6.50

$29.00

$23.72

$149.00

$6.50

$148.85

$6.50

$3,509.52

$6.50

$606.05

City Of Chicago - Confidential

Page 229 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 10/05/2010 05/28/2002 05/28/2002 05/28/2002 08/20/2008 05/19/2002 05/19/2002 12/14/2005 12/14/2005 12/14/2005 12/14/2005

MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA MACIOLEK, JOLANTA Lyons, Megan Lyons, Megan Lyons, Megan Lorenz, John Lloyd, Kimberly D Lloyd, Kimberly D Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J Lisula, Nancy J

9161

001

044

00013

00055

00007

00006

$6.50

$13.68

$548.43

$6.50

$2,347.63

$6.50

$4,406.77

$6.50

$340.44

$6.50

$182.68

$6.50

$178.25

$2.62

$6.50

$155.69

$6.50

$263.86

$6.50

$263.86

City Of Chicago - Confidential

Page 230 of 409

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 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 Pol City Of Chicago Pol

Total to be Paid

09/1272008 Lipinski, David

09/12/2008 Lipinski, David

09/17/2005 Lightford-Draper, Mamie F

03/13/2003 Lewis, Donna L

04/03/2007 Larson, Robert J

04/23/1988 Lappe, Michael

03/07/2003 Lange, Jimmie

03/21/2008 Landon, Marquis

08/28/2006 Laduzinsky, Mark J

10/11/2010 LYNCH, THOMAS

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 9161

00010

00171

00003

00044

00016

00701

00004

00153

050

lice lice lice lice lice lice •lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$17,747.01

$6.50

$185.35

$23.35

$6.50

$700.68

$9,161.65

$6.50

$74.11

$6.50

$3.01

$1,122.23

$6.50

$217.82

$1,963.03

$565.78

$130.77

$224.75

$509.86

$232.20

$6.50

$4.64

$6.50

$4.82

$1,206.89

$6.50

$328.80

$526.76

$8.06

$6.50

City Of Chicago - Confidential

Page 231 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH,THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH,THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH,THOMAS LYNCH,THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH,THOMAS LYNCH,THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, THOMAS LYNCH, 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

050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050 050

Poli Pol Poll Poll

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

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

$6.50 $10.19 $255.61 $6.50 $8.04 $255.61 $6.50 $8.04 $209.95 $6.50 $6.61 $512.20 $6.50 $16.10 $2,173.35 $6.50 $124.97 $6,018.05 $6.50 $153.79 $209.95 $6.50 $6.61 $192.98 $6.50 $6.22 $324.12 • $6.50 $16.57 $202.64 $6.50 $6.38 $255.61

City Of Chicago - Confidential

Page 232 of 409

Incident Date Claimant Rank

10/11/2010 LYNCH, THOMAS 9161

08/14/2010 LYNCH, JAMES 9161

10/08/2010 LUSK, KEVIN 9161

06/14/2010 LUEVANO, FRANCISCO 9161

Unit of_Insured_Total to be Paid

050 City Of Chicago Police $6.50

050 City Of Chicago Police $8.04

050 City Of Chicago Police $395.14

050 City Of Chicago Police $6.50

050 City Of Chicago Police $5.80

050 City Of Chicago Police $88.23

050 City Of Chicago Police $6.50

050 City Of Chicago Police $1.29

050 City Of Chicago Police $255.61

050 City Of Chicago Police $6.50

050 City Of Chicago Police $8.04

050 City Of Chicago Police $10,773.00

050 City Of Chicago Police $20.44

050 City Of Chicago Police $97.51

050 City Of Chicago Police $805.85

050 City Of Chicago Police $6.50

050 City Of Chicago Police $30.50

050 City Of Chicago Police $581.69

050 City Of Chicago Police $6.50

050 City Of Chicago Police $18.27

050 City Of Chicago Police $256.59

City Of Chicago Police $8.11

City Of Chicago Police $6.50

City Of Chicago Police $199.75

018 City Of Chicago Police $180.00

018 City Of Chicago Police $6.50

018 City Of Chicago Police $919.62

018 City Of Chicago Police $4.60

018 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $311.38

044 City Of Chicago Police $6.50

044 City Of Chicago Police $57.00

City Of Chicago - Confidential Page 233 of 409

Incident Date Claimant

Rank

Unit ot

Insured

Total to be Paid

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

06/14/2010 LUEVANO, FRANCISCO

06/14/2010 LUEVANO. FRANCISCO

06/14/2010 LUEVANO, FRANCISCO

06/25/2010 LOZANO, AUGUSTINE

09/01/2010 LOPEZ, MONICA

05/24/2010 LOPEZ, JOSE

11/08/2010 LOPEZ, JOSE

11/27/2009 LOPEZ, JAMES

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

044 044 044 044 044 044 044 044 010 010

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

$315.12

$6.50

$298.00

$6.30

$6.50

$315.12

$6.50

$6.30

$6.50

$526.19

$197.50

$6.50

$10.44

$197.50

$6.50

$10.44

$311.38

$6.50

$57.00

$6.50

$6.05

$867.01

$84.62

$6.50

$3.45

$6.50

$149.10

$6.50

$283.48

$6.50

$100.68

$6.50

$331.50

City Of Chicago - Confidential

Page 234 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009

LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ. JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES

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

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 tice lice lice lice

$6.50

$26.41

$258.05

$6.50

$19.43

$7,707.84

$184.60

$6.50

$12.45

$184.60

$6.50

$12.45

$258.05

$6.50

$19.43

$187.85

$6.50

$10.82

$234.10

$6.50

$8.80

$244.40

$6.50

$13.33

$200.85

$6.50

$8.40

$187.85

$6.50

$10.82

$169.65

$6.50

$7.53

City Of Chicago - Confidential

Page 235 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 11/27/2009 01/11/2009 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

LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ, JAMES LOPEZ MALAVE, IRMA LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM

9164

010

Poll Poll Pol

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

$246.45

$6.50

$12.86

$200.85

$6.50

$8.40

$244.40

$6.50

$13.33

$187.85

$6.50

$10.82

$234.10

$6.50

$8.80

$244.40

$6.50

$13.33

$258.05

$6.50

$19.43

$131.03

$1,309.27

$6.50

$53.14

$2,342.16

$6.50

$59.86

$810.00

$6.50

$20.70

$6,000.00

$6.50

City Of Chicago - Confidential

Page 236 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 12/27/2009 12/27/2009 12/27/2009 12/27/2009 12/27/2009 12/27/2009 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

LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIPINSKI, DAVID LIPINSKI, DAVID LIPINSKI, DAVID LIPINSKI, DAVID LIPINSKI, DAVID LIPINSKI, DAVID LIPINSKI, DAVID LIPINSKI, DAVID LIPINSKI, DAVID

9161 9161 9161 9161 9161 9161

253 253 253 253 253 253

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice >lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$391.37

$320.32

$6.50

$1,532.70

$6.50

$65.67

$6.50

$3.77

$82.39

$6.50

$4.74

$6.50

$470.00

$6.50

$313.45

$6.50

$38.20

$6.50

$74.11

$18.83

$6.50

$464.03

$3.01

$6.50

$134.94

$6.50

$250.00

$6.50

$17,747.01

$6.50

$171.27

$6.50

City Of Chicago - Confidential

Page 237 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/14/2010 LIPINSKI, DAVID

07/13/2010 LEUENBERGER, MARTIN

07/15/2010 LEMUS, MARK

10/13/2010 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 9161

010 010 010 010 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

$171.27

$6.50

$20.33

$6.50

$100.68

$67.47

$6.50

$313.34

$6.50

$1.61

$6.50

$80.21

$46.00

$6.50

$1,054.56

$6.50

$442.56

$6.50

$446.26

$6.50

$87.19

$446.26

$6.50

$446.26

$1.03

$262.58

$6.50

$487.19

$6.50

$446.26

City Of Chicago - Confidential

Page 238 of 409

Incident Date Claimant Rank

05/30/2010 LEGENZA, EDWARD 9161

12/01/2009 LEE JR, DEWEY ' 9161

12/01/2009 LEE JR, DEWEY 9161

09/26/2009 LEAHY, BRIAN 9161

10/07/2010 LAUBER, PAUL 9161

02/28/2010 LATHAM, THOMAS 9161

09/07/2010 LASKA, JAMES 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1,209.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $37.95

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.26

044 City Of Chicago Police $6.50

044 City Of Chicago Police $229.16

044 City Of Chicago Police $6.50

044 City Of Chicago Police $442.48

021 City Of Chicago Police $6.76

021 City Of Chicago Police $264.36

City Of Chicago Police $224.19

City Of Chicago Police $6.50

215 City Of Chicago Police $6.50

701 City Of Chicago Police $87.19

701 City Of Chicago Police $6.50

025 City Of Chicago Police $6.50

025 City Of Chicago Police $76.81

025 City Of Chicago Police $6.50

025 City Of Chicago Police $76.81

025 City Of Chicago Police $6.50

025 City Of Chicago Police $408.98

025 City Of Chicago Police $6.50

025 City Of Chicago Police $274.02

025 City Of Chicago Police $6.50

025 City Of Chicago Police $274.02

025 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 239 of 409

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

09/07/2010 09/07/2010 12/05/2009 12/05/2009 12/05/2009 09/01/2010 09/01/2010 09/01/2010 04/09/2010 04/09/2010 04/09/2010 05/18/2008 05/18/2008 05/18/2008 02/12/2008 02/12/2008 02/12/2008 02/12/2008 02/12/2008 02/12/2008 05/25/2007 05/25/2007 01/08/1997 03/14/2005 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004

LASKA, JAMES LASKA, JAMES LANGLE, WILLIAM LANGLE, WILLIAM LANGLE, WILLIAM LANGLE, WILLIAM LANGLE, WILLIAM LANGLE, WILLIAM LACHANCE, MICHAEL LACHANCE, MICHAEL LACHANCE, MICHAEL Kwiatkowski, Joseph J Kwiatkowski, Joseph J Kwiatkowski, Joseph J Kurpiel, Joseph Kurpiel, Joseph Kurpiel, Joseph Kurpiel, Joseph Kurpiel, Joseph Kurpiel, Joseph Kropp, Edward J Kropp, Edward J Koman, Matthew H Kirchner, Robert

Killackey I Killackey I Killackey I Killackey I Killackey I Killackey I Killackey I Killackey I Killackey I

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

9161

025 025 044 044 044 044 044 044

00003 00003 00003 00017 00017 00017 00017 00017 00017 00021 00021 00044 09999 00011 00011 00011 00011 00011 00011 00011 00011 00011

Poli

Poli Poll Poli

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

$243.94

$1.61

$63.00

$18,742.36

$1.25

$6.50

$49.03

$33.62

$828.27

$6.50

$81.22

$3.62

$6.50

$86.35

$6.50

$1.96

$97.89

$6.50

$1.73

$6.50

$339.24

$586.52

$1,450.00

$6.50

$1,935.42

$6.50

$49.46

$408.24

$6.50

$10.43

$177.16

$6.50

City Of Chicago - Confidential

Page 240 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 06/25/2004 01/16/2007 01/16/2007 01/16/2007 01/16/2007 09/14/2007 09/14/2007 09/14/2007 09/14/2007 09/14/2007 09/13/2006 09/13/2006 09/13/2006

Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Killackey Kelly, Patrick J Kelly, Patrick J Kelly, Patrick J Kelly, Patrick J Keithley, Bartall Keithley, Bartall Keithley, Bartall Keithley, Bartall Keithley, Bartall Katich, Chere Katich, Chere Katich, Chere

John E John E John E John E John E John E John E John E John E John E John E John E John E John E John E John E John E John E John E John E John E

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

00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00009 00009 00009 00009 00002 00002 00002 00002 00002 00045 00045 00045

$4.53

$3,218.91

$6.50

$82.25

$715.26

$6.50

$715.26

$6.50

$1,260.80

$6.50

$4,267.63

$6.50

$109.07

$177.16

$6.50

$4.53

$177.16

$6.50

$4.53

$100.68

$83.18

$6.50

$83.18

$6.50

$36.48

$72.96

$36.48

$71.07

$12.40

$6.50

City Of Chicago - Confidential

Page 241 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

KUSHINER, MARK KUSHINER, MARK KURI, CESAR 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, CARQLYN 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

315 315 314

Pol Pol Poli

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

$1,179.35

$6.50

$354.71

$6.50

$14.39

$354.71

$6.50

$14.39

$354.71

$6.50

$14.39

$319.41

$6.50

$12.96

$354.71

$6.50

$14.39

$354.71

$6.50

$14.39

$300.00

$6.50

$12.17

$127.04

$6.50

$5.16

$319.41

$6.50

$12.96

$34.25

$300.00

$6.50

City Of Chicago - Confidential

Page 242 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/07/2010 08/13/2010 08/13/2010 08/31/2010 08/31/2010 08/31/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010

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 KRAMER, WAYNE KRAMER, WAYNE KONO,ROGER KONO,ROGER KONO, ROGER KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN

9161 9161 9161 9161 9161 9161 9161 9161 9161 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

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

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

$12.17

$300.00

$6.50

$12.17

$319.41

$6.50

$12.96

$319.41

$6.50

$14.39

$6.50

$12.96

$354.71

$6.50

$87.19

$176.45

$7.16

$6.50

$26.14

$163.49

$6.50

$16.12

$116.25

$6.50

$141.68

$6.50

$13.97

$151.12

$6.50

$14.90

$169.30

$6.50

City Of Chicago - Confidential

Page 243 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010

KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA, KOMOSA,

EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN EVAN

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

$16.69

$125.71

$6.50

$12.39

$180.19

$6.50

$17.77

$116.25

$6.50

$11.46

$264.46

$6.50

$26.07

$248.03

$98.09

$6.50

$9.68

$61.03

$6.50

$6.02

$72.66

$6.50

$7.17

$110.45

$321.87

$6.50

$31.73

$96.64

$6.50

$9.53

$6.50

$10.89

$371.53

City Of Chicago - Confidential

Page 244 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 10/24/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010

KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOMOSA, EVAN KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO KOKIC, MARKO

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

003 003 003 003 003 003 003 003 003 003 003 003

lice lice lice 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 ilice lice lice lice

$6.50

$135.12

$205.00

$6.50

$156.20

$6.50

$15.40

$61.03

$6.50

$6.02

$123.50

$6.50

$12.17

$11.46

$140.23

$6.50

$13.83

$61.03

$6.50

$6.02

$265.18

$16.63

$50.99

$16.40

$6,547.15

$6.50

$79.26

$7.98

$6.50

$0.61

$1,289.77

$6.50

$15.61

City Of Chicago - Confidential

Page 245 of 409

Incident Date Claimant Rank

09/10/2010 KOKIC, MARKO 9161

12/04/2009 KNEZEVICH, JOHN 9161

07/12/2010 KLIMASZEWSKI, GREGORY 9161

07/1272010 KLIMASZEWSKI, GREGORY 9161

07/12/2010 KLIMASZEWSKI, GREGORY 9161

06/21/2010 KIRCHENS, JAMES 9161

Unit of_Insured_Total to be Paid

003 City Of Chicago Police $379.72

003 City Of Chicago Police $6.50

003 City Of Chicago Police $143.96

003 City Of Chicago Police $6.50

003 City Of Chicago Police $1.74

003 City Of Chicago Police $6.50

003 City Of Chicago Police $418.82

003 City Of Chicago Police $6.50

003 City Of Chicago Police $22.86

003 City Of Chicago Police $6.50

003 City Of Chicago Police $313.00

003 City Of Chicago Police $6.50

003 City Of Chicago Police $9.81

003 City Of Chicago Police $1,196.46

003 City Of Chicago Police $6.50

003 City Of Chicago Police $65.13

003 City Of Chicago Police $1,083.46

003 City Of Chicago Police $6.50

003 City Of Chicago Police $33.96

003 City Of Chicago Police $940.84

003 City Of Chicago Police $6.50

004 City Of Chicago Police $3,863.78 315 City Of Chicago Police $285.46 315 City Of Chicago Police $6.50 315 City Of Chicago Police $332.18 315 City Of Chicago Police $271.95 315 City Of Chicago Police $223.17 315 City Of Chicago Police $6.50 315 City Of Chicago Police $6.50 315 City Of Chicago Police $6.50 044 City Of Chicago Police $10.92

City Of Chicago - Confidential

Page 246 of 409

Incident Date Claimant Rank

06/21/2010 KIRCHENS, JAMES 9161

12/04/2009 KINNEY, DAVID 9171

Unit of_Insured_Total to be Paid

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 $10.92

044 City Of Chicago Police $6.50

044 City Of Chicago Police $193.66

044 City Of Chicago Police $6.50

044 City Of Chicago Police $100.10

044 City Of Chicago Police $6.50

044 City Of Chicago Police $7.44

044 City Of Chicago Police $6.50

044 City Of Chicago Police $257.40

044 City Of Chicago Police $6.50

044 City Of Chicago Police $226.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.05

044 City Of Chicago Police $257.40

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.92

044 City Of Chicago Police $257.40

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.92

044 City Of Chicago Police $257.40

044 City Of Chicago Police $6.50

005 City Of Chicago Police $6.50

005 City Of Chicago Police $88.50

005 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 247 of 409

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

12/04/2009 11/10/2009 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 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 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010

KINNEY, DAVID KING, FREDERICK 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 KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON KIM, HYON

9171

005

Pol Poli Pol

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

$88.50

$916.52

$6.50

$12.86

$246.45

$6.50

$12.86

$256.26

$6.50

$14.73

$115.88

$6.50

$46.94

$246.45

$6.50

$12.86

$177.16

$6.50

$4.53

$6.50

$246.45

$12.86

$246.45

$12.86

$1,260.80

$6.50

$100.68

$246.45

56.50

$12.86

$6.50

$296.09

City Of Chicago - Confidential

Page 248 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 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

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 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

9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 044 044 044

Pol Pol Pol

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

$6.50

$104.38

$246.45

$6.50

$12.86

$215.51

$6.50

$73.70

$246.45

$6.50

$12.86

$215.51

$6.50

$73.70

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$282.75

$6.50

$12.56

$282.75

$6.50

$12.56

$282.75

$6.50

$12.56

City Of Chicago - Confidential

Page 249 of 409

Incident Date Claimant Rank

05/08/2010 KHAN, KASHIF 9161

Unit of_Insured_Total to be Paid

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 $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

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 $100.68

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10,747.49

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 $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

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 $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

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 $313.95

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.43

044 City Of Chicago Police $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

City Of Chicago - Confidential

Page 250 of 409

Incident Date Claimant Rank

05/08/2010 KHAN, KASHIF 9161

Unit of_Insured_Total to be Paid

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 $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

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 $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

044 City Of Chicago Police $282.75

044 City Of Chicago Police $12.56

044 City Of Chicago Police $97.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.85

044 City Of Chicago Police $73.40

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 $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

044 City Of Chicago Police $1,362.90

044 City Of Chicago Police $6.50

044 City Of Chicago Police $134.34

044 City Of Chicago Police $282.75

City Of Chicago - Confidential

Page 251 of 409

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 08/02/2010 08/02/2010 08/02/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010

KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, FAIZULLAH KHAN, FAIZULLAH KHAN, FAIZULLAH KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN

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

044 044 044 044 044 044 044 044 044 044 044 044 044 044 191 191 191

$6.50

$12.56

$282.75

$6.50

$12.56

$282.75

$6.50

$12.56

$282.75

$6.50

$12.56

$282.75

$6.50

$12.56

$332.30

$4.02

$6.50

$1,403.31

$3.44

$88.23

$6.50

$1.29

$253.67

$6.50

$3.73

$175.60

$6.50

$2.58

$234.14

$6.50

$3.44

$234.14

$6.50

City Of Chicago - Confidential

Page 252 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, 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 KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN

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

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

$3.44

$359.06

$6.50

$5.27

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$253.68

$6.50

$3.72

$253.68

$6.50

$3.72

$234.14

$6.50

$3.44

$292.67

$6.50

$4.30

$73.68

$234.14

$6.50

$3.44

$88.23

$6.50

$1.29

$317.10

$6.50

City Of Chicago - Confidential

Page 253 of 409

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

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

KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN 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 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

044

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

$4.66

$253.68

$6.50

$3.72

$234.14

$53.55

$200.60

$477.25

$6.50

$200.60

$286.35

$6.50

$120.36

$477.25

$6.50

$356.96

$6.50

$71.55

$6.50

$13.38

$143.96

$6.50

$64.98

$6.50

$2.92

$6.50

$2.92

$241.55

$6.50

$2.92

$3,843.54

$6.50

$76.87

City Of Chicago - Confidential

Page 254 of 409

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

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 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 10/04/2010 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

KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KENNEDY, PATRICK KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN -KELNOSKYrSTEVEN" KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN

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

Poli Poli Poli

ice ice ice ice ce ce ice ice ce ce ce ice ice ce ce ce ce ce ce ce ce ice ice ice ce ce ce ice ice" ce ce ce ce

$399.30 $6.50 $4.83 $82.83 $6.50 $1.00 $423.95 $6.50 $5.13 $241.55 $6.50 $241.55 $12.86 $12.86 $6.50 $12.86 $246.45 $6.50 $12.86 $246.45 $6.50 $12.86 $244.40 $6.50 $13.33 $246.45 $6.50 $12.86 "$246:45" $6.50 $12.86 $246.45 $6.50

City Of Chicago - Confidential

Page 255 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 10/04/2010 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 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010

KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELNOSKY, STEVEN KELLAM, ROBERT KELLAM, ROBERT KELLAM, ROBERT KELLAM, ROBERT KELLAM, ROBERT KELLAM, ROBERT

10/08/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010

KELLAM, ROBERT KELLAM, ROBERT KELLAM, ROBERT KELLAM, ROBERT KELLAM, ROBERT

9161 9161 9161 9161 9161 9161

009 009 009 009 009 009

9161 9161 9161 9161 9161

009 009 009 009 009

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

$12.86

$246.45

$6.50

$12.86

$219.80

$6.50

$8.66

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$246.45

$6.50

$246.45

$2.72

$6.50

$185.79

$26.51

$6.50

$635.65

$6.50

$653.91

$6.50

$94.99

$207.59

$6.50

$45.00

$6.50

City Of Chicago - Confidential

Page 256 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli -City Of Chicago"Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

10/08/2010 KELLAM, ROBERT

09/17/2009 KEANY, ANTHONY

03/27/2009 KAZUPSKI, WILLIAM

06/18/2010 KAZIMIERSKI, RICHARD

04/28/2009 KATSAROS, DIMITRIOS

10/02/2010 KANSKI, WOJCIECH

10/14/2010 KAMRADT, DENNIS

10/14/1992 Johnson-Swain, Marianne C

07/17/2008 Johnson, John M

03/08/2008 Jesionowski, Dale R

^03/08/2008-JesionowskirDaleR-

01/23/2007 Jelks, Jennifer

9161

9165

9161

"P-

P P P P

009

620 620 025 025 025 019 019 019 024 024 024 044 044 044 044 044 00006 00006 00008 00008 00008 00008 00008 00009 00009 -00009-00013 00013 00013 00013

Pol Pol Pol

$6.50 $14.92 $307.45 $155.69 $6.50 $8.48 $6.50 $56.56 $3.09 $121.07 $6.50 $2.51 $6.50 $98.09 $6.50 $467.07 $142.90 $398.00 $6.50 $339.94 $6.50 $205.00 $20.17 $6.50 $10.96 $6.50 $212.46 $8.63 -$6:50-

$64.47 $6.50 $707.70 $30.40

City Of Chicago - Confidential

Page 257 of 409

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 Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol 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 Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli -CityOfChicago-Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol

01/23/2007 01/10/2007 01/10/2007 01/10/2007 06/17/2010 06/17/2010 02/26/2009 02/26/2009 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 11/10/2010 -11/10/2010-11/10/2010 11/10/2010 11/10/2010 11/10/2010

Jelks, Jennifer Jaros, Kristopher Jaros, Kristopher Jaros, Kristopher JUNIOUS, CORY JUNIOUS, CORY JUNG, JAEHO JUNG, JAEHO JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN -JUGO7STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN JUGO, STEVEN

P P P P

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 -9161-9161 9161 9161 9161

00013 00008 00008 00008

044 044

Poli Poll Poli Poli

ice ce ce ce ce ce ice ce ce ce ce ice ice ce ce ce ice ice ice ce ce ce ice ice ice ce ce ce" ce ce ice ice

$6.50 $264.74 $15.93 $6.50 $6.50 $645.24 $252.85 $39.00 $18.46 $187.19 $6.50 $18.46 $187.19 $6.50 $18.46 $187.19 $6.50 $18.46 $88.75 $162.73 $1.07 $503.25 $6.50 $1.91 $207.59 $6.50 $6.50 $187.19 -$16:05— $6.50 $6.50 $18.46 $53.90

City Of Chicago - Confidential

Page 258 of 409

Incident Date Claimant Rank

11/10/2010 JUGO, STEVEN 9161

04/07/2010 JUDEH, KAMAL

09/06/2010 JOYNER, ROBBIE 9161

10/31/2009 JONES, TIMOTHY 9161

11/26/2010 JONES, ROSEZITA 9161

08/23/2010 JONES, RODNEY 9161

08/23/2010-JONESrRODNEY-9161"

08/23/2010 JONES, RODNEY 9161

12/16/2009 JONES, NANCY 9164

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $3.43

City Of Chicago Police $187.19

City Of Chicago Police $6.50

City Of Chicago Police $400.00

715 City Of Chicago Police $13.00

City Of Chicago Police $6.50

City Of Chicago Police $213.20

City Of Chicago Police $12.46

015 City Of Chicago Police $6.50

015 City Of Chicago Police $199.10

015 City Of Chicago Police $2.41

312 City Of Chicago Police $26.83

312 City Of Chicago Police $95.65

312 City Of Chicago Police $6.50

312 City Of Chicago Police $1.16

312 City Of Chicago Police $95.65

312 City Of Chicago Police $6.50

312 City Of Chicago Police $1.16

312 City Of Chicago Police $95.65

312 City Of Chicago Police $6.50

312 City Of Chicago Police $1.16

312 City Of Chicago Police $384.00

312 City Of Chicago Police $6.50

312 City Of Chicago Police $14.33

312 City Of Chicago Police $384.00

312 City Of Chicago Police $6.50

312-City'OfChicago'Police-$14:33-

312 City Of Chicago Police $466.69

312 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $892.62

City Of Chicago - Confidential

Page 259 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/16/2009 12/16/2009 12/16/2009 12/16/2009 04/21/2009 04/21/2009 09/19/2010 09/19/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 07/17/2010 07/17/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 -08/27/2010-08/27/2010 08/27/2010 08/27/2010 08/27/2010

JONES JONES JONES, JONES JONES JONES, JONES JONES JONES JONES JONES JONES JONES JONES JONES JONES JONES JONES JONES JONES JONES, JONES JONES JONES JONES JONES JONES JONES, -JONES; JONES JONES JONES JONES,

NANCY NANCY NANCY NANCY NADINE NADINE GREGORY GREGORY ERIN ERIN ERIN ERIN ERIN ERIN CORY CORY ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW-ANDREW ANDREW ANDREW ANDREW

9164 9164 9164 9164 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 -9161" 9161 9161 9161 9161

715 715 006 006

005 005

Poll Pol Pol.

S5.38 $24.08 $6.50 $446.31 $6.50 $277.14 $83.04 $6.50 $12.64 $6.50 $311.47 $9.34 $6.50 $162.40 $6.50 $40.00 $6.50 $1.16 $0.92 $95.65 $6.50 $414.10 $6.50 $5.02 $249.09 $6.50 $435.91 $6.50 -$186:82" $6.50 $88.75 $6.50 $1.07

City Of Chicago - Confidential

Page 260 of 409

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 Pot City Of Chicago Pot 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 Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli "City"Of "Ch~icago"P5li City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

08/27/2010 JONES, ANDREW

06/24/2010 JOHNSON, JORDAN

09/26/2010 JOHNSON, AJAMU BOM

09/26/2010 JOHNSON. AJAMU BOM

09/26/2010 JOHNSON, AJAMU BOM

-09/26/2010-JOHNSONrA-JAMUBOM-

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

044 044 044 044

Poli Pol Pol Pol

$96.66

$6.50

$1,529.31

$670.51

$6.50

$290.12

$6.50

$144.30

$6.50

$5.89

$187.85

$6.50

$10.82

$187.85

$6.50

$10.82

$200.85

$6.50

$8.40

$200.85

$6.50

$8.40

$144.30

$6.50

$5.89

$350.68

$6.50

$144.30

"$"6.50 $5.89 $144.30 $6.50 $5.89

City Of Chicago - Confidential

Page 261 of 409

Incident Date Claimant Rank

09/26/2010 JOHNSON, AJAMU BOM 9161

06/29/2010 JASTRZEBSKI, GERALD 9161

06/29/2010 JASTRZEBSKI, GERALD 9TST

06/29/2010 JASTRZEBSKI, GERALD 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $220.06

City Of Chicago Police $6.50

City Of Chicago Police $0.40

City Of Chicago Police $200.85

City Of Chicago Police $6.50

City Of Chicago Police $8.40

024 City Of Chicago Police $93.86

024 City Of Chicago Police $227.00

024 City Of Chicago Police $794.03

024 City Of Chicago Police $6.50

024 City Of Chicago Police $227.00

024 City Of Chicago Police $6.50

024 City Of Chicago Police $227.00

024 City Of Chicago Police $6.50

024 City Of Chicago Police $129.74

024 City Of Chicago Police $6.50

024 City Of Chicago Police $227.00

024 City Of Chicago Police $6.50

024 City Of Chicago Police $227.00

024 City Of Chicago Police $6.50

024 City Of Chicago Police $227.00

024 City Of Chicago Police $6.50

024 City Of Chicago Police $140.13

024 City Of Chicago Police $6.50

024 City Of Chicago Police $227.00

024 City Of Chicago Police $6.50

"024 City"Of Chicago"Pdlice-$227:00-

024 City Of Chicago Police $6.50

024 City Of Chicago Police $227.00

024 City Of Chicago Police $6.50

024 City Of Chicago Police $227.00

City Of Chicago - Confidential

Page 262 of 409

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 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 ^_CityOf"Chicago"Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

Total to be Paid

06/29/2010 JASTRZEBSKI, GERALD

11/05/2009 JANUS, RICHARD

08/22/2009 JANDA, LIANE

08/22/2009 JANDA. LIANE

08/22/2009 JANDA, LIANE

-08/22/2009-JANDA7LIANE-

08/22/2009 JANDA, LIANE

9161 Sgt Sgt 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 -9161-9161 9161 9161 9161

024 630 630

lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice-lice lice lice lice

$6.50 $54.97 $112.31 $10.82 $255.26 $6.50 $10.77 $187.85 $6.50 $10.82 $770.42 $6.50 $1.79 $200.85 $6.50 58.40 $200.85 $6.50 $8.40 $121.00 $6.50 $3.78 $272.97 $6.50 $0.64 $147.37 $3,902.71 $585.40 -$17498715-$6.50 $499.45 $1,189.88 $6.50

City Of Chicago - Confidential

Page 263 of 409

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 City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Poi -CityOfChicagoPol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po!

Total to be Paid

08/22/2009 08/22/2009 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 08/14/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 09/20/2009 -09/20/2009-09/20/2009 09/20/2009 09/20/2009 09/20/2009

JANDA, LIANE JANDA, LIANE JACKSON, ERIC JACKSON, ERIC JACKSON, ERIC JACKSON, ERIC JACKSON, ERIC JACKSON, ERIC JACKSON,DEBORAH JACKSON,DEBORAH JACKSON,DEBORAH JACKSON,DEBORAH JACKSON, CAR LA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, BRUCE

-JACKSONrBRUCE-

JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE

9161 9161

9161 "9161-9161 9161 9161 9161

765 "765" 765 765 765 765

lice lice lice lice dice lice lice ilice 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

$187.85

$6.50

$286.61

$54.38

$6.50

$207.59

$6.50

$46.08

$178.12

$6.50

$351.38

$15.64

$6.50

$602.75

$9.24

$6.50

$763.38

$1,087.11

$6.50

$46.98

$598.75

$6.50

$25.31

$6.50

$26.10

$103.22

-$6:50-

$3.91 $6.50 $153.19 $3.91

City Of Chicago - Confidential

Page 264 of 409

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

09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 09/20/2009 07/10/2009 07/10/2009 07/10/2009 07/10/2009 04/02/2009 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 11/15/2010 11/15/2010

JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON,BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE JACKSON, BRUCE IVERS, NEAL IVERS, NEAL IVERS, NEAL IVERS, NEAL IVANKOVICH, DAVID INOVSKIS, EMILY INOVSKIS, EMILY INOVSKIS, EMILY INOVSKIS, EMILY INOVSKIS, EMILY INOVSKIS, EMILY

"INOVSKISrEMILY-

INOVSKIS, EMILY INOVSKIS, EMILY IBARRA, GINA IBARRA, GINA

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

765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765 765

044

9161 9161

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 ilice^-lice lice lice lice

$6.50 $153.19 $3.91 $6.50 $153.19 $3.91 $6.50 $153.19 $3.91 $6.50 $153.19 $3.91 $6.50 $153.19 $3.72 $145.72 $6.50 $6.50 $81.25 $6.50 $10.06 $2,460.56 $6.50 $6.50 $2.50 $2.93 $200.02 $2.50 "5170:76— $6.50 $170.76 $123.51 $6.50

City Of Chicago - Confidential

Page 265 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/15/2010 11/15/2010 06/30/2008 06/30/2008 06/30/2008 06/30/2008 06/30/2008 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002

IBARRA, GINA IBARRA, GINA Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi

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

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

9161

00009 00009 00009 00009 00009 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050

00050 00050 00050 00050 00050

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

$343.56 $6.50 $123.02 $6.50 $1,144.94 $6.50 $4.04 $6.50 $117.07 $2,222.60 $6.50 $32.63 $175.60 $6.50 $175.60 $6.50 $2.58 $117.07 $6.50 $1.72 $6.50 $1.72 $6.50 $1.72 $309.28 $6.50 $117.07 $6.50 "~$'f72 $117.07 $1.72 $117.07 $6.50

City Of Chicago - Confidential

Page 266 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 04/11/2002 08/25/1993 08/25/1993 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 11/23/2005 -11/23/2005" 08/24/2008 08/24/2008 08/24/2008 08/24/2008

Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Hihn-Czyscon, Heidi Herring, Patricia Herring, Patricia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia-Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia Hernandez, Sonia "HernandezrSonia Henkes, Nicole L Henkes, Nicole L Henkes, Nicole L Henkes, Nicole L

P P. P P P P P P P P P P P P P P P P P P P P P P P P P P -P-P P P P

00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00050 00007 00007 00023 00023 00023 00023 00023 00023 00023 00023 00023 00023 00023 00023 00023 00023 -00023-00007 00007 00007 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

$117.07

$1.72

$117.07

$4.54

$6.50

$56.41

$6.50

$20.45

$2.58

$1.72

$1,678.04

$265.35

$70.64

$76.50

$3.11

$6.50

$76.50

$29.01

$6.50

$15.42

$15.41

$6.50

$1.00

$6.50

$3.11

$76.50

$6.50

-$3:11-

$6.50 $6.50 $6.50 $84.92

City Of Chicago - Confidential

Page 267 of 409

Incident Date Claimant Rank

08/05/1992 Hanley, Richard P

03/25/2010 HYNES, MICHAEL 9161

Unit of_Insured_Total to be Paid

00007 City Of Chicago Police $643.07

044 City Of Chicago Police $253.69

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.72

044 City Of Chicago Police $6.50

044 City Of Chicago Police $269.88

044 City Of Chicago Police $6.50

044 City Of Chicago Police $190.27

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.79

044 City Of Chicago Police $253.69

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.72

044 City Of Chicago Police $253.69

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.72

044 City Of Chicago Police $253.69

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.72

044 City Of Chicago Police $253.69

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.72

044 City Of Chicago Police $253.69

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.72

044 City Of Chicago Police $6.50

044 City"Of ~Chicago"Police $6:50

044 City Of Chicago Police $100.68

044 City Of Chicago Police $190.27

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.79

City Of Chicago - Confidential

Page 268 of 409

Incident Date Claimant Rank

03/25/2010 HYNES, MICHAEL 9161

02/05/2010 HUNDRIESER, DAVID 9161

"O2/05/20'10 HUNDRIES ER7DAVID 9161"

02/05/2010 HUNDRIESER, DAVID 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.79

044 City Of Chicago Police $6.50

044 City Of Chicago Police $190.27

044 City Of Chicago Police $253.69

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.72

044 City Of Chicago Police $6.50

016 City Of Chicago Police $6.50

016 City Of Chicago Police $10.05

016 City Of Chicago Police $6.50

016 City Of Chicago Police $10.05

016 City Of Chicago Police $11.24

016 City Of Chicago Police $226.20

016 City Of Chicago Police $6.50

016 City Of Chicago Police $10.05

016 City Of Chicago Police $257.40

016 City Of Chicago Police $6.50

016 City Of Chicago Police $10.92

016 City Of Chicago Police $226.20

016 City Of Chicago Police $6.50

016 City Of Chicago Police $10.05

016 City Of Chicago Police $135.00

016 City Of Chicago Police $6.50

016 City Of Chicago Police $7.63

016 City Of Chicago Police $262.08

016 City"Of'Chicago"Police $6:50-

016 City Of Chicago Police $2.51

016 City Of Chicago Police $311.38

016 City Of Chicago Police $6.50

016 City Of Chicago Police $230.10

City Of Chicago - Confidential

Page 269 of 409

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 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

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 02/05/2010 02/05/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 02/20/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 11/12/2010 05/03/2010 05/03/2010 05/03/2010 09/15/2010 09/15/2010

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 HUNDRIESER, DAVID HUNDRIESER, DAVID HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HORAN, MARIANNE HOPKINS, TERRY HOPKINS, TERRY HOPKINS, TERRY HOPKINS, TERRY HOPKINS, TERRY HOGAN,SEAN HOGAN, SEAN HOGAN,SEAN HINTON, KRISTA HINTON, KRISTA

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

9161 9161 9161 9161 9161 9161 9161 9161

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

334 334 334 334 334

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

$6.50

$13.19

$226.20

$6.50

$10.05

$6.50

$10.05

$226.20

$6.50

$226.20

$10.05

$255.86

$10.38

$257.31

$6.50

$226.20

$7,337.41

$115.90

$6.50

$720.00

$6.50

$1,129.80

$6.50

$7.60

$305.77

$34.16

$6.50

$661.64

$6.50

$5.69

City Of Chicago - Confidential

Page 270 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/15/2010 09/15/2010 09/15/2010 09/15/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 10/14/2009 10/14/2009 10/14/2009 09/22/2010 09/22/2010 09/22/2010 09/22/2010 09/22/2010 09/22/2010 09/22/2010 09/22/2010 09/22/2010 08/04/2010 08/04/2010

HINTON, KRISTA HINTON, KRISTA HINTON, KRISTA HINTON, KRISTA HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILLIARD, ROBERT HILL, REGINALD HILL, REGINALD HILL, REGINALD HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, LAWRENCE HILL, COURTNEY HILL, COURTNEY

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

715 715

$85.58

$3.47

$140.29

$6.50

$282.53

$6.50

$11.47

$374.98

$6.50

$15.21

$67.47

$6.50

$87.19

$6.50

$67.47

$6.50

$161.30

$56.15

$10.00

$6.50

$130.38

$1.07

$6.50

$88.75

$6.50

$60.85

$1.07

$6.50

$88.75

$0.74

$1,100.00

$6.50

City Of Chicago - Confidential

Page 271 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/04/2010 HILL, COURTNEY

03/24/2010 HILDEBRANT, JUDITH

08/01/2009 HERNANDEZ, ROBERT

09/27/2010 HERNANDEZ, PRISCILLA

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

715 715 715 715 715 715 715 715 715 715

044 044

Poli Pol Pol

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

$8.84

$597.92

$6.50

$150.00

$240.60

$50.75

$6.50

$2.91

$199.36

$6.50

$461.18

$6.50

$14.55

$114.78

$8.24

$228.55

$6.50

$8.24

$210.50

$6.50

$8.02

$226.20

$6.50

$10.05

$210.50

$6.50

$8.02

$210.50

$6.50

$8.02

$210.50

$6.50

$8.02

City Of Chicago - Confidential

Page 272 of 409

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 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 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 Poll 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

09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010 09/27/2010

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

PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA PRISCILLA

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 Pol Pol

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

$197.50

$6.50

$10.44

$210.50

$6.50

$8.02

$210.50

$6.50

$8.02

$215.55

$6.50

$10.66

$228.55

$6.50

$8.24

$228.55

$6.50

$8.24

$226.20

$6.50

$10.05

$87.19

$6.50

$226.20

$6.50

$10.05

$210.50

$6.50

$8.02

$210.50

$6.50

$8.02

$243.75

City Of Chicago - Confidential

Page 273 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/27/2010 HERNANDEZ, PRISCILLA

11/17/2010 HERNANDEZ, MARK

11/17/2010 HERNANDEZ, DANIEL

02/22/2010 HENDRICKS, CHERIE

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

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

$6.50

$8.42

$228.55

$6.50

$8.24

$228.55

$6.50

$1,053.24

$6.50

$435.17

$6.50

$89.87

$284.39

$6.50

$100.68

$6.50

$244.91

$222.66

$26.20

$1,245.54

$6.50

$71.64

$207.59

$6.50

$11.94

$200.20

$6.50

$14.89

$76.61

$6.50

$38.04

$121.72

City Of Chicago - Confidential

Page 274 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02722/2010 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 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010

HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HENDRICKS, CHERIE HEFFERNAN, EILEEN HEFFERNAN, EILEEN HEFFERNAN, EILEEN HEFFERNAN, EILEEN HEFFERNAN, EILEEN HEFFERNAN, EILEEN HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY

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

620 620 620 620 620 620

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

lice lice lice lice lice dice ilice dice 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

$6.50

$60.32

$784.73

$6.50

$20.05

$733.54

$6.50

$8.89

$6.50

$455.90

$73.06

$6.50

$1,270.49

$13.63

$6.50

$90.22

$24.16

$239.98

$9.34

$229.98

$6.50

$330.05

$6.50

$185.80

$6.50

$87.19

$6.50

$8.80

$10.45

$6.50

$259.45

$6.50

$8.80

City Of Chicago - Confidential

Page 275 of 409

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 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 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 Po! City Of Chicago Pol

10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010

HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HATTER,

COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY COREY

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

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

$52.00

$6.50

$2.99

$853.87

$6.50

$34.66

$1,171.10

$6.50

$74.34

$314.44

$6.50

$8.03

$270.91

$6.50

$234.10

$6.50

$8.80

$234.10

$6.50

$234.10

$6.50

$8.80

$290.65

$6.50

$11.32

$305.68

$6.50

$3.70

$67.47

$6.50

$80.49

$6.50

City Of Chicago - Confidential

Page 276 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 05/09/2009 05/09/2009 02/21/2009 02/21/2009 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 10/16/2009 10/16/2009 10/16/2009

HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HARTZ, DOUGLAS HARTZ, DOUGLAS HARRIS, JENNIFER HARRIS, JENNIFER HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS. CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARRIS, CHARLESTON HARDY, DARRYL HARDY, DARRYL HARDY, DARRYL

9161 9161 9161 9161 9161 9161 9161 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

123 123 123 123 123 123 123 123 123 123 123 123 123 123 123 123 123 123 123

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

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

$42.44

$194.45

$6.50

$7.02

$189.90

$6.50

$10.35

$6.50

$55.14

$1,153.65

$361.80

$250.00

$379.76

$6.50

$15.41

$45.87

$6.50

$1.86

$51.00

$6.50

$2.07

$2,147.05

$6.50

$87.15

$51.00

$6.50

$2.07

$40.80

$6.50

$1.66

$6.50

$4.92

$192.60

City Of Chicago - Confidential

Page 277 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/04/2010 HANSON, KRISTEN

10/25/2010 HANSEN, BRIAN

10/29/2010 HAMMERMEISTER, CRAIG

10/16/2009 HAMIDEH, ZIAD

10/02/2010 HALLINAN, SHAWN

12/11/2009 HALLINAN, ANNETTE

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

012 012 012 012 012

014 014

$6.50

$54.00

$2.41

$237.41

$199.10

$6.50

$2.87

$6.50

$135.88

$363.26

$207.59

$6.50

$52.20

$6.50

$2,042.76

$48.98

$6.50

$9.72

$663.52

$276.11

$7.05

$6.50

$278.01

$6.50

$2,153.50

$310.00

$1.93

$6.50

City Of Chicago - Confidential

Page 278 of 409

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

12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 10/18/2010 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006

HALLINAN, ANNETTE HALLINAN, ANNETTE HALLINAN, ANNETTE HALLINAN, ANNETTE HALLINAN, ANNETTE HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD HALL, CLIFFORD Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R

9161

00024 00024 00024 00024 00024 00024 00024

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

$272.54

$151.23

$6.50

$2.22

$131.72

$95.65

$10.33

$1.16

$358.82

$6.50

$15.47

$230.04

$6.50

$8.59

$6.50

$251.55

$20.66

$6.50

$503.10

$279.98

$9.84

$6.50

$10.33

$6.50

$251.55

$6.50

$100.68

$6.50

$4,151.82

$6.50

$9.04

$15,179.39

City Of Chicago - Confidential

Page 279 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 04/17/2008 04/17/2008 07/02/1992 07/02/1992 07/02/1992 07/02/1992 07/02/1992 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003 02/16/2003

Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Griffin, Richard C Griffin, Richard C Green, Singleton Green, Singleton Green, Singleton Green, Singleton Green, Singleton Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark

00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00006 00006 00021 00021 00021 00021 00021 00011 00011 00011 00011 00011 00011 00011

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

$6.50

$213.20

$6.50

$10.76

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$213.20

$6.50

$10.76

$230.10

$6.50

$13.19

$222.70

$6.50

$100.68

$172.04

$117.79

$0.51

$87.19

$6.50

$218.23

$1,563.35

$6.50

$12,610.26

$6.50

$531.87

$6.11

$6.50

City Of Chicago - Confidential

Page 280 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02716/2003 02/16/2003 09/28/2004 09/28/2004 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 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007 04/03/2007

Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark 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 George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris George, Parris

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

00011 00011 00024 00024 00016 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015

$63.45

$172.55

$20.67

$6.50

$174.96

$255.61

$11.54

$255.61

$6.50

$583.31

$6.50

$22.40

$9.39

$9.39 '

$579.73

$6.50

$20.93

$255.61

$6.50

$9.39

$255.61

$6.50

$9.39

$511.22

$6.50

$18.78

$255.61

$6.50

$9.39

$256.59

$6.50

$9.40

$324.12

City Of Chicago - Confidential

Page 281 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/03/2007 04/03/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 10/21/2007 02/17/2007 02/17/2007 02/17/2007 02717/2007 04/25/2001

George, Parris George, Parris

Gawlowski, Gawlowski, Gawlowski, Gawlowski, I Gawlowski, Gawlowski, Gawlowski, Gawlowski, I Gawlowski, I Gawlowski, I Gawlowski, Gawlowski, I Gawlowski, I Gawlowski, Gawlowski, Gawlowski, I Gawlowski, Gawlowski, I Gawlowski, Gawlowski, Gawlowski, Gawlowski, Gawlowski, Gawlowski, Gawlowski, Gawlowski, Gass, George W Gass, George W Gass, George W Gass, George W Gallagher, Patricia

, Iwona , Iwona Iwona Iwona Iwona , Iwona , Iwona Iwona Iwona Iwona Iwona , Iwona , Iwona Iwona Iwona , Iwona , Iwona Iwona Iwona Iwona , Iwona , Iwona , Iwona , Iwona , Iwona , Iwona

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

00015 00015 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00153 00153 00153 00153 00153

Poli Pol Poli Poli

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

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

$6.50

$3.93

$92.63

$6.50

$1.85

$70.67

$6.50

$1.41

$886.82

$6.50

$92.63

$6.50

$1.85

$1,605.00

$6.50

$238.05

$1,113.00

$6.50

$162.61

$175.41

$6.50

$31.16

$6.50

$13.93

$6.50

$31.16

$317.47

$6.50

$1,556.92

$6.50

$723.46

City Of Chicago - Confidential

Page 282 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/25/2001 Gallagher, Patricia

09/29/2010 GUTIERREZ, VICTORIA

10/10/2010 GUNNING, 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 9161 9161 9161 9161 9161 9161 9161 9161

00153

012

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

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

$6.50

$975.76

$6.50

$820.06

$6.50

$1,383.73

$6.50

$581.29

$6.50

$513.82

$6.50

$446.35

$6.50

$126.84

$1.86

$6.50

$159.04

$1.86

$2.33

$1,071.60

$6.50

$15.73

$659.54

$6.50

$9.69

$126.84

$6.50

$1.86

$126.84

$6.50

$1.86

City Of Chicago - Confidential

Page 283 of 409

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

10/10/2010 10/28/2010 10/28/2010 11/01/2010 11/01/2010 11/01/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010 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

GUNNING, JOSEPH GUEVARA, CARLOS GUEVARA, CARLOS GUERRA, CINDY GUERRA, CINDY GUERRA, CINDY GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL

9161 9161 9161 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 9161 9161 9161

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

$126.84

$6.50

$235.00

$20.70

$6.50

$809.96

$316.00

$6.50

$12.96

$259.45

$6.50

$10.45

$202.90

$6.50

$7.93

$217.75

$6.50

$9.13

$257.40

$6.50

$10.92

$350.68

$6.50

$259.45

$6.50

$10.45

$200.85

$6.50

$8.40

$226.20

$6.50

$10.05

$200.85

City Of Chicago - Confidential

Page 284 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

Poli Poli Poll

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

$6.50

$8.40

$2,784.54

$6.50

$371.30

$335.00

$174.00

$259.45

$6.50

$10.45

$316.00

$6.50

$12.96

$259.45

$6.50

$10.45

$372.63

$6.50

$259.45

$6.50

$10.45

$316.00

$12.96

$316.00

$6.50

$12.96

$316.00

$6.50

$316.00

$6.50

$12.96

$189.69

$6.50

City Of Chicago - Confidential

Page 285 of 409

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

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 04/02/2010 04/02/2010 04/02/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010

GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GROSS JR,FRED GROSSJR,FRED GROSS JR, FRED GROSS JR, FRED GROSS JR,FRED GROSSJR,FRED GROSS JR.FRED GROSS JR, FRED GROSS JR, FRED GROSSJR,FRED GROSS JR.FRED GROSS JR, FRED GROSS JR, FRED GROSS JR, FRED GROSSJR,FRED GROSS JR, FRED GROSS JR, FRED GROSS JR, FRED GROSS JR,FRED GROSSJR,FRED GROSS JR, FRED

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

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

Poli Poll Poli

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

$7.70

$6.50

$12.96

$257.40

$6.50

$10.92

$259.45

$6.50

$10.45

$25.14

$6.50

$619.35

$286.09

$3.15

$6.50

$259.95

$2.69

$6.50

$221.58

$4.29

$225.25

$354.74

$6.50

$2.73

$6.50

$2.79

$221.99

$6.50

$2.69

$6.50

$230.18

$3.47

City Of Chicago - Confidential

Page 286 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 03/01/2010 03/01/2010 03/01/2010 03/01/2010 07/18/2010 07/18/2010 02/17/2010 02/17/2010 10/20/2009 03/28/2009 03/28/2009 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010 05/19/2010

GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GRIFFIN, RICHARD GREER, HOWARD GREER, HOWARD GREER, HOWARD GREER, HOWARD GREEN, SINGLETON GREEN, SINGLETON GREEN III, JAMES GREEN III, JAMES GRAVES, ROBERT GRAU. CARMEN GRAU, CARMEN 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 9161 9161 9161

9161 9161

9165 9171 9171

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

021 021

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

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

$6.50

$742.17

$6.50

$742.17

$6.50

$404.82

$6.50

$337.35

$6.50

$95.65

$6.50

$1.16

$6.50

$95.65

$637.33

$1.16

$3.01

$74.11

$31.59

$6.50

$87.19

$6.50

$315.48

$1,461.00

$169.85

$2.64

$331.50

$6.50

$26.41

$331.50

$6.50

City Of Chicago - Confidential

Page 287 of 409

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 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

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

S26.41

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$134.11

$6.50

$5.44

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

City Of Chicago - Confidential

Page 288 of 409

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

05/19/2010 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 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/01/2010 11/21/2010

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 GRANNES, DANIEL GRANNES, DANIEL GRANNES, DANIEL GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GRAHAM, BRIAN GOUGIS, JEFFREY

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

044 044 044 044 044 044 044 044 044 044 044

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

$331.50

$6.50

$26.41

$258.05

$6.50

$19.43

$6.50

$19.43

$184.60

$6.50

$12.45

$6.50

$178.35

$9,675.56

$258.05

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$856.24

$6.50

$5.95

$294.48

$6.50

$3.06

$6.50

$4.07

$253.43

$6.50

$337.22

$4.23

City Of Chicago - Confidential

Page 289 of 409

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

11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 11/21/2010 07/16/2010 07/16/2010 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 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010

GOUGIS, JEFFREY GOUGIS, JEFFREY GOUGIS, JEFFREY GOUGIS, JEFFREY GOUGIS, JEFFREY GOUGIS, JEFFREY GOON, DANIEL GOON, DANIEL 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 GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM GOODRICH, WILLIAM

9161 9161 9161 9161 9161 9161 9161 9161

Pol Poll Pol

ce ce

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

S6.50

$10.62

$6.50

$94.00

$5.61

$126.92

$6.50

$323.41

$6.50

$36.00

$6.50

$680.98

$6.50

$27.88

$340.49

$6.50

$13.94

$867.26

$6.50

$34.57

$912.90

$185.15

$3.87

$6.38

$153.95

56.50

$5.51

$185.15

$6.50

$6.38

$241.70

$6.50

$8.89

City Of Chicago - Confidential

Page 290 of 409

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

10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010

GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH, GOODRICH,

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

Pol Pol Poli Pol

S257.40

$6.50

$10.92

$241.70

$6.50

$8.89

$260.65

$6.50

$25.70

$257.40

$6.50

$10.92

$88.23

$6.50

$1.29

$88.23

$6.50

$1.29

$257.40

$6.50

$10.92

$302.00

$6.50

$11.48

$285.10

$6.50

$10.76

$172.00

$6.50

$5.73

$128.60

$6.50

City Of Chicago - Confidential

Page 291 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/12/2010 GONZALEZ, JOSEPH

08/26/2010 GONZALEZ, FRANCISCO

08/03/2010 GONZALEZ, ANTONIO

11/05/2010 GOMEZ, MIGUEL

9161 9161 9161

013 013 013

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

$92.63

$6.50

$1.85

$92.63

$6.50

$1.85

$327.04

$6.50

$6.53

$23.49

$6.50

$0.47

$2,161.23

$6.50

$0.45

$762.53

$1,016.22

$6.50

$762.53

$3.61

$6.50

$16.30

$6.50

$401.45

$6.50

$737.91

$44.99

$6.50

$5.06

$246.07

$18.86

$34.03

City Of Chicago - Confidential

Page 292 of 409

Incident Date Claimant Rank

11/05/2010 GOMEZ, MIGUEL

09/17/2009 GOMEZ, MARILYN 9161

09/17/2009 GOMEZ, MARILYN - 9161

09/17/2009 GOMEZ, MARILYN 9161

02/10/2010 GOMEZ, JUANITA

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

014 City Of Chicago Police $6.50

014 City Of Chicago Police $6.68

014 City Of Chicago Police $6.50

014 City Of Chicago Police $5.13

014 City Of Chicago Police $191.50

014 City Of Chicago Police $6.50

014 City Of Chicago Police $4.89

014 City Of Chicago Police $261.57

014 City Of Chicago Police $1.00

014 City Of Chicago Police $6.50

014 City Of Chicago Police $68.29

014 City Of Chicago Police $5.61

014 City Of Chicago Police $6.50

014 City Of Chicago Police $219.55

014 Cily Of Chicago Police $5.13

014 City Of Chicago Police $6.50

014 City Of Chicago Police $200.84

014 City Of Chicago Police $5.61

014 City Of Chicago Police $6.50

014 City Of Chicago Police $219.55

014 City Of Chicago Police $5.36

014 City Of Chicago Police $6.50

014 City Of Chicago Police $210.20

014 City Of Chicago Police $4.05

014 City Of Chicago Police $6.50

014 City Of Chicago Police $158.83

014 City Of Chicago Police $1.29

014 City Of Chicago Police $6.50

014 City Of Chicago Police $88.23

014 City Of Chicago Police $200.84

City Of Chicago Police $378.88

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 293 of 409

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

10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 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, 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 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 GOMEZ, ALEX

Poli Poli Pol

ce ce

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

$261.30

$6.50

$14.06

$6.50

$12.86

$246.45

$6.50

$12.86

$250.15

$6.50

$149.46

$6.50

$246.45

$6.50

$12.86

$246.45

$762.63

$6.50

$3.58

$231.40

$6.50

$15.76

$303.00

$6.50

$15.38

$200.20

$6.50

$14.89

$235.95

$6.50

$15.87

$282.20

$6.50

City Of Chicago - Confidential

Page 294 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 08/20/2010 08/20/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 07/04/2010 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

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 GOINS, ROBERT GOINS, ROBERT 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 GOCHEE, JAMES GOCHEE, JAMES

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

lice lice lice lice lice ilice 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

$13.84

$231.40

$6.50

$15.76

$149.46

$6.50

$233.45

$6.50

$15.29

$233.45

$6.50

$15.29

$246.45

$6.50

$12.86

$193.00

$6.50

$35.71

$550.47

$37.61

$6.50

$579.61

$6.50

$2.33

$437.00

$6.50

$5.29

$72.96

$0.78

$6.50

$64.10

$6.50

City Of Chicago - Confidential

Page 295 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/01/2010 10/06/2009 10/06/2009 10/06/2009 10/06/2009 10/06/2009 10/06/2009 03/22/2009 03/22/2009 03/22/2009 03/22/2009 03/22/2009 03/22/2009 03/22/2009 03/22/2009 03/22/2009 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 03/22/2010 03/22/2010 03/22/2010 03/22/2010

GOCHEE, JAMES GILLESPIE, DANIEL GILLESPIE, DANIEL GILLESPIE, DANIEL GILLESPIE, DANIEL GILLESPIE, DANIEL GILLESPIE, DANIEL GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBONS, ANTHONY GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANGROSSO, CARL GIANGROSSO, CARL GIANGROSSO, CARL GIANGROSSO, 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

477 477 477 477 477 477 477 477 477 019 019 019 019 019 019 019 019 019 019 019 019 019

Poli Pol Poli Poli

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

$57.35

$187.93

$6.50

$7.63

$10.98

$6.50

$0.45

$1,494.48

$758.52

$19.44

$252.84

$760.50

$205.00

$249.08

$498.16

$758.52

$247.03

$269.88

$3.47

$6.50

$85.58

$3.47

$6.50

$85.58

$20.96

$48.15

$6.50

$1,186.33

$269.88

$6.50

$65.32

$5.26

$6.50

City Of Chicago - Confidential

Page 296 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/22/2010 03/22/2010 06/10/2010 06/10/2010 06/10/2010 10/13/2010 10/13/2010 10/13/2010 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

GIANGROSSO, CARL GIANGROSSO, CARL GEORGE, PARRIS GEORGE, PARRIS GEORGE, PARRIS GENTILE, PAUL GENTILE, PAUL GENTILE, PAUL 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

9161 9161

9161 9161 9161 9161 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

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

ilice lice lice lice lice lice lice dice 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

$65.32

$5.26

$1.96

$34.13

$6.50

$196.91

$7.99

$78.93

$6.50

$249.80

$6.50

$1.77

$2.01

$351.64

$6.50

$4.25

$1,909.99

$6.50

$934.23

$6.50

5378.88

$6.50

$1,219.70

$6.50

$783.70

$6.50

$487.88

$6.50

$420.41

$6.50

$934.23

$6.50

City Of Chicago - Confidential

Page 297 of 409

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

06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010

GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI

RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW RADOSLAW

Poli Poli Poli Pol

$85.78

$14.44

$6.50

$1.04

$6.50

$303.37

$265.60

$13.45

$6.50

$247.38

$6.50

$9.66

$504.87

$6.50

$20.96

$266.22

$6.50

$3.23

$29,494.92

$6.50

$545.96

$6.50

$22.26

$230.12

$6.50

$8.43

$759.56

$6.50

$31.53

$2,873.26

$6.50

$34.78

$4,392.24

City Of Chicago - Confidential

Page 298 of 409

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 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 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 Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Pol^:City Of Chicago Poli

06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 06/26/2010 05/23/2010 05/23/2010 05/23/2010 06/07/2010 06/07/2010 06/07/2010 05/26/2010 05/26/2010

GAWLOWSKI GAWLOWSKI, GAWLOWSKI, GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GAWLOWSKI GARDNER, KEVIN GARDNER, KEVIN GARDNER, KEVIN GARCIA, WILLIAM GARCIA, WILLIAM GARCIA, WILLIAM GARCIA, MARGARITA GARCIA, MARGARITA

9161 9161 9161 9161 9161 9161 9161 9161

007 007 007 018 018 018 018 018

Pol Pol Poli

$6.50

$3,627.32

$303.37

$6.50

$13.45

$332.35

$6.50

$12.99

$6.50

$12.26

$6.50

$427.20

$6.50

$18.54

$818.94

$33.39

$818.94

$33.39

$666.48

$6.50

$27.39

$6,843.50

$6.50

$1,192.40

$6.50

$8.11

$6.50

$199.75

$143.86

$14.18

$6.50

$18.28

$213.20

City Of Chicago - Confidential

Page 299 of 409

Incident Date Claimant Rank

05/26/2010 GARCIA, MARGARITA 9161

05/26/2010 GARCIA, MARGARITA- 9161

05/26/2010 GARCIA, MARGARITA 9161

Unit of_Insured_Total to be Paid

018 City Of Chicago Police $6.50

018 City Of Chicago Police $12.46

018 City Of Chicago Police $187.19

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.46

018 City Of Chicago Police $213.20

018 City Of Chicago Police $6.50

018 City Of Chicago Police $12.46

018 City Of Chicago Police $213.20

018 City Of Chicago Police $6.50

018 City Of Chicago Police $187.19

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.46

018 City Of Chicago Police $187.19

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.46

018 City Of Chicago Police $187.19

018 City Of Chicago Police $6.50

018 City Of Chicago Police $187.19

018 City Of Chicago Police $6.50

018 City Of Chicago Police $213.20

018 City Of Chicago Police $6.50

018 City Of Chicago Police $12.46

018 City Of Chicago Police $100.68

018 City Of Chicago Police $6.50

018 City Of Chicago Police $213.20

018 City Of Chicago Police $6.50

018 City Of Chicago Police $12.46

018 City Of Chicago Police $6.50

018 City Of Chicago Police $185.46

018 City Of Chicago Police $18.46

City Of Chicago - Confidential

Page 300 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/26/2010 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 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 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

018 018 018

|0 Pol Po

Po!

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

$18.46

$6.50

$12.46

$221.10

$6.50

$11.22

$189.90

$6.50

$10.35

$202.90

$6.50

$7.93

$61.75

$6.50

$61.75

$6.50

$2.51

$119.11

$6.50

$4.83

$2.51

$213.20

$6.50

$12.46

$202.90

$6.50

$7.93

$189.90

$6.50

$10.35

$246.45

$6.50

$12.86

City Of Chicago - Confidential

Page 301 of 409

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 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

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 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 07/11/2010 06/08/2010 06/08/2010 04/26/2010 04/26/2010 04/26/2010 04/26/2010

JOSE

EDWARD

ADOLPHO

9161 9161 9161 9161 9161 9161

044 044 044 044

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

$189.90

$6.50

$10.35

$213.20

$6.50

$12.46

$226.20

$6.50

$202.90

$6.50

$7.93

$10.05

$213.20

$6.50

$12.46

$189.90

$6.50

$10.35

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$213.20

$6.50

$12.46

$6.50

$101.71

$639.32

$6.50

$20.06

$958.98

City Of Chicago - Confidential

Page 302 of 409

Incident Date Claimant Rank

04/26/2010 GARCIA, ADOLPHO 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $6.50

044 City Of Chicago Police $30.09

044 --. City Of Chicago Police $164.41

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.16

044 City Of Chicago Police $319.66

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.03

044 City Of Chicago Police $6.50

044 City Of Chicago Police $40.12

044 City Of Chicago Police $319.66

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.03

044 City Of Chicago Police $319.66

044 City Of Chicago Police $6.50

044 City Of Chicago Police $319.66

044 City Of Chicago Police $10.03

044 City Of Chicago Police $319.66

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.03

044 City Of Chicago Police $2.54

044 City Of Chicago Police $6.50

044 City Of Chicago Police $892.62

044 City Of Chicago Police $6.50

044 City Of Chicago Police $330.41

044 City Of Chicago Police $6.50

044 City Of Chicago Police $6.61

044 City Of Chicago Police $10.03

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.31

044 City Of Chicago Police $1,278.64

044 City Of Chicago Police $155.97

City Of Chicago - Confidential

Page 303 of 409

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 01/06/2010 01/06/2010 01/06/2010 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

GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GARCIA, GANDO, GANDO, GANDO, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ,

ADOLPHO

FRANCIS

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

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

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

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

$446.31

$6.50

$1,338.93

$6.50

$446.31

$6.50

$446.79

$6.50

$2.10

$446.31

$6.50

$1,785.24

$6.50

$210.04

$6.50

$0.73

$6.50

$1,785.24

$6.50

$103.79

$2,293.92

$5.02

$6.50

$5.02

$200.85

$6.50

$8.40

$257.40

$6.50

$10.92

$113.10

$6.50

City Of Chicago - Confidential

Page 304 of 409

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 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 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

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 06/29/2010 06/29/2010 05/26/2010 04/08/2006 04/08/2006 04/08/2006 10/28/2004 10/28/2004 10/28/2004

GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GALLEGOS, ALVARO GALLEGOS, ALVARO GALLARDO, SAUL Fuller, Stephen B Fuller, Stephen B Fuller, Stephen B Freund, Delon D. Freund, Delon D. Freund, Delon D.

9161

00018 00018 00018 00003 00003 00003

lice lice lice lice 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

$5.02

$6.50

$2,323.17

$6.50

$16,985.46

$794.10

$6.50

$11.66

$37.13

$113.10

$6.50

$5.02

$6.50

$200.85

$6.50

$8.40

$113.10

$6.50

$5.02

$144.30

$6.50

$5.89

$113.10

$84.92

$6.50

$92.63

$1.85

$6.50

$689.38

$8.34

$6.50

City Of Chicago - Confidential

Page 305 of 409

Incident Date

Claimant Flynn, Robert 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 Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin Figueroa, Edwin

Rank

Unit of

05/04/2008 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 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

00018 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015

City Of Chi

Insured

Total to be Paid

City Of Chicago Police $2,173.10

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $6.50

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $138.27

City Of Chicago Police $6.50

City Of Chicago Police $30.27

City Of Chicago Police $140.88

City Of Chicago Police $6.50

Confidential

Page 306 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 07/22/2007 07/22/2007 07/22/2007 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

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 Fenner, Lolita Fenner, Lolita Fenner, Lolita FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR FUENTES, HECTOR

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

9161 9161 9161 9161 9161 9161 9161 9161 9161

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

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

$22.51

$138.27

$6.50

$30.27

$138.27

$6.50

$30.27

$282.75

$6.50

$12.56

$258.05

$6.50

$19.43

$196.99

$6.50

$33.48

$67.47

$30.27

$210.32

$6.50

$2.90

$239.61

$6.50

$42.41

$258.05

$12.45

$19.43

$6.50

$12.45

$258.05

$6.50

$184.60

$19.43

City Of Chicago - Confidential

Page 307 of 409

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

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

FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES, FUENTES,

HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR HECTOR

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

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

$258.05

$184.60

$6.50

$12.45

$258.05

$6.50

$19.43

$258.05

$6.50

$19.43

$184.60

$6.50

$12.45

$258.05

$6.50

$19.43

$258.05

$6.50

$19.43

$258.05

$6.50

$19.43

$258.05

$6.50

$19.43

$258.05

$6.50

$19.43

$258.05

$6.50

$19.43

$258.05

$6.50

City Of Chicago - Confidential

Page 308 ot 409

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

03/20/2010 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 03/20/2010 06/10/2010 06/10/2010 06/03/2010 06/03/2010 06/03/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 09/03/2010 07/26/2009 07/26/2009 07/26/2009

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 FUENTES, HECTOR FROLE, THOMAS FROLE, THOMAS FRANO JR, WAYNE FRANO JR, WAYNE FRANO JR, WAYNE FRANKLIN, ROBERT FRANKLIN, ROBERT FRANKLIN, ROBERT FRANKLIN, ROBERT FRANKLIN, ROBERT FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOUCH, NICOLE FOSTER, MARK FOSTER, MARK FOSTER, MARK

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

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

044 044 044 015 015 015 015 015 005 005 005 005 005

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

$19.43

$258.05

$6.50

$19.43

$347.58

$6.50

$6.95

$184.60

$6.50

$12.45

$6.50

$19.43

$184.60

$6.50

$193.00

$6.50

$1,320.14

$33.74

$801.38

$19.54

$6.50

$66.00

$6.50

$95.65

$6.50

$1.16

$1,338.93

$1.73

$6.50

$42.63

City Of Chicago - Confidential

Page 309 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010 10/17/2010

FORD, BRUCE FORD,BRUCE FORD, BRUCE FORD, BRUCE FORD,BRUCE FORD, BRUCE FOLINO. ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, JOHN FOERTSCH, 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

003 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003

Poli Poli Poli

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

$137,45

$6.50

$1,120.62

$6.50

$548.41

$137.45

$17.64

$24.99

$47.61

$6.50

$1,173.00

$25.13

$89.97

$6.50

$45.78

$6.50

$28.74

$226.80

$6.50

$5.80

$70.53

$6.50

$23.21

$214.65

$6.50

$208.28

$6.50

$10.52

$6.74

$898.62

$6.50

$420.83

$23.86

City Of Chicago - Confidential

Page 310 of 409

Incident Date Claimant Rank

10/17/2010 FOERTSCH, JOHN 9161

03/23/2010 FLORES, SAMUEL 9161

08/28/2010 FLORES, JULIO 9161

07/02/2010 FLOODAS, THEODORE 9161

08/10/2010 FLISK, TIMOTHY 9171

Unit of_Insured_Total to be Paid

003 City Of Chicago Police S39.21

003 City Of Chicago Police $743.34

003 City Of Chicago Police $6.50

003 City Of Chicago Police $15.35

003 City Of Chicago Police $91.30

003 City Of Chicago Police $6.50

003 City Of Chicago Police $1,164.17

189 City Of Chicago Police $6.50

189 City Of Chicago Police $451.16

189 City Of Chicago Police $6.50

189 City Of Chicago Police $451.16

189 City Of Chicago Police $6.50

189 City Of Chicago Police $159.98

189 City Of Chicago Police $451.16

025 City Of Chicago Police $23.02

025 City Of Chicago Police $153.82

025 City Of Chicago Police $6.50

025 City Of Chicago Police $12.38

025 City Of Chicago Police $6.50

025 City Of Chicago Police $143.65

025 City Of Chicago Police $6.50

002 City Of Chicago Police $6.50

002 City Of Chicago Police $220.50

002 City Of Chicago Police $6.50

002 City Of Chicago Police $5.64

002 City Of Chicago Police $6.50

002 City Of Chicago Police $123.51

002 City Of Chicago Police $773.20

008 City Of Chicago Police $6.50

008 City Of Chicago Police $22.97

008 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 311 of 409

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

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 08/25/2010 08/25/2010 08/25/2010

FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET

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

Poll Pol Pol

ce ce

•ce ce ce ice ce ce ce ice ce ce ice ice ce ice ice ce ice ice ice ce ce ce ice ce ce ice ice ce ice ice ce

$228.70

$6.50

$11.31

$20.42

$228.70

$6.50

$11.31

$228.70

$6.50

$11.31

$241.70

$6.50

$8.89

$241.70

$6.50

$8.89

$185.15

$6.50

$6.38

$102.54

$6.50

$1.24

$241.70

$6.50

$8.89

$241.70

$6.50

$8.89

$241.70

$6.50

$8.89

$241.70

$6.50

City Of Chicago - Confidential

Page 312 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/25/2010 FLISK, MARGARET

08/11/2010 FLAHERTY, KENNETH

10/15/2010 FITZPATRICK, TIMOTHY

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

023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023

$8.89

$1,020.79

$6.50

$282.98

$6.50

$1.33

$6.50

$367.45

$6.50

$10.35

$246.45

$6.50

$12.86

$250.25

$6.50

$12.86

$230.10

$6.50

$13.19

$246.45

$6.50

$12.86

$524.15

$6.50

$311.38

$6.50

$794.20

$6.50

$57.00

$6.50

$72.65

$6.50

$189.90

City Of Chicago - Confidential

Page 313 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 10/15/2010 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 10/12/2010 10/12/2010 10/12/2010

FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZPATRICK, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD, . FITZGERALD, FITZGERALD, FITZGERALD, FITZGERALD,

TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P JOSEPH P

P.O. P.O. P.O. P.O. P.O. P.O. P.O. P.O. P.O. P.O. P.O. P.O. P.O. P.O. P.O.

023 023 023 023 023 023 023 023 023 023 023 023 023 023 023

$6.50

$10.35

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$189.90

$187.85

$6.50

$10.82

$187.85

$6.50

$10.82

$144.30

$6.50

$5.89

$187.85

$6.50

$10.82

$200.85

$6.50

$8.40

$187.85

$6.50

$10.82

City Of Chicago - Confidential

Page 314 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/12/2010 FITZGERALD, JOSEPH P

09/15/2010 FINEGAN, THOMAS

11/17/2010 FIGUEROA, EDDIE

9161 9161

153 153

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 City Of Chicago Po City Of Chicago Pol

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

$187.85

$6.50

$10.82

$244.40

$6.50

$13.33

$167.09

$6.50

$16.47

$257.40

$6.50

$10.92

$138.27

$6.50

$30.27

$178.60

$6.50

$2.16

$1,556.92

$6.50

$8.64

$6.50

$199.85

$8.64

$6.50

$199.85

$8.64

$6.50

$158.20

$6.50

$26.41

$199.85

City Of Chicago - Confidential

Page 315 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 11/17/2010 08/25/2010 08/25/2010 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

FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIGUEROA, EDDIE FIELDS, LAWRENCE FIELDS, LAWRENCE 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

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

$13.47

$6.50

$216.46

$17.65

$6.50

$144.35

$13.25

$6.50

$230.50

$11.53

$22.00

$6.50

$13.80

$2,043.22

$52.21

$451.18

$6.50

$15.42

$58.43

$1.16

$6.50

$95.65

$146.84

$6.50

$3,617.60

$6.50

$1,117.83

$6.50

$309.29

$4.29

$6.50

$354.01

$20.72

City Of Chicago - Confidential

Page 316 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 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 01/09/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010 09/14/2010

FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FIELDS, JEROHN FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERREIRA, ALFRED FERENZI, RICHARD FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL

9161 9161 9161 9161 9161 9161 9161

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

002 002 002 002 002 002 002

153 055 055 055 055 055 055 055 055 055 055 055 055

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

$6.50

$510.34

$9.20

$6.50

$279.96

$6.50

$428.12

$6.50

$87.19

$6.50

$80.56

$6.50

$428.12

$80.56

$438.10

$2.06

$66.24

$6.50

$32.04

$33.63

$16.02

$1,921.00

$6.50

$77.97

$76.50

$6.50

$3.10

$6.50

City Of Chicago - Confidential

Page 317 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/14/2010 09/14/2010 09/14/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 08/27/2008 08/27/2008 08/27/2008 09/30/2008 09/30/2008 05/27/2005 05/27/2005 05/27/2005 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 08/16/2000 10/10/2010

FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Eichler, Donald Eichler, Donald Edwards, Elmore Edwards, Elmore Edwards, Elmore Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen Edenhofer, Carleen ESPINO, EUGENIO

9169

9161

055

393

00006

00023

00018

00016

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

$103.72

$55.34

$110.68

$350.68

$19.18

$6.50

$1,199.10

$24.23

$7.21

$6.50

$1,712.62

$6.50

$109.80

$6.50

$1,452.68

$794.19

$6.50

$24.20

$6.50

$305.53

$6.50

$338.81

$17.11

$175.08

$6.50

$4.47

$677.26

$6.50

$17.31

$630.00

$6.50

$174.20

City Of Chicago - Confidential

Page 318 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010

ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO, ESPINO,

EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO EUGENIO

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 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 Poll City Of Chicago Poll 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 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 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

ce ce ce ce ce ce ce ce ice ce ce ice ce ce ice ce ice ce ce ce ice ice ce ice ce ce ice ce ice •ce ce ice ce

S6.50

$8.33

$174.20

$6.50

$8.33

$187.20

$6.50

$5.91

$661.91

$6.50

$16.92

$37.37

$6.50

$166.07

$6.50

$9.55

$35.18

$6.50

$0.42

$95.65

$6.50

$1.16

$315.86

$6.50

$6.32

$104.25

$6.50

$2.09

$170.85

$6.50

$8.54

$174.20

$6.50

City Of Chicago - Confidential

Page 319 of 409

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

10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 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

ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESPINO, EUGENIO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO

9161 9161 9161 9161 9161 9161 9161 9161 9161 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

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 dice lice lice ilice lice lice lice lice

$8.33

$174.20

$6.50

$8.33

$187.20

$6.50

$5.91

$161.20

$6.50

$10.76

$95.65

$6.50

$1.16

$187.20

$6.50

$5.91

$187.20

$6.50

$5.91

$169.54

$6.50

$4.39

$10.05

$6.50

$10.05

$45.05

$1.83

$2,084.00

$6.50

$6.14

$6.50

$243.10

City Of Chicago - Confidential

Page 320 of 409

Incident Date Claimant Rank

07/27/2010 ESCOBAR, GONZALO 9161

11/12/2010 ERICKSEN, CHRIS 9161

07/02/2010 EDWARDS, JEFFREY 9161

01/19/2010 EDWARDS, JASON 9161

11/17/2010 ECHOLS, JAMES 9161

Unit of_Insured_Total to be Paid

002 City Of Chicago Police $6.50

002 City Of Chicago Police $10.77

002 City Of Chicago Police $169.65

002 City Of Chicago Police $6.50

002 City Of Chicago Police $7.53

002 City Of Chicago Police $169.65

002 City Of Chicago Police $6.50

002 City Of Chicago Police $7.53

002 City Of Chicago Police $226.20

044 City Of Chicago Police $79.90

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1,164.76

044 City Of Chicago Police $3.24

015 City Of Chicago Police $198.98

015 City Of Chicago Police $6.50

015 City Of Chicago Police $6.47

015 City Of Chicago Police $6.50

015 City Of Chicago Police $5.09

015 City Of Chicago Police $49.30

015 City Of Chicago Police $2,774.65

015 City Of Chicago Police $6.50

015 City Of Chicago Police $70.91

015 City Of Chicago Police 5495.22

015 City Of Chicago Police $6.50

015 City Of Chicago Police $12.65

015 City Of Chicago Police $473.00

City Of Chicago Police $234.00

City Of Chicago Police $6.50

City Of Chicago Police $5.98

015 City Of Chicago Police $237.64

015 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 321 of 409

Incident Date Claimant Rank

11/17/2010 ECHOLS, JAMES 9161

08/08/2010 ECHEVERRIA, CESAR

11/18/2010 ECHEVERRIA, CESAR 9161

09/04/1997 Dziwulski, Mel P

09/17/2006 Duffy, Kevin P

04/27/2000 Domenech, Gus P

07/14/1988 Domagala, Bernard P

Unit of Insured Total to be Paid

015 City Of Chicago Police $22.13

015 City Of Chicago Police $6.50

015 City Of Chicago Police $284.70

015 City Of Chicago Police $15.50

015 City Of Chicago Police $6.50

015 City Of Chicago Police $2.88

015 City Of Chicago Police $366.14

015 City Of Chicago Police $6.50

015 City Of Chicago Police $14.86

015 City Of Chicago Police $73.08

015 City Of Chicago Police $6.50

015 City Of Chicago Police $165.10

015 City Of Chicago Police $6.50

015 City Of Chicago Police $15.50

015 City Of Chicago Police $165.10

City Of Chicago Police $6.50

014 City Of Chicago Police $238.74

014 City Of Chicago Police $6.50

014 City Of Chicago Police $400.00

014 City Of Chicago Police $6.50

014 City Of Chicago Police $199.30

00023 City Of Chicago Police $6.50

00023 City Of Chicago Police $296.00

00018 City Of Chicago Police $126.75

00018 City Of Chicago Police $1.86

00018 City Of Chicago Police $6.50

00014 City Of Chicago Police $6.50

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $377.32

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $133.28

09999 City Of Chicago Police $566.20

City Of Chicago - Confidential

Page 322 of 409

Incident Date Claimant Rank

07/14/1988 Domagala, Bernard P

09/09/2008 Dipasquale, Shannon V P

12/11/2007 Dearth, Robert F P

10/17/2005 Dangles, Robert J P

08/01/2010 DVORATCHEK, JENNIFER 9161

Unit of Insured Total to be Paid

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $337.50

09999 City Of Chicago Police $850.27

09999 City Of Chicago Police $870.34

09999 Cily Of Chicago Police $12,129.99

09999 City Of Chicago Police $403.89

09999 City Of Chicago Police $6.50

00013 City Of Chicago Police $264.70

00013 City Of Chicago Police $10.74

00013 City Of Chicago Police $264.70

00013 City Of Chicago Police $10.74

00013 City Of Chicago Police $264.70

00013 City Of Chicago Police $10.74

00013 City Of Chicago Police $264.70

00013 City Of Chicago Police $10.74

00701 City Of Chicago Police $204.35

00701 City Of Chicago Police $6.50

00701 City Of Chicago Police $28.31

00701 City Of Chicago Police $84.73

00701 City Of Chicago Police $4.09

00022 City Of Chicago Police $688.42

00022 City Of Chicago Police $9,054.63

015 City Of Chicago Police $313.95

015 City Of Chicago Police $6.50

015 City Of Chicago Police $13.43

015 City Of Chicago Police $357.50

015 City Of Chicago Police $6.50

015 City Of Chicago Police $18.36

015 City Of Chicago Police $241.93

015 City Of Chicago Police $13.43

015 City Of Chicago Police $6.50

015 City Of Chicago Police $448.14

015 City Of Chicago Police $313.95

City Of Chicago - Confidential

Page 323 of 409

Incident Date Claimant Rank

08/01/2010 DVORATCHEK, JENNIFER 9161

Unit of_Insured_Total to be Paid

015 City Of Chicago Police $313.95

015 City Of Chicago Police $13.43

015 City Of Chicago Police $313.95

015 City Of Chicago Police $300.95

015 City Of Chicago Police $113.10

015 City Of Chicago Police $6.50

015 City Of Chicago Police $5.02

015 City Of Chicago Police $134.00

015 City Of Chicago Police $6.50

015 City Of Chicago Police $8.31

015 City Of Chicago Police $313.95

015 City Of Chicago Police $6.50

015 City Of Chicago Police $13.43

015 City Of Chicago Police $300.95

015 City Of Chicago Police $6.50

015 City Of Chicago Police $15.85

015 City Of Chicago Police $313.95

015 City Of Chicago Police $6.50

015 City Of Chicago Police $13.43

015 City Of Chicago Police $313.95

015 City Of Chicago Police $6.50

015 City Of Chicago Police $13.43

015 City Of Chicago Police $313.95

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 $6.50

015 City Of Chicago Police $13.43

015 City Of Chicago Police $313.95

015 City Of Chicago Police $6.50

015 City Of Chicago Police $313.95

015 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 324 of 409

Incident Date Claimant Rank

08/01/2010 DVORATCHEK, JENNIFER 9161

09/01/2010 DURST, DANIEL 9161

09/01/2010 DURST. DANIEL 9161

09/01/2010 DURST, DANIEL 9161

08/14/2010 DURHAM, SHENETTA 9161

05/04/2010 DUNK, JOSEPH 9164

Unit of_Insured_Total to be Paid

015 City Of Chicago Police S13.43

015 City Of Chicago Police $6.50

015 City Of Chicago Police $13.43

015 City Of Chicago Police $257.40

015 Cily Of Chicago Police $6.50

015 City Of Chicago Police $10.92

015 City Of Chicago Police $304.75

015 City Of Chicago Police $6.50

015 City Of Chicago Police $15.85

015 City Of Chicago Police $326.30

015 City Of Chicago Police $6.50

015 City Of Chicago Police $17.49

015 City Of Chicago Police $6.50

015 City Of Chicago Police $13.43

015 City Of Chicago Police $300.95

015 City Of Chicago Police $6.50

015 City Of Chicago Police $15.85

015 City Of Chicago Police $6.50

015 City Of Chicago Police $15.85

015 City Of Chicago Police $257.40

015 City Of Chicago Police $6.50

015 City Of Chicago Police $10.92

019 City Of Chicago Police $6.50

019 City Of Chicago Police $42.00

019 City Of Chicago Police $6.50

019 City Of Chicago Police $219.53

019 City Of Chicago Police $25.53

019 City Of Chicago Police $3.22

019 City Of Chicago Police $6.50

019 City Of Chicago Police $207.59

City Of Chicago Police $77.42

007 City Of Chicago Police $108.99

007 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 325 of 409

Incident Date Claimant_Rank

05/04/2010 DUNK, JOSEPH 9164

Unit of_Insured_Total to be Paid

007 City Of Chicago Police $269.11

007 City Of Chicago Police $6.50

007 City Of Chicago Police $10.93

007 City Of Chicago Police $309.69

007 City Of Chicago Police $6.50

007 City Of Chicago Police $12.57

007 City Of Chicago Police $269.11

007 City Of Chicago Police $6.50

007 City Of Chicago Police $10.93

007 City Of Chicago Police $6,490.66

007 City Of Chicago Police $6.50

007 City Of Chicago Police $187.07

007 Cily Of Chicago Police $119.12

007 City Of Chicago Police $1.14

007 City Of Chicago Police $6.50

007 City Of Chicago Police $60.20

007 City Of Chicago Police $6.50

007 City Of Chicago Police $60.20

007 City Of Chicago Police $68.50

007 City Of Chicago Police $10.93

007 City Of Chicago Police $6.50

007 City Of Chicago Police $269.11

007 City Of Chicago Police $11.99

007 City Of Chicago Police $6.50

007 City Of Chicago Police $295.09

007 City Of Chicago Police $6.50

007 City Of Chicago Police $1,611.41

007 City Of Chicago Police $6.50

007 City Of Chicago Police $43.17

007 City Of Chicago Police $8.11

007 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 326 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/04/2010 DUNK, JOSEPH

11/15/2010 DUCKHORN, NICHOLAS

11/23/2010 DUCAR, PHILIP

07/24/2010 DU BOSE, GERMAINE

05/12/2010 DRAGON, JEAN

9164 9164 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9165 9165 9165 9165 9165 9165 9165

007 007 044 044 044 044 044 044 044 044 044 153 153 620 620 620 620 620 620 620

$199.75

$6.50

$913.48

$6.50

$14.76

$6.50

$9.59

$185.89

$6.50

$4.75

$23.34

$6.50

$41.52

$48.52

$1,442.37

$58.50

$801.97

$6.50

$1,196.24

$6.50

$28.86

$13.99

$6.50

$3.68

$11.37

$6.50

$7.70

$1,313.11

$6.50

$171.27

City Of Chicago - Confidential

Page 327 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/12/2010 DRAGON, JEAN

07/13/2010 DOYLE, BRIAN

09/09/2010 DOWLING, DANIEL

01/31/2010 DOUGHERTY, BRANDON

10/16/2010 DORRIS, JOHN

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

153 153 153

Poli Poli Pol Poli

9171

009

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

$6.50

$137.20

$6.50

$2.70

$6.50

$76.76

$6.50

$28.73

$6.50

$4.40

$47.88

$6.50

$256.56

$610.40

$180.85

$6.50

$80.16

$6.50

$10.15

$2,563.86

$6.50

$1,079.52

$6.50

$56.56

$10.15

$56.56

$6.50

$4.12

$3,656.38

$206.26

$73.13

$6.50

$330.05

City Of Chicago - Confidential

Page 328 of 409

Incident Date Claimant Rank

10/16/2010 DORRIS, JOHN 9171

03/25/2010 DONOVAN, DAVID 9161

Unit of_Insured_Total to be Paid

009 City Of Chicago Police $6.50

009 City Of Chicago Police $290.59

009 City Of Chicago Police $6.50

009 City Of Chicago Police $1,230.11

009 City Of Chicago Police $6.50

009 City Of Chicago Police $0.22

009 City Of Chicago Police $92.00

009 City Of Chicago Police $6.50

009 City Of Chicago Police $57.00

009 City Of Chicago Police $6.50

009 City Of Chicago Police $924.89

009 City Of Chicago Police $6.50

009 City Of Chicago Police $485.76

009 City Of Chicago Police $6.50

009 City Of Chicago Police $8,563.69

009 City Of Chicago Police $6.50

009 City Of Chicago Police $392.57

009 City Of Chicago Police $6.50

009 City Of Chicago Police $0.92

009 City Of Chicago Police $87.19

009 City Of Chicago Police $6.50

009 City Of Chicago Police $852.60

009 City Of Chicago Police $6.50

009 City Of Chicago Police $0.23

009 City Of Chicago Police $756.70

009 City Of Chicago Police $6.50

009 City Of Chicago Police $87.19

009 City Of Chicago Police $6.50

009 City Of Chicago Police $87.19

009 City Of Chicago Police $6.50

009 City Of Chicago Police $254.27

009 City Of Chicago Police $6.50

018 City Of Chicago Police $53.97

City Of Chicago - Confidential

Page 329 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/25/2010 03/25/2010 03/25/2010 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 04/29/2009 04/29/2009 04/29/2009 04/29/2009

DONOVAN, DAVID DONOVAN, DAVID DONOVAN, DAVID DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DIMOFF, DAVID DIMOFF, DAVID DIMOFF, DAVID DIMOFF, DAVID

9161 9161 9161

018 018 018

Pol

Poli Poli

9161 9161 9161 9161

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

$6.50

$22.80

$6.50

$7.97

$6.50

$658.65

$3.22

$221.21

$6.50

$1.79

$1.64

$210.15

$357.92

$6.50

$4.33

$241.57

$6.50

$2.93

$1,268.78

$6.50

$25.37

$23.81

$67.48

$6.50

$115.90

$6.50

$266.22

$6.50

$4.20

$103.36

$6.50

$1,348.23

City Of Chicago - Confidential

Page 330 of 409

Incident Date Claimant Rank

04/29/2009 DIMOFF, DAVID 9161

08/30/2010 DICARLO, ANTONIO 9161

11/16/2010 DEWINTER, CAROLINA 9161

09/12/2009 DENNIS, ANDRE 9161

03/20/2010 DELGADO JR, PABLO 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

007 City Of Chicago Police $6.50

007 City Of Chicago Police $213.82

007 City Of Chicago Police $6.50

007 City Of Chicago Police $686.07

City Of Chicago Police $555.41

City Of Chicago Police $6.50

City Of Chicago Police $2.51

City Of Chicago Police $98.09

City Of Chicago Police $6.50

City Of Chicago Police $14.19

005 City Of Chicago Police $152.08

005 City Of Chicago Police $56.15

005 City Of Chicago Police $155.52

009 City Of Chicago Police $478.80

009 City Of Chicago Police $1,449.00

009 City Of Chicago Police $433.20

009 City Of Chicago Police $6.50

009 City Of Chicago Police $707.00

009 City Of Chicago Police $6.50

009 City Of Chicago Police $33.24

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 331 of 409

Incident Date Claimant Rank

03/20/2010 DELGADO JR, PABLO 9161

Unit of_Insured_Total to be Paid

009 City Of Chicago Police S2.06

009 City Of Chicago Police $6.50

009 City Of Chicago Police $438.10

009 City Of Chicago Police $6.50

009 City Of Chicago Police $87.19

009 City Of Chicago Police $6.50

009 City Of Chicago Police $87.19

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $446.26

009 City Of Chicago Police $6.50

009 City Of Chicago Police $400.00

009 City Of Chicago Police $6.50

009 City Of Chicago Police $229.16

009 City Of Chicago Police $6.50

009 City Of Chicago Police $176.43

009 City Of Chicago Police $6.50

009 City Of Chicago Police $176.43

009 City Of Chicago Police $6.50

009 City Of Chicago Police $176.43

009 City Of Chicago Police $6.50

009 City Of Chicago Police $269.85

009 City Of Chicago Police $6.50

009 City Of Chicago Police $745.95

009 City Of Chicago Police $6.50

009 City Of Chicago Police $30.28

009 City Of Chicago Police $228.32

009 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 332 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/20/2010 03/20/2010 06/20/2010 06/20/2010 04/06/2010 04/06/2010 07/12/2010 07/12/2010 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 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 03/21/2010

DELGADO JR, PABLO DELGADO JR, PABLO DELEON, DIANE DELEON, DIANE DEL RIVERO, SAUL " DEL RIVERO, SAUL DEEREN, KEVIN DEEREN, KEVIN DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL DECKER, MICHAEL

9161 9161 9161 9161 9165 9165 9161 9161

009 009

606 606 010 010

lice ilice 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

$6.50

$52.47

$6.50

$61.24

$6.50

$952.32

$6.50

$207.59

$87.19

$384.00

$6.50

$14.33

$401.61

$6.50

$17.07

$208.00

$6.50

$7.07

$1,920.00

$71.65

$6.50

$1,536.00

$6.50

$57.32

$87.19

$6.50

$1,536.00

$6.50

$57.32

$384.00

$6.50

$14.33

City Of Chicago - Confidential

Page 333 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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 10/01/2010 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

DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DECKER, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE, DEBOSE,

MICHAEL

LISA

MARC

9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

020 020 020 020 020 020 020 020 020 020 020 315 315 315 315 315 315 315 315 315 315 315 315 315

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

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

$1,536.00

$6.50

$57.32

$82.83

$6.50

$384.00

$6.50

$14.33

$1.00

$1,229.00

$21.36

$6.50

$82.53

$6.50

$2.82

$6.50

$31.40

$48.99

$6.50

$434.91

$6.50

$3.53

$230.18

$6.50

$2.79

$291.02

$6.50

$3.53

$291.02

$1.07

$6.50

$88.75

$3.53

City Of Chicago - Confidential

Page 334 of 409

Incident Date Claimant Rank

08/31/2010 DEBOSE, MARC 9161

11/18/2010 DE HAAN, DARREN 9161

06/27/2010 DAVIS, QUINTON 9161

Unit of_Insured_Total to be Paid

315 City Of Chicago Police $6.50

315 City Of Chicago Police $291.02

315 City Of Chicago Police $3.53

315 City Of Chicago Police $6.50

315 City Of Chicago Police $2.06

315 City Of Chicago Police $291.02

315 City Of Chicago Police $169.33

315 City Of Chicago Police $6.50

153 City Of Chicago Police $489.75

153 City Of Chicago Police $6.50

153 City Of Chicago Police $1.50

153 City Of Chicago Police $207.59

153 City Of Chicago Police $6.50

701 City Of Chicago Police $207.13

701 City Of Chicago Police $6.50

701 City Of Chicago Police $72.20

701 City Of Chicago Police $6.50

701 City Of Chicago Police $72.20

701 City Of Chicago Police $33.61

701 City Of Chicago Police $6.50

701 City Of Chicago Police $259.74

701 City Of Chicago Police $6.50

701 City Of Chicago Police $21,164.14

701 City Of Chicago Police $6.50

701 City Of Chicago Police $1,750.54

701 City Of Chicago Police $741.49

701 City Of Chicago Police $6.50

701 City Of Chicago Police $12,120.71

701 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 335 of 409

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

Total to be Paid

06/27/2010 06/27/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 11/08/2010 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

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 , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , LEON , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE , DANIELLE

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

701 701 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003 003

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

$1,064.78

$334.80

$16.76

$6.50

$1.86

$45.87

$1.86

$6.50

$16.42

$6.50

$33.62

$45.90

$101.38

$6.50

$3,084.87

$6.50

$16.42

$6.50

$33.62

$412.90

$25.32

$331.50

$6.50

$26.41

$331.50

56.50

$26.41

$61.03

$6.50

$6.02

$331.50

$6.50

$26.41

City Of Chicago - Confidential

Page 336 of 409

Incident Date Claimant Rank

08/26/2009 DAVIS, DANIELLE 9164

11/12/2010 DAVILA, HECTOR 9161

11/12/2010 DAVILA-HECTOR 9161

11/12/2010 DAVILA, HECTOR 9161

10/11/2010 DAVIDSON, SUZETTE 9165

Unit of_Insured_Total to be Paid

City Of Chicago Police $331.50

City Of Chicago Police $6.50

City Of Chicago Police $26.41

City Of Chicago Police $331.50

City Of Chicago Police $6.50

City Of Chicago Police $26.41

City Of Chicago Police $184.60

City Of Chicago Police $6.50

City Of Chicago Police $12.45

024 City Of Chicago Police $185.89

024 City Of Chicago Police $7.24

024 City Of Chicago Police $6.50

024 City Of Chicago Police $11.52

024 City Of Chicago Police $18.29

024 City Of Chicago Police $6.50

024 City Of Chicago Police $715.46

024 City Of Chicago Police $4.75

610 City Of Chicago Police $6.50

610 City Of Chicago Police $715.17

610 City Of Chicago Police $6.50

610 City Of Chicago Police $304.11

610 City Of Chicago Police $6.50

610 City Of Chicago Police $278.16

610 City Of Chicago Police $6.50

610 City Of Chicago Police $243.91

610 City Of Chicago Police $6.50

610 City Of Chicago Police $487.19

610 City Of Chicago Police $6.50

610 City Of Chicago Police $304.11

610 City Of Chicago Police $6.50

610 City Of Chicago Police $185.80

610 City Of Chicago Police S6.50

City Of Chicago - Confidential

Page 337 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/11/2010 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 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 10/07/2010 05/14/2010 05/14/2010 05/14/2010 05/14/2010

DAVIDSON, SUZETTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARWIN, CHARLOTTE DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARNALL, DEREK DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA DARCY, PATRICIA

9165

610

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 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 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 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 Poli City Of Chicago Pol

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

$304.11

$3.01

$6.50

$74.11

$70.39

$62.43

$1,735.64

$23.30

$1,539.42

$6.50

$2.62

$6.50

$45.60

$22.31

$6.50

$564.80

$2.55

$327 84

$6.50

$4.81

$174.10

$6.50

$2.55

$169.31

$6.50

$2.49

$6.50

$174.10

$10.50

$6.50

$182.72

$10.50

City Of Chicago - Confidential

Page 338 of 409

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

05/14/2010 DARCY, PATRICIA

02/21/2010 DARABAIH, MOHAMMAD

09/19/2010 DANIELS, MARTIN

09/24/2006 Cothran, Alonzo

09/24/2006 Cothran, Aionzo

09/24/2006 Cothran, Alonzo

04/27/2008 Conroy, Bridget

12/16/2006 Connelly, Dennis M

12/16/2006 ' Connelly, Dennis M

12/16/2006 Connelly, Dennis M

9161

P ■

s s s

023

09999

00009

00022

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

$6.50

$182.72

$10.50

$6.50

$182.72

$6.50

$114.20

$6.50

$114.20

$6.50

$228.40

$6.50

$77.05

$342.60

$207.59

$6.50

$312.37

$7.98

$6.50

$796.33

$48.53

$11.94

$12.92

$15.40

$6.89

$1,069.10

$1.54

$6.50

$27.33

$6.50

City Of Chicago - Confidential

Page 339 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/16/2006 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 01/18/1999 11/07/2008 11/07/2008

Connelly, Dennis M Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Clifton-Cole, Everly V Chinchilla, Baneond Chinchilla, Baneond

S 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 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011

$327.47

$6.50

$167.09

$6.50

$16.32

$274.62

$6.50

$27.06

$167.09

$6.50

$16.47

$116.00

$6.50

$11.52

$94.00

$6.50

$9.41

$159.82

$15.75

$6.50

$16.47

$6.50

$15.75

$159.82

$6.50

$159.82

$6.50

$15.75

$167.00

$16.50

$16564

$0.89

$6.50

City Of Chicago - Confidential

Page 340 of 409

Incident Date Claimant

Rank

Unit of

11/07/2008 10/03/2007 10/03/2007 10/03/2007 10/03/2007 04/13/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007 08/16/2007

Chinchilla, Baneond Chavez, Georgina A Chavez, Georgina A Chavez, Georgina A Chavez, Georgina A Chapman, Sherett

Chapa Chapa Chapai Chapa Chapa Chapai Chapa Chapai Chapai Chapa Chapai Chapai Chapa Chapai Chapai Chapai Chapai Chapai Chapai Chapai Chapai Chapai Chapai Chapai Chapai Chapai Chapai

ro, Elo to, Eloi ro, Eloi to, Elo ro, Eloi ro, Eloi ro, Elo ro, Eloi to, Eloi ro, Elo ro, Eloi to, Eloi ro, Elo ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi ro, Eloi

00011 00010 00010 00010 00010 00002 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193 00193

City Of Chi

Insured

Total to be Paid

City Of Chicago Police $60.72

City Of Chicago Police $34.35

City Of Chicago Police $6.50

City Of Chicago Police $76.18

City Of Chicago Police $6.50

City Of Chicago Police $15.53

City Of Chicago Police $158.60

City Of Chicago Police $6.50

City Of Chicago Police $169.65

City Of Chicago Police $6.50

City Of Chicago Police $11.34

City Of Chicago Police $158.60

City Of Chicago Police $6.50

City Of Chicago Police $11.98

City Of Chicago Police $169.65

City Of Chicago Police $6.50

City Of Chicago Police $11.34

City Of Chicago Police $169.65

City Of Chicago Police $6.50

City Of Chicago Police $11.34

City Of Chicago Police $158.60

City Of Chicago Police $6.50

City Of Chicago Police $11.98

City Of Chicago Police $158.60

City Of Chicago Police $6.50

City Of Chicago Police $11.98

City Of Chicago Police $6.50

City Of Chicago Police $205.40

City Of Chicago Police $11.34

City Of Chicago Police $6.50

City Of Chicago Police $169.65

City Of Chicago Police $8.89

Confidential Page 341 of 409

Incident Date Claimant

Rank

Unit of

Insured

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

08/16/2007 08/16/2007 08/16/2007 01/25/1998 01/25/1998 01/25/1998 01/25/1998 01/24/2001 01/24/2001 01/24/2001 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 09/12/2010 09/12/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010

Chaparro, Eloisa Chaparro, Eloisa Chaparro, Eloisa Cato, Eric D Cato, Eric D Cato, Eric D Cato, Eric D Castillo, Diego A Castillo, Diego A Castillo, Diego A CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CURCIO, MICHAEL CURCIO, MICHAEL CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN

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

00193

00005

00014

023

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

$6.50

$202.15

$11.98

$77.85

$6.50

$1,601.57

$6.50

$127.92

$6.50

$5.19

$89.17

$48.01

$1.08

$101.00

$6.50

$19.20

$357.20

$6.50

$4.32

$89.17

$6.50

$1.08

$1,878.80

$6.50

$794.96

$6.50

$9.87

$239.76

$6.50

$814.37

$6.50

$87.19

City Of Chicago - Confidential

Page 342 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/28/2010 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 10/04/2010 10/04/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 11/16/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010 10/28/2010

CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CULLINAN, MARILYN CRUZ, WILFREDO CRUZ, WILFREDO CRUZ, WILFREDO CRUZ, WILFREDO CRUZ, WILFREDO CRUZ, WILFREDO CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD

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

$6.50

$228.32

$6.50

$166.05

$6.50

$134.93

$6.50

$280.24

$6.50

$233.53

$176.43

$6.50

$555.41

$2.51

$6.50

$98.09

$14.19

$28.72

$100.68

$6.50

$253.47

$796.11

$6.50

$1,158.18

$343.56

$6.50

$7,636.43

$6.50

$856.72

City Of Chicago - Confidential

Page 343 of 409

Incident Date Claimant Rank

10/05/2010 CROSBY, GEORGE 9161

05/06/2010 CRAWFORD, ALVIN 9161

09/18/2010 CRANSTON, ROBERT 9161

01/27/2010 CRANFIELD, BERTRAM 9161

03/17/2010 CRANE, ROBERT 9161

Unit of_Insured_Total to be Paid

765 City Of Chicago Police $6.84

765 City Of Chicago Police $6.50

City Of Chicago Police $446.26

City Of Chicago Police $6.50

City Of Chicago Police $684.62

City Of Chicago Police $1.72

City Of Chicago Police $6.50

City Of Chicago Police $85.95

017 City Of Chicago Police $379.93

017 City Of Chicago Police $6.50

017 City Of Chicago Police $15.43

017 City Of Chicago Police $119.11

017 City Of Chicago Police $6.50

017 City Of Chicago Police $4.83

017 City Of Chicago Police $632.09

017 City Of Chicago Police $6.50

017 City Of Chicago Police $2.07

017 City Of Chicago Police $863.92

017 City Of Chicago Police $6.50

017 City Of Chicago Police $1,449.31

017 City Of Chicago Police $6.50

017 City Of Chicago Police $94.02

017 City Of Chicago Police $1,285.76

017 City Of Chicago Police $6.50

017 City Of Chicago Police $83.40

017 City Of Chicago Police $321.44

017 City Of Chicago Police $6.50

017 City Of Chicago Police $20.85

017 City Of Chicago Police $1,344.05

017 City Of Chicago Police $6.50

017 City Of Chicago Police $87.20

017 City Of Chicago Police $320.97

City Of Chicago - Confidential

Page 344 of 409

Incident Date Claimant_Rank

03/17/2010 CRANE, ROBERT 9161

09/20/2009 CRAIG JR, JOHN 9161

11/17/2010 CRADICK, EDWARD 9161

Unit of_Insured_Total to be Paid

017 City Of Chicago Police $6.50

017 City Of Chicago Police $13.03

017 City Of Chicago Police $215.91

017 City Of Chicago Police $6.50

017 City Of Chicago Police $215.91

017 City Of Chicago Police $6.50

017 City Of Chicago Police $56.03

017 City Of Chicago Police $220.60

017 City Of Chicago Police $6.50

017 Cily Of Chicago Police $93.35

017 City Of Chicago Police $249.11

017 City Of Chicago Police $6.50

017 City Of Chicago Police $760.00

017 City Of Chicago Police $6.50

017 City Of Chicago Police $2,085.28

017 City Of Chicago Police $6.50

017 City Of Chicago Police $ 707.63

017 City Of Chicago Police $45.89

017 City Of Chicago Police $93.86

017 City Of Chicago Police $1,401.23

017 City Of Chicago Police $231.66

017 City Of Chicago Police $6.50

017 City Of Chicago Police $13.32

017 City Of Chicago Police $215.91

017 City Of Chicago Police $6.50

044 City Of Chicago Police $88.50

044 City Of Chicago Police $6.50

City Of Chicago Police $296.45

City Of Chicago Police $6.50

City Of Chicago Police $12.04 City Of Chicago Police $366.42 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 345 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/17/2010 CRADICK, EDWARD

12/05/2009 COX, PAULINE

01/10/2009 COUSINS, WILLIAM

05/15/2010 COUGHLIN ROONEY, KRISTIE

01/24/2010 CORTESI, NICHOLAS

04/18/2010 CORTES, JOSE

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

021 021 021 123 123 123 123 123 715 715 715

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

$1,098.57

$6.50

$28.07

$6.50

$38.76

$6.50

$1.58

$47.50

$6.50

$9.85

$0.95

$23.25

$6.50

$221.73

$15,103.46

$116.42

$4.72

$6.50

$123.29

$6.50

$106.69

$207.59

$6.50

$77.35

$1.55

$165.04

$6.50

5399.46

$845.93

$6.50

$202.41

City Of Chicago - Confidential

Page 346 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/18/2010 04/18/2010 04/18/2010 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 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009

CORTES, JOSE CORTES, JOSE CORTES, JOSE COOPER, GARY COOPER, GARY COOPER, GARY 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, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE

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

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

Poli Poli Poli

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

$6.50

$202.41

$6.50

$261.28

$6.50

$3.16

$389.48

$6.50

$4.71

$6.50

$182.43

$6.50

$2.21

$403.76

$1,459.27

$1.41

$6.50

$90.89

$6.50

$7,508.33

$2.99

$6.50

$116.37

$13.08

$6.50

$277.77

$129.74

$95.47

$6.50

$1.15

$6,343.82

$6.50

City Of Chicago - Confidential

Page 347 of 409

Incident Date Claimant

Rank

Unit ot

Insured

Total to be Paid

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

07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 05/23/2009 05/23/2009 05/23/2009 05/23/2009 05/23/2009 05/23/2009 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 05/17/2010 05/17/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 06/15/2010 08/12/2010 08/12/2010

CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONROY, BRIDGET CONROY, BRIDGET CONROY, BRIDGET CONROY, BRIDGET CONROY, BRIDGET CONROY, BRIDGET CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS, KEVIN CONNORS. KEVIN CONNOLLY, KIMBERLY CONNOLLY, KIMBERLY CONNOLLY, KEVIN CONNOLLY, KEVIN CONNOLLY, KEVIN CONNOLLY, KEVIN CONNOLLY, KEVIN CONLEY, LORNA CONLEY, LORNA

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

007 007 007 007 007 007 007 007 007 007

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

$364.77

$386.92

$6.50

$17.59

$1,215.94

$6.50

$49.35

$246.60

$14.16

$6.50

$338.48

$6.50

$13.06

$346.74

$84.92

$1.16

$6.50

$95.65

$891.56

$22.80

$6.50

$84.92

$6.50

$9.20

$39.85

$104.98

$6.50

$4.26

$130.80

$6.50

519.43

$331.50

City Of Chicago - Confidential

Page 348 of 409

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 Po: 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 Po¹City 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!

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 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

CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY, CONLEY,

LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA

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

$6.50

$19.43

$258.05

$6.50

$19.43

$184.60

$6.50

$314.60

$331.50

$6.50

526.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$184.60

$6.50

$12.45

$82.83

$6.50

$1.00

$331.50

$6.50

$26.41

$331.50

$6.50

City Of Chicago - Confidential

Page 349 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 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

LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA

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

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$331.50

$6.50

$5.73

$229.16

$6.50

$4.59

$229.16

$6.50

$4.59

$80.21

$6.50

$1.61

$80.21

$6.50

$329.42

$6.50

$6.59

$331.50

$6.50

$26.41

$331.50

$6.50

$331.50

$6.50

$26.41

$331.50

City Of Chicago - Confidential

Page 350 of 409

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

LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA LORNA

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

$6.50

$26.41

$331.50

$6.50

$26.41

$258.05

$6.50

$26.41

$184.60

$6.50

$12.45

$6.50

$331.50

$6.50

$26.41

$331.50

$6.50

$26.41

$184.60

$6.50

$12.45

$601.55

$6.50

$12.04

$80.21

$1.61

$286.44

$6.50

56.50

$389.22

$6.50

526.41

$12.45

City Of Chicago - Confidential

Page 351 of 409

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 08/12/2010 08/12/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010

CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA CONLEY, LORNA COMBS, ROBERT COMBS, ROBERT COMBS, ROBERT COMBS, ROBERT COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND

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

$286.44

$6.50

$5.73

$1.61

$258.05

$18.20

$331.50

$6.50

$26.41

$242.52

$6.50

$2,256.61

$6.50

$10.05

$177.69

$6.50

$1,365.14

$6.50

$167.11

$226.20

$6.50

$10.05

$226.20

$6.50

$219.80

$6.50

$8.66

$177.55

$6.50

$6.29

$177.55

$6.50

City Of Chicago - Confidential

Page 352 of 409

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

01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010

COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS, COLLINS,

RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND RAYMOND

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

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

$6.29

$10.05

$6.40

$24,459.91

$6.50

$296.11

$177.55

$6.50

$6.29

$234.10

$6.50

$8.80

$177.55

$6.50

$6.29

$259.45

$6.50

$10.45

$226.20

$6.50

$10.05

$169.65

$6.50

$7.53

$138.37

$6.50

$0.98

$164.55

$6.50

$8.71

$189.90

$6.50

$10.35

City Of Chicago - Confidential

Page 353 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/2272010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/2272010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/2272010 01/22/2010 01/22/2010 08/06/2009 08/06/2009 03/12/2009

COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLIER, DWAYNE COLLIER, DWAYNE COLEMAN, STEVEN

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

015 015 011

$259.45

$6.50

$10.45

$182.10

$6.50

$177.55

$6.50

$6.29

$177.55

$6.50

$6.29

$259.45

$6.50

$10.45

$226.20

$6.50

$10.05

$259.45

$6.50

$10.45

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$226.20

$6.50

$72.20

$6.50

$114.00

$855.21

City Of Chicago - Confidential

Page 354 of 409

Incident Date Claimant Rank

03/15/2010 COLEMAN, RAMONA 9161

09/10/2010 COLEMAN, DIANA 9161

05/27/2009 COLE II, DENSEY 9161

Unit of Insured Total to be Paid

171 City Of Chicago Police $73.40

171 City Of Chicago Police $6.50

171 City Of Chicago Police $1,580.39

171 City Of Chicago Police $83.36

171 City Of Chicago Police $4,168.22

171 City Of Chicago Police $6.50

171 City Of Chicago Police $73.40

171 City Of Chicago Police $6.50

171 City Of Chicago Police $426.71

006 City Of Chicago Police $6.50

006 City Of Chicago Police $31.34

006 City Of Chicago Police $835.89

006 City Of Chicago Police $6.50

006 City Of Chicago Police $95.65

006 City Of Chicago Police $6.50

006 City Of Chicago Police $1.16

006 City Of Chicago Police $790.60

006 City Of Chicago Police $25.79

006 City Of Chicago Police $6.50

006 City Of Chicago Police $695.74

006 City Of Chicago Police $13.00

006 City Of Chicago Police $6.50

006 City Of Chicago Police $332.35

006 City Of Chicago Police $13.00

006 City Of Chicago Police $6.50

006 City Of Chicago Police $332.35

006 City Of Chicago Police $13.00

006 City Of Chicago Police $332.35

006 City Of Chicago Police $6.50

001 City Of Chicago Police $6.50

001 City Of Chicago Police $15.88

001 City Of Chicago Police $6.15

001 City Of Chicago Police $216.96

City Of Chicago - Confidential

Page 355 of 409

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

05/27/2009 COLE II. DENSEY 9161

05/27/2009 COLE II, DENSEY 9161

Unit of_Insured_Total to be Paid

001 City Of Chicago Police $269.87

001 City Of Chicago Police $7.90

001 City Of Chicago Police $577.73

001 City Of Chicago Police $6.50

001 City Of Chicago Police $183.94

001 City Of Chicago Police $6.50

001 City Of Chicago Police $5,118.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $4,065.02

001 City Of Chicago Police $20.15

001 City Of Chicago Police $15.26

001 City Of Chicago Police $6.50

001 City Of Chicago Police $6.15

001 City Of Chicago Police $474.89

001 City Of Chicago Police $6.50

001 City Of Chicago Police $11.70

001 City Of Chicago Police $51.78

001 City Of Chicago Police $6.50

001 City Of Chicago Police $5.34

001 City Of Chicago Police $176.30

001 City Of Chicago Police $6.50

001 City Of Chicago Police $27.49

001 City Of Chicago Police $1,393.22

001 City Of Chicago Police $87.40

001 City Of Chicago Police $6.50

001 City Of Chicago Police $24.96

001 City Of Chicago Police $5,607.42

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,870.20

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $1,868.40

001 City Of Chicago Police $1,870.20

001 City Of Chicago Police $1,868.40

City Of Chicago - Confidential

Page 356 of 409

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 $1,870.20

001 City Of Chicago Police $2,803.71

001 City Of Chicago Police $121.44

001 City Of Chicago Police $6.50

001 City Of Chicago Police $3.10

001 City Of Chicago Police $15.26

001 City Of Chicago Police $6.50

001 City Of Chicago Police $28.24

001 City Of Chicago Police $6.50

001 City Of Chicago Police $364.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $7.18

001 City Of Chicago Police $24.96

001 City Of Chicago Police $61.43

001 City Of Chicago Police $628.40

001 City Of Chicago Police $28.81

001 City Of Chicago Police $960.40

001 City Of Chicago Police $6.50

001 City Of Chicago Police $18.94

001 City Of Chicago Police $404.60

001 City Of Chicago Police $6.50

001 Cily Of Chicago Police $0.96

001 City Of Chicago Police $2,232.36

011 City Of Chicago Police $6.50

011 City Of Chicago Police $254.27

011 City Of Chicago Police $6.50

011 City Of Chicago Police $202.38

011 City Of Chicago Police $6.50

011 City Of Chicago Police $159.00

011 City Of Chicago Police $1.63

City Of Chicago - Confidential

Page 357 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB. TORRENO COBB, TORRENO COBB, TORRENO COBB,TORRENO COBB,TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB,TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, TORRENO COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN COBB, SHAWN

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

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

Pol Pol Pol

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

$254.27

$6.50

$241.55

$6.50

$2.92

$241.55

$2.92

$6.50

$483.10

$6.50

$5.84

$182.40

$6.50

$2.21

$199.75

$6.50

$8.11

$228.32

$482.59

$6.50

$49.25

$395.30

$6.50

$15.67

$787.02

$6.50

$30.53

$146.47

$6.50

$0.69

$395.30

$6.50

City Of Chicago - Confidential

Page 358 of 409

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

10/25/2010 COBB, SHAWN

10/25/2010 COBB. SHAWN

10/25/2010 COBB, SHAWN

09/16/2010 CLEVELAND, CHARLES

02/26/2010 CLAXTON, GARY

09/17/2010 CLARK, ANDRE

9161 9161 9161 9161 9161 9161 9161

003 003 003

lice 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 dice lice lice lice lice

$15.67

$361.53

$6.50

$15.27

$285.70

$6.50

$12.22

$360.52

$6.50

$15.92

$358.75

$6.50

$14.52

$387.93

$6.50

$16.79

$351.38

$6.50

$15.64

$387.93

$6.50

$16.79

$416.55

$6.50

$17.70

$1,171.16

$6.50

$611.51

$20.09

$8.03

$6.50

$401.03

$236.63

City Of Chicago - Confidential

Page 359 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 09/17/2010 02/13/2010 02/13/2010 02/13/2010 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 CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CLARK, ANDRE CIRAULO, JEFFREY CIRAULO, JEFFREY CIRAULO, JEFFREY 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

044 044 044

Poli Poli Pot

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

$6.50

$236.63

$6.50

$176.43

$6.50

$176.43

$6.50

$176.43

$6.50

$228.32

$6.50

$321.74

$6.50

$228.32

$6.50

$228.32

$6.50

$236.63

$6.50

$236.63

$6.50

$236.63

$120.51

$6.50

$3.08

$12.56

$316.30

$6.50

$11.63

City Of Chicago - Confidential

Page 360 of 409

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 Poll 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 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 Pol 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 Pol; City Of Chicago Poli

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 05/22/2010 05/22/2010 05/22/2010 10/18/2009 10/18/2009 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010

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 CIOE, MICHAEL CIOE, MICHAEL CINTRON, ANGEL CINTRON, ANGEL CINTRON, ANGEL CIFUENTES, JUAN CIFUENTES, JUAN CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY

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

044 044 044 015 015

Poli Poli Poli

$228.55

$6.50

$8.24

$269.75

$21.02

$213.20

$6.50

$12.46

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$74.11

$6.50

$3.01

$6.50

$282.75

$6.50

$14.98

$11.39

$280.50

$6.50

$169.05

$3.38

$454.00

$6.50

$227.00

$6.50

$227.00

$173.59

$6.50

City Of Chicago - Confidential

Page 361 of 409

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

11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/26/2010 11/04/2010 11/04/2010 11/04/2010 11/04/2010 11/04/2010 11/04/2010 11/04/2010 11/04/2010 11/04/2010 11/04/2010 01/17/2010 01/17/2010 01/17/2010 01/17/2010 01/17/2010 01/17/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010

CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, KELLEY CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CHAVEZ, ILDEFONSO CERDA, RAUL CERDA, RAUL CERDA, RAUL CERDA, RAUL CERDA, RAUL CERDA, RAUL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

007 007 007 007 007 007 007 007 007 007

001 001 001 001 001 001 001 001 001 001

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 lice lice lice lice lice lice lice lice

$453.25

$87.69

$6.50

$227.00

$6.50

$263.29

$6.50

$207.59

$6.50

$950.94

$294.32

$6.50

$42.50

$3.57

$6.50

$1.73

$18.91

$215.25

$16.49

$228.25

$16.49

$228.25

$6.50

$192.26

$6.50

$2.33

$281.01

$3.40

$192.26

$2.33

$6.50

$460.39

City Of Chicago - Confidential

Page 362 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 01/07/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 11/05/2010 08/02/2010 08/02/2010

CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CEPHAS, RYDELL CAZARES, MAURIZIO CAZARES, MAURIZIO CAZARES, MAURIZIO CAZARES, MAURIZIO CAZARES, MAURIZIO CATTERSON, COLIN 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 9161 9161 9161 9161 9161 9161 9161 9161

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

$6.50

$3.92

$443.68

$6.50

$5.38

$576.36

$6.50

$251.42

$6.50

$3.05

$340.17

$6.50

$4.12

$251.42

$6.50

$3.05

$82.83

$6.50

$1.00

$202.38

$1.00

$6.50

$82.83

$11.53

$202.38

$6.50

$250.15

$6.50

$9.33

$6.50

$162.34

$6.50

$252.59

City Of Chicago - Confidential

Page 363 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 04/08/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010

CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASTRO, ANTONIO CASILL-AS, JAIME CASILLAS, JAIME CASILLAS, JAIME CASILLAS, JAIME CASILLAS, JAIME CASILLAS, JAIME CASILLAS, JAIME CASILLAS, JAIME CASILLAS, JAIME CASILLAS, JAIME

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

$12.95

$253.69

$3.72

$88.23

$6.50

$1.29

$0.93

$6.50

$1.86

$126.85

$1.86

$63.42

$12.95

$6.50

$254.05

$126.84

$1.86

$253.69

$6.50

$254.05

$3.72

$126.84

$0.73

$6.50

$156.02

$2.01

$6.50

$430.21

$13.36

$19.08

$37.02

$6.50

City Of Chicago - Confidential

Page 364 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/13/2010 11/13/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 06/04/2010 03/11/2010 03/11/2010 03/11/2010 05/22/2010 05/22/2010 05/21/2009 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010 07/21/2010

CASILLAS, JAIME CASILLAS, JAIME CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASEY, LYNN CASASANTO, DANIEL CASASANTO, DANIEL CASASANTO, DANIEL CARY, YVONNE CARY, YVONNE CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM

9161 9161

9161 9161 9161

9161

018

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

$662.90

$6.50

$243.91

$6.50

$1.03

$6.50

$442.56

$200.31

$945.71

$7,842.25

$400.00

$6.50

$140.11

$6.50

$58.42

$281.02

$202.90

$6.50

$7.93

$197.67

$51.70

$470.11

$12.80

$633.69

$6.50

$29.94

$299.38

$6.50

$12.65

$306.75

$6.50

$11.68

City Of Chicago - Confidential

Page 365 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

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,

Pol Poli Pol

ce ce

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

$358.75

$6.50

$14.52

$6.50

$8.29

$6.50

$9.86

$544.19

$6.50

$427.35

$6.50

$6.27

$6.50

$2.06

$725.85

$6.50

$29.10

$6.50

$7.86

$271.21

$21.14

$140.49

$207.30

$220.98

$140.49

$6.50

$2.06

$282.12

$6.50

$11.41

$533.77

$6.50

$25.98

City Of Chicago - Confidential

Page 366 of 409

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 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 01/01/2010 01/01/2010 01/01/2010 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, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, WILLIAM CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, JOSEPH CARROLL, EDWARD CARROLL, EDWARD CARROLL, EDWARD 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

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 Cily 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

$241.77

$6.50

$12.20

$351.38

$6.50

$15.64

$299.38

$6.50

$958.98

$6.50

$91.35

$6.50

$30.09

$319.66

$6.50

$976.00

$28.66

$768.00

$10.03

$6.50

$35.73

$2.30

$99.00

$6.50

$143.48

$76.19

$506.34

$6.50

$289.54

$1.38

$6.50

City Of Chicago - Confidential

Page 367 of 409

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

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 11/29/2008 11/29/2008 10/10/2009 10/10/2009 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010

CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARO, RICHARD CARDEN, THOMAS CARDEN, THOMAS CAMPOS, MARCO CAMPOS, MARCO CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, ROBERT CAMPBELL, MICHAEL CAMPBELL, MICHAEL CAMPBELL, MICHAEL CAMPBELL, 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

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

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

$143.48

$6.50

$642.48

$29.52

$6.50

$191.24

$145.95

56.50

$1.38

$143.98

$6.50

$85.50

$2.19

$186.55

$8.40

$6.50

$200.85

$5.89

$6.50

$144.30

$8.40

$70.80

$718.00

$6.50

$41.29

$6.50

$8.26

$200.85

$6.50

51,175.28

$5.54

$6.50

City Of Chicago - Confidential

Page 368 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/03/2010 01/18/2010 01/18/2010 01/18/2010 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

CAMPBELL, MICHAEL CAMPBELL II, ALVIN CAMPBELL II, ALVIN CAMPBELL II, ALVIN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN CALLAGHAN, BRIAN

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

008 005 005 005

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

$9.56

$92.63

$6.50

$1.85

$300.00

$2.89

$88.23

$6.50

$1.29

$234.14

$6.50

$3.44

$88.23

$6.50

$1.29

$234.14

$6.50 .

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

City Of Chicago - Confidential

Page 369 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010 10/13/2010

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 CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON,ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO CALDERON, ALFREDO

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 9161 9161 9161 9161 9161 9161

$197.50

$6.50

$7.12

$187.20

$6.50

$14.23

$2,043.22

$6.50

$52.21

$161.16

$6.50

$10.67

$179.36

$6.50

$29.05

$88.23

$6.50

$388.20

$6.50

$1.29

$187.20

$6.50

$14.23

$213.20

$6.50

$8.26

$187.20

$6.50

$14.23

$250.00

$6.50

$150.69

City Of Chicago - Confidential

Page 370 of 409

Incident Date Claimant Rank

10/13/2010 CALDERON, ALFREDO 9161

10/11/2010 CALDER, WERNER 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

050 City Of Chicago Police $164.55

050 City Of Chicago Police $6.40

050 City Of Chicago Police $8.71

050 City Of Chicago Police $274.75

050 City Of Chicago Police $6.50

050 City Of Chicago Police $13.59

050 City Of Chicago Police $219.80

050 City Of Chicago Police $6.50

050 City Of Chicago Police $8.66

050 City Of Chicago Police $215.91

050 City Of Chicago Police $6.50

050 City Of Chicago Police $225.65

050 City Of Chicago Police $6.50

050 City Of Chicago Police $11.33

050 City Of Chicago Police $225.65

050 City Of Chicago Police $6.50

050 City Of Chicago Police $11.33

050 City Of Chicago Police $169.10

050 City Of Chicago Police $6.50

050 City Of Chicago Police $8.82

050 City Of Chicago Police $248.95

050 City Of Chicago Police $6.50

050 City Of Chicago Police $13.44

050 City Of Chicago Police $467.07

050 City Of Chicago Police $6.50

050 City Of Chicago Police $248.95

050 City Of Chicago Police $6.50

050 City Of Chicago Police $13.44

050 City Of Chicago Police $248.95

050 City Of Chicago Police $6.50

050 City Of Chicago Police $13.44

050 City Of Chicago Police $22,182.48

City Of Chicago - Confidential

Page 371 of 409

Incident Date Claimant_Rank

10/11/2010 CALDER, WERNER 9161

09/18/2010 CAIN, ROZILLIUS 9161

Unit of_Insured_Total to be Paid

050 City Of Chicago Police $6.50

050 City Of Chicago Police $1,036.13

050 City Of Chicago Police $215.91

050 City Of Chicago Police $6.50

050 City Of Chicago Police $252.75

050 City Of Chicago Police $6.50

050 City Of Chicago Police $13.44

050 City Of Chicago Police $248.95

050 City Of Chicago Police $6.50

050 City Of Chicago Police $13.44

050 City Of Chicago Police $305.50

050 City Of Chicago Police $6.50

050 City Of Chicago Police $15.96

050 City Of Chicago Police $305.50

050 City Of Chicago Police $6.50

050 City Of Chicago Police $15.96

050 City Of Chicago Police $192.40

050 City Of Chicago Police $6.50

050 City Of Chicago Police $10.93

050 City Of Chicago Police $215.19

050 City Of Chicago Police $6.50

050 City Of Chicago Police $21.22

050 City Of Chicago Police $305.50

050 City Of Chicago Police $6.50

050 City Of Chicago Police $15.96

050 City Of Chicago Police $169.10

050 City Of Chicago Police $6.50

050 City Of Chicago Police $8.82

050 City Of Chicago Police $182.10

050 City Of Chicago Police $6.50

City Of Chicago Police $1,089.90

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 372 of 409

Incident Date Claimant Rank

09/18/2010 CAIN, ROZILLIUS 9161

11/16/2010 CABRERA, DANIEN 9161

06/30/2010 CABRAL, ALEJANDRO 9161

09/26/2010 CABALLERO, RICK 9161

Unit of_Insured_Total to be Paid

Cily Of Chicago Police $107.43

City Of Chicago Police $802.56

City Of Chicago Police $3.66

City Of Chicago Police $0.23

City Of Chicago Police $302.13

City Of Chicago Police $6.50

City Of Chicago Police $176.45

City Of Chicago Police $6.50

City Of Chicago Police $7.16

City Of Chicago Police $6.50

City Of Chicago Police $1.39

City Of Chicago Police $94.64

City Of Chicago Police $9.95

City Of Chicago Police $6.50

City Of Chicago Police $156.65

010 City Of Chicago Police $1.00

010 City Of Chicago Police $47.41

010 Cily Of Chicago Police $6.50

010 City Of Chicago Police $1.47

010 City Of Chicago Police $44.00

010 City Of Chicago Police $6.50

010 City Of Chicago Police $2.53

010 City Of Chicago Police $280.24

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.16

010 City Of Chicago Police $882.91

010 City Of Chicago Police $6.50

010 City Of Chicago Police $213.62

010 City Of Chicago Police $0.43

010 City Of Chicago Police $6.50

010 City Of Chicago Police $91.83

City Of Chicago - Confidential

Page 373 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/26/2010 CABALLERO, RICK

04/29/2007 Bux, Emil W

09/22/2003 Burke, Margaret

10/07/2007 Burke, Jeffrey J

05/09/2007 Burgos-Hernandez-Pab, Elba

09/28/2008 Brummett, Pamela K

11/14/2007 Brown, Orlando

04/24/2007 Brown, James E

9161

010

00015

00008

00018

00021

00019

00003

00012

$25.60

$186.87

$27.66

$80.90

$305.45

$11.72

$482.87

$33.28

$198.40

$157.67

$6.50

$221.09

$478.04

$6.50

$384.93

$15.87

$296.44

$16.97

$6.50

$32.94

$249.51

$6.50

$292.70

$6.50

$21.68

$264.74

$66.45

$6.50

$80.00

$19.09

$6.50

City Of Chicago - Confidential

Page 374 of 409

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

04/24/2007 04/24/2007 01/13/2005 01/13/2005 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 05/09/2002 02/04/2008 02/04/2008 02/04/2008 02/04/2008 02/04/2008 02/04/2008 02/04/2008 02/04/2008 05/23/2010 05/23/2010 05/23/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010

Brown, James E Brown, James E Bernichio, Michael J Bernichio, Michael J Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Banks, David B Baez, David Baez, David Baez, David Baez, David Baez, David Baez, David Baez, David Baez, David BUX, EMIL BUX, EMIL BUX, EMIL BUSLIK, MARC BUSLIK, MARC BUSLIK, MARC BUSLIK, MARC BUSLIK, MARC

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

9161 9161 9161 9175 9175 9175 9175 9175

00012

00008

00002

00189

015

Poli Poll Poll

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

$80.00

$6.50

$28.19

$982.00

$4.54

$37.75

$930.24

$29.64

$1.02

$25.19

$6.50

$389.22

$227.26

$6.50

$134.94

$6.50

$1.89

$6.50

$453.26

$2.04

$6.50

$50.40

$6.50

$46.56

$47.61

$1,173.00

$6.50

$245.59

$6.50

$19.75

City Of Chicago - Confidential

Page 375 of 409

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 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

11/13/2010 11/13/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 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

BUSLIK, MARC BUSLIK, MARC BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURNETTE, MICHAEL BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE

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

022 022 022 022 022 022 022 022 022 022 022 022

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

$36.00

$772.67

$143.80

$6.50

$490.46

$6.50

$365.22

$6.50

$753.18

$6.50

$31.56

$6.50

$283.48

$14.89

$1,384.63

$6.50

$27.69

$256.75

$6.50

$17.40

$236.95

$6.50

$12.75

$241.05

$6.50

$15.38

$254.05

$6.50

512.95

$210.50

$6.50

$8.02

City Of Chicago - Confidential

Page 376 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010

BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS, BURGESS,

CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE CAROLINE

Poli Poll Poll

$184.50

$213.20

$6.50

$12.46

$6.50

$12.87

$200.20

$6.50

$14.89

$197.50

$6.50

$10.44

$200.20

$6.50

$1,137.31

$22.75

$6.50

$197.50

$6.50

$10.44

$241.05

$6.50

$15.38

$210.20

$13.94

$213.20

$6.50

$241.05

$6.50

$15.38

$213.20

$12.46

$213.20

City Of Chicago - Confidential

Page 377 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 05/06/2010 05/06/2010 08/05/2010 08/05/2010 11/01/2009 11/01/2009 11/01/2009 11/01/2009 11/01/2009 11/01/2009 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010 11/02/2010

BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BURGESS, CAROLINE BUKOWSKI, GEORGE BUKOWSKI, GEORGE BUCIO, MARIA BUCIO, MARIA BRYJA, JOHN BRYJA, JOHN BRYJA, JOHN BRYJA, JOHN BRYJA, JOHN BRYJA, JOHN BROWN, SUZAN BROWN, SUZAN BROWN, SUZAN BROWN, SUZAN BROWN, SUZAN BROWN, SUZAN BROWN, SUZAN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

016 016 001 001 011 011 011 011 011 011

Pol Poli Pol

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

$12.46

$213.20

$6.50

$12.46

$6.50

$86.51

$6,312.95

$10.44

$6.50

$12.46

$6.50

$197.50

$6.50

$10.44

$175.60

$2.58

$21.77

$6.56

$6.50

$65.32

$6.50

$6.56

$1.10

$233.96

$6.50

$1.10

$98.67

$6.50

$0.46

City Of Chicago - Confidential

Page 378 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/02/2010 BROWN, SUZAN

08/27/2010 BROADWAY, MARGIE

07/02/2010 BRATTON, BRIAN

05/22/2010 BRATEK, CHRISTOPHER

06/12/2010 BRATEK, CHRISTOPHER

11/06/2010 BRANNIGAN, MICHAEL

9161 9161 9161 9161

007 007 007 007 007 007 007 007

017 017

9161 9161

024 024

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

$416,27

$6.50

$1.96

$146.47

$6.50

$233.96

$1.55

$6.50

$329.58

$6.50

$0.69

$6.50

$67.47

$6.50

$87.19

$6.50

$207.59

$195.76

$6.50

$239.76

$6.50

$1,349.40

$269.88

$202.41

$6.50

$202.41

$6.50

$202.41

$146.34

$6.50

City Of Chicago - Confidential

Page 379 of 409

Incident Date Claimant Rank

11/06/2010 BRANNIGAN, MICHAEL 9161

06/24/2010 BRANCH, JAMES 9161

08/29/2010 BRAGIEL, LAURA 9161

11/12/2008 BRADFIELD, MARCIA 9161

Unit of_Insured_Total to be Paid

024 City Of Chicago Police $6.50

024 City Of Chicago Police $226.20

024 City Of Chicago Police $15.71

024 City Of Chicago Police $794.03

024 City Of Chicago Police $6.50

024 City Of Chicago Police $10.05

024 City Of Chicago Police $614.92

024 City Of Chicago Police $4.75

024 City Of Chicago Police $6.50

024 City Of Chicago Police $185.89

024 City Of Chicago Police $5.32

024 City Of Chicago Police $6.50

024 City Of Chicago Police $226.20

024 City Of Chicago Police $6.50

024 City Of Chicago Police $215.91

024 City Of Chicago Police $6.50

024 City Of Chicago Police $10.05

021 City Of Chicago Police $6.90

021 City Of Chicago Police $6.50

021 City Of Chicago Police $46.82

021 City Of Chicago Police $6.90

021 City Of Chicago Police $6.50

021 City Of Chicago Police $46.82

City Of Chicago Police $259.51

City Of Chicago Police $6.50

City Of Chicago Police $181.66

City Of Chicago Police $6.50

City Of Chicago Police $350.68

City Of Chicago Police $6.50

171 City Of Chicago Police $6.50

171 City Of Chicago Police $166.60

171 City Of Chicago Police $6.50

171 City Of Chicago Police $316.60

City Of Chicago - Confidential

Page 380 of 409

Incident Date Claimant Rank

11/12/2008 BRADFIELD, MARCIA 9161

09/08/2010 BOYD, STEPHEN 9161

11/09/2010 BOUCH, MATTHEW 9161

05/30/2010 BOONE, RICKY 9171

Unit of_Insured_Total to be Paid

171 City Of Chicago Police $6.50

171 City Of Chicago Police $498.26

171 City Of Chicago Police $16.42

003 City Of Chicago Police $58.86

003 City Of Chicago Police $5.80

003 City Of Chicago Police $6.50

003 City Of Chicago Police $12.74

003 City Of Chicago Police $6.50

003 City Of Chicago Police $129.32

003 City Of Chicago Police $12.74

003 City Of Chicago Police $6.50

003 City Of Chicago Police $129.32

003 City Of Chicago Police $12.04

003 City Of Chicago Police $122.06

003 City Of Chicago Police $6.50

City Of Chicago Police $196.60

City Of Chicago Police $20.27

City Of Chicago Police $6.50

City Of Chicago Police $499.42

City Of Chicago Police $25.60

City Of Chicago Police $6.50

City Of Chicago Police $10.21

City Of Chicago Police $6.50

City Of Chicago Police $1.47

022 City Of Chicago Police $0.18

022 City Of Chicago Police $1,234.24

022 City Of Chicago Police $6.50

022 City Of Chicago Police $70.97

022 City Of Chicago Police $236.63

022 City Of Chicago Police $6.50

022 City Of Chicago Police $2.86

022 City Of Chicago Police $299.55

022 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 381 of 409

Incident Date Claimant Rank

05/30/2010 BOONE, RICKY 9171

05/30/2010 BOONE. RICKY 9171

05/30/2010 BOONE, RICKY 9171

09/18/2009 BOND, WENDY

Unit of_Insured_Total to be Paid

022 City Of Chicago Police $1.52

022 City Of Chicago Police $616.24

022 City Of Chicago Police $6.50

022 City Of Chicago Police $7.45

022 City Of Chicago Police $95.65

022 City Of Chicago Police $6.50

022 City Of Chicago Police $1.16

022 City Of Chicago Police $229.16

022 City Of Chicago Police $6.50

022 City Of Chicago Police $4.59

022 City Of Chicago Police $473.26

022 City Of Chicago Police $6.50

022 City Of Chicago Police $5.72

022 City Of Chicago Police $373.64

022 City Of Chicago Police $6.50

022 City Of Chicago Police $186.82

022 City Of Chicago Police $6.50

022 City Of Chicago Police $473.26

022 City Of Chicago Police $6.50

022 City Of Chicago Police $5.72

022 City Of Chicago Police $295.79

022 City Of Chicago Police $6.50

022 City Of Chicago Police $3.58

022 City Of Chicago Police $236.63

022 City Of Chicago Police $6.50

022 City Of Chicago Police $2.86

022 City Of Chicago Police $239.64

022 City Of Chicago Police $6.50

022 City Of Chicago Police $2.17

022 City Of Chicago Police $211.99

022 City Of Chicago Police $6.50

City Of Chicago Police $32.00

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 382 of 409

Incident Date Claimant Rank

09/18/2009 BOND, WENDY

04/18/2010 BOJAN, BRYAN 9161

04/18/2010 BOJAN. BRYAN 9161

04/18/2010 BOJAN, BRYAN 9161

Unit of Insured Total to be Paid

City Of Chicago Police $32.00

City Of Chicago Police $6.50

City Of Chicago Police $170.28

City Of Chicago Police $6.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $5.16

153 City Of Chicago Police $352.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $12.01

153 City Of Chicago Police $247.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $14.09

153 City Of Chicago Police $14,700.91

153 City Of Chicago Police $6.50

153 City Of Chicago Police $90.00

153 City Of Chicago Police $6.50

153 City Of Chicago Police $3.17

153 City Of Chicago Police $67.55

153 City Of Chicago Police $6.50

153 City Of Chicago Police $17.90

153 City Of Chicago Police $243.75

153 City Of Chicago Police $6.50

153 City Of Chicago Police $9.58

153 City Of Chicago Police $907.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police $37.98

153 City Of Chicago Police $226.50

153 City Of Chicago Police $6.50

153 City Of Chicago Police 512.03

153 City Of Chicago Police $348.75

153 City Of Chicago Police $6.50

153 City Of Chicago Police $112.50

153 City Of Chicago Police $672.91

City Of Chicago - Confidential

Page 383 of 409

Incident Date Claimant Rank

04/18/2010 BOJAN, BRYAN 9161

10/07/2010 BOGGAN, KIMBERLY 9161

Unit of_Insured_Total to be Paid

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 $7.52

011 City Of Chicago Police $6.50

011 City Of Chicago Police $213.20

011 City Of Chicago Police $6.50

011 City Of Chicago Police $12.46

011 City Of Chicago Police $650.24

011 City Of Chicago Police $6.50

011 City Of Chicago Police $26.39

011 City Of Chicago Police $213.20

011 City Of Chicago Police $6.50

011 City Of Chicago Police $12.46

011 City Of Chicago Police $213.20

011 City Of Chicago Police $6.50

011 City Of Chicago Police 512.46

011 City Of Chicago Police $189.90

011 City Of Chicago Police $6.50

011 City Of Chicago Police $10.35

011 City Of Chicago Police $82.53

011 City Of Chicago Police $21.36

011 City Of Chicago Police $230.10

011 City Of Chicago Police $6.50

011 City Of Chicago Police $13.19

011 City Of Chicago Police $189.90

011 City Of Chicago Police $6.50

011 City Of Chicago Police $10.35

011 City Of Chicago Police $189.90

011 City Of Chicago Police $6.50

011 City Of Chicago Police $10.35

011 City Of Chicago Police $213.20

City Of Chicago - Confidential

Page 384 of 409

Incident Date Claimant Rank

10/07/2010 BOGGAN, KIMBERLY 9161

10/07/2010 BOGGAN, KIMBERLY"' 9161

10/07/2010 BOGGAN. KIMBERLY 9161

10/07/2010 BOGGAN, KIMBERLY 9161

10/07/2010 BOGGAN, KIMBERLY . 9161

10/07/2010 BOGGAN, KIMBERLY 9161

Unit of_Insured_Total to be Paid

011 City Of Chicago Police $6.50

011 City Of Chicago Police $189.90

011 City Of Chicago Police $6.50

011 City Of Chicago Police $10.35

011 City Of Chicago Police $12.46

011 City Of Chicago Police $189.90

011 City Of Chicago Police $6.50

011 City Of Chicago Police $10.35

011 City Of Chicago Police $51.54

011 City Of Chicago Police $6.50

011 City Of Chicago Police $2.09

011 City Of Chicago Police $39.10

011 City Of Chicago Police $6.50

011 City Of Chicago Police $1.59

011 City Of Chicago Police $213.20

011 City Of Chicago Police $6.50

011 City Of Chicago Police $ 12.46

011 City Of Chicago Police $246.45

011 City Of Chicago Police $6.50

011 City Of Chicago Police $12.86

011 City Of Chicago Police $213.20

011 City Of Chicago Police $6.50

011 City Of Chicago Police $12.46

011 City Of Chicago Police $412.03

011 City Of Chicago Police $6.50

011 City Of Chicago Police $16.73

011 City Of Chicago Police $110.28

011 City Of Chicago Police $6.50

011 City Of Chicago Police $4.48

011 City Of Chicago Police $1,423.09

011 City Of Chicago Police $6.50

011 City Of Chicago Police $57.76

011 City Of Chicago Police $176.45

City Of Chicago - Confidential

Page 385 of 409

Incident Date Claimant Rank

10/07/2010 BOGGAN, KIMBERLY 9161

10/16/2010 BOETTCHER, JASON 9161

11/05/2010 BOCANEGRA, MARCOS 9161

10/20/2010 BLOMSTRAND, HARRY A 9161

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

011 011

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

Poli

Poll

Pol Pol

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

$6.50

$7.16

$6.50

$141.99

$1.72

$213.20

$6.50

$12.46

$226.20

$6.50

$10.05

$864.63

$6.50

$263.35

$6.50

$13.59

$213.20

$12.46

$100.60

$6.50

$0.67

$213.20

$6.50

$12.46

$8.80

$6.50

$234.10

$6.50

$22.56

$176.45

$6.50

$7.16

City Of Chicago - Confidential

Page 386 of 409

Incident Date Claimant Rank

10/20/2010 BLOMSTRAND, HARRY A 9161

07/19/2010 BLASZ, SCOTT 9161

06/07/2010 BINFA, DANIEL

12/22/2009 BICKETT, ERIC 9161

01/07/2010 BERNATH, BRIAN 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $88.23

City Of Chicago Police $882.57

City Of Chicago Police $1.29

City Of Chicago Police $6.50

014 City Of Chicago Police $6.50

014 City Of Chicago Police $7.16

014 City Of Chicago Police $176.45

City Of Chicago Police $24.96

City Of Chicago Police $511.82

City Of Chicago Police $10.23

City Of Chicago Police $0.50

04 City Of Chicago Police $0.28

04 City Of Chicago Police $13.98

014 City Of Chicago Police $246.59

014 City Of Chicago Police $7.73

014 City Of Chicago Police $298.59

014 City Of Chicago Police $76.81

014 City Of Chicago Police $6.50

014 City Of Chicago Police $298.59

014 City Of Chicago Police $9.38

014 City Of Chicago Police $649.24

014 City Of Chicago Police $6.50

014 City Of Chicago Police $20.39

014 City Of Chicago Police $6.50

014 City Of Chicago Police $9.38

014 City Of Chicago Police $597.18

014 City Of Chicago Police $6.50

014 City Of Chicago Police $18.76

014 City Of Chicago Police $649.24

014 City Of Chicago Police $6.50

014 City Of Chicago Police $20.39

City Of Chicago - Confidential

Page 387 of 409

Incident Date Claimant Rank

01/07/2010 BERNATH, BRIAN 9161

03/13/2010 BERKA, BRIAN 9161

Unit of_Insured_Total to be Paid

014 City Of Chicago Police $246.59

014 City Of Chicago Police $6.50

044 City Of Chicago Police $339.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.07

044 City Of Chicago Police $226.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.05

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 $10.05

044 City Of Chicago Police $282.75

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 $12.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $226.20

044 City Of Chicago Police $305.79

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.49

044 City Of Chicago Police $282.75

044 City Of Chicago Police $6.50

044 Cily Of Chicago Police $12.56

044 Cily Of Chicago Police $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

044 City Of Chicago Police $226.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.05

City Of Chicago - Confidential

Page 388 of 409

Incident Date Claimant Rank

03/13/2010 BERKA, BRIAN 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $226.20

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.05

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 $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

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 $282.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.56

044 City Of Chicago Police $61.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.75

044 City Of Chicago Police $339.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.07

044 City Of Chicago Police $339.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.07

044 City Of Chicago Police $339.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.07

044 City Of Chicago Police $370.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.94

044 City Of Chicago Police $339.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police 515.07

City Of Chicago - Confidential

Page 389 of 409

Incident Date Claimant Rank

03/13/2010 BERKA, BRIAN 9161

09/14/2010 BENSON, QUENTIN

08/09/2010 BENNETT, JOSEPH 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $339.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.07

044 City Of Chicago Police $339.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.07

City Of Chicago Police $187.08

City Of Chicago Police $6.15

City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $134.94

044 City Of Chicago Police $6.50

044 City Of Chicago Police $496.15

044 City Of Chicago Police $6.50

044 City Of Chicago Police $496.15

044 City Of Chicago Police $6.50

044 City Of Chicago Police $479.54

044 City Of Chicago Police $6.50

044 City Of Chicago Police $364.32

044 City Of Chicago Police $6.50

044 City Of Chicago Police $353.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $353.96

044 City Of Chicago Police $377.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $319.70

044 City Of Chicago Police $6.50

044 City Of Chicago Police $113.77

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.21

City Of Chicago - Confidential

Page 390 of 409

Incident Date Claimant Rank

08/09/2010 BENNETT, JOSEPH 9161

01/17/2010 BELUSO, CHRISTOPHER 9161

04/17/2010 BELL, KANETHA 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $310.35

044 City Of Chicago Police $205.71

044 City Of Chicago Police $6.50

044 City Of Chicago Police $212.79

044 City Of Chicago Police $310.35

City Of Chicago Police $76.81

City Of Chicago Police $6.50

003 City Of Chicago Police $154.75

003 City Of Chicago Police $6.50

003 City Of Chicago Police $171.46

003 City Of Chicago Police $6.50

003 City Of Chicago Police $16.89

003 City Of Chicago Police $6.50

003 City Of Chicago Police $15.25

003 City Of Chicago Police $154.75

003 City Of Chicago Police $6.50

003 City Of Chicago Police $15.25

003 City Of Chicago Police $154.75

003 City Of Chicago Police $15.25

003 City Of Chicago Police $61.03

003 City Of Chicago Police $6.50

003 City Of Chicago Police $6.02

003 City Of Chicago Police $154.75

003 City Of Chicago Police $6.50

003 City Of Chicago Police $15.25

003 City Of Chicago Police $84.92

003 City Of Chicago Police $6.50

003 City Of Chicago Police $61.03

003 City Of Chicago Police $6.50

003 City Of Chicago Police $6.02

003 City Of Chicago Police $61.03

003 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 391 of 409

Incident Date Claimant Rank

04/17/2010 BELL, KANETHA 9161

11/23/2010 BEDNAREK, RICHARD 9171

08/18/2010 BAY, ANNETTE 9161

11/11/2010 BATZER, ZOE 9161

Unit of_Insured_Total to be Paid

003 City Of Chicago Police $6.02

003 City Of Chicago Police $61.03

003 City Of Chicago Police $6.50

003 City Of Chicago Police $6.02

003 City Of Chicago Police $6.50

003 City Of Chicago Police $15.25

006 Cily Of Chicago Police $1,620.00

006 City Of Chicago Police $226.27

006 City Of Chicago Police $6.50

006 City Of Chicago Police $18.00

006 City Of Chicago Police $6.50

006 City Of Chicago Police $83.04

006 City Of Chicago Police $6.50

006 City Of Chicago Police 548.00

006 City Of Chicago Police $6.50

006 Cily Of Chicago Police $413.11

006 City Of Chicago Police $6.50

044 City Of Chicago Police $257.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $6.67

044 City Of Chicago Police $527.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $70.00

044 City Of Chicago Police $6.50

044 City Of Chicago Police $178.60

044 City Of Chicago Police $2,744.87

044 City Of Chicago Police $25.69

044 City Of Chicago Police $7.69

044 City Of Chicago Police $34.03

044 City Of Chicago Police $1,900.00

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 392 of 409

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

11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 H/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010 11/03/2010

BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON, BARTON,

CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA CHRISTA

Poll Pol Poli Poll

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

$6.50

56.50

$200.85

$10.92

$6.50

$257.40

$8.40

$6.50

$200.85

$8.40

$6.50

$200.85

$6.50

$46.92

$6.50

$487.19

$6.50

$8.40

$6.50

$200.85

$286.36

$6.50

$200.85

$6.50

$8.40

$200.85

$8.40

$186.55

$6.50

$8.26

$134.92

$6.50

City Of Chicago - Confidential

Page 393 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/24/2010 BARRERA, JOSEPH

02/19/2010 BARNES, THOMAS

11/21/2010 BARNES, DAVID

07/24/2010 BARAK, JOHN

12/22/2009 BAQAI, FARAH

09/29/2010 BALDASSANO, VINCENT

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

153 153

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

S4.51

$1.29

$307.78

$1.29

$6.50

$88.23

$6.50

$359.06

$6.50

$88.23

$6.50

$5.27

$76.42

$6.50

$1.96

$6.50

$476.00

$18.60

$6.50

$301.01

$74.11

$3.01

$6.50

$244.40

$6.50

$13.33

$202.90

$6.50

$7.93

$674.93

$6.50

527.39

$124.39

City Of Chicago - Confidential

Page 394 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010

BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO, BALDASSANO,

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

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 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 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 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

$6.50

$5.05

$211.69

$6.50

$20.88

$125.37

$6.50

$18.91

$6.50

$12.86

$244.40

$6.50

$13.33

$244.40

$6.50

$13.33

$215.91

$6.50

$202.90

$6.50

$7.93

$259.45

$6.50

$10.45

$246.45

$6.50

$12.86

$246.45

$6.50

$12.86

$246.45

$213.20

$6.50

City Of Chicago - Confidential

Page 395 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/29/2010 BALDASSANO, VINCENT

09/29/2010 BALDASSANO, VINCENT 09/29/2010 ■ BALDASSANO, VINCENT

09/29/2010 BALDASSANO, VINCENT

01/15/2010 BALASZ, TIMOTHY

01/15/2010 BALASZ. TIMOTHY

01/15/2010 BALASZ, TIMOTHY

01/15/2010 BALASZ, TI MOTHY

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

$12.46

$1,935.42

$6.50

$49.46

$244.40

$6.50

$13.33

$303.00

$6.50

$15.38

$226.20

$6.50

$10.05

$226.20

$6.50

$10.05

$243.10

$6.50

$10.77

$244.40

$6.50

$13.33

$6.50

$17.28

$47.95

$11.26

$6.50

$930.66

$6.50

$992.18

$6.50

$1,488.27

$148.42

City Of Chicago - Confidential

Page 396 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago 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 Poli City Of Chicago Pol¹City Of Chicago Poll City Of Chicago Poll City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago 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

01/15/2010 BALASZ, TIMOTHY

09/22/2010 BALACHOWSKI, GEOFFREY

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

Poli Poli Poll

$6.50

$522.04

$6.50

$148.42

$6.50

$160.87

$6.50

$1,488.27

$6.50

$87.19

$6.50

$87.19

$6.50

$1,816.25

$33.87

$234.14

$6.50

$3.44

$1.29

$6.50

$88.23

$3.44

$6.50

$234.14

$3.44

$6.50

$234.14

$3.44

$6.50

$234.14

$3.44

$6.50

$234.14

City Of Chicago - Confidential

Page 397 of 409

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

09/2272010 BALACHOWSKI, GEOFFREY

09/22/2010 BALACHOWSKI, GEOFFREY

05/14/2010 BAKOPOULOS, JOHN

11/23/2009 BAILEY, LESTER

08/16/2010 BAEZA JR, RAUL

9161 9161 9161 9161 9161 9161 9161 9161 9161

023 023 023 023 023 023 023 023 023

Pol Poli Pol

$3.44

$6.50

$234.14

$3.44

$6.50

$234.14

$3.44

$6.50

$234.14

$3.44

$234.14

$6.50

$200.00

$36.03

$21.75

$21.43

$3.72

$18.89

$24.34

$18.89

$186.22

$18.89

$254.25

$12.95

$6.50

$12.95

$254.05

$6.50

$12.95

$213.20

$6.50

City Of Chicago - Confidential

Page 398 of 409

Incident Date Claimant Rank

08/16/2010 BAEZA JR, RAUL 9161

08/16/2010 ' BAEZA JR, RAUL 9161

08/16/2010 BAEZA JR, RAUL 9161

11/25/2007 Ayala, Jason ' P

11/25/2007 Ayala, Jason P

07/08/2008 Anderson-Russell, Tracey A P

12/15/2000 Allen, Denotra P

Unit of_Insured_Total to be Paid

023 City Of Chicago Police $12.46

023 City Of Chicago Police $213.20

023 City Of Chicago Police $6.50

023 City Of Chicago Police $12.46

023 City Of Chicago Police $254.05

023 City Of Chicago Police $6.50

023 City Of Chicago Police $12.95

023 City Of Chicago Police $251.24

023 City Of Chicago Police $6.50

023 City Of Chicago Police $13.33

023 City Of Chicago Police $254.05

023 City Of Chicago Police $6.50

023 City Of Chicago Police $12.95

023 City Of Chicago Police $254.05

023 City Of Chicago Police $6.50

023 City Of Chicago Police $12.95

023 City Of Chicago Police $254.05

023 City Of Chicago Police $6.50

023 City Of Chicago Police $12.95

023 City Of Chicago Police $254.05

023 City Of Chicago Police $6.50

023 City Of Chicago Police $254.05

00014 City Of Chicago Police $153.19

00014 City Of Chicago Police $5,284.48

00003 City Of Chicago Police $6.50

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $11.10

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $84.92

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $84.92

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $84.92

City Of Chicago - Confidential

Page 399 of 409

Incident Date Claimant Rank

12/15/2000 Allen, Denotra P

04/06/2001 Alday, Martha S P

04/13/2008 Ahearn, Dory E P

03/20/2008 Adams, Timothy P

09/28/2010 AUBERT, LANELL 9161

Unit of Insured Total to be Paid

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $84.92

09999 City Of Chicago Police $117.00

09999 City Of Chicago Police $1.29

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $88.23

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $149.46

00025 City Of Chicago Police $32.30

00025 City Of Chicago Police $33.28

007 City Of Chicago Police $6.50

007 City Of Chicago Police $217.46

007 City Of Chicago Police $6.50

007 City Of Chicago Police $7.14

007 City Of Chicago Police $414.96

007 City Of Chicago Police $6.50

007 City Of Chicago Police $93.11

007 City Of Chicago Police $644.08

007 City Of Chicago Police $6.50

007 City Of Chicago Police $142.82

007 City Of Chicago Police $119.38

007 City Of Chicago Police $6.50

007 City Of Chicago Police $16.70

007 City Of Chicago Police $255.86

007 City Of Chicago Police $6.50

007 City Of Chicago Police $10.38

007 City Of Chicago Police $229.12

007 City Of Chicago Police $25.41

007 City Of Chicago Police $49.71

007 City Of Chicago Police $157.93

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.74

City Of Chicago - Confidential

Page 400 of 409

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

09/28/2010 AUBERT, LANELL

03/15/2010 AUBERT, CHANA

07/26/2009 ASKAR, JAMIL

09/26/2010 ASCENCIO, RAMON

08/17/2010 ARMSTRONG, DERRICK

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

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

Poli Poli Pol

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

$111.31

$6.50

$30.26

$189.00

$6.50

$43.42

$162.03

$6.50

$22.41

$127.85

$6.50

$25.50

$157.93

$14.63

$732.03

$582.34

$6.50

$809.64

$6.50

$250.60

$6.50

$18.08

$137.20

$6.50

$13.52

$20.00

$6.50

$1.15

$269.88

$978.83

$6.50

City Of Chicago - Confidential

Page 401 of 409

Incident Date Claimant Rank

08/17/2010 ARMSTRONG, DERRICK

09/21/2010 ARCEO, LEW 9161

09/21/2010 ARCEO, LEW ■ 9161

09/21/2010 ARCEO, LEW 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $822.98

City Of Chicago Police $27.05

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.44

044 City Of Chicago Police $197.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.44

044 City Of Chicago Police $210.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.02

044 City Of Chicago Police $185.90

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.10

044 City Of Chicago Police $202.90

044 City Of Chicago Police $6.50

044 City Of Chicago Police $7.93

044 City Of Chicago Police $210.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.02

044 City Of Chicago Police $2,856.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $210.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.02

044 City Of Chicago Police $88.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.29

044 City Of Chicago Police $88.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.29

044 City Of Chicago Police $197.50

044 City Of Chicago Police $10.44

044 City Of Chicago Police $197.50

City Of Chicago - Confidential

Page 402 of 409

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 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 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 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 Poll City Of Chicago Poli City Of Chicago Poli

09/21/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 11/19/2010 11/19/2010 11/19/2010 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 ANTONSEN, RICHARD ANTONSEN, RICHARD ANTONSEN, RICHARD ANTONSEN, RICHARD ANTONSEN, RICHARD ANTONSEN, RICHARD ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL ANDRUZZI, MICHAEL 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 9165 9165 9165 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044

650 650 650

Poli Poll Poll Poli

$6.50

535.53

$618.10

$6.50

$12.19

$80.51

$286.97

$6.50

$3.47

$298.94

$6.50

$189.69

$6.50

$7.70

$259.75

$6.50

$9.11

$25.60

$6.50

$1.47

$259.75

$6.50

$9.11

$169.65

$6.50

$7.53

$285.10

$6.50

$10.76

$169.65

$6.50

$7.53

City Of Chicago - Confidential

Page 403 of 409

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 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

08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 08/28/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 03/14/2009 03/14/2009 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010

ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ANDRADE, DANIEL ALVARADO,MATTHEW ALVARADO, MATTHEW ALVARADO, MATTHEW ALVARADO, MATTHEW ALMAZAN, BENJAMIN ALMAZAN, BENJAMIN ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES

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

044 044 044 044 010 010

lice dice lice lice ilice 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

$113.10

S6.50

$5.02

$56.55

$6.50

$2.51

$526.62

$294.48

$6.50

$311.41

$6.50

$85.50

$6.50

$2.19

$86.35

$6.50

$1.73

$6.50

$227.40

$140.95

$6.50

$7.93

$172.15

$6.50

$8.80

$197.50

$6.50

$10.44

$216.50

$6.50

$10.44

City Of Chicago - Confidential

Page 404 of 409

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

04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 04/19/2010 09/11/2010 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

ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALLEN, JAMES ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA ALEXANDER, DANA

9796 9796 9796 9796 9796 9796 9796 9796 9796 9796 9796

212 212 212 212 212 212 212 212 212 212 212

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

$197.50

$6.50

$10.44

$197.50

$6.50

$10.44

$197.50

$6.50

$10.44

$197.50

$6.50

$10.44

$210.50

$6.50

$8.02

$197.50

$6.50

$10.44

$140.95

$7.93

$6.50

$11.05

$227.41

$6.50

$33.88

$6.50

$343.66

$6.02

$6.50

$61.03

$29.08

$6.50

$22.42

City Of Chicago - Confidential

Page 405 of 409

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

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 11/19/2010 11/19/2010 11/19/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010 10/31/2010

ALEXANDER, DANA ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALEXA, MICHELENE ALCAZAR, DAVID ALCAZAR, DAVID ALCAZAR, DAVID ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN ALANIZ, BRIAN

9796

212

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

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

Poli Poli Poll

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

$294.98

$120.35

$6.50

$176.90

$12.78

$176.90

$10.27

$6.50

$465.12

$11.89

$6.50

$12.88

$3.83

$21.02

$234.10

$6.50

$8.80

$130.00

$6.50

$5.75

$113.71

$6.50

$213.20

$6.50

$12.46

$155.67

$6.50

$155.67

$6.50

$6.97

$202.90

City Of Chicago - Confidential

Page 406 of 409

Incident Date Claimant_Rank

10/31/2010 ALANIZ, BRIAN 9161

09/09/2010 ALAMILLO, ARMANDO 9161

09/25/2010 AKERSON, WILLIE

07/13/2009 AICH, ALVARO 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $6.50

010 City Of Chicago Police $7.93

010 City Of Chicago Police $246.45

010 City Of Chicago Police $6.50

010 City Of Chicago Police $113.10

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.02

010 City Of Chicago Police $12.86

010 City Of Chicago Police $174.85

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.77

010 City Of Chicago Police

$169.65

$6.50

$7.53

$202.90

$6.50

$7.93

$259.45

$6.50

$10.45

$199.22

$87.69

$6.50

City Of Chicago Police $6.50

City Of Chicago Police $421.70

City Of Chicago Police $118.51

City Of Chicago Police $71.19

City Of Chicago Police $6.50

City Of Chicago Police $4,472.14

City Of Chicago Police $6.50

City Of Chicago Police $7.16

City Of Chicago Police $176.45

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 407 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/13/2009 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 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

AICH, ALVARO 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 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

9161 9161 9161 9161 9161 9161 9161 9161 9161 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

$114.29

$6.50

$295.78

$3.58

$6.50

$3.88

$295.78

$3.58

$352.88

$6.50

$295.78

$6.50

$3.58

$320.43

$6.50

$3.88

$6.50

$320.43

$6.50

$3.88

$261.31

$6.50

$3.16

$295.78

$6.50

$3.58

$295.78

$6.50

$3.58

$320.43

$2.58

$175.60

$39.53

City Of Chicago - Confidential

Page 408 of 409

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Total: Total:

12/24/2009

09/19/2010

04/26/2010

12/20/2009

08/04/2010

Number 10293

Number 13475

AHEARN, DORY

ADAMS, TIMOTHY

ACOSTA, MARIO

ACEVEZ, ANTHONY

ABEJERO, RESTITUTO

Amount $2,174,985.77

Amount $3,293,352.02

9161 9161 9161 9161 9161 .9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

016 016 025 025 025 019 019 019 765 765 765 765 017 017 017 017 017 017

$6.50

$35.07

$67.50

$1.73

$6.50

$463.22

$32.54

$149.46

$6.50

$2,220.25

$6.50

$164.89

$2.42

$6.50

$20.31

$794.39

City Of Chicago - Confidential

Page 409 of 409

City Of Chicago

Police & Fire Third-Party Orders

Incident Date Claimant Rank

Insured Namel: City Of Chicago Fire

03/21/2005 Roccasalva, James F

05/22/2000 Mcelroy, David B L

09/17/2006 Mccormick, Denise F

02/15/1991 Guzick, Lawrence E

06/02/2009 FORD, RICHARD 8701

07/19/1982 Banks, Thomas S F

Claim Total Amount 25 $21,033.08

Assigned to Unit Insured Total Paid

09999 City Of Chicago Fire $215.06

09999 City Of Chicago Fire $26.49

00481 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $266.00

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $266.00

00450 City Of Chicago Fire $6.67

00450 City Of Chicago Fire $6.50

00450 City Of Chicago Fire $28.00

00450 City Of Chicago Fire $6.50

00450 City Of Chicago Fire $562.39

00450 City Of Chicago Fire $1,995.55

00450 City Of Chicago Fire $125.00

00450 City Of Chicago Fire $6.50

00450 City Of Chicago Fire $375.00

00450 City Of Chicago Fire $6.50

00450 City Of Chicago Fire $429.33

00450 City Of Chicago Fire $15.21

00450 City Of Chicago Fire $6.50

00450 City Of Chicago Fire $15,688.44

City Of Chicago Fire $210.71

City Of Chicago Fire $479.43

00379 City Of Chicago Fire $285.30

City Of Chicago - Confidential

Page 1 of 18

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

Insured Namel: City Of Chicago Police

11/29/2005 Williams, Timothy P

08/28/2006 Torres, Ebenezer P

04/05/2000 Thompson, Nicole C P

12/02/2007 Tate, Kevin B P

12/29/2008 TILLMON, AMOS

11/01/2007 Steele, Roberta D P

06/18/2008 Sheldou, Clory P

06/28/2002 Savage, Raymond P

09/13/2008 Salcedo, Ruben P

00189 City Of Chicago Police $7.05

00019 City Of Chicago Police $6.50

00019 City Of Chicago Police $70.67

00019 City Of Chicago Police $1.38

00019 City Of Chicago Police $6.50

00019 City Of Chicago Police $68.72

00019 City Of Chicago Police $1.41

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $1.16

00044 City Of Chicago Police $95.65

00044 City Of Chicago Police $144.48

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $631.80

00044 City Of Chicago Police $18.05

00044 City Of Chicago Police $0.22

00044 City Of Chicago Police $6.50

00005 City Of Chicago Police $6.50

00005 City Of Chicago Police $4.44

00005 City Of Chicago Police $64.68

00005 City Of Chicago Police $83.99

00005 City Of Chicago Police $6.50

City Of Chicago Police $235.70

City Of Chicago Police $4.72

Cily Of Chicago Police $6.50

00005 City Of Chicago Police $1,037.06

00005 City Of Chicago Police $20.98

00001 City Of Chicago Police $299.95

09999 City Of Chicago Police $10.78

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $421.96

00012 City Of Chicago Police $10.74

00012 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 2 of 18

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

09/13/2008 Salcedo, Ruben P

02/09/2009 SHANAHAN, TIMOTHY 9161

01/28/1998 Roszak, Rose M P

00012 City Of Chicago Police $146.83

00012 City Of Chicago Police $5.96

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $264.70

00012 City Of Chicago Police $10.63

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $47.47

00012 City Of Chicago Police $65.88

00012 City Of Chicago Police $380.12

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $9.31

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $229.40

00012 City Of Chicago Police $5.16

00012 City Of Chicago Police $127.04

00012 City Of Chicago Police $262.06

008 City Of Chicago Police $91.35

008 City Of Chicago Police $6.50

00014 City Of Chicago Police $269.75

00014 City Of Chicago Police $9.32

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $57.59

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $19.49

00014 City Of Chicago Police $8.34

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $12.46

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $213.20

00014 City Of Chicago Police $6.29

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $115.60

City Of Chicago - Confidential

Page 3 of 18

Incident Date Claimant Rank

01/28/1998 Roszak, Rose M P

08/31/1994 Roszak, Rose P

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

Assigned to Unit Insured Total Paid

00014 City Of Chicago Police $12.46

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $213.20

00014 City Of Chicago Police $5.02

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $113.10

00014 City Of Chicago Police $12.46

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $213.20

00014 City Of Chicago Police $244.40

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $13.33

00014 City Of Chicago Police $187.20

00014 City Of Chicago Police $17.31

00014 City Of Chicago Police $244.40

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $13.33

00014 City Of Chicago Police $228.70

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $11.31

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $14.98

00014 City Of Chicago Police $254.05

00014 City Of Chicago Police $12.95

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $9.95

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $12.46

00012 City Of Chicago Police $6.50

00013 City Of Chicago Police $6.50 00013 City Of Chicago Police $6.50 00013 City Of Chicago Police $76.81

City Of Chicago - Confidential

Page 4 of 18

Incident Date Claimant Rank

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

12/23/1987 Robarts-Dillon, Janice M P

01/05/1996 Rivera, Sally A P

12/16/2007 Prus-Bright, Elizbieta P

06/06/1988 Phillips, Susan ^ P

06/06/1988 Phillips, Susan P

02/09/2008 Partida, Estanislao P

04/29/2003 Parker, Joe P

11/25/1984 Overton, Susan P P

04/16/2005 Oskvarek, Glenn J P

Assigned to Unit Insured Total Paid

00013 City Of Chicago Police $545.39

00016 City Of Chicago Police $404.82

00016 City Of Chicago Police $817.44

00016 City Of Chicago Police $269.88

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $202.41

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $76.81

00016 City Of Chicago Police $6.50

00025 City Of Chicago Police $58.68

00025 City Of Chicago Police $1,020.57

00023 City Of Chicago Police $2.54

00023 City Of Chicago Police $6.50

00023 City Of Chicago Police $705.81

00023 City Of Chicago Police $6.50

00023 City Of Chicago Police $89.64

00004 City Of Chicago Police $84.92

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $738.40

00004 City Of Chicago Police $28.87

00057 City Of Chicago Police $6.50

00019 City Of Chicago Police $3,696.00

00019 City Of Chicago Police $6.50

00019 City Of Chicago Police $242.44

00019 City Of Chicago Police $6.50

00019 City Of Chicago Police $136.95

00019 City Of Chicago Police $900.40

00019 City Of Chicago Police $14,728.80

00019 City Of Chicago Police $160.37

00019 City Of Chicago Police $270.60

00153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 5 of 18

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

04/16/2005 Oskvarek, Glenn J P

02/24/1998 Oconnell, Dennis L P

02/24/1998 Oconnell. Dennis L P

02/24/1998 Oconnell, Dennis L P

05/03/2008 Obrecki, Robert P

11/11/1997 Nieves-Goddard, Cynthia C P

11/18/2007 Miceli, Mary P

03/07/2002 Merriweather, Sheila A P

00153 00153 00153 00153 00153 00006 00006 00006 00006 00006 00006 00006 00016 00016 00016 00016 00016 00016 00016 00009 00009 00009 00018 00018 00005 00005 00005 00005 00005 00005 00005 00005 00005

$16.60

$6.50

$333.84

$6.50

$234.80

$131.03

$133.29

$15.34

$6.50

$27.36

$127.72

$260.22

$6.50

$14.96

$14.44

$6.50

$550.10

$6.50

$243.93

$1,712.62

$6.50

$35.10

$30.04

$337.35

$6.50

$337.35

$6.50

$237.00

$281.01

$6.50

$3.40

$188.12

City Of Chicago - Confidential

Page 6 of 18

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

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

03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 03/07/2002 11/01/2008 11/01/2008 10/17/2008 10/17/2008 08/04/2008 08/04/2008 08/04/2008 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 05/16/1999 05/16/1999

Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Merriweather, Sheila A Mendoza, Cristobal Mendoza, Cristobal Medina, Mari T Medina, Mari T Mattson, Kimberly M Mattson, Kimberly M Mattson, Kimberiy M Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Mackey, Patricia J Mackey, Patricia J

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

00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00010 00010 00003 00003 00022 00022 00022 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00044 00044

Poli Poli Poli Poli

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

$6.50

$3.76

$548.29

$6.50

$84.15

$6.50

$3.42

$337.35

$6.50

$1,374.99

$6.50

$480.82

$6.50

$73.99

$6.50

$82.04

$6.50

$61.03

$6.02

$6.50

$17.07

$0.51

$6.50

$56.98

$6.50

$34.14

$6.50

$3,165.77

City Of Chicago - Confidential

Page 7 of 18

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

05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 05/16/1999 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 02/01/2007 02/01/2007 02/01/2007 08/05/2006 12/11/2008 10/25/2001 10/25/2001 10/25/2001 10/25/2001

Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J Mackey, Patricia J MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L Lepkowski, John Lepkowski, John Lepkowski, John Latsos, George LITTLE, ALEXANDRA Kuehn, Lynn Kuehn, Lynn Kuehn, Lynn Kuehn, Lynn

P P P P P P P P P

9161

P P P P

00044

017

00008

00023 00023 00023 00023

Poll Poll Poli

$6.50

$645.21

$6.50

$894.57

$745.95

$6.50

$30.28

$334.74

$598.39

$6.50

$57.59

$19.41

$9.91

$175.46

$9.91

$297.10

$11.38

$4.37

$175.46

$137.35

$6.50

$57.59

$781.52

$2,271.92

$916.52

$6.50

$286.85

$250.00

$756.28

$6.50

51,802.34

City Of Chicago - Confidential

Page 8 of 18

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

02/13/2005 Kroliczek, Les 0 P

02/13/2005 Kroliczek, Les O P

09/17/2006 Kristin, Maureen P

08/21/2003 Kitowski, Nicholas P

11/29/2006 Kereakes, Demetrios P

03/16/2009 KINNEY, JEANNE 9161

02/09/2009 KAZMI, SYED 9161

06/14/1997 Jones, Nadine L P

00016 City Of Chicago Police $73.74

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $149.46

00016 City Of Chicago Police $73.74

00016 City Of Chicago Police $95.27

00016 City Of Chicago Police $73.74

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $250.15

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $84.92

00022 City Of Chicago Police $1.96

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $76.42

00022 City Of Chicago Police $180.00

00022 City Of Chicago Police $1.96

00022 City Of Chicago Police $76.42

00018 City Of Chicago Police $ 139.60

00018 City Of Chicago Police $ 108.82

00018 City Of Chicago Police $125.67

00018 City Of Chicago Police $100.96 00011 City Of Chicago Police $32.30 00011 City Of Chicago Police $77.96 00011 City Of Chicago Police $32.30 00011 City Of Chicago Police $456.69 00011 City Of Chicago Police $6.50 005 City Of Chicago Police $187.66 005 City Of Chicago Police $4.79 005 City Of Chicago Police $6.50

019 City Of Chicago Police $45.00 019 City Of Chicago Police $6.50 00005 City Of Chicago Police $475.00 00005 City Of Chicago Police $235.75 00005 City Of Chicago Police $1.00

City Of Chicago - Confidential

Page 9 of 18

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

06/14/1997 06/14/1997 06/14/1997 04/21/2000 04/21/2000 04/21/2000 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006 08/17/2006

Jones, Nadine L Jones, Nadine L Jones, Nadine L Harris, Charleston Harris, Charleston Harris, Charleston

Hal Hal Ha Ha Hal Hal Hal Hal Hal Hal Hal Hal Hal Hal Hal Hal Hal Hal Ha Ha Ha Ha Hal Hal Hal Hal Hal

llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan. Annette M llinan, Annette M illinan, Annette M illinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M llinan, Annette M illinan, Annette M illinan, Annette M llinan, Annette M llinan, Annette M

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

00005 00005 00005 00715 00715 00715 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

$82.83

$6.50

$90.48

$27.49

$6.50

$89.55

$6.50

$1.32

$133.71

$6.50

$217.87

$3.20

$295.76

$6.50

$302.04

$6.50

$4.44

$57.07

$6.50

$46.18

$122.51

$6.50

$62.23

$43.44

$6.50

$19.04

$38.25

$6.50

$28.82

$6.50

$4.34

$1.96

City Of Chicago - Confidential

Page 10 of 18

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

10/26/2009 HUDSON, ROBIN 9161

07/16/2002 Grachen, Frank P

06/09/2008 Ghusain, Kassim R P

11/12/2007 Gaines, Kenyatta P

City Of Chicago Police $637.33

City Of Chicago Police $6.50

City Of Chicago Police $1,146.99

City Of Chicago Police $6.50

City Of Chicago Police $742.17

City Of Chicago Police $6.50

City Of Chicago Police $404.82

City Of Chicago Police $6.50

City Of Chicago Police $146.34

City Of Chicago Police $6.50

City Of Chicago Police $102.33

City Of Chicago Police $404.82

00021 City Of Chicago Police $377.50

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $15.32

00021 City Of Chicago Police $109.57

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $6.30

00001 City Of Chicago Police $6.50

00001 City Of Chicago Police $57.00

00001 City Of Chicago Police $6.50

00001 City Of Chicago Police $78.79

00001 Cily Of Chicago Police $608.51

00001 City Of Chicago Police $6.50

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $3.68

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $160.36

00004 City Of Chicago Police $172.77

00004 City Of Chicago Police $10.30

00004 City Of Chicago Police $133.45

City Of Chicago - Confidential

Page 11 of 18

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 11/12/2007 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 12/15/2008 01/14/2003 01/14/2003 01/14/2003 05/02/2006

Gaines, Kenyatta Gaines, Kenyatta Gaines, Kenyatta Gaines, Kenyatta Gaines, Kenyatta Gaines, Kenyatta GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER GARTH, WALTER Fuda, Frank J Fuda, Frank J Fuda, Frank J Foster, Teresa

P P P P P P

9161

00004

023

00007

00002

$115.18

$29.23

$6.50

$282.72

$6.50

$33.12

$378.88

$6.50

$202.41

$171.27

$269.88

$6.50

$296.76

$6.50

$1,008.04

$9.72

$6.50

$295.82

$1.78

$6.50

$121.45

$690.29

$3.52

$6.50

$240.02

$11.94

$6.50

$191.99

$324.52

$359.36

$925.03

City Of Chicago - Confidential

Page 12 of 18

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

05/02/2006 05/0272006 05/02/2006 05/02/2006 05/0272006 05/02/2006 05/02/2006 05/0272006 05/02/2006 05/02/2006 05/02/2006 01/10/2006 01/10/2006 01/10/2006 01/10/2006 01/10/2006 01/10/2006 04/22/2006 04/2272006 04/2272006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/22/2006 04/2272006 04/22/2006 04/22/2006 04/22/2006 10/11/2003 10/11/2003 10/27/2004

Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Foster, Teresa Farah, James Farah, James Farah, James Farah, James Farah, James Farah, James Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Eigenbauer, Robert Duerson-Carter, Audrey Duerson-Carter, Audrey Duarte, Francisco

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

00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00018 00018 00018 00018 00018 00018 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00003 00003 00010

$150.42

$122.49

$11.66

$1,235.16

$6.50

$116.98

$450.66

$6.50

$120.57

$6.50

$11.84

$12.90

$317.61

$6.50

$291.96

$129.50

$90.22

$6.50

$10.28

$74.86

$6.50

$822.15

$6.50

$613.30

$6.50

$47.24

$6.50

$476.75

$6.50

$136.96

$6.50

$331.46

City Of Chicago - Confidential

Page 13 of 18

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

10/27/2004 08/06/2007 08/06/2007 08/06/2007 08/06/2007 08/06/2007 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001 07/01/2001

Duarte, Francisco Dixon, Dan Dixon, Dan Dixon, Dan Dixon, Dan Dixon, Dan

Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del Del

Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo Irio, Gonzalo

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

00010 00024 00024 00024 00024 00024 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765 00765

$6.50

$72.65

$104.71

$303.71

$72.65

$755.60

$6.50

$1,254.00

$4,087.20

$282.10

$6.50

$16.19

$6.50

$82.39

$6.50

$4.74

$65.67

$6.50

$3.77

$6.50

$19.29

$266.43

$6.50

$10.81

$171.66

$6.50

$24.23

$290.00

$6.50

$45.77

$201.60

City Of Chicago - Confidential

Page 14 of 18

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

07/01/2001 Delrio, Gonzalo P

08/14/2005 Davis, Joseph A P

01/08/2009 DAVIS, MELVIN 9161

09/05/1987 Crowley, James P

01/07/2008 Cordova, Diana M P

08/12/1996 Ciangi, Leonard F P

04/13/1996 Chisholm-Dougan, Coleen L P

04/13/1996 Chisholm-Dougan. Coleen L P

04/13/1996 Chisholm-Dougan, Coleen L P

01/19/2001 Camacho, Tadeous R P

08/30/2009 COATS, CHRISTOPHER 9161

00765

00003

157

00002

00189

00016

00015

00189

022

$6.50

$5.16

$603.94

$6.50

$187.38

$56.95

$14,322.30

$14,799.71

$307.20

$1,465.64

$1.07

$88.08

$17.74

$63.75

$6.50

$2.59

$6.50

$1,400.07

$7.45

$6.50

$183.52

$79.01

$6.50

$148.54

$219.15

$397.04

$6.50

$10.14

$335.93

$6.50

$10.81

City Of Chicago - Confidential

Page 15 of 18

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

08/30/2009 COATS, CHRISTOPHER

08/15/2002 Brumley, Cedric

9161

022

00004

$6.50

$283.93

$10.81

$6.50

$283.93

$32.75

$6.50

$840.84

$6.50

$87.19

$34.93

$6.50

$889.26

$24.61

$6.50

$619.86

$11.13

$6.50

$272.98

$13.80

$335.93

$6.50

$187.11

$6.50

$187.13

$187.11

$301.70

$6.50

$42.88

$187.11

$5,235.72

City Of Chicago - Confidential

Page 16 of 18

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

08/15/2002 Brumley, Cedric P

04/28/2004 Branch, Pamela P

12/31/1995 Benigno, Lisa P

11/18/2007 Beebe, Thomas A P

10/18/2007 Badus, Christina P

06/21/2009 BORSKI, MARK 9152

00004 City Of Chicago Police $5.88

00004 City Of Chicago Police $246.06

00004 City Of Chicago Police $26.85

00004 City Of Chicago Police $1,382.99

00004 City Of Chicago Police $191.24

00004 City Of Chicago Police $48.59

00004 City Of Chicago Police 5620.18

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $98.45

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $8.39

00004 City Of Chicago Police $5,093.27

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $5,194.19

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $5,235.72

00004 City Of Chicago Police $6.50

00003 City Of Chicago Police $6.50

00003 City Of Chicago Police $87.19 00010 City Of Chicago Police $3.47 00010 City Of Chicago Police $6.50 00010 City Of Chicago Police $85.58 00010 City Of Chicago Police $6.50 00010 City Of Chicago Police $100.68 00019 City Of Chicago Police $7.46 00019 City Of Chicago Police $6.50 00019 City Of Chicago Police $262.56 00019 City Of Chicago Police $6.50

00004 City Of Chicago Police $6.50 00004 City Of Chicago Police $96.98 00004 City Of Chicago Police $6.50 00004 City Of Chicago Police $96.98 701 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 17 of 18

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

05/09/2007 11/15/2007 02/12/2009 02/12/2009 02/12/2009 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 12/04/2008 Claim Total Amount

Aich, Alvaro A Aguilera, Melissa A ANDREWS, PATRICK ANDREWS, PATRICK ANDREWS, PATRICK ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE

549

$155,749.75

P P

9161 9161 9161

00010

00003

020

$143.98

$6.50

$424.27

$6.15

$560.10

$337.19

$466.05

$2,122.80

$6.50

$65.32

$6.50

$5.03

$337.19

$6.50

$72.09

$6.50

$9.44

$418.33

$6.50

Claim Total Amount 574 $176,782.83

City Of Chicago - Confidential

Page 18 of 18

Legislation Text

Legislation Details

Legislation Details (With Text)