Office of the City Clerk - Record #: Or2011-650

Record #:

Or2011-650

Type:

Order

Status:

Passed

Intro date:

6/8/2011

Current Controlling Legislative Body:

City Council

Final action:

6/8/2011

Title:

Payment of hospital and medical expenses of Police Officers and Firefighters - Regular Orders - each amount not to exceed $1,000

Sponsors:

Burke, Edward M.

Topic:

CLAIMS - Police Officer/Firefighter Injuries

Attachments:

1. Or2011-650.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
6/8/2011	805	City Council	Passed	Pass	Action details	Meeting details	Not available
6/6/2011		Committee on Finance	Recommended to Pass		Action details	Meeting details	Not available
6/6/2011		Committee on Finance	Direct Introduction		Action details	Meeting details	Not available

CHICAGO June 8.2011

To the President and Members of the City Council:

Your Committee on Finance having had under consideration four (4) 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 ordinance(s)/order(s) transmitted herewith.

This recommendation was concurred in by__:_(^jva voce vote^

of the members of the committee with_dissenting voters);.

Respectfully submitted

(signed'

FINANCE MEETNG OF June 8, 2011

HOSPITAL AND MEDICAL ESPENSES OF INJURED POLICE OFFICERS AND FIREFIGHTERS

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

POLICE "B"-- 302 -- $173,330.14

"A"-- 2132 -- $1,272,743.80

FIRE "B"- 17 -- $2,410.92

"A"-- 723 -- $651,294.37

O'HARE "B"~ 0 - $0

"A"-- 0 -- $0

Total Amount Involved

3174

$2,099,779.23

Chicago. June 8_r 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) '_i

Chairman

Chicago. June 8. 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 payments, each in an amount not to exceed $1,000.00, in conformity with the schedule herein set forth, to physicians, hospitals, nurses or other individuals, in settlement for hospital, medical and nursing services rendered to the injured members of the Police Department and/or the Fire Department herein named. The payment of any of these bills shall not be construed as an approval of any previous claims pending or future claims for expenses or benefits on account of any alleged injury to the individuals named. The total amount of said claims is set opposite the names of the injured members of the Police Department and/or the Fire Department, and payments are to be drawn in favor of the proper claimants and charged to the following Account Numbers: 100-57-2005-0937; 610-57-4415-0937; 740-57-4415-0937; 100-59-2005-0937; 610-59-4415-0937; and 740-59-4415-0937.

City Of Chicago

Police & Fire Regular Orders

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Insured Namel: City Of Chicago Fire

11 /22/2010 ZNAVOR, THOMAS

11/22/2010 ZNAVOR, THOMAS

11 /22/2010 ZNAVOR, THOMAS

11/22/2010 ZNAVOR, THOMAS

11 /22/2010 ZNAVOR, THOMAS

11/22/2010 ZNAVOR, THOMAS

11 /22/2010 ZNAVOR, THOMAS

11/22/2010 ZNAVOR, THOMAS

11 /22/2010 ZNAVOR, THOMAS

11/22/2010 ZNAVOR, THOMAS

11/08/2009 ZARATE, RICHARD

02/10/2011 ZAENTZ, JONATHAN

8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8771 8807 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745

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

$136.29

$6.50

$303.01

$272.60

$933.00

$272.60

$47.23

$6.50

$656.50

$6.50

$7.19

$6.50

$12.98

$278.36

$212.30

$281.17

City Of Chicago - Confidential Page 1 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 02/10/2011 01/03/2010 01/03/2010 01/03/2010 01/03/2010 01/03/2010 01/03/2010 04/29/2011 04/29/2011 04/29/2011

ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YOUNG, GARRY YORK, DONALD YORK, DONALD YORK, DONALD

8745 .

8745

8731

City City City

$281.17

$507.61

$6.50

$7.13

$7.19

$6.50

$7.19

$6.50

$7.19

$6.50

$7.19

$6.50

$7.19

$6.50

$7.19

$6.50

$5.43

$6.50

$5.43

$6.50

$5.43

$6.50

$17.28

$6.50

$22.94

$446.86

$897.82

$648.20

$209.69

$6.50

City Of Chicago - Confidential

Page 2 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/29/2011 02/15/2008 08/31/2006 08/31/2006 08/31/2006 01/12/1999 01/12/1999 01/12/1999 04/28/2003 04/28/2003 04/28/2003 04/28/2003 02/21/2011 02/21/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 02/06/2011 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/07/2010 04/21/2011

YORK, DONALD Willis, Rodger Williams, James Williams, James Williams, James Walz, Randall Walz, Randall Waiz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall WOODSON, ANGELA WOODSON, ANGELA WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC WIZGIRD, DOMINIC WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WINDT, WILLIAM WILLIAMS, STANLEY

8731

c c

8750 8750 8731 8731 8731 8731 8731 8731 8731 8731 8731

00359 09999 09999 09999 00432 00432 00432 00410 00410 00410 00410

8811

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

$6.50

$68.48

$96.62

$6.50

$1.17

$96.62 '

$1.17

$6.50

$362.67

$222.11

$424.25

$83.97

$314.52

$6.50

$80.74

$119.00

$21.46

$6.50

$839.82

$6.50

$11.73

$6.50

$7.96

$28.11

$6.50

$4.66

$6.50

$3.04

$6.50

$692.44

$74.86

$114.69

$395.90

City Of Chicago - Confidential

Page 3 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/21/2011 WILLIAMS, STANLEY

02/01/2011 WHITTINGTON, JEFFREY

02/01/2011- WHITTINGTON, JEFFREY

02/01/2011 WHITTINGTON, JEFFREY

02/09/2011 WHITERS, STEVEN

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

ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ity Of Chicago Fi ity Of Chicago F ity Of Chicago F ity Of Chicago F ity Of Chicago F ty Of Chicago Fi ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ity Of Chicago Fi ;ty Of Chicago F ity Of Chicago F ity Of Chicago F ity Of Chicago F ity Of Chicago F ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi

$68.01

$6.50

$14.38

$6.50

$170.02

$6.50

$25.67

$6.50

$4.41

$811.30

$11.03

$178.24

$6.50

$1.74

$6.50

$143.42

$6.50

$7.23

$215.32

$21.23

$184.11

$171.01

$243.32

$215.32

$243.32

$68.15

$230.65

$6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011

WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS, WHITERS,

STEVEN

STEVEN '

STEVEN

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

City City City

City Of (

City Of Chicago F

$6.50

$16.85

$6.50

$16.85

$6.50

$18.14

$6.50

$18.14

$6.50

$18.14

$6.50

$16.85

$6.50

$23.99

$6.50

$23.99

$6.50

$23.99

$6.50

$21.23

$6.50

$21.23

$6.50

$21.23

$6.50

$23.99

$6.50

$23.99

$83.88

$171.01

City Of Chicago - Confidential

Page 5 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/09/2011 02/09/2011 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 04/16/2009 07/05/2010 07/05/2010 07/05/201.0 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 03/24/2011

WHITERS, STEVEN WHITERS, STEVEN WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID WHITE, DAVID 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 WELSH, DAVID

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 8731 8819

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

$184.11

$74.86

$6.50

$220.18

$6.50

$45.76

$6.50

$3.04

$6.50

$43.69

$6.50

$44.59

$6.50

$39.05

$6.50

$45.15

$961.92

$23.49

$73.53

$214.34

$89.64

$399.82

$6.50

$5.48

$6.50

$1.09

$6.50

City Of Chicago - Confidential

Page 6 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 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 11/14/2010 11/14/2010

WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WARFIELD, DENNIS WARFIELD, DENNIS WARFIELD, DENNIS WARFIELD, DENNIS WARFIELD, DENNIS WARFIELD, DENNIS WARFIELD, DENNIS WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8728 8728 8728 8728 8728 8728 8728 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

City Of (

City Of Chicago I

$6.80

$6.50

$425.60

$6.50

$99.56

$206.76

$220.12

$108.71

$7.23

$183.47

$146.79

$6.50

$634.20

$12.50

$6.50

$18.81

$6.50

$18.81

$6.50

$18.81

$6.50

$18.81

$6.50

$18.81

$6.50

$3.30

$6.50

$18.81

$6.50

City Of Chicago - Confidential

Page 7 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011

WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD, CHARLES WARD,CHARLES WARD, CHARLES WARD,CHARLES WARD,CHARLES WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN WALSKI, KEVIN

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 8801 8801 8801 8801

ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ity Of Chicago F ity Of Chicago F ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago F; ity Of Chicago F ity Of Chicago F ity Of Chicago F ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago F ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi

$18.81

$6.50

$18.81

$6.50

$7.16

$6.50

$18.81

$6.50

$18.81

$190.82

$87.36

$591.92

$3.43

$6.50

$3.01

$6.50

$2.23

$6.50

$3.43

$6.50

$2.65

$6.50

$3.43

$6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 02/03/2011 03/23/2010 03/23/2010 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011

WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSKI WALSH, WALSH, WALSH, WALSH, WALSH, WALSH, WALSH, WALSH, WALSH, WALSH, WALSH, WALSH,

, KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN , KEVIN MICHAEL MICHAEL LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE

8801 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

ity O ity Ol ity Oi ity Ol ty Ol ty Ol ity Oi ty Ol ty O; ty O: ty O; ty O ty O: ty O ty O-ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O

if Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire >f Chicago Fire >f Chicago Fire >f Chicago Fire 'f Chicago Fire 'f Chicago Fire >f Chicago Fire >f Chicago Fire 'f Chicago Fire 'f Chicago Fire >f Chicago Fire 'f Chicago Fire if Chicago Fire f Chicago Fire if Chicago Fire if Chicago Fire f Chicago Fire 'f Chicago Fire >f Chicago Fire

$6.86

$194.23

$229.10

$687.29

$219.14

$283.88

$249.01

$184.27

$283.88

$219.14

$283.88

$567.76

$6.50

$2.35

$6.50

$2.77

$6.50

$8.31

$6.50

$2.65

$6.50

$526.39

$604.50

$549.00

$90.00

$3.01

$6.50

$2.77

$6.50

$2.30

$6.50

City Of Chicago - Confidential

Page 9 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 07/17/2010 07/17/2010 07/17/2010 07/17/2010 07/17/2010 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

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

LAWRENCE

KEVIN

JAMES

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807

ity Of Chicago F ity Of Chicago F ty Of Chicago Fi ty Of Chicago Fi ity Of Chicago F ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ,ty Of Chicago Fi ity Of Chicago F> ity Of Chicago F, ity Of Chicago F ity Of Chicago F ity Of Chicago F ity Of Chicago F ity Of Chicago F ty Of Chicago F ity Of Chicago F ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi

$14.03

$6.50

$1.17

$6.50

$1.69

$6.50

$249.01

$229.10

$96.62

$139.45

$6.50

$3.42

$173.60

$380.71

$324.23

$364.29

$634.78

$6.50

$7.69

$6.50

$1.09

$6.50

$0.82

$6.50

$13.31

$6.50

$15.64

$6.50

$8.69

$411.79

City Of Chicago - Confidential

Page 10 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005 09/29/2005

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 WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY WALDROM, JEFFREY Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J Venegas, Roy J

8807

8731

00457 00457 00457 00457 00457 00457 00457 00457 00457

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

$89.10

$67.73

$89.64

$6.50

$8.69

$6.50

$17.38

$6.50

$8.69

$6.50

$19.78

$6.50

$264.18

$528.36

$264.18

$545.00

$473.00

$264.18

$6.50

$10.49

$280.50

$11.39

$258.50

$6.50

$37.84

$772.98

$6.50

$6.50 '

$6.50

$93.42

$3.47

$135.87

City Of Chicago - Confidential

Page 11 of 314

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Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/20/2011 TRAMIL, ANTHONY

02/05/2009 TORRENCE, THOMAS

07/04/2010 TORONYI, SCOTT

06/24/2010 TOMASZEWSKI, CHERYL

02/04/2011 THOMPSON, JOHN

8735 8731 8750 8745 8745 8745 8745 8745 8745 8745 8745 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 .8731 8731 8731 8731 8731

$6.50

$53.05

$29.25

$975.15

$359.10

$4.34

$6.50

$11.79

$6.50

$15.87

$6.50

$2.89

$6.50

$2.89

$22.67

$377.30

$402.50

$191.60

$886.41

$83.67

$448.20

$328.68

$83.67

$239.04

$328.68

$239.04

$83.67

$119.53

$239.04

City Of Chicago - Confidential

Page 13 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011

THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN

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

ty Of Chicago Fire ty Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ity Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire :ty Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ty Of Chicago Fire

$239.04

$199.75

$6.50

$7.44

$6.50

$1.01

$6.50

$5.42

$6.50

$3.98

$6.50

$1.01

$6.50

$2.89

$6.50

$2.89

$6.50

$2.89

$6.50

$2.89

$6.50

$3.98

$6.50

$2.89

$6.50

$1.01

$6.50

$1.44

$6.50

$2.89

$6.50

City Of Chicago - Confidential

Page 14 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 07/10/2010 05/13/2010 05/13/2010 05/13/2010 04/14/2011 04/14/2011 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 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

THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JOHN THOMPSON, JAMES THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE TAYLOR, EUCLID TAYLOR, EUCLID TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Sutton, David Strickler, Bernard Strickler, Bernard Strickler, Bernard

8731

8764

8749

8731

8745

00615 00615 00615 00615 00615 00615 00320 00320 00320

City City City

$645.31

$6.50

$7.78

$6.50

$8.11

$6.50

$65.18

$6.50

$102.18

$54.64

$41.04

$6.50

$266.73

$0.89

$6.50

$222.90

$3.60

$73.71

$499.26

$6.50

$297.81

$377.92

$603.75

$90.22

$6.50

$10.60

$10.84

$689.74

$561.56

$137.00

City Of Chicago - Confidential

Page 15 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/10/1990 04/24/2007 04/24/2007 04/24/2007 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005

Strickler, Bernard Strickler, Bernard Strickler, Bernard Strickler, Bernard Strickler, Bernard Strickler, Bernard Stitz, John Stitz, John Stitz, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John

00320 00320 00320 00320 00320 00320 00405 00405 00405 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488

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

$19.27

$23.13

$155.14

$186.77

$924.24

$285.94

$4.12

$6.50

$280.32

$6.50

$89.63

$15.61

$161.02

$38.25

$55.75

$30.70

$719.88

$166.32

$100.00

$463.20

$483.36

$372.92

$6.50

$7.01

$171.60

$6.50

$0.29

$6.50

$23.92

$6.50

City Of Chicago - Confidential

Page 16 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/10/2005 Spencer, John F

10/25/2001 Sorrentino, Nicholas F

10/25/2001 Sorrentino, Nicholas F .

'10/25/2001 Sorrentino, Nicholas F

10/25/2001 Sorrentino, Nicholas F

10/04/2001 Sopko, Andrew E

04/05/2010 SZCZYGIEL, PAUL 8731

06/04/2010 SZALA, DIANE 8745

11/20/2009 SUTKUS, THOMAS 8817

05/22/2009 SUTHERLIN-THAMES, ANDREA 8801

00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00367 00367 00367 00367 00367 00367 00367 00367 00367 00357 00357 00357 00357 00357 00357 00357

$11.82

$6.50

$15.27

$6.50

$110.60

$6.50

$117.78

$6.50

$9.67

$6.50

$984.49

$888.01

$8.87

$36.04

$6.50

$296.40

$132.29

$734.53

$5.18

$0.04

$6.50

$0.12

$6.50

$220.21

$76.25

$18.07

$28.24

$6.94

$6.50

$620.92

$6.50

$210.00

City Of Chicago - Confidential

Page 17 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/22/2009 SUTHERLIN-THAMES, ANDREA 8801

09/09/2009 SULLIVAN, BRIAN 8731

04/18/2011 SPEEDWELL, DAVID 8731

01/15/2011 SOTOMAYOR, JUAN 8731

01/24/2011 SOTO, CARLOS 8749

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

$6.50

$30.43

$19.76

$6.50

$207.41

$18.81

$101.70

$252.68

$205.00

$365.64

$6.50

$110.25

$6.50

$20.44

$6.50

$190.82

$103.80

$68.15

$347.03

$33.09

$6.50

$22.50

$6.50

$1.73

$6.50

$30.34

$6.50

City Of Chicago - Confidential

Page 18 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009 10/04/2009

SOTO, CARLOS SOTO,CARLOS SOTO, CARLOS SOTO,CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOTO, CARLOS SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF SOFIA, JEFF

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

$40.50

$6.50

$23.00

$6.50

$7.73

$6.50

$2.34

$6.50

$0.64

$6.50

$900.21

$302.64

$101.70

$91.53

$25.31

$215.32

$21.23

$207.41

$190.82

$68.98

$21.02

$6.50

$20.44

$6.50

$23.51

$6.50

$52.21

$6.50

$1.01

$6.50

$18.81

$6.50

City Of Chicago - Confidential

Page 19 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/04/2009 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 06/12/2010 06/12/2010 04/04/2011 04/04/2011 02/02/2011 02/02/2011 04/13/2011 04/13/2011 04/13/2011 04/13/2011 04/13/2011 04/13/2011 01/18/2010 01/18/2010 01/18/2010 01/18/2010 01/18/2010 01/18/2010 01/18/2010 11/28/2010 11/28/2010 03/26/2011 03/26/2011 03/26/2011 03/26/2011 05/28/2010 05/28/2010

SOFIA, JEFF SMITH, ASHFORD SMITH, ASHFORD SMITH, ASHFORD SMITH, ASHFORD SMITH, ASHFORD SUVA, JUANITA SILVA, JUANITA SHERIDAN, JOHN SHERIDAN, JOHN SHANAHAN, MICHAEL SHANAHAN, MICHAEL SERRANO, ROY SERRANO, ROY SERRANO, ROY SERRANO, ROY SERRANO, ROY SERRANO, ROY SCHWEIG, THOMAS SCHWEIG, THOMAS SCHWEIG, THOMAS SCHWEIG, THOMAS SCHWEIG, THOMAS SCHWEIG, THOMAS SCHWEIG, THOMAS SCHULZ, JENNIFER SCHULZ, JENNIFER SCHNEITER, MICHAEL SCHNEITER, MICHAEL SCHNEITER, MICHAEL SCHNEITER, MICHAEL SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY

8733 8801 8801 8801 8801 8801 8801 8801 8731 8731 8811 8811 8731 8731 8731 8731 8731 8731 8811 8811 8811 8811 8811 8811 8811 8745 8745 8749 8749 8749 8749 8811 8811

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

$238.53

$6.50

$2.98

$116.77

$89.16

$6.50

$2.82

$48.99

$6.50

$466.03

$110.96

$6.50

$419.74

$6.50

$895.30

$6.50

$17.03

$17.65 .

$304.30

$391.00

$6.50

$15.87

$12.35

$6.50

$30.00

$209.69

$6.50

$18.43

$6.50

$188.92

$155.73

City Of Chicago - Confidential

Page 20 of 314

Incident Date Claimant_Rank

05/28/2010 SCHNEIDER, TIMOTHY 8811

Unit of Insured Total to be Paid

City Of Chicago Fire $150.12

City Of Chicago Fire $188.92

City Of Chicago Fire $215.32

City Of Chicago Fire $190.82

City Of Chicago Fire $215.32

City Of Chicago Fire $218.82

City Of Chicago Fire $215.32

City Of Chicago Fire $215.32 City Of Chicago Fire ' $11.63

City Of Chicago Fire $9.38

City Of Chicago Fire $280.50

City Of Chicago Fire $304.82

City Of Chicago Fire $218.72

City Of Chicago Fire $88.23

City Of Chicago Fire $392.55

City Of Chicago Fire $89.12

City Of Chicago Fire $345.60

City Of Chicago Fire $88.23

City Of Chicago Fire $434.17

City Of Chicago Fire $217.12

City Of Chicago Fire $129.93

City Of Chicago Fire $18.62

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 21 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010 05/28/2010

SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER, SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER SCHNEIDER, SCHNEIDER SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER SCHNEIDER

, TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY , TIMOTHY

88 88 88 88 88 88

88 88 88 88 88 88 88 88

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

$15.36

$6.50

$14.80

$6.50

$18.62

$6.50

$21.23

$6.50

$21.23

$6.50

$21.23

$6.50

$21.23

$6.50

$21.23

$6.50

$21.23

$6.50

$18.81

$6.50

$21.23

$6.50

$21.23

$6.50

$21.57

$6.50

$21.57

$6.50

$21.57

$6.50

$21.23

$6.50

City Of Chicago - Confidential

Page 22 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER, SCHNEIDER,

TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY TIMOTHY

88 88 88 88 88 88 88

$21.23

$6.50

$2.63

$6.50

$11.39

$6.50

$4.47

$6.50

$24.80

$6.50

$1.29

$6.50

$5.77

$6.50

$1.31

$6.50

$5.08

$6.50

$1.29

$6.50

$1.29

$6.50

$1.29

$6.50

$6.38

$6.50

$5.61

$6.50

$4.74

$6.50

$182.40

$6.50

City Of Chicago - Confidential

Page 23 of 314

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 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 12/11/2010 12/11/2010 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011

SCANLON, MARTIN 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 SANCHEZ, JESSE SANCHEZ, JESSE SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY SAMPEY, TIMOTHY

88 8764 8764 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763 8763

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

$100.80

$256.38

$24.56

$6.50

$40.89

$348.01

$100.91

$169.02

$57.00

$148.30

$40.89

$6.50

$25.28

$208.13

$6.50

$41.52

$39.82

$15.94

$824.60

$217.95

$188.61

$21.48

$6.50

$18.59

$6.50

$9.98

$6.50

$42.64

$6.50

$173.77

City Of Chicago - Confidential

Page 24 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 08/02/2010 12/06/2003 12/06/2003 12/06/2003 06/08/1994 06/08/1994 06/08/1994 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011

SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY SALATA, STANLEY Rogus, Andrew Rogus, Andrew Rogus, Andrew Robinson, Joyce Robinson, Joyce Robinson, Joyce RYAN, PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN, PETER RYAN, PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN, PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER

8801

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

00432 00432 00432 00642 00642 00642

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

City City City

$3.36

$6.50

$94.64

$229.31

$156.48

$35.14

$1.39

$6.50

$56.70

$313.80

$185.06

$1.21

$6.50

$99.75

$18.16

$6.50

$21.57

$6.50

$18.80

$6.50

$19.29

$6.50

$23.99

$6.50

$21.57

$6.50

$16.87

$6.50

$16.45

$6.50

$23.98

$6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 02/18/2010 02/18/2010 11/28/2009 11/28/2009 11/28/2009 09/05/2010 02/02/2011 02/02/2011

RYAN,PETER RYAN,PETER RYAN,PETER RYAN, PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN, PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER -RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN,PETER RYAN, PETER RYAN, PETER RYAN,PETER RUSH, ADAM RUSH,ADAM RUNAS, MARK RUN AS, MARK RUNAS, MARK RUIZ, GONZALO RUANE, THOMAS RUANE, THOMAS

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 8811 8811 8811 8735 8817 8817

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

City City City

$18.81

$6.50

$23.98

$6.50

$19.29

$6.50

$16.87

$6.50

$14.11

$184.21

$218.82

$190.72

$195.62

$243.32

$218.82

$171.12

$243.22

$190.82

$243.22

$195.62

$171.12

$143.12

$60.00

$643.72

$6.50

$586.18

$494.40

$6.50

$3.35

$228.07

$73.68

$31.88

$6.50

City Of Chicago - Confidential

Page 26 of 314

Incident Date Claimanl_Rank

02/07/2010 ROSAS, JUAN

12/01/2010 ROSAS, JUAN 8750

03/21/2011 ROSANIA, RAY 8819

01/21/2011 ROMERO, PETER 8731

Unit of Insured Total to be Paid

City Of Chicago Fire $29.25

City Of Chicago Fire $26.84

City Of Chicago Fire $30.38

City Of Chicago Fire $6.50

City Of Chicago Fire $12.30

City Of Chicago Fire $6.50

City Of Chicago Fire $244.72 City Of Chicago Fire . $10.92

City Of Chicago Fire $328.68 City Of Chicago Fire . $239.04

City Of Chicago Fire $239.04

City Of Chicago Fire $597.61

City Of Chicago Fire $209.16

City Of Chicago Fire $421.32

City Of Chicago Fire $239.04

City Of Chicago Fire $83.67

City Of Chicago Fire $512.93

City Of Chicago Fire $209.69

City Of Chicago Fire $6.50

City Of Chicago Fire $3.98

City Of Chicago Fire $6.50

City Of Chicago Fire $2.89

City Of Chicago Fire $6.50

City Of Chicago Fire $2.89

City Of Chicago Fire $6.50

City Of Chicago Fire $7.23

City Of Chicago Fire $6.50

City Of Chicago Fire $7.23 City Of Chicago Fire ' $6.50

City Of Chicago Fire $5.12

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 27 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 04/19/2010 04/19/2010 09/24/2009

ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO/PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER ROMERO, PETER RODRIGUEZ, VICTOR RODRIGUEZ, VICTOR RODRIGUEZ, TAMMY

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 8811 8811 8801

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

$43.29

$6.50

$2.53

$6.50

$5.31

$6.50

$5.10

$6.50 .

$6.50

$2.04

$6.50

$2.89

$6.50

$2.89

$6.50

$2.89

$6.50

$1.01

$6.50

$6.20

$72.34

$6.50

$86.25

$6.50

$9.21

$168.32

$36.53

$839.21

$239.04

$322.05

$13.07

$27.08

City Of Chicago - Confidential

Page 28 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/24/2009 09/13/2010 09/13/2010 09/20/2010 09/20/2010 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011

RODRIGUEZ, TAMMY ROBINSON, ROYAL ROBINSON, ROYAL RHODES, NATHAN RHODES, NATHAN REYES, RAUL

8801

REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES REYES

RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL RAUL

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

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

$73.25

$448.00

$6.50

$285.44

$6.50

$25.67

$101.01

$6.50

$16.02

$6.50

$11.12

$6.50

$11.49

$6.50

$8.24

$6.50

$12.57

$6.50'

$30.75

$6.50

$25.14

$6.50

$8.04

$6.50

$20.64

$6.50

$6.59

$318.11

$42.65

$205.15

$618.30

$743.86

$309.15

City Of Chicago - Confidential

Page 29 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/27/2011 02/27/2011 02/27/2011 02/27/2011 08/27/2009 01/15/2009 01/15/2009 01/15/2009 01/15/2009 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 11/16/2010 03/22/2011 03/22/2011 04/14/2011 04/14/2011 04/14/2011 04/14/2011 04/14/2011 04/14/2011 04/14/2011 05/11/2006 05/11/2006

REYES, RAUL REYES, RAUL REYES, RAUL REYES, RAUL REIMER, RICHARD REILLY, REED REILLY, REED REILLY, REED REILLY, REED 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 RAGUSA, SEAN RAGUSA, SEAN QUINN, TIMOTHY QUINN, TIMOTHY QUINN, TIMOTHY QUINN, TIMOTHY QUINN, TIMOTHY QUINN, TIMOTHY QUINN, TIMOTHY Pugh, Donald Pugh, Donald

8731 8731 8731 8731 8733

8734

8750

8801

City City City

00519 00519

$209.51

$263.03

$318.03

$375.91

$130.36

$9.22

$6.50

$53.55

$227.24

$149.46

$101.70

$6.50

$157.10

$37.61

$344.60

$35.48

$6.50

$17.57

$6.50

$25.57

$6.50

$3.48

$6.50

$319.79

$54.93

$286.84

$6.50

$47.23

$6.50

City Of Chicago - Confidential

Page 30 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/26/2004 04/26/2004 09/26/2004 09/26/2004 09/26/2004 09/26/2004 02/15/2008 02/15/2008 02/15/2008 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

Penrod, Kenneth Penrod, Kenneth Patricelli, Marc Patricelli, Marc Patricelli, Marc Patricelli, Marc Parks, Mary J Parks, Mary J Parks, Mary J 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

00459 00459 00375 00375 00375 00375 00655 00655 00655 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429

ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire :ty Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ity Of Chicago Fire ty Of Chicago Fire ity Of Chicago Fire ity Of Chicago Fire

$180.00

$6.50

$143.42

$1.74

$6.50

$16.64

$6.50

$27.68

$242.19

$168.80

$242.19

$315.58

$168.80

$242.19

$168.80

$280.80

$282.65

$68.15

$101.70

$68.15

$101.70

$6.50

$10.22

$6.50

City Of Chicago - Confidential

Page 31 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 06/30/2010 03/29/2011 03/19/2011 03/19/2011 02/23/2011 02/23/2011 02/23/2011

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 PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY PRESNY, GREGORY POWER, THOMAS POREDA, MICHAEL POREDA, MICHAEL PONCE DE LEON, LUIS PONCE DE LEON, LUIS PONCE DE LEON, LUIS

E E E E E E

E ^:'

8731 8731 8731 8731 8731 8731 8731 8731

8801 8801 8811 8811 8811

00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429 00429

ity O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O ty O

f Chicago Fire >f Chicago Fire f Chicago Fire 'f Chicago Fire if Chicago Fire if Chicago Fire >f Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire >f Chicago Fire if Chicago Fire if Chicago Fire >f Chicago Fire >f Chicago Fire if Chicago Fire >f Chicago Fire !f Chicago Fire

$108.52

$6.50

$23.87

$6.50

$16.64

$6.50

$23.87

$6.50

$23.87

$6.50

$16.64

$6.50

$31.11

$6.50

$23.87

$6.50

$21.83

$423.00

$30.02

$284.72

$222.27

$6.50

$230.10

$61.24

$6.50

$9.74

$6.50

$21.36

City Of Chicago - Confidential

Page 32 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 05/11/2011 07/04/2010 12/11/2009 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011

PONCE DE LEON, PONCE DE LEON, PONCE DE LEON, PONCE DE LEON, PONCE DE LEON, PONCE DE LEON, PONCE DE LEON, PONCE DE LEON, PONCE DE LEON, PONCE DE LEON, PITTS, ARLENCY PINEDA, DAVID PHEE,FRANK PHEE,FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE,FRANK PHEE,FRANK PHEE,FRANK PHEE, FRANK PHEE,FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK

LUIS LUIS LUIS LUIS LUIS LUIS LUIS LUIS LUIS LUIS

$6.50

$507.85

$6.50

$19.48

$6.50

$21.36

$507.85

$223.94

$447.88

$6.50

$48.08

$6.50

$64.19

$331.72

$6.50

$12.83

$6.50

$12.83

$6.50

$12.83

$6.50

$12.83

$6.50

$12.83

$6.50

$11.27

$6.50

$23.38

$6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 08/20/2009 08/20/2009 08/20/2009 08/20/2009 08/20/2009 08/20/2009 08/20/2009 04/10/2011 04/10/2011 04/10/2011 04/10/2011 04/10/2011 04/10/2011 04/10/2011

PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE,FRANK PHEE,FRANK PHEE,FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE, FRANK PHEE,FRANK PHEE, FRANK PHEE, FRANK PHEE,FRANK PHEE, FRANK PHEE,FRANK PHEE,FRANK PHEE, FRANK PEREZ, FRANK PEREZ, FRANK PEREZ, FRANK PEREZ, FRANK PEREZ, FRANK PEREZ, FRANK PEREZ, FRANK PEMBERTON, WARD PEMBERTON, WARD PEMBERTON, WARD PEMBERTON, WARD PEMBERTON, WARD PEMBERTON, WARD PEMBERTON, WARD

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 8731

ity O ity O ty 01 ty O ityOi ty Ol ty Ol ty Ol ty O' ty Oi ty O: tyO tyO ty O ,ty O ity O ity O ity O ity O ity O ty O ity O ity O ty O ty O ty O ty O ity O ty O ty O ty O ty O ty O

if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire f Chicago Fire

$12.83

$6.50

$12.83

$6.50

$12.83

$6.50

$12.83

$6.50

$12.83

$107.36

$64.19

$45.96

$113.29

$64.19

$21.24

$6.50

$11.22

$6.50

$164.78

$618.12

$89.98

$5.18

$6.50

$61.15

$6.50

$59.76

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/02/2011 PAVILONIS, STAN

11/07/2010 PASULKA, CHRISTOPHER

04/19/2011 PASTON, THOMAS

02/06/2009 PAPEZ, RICHARD

09/08/2010 PAPE, JOHN

07/28/2010 PANG, KYUNG

07/28/2010 PANG, KYUNG.

07/28/2010 PANG, KYUNG

12/22/2010 PAGE, BRODERICK

8817 8817 8817 8801 8801 8801 8731

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735

$15.19

$6.15

$6.50

$306.01

$29.50

$39.78

$111.09

$6.50

$722.47

$196.18

$316.62

$177.16

$6.50

$107.86

$6.50

$4.53

$6.50

$96.62

$10.77

$6.50

$1.17

$6.50

$17.48

$689.13

$359.53

$421.93

$6.50

City Of Chicago - Confidential

Page 35 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 12/22/2010 12/22/2010 12/22/2010 09/20/1979 09/20/1979 09/20/1979 08/16/2000 08/06/2010 08/06/2010 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 11/03/2010 11/03/2010 03/03/2011 03/03/2011 05/13/2010 05/13/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010

PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK PAGE, BRODERICK Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Ocallaghan, Patrick ORTEGA, JOHN ORTEGA, JOHN ORTEGA, JANET ORTEGA, JANET ORTEGA, JANET ORTEGA, JANET ORTEGA, JANET ORTEGA, JANET ORTEGA, JANET ORTEGA, JANET ORTEGA, JANET ORAHA, MARLINE ORAHA, MARLINE OPIOLA, ROBERT OPIOLA, ROBERT ONOROTO, VINCENT ONOROTO, VINCENT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT

8735

8733 8733 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8728 8728 8749 8749 8749 8749 8749 8749 8749 8749

00439 00439 00439 00377

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

$1.17

$101.70

$889.46

$6.50

$398.19

$60.80

$816.40 .

$702.00

$6.50

$5.70

$16.74

$6.50

$5.62

$6.50

$9.20

$655.10

$219.92

$6.50

$311.38

$157.03

$6.50

$536.87

$6.50

$13.20

$57.00

$55.26

$483.60

$2.24

$6.50

$3.80

City Of Chicago - Confidential

Page 36 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 12/12/2008 12/12/2008 12/12/2008 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OLMSTEAD, ROBERT OBOG, MARK OBOG, MARK OBOG, MARK OBOG, MARK OBOG, MARK OBOG, MARK OBOG, MARK OBOG, MARK OBOG,MARK O HARA, JOHN O HARA, JOHN O HARA, JOHN O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8801 8801 8801 8801 8801 8801 8801 8801 8801 8819 9 9 881 88 88

$6.50

$10.23

$6.50

$13.11

$6.50

$6.94

$6.50

$176.45

$696.65

$472.32

$93.59

$325.30

$6.50

$7.16

$6.50

$5.75

$6.50

$14.79

$6.50

$16.93

$450.07

$174.89

$417.07

$6.50

$352.27

$6.50

$96.62

$486.57

$545.70

$491.16

$6.50

$480.96

$5.88

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 03/13/2007 03/13/2007 04/25/2011 04/25/2011 04/25/2011 12/16/2010 12/16/2010 12/16/2010 01/24/2011 01/24/2011 01/24/2011 01/24/2011

O BRIEN

LAWRENCE

O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN O BRIEN Newton, Jeffrey Newton, Jeffrey NUNEZ, JORGE NUNEZ, JORGE NUNEZ, JORGE NILLES, GREGORY NILLES, GREGORY NILLES, GREGORY NGUYEN,TRANG NGUYEN,TRANG NGUYEN, TRANG NGUYEN, TRANG

LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE LAWRENCE

88 88 88 88 88 88 88 88

88 88

F F

8801 8801 8801

00449 00449

PIC PIC PIC PIC

ty Oi ity Oi ity O' ity O ity O ty 0^:ty O ty O ty O tyO tyO tyO ity O ty O ity O ity O ity O ity O ity O ity O ity O ity O ty O ty O ity O ity O ity O ity O ity O ity O ity O ity O ity O

if Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire if Chicago Fire f Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire 'f Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire 'f Chicago Fire 'f Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire f Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire

$6.50

$1.17

$6.50

$383.28

$41.22

$6.50

$1.83

$6.50

$4.06

$6.50

$896.37

$717.09

$896.37

$151.20

$335.66

$6.50

$44.13

$18.90

$6.50

$739.62

$1.31

$6.50

$65.32

$190.82

$3.68

$6.50

City Of Chicago - Confidential

Page 38 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/24/2011 NGUYEN, TRANG

03/31/2004 Muscare, Tina

12/25/1998 Mullally, Dennis

07/10/2008 Mcnulty, Martin W

06/21/2007 Mcmullen, Ralph

05/28/1999 Mcmahon, James P

05/14/2000 Mcdole, Michael

08/05/2007 Magliano, Thomas

08/10/2010 MURAWSKI, CHRISTOPHE

PIC

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

00375 00375 00632 00632 00457 00457 00429 00492 00331 00516 00516

ity O ity O ity O ity O ty O ity Oi ity Oi ityOI ity 01 ity Ol ity Ol ity 01 ty Ol ity Ol ity Ol ty Ol ty 01 ty 01 ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol ity Ol ty Ol ty Ol ty Ol ty 01 ty Ol ty 01

if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire

$18.81

$6.50

$18.81

$13.99

$6.50

$428.60

$481.74

$7.52

$6.50

$148.44

$466.92

$6.50

$322.47

$140.42

$372.55

$7.46

$396.28

$324.98

$385.79

$488.07

$301.92

$385.79

$241.11

$12.88

$29.15

$317.26

$6.50

City Of Chicago - Confidential

Page 39 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/10/2010 MURAWSKI, CHRISTOPHE

09/06/2010 MULLINS III, PATRICK

03/26/2011 MITCHELL/BARRY

03/26/2011 MITCHELL, BARRY

04/24/2011 MINNICK, ANGELA

8749

873

8749 8749 8749 8749

$6.50

$3.68

$303.79

$146.77

$359.58

$6.50

$453.04

$6.50

$30.68

$6.50

$12.58

$6.50

$51.48

$6.50

$45.93

$761.00

$323.26

$88.07

$511.94

$209.69

$6.50

City Of Chicago - Confidential

Page 40 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/24/2011 MINNICK, ANGELA

02/18/2011 MILLER, LARRY ■

02/18/2011 MILLER, LARRY

03/14/2011 MIERZEJEWSKI, WILLIAM

02/03/2011 MENDOZA, JULIO

' 02/03/2011 MENDOZA, JULIO

02/03/2011 MENDOZA, JULIO

02/03/2011 ■ MENDOZA, JULIO

02/03/2011 MENDOZA, JULIO

' 02/03/2011 MENDOZA, JULIO

02/03/2011 MENDOZA, JULIO

04/20/2011 MEENAN, LINDA

8749 8731 8731 8731 8801 8801 8801 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 8749

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

$29.43

$85.24

$6.50

$191.36

$4.16

$6.50

$162.78

$6.50

$3.14

$6.50

$3.14

$247.28

$184.54

$247.28

$259.35

$184.54

$259.35

$2.23

$2.99

$6.50

$2.99

$6.50

$2.99

$110.00

$6.50

$2.23

$6.50

$2.99

$6.33

City Of Chicago - Confidential

Page 41 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/20/2011 MEENAN, LINDA

02/14/2011 MC GRATH, THOMAS

02/23/2011 MC DONALD, JAMES

09/07/2010 MC DERMOTT, MATTHEW

03/12/2011 MC CLUSKEY, KRISTIN

8749 8749 8749

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

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

$6.50

$155.95

$6.50

$118.63

$110.00

$6.50

$250.00

$178.24

$7.23

$6.50

$25.00

$18.81

$6.50

$23.51

$6.50

$18.81

$6.50

$21.23

$6.50

$18.81

$6.50

$18.81

$6.50

$0.89

$207.41

$6.50

$20.44

$6.50

$0.89

City Of Chicago - Confidential

Page 42 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/12/2011 MC CLUSKEY, KRISTIN

12/22/2010 MCCARTY, JOHN

12/22/2010 MC CARTY, JOHN

02/06/2011 MC CARTHY, ROULA

09/21/2010 MC CAMBRIDGE, JAMES

01/27/2011 MARTINELLI, JOSEPH

02/04/2011 MARTIN, ROBERT

08/31/2010 MARTIN, BARBARA

12/21/2008 MADDEN, JOHN

8749 8749 8749 8749 8749 8749 8749 8749 8749 8731 8731 8731 8749 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8731 8731 8731 8817 8817 8749

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

$190.82

$238.53

$190.82

$215.32

$190.82

$73.71

$6.50

$5.77

$11.04

$6.50

$9.41

$6.50

$19.64

$6.50

$234.22

$46.20

$114.78

$39.62

$6.59

$6.50

$62.69

$178.24

$7.23

$6.50

$56.19

$6.50

$18.55

$58.41

$43.42

City Of Chicago - Confidential

)

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/01/1985 12/07/2003 12/07/2003 12/07/2003 12/07/2003 12/07/2003 04/19/2011 04/19/2011 04/19/2011 07/08/2010 07/08/2010 07/08/2010 07/08/2010 07/08/2010 03/12/2010 03/12/2010 12/09/2008 02/03/2011 02/03/2011 10/30/2010 10/30/2010 10/30/2010 10/30/2010 05/02/2011 05/02/2011 05/02/2011 03/29/2011 03/29/2011 03/29/2011 03/29/2011 03/29/2011 03/18/2007 03/18/2007

Lasco, Samuel Lanier, Sharrieff Lanier, Sharrieff Lanier, Sharrieff Lanier, Sharrieff Lanier, Sharrieff LUNZ, JOHN LUNZ, JOHN LUNZ, JOHN LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOZANO, VINCENT LOPEZ, MICHAEL LOPEZ, MICHAEL LESCH, ROBERT LANIER, SHARRIEFF LANIER, SHARRIEFF LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, PHILIP LAMM, ALAN LAMM, ALAN LAMM, ALAN LAKAYIL, RAPHEAL LAKAYIL, RAPHEAL LAKAYIL, RAPHEAL LAKAYIL, RAPHEAL LAKAYIL, RAPHEAL Kierys, Steve Kierys, Steve

F L L

L L L

8750 8750 8750 8731 8731 8731 8731 8731 8745 8745

8735 8735

8735

8750

00388 00519 00519 00519 00519 00519

00376 00376

$185.68

$6.50

$950.00

$27.82

$136.29

$16.11

$23.92

$6.50

$27.93

$6.50

$283.37

$108.52

$6.50

$311.38

$6.50

$278.03

$6.50

$103.36

$58.52

$6.50

$623.55

$15.93

$6.50

$541.04

$6.50

$13.83

$209.69

$6.50

$623.32

City Of Chicago - Confidential

Incident Date Claimant_Rank

04/14/2011 KUYKENDALL, GARY 8701

12/04/2010 KRESKI, CHRISTOPHER 8731

12/04/2010 KRESKI, CHRISTOPHER . 8731

12/04/2010 KRESKI, CHRISTOPHER 8731

Unit of Insured Total to be Paid

City Of Chicago Fire $6.50

City Of Chicago Fire $24.59

City Of Chicago Fire $6.50

City Of Chicago Fire $28.44 City Of Chicago Fire ' $6.50

City Of Chicago Fire $24.30

City Of Chicago Fire $6.50

City Of Chicago Fire $6.02

City Of Chicago Fire $6.50

City Of Chicago Fire $21.49

City Of Chicago Fire $6.50

City Of Chicago Fire $6.59

City Of Chicago Fire $6.50

City Of Chicago Fire $1.17

City Of Chicago Fire $6.50

City Of Chicago Fire $34.52

City Of Chicago Fire $6.50

City Of Chicago Fire $9.69

City Of Chicago Fire $6.50

City Of Chicago Fire $24.30

City Of Chicago Fire $6.50

City Of Chicago Fire $16.20

City Of Chicago Fire $6.50

City Of Chicago Fire $8.10

City Of Chicago Fire $6.50

City Of Chicago Fire $32.79

City Of Chicago Fire $294.32 City Of Chicago Fire . $95.65

City Of Chicago Fire $96.62

City Of Chicago Fire $210.05

City Of Chicago Fire $191.81

City Of Chicago - Confidential

Page 45 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 04/15/2011 04/15/2011 04/15/2011 12/08/2009 12/08/2009 12/08/2009 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011

KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KRESKI, CHRISTOPHER KOZLOWSKI, KENNETH KOZLOWSKI, KENNETH KOZLOWSKI, KENNETH KOWALUK, ANDREW KOWALUK, ANDREW KOWALUK, ANDREW

KOSTERI KOSTERI KOSTERI KOSTERI KOSTERI KOSTERI KOSTERI KOSTERI KOSTERI

RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD RICHARD

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8735 8735 8735 8733 8733 8733 8801 8801 8801 8801 8801 8801 8801 8801 8801

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

$684.96

$784.14

$846.90

$774.90

$309.04

$774.90

$516.60

$258.30

$985.26

$6.50

$3.57

$6.50

$1.16

$6.50

$17.31

$6.50

$1.17

$6.50

$39.94

$6.50

$694.74

$414.85

$6.50

$10.60

$516.70

$321.55

$6.50

$6.24

$6.50

$30.86

$6.50

$1.69

$6.50

City Of Chicago - Confidential

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

01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 09/05/2010 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009

KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOSTER II, RICHARD KOLBASH,JEFFREY KOERTGEN, TIMOTHY KOERTGEN, TIMOTHY KOERTGEN, TIMOTHY KOERTGEN, TIMOTHY KOERTGEN, TIMOTHY KOERTGEN, TIMOTHY KOERTGEN, TIMOTHY KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8731 8737 8737 8737 8737 8737 8737 8737

City City City

City Of ( City Of ( City Of (

City Of Chicago F

$336.08

$110.00

$6.50

$26.08

$6.50

$83.67

$6.50

$16.23

$6.50

$0.48

$514.62

$139.64

$40.05

$76.04

$6.50

$14.16

$554.17

$177.18

$226.46

$6.50

$3.43

$6.50

$3.47

$6.50

$3.43

$6.50

$3.43

$6.50

$3.43

$6.50

$3.43

City Of Chicago - Confidential

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

03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 03/21/2009 06/03/2010 06/03/2010 06/03/2010 06/03/2010 06/03/2010 06/03/2010 06/03/2010 10/24/2010 10/24/2010

KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KINZIE, WAYNE KING, RAYMOND KING, RAYMOND KING, RAYMOND KING, RAYMOND KING, RAYMOND KING, RAYMOND KING, RAYMOND KING, JONI KING, JONI

8731 8731 8731 8731 8731 8731 8731 8750 8750

City Of Chicago Fi ) Fi )Fi

City City City

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

$6.50

$3.43

$6.50

$3.43

$6.50

$199.49

$236.50

$233.55

$236.50

$3.47

$6.50

$3.43

$6.50

$3.47

$6.50

$2.93

$233.55

$236.50

$233.55

$699.28

$46.94

$6.50

$241.20

$311.38

$6.50

$10.87

City Of Chicago - Confidential

Page 48 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/24/2010 KING, JONI

12/22/2010 KIERNICKI, NICOLE

06/20/2009 KENDA, JOHN

06/15/2010 KELLY, JAMES

11/14/2008 KEIPER KNAPP, EILEEN

03/17/2011 KEATING, SHANE

12/22/2010 KAWA, ROBERT

12/22/2010 KAWA, ROBERT ■

12/22/2010 KAWA, ROBERT

8750 8750 8750 8750 8801 8701 8701 8701

880 880 880

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

$87.75

$39.00

$6.50

$108.98

$686.40

$113.75

$332.12-

$6.50

$759.30

$79.77

$6.50

$288.00

$7.37

$6.50

$72.25

$6.50 ■

$6.94

$6.50

$4.36

$307.50

$659.01

$465.42

$333.60

$140.43

$269.46

$57.00

$170.48

$6.16

$38.31

City Of Chicago - Confidential

Page 49 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire ^ity Of Chicago Fire iity Of Chicago Fire ^ity Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire i Of Chicago Fire / Of Chicago Fire / Of Chicago Fire 1 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

12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010

KAWA KAWA, KAWA KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA, KAWA KAWA KAWA KAWA KAWA KAWA KAWA KAWA KAWA KAWA, KAWA, KAWA, KAWA, KAWA,

ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT ROBERT

88 88 88 88 88 88 88

88 88 88 88 88

$69.09

$195.50

$120.78

$842.54

$272.60

$959.37

$319.79

$439.31

$545.20

$272.60

$308.77

$103.12

$272.60

$524.24

$234.86

$6.50

$49.66

$6.50

$3.74

$6.50

$0.16

$6.50

$1.25

$6.50

$26.11

$6.50

$0.97

$6.50

$1.76

$6.50

$1.70

$6.50

City Of Chicago - Confidential

Page 50 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 KAWA, ROBERT

12/16/2010 KASPER, ANTHONY

12/11/1999 Janozik Jr, Robert

03/07/2011 JURASZ JR, KENNETH

05/08/2011 JOYNER, KEVIN

04/07/2011 JOHNSON, THADDEUS

04/07/201.1 JOHNSON, THADDEUS

881

8817

8731 8731 8731 8731 8731 8731 8731 8731 8819 8819 8819 8819 8819 8819 8819 8819

00320 00320

ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago F ty Of Chicago F ity Of Chicago Fi ity Of Chicago F ity Of Chicago Fi ty Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago F ty Of Chicago F ty Of Chicago F ty Of Chicago F ty Of Chicago F ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi

$21.54

$6.50

$221.00

$169.00

$6.50 ~

$128.94

$103.80

$6.50

$33.09

$6.50

$53.00

$6.50

$427.76

$6.50

$21.66

$6.50

$14.11

$6.50

$19.21

$164.90

City Of Chicago - Confidential

Page 51 of 314

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 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 I

04/07/2011 04/07/2011 04/07/2011 02/02/2011 02/02/2011 10/11/2010 10/11/2010 10/11/2010 10/30/2010 10/19/2010 10/19/2010 10/19/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 12/03/2010 08/04/2010 08/04/2010 02/25/2002 02/25/2002 02/25/2002 02/25/2002 02/25/2002 03/03/2007 03/03/2007

JOHNSON, THADDEUS JOHNSON,THADDEUS JOHNSON, THADDEUS JOHNSON, RICHARD JOHNSON, RICHARD JEZIOR, MICHAEL JEZIOR, MICHAEL JEZIOR, MICHAEL JENKINS, JAMES JANUS, KURT JANUS, KURT JANUS, KURT JACKSON,ANTHONY JACKSON,ANTHONY JACKSON,ANTHONY JACKSON, ANTHONY JACKSON, ANTHONY JACKSON, ANTHONY JACKSON, ANTHONY JACKSON,ANTHONY JACKSON,ANTHONY JACKSON,ANTHONY JACKSON,ANTHONY JACKSON,ANTHONY IRELAND, JAMES IRELAND, JAMES Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Howe, Patrick Henry, Zachary Henry, Zachary

8819

8749

8728

8793

8811

8731

8811

09999 09999 09999 09999 09999 00348 00348

$209.69

$154.98

$12.37

$6.50

$34.01

$264.67

$6.50

$10.74

$6.50

$89.64

$1.09

$6.50

$9.70

$6.50

$9.70

$6.50

$12.25

$16.50

$309.04

$330.30

$6.50

$525.84

$101.70

$6.50

$23.00

$6.50

$0.82

$67.73

$6.50

$110.96

City Of Chicago - Confidential

Page 52 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/12/1999 11/12/1999 11/12/1999 11/12/1999 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 07/28/2007 05/31/2005 05/31/2005 05/31/2005 11/28/2009 11/28/2009 08/07/2010 08/07/2010 08/07/2010 01/24/2011 01/24/2011 01/24/2011 02/08/2011 02/08/2011 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 12/13/2010 03/06/2011 03/06/2011 03/06/2011 03/06/2011

Haynes, Patrick Haynes, Patrick Haynes, Patrick Haynes, Patrick Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Hannon, Sean Halloran, Michael Halloran, Michael Halloran, Michael HUNTINGTON, STEVE HUNTINGTON, STEVE HOWARD, CHRISTINE HOWARD, CHRISTINE HOWARD, CHRISTINE HOOVER, CHRISTY HOOVER, CHRISTY HOOVER, CHRISTY HOLMES, TERRENCE HOLMES, TERRENCE HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HESSBERGER, LOUIS HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA HERRING, CYNTHIA

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

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

00349 00349 00349 00349 09999 09999 09999 09999 09999 09999 00326 00326 00326

$2.40

$160.00

$11.00

$24.80

$309.03

$113.75

$1.55

$77.26

$7.08

$46.82

$6.50

$87.19

$111.12

$6.50

$14.72

$6.96

$120.25

$1.76

$6.50

$66.46

$6.50

$376.42

$73.71

$13.69

$6.50

$0.89

$6.50

$105.25

$6.50

City Of Chicago - Confidential

Page 53 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 03/06/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201 04/05/201

HERRING, CYNTHIA 8817

HERRING, CYNTHIA , 8817

HERRING, CYNTHIA 8817

HENDERSON TALMAGE, SEVEREN 8728

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

City i City < City City ( City < City i

$6.83

$6.50

$80.50

$260.40

$600.00

$545.20

$475.69

$172.41

$43.50

$6.50

$25.32

$54.25

$6.50

$207.82

$6.50

$3.11

$6.50

$3.68

$6.50

$2.37

$6.50

$2.51

$6.50

$3.11

$6.50

$2.66

$6.50

$3.11

$6.50

$2.33

$6.50

$2.95

$6.50

City Of Chicago - Confidential

Page 54 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/05/2011 HENDERSON TALMAGE, SEVEREN 8728

01/01/2011 HEINZ, JEFFREY 8817

10/15/2009 HATZIS, JOHN 8731

$2.33

$6.50

$2.33

$6.50

$2.33

$6.50

$2.95

$6.50

$2.33

$257.26

$303.79

$196.42

$257.26

$219.22

$257.26

$192.52

$243.39

$192.52

$243.39

$192.52

$6.50

$266.19

$38.00

$691.56

$28.07

$54.92

$6.50

$699.55

$723.35

$765.85

City Of Chicago - Confidential

Page 55 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/15/2009 HATZIS, JOHN

10/15/2009". HATZIS, JOHN

10/15/2009 HATZIS, JOHN

10/08/2009 HATTEN, OSA

10/08/2009 HATTE N, OSA

01/07/2011 HARDIE JR, JAMES

12/04/2010 HAPUNIK, RAFAL

12/22/2010 HAMADEH, HAMADEH

07/29/1997 Gutierrez-Ogar, Bernadette

8731

8733

8750

8801

8819

00665 00665 00665

$226.69

$9.21

$6.50

$28.39

$6.50

$29.36

$6.50

$31.09

$188.70

$231.68

$6.50

$532.51

$125.80

$409.24

$188.70

$6.50

$31.78

$71.50

$37.37

$6.50

$23.51

$460.51

$238.53

$6.50

$233.60

$116.80

$6.50

City Of Chicago - Confidential

Page 56 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/29/1997 Gutierrez-Ogar, Bernadette

09/21/2003 Guth, Sarah

10/23/1997 Graves, Michael P

08/16/2005 Gloude, Joseph

10/08/2006 Gilkey, Stanley

03/30/2011 GUTTILLO, KIMBERLY

01/07/2011 GUTIERREZ, DARCIE

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

8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8749 8749 8749 8749 8749 8749 8749 8749

00665 00665 00652 00652 00652 00652 00652 00647 00321 00321 00321 00321 00523 00523

$6.50

$251.03

$10.15

$6.50

$269.88

$539.76

$57.59

$59.19

$136.29

$6.50

$136.29

$6.50

$47.23

$84.72

$6.50

$11.39

$6.50

$4.41

$6.50

$7.98

$6.50

$123.07

$280.50

$68.01

$147.91

$235.41

$195.51

$147.91

$195.51

$195.62

City Of Chicago - Confidential

Page 57 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011

GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ, GUTIERREZ,

DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE DARCIE

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

City City City

City Of (

City Of Chicago I

$195.62

$135.47

$298.80

$6.50

$1.64

$6.50

$199.23

$6.50

$34.24

$6.50

$378.15

$6.50

$19.27

$6.50

$14.58

$6.50

$23.20

$6.50

$19.27

$6.50

$14.58

$6.50

$19.27

$6.50

$19.27

$6.50

$19.29

$6.50

$19.29

$6.50

$19.29

City Of Chicago - Confidential

Page 58 of 314

Incident Date Claimant_Rank

02/24/2011 GUIEL, DAVID

05/05/2011 GUERIN, JULIE 8750

12/23/2010 GRUNAUER, MARK 8733

03/27/2010 GRAY, JAMES 8749

04/30/2009 GORDON, GARY 8731

07/18/2010 GONZALES, JESSE 8801

05/26/2010 GOMEZ, SERGIO

12/17/2010 GODINEZ, JUAN 8801

12/17/2010 GODINEZ, JUAN . 8801

12/17/2010 GODINEZ, JUAN 8801

Unit of Insured Total to be Paid

City Of Chicago Fire $95.60

City Of Chicago Fire $6.50

City Of Chicago Fire $1.40

City Of Chicago Fire $653.22

City Of Chicago Fire $16.70

City Of Chicago Fire $6.50

City Of Chicago Fire $113.03

City Of Chicago Fire $6.50

City Of Chicago Fire $1.01

City Of Chicago Fire $83.67

City Of Chicago Fire $6.50

City Of Chicago Fire $768.00

City Of Chicago Fire $384.00

City Of Chicago Fire $768.00

City Of Chicago Fire $384.00

City Of Chicago Fire $14.33

City Of Chicago Fire $28.66

City Of Chicago Fire $14.33

City Of Chicago Fire $13.39

City Of Chicago Fire $6.50

City Of Chicago Fire $523.94

City Of Chicago Fire $366.66

City Of Chicago Fire $6.50

City Of Chicago Fire $43.06

City Of Chicago Fire $224.85

City Of Chicago Fire $156.23

City Of Chicago Fire $175.83

City Of Chicago Fire $18.78

City Of Chicago Fire $6.50

City Of Chicago Fire $15.40

City Of Chicago Fire $6.50

City Of Chicago Fire $17.34

City Of Chicago - Confidential

Page 59 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/17/2010 GODINEZ, JUAN

07/25/2010 GOBLET, JOSEPH

09/21/2009 GERICH, ROBERT

05/01/2011 GENOVA, JASON

12/28/2010 GARRISON, ANDRE

03/24/2010 GARITI, JOHN

04/16/2011 GARCIA, ISRAEL

12/02/2010 GARCIA, HECTOR

01/31/2011 GALLAS, CHRISTOPHE

12/02/1985 Fornell, Roger C

07/06/2010 FUCHSGRUBER, THOMAS

8801

8807

8801

8811

8749

8801

8731

8801

00391 00391 00391 00391 00391

ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi ty Of Chicago F ity Of Chicago F ity Of Chicago Fi ity Of Chicago F ity Of Chicago Fi ity Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ty Of Chicago Fi ,ty Of Chicago Fi ity Of Chicago Fi ity Of Chicago Fi

$6.50

$190.61

$290.62

$6.50

$54.00

$246.31

$232.64

$11.72

$350.00

$6.50

$207.59

$6.50

$6.90

$190.58

$35.10

$9.15

$6.50

$135.25

$71.50

$6.50

$31.30

$178.24

$6.50

$7.23

$6.50

$367.45

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/06/2010 FUCHSGRUBER, THOMAS

12/02/2010 FREEMAN, EDWARD

12/02/2010 FREEMAN, EDWARD ,

12/02/2010 FREEMAN, EDWARD

12/02/20.10 FREEMAN, EDWARD

12/02/2010 FREEMAN, EDWARD

04/13/2009 FOUNTAIN, DEMEL

03/23/2009 FOUNTAIN, DEMEL

04/20/2011 FORTUNA, NICHOLAS

8801 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8750 8750 8801

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

$6.50

$272.60

$204.45

$482.30

$241.15

$346.00

$277.85

$241.15

$272.60

$277.85

$272.60

$613.35

$272.60

$110.00

$6.50

$780.02

City Of Chicago - Confidential

Page 61 of 314

Incident Date Claimant Rank

04/20/2011 FORTUNA, NICHOLAS 8801

02/25/2011 FLYNN, SEAN 8801

07/20/2010 FLORES, JASON 8801

12/22/2010 ELLERSON, STEVEN 8731

Unit of Insured Total to be Paid

City Of Chicago Fire $806.24

City Of Chicago Fire $6.50

City Of Chicago Fire $767.42

City Of Chicago Fire $383.71

City Of Chicago Fire $6.50

City Of Chicago Fire $22.32

City Of Chicago Fire $6.50

City Of Chicago Fire $11.04

City Of Chicago Fire , $6.50

City Of Chicago Fire $11.83

City Of Chicago Fire $6.50

City Of Chicago Fire $11.56

City Of Chicago Fire $6.50

City Of Chicago Fire $23.12

City Of Chicago Fire $83.88

City Of Chicago Fire $6.50

City Of Chicago Fire $8.93

City Of Chicago Fire $6.50

City Of Chicago Fire $356.16

City Of Chicago Fire $178.08

City Of Chicago Fire $182.22

City Of Chicago Fire $170.09

City Of Chicago Fire $137.61

City Of Chicago Fire $344.04

City Of Chicago Fire $13.20

City Of Chicago Fire $6.50

City Of Chicago Fire $516.42

City Of Chicago Fire $83.67

City Of Chicago Fire $1.01

City Of Chicago Fire $6.50

City Of Chicago - Confidential

Page 62 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/22/2010 ELLERSON, STEVEN 8731

12/22/2010 . ELLERSON, STEVEN 8731

12/22/2010 ELLERSON, STEVEN 8731

12/11/2010 EDWARDS, TIM 8735

11/06/2008 EASTMAN JOHNSON, JUNELLEN

07/24/2010 Dias, ROCCO 8731

01/06/2006 Despiau, Kevin F

00323

ity Ol ity Ol ity Oi ity Ol ity 01 ity Ol ty Oi ty Oi ty Oi ty O; ty O tyO ty O tyO .ty O-ty O tyO tyO ity O ty O ty O ty O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O

f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire f Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire f Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire if Chicago Fire

$31.11

$6.50

$23.87

$6.50

$31.11

$6.50

$622.34

$242.19

$315.58

$242.19

$315.58

$83.67

$303.00

$55.41

$6.50

$23.87

$6.50

$1.01

$6.50

$23.87

$6.50

$340.75

$6.50

$718.20

$749.65

$24.27

$977.60

$626.66

$6.50

City Of Chicago - Confidential

Page 63 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/06/2006 02/22/2001 02/10/2011 02/10/2011 02/10/2011 05/04/2011 05/04/2011 05/04/2011 05/04/2011 11/12/2010 11/12/2010 11/12/2010 12/24/2010 12/24/2010 02/24/2011 02/24/2011 02/24/2011 11/26/2010 11/26/2010 11/26/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 04/15/2011 04/15/2011 01/18/2011 01/18/2011 07/07/2008 07/07/2008

Despiau, Kevin Delgreco, Michael C DURHAM, MARIO DURHAM, MARIO DURHAM, MARIO DUELLO, JOSEPH DUELLO, JOSEPH DUELLO, JOSEPH DUELLO, JOSEPH DUDZINSKI, PAUL DUDZINSKI, PAUL DUDZINSKI, PAUL DRAKE, DARAIL DRAKE, DARAIL DIGBY, DONNELL DIGBY, DONNELL DIGBY, DONNELL DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEAR, AARON DEAR, AARON DE LISLE, DAN DE LISLE, DAN DATI, THOMAS DATI, THOMAS

8801 8801 8801

00323 00337

8801 8801 8801 8801 8801 8735 8735 8735 8811 8811 8811 8731 8731 8731 8731 8731 8731 8731

FPM FPM 8733 8733

Fi |0 F F F Fi Fi Fi 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 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 F City Of Chicago F 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 Chicago Fi Chicago Fi Chicago Fi

City Of (

City Of City Of

$47.23'

$436.32

$6.50

$21.77

$14.54

$221.89

$191.52

$6.50

$673.50

$6.50

$6.21

$23.56

$6.50

$31.78

$71.50

$66.24

$6.50

$432.00

$3.24

$6.50

$138.00

$360.72

$220.75

$56.17

$0.83

$209.69

$6.50

$135.25

$807.12

$6.50

City Of Chicago - Confidential

Jhcident Date Claimant Rank

10/23/2010 DATI, THOMAS 8807

W/23/2010 DAT/, THOMAS 8807

10/23/2010 DATI, THOMAS 8807

07/10/2010 DALY, DANIEL 8819

06/28/2008 Cox, Donald O F

06/03/2007 Coulter, Bryant F

08/05/2003 Cordt, Robert F

12/06/2004 Collins, John F

Unit of_Insured_■_Total to be Paid

City Of Chicago Fire $6.50

City Of Chicago Fire $2.19

City Of Chicago Fire $6.50

City Of Chicago Fire $1.01

City Of Chicago Fire $48.70

City Of Chicago Fire $15.36

City Of Chicago Fire $6.50

City Of Chicago Fire $61.44

City Of Chicago Fire $6.50

City Of Chicago Fire $68.98

City Of Chicago Fire $85.50

City Of Chicago Fire $304.36

City Of Chicago Fire $459.00

09999 City Of Chicago Fire $6.50.

09999 City Of Chicago Fire $29.95

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $19.08

09999 City Of Chicago Fire $303.80

09999 City Of Chicago Fire $13.36

00542 City Of Chicago Fire $485.00

00542 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $198.16

09999 City Of Chicago Fire $58.43

09999 . City Of Chicago Fire $132.28

09999 City Of Chicago Fire $119.14

00320 City Of Chicago Fire $5.00

00320 City Of Chicago Fire $6.50

00320 City Of Chicago Fire $19.37

00320 City Of Chicago Fire $6.50

00320 City Of Chicago Fire $6.44

00320 City Of Chicago Fire $6.50

00320 City Of Chicago Fire $412.85

00320 City Of Chicago Fire $321.81

City Of Chicago - Confidential

Page 65 of 314

_JncidenUDaj^

05724^08 CiaTaTMich^--~

03/24/2008 Ciara, Michael 03/24/2008 Ciara, Michael 03/24/2008 Ciara, Michael 03/24/2008 Ciara, Michael 03/24/2008 Ciara, Michael 03/24/2008 Ciara, Michael 04/25/2009 CZARNECKI. TODD

of oO

04/25/2009 CZARNECKI, TODD

0/00

04/05/2011 CURTIN, WILLIAM ₈₇₂₈04/05/2011 CURTIN, WILLIAM ^ 04/05/2011 CURTIN, WILLIAM _872f}04/05/2011 CURTIN, WILLIAM ₈₇₂₈04/05/2011 CURTIN, WILLIAM _872g04/05/2011 CURTIN, WILLIAM _872g04/05/2011 CURTIN, WILLIAM _872g04/05/2011 CURTIN, WILLIAM ₈₇₂₈04/05/2011 CURTIN, WILLIAM ₈₇₂₈04/05/2011 CURTIN, WILLIAM ₈₇₂₈04/05/2011 CURTIN, WILLIAM

_ o /

04/08/2011 CRONIN, TIMOTHY

oYUI

04/08/2011 CRONIN, TIMOTHY

o/01

04/08/2011 CRONIN, TIMOTHY

_rt o701 04/08/2011 CRONIN, TIMOTHY

_ oT01 04/08/2011 CRONIN, TIMOTHY

o/Ot

04/08/2011 CRONIN, TIMOTHY 04/08/2011 CRONIN, TIMOTHY

o701

04/08/2011 CRONIN, TIMOTHY

o701

04/08/2011 CRONIN, TIMOTHY

_ oTUI 04/08/2011 CRAWFORD, EDWARD ₈₇₃₁

04/08/2011 CRAWFORD, EDWARD ₈₇₃₁

Unit of Insured

00003 ~^Of7^-Z--Jotalto^e_Paid

City Of Chicago Fire _$1544

⁰⁰⁰⁰³ City Of Chicago Fire _$g0 ₂₂

⁰⁰⁰⁰³ ■ City Of Chicago Fire _$13 _g7

⁰⁰⁰⁰³ City Of Chicago Fire _$6 _5Q

⁰⁰⁰⁰³ City Of Chicago Fire _$1423g

⁰⁰⁰⁰³ City Of Chicago Fire _$6546

⁰⁰⁰⁰³ City Of Chicago Fire _$18081

, City Of Chicago Fire _$6 _5Q

City Of Chicago Fire _$2808Q

City Of Chicago Fire _$11 ₃₂

City Of Chicago Fire _$32084

City Of Chicago Fire _$6 ₅₀

City Of Chicago Fire _$6 _5Q

City Of Chicago Fire _$6 ₅₀

City Of Chicago Fire _$15561

City Of Chicago Fire _§267'₃₄

City Of Chicago Fire _$1085

City Of Chicago Fire _$6 ₅₀

City Of Chicago Fire _$511

City Of Chicago Fire _$344 ₅₈

City Of Chicago Fire _$101 _JQ

City Of Chicago Fire $237 99

City Of Chicago Fire _$6 _5fJ

City Of Chicago Fire ^.50

City Of Chicago Fire _$6 _5Q

City Of Chicago Fire _$6;₅₀

City Of Chicago Fire _$6 ₅₀

City Of Chicago Fire _$m _8Q

City Of Chicago Fire _$S5Q _0Q

City Of Chicago Fire _$4 _g4

City Of Chicago Fire _$6 ₅₀

City Of Chicago Fire _$723

City Of Chicago Fire _$53900

City Of Chicago - Confidential

Page 66 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/08/2011 04/08/2011 04/10/2011 04/10/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 01/19/2011 04/29/2011 04/29/2011 04/29/2011 09/20/2010 12/23/2010 12/23/2010 12/23/2010 12/23/2010

CRAWFORD, EDWARD CRAWFORD, EDWARD COYNE, PATRICK COYNE, PATRICK CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA ' CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA CORDER, SILVIANA COPELAND, JOHN COPELAND, JOHN COPELAND, JOHN COOPER, THOMAS COOK, CARL . COOK, CARL COOK, CARL COOK, CARL

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

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

$6.50

$178.24

$6.50

$28.88

$6.50

$1.17

$6.50

$3.31

$6.50

$0.89

$6.50

$1.17

$6.50

$17.48

$6.50

$1.31

$6.50

$3.59

$780.85

$96.62

$273.92

$73.71

$96.62

$296.00

$108.45

$94.79

$6.50

$40.87

$6.50

$4.48

$6.50

City Of Chicago - Confidential

Page 67 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/23/2010 12/23/2010 12/23/2010 01/27/2011 01/27/2011 01/27/2011 08/11/2008 08/11/2008 01/16/2011 01/16/2011 07/13/2010 04/16/2010 04/16/2010 04/16/2010 09/14/2009 09/14/2009 09/14/2009 04/11/2009 04/11/2009 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011

COOK, CARL COOK, CARL COOK, CARL COMMINGS, LARRY COMMINGS, LARRY COMMINGS, LARRY COLE, JONATHAN COLE, JONATHAN COGLEY, LON COGLEY, LON CIMORELLI, CHARLES CHISESI, VINCENT CHISESI, VINCENT CHISESI, VINCENT CHIKEROTIS, STEVE CHIKEROTIS, STEVE CHIKEROTIS, STEVE CHERRY, ROY CHERRY, ROY CHEATHAM,SANDRA CHEATHAM,SANDRA CHEATHAM,SANDRA CHEATHAM,SANDRA CHEATHAM,SANDRA CHEATHAM,SANDRA CHEATHAM,SANDRA CHEATHAM,SANDRA CHEATHAM,SANDRA CHAMPLAIN, RICHARD CHAMPLAIN, RICHARD CHAMPLAIN, RICHARD CHAMPLAIN, RICHARD CHAMPLAIN, RICHARD

8731 8731 8731 8731 8731 8731 8801 8801 8750 8750 8750 8750 8750 8750 8764 8764 8764 8731 8731 8749 8749 8749 8749 8749 8749 8749 8749 8749 8750 8750 8750 8750 8750

ity Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire, ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire ty Of Chicago Fire

$59.16

$77.82

$38.00

$6.50

$31.78

$71.50

$6.50

$550.05

$209.69

$6.50

$190.35

$14.37

$6.50

$562.54

$130.75

$5.07

$83.36

$6.50

$384.93

$6.50

$23.19

$906.88

$26.25

$103.80

$2.01

$6.50

$33.09

$6.50

$2.53

$6.50

$32.61

$6.50

City Of Chicago - Confidential

Page 68 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/31/2011 CHAMPLAIN, RICHARD

01/31/2011- CHAMPLAIN, RICHARD

01/31/2011 CHAMPLAIN, RICHARD

05/05/2010 CENTRACCHIO, MICHAEL

10/18/2009 CENITI, STEFAN

01/13/2011 CECICH, MICHAEL

05/08/2010 CARROLL, WILLIAM

8750

8731

8749

8819

$6.50

$259.74

$186.02

$222.68

$145.77

$314.52

$6.50

$44.00

$80.00

$39.29

$6.50

$8.34

$6.50

$82.29

$6.50

$45.71

$6.50

$39.29

$41.70

$6.50

$238.73

$4.77

$6.50

$37.98

$6.50

$20.28

$6.50

$203.13

$327.78

$6.50

$349.70

$8.93

City Of Chicago - Confidential

Page 69 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/12/2010 CARBONNEAU, THOMAS

03/24/2011 CAPPY, TIMOTHY

03/24/2011 CAPPY, TIMOTHY '

01/14/2011 CAPLIS, THOMAS

12/22/2010 CAMPBELL, BRIAN

03/27/2011 CALLAGHAN, KEVIN

03/27/2011 CALLAGHAN, KEVIN .

03/27/2011 CALLAGHAN, KEVIN

01/01/2011 CABRAL, CESAR

8735 8735 8750 8750 8750 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

$428.21

$400.95

$787.19

$20.12

$6.50

$272.60

$6.50

$207.59

$6.50

$20.44

$6.50

$18.81

$6.50

$18.81

$207.41

$190.82

$301.94

$31.33

$50.06

$505.65

$15.26

$32.56

$193.23

$96.62

$6.59

$6.50

$11.50

$6.50

$17.10

$6.50

City Of Chicago - Confidential

Page 70 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/01/2011

01/01/2011 ■

01/01/2011

06/07/1998

09/09/2010

03/22/2010

03/27/2011

07/12/2008

10/19/2010

CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR Botica, Timothy Botica, Timothy Botica, Timothy BYRNES, ROBERT BYRNES, ROBERT BURKE, JEFFERY BUCKO, GEORGE BUCKO, GEORGE BROWN, DEVIN 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 . BROWN, ALICIA

8731

8808 8808 8801 8731 8731 8802 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

00482 00482 00482

$3.39

$6.50

$10.92

$6.50

$68.41

$6.50

$1.17

$2.50

$6.50

$26.25

$639.03

$6.50

$9.88

$51.42

$6.50

$177.18

$6.50

$484.09

$6.50

$117.54

$408.90

$371.16

$25.08

$46.36

$825.68

$23.64

$60.18

$57.54

$6.50

$9.31

$6.50

$30.19

City Of Chicago - Confidential

Page 71 of 314

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

10/19/2010 BROWN, ALICIA

12/22/2010 BROWN JR, EGNECHLES

01/12/2011 BRNE, BERNARD

05/05/2011 BRESNAHAN, DAVID

05/05/2011 BRESNAHAN, DAVID ■

05/05/2011 " BRESNAHAN, DAVID

05/05/2011 BRESNAHAN, DAVID

02/14/2011 BRENNAN JR, JOSEPH

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

$6.50

$1.42

$6.50

$22.16

$6.50

$56.70

$311.38

$202.43

$28.46

$85.92

$26.90

$9.53

$6.50

$372.95

$6.50

$41.03

$6.50

$10.85

$267.34

$303.70

$101.70

$406.81

$6.50

$77.59

$6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/14/2011 BRENNAN JR, JOSEPH

01/24/2011 BRAZEL, STEVEN

10/05/2009 BRANNIGAN, MICHAEL

05/02/2011 BONGIORNO, LOUIS

05/13/2010 BINIAK, DANIEL

09/14/2009 BERGQUIST, BRADLEY

06/25/2008 BENDER, KATHRIN

04/27/2011 BELLUOMINI, TERRY

08/07/2010 BEIRIGER, TERRY

09/01/2010 BEHLAND, ANTHONY

12/09/2010 BEDNAREK, DAVID

02/21/2011 BEASON, DAVE

8735 8735 8735 8735 8735 8735 8801 8801 8733 8733 8733 8733 8733 8817 8731 8750 8749 8749 8731 8731 8731 8731 8811 8819 8819 8819 8819 8801 8801 8801 8728 8728 8728

$7.76

$6.50

$245.34

$209.69

$6.50

$375.89

$640.64

$62.69

$5.64

$6.50

$26.12

$31.58

$911.24

$52.74

$21.17

$6.50

$368.24

$748.80

$693.25

$49.68

$6.50

$432.00

$71.50

$31.30

$6.50

$952.06

$106.64

$16.22

City Of Chicago - Confidential

Page 73 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 02/21/2011 03/22/2011 03/22/2011 08/22/2010 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 03/01/2011 01/05/2011 04/21/2011 02/17/2011 02/17/2011

BEASON,DAVE BEASON,DAVE BEASON, DAVE BEASON, DAVE BEASON,DAVE BEASON, DAVE BEASON, DAVE BEASON, DAVE BEASON,DAVE BEASON, DAVE BEASON, DAVE BEASON,DAVE BEARD, LISA BEARD, LISA BATKA JR,BRADLEY BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, GARY BASIC, KATRINA BASIC, KATRINA BASIC, KATRINA

8728

PIC

8801

8735

8811

8749

$6.50

$1.01

$6.50

$1.01

$6.50

$83.67

$6.50

$12.63

$5.35

$754.80

$6.50

$8.11

$6.50

$754.80

$225.41

$754.80

$199.75

$110.00

$6.50

City Of Chicago - Confidential

Page 74 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/17/2011 02/17/2011 02/17/2011 08/20/2010 04/14/2011 04/14/2011 04/14/2011 03/02/2007 03/02/2007 03/02/2007. 03/02/2007 03/02/2007 03/02/2007 03/02/2007 03/02/2007 03/02/2007 03/02/2007 03/02/2007 11/06/2010 04/26/2011 04/26/2011 04/26/2011 04/26/2011 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

BASIC, KATRINA BASIC, KATRINA BASIC, KATRINA BARRY, JAMES BACK, JASON BACK, JASON BACK, JASON Altman, James Altman, James Altman, James Altman, James Altman, James Altman, James Altman, James Altman, James Altman, James Altman, James Altman, James AYALA, FRANCISCO AUSTIN, ROBBIE AUSTIN, ROBBIE AUSTIN, ROBBIE AUSTIN, ROBBIE ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO ARTIS, ANTONIO

8749

8819

8731 8801 8801 8801 8801

00320 00320 00320 00320 00320 00320 00320 00320 00320 00320 00320

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

$44.46

$469.52

$27.00

$22.03

$6.50

$473.33

$12.10

$224.30

$2.70

$236.86

$6.50

$0.07

$6.50

$6.05

$6.50

$36.17

$6.50

$2.72

$826.15

$46.00

$314.52

$6.50

$16.39

$21.57

$16.87

$21.57

$21.04

$16.39

City Of Chicago - Confidential

Page 75 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 11/19/2010 11/19/2010 11/19/2010 09/16/2008 09/16/2008

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 ARANDA, ARTHUR ARANDA, ARTHUR ARANDA, ARTHUR ALVARADO,ARTURO ALVARADO,ARTURO

8731 8731 8731

City City City

City Of City Of

City Of Chicago I

$18.62

$16.39

$21.04

$166.19

$213.42

$218.82

$171.12

$218.82

$213.42

$166.19

$188.92

$166.19

$213.42

$21.04

$16.39

$166.19

$7.13

$6.50

$67.63

$6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/16/2008

10/11/2009

07/23/2009

01/18/2011

Number Total: 2513

ALVARADO,ARTURO

ALEXANDER, LAVERN

AIKENS, BRADLEY

ADAMS, WILLIAM

Amount $282,081.01

Insured Namel: City Of Chicago Police

11/09/2010 ZONIS, PIERRE

01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 09/18/2010 09/18/2010 09/18/2010 09/18/2010 04/07/2011 04/07/2011 04/07/2011 04/07/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011

ZOLDAN,ANTON ZOLDAN, ANTON ZOLDAN, ANTON ZOLDAN, ANTON ZOLDAN, ANTON ZEPEDA, GERARDO ZEPEDA, GERARDO ZEPEDA, GERARDO ZEPEDA, GERARDO ZEPEDA, ANDRES ZEPEDA, ANDRES ZEPEDA, ANDRES ZEPEDA, ANDRES ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW

8731 8735 8735 8811 8811

9161 3286 3286 3286 3286 3286

9161

015 015 015 015 015

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

$320.20

$358.56

$6.50

$403.20

$167.52

$6.50

$393.85

$29.25

$10.37

$706.60

$13.20

$0.19

$6.50

$300.97

$418.96

$6.50

$84.12

$6.50

$176.00

$60.00

$87.00

$435.17

$636.08

$980.16

$838.30

City Of Chicago - Confidential

Page 77 of 314

Incident Date Claimant_Rank

01/18/2011 ZALINSKI, STANISLAW PO

Unit of Insured Total to be Paid

City Of Chicago Police $648.30

City Of Chicago Police $380.03

City Of Chicago Police $360.24

City Of Chicago Police $6.50

City Of Chicago Police $58.76

City Of Chicago Police $6.50

City Of Chicago Police $49.47

City Of Chicago Police $6.50

City Of Chicago Police $42.31

City Of Chicago Police $6.50

City Of Chicago Police $32.72

City Of Chicago Police $6.50

City Of Chicago Police $19.18

City Of Chicago Police $6.50

City Of Chicago Police $23.56

City Of Chicago Police $6.50

City Of Chicago Police $7.70

City Of Chicago Police $6.50

City Of Chicago Police $80.77

City Of Chicago Police $6.50

City Of Chicago Police $56.25

City Of Chicago Police $6.50

City Of Chicago Police $10.60

City Of Chicago Police $6.50

City Of Chicago Police $210.41

City Of Chicago Police $6.50

City Of Chicago Police ' $18.93

City Of Chicago Police $6.50

City Of Chicago Police $18.19

City Of Chicago Police $6.50

City Of Chicago Police $10.60

City Of Chicago Police $6.50

City Of Chicago Police $51.00

City Of Chicago - Confidential

Page 78 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 04/12/2010 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011

ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALEWSKI, MARK ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN^ KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE

9161

3286

016 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010 010

ity O! ty O ty O ty O tyO ityOi ity Ol ty O; ity O tyO ty Q ity O ity O; ity Ol ity Ol ity Oi ity O: ty O ity O ity O ty Oi tyOl ty Ol .ty Ol ityOl ity Oi ity Ol ity Ol ity Ol ity Ol ity Oi ity Oi ty Oi

'f Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol 'f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol 'f Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol 'f Chicago Pol if Chicago Pol 'f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

lice lice lice lice ilice lice ilice lice lice lice lice lice ilice ilice ilice lice lice lice lice lice 'lice lice ilice lice lice lice ilice ilice ilice ilice ilice lice lice

$6.50

$17.46

$6.50

$901.46

$6.50

$8.51

$984.90

$100.64

$90.22

$190.29

$90.22

$693.71

$29.15

$14.11

$143.42

$6.50

$10.72

$6.50

$11.73

$6.50

$2.87

$6.50

$1.74

$6.50

$15.42

$6.50

$13.13

$6.50

$143.42

$6.50

City Of Chicago - Confidential

Page 79 of 314

Incident Date Claimant Rank

02/17/2011 ZAHLMANN, KRISTINE 3286

01/13/2011 ZADURA, VITA 3286

02/08/2008 Young, Elyse P

10/14/2002 Yanez, Carlos P

03/07/2009 YOUNG, THOMAS 9161

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

01/08/2007 Woznicki, Robert A P

Unit of Insured ' Total to be Paid

010 City Of Chicago Police $1.74

010 City Of Chicago Police $6.50

010 City Of Chicago Police $17.37

010 City Of Chicago Police $6.50

010 City Of Chicago Police $17.37

010 City Of Chicago Police $108.74

010 City Of Chicago Police $119.00

010 City Of Chicago Police $156.44

010 City Of Chicago Police $133.23

010 City Of Chicago Police $143.12

010 City Of Chicago Police $176.15

010 City Of Chicago Police $237.41

015 City Of Chicago Police $6.50

015 City Of Chicago Police $646.74 00008 ' City Of Chicago Police $6.50 00008 City Of Chicago Police $6.62 00008 City Of Chicago Police $115.18 00010 City Of Chicago Police $200.17 00010 City Of Chicago Police $6.50 023 City Of Chicago Police $28.32 00022 City Of Chicago Police $49.78 00022 City Of Chicago Police $49.78 00022 City Of Chicago Police $738.16 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $202.35 00022 City Of Chicago Police $6.50 00022 City Of Chicago Police $225.00 00022 City Of Chicago Police $110.00 00022 City Of Chicago Police $6.50

00016 City Of Chicago Police $740.92 00016. City Of Chicago Police $96.80 00016 City Of Chicago Police $354.79

City Of Chicago - Confidential

Page 80 of 314

Incident Date Claimant_Rank

01/08/2007 Woznicki, Robert A P

08/09/2006 Williams-Collins, Eleanor D P

01/01/2007 Webb, TaricG P

01/01/2007 Webb, Taric G P

10/04/1995 Watts, Van P

09/17/2007 Warren-Purdiman, Pamela L P

03/14/2011 WONG, BENNY 3286

10/18/2010 WOJTAN, KENNETH 9161

01/28/2011 WO, RANDALL Det

Unit of Insured Total to be Paid

00016 City Of Chicago Police $549.79

00007 City Of Chicago Police $96.62

00007 City Of Chicago Police $398.32

00007 City Of Chicago Police $73.71

00007 City Of Chicago Police $6.50

00007 City Of Chicago Police $1.17

00007 City Of Chicago Police $6.50

00007 City Of Chicago Police $0.89

00007 City Of Chicago Police $6.50

00007 City Of Chicago Police $9.43

00007 City Of Chicago Police $6.50

00007 City Of Chicago Police $0.89

00007 City Of Chicago Police $6.50

00007 City Of Chicago Police $10.54

00007 City Of Chicago Police $6.50

00007 City Of Chicago Police $16.29

00007 City Of Chicago Police $12.42

00007 City Of Chicago Police $235.26

00007 City Of Chicago Police $227.29

00007 City Of Chicago Police $287.26

00007 City Of Chicago Police $73.71

00003 City Of Chicago Police $47.23

00003 City Of Chicago Police $6.50

00003 City Of Chicago Police $534.22

00018 City Of Chicago Police $61.86

00018 City Of Chicago Police $6.50

018 City Of Chicago Police $6.50

005 City Of Chicago Police $6.15

005 City Of Chicago Police $6.50

005 City Of Chicago Police $15.19

650 City Of Chicago Police $323.56

650 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 81 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/28/2011 WO, RANDALL

07/07/2010 WINTERS, MALAKIA

11/27/2010 WINCLECHTER, LINDA

04/04/2011 WILLINGHAM, RUSSELL

12/04/2010 WILLIAMS, TRACEY

02/18/2010 WILLIAMS, RAMSEY

11/18/2010 WILLIAMS, MELISSA

01/29/2011 WILLIAMS, LUNYE

Det Det

650 650

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

002

044 044 044 012 012 012 002 002 002

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

$101.70

$4.98

$64.98

$6.50

$6.56

$6.50

$1.01

$6.50

$159.37

$542.86

$83.67

$15.93

$807.80

$6.50

$1.99

$6.50

$164.35

$6.50

$113.77

$8.56

$681.43

$225.11

$96.62

$345.96

$6.50

$2.72

$6.50

City Of Chicago - Confidential

Page 82 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/29/2011 01/29/2011 01/29/2011 01/29/2011 01/29/2011 01/29/2011 04/12/2011 04/12/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011

WILLIAMS WILLIAMS, WILLIAMS, WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS WILLIAMS

LUNYE

LUNYE ~

DONYAL

CHARICE

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

ty O ty O ty O ty O ty O ty O ty O ity O ity O ty O ity O ty O tyOI ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol ity Ol ty Ol ty Ol ty Ol ty Ol ty Ol ty Oi ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol

if Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f 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

$1.17

$6.50

$6.50-

$6.50

$209.69

$319.78

$262.13

$922.68

$262.13

$319.78

$311.39

$209.69

$6.50

$39.66

$6.50

$20.76

$6.50

City Of Chicago - Confidential

Page 83 of 314

Incident Date Claimant Rank

02/07/2011 WILLIAMS, CHARICE 3286

09/03/2010 WILLIAMS LEE, BELINDA 9161

08/07/2010 WILKOSZEWSKI, MICHELE 9161

08/07/2010 ■ WILKOSZEWSKI, MICHELE 9161

08/07/2010 WILKOSZEWSKI, MICHELE 9161

02/20/2011 WHERFEL, PATRICK

12/11/2009 WESTON, ROBERT 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $7.96

City Of Chicago Police $6.50

City Of Chicago Police $94.79

City Of Chicago Police $104.84

City Of Chicago Police $181.93

City Of Chicago Police $113.12

City Of Chicago Police $932.24

City Of Chicago Police $345.99

City Of Chicago Police $288.33

City Of Chicago Police $345.99

City Of Chicago Police $272.62

City Of Chicago Police $319.78

003 City Of Chicago Police $287.82

003 City Of Chicago Police $154.78

016 City Of Chicago Police $234.86

016 City Of Chicago Police $11.61

016 City Of Chicago Police $15.44

016 City Of Chicago Police $6.50

City Of Chicago Police $177.38

City Of Chicago Police $6.50

City Of Chicago Police $2.60

City Of Chicago Police $6.50

050 City Of Chicago Police $181.08

050 City Of Chicago Police $6.50

050 City Of Chicago Police $2.66

050 City Of Chicago Police $6.50

050 City Of Chicago Police $143.42

050 City Of Chicago Police $6.50

050 City Of Chicago Police $1.74

050 City Of Chicago Police $143.42

City Of Chicago - Confidential

Page 84 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/11/2009 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 08/16/2010 10/12/2010 10/15/2010 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009

WESTON, ROBERT WEITZMAN, JOSHUA WEITZMAN, JOSHUA WEITZMAN, JOSHUA WEITZMAN, JOSHUA WEITZMAN, JOSHUA WEITZMAN, JOSHUA WEITZMAN, JOSHUA WEITZMAN, JOSHUA WEITZMAN, JOSHUA WEISSMUELLER, ROSALIA WEATHERSBY LEE, KAREN WATKINS, LESLEY

9161

050

WATKINS WATKINS WATKINS WATKINS WATKINS WATKINS WATKINS WATKINS WATKINS WATKINS WATKINS WATERS WATERS WATERS WATERS WATERS WATERS WATERS WATERS WATERS

LESLEY LESLEY LESLEY LESLEY LESLEY LESLEY LESLEY LESLEY LESLEY LESLEY LESLEY V, MILTON V, MILTON V, MILTON V, MILTON V, MILTON V, MILTON V, MILTON V, MILTON V, MILTON

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

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ,ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

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

$1.74

$8.15

$6.50

$15.31

$53.87

$141.74

$6.50

$7.29

$6.50

$21.37

$6.50

$41.25

$6.50

$24.56

$6.50

$42.30

$188.72

$4.82

$960.86

$1.08

$6.50

$0.11

$6.50

$4.10

$19.22

$6.50

$16.62

$6.50

$19.22

$6.50

$0.97

$6.50

$50.49

City Of Chicago - Confidential

Page 85 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009 07/15/2009

WATERS IV WATERS IV WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS'IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV, WATERS IV WATERS IV, WATERS IV WATERS IV WATERS IV WATERS IV,

MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON MILTON

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty 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

$11.01

$6.50

$42.03

$6.50

$49.89

$6.50

$34.00

$6.50

$17.00

$6.50

$32.37

$6.50

$11.33

$6.50

$30.74

$6.50

$30.74

$6.50

$15.37

$6.50

$30.74

$6.50

$46.11

$6.50

$30.74

$6.50

$46.11

$251.97

$780.00

$390.00

$774.00

$274.68

City Of Chicago - Confidential

Page 86 of 314

Incident Date Claimant _Rank

07/15/2009 WATERS IV, MILTON

07/15/2009 WATERS IV, MILTON '

07/15/2009 WATERS IV, MILTON

12/11/2010 WASHINGTON, TAKIA 9161

.12/11/2010 WASHINGTON, TAKIA 9161

12/11/2010 WASHINGTON, TAKIA 9161

Unit of Insured Total to be Paid

City Of Chicago Police $768.00

City Of Chicago Police $384.00

City Of Chicago Police $768.00

City Of Chicago Police $69.83

City Of Chicago Police $650.22

City Of Chicago Police $414.07

City Of Chicago Police $37.00

City Of Chicago Police $37.82

City Of Chicago Police $6.50

City Of Chicago Police $62.61

City Of Chicago Police $6.50

City Of Chicago Police $1.78

City Of Chicago Police $6.50

City Of Chicago Police $46.94

City Of Chicago Police $6.50

City Of Chicago Police $888.50

City Of Chicago Police $74.86

City Of Chicago Police $115.85

City Of Chicago Police $795.04

City Of Chicago Police $76.41

City Of Chicago Police $30.48

City Of Chicago Police $689.43

City Of Chicago Police $6.50

City Of Chicago Police $36.07

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 87 of 314

Incident Date Claimant

Rank

Unit of ■

Insured

Total to be Paid

12/11/2010 WASHINGTON, TAKIA

09/13/2010 WASHINGTON, ROGER

07/27/2010 WARNKE, JOSEPH

02/23/2011 WARNER, BRIAN

07/08/2010 WARNER JR, JEROME

12/18/2010 WALSH JR, MICHAEL

01/01/2011 WALLACE, JLYNN

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

025 018 018 018 018 018 018 018 044 044

City City City City

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 Of Chicago Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Po f Chicago Pol City Of Chicago Pol City Of Chicago Pol Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol

City Of City Of City Of City Of City Of

City City City

City Of

City O City O

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

$3.04

$6.50

$55.43

$6.50

$4.70

$6.50

$66.43

$6.50

$86.07

$6.50

$4.70

$6.50

$66.43

$6.50

$62.61

$20.14

$9.34

$162.40

$6.50

$810.32

$99.65

$6.50

$831.40

$6.50

$634.15

$340.75

$407.54

$748.29

$6.50

City Of Chicago - Confidential

Page 88 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/01/2011 03/01/2011 03/01/2011 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/06/2010 12/06/2010 12/06/2010 11/05/2010 11/05/2010 11/05/2010 03/10/2011 03/10/2011 03/10/2011 03/10/2011 03/10/2011 03/10/2011 03/10/2011 03/10/2011 02/15/2007 02/15/2007 02/15/2007 02/15/2007 02/15/2007 02/15/2007 09/27/2005 09/27/2005 01/09/1997 01/09/1997

WALLACE, ADAM WALLACE, ADAM WALLACE, ADAM WALKOSZ, JACEK WALKOSZ, JACEK WALKOSZ, JACEK WALKOSZ, JACEK WALKOSZ, JACEK WALKOSZ, JACEK WALKER, KYLE WALKER, KYLE WALKER, KYLE WALKER, ANDREA WALKER, ANDREA WALKER, ANDREA WADE, MARCUS WADE, MARCUS WADE, MARCUS WADE, MARCUS WADE, MARCUS WADE, MARCUS WADE, MARCUS WADE, MARCUS Vega, Gerardo Vega, Gerardo Vega, Gerardo Vega, Gerardo Vega, Gerardo Vega, Gerardo Vargas-Aguilera, Gail V Vargas-Aguilera, Gail V Vanvegten, Andre H Vanvegten, Andre H

9161 9161 9161 9161 9161 9161 9161 9161 9161

9161

3286

P :

P P P P

153 153 153 002 002 002 002 002 002

192 192 192

00011 00011 00011 00011 00011 00011 00004 00004 09999 09999

ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Po! ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Po! ity Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

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 lice

$196.60

$10.21

$6.50

$14.11

$143.12

$6.50

$1.06

$87.66

$5.00

$413.70

$6.50

$263.95

$6.50

$3.19

$6.50

$3.19

$6.50

$22.91

$6.50

$84.92

$49.02

$6.50

$8.34

$44.49

City Of Chicago - Confidential

Page 89 of 314

Incident Date Claimant Rank

01/09/1997 Vanvegten, Andre H P

12/31/2010 VO, KELLY 9161

04/23/2011 VILLALOBOS, EDWARD 9161

Unit of Insured Total to be Paid

09999 City Of Chicago Police $90.39

09999 City Of Chicago Police $49.36

'09999 City Of Chicago Police $40.13

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $8.70

09999 City Of Chicago Police $98.45

09999 City Of Chicago Police $28.43

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $16.48

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $17.95

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $25.90

09999 City Of Chicago Police $8.34

09999 City Of Chicago Police $108.82

09999 City Of Chicago Police $397.59

09999 City Of Chicago Police $36.87

09999 City Of Chicago Police $108.82

09999 City Of Chicago Police $17.08

09999 City Of Chicago Police $25.90

014 City Of Chicago Police $103.80

014 City Of Chicago Police $33.09

014 City Of Chicago Police $6.50

253 City Of Chicago Police $3.51

253 City Of Chicago Police $23.80

253 City Of Chicago Police $214.78

253 City Of Chicago Police $86.44

253 City Of Chicago Police $6.50

253 City Of Chicago Police $46.45

253 City Of Chicago Police $6.50

253 City Of Chicago Police $5.87

City Of Chicago - Confidential

Page 90 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/23/2011 VILLALOBOS, EDWARD

04/24/2011 VILLACIS, RICKY

06/25/2010 VERDIN, ROBERTO

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

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

ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Po! ity Of Chicago Po! ity Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol

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 lice

$6.50

$8.04

$6.50

$8.72

$6.50

$14.32

$196.60

$32.00

$6.50

$10.21

$6.50

$7.00

$279.90

$1.84

$6.50

$53.90

$6.50

$108.51

$52.41

$305.16

$255.82

$303.01

City Of Chicago - Confidential

Page 91 of 314

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 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 09/13/2010 09/13/2010 01/07/2011 01/07/2011

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 VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VERDIN, ROBERTO VELEZ, ALEXANDER VELEZ, ALEXANDER VEGA, ANA VEGA, ANA

9161 9161 3286 3286

044 044

$382.70

$314.55

$382.70

$765.40

$382.70

$765.40

$424.65

$697.25

$314.55

$765.40

$135.49

$137.82

$255.42

$112.77

$6.50

$2.77

$6.50

$2.77

$6.50

$2.77

$6.50

$67.18

$6.50

$346.88

$6.50

$150.97

City Of Chicago - Confidential

Page 92 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/07/2011 VEGA, ANA

01/07/2011 VEGA, ANA 01/07/2011 " VEGA, ANA

01/07/2011 VEGA, ANA

10/22/2010 VAZQUEZ, DANIEL

07/02/2010 VALERIO, MAGDALENA

07/21/2009 VALENZUELA, RUTH

05/24/2010 VALENCIA, JOHN

3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161

916.1 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044

003 003 003 003 003 003 003 003 003 024 024

City City City

Pol Pol Pol Pol

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

$6.50

$378.72

$6.50

$6.'50

$6.50

$223.32

$316.62

$911.16

$390.00

$1.17

$31.92

$168.32

$1.17

$6.50

$2.04

$6.50

$96.62

$6.50

$96.62

$250.00

$332.16

$578.36

$6.50

$87.19

$6.50

$228.68

$24.13

$6.50

City Of Chicago - Confidential

Page 93 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/24/2010 VALENCIA, JOHN

11/24/2010 UNDERWOOD JR, COLLIS

04/10/2011 ULDRYCH, TIMOTHY

10/22/2010 ULDRYCH, MELISSA

08/17/2009 UCZEN, MARK

04/06/1998 Tokarz, Joyce A

08/05/2008 Tirado, Jose M

08/03/2006 Thomas, Herman A

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

9161

024 153 153 153

017

00023

00006

00002

$943.92

$6.50

$10.21

$196.60

$6.50

$1.83

$6.50

$242.18

$239.06

$151.40

$68.15

$2.16

$52.97

$6.50

$17.83

$697.68

$6.50

$999.00

$119.48

$6.50

$164.19

$6.50

$1.72

$6.50

$408.90

$272.60

$319.79

$272.60

$239.05

City Of Chicago - Confidential

Page 94 of 314

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

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 01/19/1977 11/02/2007 11/02/2007 11/02/2007 11/02/2007 11/02/2007 11/02/2007 08/08/2010 03/24/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 12/30/2010 01/01/2011 01/01/2011 01/01/2011

Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Tenzer, Joseph H Tannehill, Michael A Tannehill, Michael A Tannehill, Michael A Tannehill, Michael A Tannehill, Michael A Tannehill, Michael A TURNER, RONALD TUPAYACHI, ELLIOT TUPAYACHI, ELLIOT TUPAYACHI, ELLIOT TUPAYACHI, ELLIOT TUPAYACHI, ELLIOT TUPAYACHI, ELLIOT TRIPOLI, JOSEPH TRIPOLI, JOSEPH TRIPOLI, JOSEPH

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 9165 9165 9165

00002

00012

00019

008

019

650

City City City

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 lice lice lice

$117.27

$159.61

$6.50

$88.56

$6.50

$24.16

$6.50

$105.05

$103.58

$95.60

$6.50

$7.17

$488.84

$1.40

$73.25

$112.24

$6.50

$207.59

$6.50

$7.06

$276.34

$207.39

$89.12

City Of Chicago - Confidential

Page 95 of 314

Incident Date Claimant Rank

01/01/2011 TRIPOLI, JOSEPH 9165

Unit of_Insured_Total to be Paid

650 City Of Chicago Police $322.69

650 City Of Chicago Police $202.90

650 City Of Chicago Police $291.61

650 City Of Chicago Police $481.27

650 City Of Chicago Police $509.58

650 City Of Chicago Police $325.58

650 City Of Chicago Police $264.24

650 City Of Chicago Police $325.57

650 City Of Chicago Police $297.27

650 City Of Chicago Police $187.80

650 City Of Chicago Police $528.48

650 City Of Chicago Police $264.24

650 City Of Chicago Police $6.50

650 City Of Chicago Police $3.05

650 City Of Chicago Police $6.50

650 City Of Chicago Police $1.31

650 City Of Chicago Police $6.50

650 City Of Chicago Police $5.18

650 City Of Chicago Police $6.50

650 City Of Chicago Police $7.45

650 City Of Chicago Police $6.50

650 City Of Chicago Police $12.29

650 City Of Chicago Police $6.50

650 City Of Chicago Police $13.01

650 City Of Chicago Police $6.50

650 City Of Chicago Police $8.32

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.75

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.75

650 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 96 of 314

Incident Date Claimant Rank

01/01/2011 TRIPOLI, JOSEPH 9165

01/22/2011 TREPELAS, MICHAEL 3286

01/08/2011 TRAPP, JERMIRA 3956

03/12/2011 TORRES, ROMAN 9161

06/23/2010 TORRES, ESMELIDA 9161

07/06/2010 TOMASIK, EDWARD 9201

Unit of Insured Total to be Paid

650 City Of Chicago Police $8.31

650 City Of Chicago Police $6.50

650 City Of Chicago Police $7.59

650 City Of Chicago Police $6.50

650 City Of Chicago Police $4.79

650 City Of Chicago Police $6.50

650 City Of Chicago Police $13.50

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.75

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.75

650 City Of Chicago Police $6.50

650 City Of Chicago'Police $1.31

650 City Of Chicago Police $6.50

650 City Of Chicago Police $4.74

015 City Of Chicago Police $272.25

015 City Of Chicago Police $30.22

015 City Of Chicago Police $6.50

City Of Chicago Police $495.95

City Of Chicago Police $12.67

City Of Chicago Police $6.50

153 City Of Chicago Police $2.38

153 City Of Chicago Police $825.64

153 City Of Chicago Police $1.71

153 City Of Chicago Police $6.50

153 City Of Chicago Police $21.10

153 City Of Chicago Police $6.50

153 City Of Chicago Police $66.86

153 City Of Chicago Police $93.02

010 City Of Chicago Police $24.04

177 City Of Chicago Police $3.04

177 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 97 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Of Chicago Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol >f Chicago Pol >f Chicago Pol City Of Chicago Pol City Of Chicago Pol Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

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 02/07/2009 03/29/2010 03/30/2010 03/30/2010 03/02/2010 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 04/26/2010 05/04/2009 07/09/1998 03/01/2006 03/01/2006 03/01/2006 03/01/2006 03/01/2006 03/01/2006

TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD TOMASIK, EDWARD THOLL, ROBERT THILL, JOHN TERNAND, BRANDON TERNAND, BRANDON TEGTMEIER, MATT TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TARAS, LISA TANTILLA, MICHAEL Stover, Danny Stapleton, John R Stapleton, John R Stapleton, John R Stapleton, John R Stapleton, John R Stapleton, John R

9201

9161

9171

177 177 177 177 177 177 177 177 177 765

044 044 044

00004 00018 00018 00018 00018 00018 00018

City City City City

City Of City Of City Of City Of City Of

City City City

'lice lice lice 'lice 'lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$32.31

$6.50

$3.04

$6.50

$74.86

$796.03

$74.86

$56.28

$6.50

$28.70

$24.78

$139.10

$24.04

$96.62

$214.14

$555.66

$2.59

$6.50

$1.17

$24.04

$140.42

$6.50

$169.84

$6.50

$84.92

City Of Chicago - Confidential

Page 98 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/21/2007 02/21/2007 08/11/2006 08/11/2006 08/11/2006 08/11/2006 08/11/2006 08/11/2006 06/16/2005 06/16/2005 06/16/2005 06/16/2005 06/16/2005 06/16/2005 06/16/2005 06/16/2005 02/15/1992 02/15/1992 02/14/2008 03/07/2008 03/07/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008

Stankowski, Donald D Stankowski, Donald D Shannon, Debora S Shannon, Debora S Shannon, Debora S Shannon, Debora S Shannon, Debora S Shannon, Debora S Seaton, Milton Seaton, Milton Seaton, Milton Seaton, Milton Seaton, Milton Seaton, Milton Seaton, Milton Seaton, Milton Schodtler, James Schodtler, James Scali, Michael P Saucedo, Marisa Saucedo, Marisa Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna

00018 00018 00007 00007 00007 00007 00007 00007 00701 00701 00701 00701 00701 00701 00701 00701 00020 00020 00018 00001 00001 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024

ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Po! ity Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$107.00

$149.46

$265.32

$6.50

$89.64

$6.50

$12.60

$1.09

$600.00

$338.64

$6.50

$833.17

$13.74

$6.50

$207.00

$26.12

$6.50

$80.73

$28.70

$80.00

$6.50

$25.88

$6.50

$16.53

$6.50

$18.76

$6.50

$16.53

$6.50

$16.53

$6.50

$853.27

City Of Chicago - Confidential

Page 99 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 02/04/2011 02/04/2011 02/04/2011 02/04/2011 02/04/2011 09/10/2010 09/10/2010 09/10/2010 09/10/2010 09/10/2010 07/15/2009 07/15/2009 07/15/2009 01/19/2010 01/19/2010 01/19/2010 01/19/2010 06/19/2010 06/19/2010 06/19/2010 05/17/2010

Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna Salvage, Donna SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZUDY, EDMUND M SZUDY, EDMUND M SZUDY, EDMUND M SZUDY, EDMUND M SZUDY, EDMUND M SWALINA, GLADYS SWALINA, GLADYS SWALINA, GLADYS SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWALINA, DAVID SWAINE, DANIEL

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

3295 3295 3295 3295 3295 9161 9161 9161 9161 9161

00024

055

152

9161 9161 9161

005 005 005 005 005 005 005

City City City

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 Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Po! f Chicago Pol City Of Chicago Pol City Of Chicago Pol Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

City Of City Of City Of City Of City Of

City (

City

City Of

City Ol City Ol

lice lice lice lice lice lice lice lice 'lice lice lice lice lice lice lice lice tice lice ilice lice ilice lice lice lice ilice lice ilice lice lice lice lice lice lice

$167.62

$43.10

$38.44

$637.56

$6.50

$18.76

$6.50

$16.53

$18.66

$37.12

$238.75

$6.50

$86.25

$164.38

$6.50

$17.40

$6.50

$496.74

$14.42

$28.13

$6.50

$248.49

$23.30

$184.25

$175.29

$0.93

$6.50

$198.36

$6.50

City Of Chicago - Confidential

Page 100 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/27/2010

01/19/2010

05/05/2010

05/05/2010.

05/05/2010

01/21/2011

SURVILLION, ALLEN SURGIT, CELAL SURGIT, CELAL SURGIT, CELAL SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SUMMERS, BRUCE SULLIVAN, PATRICK

SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN SULLIVAN

PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK PATRICK

9161 9161 9161 9161

311

3248 3248 3248 3248 3248 3248 3248' 3248 3248 3248 3248 3248 3248 3248 3248 3248 3248 3248 3248 3248

610 610 610 610 610 610 610 610 610 610 610 610 610 610 610 610 610 '610 610 610

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

City City City

City O City O

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

$18.30

$2.75

$6.50

$187.75

$6.50

$4.70

$13.33

$106.64

$115.85

$6.50

$14.06

$6.50

$104.84

$52.41

$56.19

$549.37

$400.97

$299.60

$6.50

$10.56

$6.50

$146.88

$6.50

City Of Chicago - Confidential

Page 101 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago ity Of Chicago ity Of Chicago ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Po ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Poi ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

01/21/2011 01/21/2011 01/21/2011 01/21/2011 01/21/2011 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011

SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD

3248

9161

Sgt

610 610 610 610 610 019 019 019 019 019 019 019

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

$13.19

$6.50

$209.69

$10.64

$104.84

$128.46

$136.95

$164.69

$101.70

$22.14

$6.50

$105.85

$18.80

$6.50

$18.80

$6.50

$1.78

$6.50

$18.81

$18.80

$6.50

$23.50

$6.50

$23.50

$6.50

$18.80

$6.50

$18.81

$6.50

$18.80

$6.50

$17.48

City Of Chicago - Confidential

Page 102 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/05/2011 SULLINS, EDWARD

04/26/2011 STUBBS, LARRY

04/26/2011 STU BBS, LARRY

11/11/2010 STRANSKI, LORI

03/02/2010 STRANGE, KIMBERLY

06/09/2010 STOREY, MILTON

12/14/2010 STORCE, ANGELA

Sgt

9161

9168 9168 9161

059 059 023

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice lice lice lice lice Jice ilice Jice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice Jice lice lice lice

$6.50

$4.57

$190.72

$190.82

$190.72

$238.42

$190.72

$190.82

$190.72

$147.63

$378.23

$34.91

$58.50

$13.89

$6.50

$15.21

$12.88

$101.70

$6.50

$13.92

$29.44

$100.80

$24.56

$6.50

$56.05

$6.50

$165.70

$518.51

$6.50

$32.61

City Of Chicago - Confidential

Page 103 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/14/2010 12/14/2010 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 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 03/07/2010 03/07/2010 03/07/2010

STORCE, ANGELA STORCE, ANGELA STEWART, TRAVELLE STEWART, TRAVELLE STEWART, TRAVELLE STEWART, TRAVELLE STEWART, TRAVELLE STEWART, TRAVELLE STELLA, NICHOLAS

STELLA, STELLA, STELLA, STELLA STELLA, STELLA, STELLA, STELLA, STELLA STELLA, STELLA STELLA STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA,

NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS

9161 9161 9161 9161 9161 9161 9161 9161

023 023

ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty 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

$103.80

$6.50

$123.07

$155.45

$10.08

$7.98

$6.50

$661.38

$109.44

$6.50

$18.78

$6.50

$18.78

$6.50

$18.78

$6.50

$23.50

$6.50

$23.50

$6.50

$23.50

$6.50

$23.50

$6.50

$21.54

$6.50

$23.49

$6.50

$23.49 ■

$6.50

$23.49

$6.50

City Of Chicago - Confidential

Page 104 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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

STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA,

City City City

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 Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol 'f Chicago Pol f Chicago Pol f Chicago Pol

City Of City Of City Of City Of City Of

Cityl City <

City Of City Oi City Oi

lice 'lice lice ilice lice ilice ilice ilice lice lice lice lice lice lice lice lice Jice lice lice lice Jice lice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice

$23.50

$6.50

$1.08

$6.50

$18.80

$6.50

$21.56

$6.50

$26.26

$6.50

$18.80

$23.50

$6.50

$16.90

$467.25

$190.61

$238.42

$218.61

$238.32

$238.42

$190.72

$218.72

$266.42

$238.42

$190.72

City Of Chicago - Confidential

Page 105 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/07/2010 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 05/30/2009 12/06/2010 01/11/2011 01/11/2011 01/11/2011 01/11/2011 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

STELLA, NICHOLAS STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STASKIEWICZ, STEVE STAPLETON III, JOHN STANKUS, JEFFERY STANKUS, JEFFERY STANKUS, JEFFERY STANKUS, JEFFERY 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

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

3286 3286 3286 3286

ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ty Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police ity Of Chicago Police

$656.47

$6.50

$14.58

$6.50

$2.61

$6.50

$2.61

$6.50

$147.91

$215.14

$15.74

$6.50

$16.08

$525.02

$61.48

$15.37

$6.50

$384.00

$96.62

$6.50

$84.60

$6.50

$1.17

$6.50

$69.10

$6.50

$30.74

$6.50

$1.17

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 01/12/2011 12/04/2010 04/01/2011 04/01/2011 04/01/2011 10/28/2010 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011

STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGGERS, ENID STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES STAGEN, JAMES ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL ST CLAIR II, MICHAEL SROKA, TRACEY SPYKER, WILLIAM SPREMO, STEVEN SPREMO, STEVEN SPREMO, STEVEN SPENCER, JORDAN SOTO, SAMUEL SOTO, SAMUEL SOTO, SAMUEL SOTO, SAMUEL SOTO, SAMUEL SOTO, SAMUEL SOTO, SAMUEL SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI

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

044 024 312 312 312

044 044 044 044 044 044 044

$6.50

$30.19

$6.50

$768.00

$5.66

$6.50

$5.42

$221.77

$6.50

$212.32

$3.15

$6.50

$2.34

$91.53

$6.50

$77.52

$6.50

$16.39

$10.16

$531.08

$6.50

$330.25

$69.00

$6.50

$8.44

$6.50

$190.82

City Of Chicago - Confidential

Page 107 of 314

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 Of Chicago Pol Of Chicago Pol 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

02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 12/07/2009 12/07/2009 12/07/2009 12/07/2009

SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI . SOTO, NEFTALI SOTO, NEFTALI SOTO, NEFTALI SOREGHEN, SCOTT SOREGHEN, SCOTT SOREGHEN, SCOTT SOREGHEN, SCOTT

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

City City City

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

$176.04

$176.15

$152.94

$128.44

$6.50

$16.43

$6.50

$17.37

$6.50

$17.37

$6.50

$12.66

$143.42

$15.08

$6.50

$17.37

$6.50

$17.35

$6.50

$1.74

$6.50

$18.81

$6.50

$18.81

$6.50

$18.81

$166.71

$176.15

$14.23

$131.43

$42.23

City Of Chicago - Confidential

Page 108 of 314

Incident Date Claimant_Rank

12/07/2009 SOREGHEN, SCOTT 9161

12/22/2010 SOMMERFIELD, DETLEF 9161

01/07/2011 SOLSKI, DAVID 9161

12/15/2010 SOFRENOVIC, MILORAD 9165

Unit of Insured Total to be Paid City Of Chicago Police ' $23.41

City Of Chicago Police $171.97

City Of Chicago Police $13.15

001 City Of Chicago Police $138.89

001 City Of Chicago Police $6.50

001 * City Of Chicago Police $2.78

005 City Of Chicago Police $242.18

005 City Of Chicago Police $660.74

005 City Of Chicago Police $6.50

650 City Of Chicago Police $132.09

650 City Of Chicago Police $176.12

650 City Of Chicago Police $88.06

650 City Of Chicago Police $176.12

650 City Of Chicago Police $113.77

650 City Of Chicago Police $313.47

650 City Of Chicago Police $101.70

650 City Of Chicago Police $60.63

650 City Of Chicago Police $6.50

650 City Of Chicago Police $4.69

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.23

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 109 of 314

Incident Date Claimant Rank

12/15/2010 SOFRENOVIC, MILORAD 9165

09/05/2009 SMITH, WILLIE 9161

02/17/2010 SMITH, ROBERT 9165

03/13/2011 SMITH, HODGES 3286

Unit of Insured Total to be Paid

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

650 City Of Chicago Police $13.02

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

650 City Of Chicago Police $8.68

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $6.50

650 City Of Chicago Police $17.36

650 City Of Chicago Police $174.78

650 City Of Chicago Police $176.12

022 City Of Chicago Police $204.79

022 City Of Chicago Police $6.50

022 City Of Chicago Police $47.65

715 City Of Chicago Police $6.50

715 City Of Chicago Police $149.46

City Of Chicago Police $13.50

City Of Chicago Police $234.84

City Of Chicago - Confidential

Page 110 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/13/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 01/03/2011

SMIJH. SMITH SMITH SMITH SMITH_;SMITH, SMITH, SMITH SMITH SMITH SMITH SMITH SMITH, SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH SMITH

HODGES

DAINA

3286

SLECHTER, ROBERT

9161

009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 011

ty Ol ty Ol ty Ol ty Ol tyO ty O ty Ol ty Ol ty Ol tyO; ty o ty Oi ty Ol ty Ol tyOl tyO ty O ty O ity O ty Ol ty Ol ty Ol tyOl tyOi tyO tyO ty O ty O ty O ty O ity O ity O ity O

f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol >f Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f 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 Jice lice lice lice lice dice lice lice lice lice

$6.50

$89.65

$6.50

$1.42

$6.50

$8.70

$6.50

$61.45

$6.50

$2.29

$6.50

$16.42

$6.50

$1.42

$6.50

$18.78

$6.50

$18.78

$6.50

$18.78

$209.70

$166.60

$190.61

$117.54

$98.45

$5.36

$6.50

$43.61

$353.15

City Of Chicago - Confidential

Page 111 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/03/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 06/11/2010 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011

SLECHTER, ROBERT SIX, CHARLES SIX, CHARLES SIX, CHARLES SIX, CHARLES SIMMONS, KAREN

SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS SIMMONS

FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE FREDDIE

9161 3257 3257 3257 3257 9161

011

023

Poli Poli Poli

Poll

City < City ( City (

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

City O City O City 01 CityO City Oi

City < City < City (

City O City Oi City Oi City 01

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

$6.50

$20.58

$6.50

$352.27

$6.50

$15.44

$274.68

$325.42

$273.42

$388.34

$727.12

$613.00

$23.20

$530.40

$583.90

$138.22

$216.79

$6.50

$55.53

$6.50

$21.53

$6.50

$13.21

$6.50

$13.21

$6.50

$13.21

$6.50

$18.49

$6.50

$1.33

$6.50

$1.02

City Of Chicago - Confidential

Page 112 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 06/14/2010 06/29/2010 02/26/2011 02/26/2011 01/21/2011 01/21/2011

SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SIMMONS, FREDDIE SILVA JR, ARMANDO SHULTZ, ROBERT SHOUP,STEPHEN SHOUP,STEPHEN SHILNEY, JOHN SHILNEY, JOHN

9161 3286 3286 3608 3608

715 018 018 189 189

$6.50

$0.84

$6.50

$134.97

$6.50

$1.33

$6.50

$18.04

$6.50

$23.43

$6.50

$11.33

$6.50

$12.92

$6.50

$9.93

$334.66

$481.00

$617.32

$391.35

$22.33

$6.50

$24.04

$22.67

$6.50

$173.55

$19.90

$6.50

City Of Chicago - Confidential

Page 113 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY. SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY, SHILNEY SHILNEY SHILNEY, SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY SHILNEY

JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN JOHN

3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608 3608

189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189 189

City City City

lice lice ilice lice ilice lice lice lice ilice lice ilice lice lice lice 'lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice Jice lice lice lice

$24.24

$6.50

$24.24

$6.50

$24.24

$6.50

$24.24

$6.50

$24.24

$6.50

$24.24

$6.50

$24.24

$6.50

$23.99

$6.50

$24.24

$6.50

$24.25

$6.50

$9.05

$6.50

$2.16

$6.50

$10.63

$6.50

$2.53

$6.50

$8.72

$6.50

$24.24

City Of Chicago - Confidential

Page 114 of 314

Incident Date Claimant Rank

01/21/2011 SHILNEY, JOHN 3608

01/21/2011 . SHILNEY, JOHN 3608

01/21/2011 SHILNEY, JOHN 3608

02/24/2011 SHERLOCK, JAMES 3248

Unit of Insured Total to be Paid

■189 City Of Chicago Police $6.50

189 City Of Chicago Police $236.12

189 City Of Chicago Police $6.50

189 City Of Chicago Police $201.92

189 City Of Chicago Police $245.95

189 City Of Chicago Police $243.31

189 City Of Chicago Police $245.95

189 City Of Chicago Police $302.40

189 City Of Chicago Police $178.29

189 City Of Chicago Police $9.38

189 City Of Chicago Police $57.59

189 City Of Chicago Police $209.00

189 City Of Chicago Police $721.12

189 City Of Chicago Police $151.33

189 City Of Chicago Police $585.00

189 City Of Chicago Police $6.50

189 City Of Chicago Police $192.86

189 City Of Chicago Police $6.50

189 City Of Chicago Police $4.74

189 City Of Chicago Police $6.50

189 City Of Chicago Police $235.68

189 City Of Chicago Police $6.50

610 City Of Chicago Police $280.50

610 City Of Chicago Police $11.39

610 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 115 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/10/2011 SHEPLER, WALTER

12/17/2009 SHEPHERD, CHRISTIAN

07/22/2009 SHEEHAN, TIMOTHY

07/01/2010 SEPULVEDA, DAVID

03/20/2011 SCHULER, KRISTINA

3286 3286 9161 9161 9161

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

013 013 013

024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024

$6.50

$460.00

$291.24

$6.50

$836.61

$6.50

$187.19

$18.46

$227.00

$6.50

$12.08

$227.00

City Of Chicago - Confidential

Page 116 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 03/20/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 07/06/2010 11/10/2010 11/10/2010 11/10/2010 10/08/2010 10/08/2010 10/08/2010 10/08/2010

SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHULER, KRISTINA SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHOESSOW, ERIC SCHALLER, MATTHEW SANTOS, JORGE SANTOS, JORGE SANTOS, JORGE SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL SANDOVAL, PAUL

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 .3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161

024 024 024 024 024 024 024 024 024 024 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

010 010 010

City City City

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 lice lice

$227.00

$266.00

$130.10

$98.45

$6.50

$33.26

$87.90

$6.50

$87.90

$169.16

$87.90

$87-.90

$22.80

$6.50

$22.80

$6.50

$34.01

$6.50

$22.80

$6.50

$22.80

$24.04

$6.50

$0.92

$36.00

$211.71

$3.11

$6.50 ■

$3.11

City Of Chicago - Confidential

Page 117 of 314

Incident Date Claimant Rank

10/08/2010 SANDOVAL, PAUL 9161

01/05/2011 SANCHEZ, MICHAEL 9161

06/15/2010 SANCHEZ, JOHN

02/11/2011 SANCHEZ, CAMILA 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $211.71

014 City Of Chicago Police . $71.50

014 City Of Chicago Police $31.78

014 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $251.93

City Of Chicago Police $6.43

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.09

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.09

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.29

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.64

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.46

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.64

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.68

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.64

044 City Of Chicago Police $6.50

044 City Of Chicago Police $7.99

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.99

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.99

City Of Chicago - Confidential

Page 118 of 314

Incident Date Claimant Rank

02/11/2011 SANCHEZ, CAMILA 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $65.95

044 City Of Chicago Police $286.97

044 City Of Chicago Police $196.96

044 City Of Chicago Police $344.90

044 City Of Chicago Police $245.68

044 City Of Chicago Police $344.90

044 City Of Chicago Police $65.95

044 City Of Chicago Police $344.90

044 City Of Chicago Police $490.67

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.74

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.97

044 City Of Chicago Police $6.50

044 City Of Chicago Police $6.05

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.99

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.68

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.99

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.99

044 City Of Chicago Police $6.50

044 City Of Chicago Police $13.99

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 119 of 314

Incident Date Claimant Rank

02/11/2011 SANCHEZ, CAMILA . 9161

02/11/2011 SANCHEZ, CAMILA 9161

02/11/2011 SANCHEZ, CAMILA" 9161

02/11/2011 SANCHEZ, CAMILA 9161

12/11/2010 SANCHEZ, ANGELO 9161

02/16/2011 SANCHEZ JR, ORLANDO 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $1.15

044 City Of Chicago Police $6.50

044 City Of Chicago Police $327.51

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.83

044 City Of Chicago Police $45.00

044 City Of Chicago Police $236.70

044 City Of Chicago Police $32.15

044 City Of Chicago Police $267.37

044 City Of Chicago Police $264.71

044 City Of Chicago Police $161.03

044 City Of Chicago Police $65.95

044 City Of Chicago Police $79.47

044 City Of Chicago Police $322.63

044 City Of Chicago Police $229.04

044 City Of Chicago Police $286.97

044 City Of Chicago Police $257.55

044 City Of Chicago Police $286.97

044 City Of Chicago Police $6.50

044 City Of Chicago Police $6.54 '

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.68

City Of Chicago Police $103.80

City Of Chicago Police $6.50

City Of Chicago Police $32.61

City Of Chicago Police $6.50

153 City Of Chicago Police $12.08

153 City Of Chicago Police $98.45

153 City Of Chicago Police $323.56

City Of Chicago - Confidential

Page 120 of 314

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 Of Chicago Pol Of Chicago Pol 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

02/16/2011 02/16/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 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

SANCHEZ JR, ORLANDO SANCHEZJR, ORLANDO SAMPSON,ESTHER

SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON SAMPSON

ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER ESTHER

SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN SALVAGE, MICHAELYN

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

153 153

City City City

lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$477.05

$199.75

$942.20

$6.50

$8.11

$6.50

$5.55

$6.50

$42.53

$6.50

$458.15

$477.05

$408.90

$272.60

$7.02

$6.50

$1.50

$6.50

$4.37

$91.53

$21.01

$2.34

City Of Chicago - Confidential

Page 121 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 05/20/2010 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 02/13/2009 04/27/1995 04/27/1995 04/27/1995 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

SALVAGE

SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALVAGE SALAZ, ALBERTO Rycraw, Cheryl L Rycraw, Cheryl L Rycraw, Cheryl L Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie Russell, Robbie . Russell, Robbie

MICHAELYN

MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN MICHAELYN

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

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 ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago P6; City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

City City City

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice' lice

$6.50

$5.98

$6.50

$5.98

$187.19

$4.49

$6.50

$18.46

$6.50

$157.52

$230.50

$270.70

$249.50

$234.00

$190.70

$142.39

$22.65

$53.66

$46.33

$144.12

$5.20

$6.50

$203.20

$200.44

$6.50

$0.88

$6.50

$488.07

$6.50

$8.11

$542.48

City Of Chicago - Confidential

Page 122 of 314

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

09/09/1993 09/09/1993 12/02/1999 12/02/1999 12/02/1999 12/02/1999 12/02/1999 12/02/1999 12/02/1999 12/02/1999 12/02/1999 12/02/1999 12/02/1999 09/02/2007 05/31/2003 09/18/2008 09/18/2008 10/21/1992 10/21/1992 07/02/2010 07/02/2010 07/02/2010 01/28/2010 01/28/2010 12/01/2010 12/01/2010 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011

Russell, Robbie Russell, Robbie Riley, Inez L Riley, Inez L Riley, Inez L Riley, Inez L Riley, Inez L Riley, Inez L Riley, Inez L Riley, Inez L Riley, Inez L Riley, Inez L Riley, Inez L Reyes, Ricardo Regnier, Richard Randle, Reginald Randle, Reginald Rak, John Rak, John RULE, MICHAEL RULE, MICHAEL RULE, MICHAEL RUHNKE, ERIK RUHNKE, ERIK ROTTMAN, JOHN ROTTMAN, JOHN ROSENTHAL, RYAN ROSENTHAL, RYAN ROSENTHAL, RYAN ROSENTHAL, RYAN ROSENTHAL, RYAN ROSENTHAL, RYAN ROSENTHAL, RYAN

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

9161

p.o.

00006 00006 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00003 00009 00005 00014 00014 00015 00015

044 044 153 153 153 153 153 153 153

City City City

>lice dice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice ilice Jice Jice Jice Jice Jice lice Jice lice lice lice lice lice lice lice

$258.30

$18.91

$81.00

$6.50

$25.07

$6.50

$135.76

$150.00

$6.50

$150.00

$6.50

$151.33

$6.50

$760.00

$58.12

$60.88

$6.50

$9.37

$60.25

$6.50

$100.68

$6.50

$39.00

$244.90

$6.50

$8.34

$6.50

$56.53

$6.50

City Of Chicago - Confidential

Page 123 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/28/2011 01/28/2011 01/28/2011 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009

ROSENTHAL, RYAN ROSENTHAL, RYAN ROSENTHAL, RYAN ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL ROMERO, MIGUEL

p.o.

9161

153 153 153

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

$18.28

$14.72

$9.72

$6.50

$18.80

$6.50

$18.81

$6.50

$400.97

$6.50

$14.11

$6.50

$18.80

$6.50

$14.11

$6.50

$14.11

$6.50

$18.81

$6.50

$18.81

$101.70

$190.82

$18.81

$6.50

$143.12

$190.72

$143.12

$190.82

$190.72

City Of Chicago - Confidential

Page 124 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/03/2009 12/17/2010 08/15/2009 01/23/2010 01/23/2010 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 03/17/2010 03/17/2010 03/17/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010

ROMERO, MIGUEL ROMANSKI, STEPHEN ROLDAN,EVELYN ROJAS, JOSE ROJAS, JOSE RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, LYDIA RODRIGUEZ, JOSEPH RODRIGUEZ, JOSEPH RODRIGUEZ, JOSEPH RODRIGUEZ, JOSE RODRIGUEZ, JOSE RODRIGUEZ, JOSE RODRIGUEZ, JOSE

9161 9161 9161

9161 9161 9161 9161 9161 9161 9161

City City City

044 044 044 044

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

$190.82

$24.04

$27.64

$26.12

$24.74

$22.84

$6.50

$1.31

$6.50

$18.50

$6.50

$25.88

$6.50

$16.43

$6.50

$16.85

$187.71

$166.71

$171.01

$350.02

$663.92

$89.12

$277.28

$6.50

$12.45

$6.50

$19.93

$6.75

$6.50

$14.44

$6.50

City Of Chicago - Confidential

Page 125 of 314

Incident Date Claimant Rank

11/11/2010 RODRIGUEZ, JOSE 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $13.40

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.42

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.44

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.27

044 City Of Chicago Police $6.50

044 City Of Chicago Police $15.31

044 City Of Chicago Police $6.50

044 City Of Chicago Police $33.39

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.62

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.62

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.74

044 City Of Chicago Police $6.50

044 City Of Chicago Police $171.94

044 City Of Chicago Police $351.85

044 City Of Chicago Police $384.18

044 City Of Chicago Police $351.85

044 City Of Chicago Police $198.34

044 City Of Chicago Police $379.52

044 City Of Chicago Police $826.16

044 City Of Chicago Police $283.92

044 , City Of Chicago Police $283.91

044 City Of Chicago Police $223.94

044 City Of Chicago Police $6.50

044 City Of Chicago Police $101.70

044 City Of Chicago Police $31.50

044 City Of Chicago Police $101.70

City Of Chicago - Confidential

Page 126 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/30/2010 RODRIGUEZ, HAROLD

12/20/2008 RODRIGUEZ, ANA

10/11/2009 RODGERS, DORINDA

02/11/2011 RODGERS, DORINDA

04/15/2011 ROCHOWICZ JR, RICHARD

12/26/2008 ROCHA, NANCY

02/28/2011 ROBINSON, WILLIA

02/28/2011 ROBINSON, WiLLIA

02/28/2011 ROBINSON, WILLIA

9164 9161 9161 9161 3286 3286 3286 9171 9171 9171

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

010 044 005 005 005 005 005 021 021 021

City City City

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 lice lice lice 'lice

$24.04

$24.97

$92.26

$65.32

$13.83

$6.50

$441.02

$6.50

$45.93

$405.18

$0.57

$6.50

$4.63

$6.50

$80.54

$148.50

$171.12

$6.50

$218.82

$171.12

$207.41

$21.57

$6.50

$16.87

$6.50

$244.96

$6.50

$21.57

$6.50

$1.17

$21.57

City Of Chicago - Confidential

Page 127 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 02/28/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010

ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON, ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON ROBINSON

WILLIA

SANDRA

SANDRA ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED ALFRED

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

01S 018 018 018 018 018 018 018! 018 018 018 018 018 018 018 018 018 018 018 018

$6.50

$21.57

$6.50

$16.87

$6.50

$20.44

$218.82

$1.17

$6.50

$96.62

$218.82

$128.32

$5.21

$6.50

$297.36

$6.50

$810.28

$98.45

$375.00

$190.82

$101.89

$6.50

$18.81

$6.50

$18.81

$6.50

City Of Chicago - Confidential

Page 128 of 314

Incident Date Claimant Rank

12/27/2010 ROBINSON III, ALFRED 9161

08/13/2009 ROBERTS, MICHELLE 9161

04/28/2009 ROBERISON, GWENDA 9161

Unit of Insured Total to be Paid

018 City Of Chicago Police $18.81

018 City Of Chicago Police $6.50

018 City Of Chicago Police $8.70

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.81

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.81

018 City Of Chicago Police $6.50

018 City Of Chicago Police $18.81

009 City Of Chicago Police $319.41

009 City Of Chicago Police $264.70

009 City Of Chicago Police $723.02

009 City Of Chicago Police $12.97

009 City Of Chicago Police $10.75

015 City Of Chicago Police $783.50

015 City Of Chicago Police $123.80

015 City Of Chicago Police $6.50

015 City Of Chicago Police $75.62

015 City Of Chicago Police $6.50

015 City Of Chicago Police $50.84

015 City Of Chicago Police , $6.50

015 City Of Chicago Police $76.26

015 City Of Chicago Police $6.50

015 City Of Chicago Police $6.25

015 City Of Chicago Police $6.50

015 City Of Chicago Police $23.48

015 City Of Chicago Police $6.50

015 City Of Chicago Police $65.19

015 City Of Chicago Police $6.50

015 City Of Chicago Police $6.25

015 City Of Chicago Police $123.80

015 City Of Chicago Police $465.13

City Of Chicago - Confidential

Page 129 of 314

Incident Date Claimant Rank

10/09/2010 RIZZO, DARREL 9161

06/08/2010 RIPLEY, MATTHEW 9161

02/17/2010 RIOS, MIGUEL 9165

02/17/2010 , RIOS, MIGUEL 9165

02/17/2010 RIOS, MIGUEL 9165

09/20/2009 RIGAN, KRISTOPHER 9161

01/30/2009 RIGAN, KEITH 9161

Unit of Insured Total to be Paid

019 City Of Chicago Police $228.78

019 City Of Chicago Police $28.92

025 City Of Chicago Police $42.06

025 City Of Chicago Police $21.60

153 City Of Chicago Police $80.96

153 City Of Chicago Police $123.77

153 City Of Chicago Police $220.27

153 City Of Chicago Police $155.22

153 City Of Chicago Police $247.43

153 City Of Chicago Police $ 155.22

153 City Of Chicago Police $220.27

153 City Of Chicago Police $155.22

153 City Of Chicago Police $6.50

153 City Of Chicago Police $36.58

153 City Of Chicago Police $6.50

153 City Of Chicago Police $6.61

153 City Of Chicago Police $6.50

153 City Of Chicago Police $15.32

153 City Of Chicago Police $811.44

153 City Of Chicago Police $246.20

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 130 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/30/2009 RIGAN, KEITH

03/02/2011 RIGA JR, WILLIAM

01/30/2011 RICHARDSON, CLIFFORD

03/30/2010 RICHARDS, WARREN

01/24/2011 REYES, RICARDO

01/31/2010 REYES, LIZETTE

04/30/2011 REY, VIOLET

9161 9161 9161 9161 9161 9161 3286 3286 3286 3286 3286

153 153 153 153 153 153 044 044 044

Poli Poli Poli

9161 9161

013 044

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 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 Of Chicago Pol Of Chicago 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 City

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

$20.12

$2.41

$571.38

$6.50

$199.22

$6.50

$33.09

$6.50

$103.80

$6.50

$567.58

$6.50

$13.08

$6.50

$4.41

$6.50

$8.40

$8.55

$129.53

$6.50

$0.55

$201.60

$68.01

$2.21

$5.04

$182.54

$247.28

$6.50

$0.29

$6.50

$2.99

$180.81

$553.50

City Of Chicago - Confidential

Page 131 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/30/2011

10/11/2009

04/13/2011

03/20/2009'

03/20/2009

02/05/2011

REY, VIOLET REY, VIOLET REEVES,TARA REEVES,TARA REEVES,TARA REEVES,TARA REEVES,TARA REEVES,TARA REEVES, ALOYSIUS REEVES, ALOYSIUS REEVES, ALOYSIUS RAY, IVAN RAY, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN

9161 9161

044 044

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

007 007 007 004 004

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

ce ce ce ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce¹ce ce ce ice ce ice ice ce ce ce ce ce

$6.38

$6.50

$1.61

$6.50

$235.07

$2.84

$80.21

$6.50

$241.54

$13.89

$6.50

$356.09

$2.59

$6.50

$0.86

$6.50

$15.20

$6.50

$15.20

$6.50

$17.51

$6.50

$17.51

$6.50

$17.51

$6.50

$1.17

$6.50

$15.20

$6.50

$8.54

$6.50

City Of Chicago - Confidential

Page 132 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 02/05/2011 05/20/2010 05/20/2010 02/17/2011 02/17/2011 04/05/2010

RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, FRANCIS RAMOS, FRANCIS RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, PATRICIA

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

3286 3286 9161

044 044

ty O tyO tyO tyO ty O ity O ity O ity O ity O ity O ity O ty O ity O ty O ity O tyOi tyOi tyOi ty 01 ty Ol ty Ol ty Ol ty Ol ty 01 ty 01 ityOI ty 01 ity 01 ity 01 ty 01 ty Ol ity Ol ty Ol

f Chicago Pol 'f Chicago Pol f Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Po! if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

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

$15.20

$6.50

$15.20

$6.50

$17.51

$6.50

$9.23

$6.50

$17.51

$154.19

$177.71

$154.19

$86.64

$154.19

$177.71

$177.64

$285.86

$214.16

$71.48

$96.62

$227.32

$6.50

$3.46

$475.76

$6.50

$40.32

$647.41

City Of Chicago - Confidential

Page 133 of 314

Incident Date Claimant Rank

08/04/2009 RAMIREZ, JOSEPH 9161

01/22/2011 . RAICA, KRISTEN 3286

01/22/2011 RAICA, KRISTEN 3286

06/27/2010 QUINT, STEVE 9161

08/01/2010 QUINONEZ, SERGIO 9161

08/01/2010 QUINONEZ, SERGIO .9161

08/01/2010 QUINONEZ, SERGIO 9161

05/24/2006 Pulido, David P

09/23/2007 Puchalski, Therese P

Unit of Insured Total to be Paid

765 City Of Chicago Police $27.64

765 City Of Chicago Police $23.69

City Of Chicago Police $214.16

City Of Chicago Police $2.59

City Of Chicago Police $6.50

City Of Chicago Police $18.81

City Of Chicago Police $6.50

City Of Chicago Police $190.82

018 City Of Chicago Police $177.39

018 City Of Chicago Police $52.45

015 City Of Chicago Police $6.50

015 City Of Chicago Police $23.87

015 City Of Chicago Police $6.50

015 City Of Chicago Police $5.26

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $168.80

015 City Of Chicago Police $31.11

015 City Of Chicago Police $6.50

015 City Of Chicago Police $23.87

015 City Of Chicago Police $6.50

015 City Of Chicago Police $16.64

015 City Of Chicago Police $213.42

015 City Of Chicago Police $242.19

015 City Of Chicago Police $315.58

015 City Of Chicago Police $242.19

015 City Of Chicago Police $21.04

015 City Of Chicago Police $205.65

015 City Of Chicago Police $6.50

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $134.93

00101 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 134 of 314

Incident Date Claimant Rank

09/23/2007 Puchalski, Therese P

04/08/2008 Postrelko, Brian P

07/24/2005 Pietrzak, Stephen P

08/18/2008 Philp, Danielle P

07/18/2008 Pena, Lillian P

06/17/2010 PURTELL, CYNTHIA 9161

Unit of Insured Total to be Paid

00101 City Of Chicago Police $120.78

00101 City Of Chicago Police $44.79

00101 City Of Chicago Police $6.94

00101 City Of Chicago Police $6.50

00101 City Of Chicago Police $10.19

00017 City Of Chicago Police $760.00

00009 City Of Chicago Police $123.08

00009 City Of Chicago Police $6.50

00005 City Of Chicago Police $299.08

00005 City Of Chicago Police $322.23

00021 City Of Chicago Police $98.60

00021 City Of Chicago Police $23.32

00021 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.72

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $95.31

008 City Of Chicago Police $52.50

008 City Of Chicago Police $123.31

City Of Chicago - Confidential

Page 135 of 314

Incident Date Claimant Rank

06/17/2010 PURTELL, CYNTHIA 9161

01/17/2010 PRUGER, ROCCO 9161

12/21/2009 PROHASKA, MICHAEL 9161

10/12/2010 PRATSCHER, MAUREEN

12/15/2010 POULOS, JOHN 9161

Unit of Insured Total to be Paid

008 City Of Chicago Police $142.91

008 City Of Chicago Police $128.34

008 City Of Chicago Police $123.31

008 City Of Chicago Police $156.34

008 City Of Chicago Police $129.07

008 City Of Chicago Police $156.34

008 City Of Chicago Police $5.35

008 City Of Chicago Police $133.04

008 City Of Chicago Police $6.50

008 City Of Chicago Police $9.39

008 City Of Chicago Police $6.50

008 City Of Chicago Police $5.18

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.15

008 City Of Chicago Police $6.50

008 City Of Chicago Police $14.08

008 City Of Chicago Police $6.50

008 City Of Chicago Police $3.40

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.65

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.15

008 City Of Chicago Police $6.50

153 City Of Chicago Police $24.04

153 City Of Chicago Police $38.98

City Of Chicago Police $147.33

004 City Of Chicago Police $136.29

City Of Chicago - Confidential

Page 136 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 12/15/2010 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011 01/12/2011

POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN POULOS, JOHN PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR

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

004 004 004 004 004 004 004 004 004 004 004 004 004 004 004 004 004 004 004 004 004

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol 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 ilice ilice lice lice lice lice lice lice Jice lice lice lice lice lice ilice Jice lice lice lice lice Jice Jice Jice lice lice lice lice lice lice lice lice lice

$6.50

$112.00

$167.41

$215.11

$72.21

$5.21

$6.50

$102.49

$6.50

$221.29

$6.50

$16.50

$6.50

$21.20

$6.50

$7.12

$6.50

$11.04

$16.95

$128.32

$229.10

$13.00

$96.62

$258.97

$2.77 '

$6.50

$3.13

$6.50

$3.13'

$6.50

$1.17

City Of Chicago - Confidential

Page 137 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/12/2011

03/27/2011

10/31/2010'

10/31/2010

05/05/2010

11/25/2010

PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORTIS, VICTOR PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN PORRATA, ALVIN 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

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

018 018 018 018 018 018 018 018 018 018 018 018 044 044 044 044

ty O tyO tyO tyO ty O ity O ity O ity O ity O ity O ity O ity Ol ty O ityOI tyOl ty 01 ity Oi ity Ol ity Ol ity Oi ty Oi ty Oi ty Oi ty Oi ty Oi ty 01 ty 01 ty Ol ty Ol ty Ol ty Ol ty Ol ty Oi

f Chicago Poli f Chicago Poli 'f Chicago Poli 'f Chicago Poli 'f Chicago Poli 'f Chicago Poli 'f Chicago Poli if Chicago Poli if Chicago Poll if Chicago Pol: if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Poli f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Poli f Chicago Poli f Chicago Pol f Chicago Poli f Chicago Poli

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

$6.50

$2.59

$6.50

$214.16

$3.70

$6.50

$219.69

$95.60

$188.94

$251.92

$3.22

$6.50

$1.40

$6.50

$2.77

$6.50

$36.28

$6.50

$32.90

$112.24

$186.83

$4.77

$6.50

$63.84

$6.50

$8.41

$6.50

$7.18

$6.50

$11.05

City Of Chicago - Confidential

Page 138 of 314

Incident Date Claimant_Rank

11/25/2010 PIETRYLA, SCOTT 9161

11/25/2010 PIETRYLA, SCOTT " 9161

11/25/2010 PIETRYLA, SCOTT 9161

11/25/2010 PIETRYLA,'SCOTT 9161

11/25/2010 PIETRYLA, SCOTT 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $17.53

City Of Chicago Police $6.50

City Of Chicago Police $10.46

City Of Chicago Police $6.50

City Of Chicago Police $8.36

City Of Chicago Police $6.50

City Of Chicago Police $10.46

City Of Chicago Police $6.50

City Of Chicago Police $2.10

City Of Chicago Police $6.50"

City Of Chicago Police $8.41

City Of Chicago Police $6.50

City Of Chicago Police $16.70

City Of Chicago Police $6.50

City Of Chicago Police $1.78

City Of Chicago Police $6.50

City Of Chicago Police $1.38

City Of Chicago Police $585.15

City Of Chicago Police $6.50

City Of Chicago Police $1.38

City Of Chicago Police $294.30

City Of Chicago Police $288.60

' City Of Chicago Police $6.50

City Of Chicago Police $159.30

City Of Chicago Police $432.52

City Of Chicago Police $685.86

City Of Chicago Police $136.36

City Of Chicago Police $54.00

City Of Chicago Police $69.83

City Of Chicago Police $54.00

City Of Chicago Police $607.20

City Of Chicago - Confidential

Page 139 of 314

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

11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/14/2010 11/14/2010 11/14/2010

PIETRYLA,

PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIETRYLA, PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN

SCOTT

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

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

City City City

lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$248.08

$215.04

$261.52

$215.04

$248.08

$194.32

$248.08

$53.76

$215.04

$393.75

$283.50

$103.95

$733.95

$189.00

$100.00

$60.72

$6.50

$10.46

$6.50

$8.41

$6.50

$41.57

$6.50

$33.61

$6.50

$24.00

$6.50

$8.64

$6.50

$11.71

$120.63

$796.81

$9.65

City Of Chicago - Confidential

Page 140 of 314

Incident Date Claimant Rank

02/26/2011 PHILLIPS, JEFFRY 3286

12/24/2010 PERRY, BRADFORD 9161

Unit of Insured Total to be Paid

012 City Of Chicago Police $6.50

012 City Of Chicago Police $89.64

012 City Of Chicago Police $6.50

012 City Of Chicago Police $12.66

012 City Of Chicago Police $6.50

012 City Of Chicago Police $14.11

012 City Of Chicago Police $6.50

012 City Of Chicago Police $14.11

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1.09

012 City Of Chicago Police $6.50

012 City Of Chicago Police $14.11

012 City Of Chicago Police $6.50

012 City Of Chicago Police $14.09

012 City Of Chicago Police $6.50

012 City Of Chicago Police $9.40

012 City Of Chicago Police $147.91

012 City Of Chicago Police $128.44

012 City Of Chicago Police $143.12

012 City Of Chicago Police $143.01

012 City Of Chicago Police $95.41

012 City Of Chicago Police $14.58

002 City Of Chicago Police $190.82

002 City Of Chicago Police $168.80

002 City Of Chicago Police . $168.80

002 City Of Chicago Police $168.80

002 City Of Chicago Police $242.19

002 City Of Chicago Police $168.80

City Of Chicago - Confidential

Incident Date Claimant Rank

12/24/2010 PERRY, BRADFORD 9.161

12/24/2010 PERRY, BRADFORD 9161

Unit of Insured Total to be Paid

002 City Of Chicago Police $242.19

002 City Of Chicago Police $315.58

002 City Of Chicago Police $242.19

002 City Of Chicago Police $315.58

002. City Of Chicago Police $190.82

002 City Of Chicago Police ~ $190.82

002 City Of Chicago Police $190.72

002 City Of Chicago Police $190.82

002 City Of Chicago Police $87.80

002 City Of Chicago Police $126.42

002 City Of Chicago Police $207.59

002 City Of Chicago Police $10.62

002 City Of Chicago Police $96.62

002 City Of Chicago Police $189.30

002 City Of Chicago Police $139.02

002 City Of Chicago Police $96.62

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.81

002 City Of Chicago Police $1.17

002 City Of Chicago Police $18.81

City Of Chicago - Confidential

Page 142 of 314

Incident Date Claimant Rank

12/24/2010 PERRY, BRADFORD 9161

Unit of Insured Total to be Paid

002 City Of Chicago Police $18.81

.002 City Of Chicago Police $1.17

002 City Of Chicago Police $16.64

002 City Of Chicago Police $23.87

002 City Of Chicago Police $16.64

002 City Of Chicago Police $23.87

002 City Of Chicago Police $1.17

002 City Of Chicago Police $31.11

002 City Of Chicago Police $108.16

002 City Of Chicago Police $31.11

002 City Of Chicago Police $23.87

002 City Of Chicago Police $31.11

002 City Of Chicago Police $13.28

002 City Of Chicago Police $2.29

002 City Of Chicago Police $1.68

002 City Of Chicago Police $18.81

002 City Of Chicago Police $4.23

002 City Of Chicago Police $18.81

002 City Of Chicago Police $18.80

002 City Of Chicago Police $18.81

002 City Of Chicago Police $1.17

002 City Of Chicago Police $18.81

002 City Of Chicago Police $190.82

002 City Of Chicago Police $190.82 002 . City Of Chicago Police . $190.82

City Of Chicago - Confidential

Page 143 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/24/2010 12/24/2010 12/24/2010 08/15/2009 08/15/2009 08/15/2009 08/15/2009 08/15/2009 08/15/2009 08/15/2009 08/15/2009 08/15/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009

PERRY, BRADFORD PERRY, BRADFORD PERRY, BRADFORD PERILLI, TINA PERILLI, TINA PERILLI, TINA PERILLI, TINA PERILLI, TINA PERILLI, TINA PERILLI, TINA PERILLI, TINA PERILLI, TINA PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN

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

002 002 002 009 009 009 009 009 009 009 009 009

$190.82

$186.90

$16.58

$6.50

$7.65

$312.33

$7.98

$6.50

$648.72

$6.50

$30.53

$6.50

$72.86

$106.64

$42.65

$878.24

$65.32

$179.21

$6.50

$7.92

$6.50

$8.04

$6.50

$8.04

$6.50

$198.01

$349.12

$293.71

City Of Chicago - Confidential

Page 144 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 09/10/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010

PEREZ PEREZ PEREZ PEREZ PEREZ PEREZ PEREZ PEREZ PEREZ PEREZ PEREZ PEREZ PEREZ, PEREZ, PEREZ PEREZ PEREZ PEREZ PEREZ, PEREZ, PEREZ, PEREZ, PEREZ, PEREZ, PEREZ, PEREZ, PEREZ, PEREZ, PEREZ PEREZ, PEREZ, PEREZ, PEREZ,

EVELYN

ERIK

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

City City City

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 Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol f Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol if Chicago Pol if Chicago Pol

City Of City Of City Of City Of

City ( City City (

City O City O

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

$360.43

$310.05

$109.98

$73.82

$530.94

$6.50

$1.86

$6.50

$4.24

$6.50

$4.58

$6.50

$8.92

$6.50

$7.50

$6.50

$176.15

$6.50

$9.21

$6.50

$16.22

$6.50

$6.78

$6.50

$257.57

$26.22

$6.50

$18.81

$6.50

$18.81

$6.50

City Of Chicago - Confidential

Page 145 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 12/14/2010 03/06/2011 03/06/2011 05/08/2009

PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ, DAVID PEREZ JR, ROSALI PEREZ JR, ROSALI PERDUE, 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 3286 3286 9161

City City City

023

lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice Jice

$18.81

$6.50

$18.81

$6.50

$30.33

$190.82

$71.50

$36.18

$105.07

$646.12

$6.50

$18.81

$6.50

$18.81

$6.50

$73.18

$6.50

$31.30

$6.50

$18.81

$6.50

$18.81

$6.50

$31.88

$6.50

$375.75

City Of Chicago - Confidential

Page 146 of 314

Incident Date Claimant Rank

02/02/2011 PENA, ARTEMIO 3286

09/09/2009 PEMBERTON, KENT 9161

Unit of Insured Total to be Paid

004 City Of Chicago Police $6.50

004 City Of Chicago Police $11.39

004 City Of Chicago Police $6.50

004 City Of Chicago Police $324.39

004 City Of Chicago Police $280.50

004 City Of Chicago Police $3.44

004 City Of Chicago Police $6.50

004 City Of Chicago Police $13.17

004 City Of Chicago Police $15.06

020 City Of Chicago Police $6.50

020 City Of Chicago Police $101.43

020 City Of Chicago Police $6.50

020 City Of Chicago Police $144.90

020 City Of Chicago Police $6.50

020 City Of Chicago Police $27.70

020 City Of Chicago Police $89.10

020 City Of Chicago Police $660.00

020 City Of Chicago Police $990.00

020 City Of Chicago Police $600.00

020 City Of Chicago Police $433.00

020 City Of Chicago Police $721.34

020 City Of Chicago Police $89.10

020 City Of Chicago Police $192.00

020 City Of Chicago Police $6.50

020 City Of Chicago Police ' $6.50

020 City Of Chicago Police $6.50

020 City Of Chicago Police . $57.96

020 City Of Chicago Police $6.50

020 City Of Chicago Police $86.94

City Of Chicago - Confidential

Page 147 of 314

Incident Date Claimant_Rank

09/09/2009 PEMBERTON, KENT 9161

12/13/2010 PAZ, FRANKLIN 9161

02/04/2011 PAYNE, LENERE 9161

02/26/2011 PASKO, MATHEW 9161

08/23/2010 PASCHKE, ROBERT 9161

09/18/2010 PARTIDA, ARTURO 9161

Unit of Insured Total to be Paid

020 City Of Chicago Police $6.50

020 City Of Chicago Police $126.95

020 City Of Chicago Police $6.50

020 City Of Chicago Police $101.43

020 City Of Chicago Police $6.50

020 City Of Chicago Police $101.43

020 City Of Chicago Police $6.50

020 City Of Chicago Police $101.43

020 City Of Chicago Police " $6.50

020 City Of Chicago Police $115.92

020 City Of Chicago Police $6.50

020 City Of Chicago Police $101.43

020 City Of Chicago Police $6.50

020 City Of Chicago Police - $4.51

020 City Of Chicago Police $6.50

020 City Of Chicago Police $115.92

013 City Of Chicago Police $294.70

013 City Of Chicago Police $19.11

013 City Of Chicago Police $7.98

013 City Of Chicago Police $123.07

013 City Of Chicago Police $6.50

005 City Of Chicago Police $101.70

005 City Of Chicago Police $6.50

012 City Of Chicago Police $6.50

012 City Of Chicago Police $33.74

701 City Of Chicago Police $6.50

701 City Of Chicago Police $77.59

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.74

' 044 City Of Chicago Police $6.50

044 City Of Chicago Police $81.93

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 148 of 314

Incident Date Claimant Rank

09/18/2010 PARTIDA, ARTURO 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $249.55

044 ' City Of Chicago Police $1.81

044 City Of Chicago Police $2.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $6.40.

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.66

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.05

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.63

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.45

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.07

044 City Of Chicago Police $6.50

044 City Of Chicago Police $74.15

044 ' City Of Chicago Police $311.38

044 City Of Chicago Police $650.24

044 City Of Chicago Police $235.57

044 City Of Chicago Police $987.16

044 City Of Chicago Police $74.11

044 City Of Chicago Police $22.80

044 City Of Chicago Police $398.36

City Of Chicago - Confidential

Page 149 of 314

Incident Date Claimant Rank

09/18/2010 PARTIDA, ARTURO 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $243.99

044 City Of Chicago Police $209.13

044 City Of Chicago Police $194.20

044 City Of Chicago Police $243.99

044 City Of Chicago Police $253.96

044 City Of Chicago Police $216.93

044 City Of Chicago Police $159.36

044 City Of Chicago Police $209.17

044 City Of Chicago Police $582.60

044 City Of Chicago Police $194.20

044 City Of Chicago Police $243.99

044 City Of Chicago Police $527.83

044 City Of Chicago Police $243.99

044 City Of Chicago Police $219.09

044 City Of Chicago Police $333.63

044 City Of Chicago Police $216.82

044 City Of Chicago Police $184.24

044 City Of Chicago Police $119.51

044 , City Of Chicago Police $253.96

044 City Of Chicago Police $149.40

044 City Of Chicago Police $87.19

044- City Of Chicago Police $6.50

044 City Of Chicago Police " $84.88

044 City Of Chicago Police $6.50

044 City Of Chicago Police $56.30

044 City Of Chicago Police $6.50

044 City Of Chicago Police $42.06

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.82

City Of Chicago - Confidential

Page 150 of 314

Incident Date Claimant Rank

09/18/2010 PARTIDA, ARTURO 9161

Unit of_' Insured_Total to be Paid

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.53

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.35

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.07

044 City Of Chicago Police $56.73

044 City Of Chicago Police $6.50

044 City Of Chicago Police $57.76

044 City Of Chicago Police $6.50

044 City Of Chicago Police $26.39.

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.56

044 City Of Chicago Police $6.50

044 City Of Chicago Police $57.71

044 City Of Chicago Police $6.50

044 City Of Chicago Police $40.04

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.01

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.63

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.93

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.53

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 151 of 314

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 Of Chicago Pol Of Chicago Pol 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

09/18/2010 PARTIDA, ARTURO

12/26/2010 PARKINSON, MICHELLE

01/06/2009 PARHAM, ANDRE

04/09/2011 PAPKE, JOSEPH

05/29/2010 PAOLINO, PHILIP

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

044 044 044 044

006 006

City City City

lice lice lice Jice lice lice lice lice lice 'lice lice lice Jice Jice Jice Jice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$7.05

$6.50

$2.35

$6.50

$164.92

$362.95

$492.95

$1.84

$6.50

$101.70

$6.50

$157.69

$6.50

$21.27

$6.50

$24.38

$32.00

$2.31

$6.50

$247.34

$528.80

$832.19

$6.50

$301.08

$498.62

$869.71

$654.16

$584.99

$729.26

$26.75

$34.13

City Of Chicago - Confidential

Page 152 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010

PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO PAOLINO, PAOLINO, PAOLINO, PAOLINO, PAOLINO PAOLINO, PAOLINO PAOLINO

PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP PHILIP

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

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Po; ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice ilice lice ilice ilice lice ilice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$221.25

$6.50

$36.82

$6.50

$1.96

$6.50

$16.96

$6.50

$22.66

$6.50

$8.34

$6.50

$32.40

$6.50

$33.63

$6.50

$21.07

$6.50

$214.70

$6.50

$12.85

$6.50

$17.47

$6.50

$39.66

$6.50

$36.14

$6.50

$28.69

$6.50

$24.47

$6.50

City Of Chicago - Confidential

Page 153 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 05/29/2010 09/11/2010 09/11/2010 09/11/2010 02/06/2011 02/06/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 03/20/1996 03/20/1996 03/20/1996 03/20/1996 03/20/1996 03/20/1996 10/26/2009 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 09/20/2010 01/28/2011

PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PAOLINO, PHILIP PALIKIJ, MICHAEL PALIKIJ, MICHAEL PALIKIJ, MICHAEL PALIKIJ, MARY PALIKIJ, MARY PAGAN, STEFANIE PAGAN, STEFANIE PAGAN, STEFANIE PAGAN, STEFANIE PAGAN, STEFANIE PAGAN, STEFANIE PAGAN, STEFANIE Oconnell, Edward L Oconnell, Edward L Oconnell, Edward L Oconnell, Edward L Oconnell, Edward L Oconnell, Edward L OWSIANIAK, JACKLYN OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWENS, MESHAY OWENS! MESHAY OWENS, MESHAY OWENS, JOHN

9161 9161 9161 9161 9161 9161 9161

3286

9161

023 023

00044 00044 00044 00044 00044 00044 006

City City City City

3286

701

Poli Poli Poli Poli

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

$928.89

$773.30

$895.27

$549.36

$222.68

$790.47

$414.68

$304.87

$6.50

$7.79

$66.88

$6.50

$21.54

$40.00

$360.00

$842.54

$6.50

$140.13

$141.55

$6.50

$87.23

$2.38

$6.50

$10.07

$6.50

$196.77

$831.02

$3.07

City Of Chicago - Confidential

Page 154 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011

OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

701

701 .

701

$6.50

$1.01

$6.50

$1.09

$6.50

$1.01

$6.50'

$83.88

$475.00

$859.04

$229.09

$83.67

$253.96

$1.01

$253.96

$83.67

$507.92

$253.96

$313.71

$253.96

$83.67

$89.64

$83.67

$361.71

$6.50

$2.78

$6.50

$1.01

$6.50

$235.75

City Of Chicago - Confidential

Page 155 of 314

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

01/28/2011 01/28/2011 01/28/2011 0.1/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 03/13/2011 03/13/2011 03/13/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/25/2010 04/25/2010 04/25/2010 04/25/2010 04/25/2010

OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OWENS, JOHN OSTOS,RAFAEL OSTOS,RAFAEL OSTOS,RAFAEL ORTIZ, RODOLFO ORTIZ, RODOLFO ORTIZ, RODOLFO ORTIZ, RODOLFO ORTIZ, RODOLFO ORTIZ, RODOLFO ORTIZ, RODOLFO ORTIZ, RODOLFO ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH ORTIZ, EDITH

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

701 701 701 701 701 701 701 701 701 701 701 701 . 701 701 701 701 701

City City City

lice lice lice lice Jice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice Jice lice lice lice lice Jice lice Jice Jice Jice Jice Jice Jice

$6.50

$3.07

$6.50

$4.88

$6.50

$3.07

$6.50

$3.07

$6.50

$3.79

$6.50

$3.07.

$6.50

$6.14

$6.50

$403.36

$188.32

$3.77

$6.50

$977.83

$595.11

$10.76

$4.89

$6.50

$56.22

$6.50

$4.21

$83.39.

$6.50

$108.52

$6.50

City Of Chicago - Confidential

Page 156 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/11/2010 ORTIZ, DEAN

02/08/2010 ORTIZ, DEAN

02/07/2011 ORTIZ, CARLOS

05/07/2011 ORTIZ CLAUDIO, SUSIE

03/25/2011 ORLANDO, PHILLIP

10/17/2009 ORLANDO, MICHAEL

04/27/2011 OMMUNDSON, STEVEN

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

019

004 004 004 004 008 008 008 008 008 008 008 008 008 008 008

044 044 044

ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice lice lice lice lice Jice lice lice lice lice 'lice lice ilice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice lice Jice Jice Jice lice lice Jice

$24.04

$26.12

$6.50

$309.30

$581.90

$6.50

$309.30

$618.60

$6.50

$96.00

$314.52

$6.50

$973.92

$89.10

$138.97

$88.07

$6.50

$23.50

$6.50

$766.96

$19.60

$873.47

$301.01

$7.69

City Of Chicago - Confidential

Page 157 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/27/2011 04/27/2011 04/27/2011 09/24/2009 09/24/2009 09/24/2009 09/24/2009 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011 01/07/2011

OMMUNDSON, STEVEN OMMUNDSON, STEVEN OMMUNDSON, STEVEN OLSON, ERIC

OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON OLSON

ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC ERIC

9161

9171

9171 .

9171

044 044 044 017 017 017 017

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Poi ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity 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

$22.32

$6.50

$60.39

$195.40

$36.30

$649.94

$300.00

$6.50

$57.41

$6.50

$32.89

$6.50

$94.81

$245.32

$94.81

$229.61

$245.32

$235.89

$182.42

$188.74

City Of Chicago - Confidential

Page 158 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/07/2011 OLSON, ERIC

02/11/2011 OHLSON, ANDREW

02/20/2011 O SHAUGHNESSY, THOMAS

01/31/2011 O SHAUGHNESSY, JENNIFER

03/11/2010 O KEEFE, SHEILA

02/02/2011 O BRIEN, AMIE

9171 9171 9171 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3295 3295

044

044.

044

'010

010

9161 PO PO PO

019 020 020 020

ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$180.33

$438.55

$107.00

$283.07

$6.50

$152.23

$84.60

$57.46

$245.68 .

$104.50

$412.65

$6.50

$1.46

$6.50

$7.23

$6.50

$9.97

$6.50

$2.16

$6.50

$4.24

$6.50

$10.55

$24.89

$6.50

$101.70

$6.50

$24.04

$89.12

$6.50

$16.51

City Of Chicago - Confidential

Page 159 of 314

Incident Date Claimant Rank

02/02/2011 O BRIEN, AMIE PO

06/14/1986 Nowak-Foley, Darlene A P

08/31/2010 NYKIEL, CRAIG 9161

10/01/2010 NYKIEL, CRAIG 9161

03/16/2011 NYKIEL, CRAIG 9161

03/16/2011 NYKIEL, CRAIG ' 9161

03/16/2011 NYKIEL, CRAIG 9161

03/12/2010 NUNEZ, FELIPE 9161

Unit of Insured Total to be Paid

020 City Of Chicago Police $6.50

020 City Of Chicago Police $17.35

020 City Of Chicago Police $6.50

020 City Of Chicago Police $1.31

020 City Of Chicago Police $6.50

020 City Of Chicago Police $1.31

020 City Of Chicago Police $6.50

020 City Of Chicago Police $19.76

020 City Of Chicago Police $6.50

020 City Of Chicago Police $17.34

020 City Of Chicago Police $6.50

020 City Of Chicago Police $17.35

020 City Of Chicago Police $167.51

020 City Of Chicago Police $176.04

020 City Of Chicago Police $200.44

020 City Of Chicago Police $175.94

020 City Of Chicago Police $176.04

020 City Of Chicago Police $89.12

020 City Of Chicago Police $142.39

00015 City Of Chicago Police $6.50

014 City Of Chicago Police $44.71

014 City Of Chicago Police $16.89

014 City Of Chicago Police $157.05

014 City Of Chicago Police $3.57

014 City Of Chicago Police $6.50

014 City Of Chicago Police $2.07

014 City Of Chicago Police $46.50

014 City Of Chicago Police $27.00

014 City Of Chicago Police $6.50

014 City Of Chicago Police $51.36

014 City Of Chicago Police $6.50

153 City Of Chicago Police $258.92

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 160 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/12/2010 03/12/2010 03/12/2010 03/12/2010 03/12/2010 03/12/2010 03/12/2010 03/12/2010 03/12/2010 03/12/2010 03/12/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 03/29/2010 09/14/2010 09/14/2010 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011

NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOVY, WAYNE NOVY, WAYNE NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO, NODAL ROSARIO,

MARIA MARIA MARIA MARIA MARIA MARIA MARIA MARIA MARIA MARIA MARIA MARIA

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

153 153 153 153 153 153 153 153 153 153 153 015 015 015 015 015 015 015 015 253 253

ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol

lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice Jice Jice Jice Jice

$2.16

$6.50

$1.41

$6.50

$6.90

$6.50

$94.81

$84.42

$170.00

$25.53

$20.33

$94.81

$500.00

$59.80

$6.50

$170.00

$6.50

$40.00

$2.65

$109.04

$57.75

$31.50

$34.50

$6.50

$38.49

$6.50

$47.26

$6.50

$4.43

$6.50

City Of Chicago - Confidential

Page 161 of 314

Incident Date Claimant

Rank

04/09/2011 NODAL ROSARIO, MARIA

07/05/2009 NICKLES, SCOTT

04/16/2011 NEALS, GERALD

04/19/2011 NAUGHTON, PATRICK

10/21/2009 NASH, THOMAS

11/11/2010 NAJM, SEAN

11/14/2005 Murphy, Daniel J

9161 9161

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

Unit of Insured _Total to be Paid

City Of Chicago Police $2.42

City Of Chicago Police $6.50

City Of Chicago Police $72.93

City Of Chicago Police $141.91

City Of Chicago Police $313.13

City Of Chicago Police $375.75

City Of Chicago Police $4.59

City Of Chicago Police $1.07

City Of Chicago Police $6.50

City Of Chicago Police $2.08

City Of Chicago Police $6.50

044 City Of Chicago Police $69.95

044 City Of Chicago Police $237.41

044 City Of Chicago Police $41.94

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.87

044 City Of Chicago Police $445.76

044 City Of Chicago Police $209.69

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $185.08

044 City Of Chicago Police $21.53

044 City Of Chicago Police $6.50

045 City Of Chicago Police $180.81 045 City Of Chicago Police $201.37

City Of Chicago Police $6.50

00008 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 162 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/14/2005 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 07/24/2008 04/15/2008

Murphy, Daniel J

Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mul Mu Mul Mul Mul Mul Mul Mul Mul Mul

James

, James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James , James Mosqueda, Raul M Morris-Tillery, Mary

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

00008 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 00019 00003

tyOl ity Ol ityOI ty Ol ity Ol ityOI ityOI ityOI ty Ol ity Ol ity Ol ty Ol ty Ol ity Ol ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol ty O ty Ol ty O ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol ty Ol ity Ol ty Ol ty Ol

f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Po! f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

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

$45.18

$128.80

$60.00

$486.00

$6.50

$14.90

$6.50

$6.29

$6.50

$137.13

$6.50

$62.28

$33.28

$6.50

$129.46

$6.50

$7.41

$6.50

$3.45

$6.50

$53.82

$6.50

$78.34

$109.44

$259.09

$6.50

$791.89

$6.50 .

City Of Chicago - Confidential

Page 163 of 314

Incident Date Claimant Rank

06/19/2006 Morris-Tillery, Mary P

06/19/2006 Morris-Tillery, Mary , P

06/19/2006 ' Morris-Tillery, Mary P

10/11/2008 Montejano-Kalat-Just, Doris K P

07/24/2008 Miller, Eugenia P

01/26/2008 Michael, Linda P

Unit of Insured Total to be Paid

00022 City Of Chicago Police $5.23

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $5.23

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $5.23

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $11.21

00022 City Of Chicago Police $607.20

00022 City Of Chicago Police $65.32

. 00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $146.25

00376 City Of Chicago Police . $3.53

00376 City Of Chicago Police $138.17

00376 City Of Chicago Police $6.50

00012 . City Of Chicago Police $8.75

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $167.00

00012 City Of Chicago Police $87.19

00012 City Of Chicago Police $134.89

00012 City Of Chicago Police $16.50

00012 City Of Chicago Police $6.50

00006 City Of Chicago Police $22.20

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $26.57

00006 City Of Chicago Police $122.72

00006 City Of Chicago Police $214.88

00006 City Of Chicago Police $137.56

00006 City Of Chicago Police $136.18

City Of Chicago - Confidential

Page 164 of 314

Incident Date Claimant_'_Rank

01/26/2008 Michael, Linda P

01/26/2008 Michael, Linda ' P

01/26/2008 Michael, Linda P

01/26/2008 Michael, Linda . P

01/26/2008 Michael, Linda P

01/10/2008 Messino, William P

12/03/2005 Mcvey, Brian T. P

12/03/2005 Mcvey, Brian T P

Unit of Insured Total to be Paid

00006 City Of Chicago Police $122.72

00006 City Of Chicago Police $183.65

00006 City Of Chicago Police $122.72

00006 City Of Chicago Police $103.72

00006 City Of Chicago Police $80.21

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $22.20

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $22.20

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $26.33

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $18.79

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police . $31.16

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $1.61

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $22.20

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $22.20

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $27.96

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $22.20

00006 City Of Chicago Police $6.50

00020 City Of Chicago Police $136.29

00020 City Of Chicago Police $6.50

00044 City Of Chicago Police $45.36

00044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 165 of 314

Incident Date Claimant Rank

07/17/2007 ' Mcneela, Michael P

10/06/2006 Mcmahon, Mary L P

12/05/2005 Mcdermott, Brian P

06/20/1993 Mcclory, Kathleen P

06/20/1993 ' Mcclory, Kathleen P

06/20/1993 Mcclory, Kathleen P

09/21/2003 Mccann-Douchee, Deatra P

09/11/2007 Mccann, Joanne T P

04/04/2008 Matual, David P

04/04/2008 . Matual, David P

05/04/2008 Matos, Andrew P

04/05/2008 Martinez, William P

06/21/2008 Martinez, Juan P

03/01/2006 Martin, Carl E. P

05/21/2003 Mack, Frank C P

08/23/2009 MYTHEN, STEPHEN 9161

03/05/2011 MURRAY, BABETTE 3286

Unit of Insured Total to be Paid

00189 City Of Chicago Police $6.50

00006 City Of Chicago Police $28.94

00006 City Of Chicago Police $6.50

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $45.36

00024 City Of Chicago Police $100.80

00024 City Of Chicago Police $55.00

00024 City Of Chicago Police $100.80

00024 City Of Chicago Police $55.00

00024 City Of Chicago Police ' $55.00

00024 City Of Chicago Police $55.00

00003 City Of Chicago Police $136.29

00003 City Of Chicago Police $6.50

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $44.13 00610 City Of Chicago Police $71.68 00610 City Of Chicago Police $96.62 00610 City Of Chicago Police $1.17 00610 City Of Chicago Police $6.50 00014 City Of Chicago Police $116.58 00050 City Of Chicago Police $257.61

00010 City Of Chicago Police $6.50 00010 City Of Chicago Police $189.97 00010 City Of Chicago Police $2.30 00021 City Of Chicago Police $23.00 00021 City Of Chicago Police $6.50 00153 City Of Chicago Police $350.67 00153 City Of Chicago Police $36.86 024 City Of Chicago Police $61.24

City Of Chicago Police $372.15

City Of Chicago - Confidential

Page 166 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 12/03/2010 12/03/2010 03/29/2011 03/29/2011 03/29/2011 03/29/2011 10/06/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 02/28/2011 02/28/2011

MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY,BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURPHY, WILLIAM MURPHY, WILLIAM MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, LOREAL MUDD, MARCUS MUDD, MARCUS MUDD, MARCUS MUDD, MARCUS MUDD, MARCUS MUDD, MARCUS MUDD, MARCUS MUDD, MARCUS MOUNSEF, ELIE MOUNSEF, ELIE

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

022 022 020 020 020 020 044

013 013

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Poi ty Of Chicago Po! ty Of Chicago Pol

lice ilice lice ilice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice

$96.62

$6.50

$3.50

$6.50

$1.17

$6.50

$1.17

$6.50

$309.25

$246.35

$288.87

$96.62

$6.50

$298.94

$251.67

$274.29

$6.50

$32.37

$6.50

$100.68

$101.70

$33.09

$6.50

City Of Chicago - Confidential

Page 167 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/28/2011 09/03/2010 09/03/2010 09/03/2010 09/03/2010 03/29/2011 03/29/2011 03/29/2011 03/29/2011 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008

MOUNSEF, ELIE MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MORRIS, CHRISTOPHE MORRIS, CHRISTOPHE MORRIS, CHRISTOPHE MORRIS, CHRISTOPHE MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT

9161

013

9161 9161 9161 9161

025 025 025 025

City City City

lice ilice tice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice

$103.80

$810.41

$6.50

$274.29

$6.50

$151.35

$243.72

$280.17

$486.63

$303.72

$242.91

$303.72

$242.91

$6.50

City Of Chicago - Confidential

Page 168 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 11/21/2008 04/24/2011 04/24/2011 04/24/2011 01/04/2010 01/04/2010 01/04/2010 12/28/2010 12/28/2010 12/28/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010

MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MOORE, MARCUS MOORE, MARCUS MOORE, MARCUS MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, KENNETH MOORE, KENNETH MOORE, KENNETH MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE

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

044 044 044

715 715 715 008 008 008 008 008 008

ty O: tyO tyO ty O tyO ity O-ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O

f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol 'f Chicago Pol 'f Chicago Pol 'f Chicago Pol if Chicago Pol f Chicago Pol 'f Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol

lice lice lice lice lice lice lice Jice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$243.72

$303.72

$302.91

$6.50

$966.12

$13.93

$6.50

$242.29

$202.58

$229.31

$142.39

$155.45

$10.08

$6.50

$136.29

$655.27

$6.50

$2.78

$6.50

City Of Chicago - Confidential

Page 169 of 314

Incident Date Claimant_Rank

12/02/2010 MOORE, GEORGE 9161

04/23/2011 MONTOYA, VICTOR 9161

02/07/2009 MONTENEGRO, JOSE 9161

10/10/2010 MOCK, LLOYD 9161

04/30/2011 MIUCIN.ZORAN 9161

Unit of_Insured_Total to be Paid

008 City Of Chicago Police $1.62

008 City Of Chicago Police $6.50

008 City Of Chicago Police $2.78

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.44

008 City Of Chicago Police $6.50

008 City Of Chicago Police $604.11

008 City Of Chicago Police $84.92

008 City Of Chicago Police $64.54

008 City Of Chicago Police $430.72

008 City Of Chicago Police $498.01

008 City Of Chicago Police $76.00

008 City Of Chicago Police $61.11

008 City Of Chicago Police $76.00

008 City Of Chicago Police $220.18

018 City Of Chicago Police $6.50

007 City Of Chicago Police $80.54

007 City Of Chicago Police $4.63

007 ■ City Of Chicago Police $6.50

01 I City Of Chicago Police $41.02

011 City Of Chicago Police $13.34

011 City Of Chicago Police $6.50

011 City Of Chicago Police $162.40

City Of Chicago - Confidential

Page 170 of 314

Incident Date Claimant ' Rank

04/30/2011 MIUCIN.ZORAN 9161

11/08/2010 MITCHELL, ERIK

12/30/2009 MIRANDA, ROBERTO 9161

12/30/2009^; MIRANDA, ROBERTO 9161

12/30/2009 MIRANDA, ROBERTO 9161

01/22/2011 MINGO, TARA [ . 3286

01/22/2011 MINGO, TARA 3286

01/22/2011 MINGO, TARA ' 3286

01/22/2011 MINGO, TARA 3286'

01/22/2011 MINGO, TARA 3286

Unit of Insured Total to be Paid

011 City Of Chicago Police $6.50

011 City Of Chicago Police $9.34

City Of Chicago Police $32.48

City Of Chicago Police $96.25

011 City Of Chicago Police $2.54

011 City Of Chicago Police $63.66

011 City Of Chicago Police $25.03

011 City Of Chicago Police $221.81

011 City Of Chicago Police $30.53

011 City Of Chicago Police $6.50

011 City Of Chicago Police $28.53

011 ;. City Of Chicago Police $6.50

011 City Of Chicago Police $5.74

011 City Of Chicago Police $6.50

011 City Of Chicago Police $80.17

011 City Of Chicago Police $6.50

011 City Of Chicago Police $10.69

011 City Of Chicago Police $6.50

011 City Of Chicago Police $99.55

006 City Of Chicago Police $6.50

006 City Of Chicago Police $96.62

006 City Of Chicago Police $325.00

006 City Of Chicago Police $48.00

006 City Of Chicago Police $104.84

006 City Of Chicago Police $119.53

006 City Of Chicago Police $18.00

006 City Of Chicago Police $1.17

006 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 171 of 314

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 Of Chicago Pol Of Chicago Pol 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

01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 01/22/2011 09/02/2009 10/23/2010 10/23/2010 10/23/2010 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011

MINGO, TARA MINGO, TARA MINGO, TARA MINGO, TARA MINGO, TARA MINGO, TARA MILNER, BRIAN MIKULA, NICOLE MIKULA, NICOLE MIKULA, NICOLE MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA MERRILL, VOLANDA

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

006 006 006 006 006 006 014 044 044 044

City City City

lice lice lice ilice lice ilice ilice lice lice lice lice lice lice lice lice Jice Jice lice lice lice Jice Jice lice lice Jice Jice Jice Jice Jice Jice Jice Jice Jice

$6.50

$1.17

$6.50

$1.45

$6.50

$38.98

$426.13

$10.89

$6.50

$1.05

$6.50

$3.67

$6.50

$65.17

$6.50

$453.92

$326.68

$387.48

$425.69

$444.61

$403.44

$269.34

$87.72

$206.48

$313.74

$143.42

$303.10

$81.42

$209.69

$128.03

$6.50

City Of Chicago - Confidential

Page 172 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010

MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MERRILL, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA,

VOLANDA

DOMINIC

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

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

ce ce ce ce ce ce ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ice :ce

$133.35

$6.50

$14.32

$6.50

$112.47

$6.50

$130.26

$6.50

$127.30

$6.50

$140.19

$6.50

$2.50

$6.50

$71.40

$6.50

$23.71

$6.50

$3.80

$6.50

$51.73

$23.83

$68.15

$257.43

$241.71

$194.18

$241.71

$6.50

$16.91

$6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 11/20/2010 09/04/2010 05/19/2010 05/19/2010 05/19/2010

MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA, MEROLA MEROLA, MEROLA, MEROLA, MEROLA MEROLA, MEROLA, MEROLA, MEROLA MEROLA MEROLA, MEROLA MEROLA MEROLA MEROLA MEROLA MEROLA

MENDEZ MENDEZ MENDEZ

DOMINIC

DOMINIC-

DOMINIC

MENDOZA, MARCO

9161

JAIME JAIME JAIME

ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Po! ty Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Po!

lice lice dice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$23.83

$6.50

$16.91

$6.50

$19.14

$6.50

$19.14

$6.50

$19.14

$6.50

$23.83

$6.50

$101.70

$6.50

$23.83

$6.50

$19.14

$6.50

$0.59

$6.50

$23.83

$6.50

$171.50

$241.71

$171.50

$194.18

$6.50

$730.72

$43.60

$6.50

City Of Chicago - Confidential

Page 174 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/19/2010 MENDEZ, JAIME

05/13/2010 MEDINA, CARLOS

08/25/2010 MEDINA, ANITA

06/07/2009 MCNAMEE, SHANNON

07/07/2009 MCGUIRE, JOHN

01/31/2011 MCDONOUGH, TIMOTHY

9169 9169 9169

055 055 055

9161

p.o. p.o. p.o. p.o. p.o. p.o.

765

City City

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

$94.84 $6.50 $80.58 $6.50 $10.62 $6.50 $5.61 $327.59 $351.70 $48.78 $43.66 $370.94 $6.50 $6.50 $6.50 $6.50 $2.87 $6.50 $4.72 $6.50 $6.50 $113.63 $237.41 $184.50 $58.11 ' $6.50 $132.84 $168.32 $143.42 $6.50 $6.50 $2.04 $1.74

City Of Chicago - Confidential

Page 175 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 01/28/2011 01/28/2011 04/19/2009 03/29/2011 03/29/2011 03/29/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011

MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCORMACK, KATHLEEN MCCORMACK, KATHLEEN MC VICKER, ROBERT MC NICHOLS, JOHN MC NICHOLS, JOHN MC NICHOLS, JOHN MC MEEL, MARTIN

MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL MC MEEL

MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN MARTIN

9161 9161 9161 9161 9161 9161 3286 3286 9165

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

017 017 620

City City City

lice lice lice lice lice lice lice lice lice 'lice lice Jice lice lice lice lice lice lice lice Jice lice Jice lice lice lice lice lice lice lice lice lice lice lice

$125.37

$8.21

$6.50

$77.82

$6.50

$113.77

$6.50

$0.01

$15.20

$594.46

$6.50

$91.25

$376.12

$190.72

$171.01

$187.60

$171.01

$209.69

$364.00

$6.50

$16.85

$6.50

$4.55

$6.50

$18.49

$6.50

$16.85

$6.50

City Of Chicago - Confidential

Page 176 of 314

Incident Date Claimant Rank

04/07/2011 MC MEEL, MARTIN 9161

07/28/2010 MC GRATH, PATRICK 9161

04/27/2011 MC GOVERN, SHAUN 9161

08/23/2010 MC GEE, DWAYNE 9161

Unit of Insured Total to be Paid

City Of Chicago Police $16.85

City Of Chicago Police $6.50

City Of Chicago Police $18.80

City Of Chicago Police $40.00

City Of Chicago Police $367.63

007 City Of Chicago Police $873.47

007 City Of Chicago Police $7.69

007 City Of Chicago Police $6.50

007 City Of Chicago Police $22.32

007 City Of Chicago Police $6.50

007 City Of Chicago Police $301.01

312 City Of Chicago Police $16.34

312 City Of Chicago Police $6.50

312 City Of Chicago Police $7.73

312 City Of Chicago Police $6.50

312 City Of Chicago Police $7.81

312 City Of Chicago Police $6.50

312 City Of Chicago Police $10.13

312 City Of Chicago Police $6.50

312 City Of Chicago Police $7.81

312 City Of Chicago Police $6.50

312 City Of Chicago Police ' $9.58

312 City Of Chicago Police $6.50

312 City Of Chicago Police $20.26

312 City Of Chicago Police $6.50

312 City Of Chicago Police $10.13

312 City Of Chicago Police $6.50

312 City Of Chicago Police $10.13

312 City Of Chicago Police $6.50

312 City Of Chicago Police $20.26

312 City Of Chicago Police $6.50

312 City Of Chicago Police $3.04

312 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 177 of 314

Incident Date Claimant Rank

08/23/2010 MC GEE, DWAYNE 9161

08/23/2010 MC GEE, DWAYNE , 9161

08/23/2010 MC GEE, DWAYNE 9161

03/21/2011 MC FADDEN JR, GARDNER P.O

Unit of Insured Total to be Paid

312 City Of Chicago Police $20.26

312 City Of Chicago Police $6.50

312 City Of Chicago Police $10.13

312 City Of Chicago Police $6.50

312 City Of Chicago Police $10.13

312 City Of Chicago Police $6.50

312 City Of Chicago Police $20.26

312 City Of Chicago Police $249.06

312 City Of Chicago Police $322.89

312 City Of Chicago Police $249.06

312 City Of Chicago Police $305.55

312 City Of Chicago Police $645.78

312 City Of Chicago Police $322.89

312 City Of Chicago Police $645.78

312 City Of Chicago Police $321.06

312 City Of Chicago Police $272.12

312 City Of Chicago Police $521.18

312 City Of Chicago Police $246.59

312 City Of Chicago Police ■ $645.78

312 City Of Chicago Police $322.89

312 City Of Chicago Police $645.78

312 City Of Chicago Police $74.86

312 City Of Chicago Police $6.50

312 City Of Chicago Police $11.95

312 City Of Chicago Police $6.50

312 City Of Chicago Police $8.53

312 City Of Chicago Police $6.50

312 City Of Chicago Police $8.53

312 City Of Chicago Police $6.50

153 City Of Chicago Police $583.68

City Of Chicago - Confidential

Page 178 of 314

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

03/21/2011 MC FADDEN JR, GARDNER

10/22/2009 MC CLOUD, DARRYL

11/12/2010 MC CLAIN, RODERIQUE

05/11/2011 MC CLAIN, RODERIQUE

10/24/2010 MAYNARD, JOHNATHAN

01/19/2011 MAYNARD, JOHNATHAN

03/11/2011 MAYHEW, MICHAEL

12/14/2009 MAYAS, CARLOS

08/20/2010 MAXWELL, LLOYD

05/08/2010 MATTHEWS, PAUL

01/27/2011 MATLOCK, ZEYAD

06/21/2010 MATLOB, KENNETH

06/21/2010 MATLOB, KE N N ETH

P.O P.O

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

153 153

9161 9161 9161 9161 9161 9161 9161 3956 3956 9161 9161 9161 9161 9161

153 023 023 023 023 023 023 023 008 008

011 011 011 011 011 011 153 044 044

City City City

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

$14.91

$6.50

$30.00

$6.50

$20.57

$26.84

$23.34

$6.50

$304.50

$152.27

$6.50

$33.00

$6.50

$82.82

$6.50

$64.54

$6.50

$46.97

$242.18

$6.50

$242.67

$112.03

$21.02

$6.50

City Of Chicago - Confidential

Page 179 of 314

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 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 11/29/2008 11/29/2008 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011

MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATLOB, KENNETH MATA, RICARDO MATA, RICARDO MARTORANO, JOSEPH MARTORANO, JOSEPH MARTORANO, JOSEPH MARTORANO, JOSEPH MARTORANO, JOSEPH MARTORANO, JOSEPH MARTORANO, JOSEPH MARTORANO, 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

012 012 012 012 012 012 012 012

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

$2.10

$6.50

$21.32

$6.50

$4.41

$253.40

$16.44

$6.50

$12.08".

$6.50

$9.70

$6.50

$11.19

$6.50

$172.44

$149.53

$186.20

$6.50

$68.01

$23.92

$84.92

$32.39

$328.68

$75.07

$103.89

$12.16

$167.75

$6.50

$48.00

$0.70

$6.50

$9.65

City Of Chicago - Confidential

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

12/02/2009 12/02/2009 12/02/2009 12/02/2009 12/02/2009 07/26/2010 07/26/2010 07/26/2010 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 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010

MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, JOHN MARTINEZ, JOHN MARTINEZ, JOHN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN 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

City City City

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

$6:50

$0.44

$6.50

$5.69

$6.50

$7.66

$6.50

$188.79

$27.09

$6.50

$19.53

$6.50

$13.50

$6.50

$142.39

$189.11

$235.26

$295.23

$690.00

$448.68

$278.37

$7.98

$6.50

$11.31

$9.43

$6.50 '

$6.50

$2.78

$451.20

$237.60

$69.19

$33.92

City Of Chicago - Confidential

Page 181 of 314

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 10/15/2009 10/15/2009 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 01/10/2011 09/21/2010

MARKHAM, SEAN MARKHAM, SEAN MARKHAM, SEAN MARKHAM, SEAN MARKHAM,SEAN MARKHAM, SEAN MAR, MARCO MAR, MARCO MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MANNING, GARRIAN MALOY, BRIAN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 9161

020 020

153

$6.50

$25.94

$6.50

$13.66

$6.50

$6.17

$386.84

$6.50

$563.10

$187.77

$6.50

$4.80

$927.79

$14.39

$6.50

$258.87

$6.50

$36.21

$19.93

$157.10

$73.38

$157.69

$6.50

$2.31

$6.50

$19.10

$6.50

$8.53

$6.50

City Of Chicago - Confidential

Page 182 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/21/2010 09/30/2010 09/30/2010 09/30/2010 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/07/2011 03/07/2011 03/07/2011 08/20/2009 08/20/2009 08/20/2009 08/20/2009 08/20/2009 08/20/2009 09/01/2010 09/01/2010 09/01/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010 10/12/2010

MALOY, BRIAN MALONEY, JAMES MALONEY, JAMES MALONEY, JAMES MALONE, KEVIN MALONE, KEVIN MALONE, KEVIN MALONE, KEVIN MALONE, KEVIN MALECKI, WILLIAM MALECKI, WILLIAM MALECKI, WILLIAM MALECKI, MICHAEL MALECKI, MICHAEL MALECKI, MICHAEL MALECKI, MICHAEL MALECKI, MICHAEL MALECKI, MICHAEL MALDONADO, IVETTE MALDONADO, IVETTE MALDONADO, IVETTE MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD MAHAY, EDWARD

9161 9173 9173 9173 9161 9161 9161 9161 9161 3253 3253 3253 9161 9161 9161 9161 9161 9161

153 160 160 160

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

153 153 153

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

ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty 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 Jice lice lice lice lice lice lice lice lice lice lice

$101.70

$21.00

$6.50

$12.42

$6.50

$43.66

$54.89

$209.69

$25.04

$100.80

$6.50

$225.07

$10.14

$6.50

$578.36

$293.10

$6.50

$8.83

$153.60

$450.75

$619.12

$450.75

$6.50

City Of Chicago - Confidential

Page 183 of 314

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

10/12/2010 MAHAY, EDWARD

07/22/2009 MACNIFF, COLIN

03/31/2011 MACFARLANE, TIMOTHY

05/28/2002 Lyons, Megan

05/19/2002 Lloyd, Kimberly D

01/05/2001 Lloyd, Kimberly D

12/14/2005 Lisula, Nancy J

9161

001 001 001 001 001 001 001 001 001 001

00013 00013 00013 00013 00013 00013 00007 00007 00007 00007 00007 00007 00007 00007 00006 00006 00006 00006

City City

lice lice lice lice lice lice lice lice lice lice lice lice lice 'lice lice lice lice Jice lice 'lice 'lice 'lice 'lice 'lice 'lice lice lice lice lice lice lice lice lice

$6.50

$450.75

$17.90

$6.50

$369.12

$6.50

$209.69

$731.52

$94.79

$760.00

$10.74

$7.80

$6.50

$196.62

$467.25

$656.47

$580.15

$6.50

$10.15

$57.59

$113.71

$242.69

$117.21

City Of Chicago - Confidential

Page 184 of 314

Incident Date Claimant Rank

12/14/2005 Lisula, Nancy J P

09/12/2008 Lipinski, David P

01/30/2007 Lewis, Matt D P

03/07/2003 Lange, Jimmie P

08/28/2006 Laduzinsky, Mark J P

Unit of Insured Total to be Paid

00006 City Of Chicago Police $113.71

00006 City Of Chicago Police $239.19

00006 City Of Chicago Police $200.00

00006 City Of Chicago Police $117.21

00006 City Of Chicago Police $203.50

00006 City Of Chicago Police $3.50

00010 City Of Chicago Police $661.38

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $16.90

00010 City Of Chicago Police $6.50

00003 City Of Chicago Police $49.02

00003 City Of Chicago Police $6.50

00701 City Of Chicago Police $142.11

00701 City Of Chicago Police $236.63

00701 City Of Chicago Police $130.77

00701 City Of Chicago Police $224.75

00701 City Of Chicago Police $509.86

00701 City Of Chicago Police $555.31

00153 City Of Chicago Police $356.80

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $1.62

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $3.57

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $48.84

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $32.38

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $13.23

00153 City Of Chicago Police $6.50

00153 City Of Chicago Police $34.05

00153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 185 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/28/2006 Laduzinsky, Mark J

10/11/2010 LYNCH, THOMAS

12/19/2010 LYNCH, JAMES

06/14/2010 LUEVANO, FRANCISCO

02/27/2011 LUCIANO, DAVID

01/22/2010 LORENZ, JOHN

04/11/2011 LORENZ, JOHN

P P P P P P P P P P

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

00153

050-

050

044 044 044 044 044 044 025 025 025 025 025

055 055

ity O ity O ity O ity O ity O ity O ity O ty O ty O ity O tyOi ty Oi ty 01 ty Ol ty Ol ty 01 ity 01 ity O ty 01 ty Ol ty Ol ty Ol ty O ty Ol ty Ol ity 01 ty 01 ty Ol ty Ol ty 01 ty 01 ty Ol ty O

>f Chicago Pol if Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

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

$118.88

$6.50

$18.00

$674.94

$262.24

$498.86

$752.42

$243.43

$682.00

$110.37

$6.50

$391.00

$15.87

$10.18

$6.50

$26.12

$722.25

$460.35

$449.43

$6.50

$23.24

$6.50

$22.69

$114.96

$45.00

$6.50

$4.67

$6.50

$318.00

$8.12

$6.50

$65.95

City Of Chicago - Confidential

Page 186 of 314

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

04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 03/12/2010 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 03/22/2011 03/22/2011 03/10/2011 03/10/2011 02/17/2011 02/17/2011

LORENZ, JOHN LORENZ, JOHN LORENZ, JOHN LORENZ, JOHN LORENZ, JOHN LORENZ, JOHN LORENZ, JOHN LOPEZ, NELSON

LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ, LOPEZ LOPEZ, LOPEZ, LOPEZ,

MONICA

LUIS

JOSEPH

EDUARDO

9169 9169 9169 9169 9169 9169 9169 9161

3286 3286

9161 9161

055 055 055 055 055 055 055 008

City City City

044 044

lice lice lice lice lice lice lice lice ilice lice lice 'lice ilice lice ilice 'lice 'lice 'lice 'lice ilice 'lice ilice ilice ilice ilice lice ilice ilice ilice ilice ilice ilice ilice

$150.60

$6.50

$6.11

$6.50

$2.68

$6.50

$2.68

$28.92

$200.25

$89.12

$94.81

$6.50

$19.98

$6.50

$19.27

$6.50

$10.13

$6.50

$1.31

$6.50

$15.45

$6.50

$195.51

$283.02

$30.00

$6.50

$841.01

$6.50

$191.50

$6.50

$374.80

City Of Chicago - Confidential

Page 187 of 314

Incident Date Claimant Rank

02/17/2011 LOPEZ, EDUARDO 9161

02/17/2011 - LOPEZ, EDUARDO 9161

02/17/2011 LOPEZ, EDUARDO 9161

03/11/2011 LOPEZ, EDUARDO 9161

07/29/2010 LOPEZ, DANIEL 9161

11/19/2010 LOPEZ, AMOR 9161

02/11/2011 LOPEZ, AMOR 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $1.01

044 City Of Chicago Police $6.50

044 City Of Chicago Police $312.24

044 City Of Chicago Police $3.57

044 City Of Chicago Police $458.11

044 ' City Of Chicago Police $184.53

044 City Of Chicago Police $62.07

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.71

044 City Of Chicago Police $10.61

044 City Of Chicago Police $6.50

311 City Of Chicago Police $6.50

311 City Of Chicago Police $21.60

311 City Of Chicago Police $0.55

044 City Of Chicago Police $2.68

044 City Of Chicago Police $6.50

044 City Of Chicago Police $2.76

044 City Of Chicago Police $6.50

044 City Of Chicago Police $212.25

044 City Of Chicago Police ~ $2.68

044 City Of Chicago Police $6.50

044 , City Of Chicago Police $3.47

044 City Of Chicago Police $6.50

044 , City Of Chicago Police $6.50

044 City Of Chicago Police $107.96

044 City Of Chicago Police $6.50

044 City Of Chicago Police $6.37

044 City Of Chicago Police $6.50

044 City Of Chicago Police $3.47

044 City Of Chicago Police $283.07

044 City Of Chicago Police $84.13

044 City Of Chicago Police $6.84

City Of Chicago - Confidential

Page 188 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 04/24/2009 04/24/2009 04/24/2009 04/24/2009 04/24/2009 04/24/2009 04/24/2009 04/24/2009 04/24/2009 12/27/2009 09/28/2009 09/28/2009 08/14/2010 04/21/2011

LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ/AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOPEZ, AMOR LOAIZA ARTEAGA, LOAIZA ARTEAGA, LOAIZA ARTEAGA, LOAIZA ARTEAGA, LOAIZA ARTEAGA, LOAIZA ARTEAGA, LOAIZA ARTEAGA, LOAIZA ARTEAGA, LOAIZA ARTEAGA, LIS, RONALD LIPINSKI, DAVID LIPINSKI, DAVID LIPINSKI, DAVID LEWIS, EILEEN

ROSEMARY ROSEMARY ROSEMARY ROSEMARY ROSEMARY ROSEMARY ROSEMARY ROSEMARY ROSEMARY

9161 9161 9161 9161 9161 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

253

City City City City

9161

008

Poli Poli Poli

Poli

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

$241.73

$65.95

$157.08

$135.87

$6.50

$2.14

$6.50

$7.23

$6.50

$9.80

$6.50

$0.17

$6.50

$2.68

$6.50

$2.68

$6.50

$6.37

$702.18

$268.11

$722.10

$21.21

$330.20

$229.35

$53.00

$848.93

$13.05

$159.37

$21.83

$6.50

City Of Chicago - Confidential

Page 189 of 314

Incident Date Claimant Rank

04/21/2011 LEWIS, EILEEN 9161

05/30/2010 LEGENZA, EDWARD 9161

01/10/2011 LEE, JAMES 3286

01/10/2011 LEE, JAMES ' 3286

01/10/2011 LEE, JAMES 3286

Unit of Insured Total to be Paid

008 City Of Chicago Police $106.17

008 City Of Chicago Police $8.14

044 City Of Chicago Police $6.50

044 City Of Chicago Police - $1.99

044 City Of Chicago Police $6.50

044 City Of Chicago Police $446.26

044 City Of Chicago Police $901.50

044 City Of Chicago Police $450.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $77.74

044 City Of Chicago Police $6.50

024 City Of Chicago Police $1.31

024 City Of Chicago Police $6.50

024 City Of Chicago Police $8.84

024 City Of Chicago Police $6.50

024 City Of Chicago Police $13.73

024 City Of Chicago Police $6.50

024 City Of Chicago Police $1.31

024 City Of Chicago Police $306.14

024 City Of Chicago Police $378.14

024 City Of Chicago Police $306.14

024 City Of Chicago Police $481.51

024 City Of Chicago Police $199.11

024 City Of Chicago Police $324.63

024 City Of Chicago Police $353.83

024 City Of Chicago Police $89.12

024 City Of Chicago Police $272.90

024 City Of Chicago Police $89.12

City Of Chicago - Confidential

Page 190 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/10/2011 LEE, JAMES

01/10/2011 LEE, JAMES '

01/10/2011 LEE, JAMES

01/10/2011 LEE, JAMES 01/10/2011 . LEE, JAMES

02/05/2011 LEE, HYUK

02/07/2011 LEBENSORGER, FRED

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

024 024 024 024 024 024. 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024 024

ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Poi ity Of Chicago Pol ity Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

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 ilice lice lice

$6.50

$5.19

$6.50

$1.31

$6.50

$4.01

$6.50

$1.31

$6.50

$17.58

$6.50

$12.19

$6.50

$12.19

$6.50

$12.19

$6.50

$12.19

$6.50

$15.40

$6.50

$12.19

$6.50

$139.45

$704.55

$6.50

$139.45

$6.50

$148.94

$488.78

$142.90

City Of Chicago - Confidential

Page 191 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/07/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/01/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011

LEBENSORGER, FRED LATTANZIO, MICHAEL LATTANZIO, MICHAEL LATTANZIO, MICHAEL LATTANZIO, MICHAEL LATTANZIO, MICHAEL LATTANZIO, MICHAEL LARSON, ANDREW

LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON LARSON

ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW ANDREW

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

014 014 014 014 014 014

City City City City

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

City O City O City O City O City O City O

City City City

City O City O City O

Chic

'lice lice >lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$142.90

$6.50

$9.65

$167.75

$537.11

$6.50

$13.73

$69.19

$218.61

$240.09

$92.27

$136.29

$6.50

$21.56

$6.50

$21.56

$6.50

$21.56

$6.50

$21.56

$6.50

$21.56

$6.50

$21.56

$6.50

$21.82

$6.50

$21.56

$6.50

$21.56

City Of Chicago - Confidential

Page 192 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 01/04/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 03/11/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011

LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON,ANDREW LARSON,ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LARSON, ANDREW LANGE, TIMOTHY LANGE, TIMOTHY LANGE, TIMOTHY LANGE, TIMOTHY LANGE, TIMOTHY LANGE, TIMOTHY LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE

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

012 012 012 012

ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago, Pol ty Of Chicago Pol

lice lice lice lice lice lice lice lice Jice lice lice lice Jice Jice Jice Jice Jice lice lice Jice lice Jice Jice lice lice Jice Jice Jice Jice lice Jice lice Jice

$6.50

$21.56

$6.50

$21.56

$6.50

$21.56

$6.50

$21.54

$218.72

$221.38

$218.72

$92.27

$6.50

$9.34

$162.40

$1.17

$96.62

$6.50

$772.71

$397.47

$25.60

$6.50

City Of Chicago - Confidential

Page 193 of 314

Incident Date Claimant Rank

04/09/2011 LAMPKIN, ELAINE 9161

09/09/2010 LAMBERT, ISAAC

03/15/2009 LAKSANAPROM, SUPATCHARA 9161

02/12/2008 Kurpiel, Joseph P

06/05/1993 Krofel, Kenneth P

03/14/2005 Kirchner, Robert P

06/25/2004 Killackey Iii, John E P

06/25/2004 Killackey Iii, John E . P

06/25/2004 Killackey Iii, John E P

02/09/2008 Khan, Zarak P

08/06/2008 Kenna, Steven P

09/14/2007 Keithley, Bartall P

Unit of Insured Total to be Paid

012 City Of Chicago Police $12.94

012 City Of Chicago Police $225.05

012 City Of Chicago Police $6.50

012 City Of Chicago Police $13.81

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1.47

City Of Chicago Police $6.50

03 City Of Chicago Police $7.99

03 City Of Chicago Police $81.01

00017 City Of Chicago Police $103.81

00017 City Of Chicago Police $6.50 00020 City Of Chicago Police $405.60 00020 City Of Chicago Police $4.59 00020 City Of Chicago Police $6.50 09999 City Of Chicago Police $223.65 00011 City Of Chicago Police $256.26 00011 City Of Chicago Police $259.48 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $13.11 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $14.73 00011 City Of Chicago Police $21.00 00011 City Of Chicago Police $6.50

00018 City Of Chicago Police $101.70 00018 City Of Chicago Police $101.70 00018 City Of Chicago Police $6.50 00018 City Of Chicago Police $6.50 00018 City Of Chicago Police $108.52 00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $6.50

00019 City Of Chicago Police $ 135.26 00002 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 194 of 314

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

■09/14/2007 Keithley, Bartall

04/28/1995 Karadjias, Solomis

11/11/2010 KURI, CESAR

02/11/2011 ' KUKIELKA, JONATHAN

02/11/2011 KUKIELKA, JONATHAN

12/20/2010 KRAMER, DANIEL

04/09/2011 KOLODZIEJSKI, DANIEL

09/10/2010 KOKIC, MARKO

03/25/2011 KOKIC, MARKO

12/22/2010 KNUDSEN, SARA

03/27/2011 KNIGHT, AISHA

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 9161 9161

00002

00025

314

019 019

003 003 003 003 003 003

044 044 044 011 011 011 011

City City City

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

$143.81

$37.78

$200.43

$6.50

$452.47

$6.50

$12.21

$6.50

$123.90

$529.45

$6.50

$11.89

$6.50

$465.12

$6.50

$0.84

$51.54

$6.50

$69.73

$931.20

$38.25

$178.24

$6.50

$7.23

$6.50

$1.55

$12.57

$32.59

$23.30

$1.74

$6.50

$235.75

City Of Chicago - Confidential

Page 195 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/27/2011 03/27/2011 03/27/2011 03/27/2011 03/27/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011 01/17/2011" 01/17/2011 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 07/18/2010 11/10/2009 11/10/2009 11/10/2009 11/10/2009 11/10/2009 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011

KNIGHT, AISHA KNIGHT, AISHA KNIGHT, AISHA KNIGHT, AISHA KNIGHT, AISHA KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KLEES, JAMES KITCHING, JONATHAN KITCHING, JONATHAN KITCHING, JONATHAN KITCHING, JONATHAN KITCHING, JONATHAN KITCHING, JONATHAN KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KING, FREDERICK KILGORE, RASHAD KILGORE, RASHAD KILGORE, RASHAD KILGORE, RASHAD KILGORE, RASHAD

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

011 011 011 011 011 630 630 630 630 630 630 630 630 630 630 630 630 044 044 044 044 044 044

3286 3286 3286 3286 3286

001 001 001 001 001

lice 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 lice lice lice

$475.00

$6.50

$96.62

$143.42

$1.17

$284.75

$35.70

$6.50

$11.56

$101.70

$3.52

$6.50

$209.69

$291.00

$6.50

$946.05

$5.64

$6.50

$24.17

$220.50

$6.50

$5.84

$6.50

$134.93

$62.69

$157.10

$97.40

$18.28

$143.80

$6.50

City Of Chicago - Confidential

Page 196 of 314

Incident Date Claimant Rank

02/23/2011 KILGORE, RASHAD 3286

02/23/2011 KILGORE, RASHAD .3286

02/23/2011 KILGORE, RASHAD 3286

02/23/2011 KILGORE, RASHAD '3286

02/23/2011 KILGORE, RASHAD 3286

Unit of Insured Total to be Paid

001 City Of Chicago Police $1.74

001 City Of Chicago Police $6.50

OOi City Of Chicago Police $16,51

001 City Of Chicago Police $6.50

001 City Of Chicago Police - $18.15

001 City Of Chicago Police $6.50

001 City Of Chicago Police $21.22

001 City Of Chicago Police $6.50

001 City Of Chicago Police $16.51

001 City Of Chicago Police $6.50

001 City Of Chicago Police $21.20

001 City Of Chicago Police $6.50

001. City Of Chicago Police $21.20

001 City Of Chicago Police $6.50

001 City Of Chicago Police $21.22

001 City Of Chicago Police $6.50

001 City Of Chicago Police $5.79

001 City Of Chicago Police $6.50

001 City Of Chicago Police $21.20

001 City Of Chicago Police $6.50

001 City Of Chicago Police $18.80

001 City Of Chicago Police $6.50

001 City Of Chicago Police $9.24

001 City Of Chicago Police $6.50.

001 City Of Chicago Police $3.57

001 City Of Chicago Police $6.50

001 City Of Chicago Police $4.07

001 City Of Chicago Police $6.50

001 City Of Chicago Police $36.21

001 City Of Chicago Police $6.50

001 City Of Chicago Police $46.14

001 City Of Chicago Police $6.50

001 City Of Chicago Police $8.34

City Of Chicago - Confidential

Page 197 of 314

Incident Date Claimant Rank

02/23/2011 KILGORE, RASHAD 3286

11/01/2010 KESSEM, BRIAN 9161

11/01/2010 KESSEM, BRIAN . 9161

11/01/2010 KESSEM, BRIAN 9161

Unit of Insured Total to be Paid

001 City Of Chicago Police $167.51

001 City Of Chicago Police $184.10

001 City Of Chicago Police $215.22

001 City Of Chicago Police $167.51

001 City Of Chicago Police $215.11

001 City Of Chicago Police $215.22

001 City Of Chicago Police $215.11

001 City Of Chicago Police $190.72

001 City Of Chicago Police $479.10

001 City Of Chicago Police $335.65

001 City Of Chicago Police $160.65

001 City Of Chicago Police $62.07

City Of Chicago Police $3.47

City Of Chicago Police $6.50

City Of Chicago Police $3.47

City Of Chicago Police $6.50

City Of Chicago Police $912.60

City Of Chicago Police $236.50

City Of Chicago Police $251.60

City Of Chicago Police $236.50

City Of Chicago Police $6.50

City Of Chicago Police $3.47

City Of Chicago Police $6.50

City Of Chicago Police $3.47

City Of Chicago Police $6.50

City Of Chicago Police $3.47

City Of Chicago Police $6.50

City Of Chicago Police . $3.47

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 198 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 07/01/2010 07/01/2010 07/01/2010 07/01/2010 07/01/2010 05/30/2009 05/30/2009 05/30/2009 05/30/2009 04/17/2011 04/17/2011 04/17/2011 04/17/2011 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010 10/04/2010

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 KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERSTEIN, BRIAN KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KERIN, ELIZABETH KENNEDY, BRIAN KENNEDY, BRIAN KENNEDY, BRIAN KENNEDY, BRIAN KELNOSKY,STEVEN KELNOSKY,STEVEN KELNOSKY,STEVEN KELNOSKY,STEVEN KELNOSKY, STEVEN KELNOSKY,STEVEN KELNOSKY,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

044 044 044 044 044 044 044 044

$3.47

$6.50

$3.47

$6.50

$3.47

$236.50

$6.50

$526.81

$498.16

$7.74

$6.50

$294.77

$113.75

$12.91

$35.10

$6.50

$487.39

$209.69

$88.23

$218.61

$24.49

$6.50

$1.29

$6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/04/2010 KELNOSKY, STEVEN

04/28/2009 KATSAROS, DIMITRIOS

12/04/2010 KAPORIS, JOHN

01/18/2011 KACZYNSKI, MICHAEL

03/27/1992 Johnson, Sabrina T

07/17/2008 Johnson, John M

01/23/2007 Jelks, Jennifer

9161

019 019

353

00006

00008

00013

ity Of Chicago Poi ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

dice lice lice lice lice lice lice lice Ijce lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice ilice ilice ilice lice lice lice lice lice

$21.54

$6.50

$21.13

$6.50

$16.85

$6.50

$18.78

$6.50

$21.54

$6.50

$218.61

$214.41

$171.01

$190.61

$27.94

$111.39

$220.24

$6.50

$207.59

$88.07

$6.50

$471.50

$950.00

$6.50

$914.23

$6.50

$0.62

$69.73

$0.84

$51.55

City Of Chicago - Confidential

Page 200 of 314

Incident Date Claimant_Rank

01/23/2007 Jelks, Jennifer P

01/11/2005 Jackovac, Michael T P

09/06/2010 JOYNER, ROBBIE 9161

03/18/2011. JONES, YVETTE 9161

03/18/2011 JONES, YVETTE 9161

11/26/2010 JONES, ROSEZITA 9161

11/26/2010 JONES, ROSEZITA . 9161

11/26/2010 JONES, ROSEZITA 9161

11/26/2010 JONES, ROSEZITA . 9161

11/26/2010 JONES, ROSEZITA 9161

12/12/2010 JONES, GREGORY 9161

Unit of . Insured Total to be Paid

00013 City Of Chicago Police $6.50

00022 City Of Chicago Police $6.50

00022 City Of Chicago Police $162.61

00022 City Of Chicago Police $77.90

00022 City Of Chicago Police $54.02

00022 City Of Chicago Police $77.59

00022 ■ City Of Chicago Police $6.50

715 City Of Chicago Police $9.55

715 City Of Chicago Police $70.68 --,

006 City Of Chicago Police - $209.69

006 . City Of Chicago Police $6.50

015 City Of Chicago Police $3.06

015 City Of Chicago Police $6.50

015 . City Of Chicago Police $2.95

015 City Of Chicago Police $6.50

015 City Of Chicago Police $5.90

015 City Of Chicago Police $6.50

015 City Of Chicago Police $2.95

015 City Of Chicago Police $409.64

015 - City Of Chicago Police $480.16

015 City Of Chicago Police $252.49

015 City Of Chicago Police $243.39

015 City Of Chicago Police $486.78

015 City Of Chicago Police $243.39

015 City Of Chicago Police $6.50

015 City Of Chicago Police $5.81

015 City Of Chicago Police $6.50

015 City Of Chicago Police $4.95

006 City Of Chicago Police $6.50

006 . City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 201 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 03/18/2010 03/18/2010 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 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010

JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, COVONNIA JONES, COVONNIA JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW

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

006 006 006 006 006 006 006 006 006

City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police ■ City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police' City Of Chicago Police City Of Chicago Police City Of Chicago Police 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

$214.92

$193.96

$89.10

$262.19

$246.37

$6.50

$149.46

$239.04

$273.89

$239.04

$298.79

$239.04

$298.79

$328.68

$298.79

$6.50

$2.89

$6.50

$2.89

$6.50

$2.89

$6.50

$3.31

$6.50

$2.89

City Of Chicago - Confidential

Page 202 of 314

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

06727/2010 JONES, ANDREW

08/27/2010 JONES, ANDREW

02/08/2011 JOLLIFF BLAKE, MICHAEL

11/29/2010 JOHNSON, LAWRENCE

03/15/2011 JOHNSON, JOYCE

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

011 011 011 011 011 011

City City City City

3286 3286

lice lice lice lice lice lice lice lice lice lice lice lice lice lice 'lice lice Jice lice >lice 'lice lice lice 'lice 'lice 'lice lice lice lice lice lice lice lice lice

$6.50

$2.89

$6.50

$3.61

$6.50

$2.89

$6.50

$2.89

$6.50

$3.61

$6.50

$3.98

$6.50

$3.61

$436.13

$6.50

$162.40

$6.50

$17.70

$9.34

$95.60

$42.00

$6.50

$36.37

$6.50

$94.15

$6.50

$137.03

$6.50

$1.40

$6.50

$9.39

City Of Chicago - Confidential

Page 203 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011

JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON

JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

City City City

lice Jice lice lice lice lice lice lice lice 'lice lice lice lice Jice Jice dice Jice lice Jice Jice Jice Jice Jice Jice Jice lice Jice Jice Jice Jice lice Jice lice

$6.50

$16.51

$6.50

$16.51

$6.50

$3.82

$6.50

$18.80

$6.50

$16.51

$6.50

$2.62

$6.50

$16.51

$6.50

$16.51

$6.50

$16.51

$6.50

$0.89

$6.50

$16.51

$6.50

$16.51

$159.71

$167.51

$95.31

$167.51

$190.72

$167.51

City Of Chicago - Confidential

Page 204 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 03/15/2011 05/21/2009 05/21/2009 05/21/2009 01/23/2011 01/23/2011 01/23/2011 01/23/2011 01/23/2011 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 06/17/2010 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009 11/05/2009

JOHNSON

JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JENKINS, JUDITH JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD

JOYCE

JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOYCE JOHN JOHN JOHN

COURTNEY COURTNEY COURTNEY COURTNEY COURTNEY AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM AJAMU BOM

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9161 9161 9161 3286 3286 3286 3286 3286 9161 9161 ,9161 9161 9161 9161 Sgt Sgt Sgt Sgt Sgt Sgt Sgt

008 008 008

005 630 630 630 630 630 630 630

City City City City

ilice ilice ilice lice lice lice lice lice lice lice lice lice Jice lice Jice lice Jice Jice lice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice lice

$167.51

$315.82

$73.71

$209.69

$216.88

$6.50

$15.74

$6.50

$16.51

$6.50

$11.59

$117.60

$660.74

$2.59

$6.50

$33.75

$252.10

$84.92

$6.50

$58.60

$26.84

$6.50

$4.35

$6.50

$9.36"

$6.50

$4.35

$6.50

City Of Chicago - Confidential

Page 205 of 314

Incident Date Claimant Rank

11/05/2009 JANUS, RICHARD Sgt

12/13/2010 JANOPOULOS, JASON 9171

Unit of Insured Total to be Paid

630 City Of Chicago Police $2.34

630 City Of Chicago Police $6.50

630 City Of Chicago Police $1.78

630 City Of Chicago Police $6.50

630 City Of Chicago Police $8.70

630 City Of Chicago Police $6.50

630 City Of Chicago Police $54.50

630 City Of Chicago Police $6.50

630 City Of Chicago Police $0.59

630 City Of Chicago Police $6.50

630 City Of Chicago Police $20.22

630 City Of Chicago Police $169.84

630 City Of Chicago Police $490.65

630 City Of Chicago Police $169.84

630 City Of Chicago Police $339.68

630 City Of Chicago Police $91.53

630 City Of Chicago Police $69.83

630 City Of Chicago Police $970.26

630 City Of Chicago Police $10.34

630 City Of Chicago Police $230.65

630 City Of Chicago Police $103.98

630 City Of Chicago Police $149.66

630 City Of Chicago Police' $6.50

630 City Of Chicago Police $4.35

630 City Of Chicago Police $6.50

630 City Of Chicago Police $4.35

630 City Of Chicago Police $6.50

630 City Of Chicago Police $12.56

006 City Of Chicago Police $6.50

006 City Of Chicago Police $475.00

006 City Of Chicago Police $272.69

City Of Chicago - Confidential

Page 206 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 04/12/2010 02/11/2011 02/11/2011 12/20/2010

JAKUBOWSKI

JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JAKUBOWSKI, RONALD JACKSON, PRENTISS JACKSON, PRENTISS JACKSON,MATTHEW

RONALD

9161 9161 9161 9161 9161 9161 9161 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 City City

011

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

$280.88

$190.72

$4.12

$6.50

$18.81

$6.50

$18.80

$6.50

$18.80

$6.50

$18.80

$6.50

$18.81

$6.50

$18.80

$6.50

$18.80

$6.50

$18.80

$6.50

$18.80

$190.82

$190.72

$190.82

$190.72

$6.50

$204.90

$306.20

$764.52

City Of Chicago - Confidential

Page 207 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010

JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON JACKSON

DEBORAH

CARLA

ity O ity O ty O ity O ity O ity O ity O ity O ty O ity O tyO tyO tyOi ty Oi ty Oi ty Ol ty Ol ty Ol ty O ty Ol ty O ty Ol ty O ty O ty O ty O ty Ol ty O ity Ol ity O ty Ol ty O ty O

if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago.Pol f Chicago Pol f Chicago Pol

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

$6.50

$387.94

$775.88

$456.09

$319.79

$249.30

$6.50

$6.37

$6.50

$63.78

$6.50

$6.02

$6.50

$21.20

$49.07

$143.42

$497.48

$6.50

$14.40

$6.50

$7.98

$6.50

$1.25

$6.50

$1.74

$6.50

$1.74

City Of Chicago - Confidential

Page 208 of 314

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

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 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 09/20/2009 09/20/2009 09/20/2009 09/20/2009 03/26/2011

,CARLA ,CARLA ,CARLA ,CARLA ,CARLA ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE ,BRUCE JR, WILLIAM

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

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

City City City

lice ilice lice lice ilice lice dice 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

$6.50

$829.70

$174.15

$312.33

$24.99

$18.80

$6.50

$3.91

$6.50

$4.68

$6.50

$3.76

$6.50

$3.76

$6.50

$3.76

$6.50

$3.76

$6.50

$3.76

$6.50

$2.48

$81.36

$153.19

$147.20

$736.00

$97.15

$166.55

City Of Chicago - Confidential

Page 209 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/26/2011 JACKSON JR, WILLIAM

02/27/2003 Ivkovich, Susan P

11/08/2008 Insalato-Feret, Kimberly A

02/11/2011 IZZO JR, THOMAS

04/25/2011 IZA, FRANCISCO

9206

9161 9161 9161 9161 9161 9161 9161 9161

00008 00008 00008 00008 00008 00008 00005 00005 00005 00005 00005 00005

$403.07

$385.00

$178.24

$6.50

$2.44

$5.92

$6.50

$283.07

$6.50

$7.23

$6.50

$95.00

$6.50

$1.15

$6.50

$1.15

$70.80

$54.78

$6.50

$4.07

$6.50

$3.15

$6.50

$32.15

$792.29

$6.98

$6.50

$573.64

$576.71

City Of Chicago - Confidential

Page 210 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/25/2011 04/25/2011 07/10/2009 07/10/2009 07/10/2009 07/10/2009 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/16/2006 04/16/2006 06/30/2008 06/30/2008 06/30/2008 06/30/2008 06/30/2008 05/30/1998 05/30/1998 05/30/1998 05/12/2006 05/12/2006 05/12/2006 05/12/2006 05/12/2006 05/12/2006 05/12/2006 05/12/2006 05/12/2006 05/12/2006 05/12/2006

IZA, FRANCISCO IZA, FRANCISCO IVERS, NEAL IVERS, NEAL IVERS, NEAL IVERS, NEAL INSLEY, GREGORY INSLEY, GREGORY INSLEY, GREGORY INSLEY, GREGORY INSLEY, GREGORY INSLEY, GREGORY Hughes, Dennis Hughes, Dennis Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hoover, Tracy L Hnatusko, Daniel M Hnatusko, Daniel M Hnatusko, Daniel M

Hiti Hiti Hiti Hiti Hiti Hiti Hiti Hiti Hiti Hiti Hiti

ris, Evangelos ris, Evangelos ris, Evangelos ris, Evangelos ris, Evangelos ris, Evangelos ris, Evangelos ris, Evangelos ris, Evangelos ris, Evangelos ris, Evangelos

9161

353

00193

00009

00018

00019

00019.

00019

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

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

$6.50

$32.00

$876.49

$224.40

$6.50

$200.91

$6.50

$10.21

$196.60

$25.60

$6.50

$1.47

$431.56'

$6.50

$635.25

$6.50

$20.88

$6.50

$76.56

$177.00

$10.18

$6.50

$201.34

$199.65

$6.50

$94.81

$6.50

$95.30

$6.50

$5.87

$6.50

$82.14

City Of Chicago - Confidential

Page 211 of 314

Incident Date Claimant Rank

05/12/2006 Hitiris, Evangelos P

04/11/2002 Hihn-Czyscon, Heidi P

06/17/1996 Herron-Blakely, Carol P

08/25/1993 Herring, Patricia P

03/07/2006 Hernandez-Rey, Sergio L P

11/23/2005 Hernandez, Sonia P

Unit of Insured Total to be Paid

00019 City Of Chicago Police $6.50

00019 City Of Chicago Police $75.18

00019 City Of Chicago Police $462.00

00019 City Of Chicago Police $184.06

00019 City Of Chicago Police $94.81

00019 City Of Chicago Police $232.84

00019 City Of Chicago Police $234.95

00019 City Of Chicago Police $6.50

00050 City Of Chicago Police $567.59

00050 City Of Chicago Police $16.37

00050 City Of Chicago Police $6.50

00050 City Of Chicago Police $15.59

00050 City Of Chicago Police $6.50

00050 City Of Chicago Police $2.60

00050 City Of Chicago Police $162.23

00050 City Of Chicago Police $2.60

00050 City Of Chicago Police $6.50

00050 City Of Chicago Police $177.38

00050 City Of Chicago Police $36.78

00050 City Of Chicago Police $6.50

00018 City Of Chicago Police $268.83

00007 City Of Chicago Police $265.64

00013 City Of Chicago Police $237.49

00013 City Of Chicago Police $9.63

00013 City Of Chicago Police $6.50

00023 City Of Chicago Police $6.50

00023 City Of Chicago Police $16.46

00023 City Of Chicago Police $6.50

00023 City Of Chicago Police $31.99

00023 City Of Chicago Police $6.50

00023 City Of Chicago Police $76.50

00023 City Of Chicago Police $3.11

City Of Chicago - Confidential

Page 212 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/23/2005 Hernandez, Sonia

06/04/2008 Hanson, Kristen

03/25/2010 HYNES, MICHAEL

04/10/2011 HUTCHINSON, CLAYTON

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 9161

00023

00019

044

003

City < City ( City (

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

City O City Ol City Ol City O CityO

City ( City (

City Ol City Ol City Ol

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

$788.12

$405.48

$358.45

$190.27

$2.79

$5.58

$2.79

$3.72

$190.27

$380.54

$253.69

$396.90

$283.92

$147.95

$99.67

$6.50

$1.86

$6.50

$0.69

$6.50

$16.00

$6.50

$0.69

City Of Chicago - Confidential

Page 213 of 314

Incident Date Claimant Rank

04/10/2011 HUTCHINSON, CLAYTON 9161

04/10/2011 . HUTCHINSON, CLAYTON 9161

04/10/2011 HUTCHINSON, CLAYTON 9161

02/05/2010 HUNDRIESER, DAVID 9161

Unit of "_Insured_Total to be Paid

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.33

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.62

003 City Of Chicago Police $6.50

003 City Of'Chicago Police $0.47

003 City Of Chicago Police $389.08

003 City Of Chicago Police $274.68

003 City Of Chicago Police $147.95

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $28.21

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $18.81

016 City Of Chicago Police $39.54

016 City Of Chicago Police $6.50

016 City Of Chicago Police $18.81

016 City Of Chicago Police $6.50

016 City Of Chicago Police $28.21

016 City Of Chicago Police $6.50

016 City Of Chicago Police $3.60

016 City Of Chicago Police $6.50

016 City Of Chicago Police $238.53

City Of Chicago - Confidential

Page 214 of 314

Incident Date Claimant Rank

02/05/2010 HUNDRIESER, DAVID 9161

02/05/2010 HUNDRIESER, DAVID ■ 9161

02/05/2010 HUNDRIESER, DAVID 9161

Unit of Insured Total to be Paid

016 City Of Chicago Police $159.71

016 City Of Chicago Police $238.53

016 City Of Chicago Police $286.23

016 City Of Chicago Police $238.53

016 City Of Chicago Police $190.82

016 City Of Chicago Police $238.53

016 ' City Of Chicago Police $238.53

016 City Of Chicago Police $238.53

016 City Of Chicago Police $286.23

016 City Of Chicago Police $238.53

016. City Of Chicago Police $238.53

016 ' - City Of Chicago Police $238.53

016 City Of Chicago Police $238.53

016 City Of Chicago Police $190.82

016 City Of Chicago Police $286.23

016 City Of Chicago Police $52.50

016 City Of Chicago Police $0.50

016 City Of Chicago Police $42.53

016 City Of Chicago Police $23.30

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $15.74

016 ■ City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 215 of 314

Incident Date Claimant Rank

02/05/2010 HUNDRIESER, DAVID 9161

11/24/2010 HUFF JR, HAROLD. 9161

04/18/2011 HUBBARD, DAWN 9161

04/02/2011 HOZZIAN, JOANNE 9161

Unit of_Insured_Total to be Paid

016 City Of Chicago Police $28.21

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $18.81

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

016 City Of Chicago Police $23.51

016 City Of Chicago Police $6.50

189 City Of Chicago Police $6.50

153 City Of Chicago Police $162.40

153 City Of Chicago Police $6.50

153 City Of Chicago Police $9.34

001 City Of Chicago Police $719.93

001 City Of Chicago Police $598.68

001 City Of Chicago Police $10.19

001 City Of Chicago Police $6.50

001 City Of Chicago Police $21.53

001 City Of Chicago Police $6.50

001 City Of Chicago Police $18.16

001 City Of Chicago Police $6.50

001 City Of Chicago Police $6.08

001 City Of Chicago Police $6.50

001 City Of Chicago Police $6.08

001 City Of Chicago Police $6.50

001 City Of Chicago Police $9.03

001 City Of Chicago Police $6.50

001 City Of Chicago Police $7.64

City Of Chicago - Confidential

Page 216 of 314

Incident Date Claimant_Rank

04/02/2011 HOZZIAN, JOANNE 9161

04/02/2011 HOZZIAN, JOANNE 9161'

04/02/2011 HOZZIAN, JOANNE 9161

02/23/2011 HOYOU.ASHOOR 3286

02/23/2011 HOYOU.ASHOOR. 3286

02/23/2011 HOYOU.ASHOOR 3286

Unit of Insured Total to be Paid

001 City Of Chicago Police $6.50

001 City Of Chicago Police $7.64

001 City Of Chicago Police $6.50

001 City Of Chicago Police $18.41

001 , City Of Chicago Police $6.50

001 City Of Chicago Police ■ $10.19

001 City Of Chicago Police $6.50

001 City Of Chicago Police $153.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $7.64

001 City Of Chicago Police $6.50

001 City Of Chicago Police $15.28

001 City Of Chicago Police $106.67

001 City Of Chicago Police $185.08

001 City Of Chicago Police $144.35

001 City Of Chicago Police $106.67

001 City Of Chicago Police $238.01

001 City Of Chicago Police $353.34

001 ' City Of Chicago Police $299.34

001 City Of Chicago Police $299.34

001 City Of Chicago Police $6.50

001 City Of Chicago Police $8.53

001 City Of Chicago Police $6.50

001 * City Of Chicago Police $36.21

001 City Of Chicago Police $343.86

001 City Of Chicago Police $306.94

001 City Of Chicago Police $920.82

001 City Of Chicago Police $306.94

001 City Of Chicago Police $740.31

001 City Of Chicago Police $687.72

001 City Of Chicago Police $703.39

City Of Chicago - Confidential

Page 217 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011

HOYOU, ASHOOR HOYOU, ASHOOR HOYOU,ASHOOR HOYOU,ASHOOR HOYOU.ASHOOR HOYOU.ASHOOR HOYOU.ASHOOR HOYOU.ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU,ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU,ASHOOR HOYOU,ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOYOU, ASHOOR HOWSKI, STEVEN HOWSKI, STEVEN HOWSKI, STEVEN HOWSKI, STEVEN HOWSKI, STEVEN HOWSKI, STEVEN HOWSKI, STEVEN HOWSKI, STEVEN HOWSKI, STEVEN

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 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

ity Of Chicago Poli ity Of Chicago Poli ty Of Chicago Poli ty Of Chicago Poli ty Of Chicago Pol ty Of Chicago Pot ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Poli ty Of Chicago Poli ty Of Chicago Poli ty Of Chicago Poli ty Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ty Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ty Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ty Of Chicago Pol ty Of Chicago Poli ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

ce ce ce ice ce 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 ce ce

$19.93

$157.10

$75.85

$6.50

$29.82

$6.50

$37.99

$6.50

$50.16

$6.50

$9.94

$6.50

$23.85

$6.50

$22.20

$6.50

$11.10

$6.50

$9.94

$6.50

$22.69

$6.50

$4.36

$6.50

$495.75

$6.50

$10.53

$6.50

$26.01

$6.50

$1.52

$111.13

$195.18

City Of Chicago - Confidential

Page 218 of 314

Incident Date Claimant_Rank

02/2072010 HORAN, MARIANNE

02/20/2010 HORAN, MARIANNE

12/02/2010 HOLMES JR, VERTIS 9161

05/03/2010 HOGAN, SEAN 9161

04/06/2011 HILLARD, DANA 9161

04/06/2011 HILLARD, DANA 9161'

04/06/2011 HILLARD, DANA 9161

08/04/2010 HILL, COURTNEY 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $271.94

001 ' City Of Chicago Police $35.48

001 City Of Chicago Police $157.10

001 City Of Chicago Police $6.50

City Of Chicago Police $85.01

City Of Chicago Police $6.50

City Of Chicago Police $3.93

City Of Chicago Police $330.67

City Of Chicago Police $4.01

City Of Chicago Police $39.90

City Of Chicago Police $6.50

715 City Of Chicago Police $18.81

715 City Of Chicago Police $6.50

715 City Of Chicago Police $18.81

715 City Of Chicago Police $6.50

715 City Of Chicago Police $18.81

715 City Of Chicago Police $6.50

715 City Of Chicago Police $1.01

715 City Of Chicago Police $159.71

715 City Of Chicago Police $190.82

715 City Of Chicago Police $83.67

715 City Of Chicago Police $6.50

715 City Of Chicago Police $15.74

715 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 219 of 314

Incident Date Claimant Rank

08/04/2010 HILL, COURTNEY 9161

02/14/2011 HILL, BARBARA 3286

02/26/2011 HICKEY, DAVID 9161

Unit of Insured Total to be Paid

715 City Of Chicago Police $18.81

715 City Of Chicago Police $6.50

715 City Of Chicago Police $18.81

715 City Of Chicago Police . $6.50

715 City Of Chicago Police $18.81

715 City Of Chicago Police $6.50

715 City Of Chicago Police $18.81

715 City Of Chicago Police $6.50

715 City Of Chicago Police $18.81

715 City Of Chicago Police $6.50

715 City Of Chicago Police $18.81

715 City Of Chicago Police $6.50

City Of Chicago Police $25.32

City Of Chicago Police $1.74

City Of Chicago Police $6.50

City Of Chicago Police $1.74

City Of Chicago Police $6.50

City Of Chicago Police $86.81

193 City Of Chicago Police $14.09

193 City Of Chicago Police $6.50

193 City Of Chicago Police $14.09

193 City Of Chicago Police $6.50

193 City Of Chicago Police $18.81

193 City Of Chicago Police $6.50

193 City Of Chicago Police $190.82

193 City Of Chicago Police $6.50

193 City Of Chicago Police $18.80

193 City Of Chicago Police $6.50

193 City Of Chicago Police $18.80

193 City Of Chicago Police $6.50

193 City Of Chicago Police $18.80

193 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 220 of 314

Incident Date Claimant Rank

02/26/2011 HICKEY, DAVID 9161

02/26/2011 HICKEY, DAVID . 9161

02/26/2011 HICKEY, DAVID 9161

09/27/2010 HERNANDEZ, PRISCILLA 9161

11/17/2010 HERNANDEZ, DANIEL 9161

01/01/2011 HENKES, NICOLE 9161

02/24/2011 HELSEL, JOHN 3286

Unit of_Insured_Total to be Paid

193 City Of Chicago Police $18.80

193 City Of Chicago Police $6.50

193 City Of Chicago Police $18.81

193 City Of Chicago Police $6.50

193 City Of Chicago Police $207.31

193 City Of Chicago Police $143.01

193 City Of Chicago Police $190.82

193 City Of Chicago Police $190.72

193 City Of Chicago Police ■ $190.72

193 City Of Chicago Police $190.72

193 City Of Chicago Police $6.50

193 City Of Chicago Police $20.43

193 City Of Chicago Police $6.50

193 City Of Chicago Police $29.15

193 City Of Chicago Police $136.29

193 City Of Chicago Police $18.80

City Of Chicago Police $6.50

City Of Chicago Police $41.73

City Of Chicago Police $6.50

City Of Chicago Police $0.59

City Of Chicago Police $272.60

City Of Chicago Police $101.70

City Of Chicago Police $257.43

007 City Of Chicago Police $6.50

007 City Of Chicago Police $272.59

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 221 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 09/03/2010 09/03/2010

HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HELSEL, JOHN HEFFERNAN, EILEEN HEFFERNAN, EILEEN

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9165 9165

620 620

ty Ol tyOi tyO; ty O ity O ity O ity O ity O ity O ity O ty O ty O ty O tyO tyO tyO ty O ty O ty O tyO tyO tyO tyO ty O tyO tyO ty O tyO tyO ty O ty O ty O ty O

f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

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

$2.89

$6.50

$2.89

$6.50

$3.98

$6.50

$2.89

$6.50

.$6.50

$7.18

$6.50

$3.67

$6.50

$8.13

$6.50

$2.89

$41.94

$1.22

$100.61

$239.02

$672.28

$303.77

$594.19

$24.90

$239.02

$328.66

$239.02

$0.30

$6.50

$265.33

City Of Chicago - Confidential

Page 222 of 314

Incident Date Claimant_Rank

03/21/2011 HEBERGER, SHELLY po

01/21/2011 HEBEIN, HERBERT

11/25/2010 HEALY, RYAN 9161

06/18/2009 HEALY, JAMES 9161

10/22/2010 HATTER, COREY 9161

Unit of Insured Total to be Paid

005 City Of Chicago Police $6.50

005 City Of Chicago Police $748.53

005 City Of Chicago Police $6.50

005 City Of Chicago Police $52.04

005 City Of Chicago Police $6.50

005 City Of Chicago Police $524.22

005 City Of Chicago Police $115.46

022 City Of Chicago Police $101.70

022 City Of Chicago Police $477.05

022 City Of Chicago Police $6.50

044 City Of Chicago Police $774.58

019 City Of Chicago Police $6.50

019 City Of Chicago Police $340.00

019 City Of Chicago Police $10.00

019 City Of Chicago Police $153.15

019 City Of Chicago Police $140.00

019 City Of Chicago Police $295.00

019 City Of Chicago Police $475.00

019 . City Of Chicago Police $101.70

019 City Of Chicago Police $402.60

019 City Of Chicago Police $6.50

019 City Of Chicago Police $235.75

019 City Of Chicago Police $6.50

City Of Chicago Police $846.35

City Of Chicago - Confidential

Page 223 of 314

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 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010

HATTER, HATTER, HATTER, HATTER, HATTER, HATTER, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY, HARVEY,

COREY

MARLON

9161 9161 9161 9161 9161 9161

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

lice lice lice Jice ilice lice lice lice ilice ilice lice lice ilice lice lice ilice ilice lice lice lice lice lice lice lice lice ilice ilice ilice ilice lice lice lice lice

$932.09

$6.50

$961.25

$6.50

$8.13

$6.50

$340.75

$6.50

$1.01

$6.50

$1.01

$6.50

$1.01

$6.50

$1.01 '

$419.40

$754.90

$340.75

$408.90

City Of Chicago - Confidential

Page 224 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 02/09/2010 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011

HARVEY, MARLON HARVEY, MARLON HARVEY, MARLON HARVEY, MARLON HARVEY, MARLON HARVEY, MARLON HARVEY, MARLON HARVEY, MARLON HARVEY, MARLON HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARTZ, DOUGLAS HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE

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

018 018 018 018 018 018 018 018 018 018 018 018 006 006 006 006 006 006 006 006 006 006 006 006

ty O

ity O tyO tyO ity O tyO ty O ty O ty O ty O ty Ol tyOi tyOi tyOi tyOi tyO; ty O ty O ityO: ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ty O ity O

>f Chicago Police >f Chicago Police if Chicago Police if Chicago Police if Chicago Police if Chicago Police f Chicago Police f Chicago Police, f Chicago Police f Chicago Police f Chicago Police f Chicago-Police f Chicago Police f Chicago Police if Chicago Police f Chicago Police f Chicago Police if Chicago Police f Chicago Police if Chicago Police f Chicago Police f Chicago Police f Chicago Police if Chicago Police f Chicago Police f Chicago Police if Chicago Police f Chicago Police f Chicago Police f Chicago Police f Chicago Police f Chicago Police f Chicago Police

$6.50

$408.90

$817.80

$83.67

$6.50

$18.46

$13.97

$162.73

$16.05

$18.46

$187.19

$18.46

$141.69

$187.19

$18.46

$6.50

$1.31

$6.50

$4.02

$6.50

$3.80

$6.50

$4.41

$41.94

$69.19

City Of Chicago - Confidential

Page 225 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/17/2011 HARRIS, JANICE

04/19/2010 HARRIS, CHARLESTON

03/30/2011 HANRAHAN, RICHARD

02/23/2011 HAMMOND, MICHAEL

10/29/2010 HAMMERMEISTER, CRAIG

04/17/2011 HAMILTON, THOMAS

03/11/2011 HAMILTON, MELINDA

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3248 3248 3248 3248 9161 9161 9161 9161 9161 9161 9161 9161

006 006 006 006 006 006 006 123 123 123 123

640 640 640 640

City City City

lice lice lice 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 lice

$333.02

$313.74

$364.54

$108.45

$320.82

$6.50

$210.41

$5.38

$6.50

$110.00

$6.50

$209.69

$6.50

$77.59

$101.70

$203.44

$57.53

$6.50

$7.00

$6.50

$209.69

$841.19

$745.07

$948.95

$192.82

$56.56

$6.50

$10.38

$6.50

$40.71

City Of Chicago - Confidential

Page 226 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/11/2011 03/11/2011 03/11/2011 03/11/2011 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 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

HAMILTON HAMILTON HAMILTON HAMILTON HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN

MELINDA MELINDA MELINDA MELINDA SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN . SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN

9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164 9164

City City City

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

ity Of City Of City Of City Of City Of

City City City

City Of

City Ol City Ol

lice lice lice lice lice lice lice lice lice 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

$33.35

$6.50

$38.58

$196.14

$238.53

$190.82

$218.82

$190.82

$6.50

$21.23

$6.50

$21.23

$6.50

$16.53

$6.50

$18.81

$6.50

$16.53

$6.50

$18.81

$6.50

$14.11

$6.50

$14.11

$6.50

$18.81

$6.50

$18.81

$6.50

$18.81

$6.50

City Of Chicago - Confidential

Page 227 of 314

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

10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 10/02/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010 12/31/2010

HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN HALLINAN

SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN SHAWN

HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS HALEAS, DEMETRIOS

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

014 014 014 014 014 014 014 014 014 014 014

City City City

lice lice lice lice lice lice Jice lice lice lice ilice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice lice lice lice lice lice lice lice lice lice lice lice

$19.33

$6.50

$23.51

$6.50

$18.81

$6.50

$21.57

$6.50

$18.81

$6.50

$18.81

$215.32

$167.62

$190.82

$167.62

$190.82

$143.12

$190.82

$40.80

$154.74

$410.87

$571.63

$6.50

$34.14

$6.50

$40.68

$6.50

$32.56

City Of Chicago - Confidential

Page 228 of 314

Incident Date Claimant Rank

12/31/2010 HALEAS, DEMETRIOS 9161

03/17/2011 HAGANS JR, CURTIS 3947

03/11/2011 HAESE, ALLISON 3295

01/18/2008 Grzemski, Frank P

08/03/2006 Groh, Joseph R P

08/03/2006 Groh, Joseph R ' P

08/03/2006 Groh, Joseph R P

Unit of Insured Total to be Paid

014 City Of Chicago Police $6.50

014 City Of Chicago Police $35.81

014 City Of Chicago Police $361.73

701 City Of Chicago Police $6.50

701 City Of Chicago Police $279.25

701 City Of Chicago Police $16.06

153 City Of Chicago Police $50.75

153 City Of Chicago Police $6.50

00610 City Of Chicago Police $894.27

00024 City Of Chicago Police $18.80

00024 City Of Chicago Police $26.78

00024 City Of Chicago Police $68.15

00024 City Of Chicago Police $101.70

00024 City Of Chicago Police $190.72

00024 City Of Chicago Police $143.01

00024 City Of Chicago Police $190.72

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $18.80

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $18.80

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $222.66

City Of Chicago - Confidential

Page 229 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010

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 Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia

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 00006

City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po, City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago 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 Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol / Of Chicago Po i Of Chicago Po / Of Chicago Pol / Of Chicago Pol / Of Chicago Po i Of Chicago Po City Of Chicago Pol

City

City (

City

City!

lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice Jice ilice ilice ilice ilice ilice lice ilice ilice lice lice lice lice lice lice lice ilice lice

$6.50

$89.87

$6.50

$18.80

$6.50

$18.80

$6.50

$18.80

$6.50

$14.09

$6.50

$18.80

$6.50

$18.80

$6.50

$18.80

$6.50

$266.00

$96.62

$283.01

$116.22

$190.82

$197.20

$170.78

$170.06

$1.17

$170.06

$28.45

$11.46

$18.81

$19.44

$16.84

City Of Chicago - Confidential

Page 230 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 01/25/2007 01/25/2007 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 10/16/2005 10/16/2005 10/16/2005 10/16/2005 10/16/2005 .10/16/2005 10/16/2005 10/16/2005

Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Granado, Tonacia Goode, Robert E Iii Goode, Robert E Iii Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen Gleason-Galich, Colleen. Gleason-Galich, Colleen

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

00003 00003 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00016 00016 00016 00016 00016 00016 00016 00016

$16.77

$343

$170.06

$6.50

$44.13

$6.50

$27.83

$6.50

$3.30

$6.50

$961.65

$6.50

$19.18

$6.50

$30.77

$87.36

$611.36

$872.77

$602.12

$19.48

$6.50

$19.18

$199.20

$141.55

$199.20

$149.40

$199.20

City Of Chicago - Confidential

Page 231 of 314

Incident Date Claimant Rank

10/16/2005 Gleason-Galich, Colleen P

10/1'6/2005 Gleason-Galich, Colleen P

10/16/2005 Gleason-Galich, Colleen P

10/21/2007 Gawlowski, Iwona P

10/21/2007 Gawlowski, iwona P

10/21/2007 Gawlowski, Iwona P

Unit of_Insured_. Total to be Paid

00016 City Of Chicago Police $174.96

00016 City Of Chicago Police $42.23

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $9.22

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $9.28

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $9.77

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $9.28

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $9.28

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $9.28

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $6.98

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $9.33

00016 City Of Chicago Police $224.10

00006 City Of Chicago Police $886.82

00006 City Of Chicago Police $208.00

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $15.24

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $7.62

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $19.11

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $22.98

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $7.62

00006 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 232 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 04/18/2011 10/10/2010 10/10/2010 10/10/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 11/25/2008 11/25/2008 10/02/2010 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011

Gawlowski, Iwona Gawlowski, Iwona Gawlowski, Iwona Gawlowski, Iwona Gawlowski, Iwona Gawlowski, Iwona Gawlowski, Iwona Gawlowski, Iwona Gawlowski, Iwona GUZMAN, PEDRO GUNNING, JOSEPH GUNNING, JOSEPH GUNNING, JOSEPH GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GROBLA, MAREK GROBLA, MAREK GRIFFIN, RICHARD GRIFFIN II, EDDIE GRIFFIN II, EDDIE GRIFFIN II, EDDIE GRIFFIN II, EDDIE GRIFFIN II, EDDIE GRIFFIN II, EDDIE

P P

P "

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

00006 00006 00006 00006 00006 00006 00006 00006 00006 153

002 002 006

$15.24

$6.50

$7.62

$416.00

$208.00

$592.00

$208.00

$416.00

$504.00

$6.50

$1.85

$125.96

$6.50

$173.77

$74.86

$6.50

$57.93

$6.50

$7.06

$2.35

$58.34

$6.50

$3.04

$6.50

$534.28

$6.50

$20.80

$6.50

$20.80

$6.50

$145.86

City Of Chicago - Confidential

Page 233 of 314

incident Date Claimant_Rank

02/17/2011 GRIFFIN II, EDDIE 3286

09/01/2010 GREY, KATRINA 9161

03/26/2011 GREVE, TIMOTHY 9161

03/26/2011 . GREVE, TIMOTHY 9161

03/26/2011 GREVE, TIMOTHY 9161

03/26/2011 GREVE,.TIMOTHY 9161

03/26/2011 GREVE, TIMOTHY 9161

08/26/2010 GREER, HOWARD

07/18/2010 GREEN, SINGLETON 9161

10/20/2009 GRAVES, ROBERT 9165

Unit of Insured Total to be Paid

City Of Chicago Police $145.86

City Of Chicago Police $101.17

City Of Chicago Police $14.98

023 City Of Chicago Police $24.14

022 City Of Chicago Police $88.07

022 City Of Chicago Police $197.74

022 City Of Chicago Police $83.88

022 City Of Chicago Police $31.88

022 City Of Chicago Police $6.50

022 City Of Chicago Police $31.82

022 City Of Chicago Police $6.50

022 City Of Chicago Police " $6.50

022 City Of Chicago Police $6.50

022 City Of Chicago Police ■ $6.50

022 City Of Chicago Police $6.50

022 City Of Chicago Police $6.50 {

022 City Of Chicago Police $210.00

022 City Of Chicago Police $68.15

022 City Of Chicago Police $553.52

022 City Of Chicago Police $754.80

022 City Of Chicago Police $6.50

City Of Chicago Police $116.24

021 City Of Chicago Police $24.04

City Of Chicago Police $209.75 ,

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 234 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/20/2009 GRAVES, ROBERT

12/16/2010 GRASSER, ANGELE

05/19/2010 GRANNES, DANIEL

11/21/2010 GOUGIS, JEFFREY

04/10/2011 GORZKOWSKI, TIMOTHY

9165 9161 9161 9161 9161 9161 9161 9161 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

ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Po! ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol

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 Jice lice lice Jice lice Jice

$3.08

$96.62

$1.17

$6.50

$1.17

$6.50

$1.17

$6.50

$700.62

$17.75

$0.21

$95.47

$15.74

$333.84

$160.79

$6.50

$1.15

$6.50

$2.87

$6.50

$58.76

$6.50

$5.48

$6.50

$4.11

$31.88

$237.41

$452.19

City Of Chicago - Confidential

Page 235 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/08/2011 GOOSHERST, DANIEL

05/17/2010 GOODE, REGINA

05/17/2010 GOODE, REGINA .

11/11/2009 GONZALEZ, JOSE A

08/26/2010 GONZALEZ, FRANCISCO

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 P.O. P.O. P.O. 9206

253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 253 057 057 057

ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol

lice lice lice lice lice lice lice lice lice lice lice lice lice ilice ilice lice lice lice lice lice lice lice lice lice lice Jice lice Jice Jice Jice Jice Jice Jice

$16.87

$143.12

$171.12

$74.86

$6.50

$16.87

$6.50

$18.81

$6.50

$16.87

$6.50

$19.29

$6.50

$14.11

$6.50

$14.11

$6.50

$3.04

$171.12

$190.82

$171.12

$195.62

$4.59

$6.50

$229.16

$58.12

$2.88

$6.50

$2.88

$6.50

$2.88

City Of Chicago - Confidential

Page 236 of 314

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

08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010 08/26/2010

GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ, GONZALEZ,

FRANCISCO

FRANCISCO '

FRANCISCO

Poli Poli Poli

City City City

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

$6.50

$352.65

$420.80

$352.65

$230.28

$352.65

$298.43

$230.28

$298.43

$352.65

$230.28

$196.46

City Of Chicago - Confidential

Page 237 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/26/2010 GONZALEZ, FRANCISCO

04/29/2010 GONZALEZ, BILLY

04/09/2011 GONZALEZ JR., MANUEL

09/17/2009 GOMEZ, MARILYN

10/13/2010 GOMEZ, ALEX

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

044 044 044 044 044 044 044 044 044 014 014 014 014 014 014 014 014 014

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Po ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$196.46

$472.32

$6.50

$6.94

$6.50

$169.31

$180.12

$2.49

$6.50

$62.07

$141.74

$3.57

$6.50

$3.48

$6.50

$220.68

$8.15

$89.12

$2.50

$6.50

$4.88

$191.52

$1.31

$6.50

$98.10

$6.50

$27.62

$6.50

$47.34

$501.12

City Of Chicago - Confidential

Page 238 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 10/23/2010 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 08/19/2009 08/19/2009 08/19/2009 08/19/2009

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 GOLDEN, KENNETH GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, JAMES GOLBECK, 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 9161

019 016 016 016 016 016 016 016 016 016 016 016 016

City City City

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 tice tice lice lice lice lice Jice

$779.95

$600.74

$821.91

$988.61

$408.00

$440.70

$6.50

$10.32

$713.70

$6.50

$313.44

$225.44

$224.01

$6.50

$13.50

$6.50

$52.18

$6.50

$7.23

$6.50

$221.72

$84.92

$206.56

City Of Chicago - Confidential

Page 239 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 08/19/2009 12/21/2010 12/21/2010 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/22/2009 03/22/2009 03/22/2009 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010

GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GOCHEE, JAMES GILLESPIE, ANTHONY GILLESPIE, ANTHONY GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBONS, ANTHONY GIBBELINA, JOHN GIBBELINA, JOHN GIBBELINA, JOHN GIBBELINA, JOHN GIBBELINA, 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

0454 0454

477 477 477 017 017 017 017 017

ity O tyOi ityOi ity Oi ity Oi ty O ty O ty O ty O tyO tyO ty O ty O ty O ty O ty O ity O ity O ity O ity O ity O ity O ity O ity O ity Ol ityOI ity Ol ity Ol ity Ol ty Ol ty Ol ity Oi ity Ol

f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

lice lice lice lice lice lice Jice lice lice lice Jice Jice Jice lice lice lice Jice Jice Jice Jice dice Jice Jice lice lice lice lice lice lice lice lice lice lice

$413.12

$6.50

$47.57

$36.04

$6.50

$36.04

$72.08

$84.92

$206.56

$454.62

$6.50

$89.12

$167.75

$1.31

$61.24

$9.65

$6.50

$649.94

$100.98

$6.50

$3.84

$13.97

$50.16

$6.50

$7.66

City Of Chicago - Confidential

Page 240 of 314

Incident Date Claimant Rank

12/16/2010 GIBBELINA, JOHN 9161

12/16/2010 GIBBELINA, JOHN ,9161

12/16/2010 GIBBELINA, JOHN 9161

12/16/2010 GIBBELINA, JOHN * 9161

12/16/2010 GIBBELINA, JOHN 9161

07/22/2010 GIANNOS, ELIAS 9161

Unit of Insured Total to be Paid

017 City Of Chicago Police $6.50

017 City Of Chicago Police $159.12

017 City Of Chicago Police $6.50

017 ' City Of Chicago Police $12.11

017 City Of Chicago Police $6.50

017 City Of Chicago Police $62.31

017 City Of Chicago Police $6.50

017 City Of Chicago Police $79.33

017. City Of Chicago Police $6.50

017 City Of Chicago Police $13.71

017 City Of Chicago Police $218.09

017 City Of Chicago Police $235.30

017 City Of Chicago Police $224.53

017 City Of Chicago Police $231.66

017 City Of Chicago Police $238.48

017 City Of Chicago Police $299.37

017 City Of Chicago Police $239.25

017 City Of Chicago Police $478.50

017 City Of Chicago Police $6.50

017 City Of Chicago Police $11.02

017 City Of Chicago Police $6.50

017 City Of Chicago Police $12.91

017 City Of Chicago Police $6.50

017 City Of Chicago Police $13.32

017 City Of Chicago Police $6.50

019 City Of Chicago Police $15.56

019 City Of Chicago Police $247.03

019 City Of Chicago Police $20.96

City Of Chicago - Confidential

Page 241 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/22/2010 GIANGROSSO, CARL

03/17/2011 GEORGOPOULOS, GEORGE

06/10/2010 GEORGE, PARRIS

09/01/2010 GAYTAN, PEGGY

11/28/2009 GAYTAN, LUIS

03/05/2011 GASKEW, DORIS

04/20/2011 GARDNER, KEVIN

05/26/2010 GARCIA, MARGARITA

9161 9161 9161 .9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 3286

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

020 020 020

017 017 017 017 007 007 007 007 007 018 018 018 018 018 018 018

City City City City City <

City Ol City Ol City Ol City Ol City Ol City Ol City Oi

City ( City <

go Pol

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

lice lice ilice lice ilice ilice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice Jice Jice lice Jice Jice lice lice lice lice Jice lice lice Jice

$6.50

$5.47

$6.50

$81.60

$6.50

$263.52

$65.32

$202.35

$65.32

$6.50

$5.47

$14.19

$6.50

$555.41

$6.50

$180.81

$35.48

$63.12

$431.26

$164.12

$9.14

$6.50

$29.36

$119.25

$6.50

$18.78

$1-1.96

$44.95

$101.70

$190.61

City Of Chicago - Confidential

Page 242 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 07/11/2010 07/11/2010 07/11/2010 05/05/2010 01/11/2011 01/11/2011 01/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011

GARCIA, MARGARITA GARCIA, MARGARITA GARCIA, MARGARITA GARCIA, MARGARITA GARCIA, MARGARITA GARCIA, MARGARITA GARCIA, JOSE GARCIA, JOSE GARCIA, JOSE GARCIA, ANTHONY GARCIA, ADOLFO GARCIA, ADOLFO GARCIA, ADOLFO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO ■ GARAY, RODRIGO GARAY, RODRIGO

9161 9161 9161 9161 9161 9161

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

018 018 018 018 018 018

011 701 701 701

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

City < City City ( City

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice 'lice 'lice lice lice Jice lice lice lice lice lice

$190.61

$6.50

$18.78

$6.50

$18.78

$14.75

$113.75

$6.50

$28.56

$486.00

$1.49

$6.50

$5.51

$6.50

$4.92

$6.50

$1.86

$6.50

$1.28

$6.50

$4.92

$6.50

$2.44

$6.50

$4.92

$6.50

$66.49

$6.50

$12.94

$168.75

City Of Chicago - Confidential

Page 243 of 314

Incident Date Claimant Rank

04/11/2011 GARAY, RODRIGO 9161

Unit of Insured Total to be Paid

City Of Chicago Police $67.90

City Of Chicago Police $9.12

City Of Chicago Police $5.29

City Of Chicago Police $15.92

City Of Chicago Police $215.00

City Of Chicago Police $283.10

City Of Chicago Police $97.32

City Of Chicago Police $260.26

City Of Chicago Police $235.62

City Of Chicago Police $318.01

City Of Chicago Police $283.96

City Of Chicago Police $107.18

City Of Chicago Police $73.96

City Of Chicago Police $283.96

City Of Chicago Police $141.03

City Of Chicago Police $283.96

City Of Chicago Police $6.50

City Of Chicago Police $4.91

City Of Chicago Police $6.50

City Of Chicago Police $1.68

City Of Chicago Police $6.50

City Of Chicago Police $4.51

City Of Chicago Police $6.50

City Of Chicago Police $4.08

City Of Chicago Police $6.50

City Of Chicago Police $5.51

City Of Chicago - Confidential

Page 244 of 314

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 Of Chicago Pol Of Chicago Pol 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

04/11/2011 04/11/2011 04/11/2011 04/11/2011 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 07/16/2010 03/13/2011 03/13/2011 05/26/2010 02/27/2011 02/27/2011 09/17/2006 09/17/2006 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007

GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GAMEZ, ISRAEL GAMBLE, TYRONE GAMBLE, TYRONE GALLARDO, SAUL GAETA, JAIME . GAETA, JAIME Frano, John W Frano, John W Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita

9161 9161 9161 9161

9161

3286

9161

3286

011 011

006

00015

00376

City City City

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

$6.50 $5.51 $6.50 $5.51 $95.60 $194.16 $6.50 $1.40 $6.50 $152.34 $6.50 $54.21 $6.50 $25.24 $49.96 $41.05 $157.26 $6.50 $76.66 $31.88 $6.50 $529.45 $6.50 $96.62 $7.52 $239.89 $463.84 $824.04 ■ $6.50 ' $6.50 $1.17 $6.50 $17.26

City Of Chicago - Confidential

Page 245 of 314

Incident Date Claimant Rank

07/22/2007 Fenner, Lolita P

07/01/2010 FUENTES, EIBAR 9161

04/01/2011 FRANO, JOHN ' 9161

04/01/2011 FRANO, JOHN 9161

01/20/2011 FOSTER, TERESA 9161

04/07/2011 FOSCO, ANTHONY 9160

09/17/2010 FORD, BRUCE

11/06/2010 FOLINO, ANTHONY- 9161

11/06/2010 FOLINO, ANTHONY 9161

10/17/2010 FOERTSCH, JOHN 9161

03/08/2011 FLYNN, SEAN P.O.

Unit of Insured Total to be Paid

00376 City Of Chicago Police $6.50

00376 City Of Chicago Police $33.99

393 City Of Chicago Police $26.12

015 City Of Chicago Police $19.70

015 City Of Chicago Police $110.62

015 City Of Chicago Police $6.50

015 City Of Chicago Police $16.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $37.75

015 City Of Chicago Police $408.59

004 City Of Chicago Police $6.50

542 City Of Chicago Police $0.52

542 City Of Chicago Police $111.63

542 City Of Chicago Police $6.50

City Of Chicago Police $137.45

City Of Chicago Police $46.92

City Of Chicago Police $24.99

City Of Chicago Police $46.92

City Of Chicago Police $24.99

City Of Chicago Police $46.92

City Of Chicago Police $24.99

003 City Of Chicago Police $6.50

003 City Of Chicago Police $8.16

003 City Of Chicago Police $6.50

003 City Of Chicago Police $5.23

003 City Of Chicago Police $5.22

003 City Of Chicago Police $141.99

003 City Of Chicago Police $65.32

003 City Of Chicago Police $6.50

011 City Of Chicago Police $579.36

City Of Chicago - Confidential

Page 246 of 314

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

03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011

FLYNN,SEAN FLYNN, SEAN FLYNN, SEAN FLYNN,SEAN FLYNN,SEAN FLYNN,SEAN FLYNN,SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN,SEAN FLYNN,SEAN FLYNN, SEAN FLORES, VICTOR

FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES

VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR

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. 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

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

City City City

lice lice lice lice >lice lice dice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice

$292.80

$468.02

$11.98

$6.50

$234.01

$14.82

$6.50

$48.50

$6.50

$51.36

$6.50

$5.99

$6.50

$16.84

$6.50

$11.73

$6.50

$35.15

$6.50

$12.66

$6.50

$12.65

$6.50

$12.65

$6.50

$1.09

$6.50

$12.66

$6.50

$14.09

$6.50

$12.66

City Of Chicago - Confidential

Page 247 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011

FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES

VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

City City City

lice lice lice lice Jice lice lice lice lice 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

$1.09

$6.50

$12.66

$6.50

$10.38

$6.50

$12.66

$6.50

$223.10

$6.50

$2.04

$6.50

$5.41

$6.50

$58.76

$119.91

$119.00

$128.44

$128.34

$128.44

$143.01

$128.44

$105.24

$128.44

$446.66

$98.55

$89.64

City Of Chicago - Confidential

Page 248 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 01/24/2011 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 08/28/2010 08/28/2010 04/09/2011 04/09/2011 04/09/2011 01/28/2011

FLORES, FLORES, FLORES, FLORES, FLORES, FLORES, FLORES, FLORES, FLORES FLORES FLORES, FLORES FLORES FLORES FLORES, FLORES, FLORES, FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FLORES FISHER,

VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR , VICTOR VICTOR VICTOR VICTOR VICTOR VICTOR SAMUEL SAMUEL SAMUEL ,SAMUEL SAMUEL ,SAMUEL ,SAMUEL ,SAMUEL JULIO JULIO FERNANDO FERNANDO ,FERNANDO APRIL

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

189 189 189 189 189 189 189 189 025 025 017 017 017

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 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 Poll 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 I Of Chicago Pol / Of Chicago Pol / Of Chicago Poli i Of Chicago Pol City Of Chicago Poli City Of Chicago Pol

City < City ( City ( City i

ce ■

.ce

ice

$168.66

$446.66

$456.00

$95.47

$107.56

$6.50

$2.75

$6.50

$1.15

$6.50

$5.41

$6.50

$26.11

$6.50

$1.19

$6.50

$1.09

$6.50

$11.82

$6.50

$555.66

$681.50

$545.20

$6.50

$32.07

$70.80

$6.50

$5.45

$71.11

$6.50

City Of Chicago - Confidential

Page 249 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/28/2011 01/28/2011 01/28/2011 01/28/2011 04/08/2011 04/08/2011 04/08/2011 04/08/2011 04/08/2011 11/18/2008 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 05/20/2010 05/20/2010 01/09/2010 04/02/2011 04/02/2011 04/02/2011 04/02/2011 04/02/2011 08/28/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010 09/16/2010

FISHER, APRIL FISHER, APRIL FISHER, APRIL FISHER, APRIL FISHER, APRIL FISHER, APRIL FISHER, APRIL FISHER, APRIL FISHER, APRIL FINLEY, ALLEN FIELDS, LAWRENCE FIELDS, LAWRENCE FIELDS, LAWRENCE FIELDS, LAWRENCE FIELDS, LAWRENCE FIELDS, LAWRENCE FIELDS, LAWRENCE FIELDS, JEROHN FIELDS, JEROHN FERENZI, RICHARD FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FEREK, DANIEL FENNER, LOLITA FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER FEIL, CHRISTOPHER

3286 3286 3286 3286 9161 9161 9161 9161 9161

9161 9161 9161 9169 9169 9169 9169 9169

9161 9161 9161 9161 9161 9161 9161

002 002 153 055 055 055 055 055

393 393 393 393 393 393 393

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

City City City City

lice ilice Jice lice lice lice lice lice ilice lice lice lice lice ilice lice lice lice lice lice Jice lice Jice lice lice lice lice lice lice lice Jice Jice Jice Jice

$6.50

$80.00

$6.50

$86.52

$6.50

$364.00

$28.70

$96.62

$6.50

$1.17

$96.62

$6.50

$990.74

$234.00

$66.24

$100.80

$412.11

$6.50

$25.04

$15.62

$6.50

$12.54

$6.50

$1.79

$250.00

City Of Chicago - Confidential

Page 250 of 314

Incident Date Claimant Rank

09/16/2010 FEIL,-CHRISTOPHER 9161

09/16/2010 FEIL, CHRISTOPHER 9161

08/16/2000 Edenhofer, Carleen P

11/20/2010 EWING, DEAN 9161

Unit of_Insured_Total to be Paid

393 City Of Chicago Police $385.25

393 City Of Chicago Police $91.00

393 City Of Chicago Police $218.06

393 City Of Chicago Police $7.87

393 City Of Chicago Police $6.50

393 City Of Chicago Police $491.75

393 City Of Chicago Police $124.92

393 City Of Chicago Police $37.49

393 City Of Chicago Police ■ $88.07

393 City Of Chicago Police $102.60

393 City Of Chicago Police $6.50

00016 City Of Chicago Police $176.67

00016 City Of Chicago Police $4.81

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $4.81

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $4.81

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $444.64

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $4.51

00016 City Of Chicago Police $6.50

00016 City Of Chicago Police $188.40

00016 City Of Chicago Police $141.55

00016 City Of Chicago Police $6.50

005 City Of Chicago Police $6.50

005 City Of Chicago Police $3.68

005 City Of Chicago Police $6.50

005 City Of Chicago Police $303.79

005 City Of Chicago Police $28.81

005 City Of Chicago Police $645.32

City Of Chicago - Confidential

Page 251 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/20/2010 EWING, DEAN

12/18/2009 ESPARZA HALL, ALEXSANDRI

07/27/2010 ESCOBAR, GONZALO

04/18/2011 ENG, DOUGLAS

11/23/2008 ELIZONDO JR, ALEXANDER

07/02/2010 EDWARDS, JEFFREY

9161 9161 9161 9161 9161

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

005 005 005 005 005 115 115 115 115 115 115 115 115 002 002 002 002 015 015 015 015 015 015 015 015

015 015 015 015 015 015

$1.17

$6.50

$17.48

$96.62

$6.50

$147.68

$62.37

$0.07

$6.50

$11.91

$15.32

$130.00

$43.70

$6.50

$56.26

$187.77

$1.09

$27.50

$37.28

$6.50

$4.80

$189.63

$6.50 ■

$264.75

$140.25

$15.36

$6.50

$10.75

$6.50

City Of Chicago - Confidential

Page 252 of 314

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

06/15/2009 01/19/2010 04/03/2011 04/03/2011 04/03/2011 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010

EDWARDS, EDWARDS, EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS EDWARDS

JASON JASON JR, ELMORE

ELMORE

ELMORE,

ELMORE

9161 9161 9161 9161 9161

018 018 018

City City City

Poli Poll Poli

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

$24.27

$48.08

$57.59

$10.63

$6.50

$6.65

$6.50

$24.39

$6.50

$22.37

$6.50

$5.88

$6.50

$40.19

$6.50

$8.34

$6.50

$10.63

$6.50

$9.24

$6.50

$19.86

$6.50

$5.12

$422.32

$212.21

$222.68

$546.86

$379.88

$144.27

$150.19

$85.24

City Of Chicago - Confidential

Page 253 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 12/09/2010 08/08/2010 08/02/1998 08/02/1998 08/02/1998 08/02/1998 08/02/1998 08/02/1998 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007 11/05/2007

EDWARDS JR, ELMORE EDWARDS JR, ELMORE EDWARDS JR, ELMORE EDWARDS JR, ELMORE EDWARDS JR, ELMORE EDWARDS JR, ELMORE EDWARDS JR, ELMORE ECHEVERRIA, CESAR Dzido, Christina Dzido, Christina Dzido, Christina Dzido, Christina Dzido, Christina Dzido, Christina Dwyer, Patrick T

Dwyer, Dwyer, Dwyer, Dwyer, Dwyer, Dwyer, Dwyer, Dwyer, Dwyer, Dwyer Dwyer, Dwyer, Dwyer Dwyer Dwyer Dwyer Dwyer, Dwyer,

Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T Patrick T

00002 00002 00002 00002 00002 00002 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025

ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

lice lice lice lice Jice lice Jice Jice Jice Jice licence Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice lice lice lice

$57.59

$42.65

$6.50

$13.66

$6.50

$6.65

$6.50

$29.25

$6.50

$0.14

$354.95

$4.29

$11.37

$6.50

$200.25

$60.51

$228.37

$68.98

$259.12

$228.37

$188.94

$300.58

$89.12

$360.65

$82.09

$6.50

$3.35

$6.50

$99.55

$6.50

$1.01

$6.50

City Of Chicago - Confidential

Page 254 of 314

Incident Date Claimant Rank

11/05/2007 Dwyer, Patrick T P

07/14/1988 Domagala, Bernard P

09/09/2008 Dipasquale, Shannon V P

04/04/2011 DUNN III, GEORGE 9161

Unit of_Insured_Total to be Paid

00025 City Of Chicago Police $3.80

00025 City Of Chicago Police $6.50

00025 City Of Chicago Police ' $3.35

00025 City Of Chicago Police $6.50

00025 City Of Chicago Police . $2.77

00025 City Of Chicago Police $6.50

00025 City Of Chicago Police $4.41

00025 City Of Chicago Police $6.50

00025 City Of Chicago Police $1.31

00025 City Of Chicago Police $6.50

00025 City Of Chicago Police $5.29

00025 City Of Chicago Police $6.50

00025 City Of Chicago Police $558.00

09999 City Of Chicago Police $25.19

00013 City Of Chicago Police $6.50

189 City Of Chicago Police $7.23

189 City Of Chicago Police $6.50

189 City Of Chicago Police $691.02

189 City Of Chicago Police $83.45

189 City Of Chicago Police $177.18

189 City Of Chicago Police $83.45

189 City Of Chicago Police - $178.24

189 City Of Chicago Police $37.75

189 City Of Chicago Police $147.03

189 City Of Chicago Police $6.50

189 City Of Chicago Police $17.66

189 City Of Chicago Police $6.50

189 City Of Chicago Police $2.13

189 City Of Chicago Police $6.50

189 City Of Chicago Police $2.13

189 City Of Chicago Police $6.50

189 City Of Chicago Police $1.00

City Of Chicago - Confidential

Page 255 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/04/2011 04/04/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011

DUNN III, DUNN III, DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE DUBOSE

GEORGE GEORGE JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA JR, ALFONSIA

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

189 189

City! City ( City (

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 Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol Chicago Pol Chicago Pol Chicago Pol Chicago Pol Chicago Pol City Of Chicago Pol City Of Chicago Pol Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol icago Pol licago Pol Chicago Poi Chicago Pol

City O City 01 City O City O City O

Cityl City( City

City Ol City O City O City O

Chit Chit

lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice Jice Jice lice lice lice lice lice lice

$6.50

$36.71

$6.50

$26.10

$227.65

$202.74

$153.90 -

$197.71

$153.90

$159.87

$195.39

$271.03

$314.71

$189.42

$151.58

$153.90

$157.16

$141.91

$367.63

$18.32

$6.50

$50.64

$6.50

$31.74

$6.50

$36.71

$6.50

$32.44

$6.50

$36.71

City Of Chicago - Confidential

Page 256 of 314

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 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 Of Chicago Pol Of Chicago Pol 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

02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011-02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 02/26/2011 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010

DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA -DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DUBOSE JR, ALFONSIA DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN DRAGON, JEAN

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

City City City

lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice Jice lice ilice ilice ilice ilice lice lice lice lice lice lice lice lice lice lice

$6.50

$36.71

$6.50

$25.93

$6.50

$25.93

$6.50

$32.98

$6.50

$15.57

$6.50

$52.56

$6.50

$2.08

$6.50

$43.76

$37.24

$6.50

$84.92

$7.11

$245.30

$119.82

$137.61

$201.60

$8.55

$98.12

$216.96

$68.01

$706.59

$219.15

$393.33

$212.91

City Of Chicago - Confidential

Page 257 of 314

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

05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 05/12/2010 01/11/2011 01/11/2011 01/11/2011

DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DRAGON, DOWNEY, DOWNEY, DOWNEY,

JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN JEAN

CORNELIUS CORNELIUS CORNELIUS

City City City

3286 3286 3286

002 002 002

lice lice lice lice lice lice lice lice lice 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

$15.92

$6.50

$7.78

$6.50

$8.93

$6.50

$13.08

$6.50

$0.55

$6.50

$6.37

$6.50

$14.08

$6.50

$4.41

$6.50

$40.64

$6.50

$14.22

$6.50

$25.53

$6.50

$13.82

$0.18

$615.60

$84.92

$6.50

$67.63

$5.18

City Of Chicago - Confidential

Page 258 of 314

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

02/13/2011 02/13/2011 02/13/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 05/19/2010 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 12/02/2010 09/12/2009 09/12/2009 02/16/2011 02/16/2011 02/16/2011 02/16/2011 03/20/2010 03/20/2010 03/20/2010

DINEEN, JOHN DINEEN, JOHN DINEEN, JOHN DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIEHL, STEVEN DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DICARLO, ANTONIO DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DENNIS, ANDRE DENNIS, ANDRE DELOLMO, EDGAR DELOLMO, EDGAR DELOLMO, EDGAR DELOLMO, EDGAR DELGADO JR, PABLO DELGADO JR, PABLO DELGADO JR, PABLO

3286 3286 3286

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

9161 9161 9161

025

023

011

044

005

009 009 009

City City City

lice lice lice 'lice lice tice 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

$98.45

$6.50

$12.08

$77.84

$6.50

$12.66

$6.50

$311.90

$24.04

$149.57

$209.69

$6.50

$8.60

$6.50

$140.33

$6.50

$8.07

$398.62

$740.03

$6.50

$249.11

$6.50

$41.52

$454.09

$40.64

$6.50

$42.00

$387.92

$6.50

$2.51

City Of Chicago - Confidential

Page 259 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/20/2010 DELGADO JR, PABLO

02/28/2011 DELATORRE JR., CARLOS

01/23/2011 DELANTY, JOHN

04/11/2011 DELANEY, RYAN

04/23/2011 DEL TORO, MIGUEL

9161 9161 9161 9161 9161 3286 3286 3286 9151 9151 9151 9151 9151 9151 9151 9151 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

009 009 009 009 009 044 044 044 608 608 608 608 608 608 608 608

ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Po! ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Poi ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice Jice lice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice

$6.50

$176.43

$103.78

$98.09

$12.00

$6.50

$3.16

$288.19

$6.50

$103.00

$12.00

$33.00

$75.50

$218.72

$207.41

$21.56

$6.50

$21.56

$6.50

$218.72

$249.52

$6.50

$20.44

$89.64

$41.70

$71.48

$1.09

$6.50

$0.50

City Of Chicago - Confidential

Page 260 of 314

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 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 Of Chicago Pol Of Chicago Pol 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

04/23/2011 DEL TORO, MIGUEL

06/27/2009 DEL BOSQUE, STEPHEN

04/25/2011 DEEREN, KEVIN

03/21/2010 DECKER, MICHAEL

08/31/2010 DEBOSE, MARC

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

9161 9161 9161 9161

022 022 022

City City City

315 315 315 315

lice 'lice lice lice lice lice lice lice 'lice 'lice 'lice 'lice ilice ilice ilice ilice ilice lice ilice lice lice lice lice lice ilice ilice ilice dice Jice lice lice ilice dice

$6.50

$1.15

$6.50

$0.86

$14.85

$6.50

$9.34

$6.50

$20.00

$162.40

$6.50

$71.18

$12.71

$104.03

$94.91

$208.85

$6.50

$571.41

$6.50

$80.52

$571.41

$6.50

$656.47

$467.25

$6.50

$2.99

$186.26

$2.26

City Of Chicago - Confidential

Page 261 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/31/2010 DEBOSE, MARC

01/20/2011 DEARTH, ROBERT

06/27/2010 DAVIS, QUINTON

08/26/2009 DAVIS, DANIELLE

04/26/2010 DARWIN, CHARLOTTE

04/09/2011 DARABAIH, MOHAMMAD

10/10/2010 DANILOV, VADIM

12/20/2010 DANILOV, VADIM

11/20/2009 DANIHEL, MICHAEL

09/19/2010 DANIELS, MARTIN

01/30/2011 DANGLES, ROBERT

9161 9161 3253 3253 3253 9161 9164 9164 9164 9164 9164 9164

9161 9161 9161 9161 9161 9161 9161 9161 9161

9161

315 315 701 701 701 701

044 044 044 044 044 044 024 024 024

023 022 022 022 022 022

ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty.Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice ilice ilice lice 'lice tice lice lice lice lice lice lice lice lice lice

$247.28

$6.50

$554.79

$6.71

$6.50

$167.11

$30.79

$16.47

$312.42

$23.30

$65.15

$2.25

$6.50

$86.31

$6.50

$0.40

$481.23

$52.05

$6.50

$2.11

$24.99

$108.43

$180.81

$5.35

$26.84

$3.30

$6.50

$110.00

$3.55

$6.50

City Of Chicago - Confidential

Page 262 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/30/2011 DANGLES, ROBERT

04/17/2011 DALY, EDMUND

10/04/2003 Craig, Niagara

08/09/1995 Costello-Czubernat, Bridget

9161

022 022 022 022

00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00011 00007 00007

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice ilice 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 lice

$6.50 $62.16 $87.36 $225.00 $249.71 $20.00 $157.26 $35.00 $6.50 $9.34 $6.50 $6.50 $6.50 $1.15 $162.40 $6.38 $6.50 $283.70 $653.37 $795.22 $128.32 $6.50 $55.98 $5.21 $14.32 $6.50 $32.98 $6.50 $40.14 $6.50 $6.50 $6.50 . $84.92

City Of Chicago - Confidential

Page 263 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/09/1995 08/09/1995 08/09/1995 08/09/1995 08/09/1995 08/09/1995 08/09/1995 08/09/1995 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/16/2006 12/17/2010 12/17/2010

Costello-Czubernat, Costello-Czubernat, Costello-Czubernat, Costello-Czubernat, Costello-Czubernat, Costello-Czubernat, Costello-Czubernat, Costello-Czubernat, Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Connelly, Dennis M Clancy, GERARD Clancy, GERARD

Bridget Bridget Bridget Bridget Bridget Bridget Bridget Bridget

P P P P P P P P S S S S S S S S S S S S S S S S S S S S S S S

9171 9171

00007

00022

025

ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity 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

$44.62

$64.54

$6.50

$64.54

$6.50

$64.54

$217^67

$235.14

$657.56

$445.68

$235.14

$657.56

$894.40

$235.14

$6.50

$0.81

$6.50

$0.27

$6.50

$0.81

$6.50

$0.69

$6.50

$0.27

$6.50

$0.81

$6.50

$0.31

$6.50

$28.24

$103.80

City Of Chicago - Confidential

Page 264 of 314

Incident Date Claimant Rank

12/17/2010 Clancy, GERARD 9171

08/16/2007 Chaparro, Eloisa P

08/16/2007 Chaparro, Eloisa . P

08/16/2007 Chaparro, Eloisa P

Unit of Insured Total to b*e Paid

025 City Of Chicago Police $32.61

025 City Of Chicago Police $6.50

00193 City Of Chicago Police $356.25

00193 City Of Chicago Police $110.81

00193 City Of Chicago Police $92.27

00193 City Of Chicago Police $54.52

00193 City Of Chicago Police $30.61

00193 City Of Chicago Police $136.29

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $50.42

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $47.02

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police, $6.50

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $15.26

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $15.26

00193 . City Of Chicago Police $6.50

00193 City Of Chicago Police $19.60

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police - $6.50

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $19.60

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $19.60

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $19.60

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $ 15.26

00193 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 265 of 314

Incident Date Claimant Rank

08/16/2007 Chaparro, Eloisa P

08/16/2007 Chaparro, Eloisa P-

08/16/2007 Chaparro, Eloisa P

07/29/2008 Campbell, Sean P P

11/06/2010 CZARNIK, MARK 9161

Unit of_Insured_Total to be Paid

00193 City Of Chicago Police $15.26

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $19.60

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $19.60

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $4.34

00193 City Of Chicago Police $6.50

00193 City Of Chicago Police $10.92

00193 City Of Chicago Police $154.83

00193 - City Of Chicago Police $198.86

00193 City Of Chicago Police $198.86

00193 City Of Chicago Police $154.83

00193 City Of Chicago Police $198.86

00193 City Of Chicago Police $44.03

00193 City Of Chicago Police $92.27

00008 City Of Chicago Police $51.99

00008 City Of Chicago Police $2.99

00008 City Of Chicago Police $6.50

023 City Of Chicago Police $6.50

023 City Of Chicago Police $522.50

023 City Of Chicago Police $6.50

023 City Of Chicago Police $6.32

023 City Of Chicago Police $6.50

023 City Of Chicago Police $7.01

023 City Of Chicago Police $6.50

023 City Of Chicago Police $3.16

City Of Chicago - Confidential

Page 266 of 314

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

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 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010

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 CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CZARNIK, MARK CYGNAR, BRIAN CYGNAR, BRIAN CYGNAR, BRIAN CYGNAR, BRIAN CYGNAR, BRIAN CYGNAR, BRIAN CURCIO, MICHAEL CURCIO, MICHAEL CURCIO, MICHAEL CURCIO, MICHAEL CURCIO, MICHAEL

9161

9161.

9161

023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 314 314 314 314 314 314

City City

ilice lice lice ilice ilice ilice lice lice lice lice lice lice lice lice ilice ilice dice dice lice lice lice Jice Jice lice lice lice lice lice lice lice lice Jice lice

$6.50

$5.52

$6.50

$2.76

$6.50

$2.76

$6.50

$3.16

$6.50

$6.32

$615.60

$84.91

$522.50

$579.50

$261.25

$456.00

$228.00

$261.25

$6.32

$12.65

$6.50

$498.00

$194.00

$4.83

$320.32

$454.64

$18.44

$6.50

City Of Chicago - Confidential

Page 267 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 04/04/2011 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 03/23/2011 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010

CUMMENS, DAVID CUMMENS, DAVID CUMMENS, DAVID CUMMENS, DAVID CUMMENS, DAVID CUMMENS, DAVID 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 CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CROSS, LENWOOD CRANFIELD, BERTRAM CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT

9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161

017 017 017 017 017

ty Of Chicago Poi ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Poi ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice lice ilice ilice ilice ilice lice tice ilice ilice lice lice lice lice lice ilice ilice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice

$4.67

$6.50

$9.82

$6.50

$114.96

$384.41

$6.50

$15.41

$6.50

$12.86

$60.55

$73.19

$195.12

$45.77

$668.25

$45.77

$54.19

$108.82

$11.15

$6.50

$12.86

$6.50

$34.46

$6.50

$8.44

$837.57

$965.55

$106.64

$6.50

City Of Chicago - Confidential

Page 268 of 314

Incident Date Claimant Rank

03/17/2010 CRANE, ROBERT 9161

09/20/2009 CRAIG JR, JOHN 9161

11/17/2010 CRADICK, EDWARD 9161

12/05/2009 COX, PAULINE 9161

04/15/2011 COUGHLIN, CRAIG 9161

02/18/2011 COTTER, JULIE 3286

Unit of_Insured_Total to be Paid

017 City Of Chicago Police $38.25

017 City Of Chicago Police $88.70

017 City Of Chicago Police $52.90

017 City Of Chicago Police $606.41

017 City Of Chicago Police $6.50

017 City Of Chicago Police $8.91

017 City Of Chicago Police $6.50

017 City Of Chicago Police $17.97

017 City Of Chicago Police $6.50

017 City Of Chicago Police $50.16

017 City Of Chicago Police $6.50

017 City Of Chicago Police $16.22

017 City Of Chicago Police $6.50

017 City Of Chicago Police $1.55

017 City Of Chicago Police $6.50

017 City Of Chicago Police $1.30

017 City Of Chicago Police $6.50

044 City Of Chicago Police $16.06

044 City Of Chicago Police $6.50

044 City Of Chicago Police $245.15

City Of Chicago Police $6.50

City Of Chicago Police $207.59

City Of Chicago Police $22.33

City Of Chicago Police $139.35

City Of Chicago Police $142.39

City Of Chicago Police $180.81

009 City Of Chicago Police $6.50

009 City Of Chicago Police $68.15

009 City Of Chicago Police $297.19

009 City Of Chicago Police $86.81

009 City Of Chicago Police $6.50

City Of Chicago Police $24.21

City Of Chicago - Confidential

Page 269 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/18/2011 02/18/2011 12/26/2010 12/26/2010 12/26/2010 01/28/2011 01/28/2011 01/28/2011 01/28/2011 09/23/2009 09/23/2009 09/23/2009 09/23/2009 09/23/2009 12/11/2010 12/11/2010 12/11/2010 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

COTTER, JULIE COTTER, JULIE COTHRAN, ALONZO COTHRAN, ALONZO COTHRAN, ALONZO CORTESI, NICHOLAS CORTESI, NICHOLAS CORTESI, NICHOLAS CORTESI, NICHOLAS CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, GUSTAVO CORTES, CARLOS CORTES, CARLOS CORTES, CARLOS 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

3286

9161

p.o.

9161

314 314 314 153 153 153 153 008 008 008 008 008

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

City City City

City O-City O; City Oi

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

$596.33

$6.50

$10.21

$196.60

$6.50

$67.09

$274.02

$138.72

$34.68

$279.99

$6.50

$228.37

$3.35

$6.50

$47.88

$17.65

$6.50

$59.23

$6.50

$50.43

$6.50

$31.05

$6.50

$60.90

$6.50

$0.25

$6.50

$43.32

$6.50

City Of Chicago - Confidential

Page 270 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011 03/08/2011

CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY CONWAY

NICOLE

KEITH

9161 9161 9161 9161 9161 9161 9161 9161

005 005 005 005 005 005 005 005

City City City

Jice lice ilice ilice ilice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$63.84

$6.50

$52.82

$6.50

$60.75

$6.50

$50.26

$96.62

$860.50

$388.72

$772.90

$8.03

$655.50

$6.50

$1.17

$6.50

$1.17

$6.50

$44.84

$6.50

$37.90

$6.50

$58.58

$101.24

$6.50

$19.91

$6.50

$12.85

$6.50

$28.35

$6.50

City Of Chicago - Confidential

Page 271 of 314

Incident Date Claimant Rank

03/08/2011 CONWAY, KEITH 9161

12/16/2009 CONNORS, KEVIN 9161

Unit of_Insured_Total to be Paid

005 City Of Chicago Police $53.32

005 City Of Chicago Police $6.50

005 City Of Chicago Police $5.23

005 City Of Chicago Police $6.50

005 City Of Chicago Police $14.73

005 City Of Chicago Police $6.50

005 City Of Chicago Police $14.73

005 City Of Chicago Police $6.50

005 City Of Chicago Police $7.23

005 City Of Chicago Police $6.50

005 City Of Chicago Police $12.10

005 City Of Chicago Police $46.54

005 City Of Chicago Police $6.50

005 City Of Chicago Police $8.75

005 City Of Chicago Police $6.50

005 City Of Chicago Police $20.44

005 City Of Chicago Police $65.32

005 City Of Chicago Police $547.70

005 City Of Chicago Police $301.08

005 City Of Chicago Police $730.09

005 City Of Chicago Police $361.06

005 City Of Chicago Police $230.66

005 City Of Chicago Police $342.63

005 City Of Chicago Police $257.06

005 City Of Chicago Police $565.32

007 City Of Chicago Police $6.50

007 City Of Chicago Police $383.73

007 City Of Chicago Police $84.92

007 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 272 of 314

Incident Date Claimant Rank

12/16/2009 CONNORS, KEVIN 9161

04/27/2011 CONLISK, BRIAN 9161

08/12/2010 CONLEY, LORNA

08/16/2010 COMBS, ROBERT

07/19/2009 COLLINS, ELEANOR

03/15/2010 COLEMAN, RAMONA 9161

05/27/2009 COLE II, DENSEY 9161

Unit of_Insured_Total to be Paid

007 City Of Chicago Police $6.50

007 City Of Chicago Police $1.17

007 City Of Chicago Police $6.50

007 City Of Chicago Police $96.62

007 City Of Chicago Police $84.92

044 City Of Chicago Police $162.40

044 City Of Chicago Police $9.34

044 City Of Chicago Police $6.50

City Of Chicago Police $112.30

City Of Chicago Police $107.90

City Of Chicago Police $6.50

171 City Of Chicago Police $362.87

171 City Of Chicago Police $186.22

171 City Of Chicago Police $238.73

171 City Of Chicago Police $7.25

171 City Of Chicago Police $3.72

171 City Of Chicago Police $4.77

171 City Of Chicago Police $9.54

171 City Of Chicago Police $862.29

171 City Of Chicago Police $4.77

171 City Of Chicago Police $477.46

001 City Of Chicago Police $6.50

001 City Of Chicago Police $312.64

001 City Of Chicago Police $6.50

001 City Of Chicago Police $15.38

001 City Of Chicago Police $236.43

001 City Of Chicago Police ' $6.50

001 City Of Chicago Police $6.50

001 City Of Chicago Police $10.73

001 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 273 of 314

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 $6.50

001 City Of Chicago Police $3.86

001 City Of Chicago Police $6.50

001 City Of Chicago Police $3.86

001 City Of Chicago Police $6.50

001 City Of Chicago Police $3.86

001 City Of Chicago Police $6.50

001 City Of Chicago Police $3.62

001 City Of Chicago Police $6.50

001 City Of Chicago Police $11.61

001 City Of Chicago Police $522.30

001 City Of Chicago Police $6.50

001 City Of Chicago Police $2.94

001 City Of Chicago Police $6.50

001 City Of Chicago Police $2.75

001 City Of Chicago Police $6.50

001 City Of Chicago Police $168.05

001 City Of Chicago Police $6.50

001 City Of Chicago Police $686.83

001 City Of Chicago Police $5.99

001 City Of Chicago Police $217.00

001 City Of Chicago Police $299.00

001 City Of Chicago Police $191.11

001 City Of Chicago Police $286.07

001 City Of Chicago Police $84.00

001 City Of Chicago Police $464.25

001 City Of Chicago Police $462.00

001 City Of Chicago Police $487.50

001 City Of Chicago Police $141.53

City Of Chicago - Confidential

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 $118.25

001 City Of Chicago Police $42.56

001 City Of Chicago Police $21.28

001 City Of Chicago Police $240.52

001 City Of Chicago Police $180.39

001 City Of Chicago Police $120.26

001 City Of Chicago Police $180.39

001 City Of Chicago Police $300.65

001 City Of Chicago Police $180.39

001 City Of Chicago Police $177.04

001 City Of Chicago Police $38.45

001 City Of Chicago Police $780.00

001 City Of Chicago Police $97.50

001 City Of Chicago Police $481.00

001 City Of Chicago Police $5.99

001 City Of Chicago Police $296.80

001 City Of Chicago Police $481.00

001 City Of Chicago Police $240.50

001 City Of Chicago Police - $240.50

001 City Of Chicago Police $240.50

001 City Of Chicago Police . $240.50

001 City Of Chicago Police $240.50

City Of Chicago - Confidential

Page 275 of 314

Incident Date Claimant_Rank

05/27/2009 COLE II, DENSEY 9161

09/16/2010 CLEVELAND, CHARLES 9161

02/08/2011 CLARK, JASON 9171

11/29/2010 CLARK, ERIC 9161

Unit of_Insured_Total to be Paid

001 City Of Chicago Police $240.50

001 City Of Chicago Police $305.88

001 City Of Chicago Police $227.18

001 City Of Chicago Police $19.13

001 City Of Chicago Police $45.80

001 City Of Chicago Police $23.60

001 City Of Chicago Police $614.35

001 City Of Chicago Police $6.15

001 City Of Chicago Police $82.95

001 City Of Chicago Police $24.12

001 City Of Chicago Police $48.56

003 City Of Chicago Police $42.69

003 City Of Chicago Police $6.50

003 City Of Chicago Police $16.70

003 City Of Chicago Police $467.27

003 City Of Chicago Police $61.66

003 City Of Chicago Police $6.50

003 City Of Chicago Police $45.00

003 City Of Chicago Police $169.40

003 ' City Of Chicago Police $6.50

019 City Of Chicago Police $6.50

007 City Of Chicago Police $351.70

007 City Of Chicago Police $35.81

City Of Chicago - Confidential

Page 276 of 314

Incident Date Claimant Rank

11/29/2010 CLARK, ERIC 9161

09/17/2010 CLARK, ANDRE 9161

09/01/2010 CIOE, MICHAEL 9161

04/11/2011 CIOE, MICHAEL 9161

03/22/2011 CINTRON, ANGEL 3286-

03/22/2011 CINTRON, ANGEL 3286

04/27/2011 CIANCIO, VINCENT 9161

Unit of_Insured_Total to be Paid

007 City Of Chicago Police $6.50

007 City Of Chicago Police ' $6.50

City Of Chicago Police $6.50

City Of Chicago Police $88.07

City Of Chicago Police $381.97

City Of Chicago Police $88.07

City Of Chicago Police $40.53

153 City Of Chicago Police $228.56

153 City Of Chicago Police $193.97

153 City Of Chicago Police $202.35

153 City Of Chicago Police $89.10

153 City Of Chicago Police $6.50

153 City Of Chicago Police $81.60

153 City Of Chicago Police $6.50

153 City Of Chicago Police $56.19

153 City Of Chicago Police $6.50

044 City Of Chicago Police $54.93

044 City Of Chicago Police $6.50

044 City Of Chicago Police $162.40

044 City Of Chicago Police $36.11

044 City Of Chicago Police $247.74

044 City Of Chicago Police $26.40

044 City Of Chicago Police $6.50

044 City Of Chicago Police $125.37

044 City Of Chicago Police $6.50

044 City Of Chicago Police $19.39

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.52

City Of Chicago - Confidential

Page 277 of 314

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

04/27/2011 03/09/2011 03/09/2011 03/09/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011 03/16/2011

CIANCIO, VINCENT CHUNG, STEPHEN CHUNG, STEPHEN CHUNG, STEPHEN CHESTER,PAUL CHESTER, PAUL CHESTER,PAUL CHESTER, PAUL CHESTER,PAUL CHESTER, PAUL CHESTER, PAUL CHESTER,PAUL CHESTER, PAUL CHESTER,PAUL CHESTER, PAUL CHESTER,PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL CHESTER, PAUL

9161

044

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

City City City

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice >lice tice lice Jice Jice

$9.34

$15.19

$6.15

$6.50

$4.98

$6.50

$1.17

$6.50

$11.26

$6.50

$12.42

$6.50

$9.43

$6.50

$13.14

$6.50

$25.63

$883.56

$783.34

$6.50

$15.91

$6.50

$250.34

$112.54

$6.50

$287.26

$235.26

$310.32

$621.92

$102.84

$64.98

$22.99

$15.69

City Of Chicago - Confidential

Page 278 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/16/2011 CHESTER, PAUL

01/19/2011 CHERNIK, MICHAEL

01/17/2010 CERDA, RAUL

01/07/2010 CEPHAS, RYDELL

01/18/2011 CELIO, JAVIER

04/23/2011 CAVANAUGH, MICHAEL

11/28/2010 CATALAN, KURT

04/14/2011 CASTRO, GEORGE

04/08/2010 CASTRO, ANTONIO

11/13/2010 CASILLAS, JAIME

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

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

9161 9161 9161

315 315 315

001 010 010 010 253 253 253 025 025 025

ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Poli ty Of Chicago Pol ty Of Chicago Poli ty Of Chicago Poli ty Of Chicago Poli ty Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ity Of Chicago Poli ty Of Chicago Pol ity Of Chicago Pol, ity Of Chicago Pol; ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ,ce ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce

$13.19

$96.62

$6.50

$1.17

$6.50

$32.74

$6.50

$34.52

$6.50

$33.09

$103.80

$321.69

$6.50

$70.44

$758.86

$6.50

$377.30

$7.44

$6.50

$89.64

$1.09

$150.60

$6.50

$6.11

$6.50

$23.33

$912.84

$24.04

$199.75

$6.50

$8.11

City Of Chicago - Confidential

Page 279 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/04/2010 12/30/2009 03/11/2010 05/22/2010 05/22/2010 05/22/2010 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011 01/28/2011

CASEY, LYNN CASEY, CHRISTINA CASASANTO, DANIEL CARY, YVONNE CARY, YVONNE CARY, YVONNE CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO CARTER, RICO

9161 9161

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

ty Of Chicago Po! ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

lice lice lice lice lice lice Jice lice lice ilice ilice ilice lice lice lice ilice ilice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$106.00

$6.50

$1.74

$143.42

$6.50

$9.40

$190.82

$218.82

$95.41

$21.57

$6.50

$21.57

$17.69

$6.50

$21.57

$6.50

$21.57

$6.50

$21.57

$6.50

$21.57

City Of Chicago - Confidential

Page 280 of 314

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

01/28/2011 CARTER, RICO 01/28/2011 . CARTER, RICO

01/28/2011 CARTER, RICO

01/03/2011 CARTER, CARL

04/03/2011 CARTER, ACSHRAMM ADAR

05/21/2009 CARROLL, WILLIAM

07/21/2010 CARROLL, WILLIAM

04/11/2011 CARROLL, MICHAEL

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

006 006 006 006 006 008 008 008 008 008 008 008 008 008 008 008 018

City City City

9161

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

$6.50

$21.57

$6.50

$18.81

$6.50

$217.70

$81.40

$6.50

$2.08

$6.50

$262.10

$68.15

$210.00

$6.50

$6.50'

$62.70

$6.50

$863.96

$68.15

$353.68

$6.50

$2.08

$141.91

$526.28

$6.50

$23.99

$6.50

$2.08

$141.91

$283.48

City Of Chicago - Confidential

Page 281 of 314

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

04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/11/2011 04/21/2011 04/21/2011 04/21/2011 04/21/2011 05/20/2010 05/20/2010 02/09/2011 02/09/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011 03/12/2011

CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, MICHAEL CARROLL, JOSEPH CARROLL, JOSEPH CARRIZAL, LUIS CARRIZAL, LUIS CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

253 253 253 253

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

City City City

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice

$754.27

$6.50

$0.87

$6.50

$72.47 '

$6.50

$31.88

$30.02

$6.50

$106.01

$6.50

$49.00

$6.50

$96.62

$6.50

$75.86

$6.50

$18.08

$6.50

$20.44

$6.50

$18.81

$6.50

$18.81

$6.50

$1.17

$251.37

$190.82

$207.41

City Of Chicago - Confidential

Page 282 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/12/2011 03/12/2011 03/12/2011 03/12/2011 05/30/2009 10/10/2009 11/28/2010 11/28/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 01/28/2011 01/28/2011 01/28/2011 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010

CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CARDENAS, JUAN CANO, DAVID CAMPOS, MARCO CAMPAGNA, JAMES CAMPAGNA, JAMES CALDBECK, DAVID CALDBECK, DAVID CALDBECK, DAVID CALDBECK, DAVID CALACE, CHRISTINE CALACE, CHRISTINE CALACE, CHRISTINE CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA

9161 9161 9161 9161 9161 9161 9161 9161

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

153 153 153 153 011

393 393

002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002

ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol Ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty 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 Jice lice lice lice lice lice

$1.17

$6.50

$18.81

$6.50

$298.92

$6.50

$5.33

$6.50

$4.06

$95.60

$6.50

$1.40

$10.44

$6.50

$20.68

$6.50

$11.60

$6.50

$11.60

$6.50

$24.07

$6.50

$11.95

$6.50

$12.12

$6.50

$10.82

$6.50

$13.83

$6.50

City Of Chicago - Confidential

Page 283 of 314

Incident Date Claimant Rank

12/28/2010 CACOK, GENEVA 9161

Unit of_Insured_Total to be Paid

002 City Of Chicago Police $13.83

002 City Of Chicago Police $6.50

002 City Of Chicago Police $10.49

002 City Of Chicago Police $6.50

002 City Of Chicago Police $10.44

002 City Of Chicago Police $6.50

002 City Of Chicago Police $10.44

002 City Of Chicago Police $6.50

002 City Of Chicago Police $13.50

002 City Of Chicago Police $6.50

002 City Of Chicago Police $11.60

002 City Of Chicago Police $6.50

002 City Of Chicago Police $9.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $10.44

002 City Of Chicago Police $333.07

002 City Of Chicago Police $369.99

002 City Of Chicago Police $767.65

002 City Of Chicago Police $659.67

002 City Of Chicago Police $381.05

002 City Of Chicago Police $386.57

002 City Of Chicago Police $345.07

002 City Of Chicago Police $441.02

002 City Of Chicago Police $334.63

002 City Of Chicago Police $333.07

002 City Of Chicago Police $430.58

002 City Of Chicago Police $369.99

002 City Of Chicago Police $310.02

002 City Of Chicago Police $333.07

002 City Of Chicago Police $125.37

City Of Chicago - Confidential

Page 284 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 12/28/2010 01/23/2011 01/23/2011 01/23/2011. 03/23/2008 03/23/2008 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003

CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CACOK, GENEVA CABRERA, DANIEN CABRERA, DANIEN CABRERA, DANIEN Butler, Michael L Butler, Michael L Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret

9161

002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002

00003 00003 00008 00008 00008 00008 00008 00008 00008 00008 00008 00008 00008 00008

ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Po! ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty,Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol

lice lice ilice lice tice lice ilice ilice lice lice lice lice lice-lice lice lice lice lice ilice ilice ilice lice lice ilice tice ilice lice lice lice lice lice Jice lice

$113.77

$397.41

$96.62

$214.14

$6.50

$77.82

$6.50

$8.56

$6.50

$4.81

$6.50

$1.17

$6.50

$2.59

$6.50

$239.14

$24.09

$6.50

$42.55

$108.82

$56.29

$482.87

$12.37

$247.03

$13.85

$65.46

$29.50

$49.54

$22.95

$12.37

$334.29

City Of Chicago - Confidential

Page 285 of 314

Incident Date Claimant

09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 09/22/2003 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007 04/24/2007

Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Burke, Margaret Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E Brown, James E

Unit of Insured Total to be Paid

00008 City Of Chicago Police $208.05

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $25.81

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $58.41

00008 City Of Chicago Police $158.32

00008 City Of Chicago Police $655.27

00012 City Of Chicago Police $143.50

00012 City Of Chicago Police $379.00

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $11.08

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $545.23

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $38.85

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $17.72

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $23.26

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $38.85

00012 City Of Chicago Police $6.50

00012 City Of Chicago Police $40.93

00012 City Of Chicago Police $273.39

City Of Chicago - Confidential

Page 286 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/24/2007 04/24/2007 04/24/2007 04/24/2007 12/13/2006 08/24/2005 08/24/2005 06/30/2002 03/13/2006 03/13/2006 03/13/2006 01/13/2005 11/14/2005 11/14/2005 05/09/2002 05/09/2002 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

Brown, James E Brown, James E Brown, James E Brown, James E Bowen, Michele M Blake, John Blake, John Biggins, David L Bickett, Eric Bickett, Eric Bickett, Eric Bernichio, Michael J Bansley, Anthony Bansley, Anthony Banks, David B Banks, David B 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

00012 00012 00012 00012 00140 00153 00153 00005 00044 00044 00044 00008 00008 00008 00002 00002

ity O ty O ty O ity Oi tyO ty O ity Oi ty O ty O ity O ty O ty O ity Ol ty O ty O tyO ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O ity O tyO ty O

f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol >f Chicago Pol if Chicago Pol >f Chicago Pol f Chicago Pol f Chicago Pol

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice, lice lice lice lice ilice ilice ilice ilice 'lice lice lice lice lice lice lice lice

$354.93

$80.00

$143.50

$788.90

$54.02

$6.50

$35.25

$868.95

$6.50

$983.42

$6.50

$45.18

$6.50

$62.07

$143.12

$190.72

$143.12

$145.78

$143.12

$190.72

$143.12

$95.47

$6.50

$14.11

$6.50

$9.40

$6.50 .

$14.09

$6.50

$14.11

City Of Chicago - Confidential

Page 287 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 03/19/2010 03/19/2010 03/19/2010 08/05/2010 04/14/2010 04/14/2010 05/11/2009 05/11/2009 05/11/2009 05/11/2009 05/11/2009

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

BULLOCK, RHONDA BULLOCK, RHONDA BULLOCK, RHONDA BUCIO, MARIA BROWN, ANTHONY BROWN, ANTHONY BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT BROWN JR, HERBERT

9161 9161 9161 9161 9161 9161 9171 9171 9171 9171 9171

001 002 002

City City City

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

$6.50

$14.11

$6.50

$14.37

$6.50

$14.11

$6.50

$14.11

$6.50

$14.11

$6.50

$18.80

$6.50

$1.15

$6.50

$14.11

$6.50

$18.80

$95.41

$143.01

$143.12

$32.49

$6.50

$66.35

$21.77

$100.68

$6.50

$4.28

$6.50

$2.05

City Of Chicago - Confidential

Page 288 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/11/2009 05/11/2009 05/11/2009 05/11/2009 05/11/2009 05/11/2009 05/11/2009 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011 02/24/2011

BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR BROWN JR,

HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT HERBERT

9171 9171 9171 9171 9171 9171 9171 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

City City City

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

City Of City Of City Of City Of City Of

City City City

City Of

City Ol City Ol

lice lice Jice lice lice lice lice lice ilice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice

$32.62

$7.35

$32.62

$3.24

$6.50

$4.04

$6.50

$15.42

$6.50

$19.65

$6.50

$19.65

$6.50

$17.07

$6.50

$21.91

$140.61

$102.38

$199.13

$129.47

$121.64

$129.47

$177.35

$38.25

$123.02

City Of Chicago - Confidential

Page 289 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/24/2011 BROWN JR, HERBERT

04/20/2011 BROWN JOHNSON, LOLITA

12/07/2010 BREIER, NICHOLAS

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

123 123

City City City

ilice lice lice ilice lice lice lice lice Jice Jice Jice Jice lice lice lice lice Jice Jice Jice Jice Jice Jice Jice Jice Jice lice Jice Jice Jice Jice Jice Jice lice

$667.00

$6.50

$27.46

$6.50

$27.46

$6.50

$27.46

$6.50

$22.27

$6.50

$41.01

$6.50

$1.55

$6.50

$19.65

$6.50

$19.65

$6.50

$19.65

$209.69

$6.50

$610.35

$6.50

$110.81

$6.50

$1.45

$6.50

$2.89

$6.50

$2.89

$6.50

$2.89

$6.50

City Of Chicago - Confidential

Page 290 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 12/07/2010 04/15/2011 04/15/2011 04/15/2011 04/15/2011 04/15/2011 04/15/2011 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008

BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BREIER, NICHOLAS BRADLEY,VALENA BRADLEY,VALENA BRADLEY,VALENA BRADLEY, VALENA BRADLEY, VALENA BRADLEY, VALENA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA

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

171 171 171 171 171 171 171 171 171 171 171 171 171

City I City! Cityl

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 Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol tf Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol City Of Chicago Pol City Of Chicago Pol Of Chicago Pol Of Chicago Pol Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol

City Of City Of City Of City Of City Of

City ( City ( City (

City Of City Of City O City O

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

$2.89

$6.50

$332.05

$2.89

$6.50

$328.68

$119.51

$239.04

$3.98

$239.04

$6.50

$3.49

$6.50

$237.52

$1.40

$95.60

$6.50

$817.80

$545.20

$477.05

$545.20

$6.50

$1.42

$6.50

City Of Chicago - Confidential

Page 291 of 314

Incident Date Claimant Rank

11/12/2008 BRADFIELD, MARCIA 9161

04/02/2011 BOYKE, EVELYN 9161

04/02/2011 BOYKE, EVELYN ,9161

04/02/2011 BOYKE, EVELYN 9161

Unit of_Insured_Total to be Paid

171 City Of Chicago Police $817.80

171 City Of Chicago Police $117.54

025 City Of Chicago Police $287.27

025 City Of Chicago Police $6.50

025 City Of Chicago Police $83.45

025 City Of Chicago Police $1.16

025 City Of Chicago Police $6.50

025 City Of Chicago Police $0.43

025 City Of Chicago Police $6.50

025 City Of Chicago Police $66.07

025 City Of Chicago Police $278.88

025 City Of Chicago Police $271.15

025 City Of Chicago Police $201.45

025 City Of Chicago Police $282.20

025 City Of Chicago Police $286.45

025 City Of Chicago Police $282.20

025 City Of Chicago Police $6.50

025 City Of Chicago Police $2.13

025 City Of Chicago Police $6.50

025 City Of Chicago Police $0.34

025 City Of Chicago Police $6.50

025 City Of Chicago Police $0.34

025 City Of Chicago Police $6.50

025 City Of Chicago Police $6.23

025 City Of Chicago Police $6.50

025 City Of Chicago Police $1.16

025 City Of Chicago Police $6.50

025 City Of Chicago Police $0.43

025 City Of Chicago Police $6.50

025 City Of Chicago Police $0.43

City Of Chicago - Confidential

Page 292 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/02/2011 04/02/2011 04/02/2011 04/02/2011 04/02/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 08/03/2010 08/03/2010 04/28/2010 04/28/2010 04/28/2010 04/28/2010 04/28/2010 04/28/2010 03/02/2011 03/02/2011 03/02/2011 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010

BOYKE,EVELYN BOYKE,EVELYN BOYKE,EVELYN BOYKE,EVELYN BOYKE,EVELYN BOYD,STEPHEN BOYD,STEPHEN BOYD,STEPHEN BOYD,STEPHEN BOYD,STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOYD, STEPHEN BOYD,STEPHEN BOYD, JONATHAN BOYD,JONATHAN BOYD, JONATHAN BOYD, JONATHAN BOYD, JONATHAN BOYD, JONATHAN BOYD, JONATHAN BOYD, JONATHAN BORISSOVA, EMILIA BORISSOVA, EMILIA BORISSOVA, EMILIA BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL

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

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

025 025 025 025 025 003 003 003 003 003 003 003 003 003 044 044

044 044 044 016 016 016 016 016 016 016 016

City City City

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice Jice lice lice lice ilice lice lice Jice lice

$6.50

$0.43

$6.50

$271.15

$9.59

$6.50

$38.50

$6.50

$10.85

$6.50

$10.16

$236.16

$267.34

$6.50

$7.16

$6.50

$7.16

$176.45

$6.50

$7.16

$6.50

$7.21

$282.11

$23.44

$6.50

$4.21

$6.50

$4.21

$6.50

$4.21

$6.50

City Of Chicago - Confidential

Page 293 of 314

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

12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010. 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 09/18/2009 09/18/2009 09/18/2009 09/18/2009

BORCHERS

BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BORCHERS BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY

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

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

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

City City City

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$4.21

$6.50

$83.39

$316.62

$242.57

$924.71

$885.92

$7.76

$18.69

$752.30

$464.28

$6.50

$13.95

$6.50

$4.21

$6.50

$4.21

$6.50

$37.98

$6.50

$83.39

$202.46

$6.50

$29.50

$48.17

City Of Chicago - Confidential

Page 294 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011

BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN BOGGAN

KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY KIMBERLY

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 P.O P.O P.O P.O P.O P.O P.O P.O

City City City

lice lice Jice 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 Jice Jice Jice Jice Jice

$18.80

$6.50

$18.81

$6.50

$18.80

$6.50

$18.81

$6.50

$21.22

$195.41

$167.41

$215.01

$190.51

$215.22

$190.72

$167.51

$190.72

$215.22

$143.12

$190.61

$190.72

$190.82

$190.72

$190.82

$215.22

$444.55

$101.70

$6.50

$19.26

$6.50

$16.50

$6.50

City Of Chicago - Confidential

Page 295 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/31/2011 BOGGAN, KIMBERLY

01/30/2011 BOFFO, ROY

10/16/2010 BOETTCHER, JASON

11 /05/2010 BOCAN EGRA, MARCOS

11/05/2010 BOCANEGRA, MARCOS

P.O

Sgt

9161

006 006 006

010 010 010 010 010

City City City

lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice

$21.20

$6.50

$18.78

$6.50

$21.22

$6.50

$18.80

$6.50

$18.80

$16.51

$6.50

$21.22

$6.50

$14.11.

$6.50

$18.78

$6.50

$74.86

$3.04

$6.50

$176.45

$6.50

$143.42

$6.50

$7.16

$1.74

$6.50

$0.92

$6.50

$4.60

$6.50

City Of Chicago - Confidential

Page 296 of 314

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

11/05/2010 BOCANEGRA, MARCOS

10/20/2010 BLOMSTRAND, HARRY A

02/09/2011 BLOCK, TAMMRA

02/07/2011 BLAYDES, CURTIS

02/07/2011 BLAYDES, CURTIS .

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

253 253 253 253 253 253 253 253 253 253 253 253 253 253 253

City City City

lice ilice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice Jice lice lice

$220.50

$6.50

$5.64

$36.00

$180.00

$27.00

$0.69

$190.27

$89.12

$188.94

$2.79

$2.77

$6.50

$1.31

$6.50

$21.20

$0.37

$6.50

$9.88

$6.50

$1.44

$177.00

$69.77

$56.32

$4.35

$4.00

$10.00

$4.48

$4.13

$4.00

$131.10

City Of Chicago - Confidential

Page 297 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 03/30/2011 03/30/2011 03/30/2011 03/30/2011 03/30/2011 03/30/2011 03/30/2011 03/30/2011 03/30/2011 03/29/2011 03/29/2011 03/29/2011 03/29/2011 08/12/2010 08/12/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010

BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES,CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAIR, SCOTT BLAIR, SCOTT BLAIR, SCOTT BLAIR, SCOTT BLAIR, SCOTT BLAIR, SCOTT BLAIR, SCOTT BLAIR, SCOTT BLAIR, SCOTT BIRITZ, MICHAEL BIRITZ, MICHAEL BIRITZ, MICHAEL BIRITZ, MICHAEL BILES, ELGIN BILES, ELGIN BEYAH,ABDULLAH BEYAH,ABDULLAH BEYAH,ABDULLAH BEYAH,ABDULLAH BEYAH,ABDULLAH BEYAH,ABDULLAH BEYAH,ABDULLAH

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

253 253 253 253 253 253 253 253 253 253 253

013 013 013 013

044 044 044 044 044 044 044

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

City City City

lice lice lice lice lice lice lice lice lice 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

$4.36

$6.50

$1.77

$6.50

$563.13

$6.50

$32.00

$128.05

$1.84

$312.33

$232.00

$6.50

$7.98

$6.50

$0.46

$6.50

$33.78

$307.72

$151.35

$6.50

$209.69

$181.49

$6.50

$5.35

$6.50

$34.47

$566.13

$6.50

$23.00

$6.50

City Of Chicago - Confidential

Page 298 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 01/13/2011 01/13/2011 01/13/2011 01/13/2011 01/13/2011 03/13/2010 03/13/2010 03/13/2010 09/10/2009 09/10/2009 04/17/2010 04/17/2010 04/17/2010 04/17/2010 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011 04/09/2011

BEYAH, ABDULLAH BEYAH, ABDULLAH BEYAH, ABDULLAH BEYAH, ABDULLAH BEYAH, ABDULLAH BEYAH, ABDULLAH BEYAH,ABDULLAH BEYAH,ABDULLAH BEYAH,ABDULLAH BEYAH, ABDULLAH BEYAH,ABDULLAH BEYAH,ABDULLAH BERNSON, JOSHUA BERNSON, JOSHUA BERNSON, JOSHUA BERNSON, JOSHUA BERNSON, JOSHUA BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BEOSI, JOE BEOSI, JOE BELL, KANETHA BELL, KANETHA BELL, KANETHA BELL, KANETHA BEHREND, DONNA BEHREND, DONNA BEHREND, DONNA BEHREND, DONNA BEHREND, DONNA BEHREND, DONNA BEHREND, DONNA

9161 9161 9161 9161 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

044 044 044 023 023 003 003 003 003 012 012 012 012 012 012 012

ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ity Of Chicago Poi ity Of Chicago Po! ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity 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

$14.49

$6.50

$2.26

$6.50

$136.87

$6.50

$20.49

$382.56

$396.73

$838.72

$186.26

$603.52

$366.95

$27.51

$6.50

$478.59

$185.55

$6.50

$73.68

$6.50

$347.03

$64.54

$6.50

$570.35

$6.50

$76.80

$197.74

$6.50

$2.59

$6.50

$19.34

$213.36

City Of Chicago - Confidential

Page 299 of 314

Incident Date Claimant Rank

04/09/2011 BEHREND, DONNA 9161

11/23/2010 BEDNAREK, RICHARD 9171

11/23/2010 . BEDNAREK, RICHARD 9171

11/23/2010 BEDNAREK, RICHARD 9171

Unit of_Insured_Total to be Paid

012 City Of Chicago Police $569.60

012 City Of Chicago Police $128.49

012 City Of Chicago Police $268.13

012 ■ City Of Chicago Police $60.85

012 City Of Chicago Police $140.14

012 City Of Chicago Police $6.50

012 City Of Chicago Police $1.55

012 City Of Chicago Police $6.50

012 City Of Chicago Police $26.11

012 City Of Chicago Police $6.50

012 City Of Chicago Police $3.24

012 City Of Chicago Police $6.50

012 City Of Chicago Police $0.74

012 City Of Chicago Police $6.50

012 City Of Chicago Police $4.41

012 City Of Chicago Police $6.50

006 City Of Chicago Police $6.50

006 City Of Chicago Police $16.97

006 City Of Chicago Police $6.50

006 City Of Chicago Police $16.97

006 City Of Chicago Police $21.69

006 City Of Chicago Police $6.50

006 City Of Chicago Police $21.69

006 City Of Chicago Police $172.38

006 City Of Chicago Police $172.28

006 City Of Chicago Police $172.38

006 City Of Chicago Police $190.61

006 City Of Chicago Police $220.09

006 City Of Chicago Police $172.38

006 City Of Chicago Police $190.61

City Of Chicago - Confidential

Page 300 of 314

Incident Date Claimant

Rank

11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 11/23/2010 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011

BEDNAREK BEDNAREK, BEDNAREK, BEDNAREK BEDNAREK BEDNAREK BEDNAREK BEDNAREK BEDNAREK BEDNAREK BEDNAREK, BEDNAREK, BEDNAREK, BEDNAREK, BEDNAREK, BEDNAREK, BEDNAREK, BEDNAREK, BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT

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

9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286

Unit of Insured Total to be Paid

006 City Of Chicago Police $172.28

006 City Of Chicago Police $220.09

006 City Of Chicago Police $6.50

006 City Of Chicago Police $16.98

006 City Of Chicago Police $6.50

006 City Of Chicago Police $16.97

006- City Of Chicago Police $6.50

006 City Of Chicago Police $16.97

006 City Of Chicago Police $6.50

006 City Of Chicago Police $16.98

006 City Of Chicago Police $6.50

006 City Of Chicago Police $18.78

006 City Of Chicago Police $6.50

006 City Of Chicago Police $16.98

006 City Of Chicago Police $6.50

006 City Of Chicago Police $18.78

012 City Of Chicago Police $9.34

012 City Of Chicago Police $6.50

012 City Of Chicago Police $50.95

012 City Of Chicago Police $6.50

012 City Of Chicago Police $12.46

012 City Of Chicago Police $6.50

012 City Of Chicago Police $50.21

012 City Of Chicago Police $6.50

012 City Of Chicago Police $28.27

012 City Of Chicago Police $6.50

012 City Of Chicago Police $9.68

012 City Of Chicago Police $6.50

012 City Of Chicago Police $23.26

012 City Of Chicago Police $6.50

012 City Of Chicago Police $11.51

City Of Chicago - Confidential

Page 301 of 314

Incident Date Claimant _Rank

01/25/2011 BEASLEY, ROBERT 3286

01/25/2011 BEASLEY, ROBERT ' 3286

01/25/2011 BEASLEY, ROBERT 3286

01/14/2011 BEALS, TAMIKO 3286

Unit of_Insured_Total to be Paid

012 City Of Chicago Police $6.50

012 City Of Chicago Police $36.90

012 City Of Chicago Police $162.40

012 City Of Chicago Police $49.77

012 City Of Chicago Police $6.50

012 City Of Chicago Police $5.93

012 City Of Chicago Police $6.50

012 City Of Chicago Police $12.43

012 City Of Chicago Police $6.50

012 City Of Chicago Police . $6.50

012 City Of Chicago Police $6.50

012 City Of Chicago Police $6.03

012 City Of Chicago Police $6.50

012 City Of Chicago Police $306.20

012 City Of Chicago Police $231.93

012 City Of Chicago Police $246.76

012 City Of Chicago Police $986.12

012 City Of Chicago Police $119.50

012 City Of Chicago Police $994.37

012 City Of Chicago Police $559.74

012 City Of Chicago Police $191.72

012 City Of Chicago Police $460.76

012 City Of Chicago Police $227.85

012 City Of Chicago Police $730.83

012 City Of Chicago Police $223.32

012 City Of Chicago Police $59.96

012 City Of Chicago Police $92.27

012 City Of Chicago Police $6.50

157 City Of Chicago Police $190.61

157 City Of Chicago Police $166.71

City Of Chicago - Confidential

Page 302 of 314

Incident Date Claimant Rank

01/14/2011 BEALS, TAMIKO 3286

Unit of Insured Total to be Paid

157 City Of Chicago Police $142.91

157 City Of Chicago Police $95.31 .

157 City Of Chicago Police $190.61

157 City Of Chicago Police $142.91

157 City Of Chicago Police $148.23

157 City Of Chicago Police $142.91

157 City Of Chicago Police $190.61

157 City Of Chicago Police $307.45

157 City Of Chicago Police $117.54

157 City Of Chicago Police $142.91

157 City Of Chicago Police $475.00

157 City Of Chicago Police $6.50

157 City Of Chicago Police $3.73

157 City Of Chicago Police $6.50

157 City Of Chicago Police $1.42

157 City Of Chicago Police $6.50

157 City Of Chicago Police $18.78

157 City Of Chicago Police $6.50

157 City Of Chicago Police $16.43

157 City Of Chicago Police $6.50

157 City Of Chicago Police $30.86

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.08

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.08

City Of Chicago - Confidential

Page 303 of 314

Incident Date Claimant_Rank

01/14/2011 BEALS, TAMIKO 3286

03/26/2011 BAYLIS, TERRY 9161

Unit of Insured Total to be Paid

157 City Of Chicago Police $6.50

157 City Of Chicago Police $9.39

157 City Of Chicago Police $6.50

157 City Of Chicago Police $18.78

157 City Of Chicago Police $6.50

157 City Of Chicago Police $18.78

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.08

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.08

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.08

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.60

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.08

157 City Of Chicago Police $6.50

157 City Of Chicago Police $1.42

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.08

157 City Of Chicago Police $6.50

157 City Of Chicago Police $14.08

157 City Of Chicago Police $6.50

157 City Of Chicago Police $18.78

157 City Of Chicago Police $6.50

157 ■ City Of Chicago Police $18.78

157 City Of Chicago Police $6.50

157 City Of Chicago Police $115.27

157 City Of Chicago Police $6.50

157 City Of Chicago Police $18.78

157 City Of Chicago Police $6.50

157 City Of Chicago Police $235.75

001 ■ City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 304 of 314

Incident Date Claimant Rank

03/26/2011 BAYLIS, TERRY 9161

10/07/2010 BAUTISTA, MIGUEL 9161

11/11/2010 BATZER, ZOE 9161

02/01/2011 BATTAGLIA, CHARLES 3286

02/01/2011 BATTAGLIA, CHARLES . 3286

02/01/2011 BATTAGLIA, CHARLES 3286

Unit of Insured Total to be Paid

001 City Of Chicago Police $32.09

001 City Of Chicago Police $117.14

City Of Chicago Police $6.50

City Of Chicago Police $3.08

City Of Chicago Police $120.51

044 City Of Chicago Police $6.50

044 City Of Chicago Police $12.15

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.08

044 City Of Chicago Police $6.50

044 City Of Chicago Police $5.81

044 City Of Chicago Police $6.50

044 City Of Chicago Police $81.36

044 City Of Chicago Police $477.03

044 City Of Chicago Police $227.41

044 City Of Chicago Police $199.07

044 City Of Chicago Police $190.72

044 City Of Chicago Police $123.31

044 City Of Chicago Police $18.72

044 City Of Chicago Police $4.68

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8.34

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.80

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.80

074 City Of Chicago Police $6.50

074 City Of Chicago Police $10.29

074 City Of Chicago Police $700.65

City Of Chicago - Confidential

Page 305 of 314

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

05/13/2009 BATES, PETER

11/19/2009 BATES, JACQUELYN

01/29/2010 BARRY, COMONIECK

02/03/2011 BARREZUETA, ANDRES

02/19/2010 BARNES, THOMAS

03/03/2011 BARNES, MAURICE

12/22/2009 BAQAI, FARAH

01/15/2010 BALASZ, TIMOTHY

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

018 123 123 123 123

020 020

City City City <

lice lice lice lice lice lice lice lice lice lice lice lice ilice ilice ilice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice lice

$24.27

$6.50

$278.79

$351.70

$760.00

$6.50

$6,50

$51.42

$84.92

$6.50

$84.92

$6.50

$636.38

$6.50

$3.04

$74.86

$143.12

$190.72

$238.32

$95.31

$171.12

$218.82

City Of Chicago - Confidential

Page 306 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010

BALASZ, BALASZ, BALASZ, BALASZ BALASZ BALASZ BALASZ, BALASZ BALASZ BALASZ, BALASZ BALASZ, BALASZ, BALASZ, BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ BALASZ

9161 9161 9161 9161 9161 9161 9161 9161 9161 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 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 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 Of Chicago Pol 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 City

lice lice lice lice lice lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$811.02

$87.19

$6.50

$21.57

$6.50

$16.87

$6.50

$18.81

$6.50

$14.11

$6.50

$14.11

$6.50

$18.80

$6.50

$18.80

$6.50

$18.80

$6.50

$18.80

$6.50

$23.49

$6.50

$9.39

$6.50

$16.87

$6.50

$16.87

$6.50

$21.57

$6.50

$21.57

City Of Chicago - Confidential

Page 307 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/15/2010 BALASZ, TIMOTHY

09/22/2010 BALACHOWSKI, GEOFFREY

12/17/2010 BAKUTIS, MARY ANN

12/17/2010. BAKUTIS, MARY ANN

12/17/2010 BAKUTIS, MARY ANN

05/14/2010 BAKOPOULOS, JOHN

08/18/2010 BAKER, TAMMY

9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

008 008 008 008 008 008 008 008 008 008

ityOi ty O: ty Oi ity Oi ity Ol ty Oi ity Oi ity Oi ty Oi ity Oi ty Oi ty O-ity Oi ty Oi ty Oi ty Oi ity Oi ity Ol ity Ol ityOI ity Ol ityOI ityOI tyO ity Ol ity O ity O ity O ity O ity O ty O ity O ty O

f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Poi f Chicago Po! f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol

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

$6.50

$156.17

$6.50

$218.82

$171.12

$190.82

$143.12

$6.50

$1.31

$89.12

$6.50

$5.71

$6.50

$15.24

$90.06

$17.11

$54.50

$29.62

$863.01

$6.50

$175.41

$6.50

$220.18

$88.07

$450.82

$6.50

$8.94

$6.50

$14.16

$6.50

City Of Chicago - Confidential

Page 308 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/18/2010 08/16/2010 08/16/2010 03/20/2011 12/15/2000 12/15/2000

BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAKER, TAMMY BAEZA JR, RAUL BAEZA JR, RAUL BAC, ANDREW Allen, Denotra Allen, Denotra

9161

3286

023

016

09999

City City City

lice lice lice lice lice lice Jice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice ilice lice Jice lice Jice lice Jice Jice Jice lice lice

$36.39

$6.50

$474.61

$6.50

$80.50

$6.50

$7.14

$6.50

$10.82

$6.50

$8.94

$6.50

$8.94

$6.50

$8.94

$6.50

$8.94

$285.10

$451.81

$227.89

$345.07

$285.10

$338.07

$88.07

$202.46

$6.50

$84.92

$6.50

City Of Chicago - Confidential

Page 309 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/15/2000 12/15/2000 12/15/2000 12/15/2000 12/15/2000 12/15/2000 12/15/2000 12/15/2000 04/13/2008 04/13/2008 04/13/2008 04/13/2008 09/22/2005 09/22/2005 03/22/2011 03/22/2011 03/22/2011 03/22/2011 03/22/2011 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

Allen, Denotra Allen, Denotra Allen, Denotra Allen, Denotra Allen, Denotra Allen, Denotra Allen, Denotra Allen, Denotra Ahearn, Dory E Ahearn, Dory E Ahearn, Dory E Ahearn, Dory E Abdullah, Moulay Abdullah, Moulay AZTLAN, AMELIA AZTLAN, AMELIA AZTLAN, AMELIA AZTLAN, AMELIA AZTLAN, AMELIA ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON

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

3286 3286 3286 3286 3286

09999

00016

00023

023

tyO-ty O ty O ty O ty O ty O ty O ty O ty O tyO ty O ty O ty O ty O ty O ty O ty O ty O tyO ty O tyO tyO tyO tyO ty O tyO tyO: ty O: ty Oi ty O ity Oi ity Oi ty Oi

>f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol >f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol >f Chicago Pol >f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

lice lice lice lice Jice lice lice lice lice 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

$64.54

$84.92

$6.50

$64.54

$6.50

$21.98

$177.45

$6.50

$45.18

$5.21

$6.50

$802.05

$47.34

$6.50

$117.54

$6.50

$35.15

$52.00

$6.50

$1.42

$6.50

$15.74

$685.04

City Of Chicago - Confidential

Page 310 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/26/2010 ASCENCIO, RAMON

09/15/2010 ARRINGTON, REGINALD

08/17/2010 ARMSTRONG, DERRICK

12/27/2008 ARAMBULA, SAUL

12/08/2010 ANTONIAZZI, GINO

04/26/2011 ANDREWS, ADAM

03/10/2011 ANDERSON, JAMES

02/08/2010 ANDERSEN, JEREMY

01/24/2009 ALVAREZ, JOSE

9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 .9161 9161 3248 3248 9161 9161 9161

005 005 005

044 044 044 044 044 044 044 044 044 044 044 044 012 012 012 610 610

044 044

City City City

lice lice lice lice lice lice lice 'lice ilice lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice Jice

$10.07

$142.87

$9.02

$340.75

$204.45

$136.30

$37.84

$6.50

$109.08

$47.74

$6.50

$1.01

$83.67

$782.28

$893.35

$125.37

$113.77

$24.53

$6.50

$8.56

$6.50

$77.82

$28.00

$6.50

$9.34

$162.40

$6.50

$314.52

$28.92

$158.03

$6.50

City Of Chicago - Confidential

Page 311 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/24/2009 01/24/2009 01/24/2009 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 03/25/2011 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 01/19/2011 01/19/2011 01/19/2011 10/31/2010 10/31/2010 10/31/2010 10/31/2010

ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALVAREZ, JOSE ALEXA, MICHELENE ALEXA, MICHELENE 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

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

3286 3286 3286 9161 9161 9161 9161

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

010 010 010 010

tyO; ty Oi tyO ■ty O-ity O tyO ity O ity O ity O ity O ty O ity O ty O ity O ty O ty O ty Oi ity O ty Ol ty Ol ity Ol ity Ol tyOl ty Ol ty Ol ty Oi ty Oi ty Ol ty Oi ty Ol ty Oi ity Oi ity Oi

f Chicago Pol f Chicago Poi f Chicago Pol >f Chicago Pol if Chicago Pol 'f Chicago Pol :f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol f Chicago Pol if Chicago Pol f Chicago Poi f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol

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

$842.72

$127.69

$550.21

$1.17

$6.50

$0.71

$6.50

$58.77

$96.62

$475.00

$235.75

$6.50

$0.71

$6.50

$18.81

$190.82

$57.66

$190.82

$6.50

$18.81

$6.50

$33.09

$6.50

$103.80

$124.41

$6.50

$4.26

$69.51

City Of Chicago - Confidential

Page 312 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 09/09/2010 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 04/12/2011 06/13/2010 06/13/2010 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011

ALAMILLO, ARMANDO ALAMILLO, ARMANDO ALAMILLO, ARMANDO ALAMILLO, ARMANDO ALAMILLO, ARMANDO ALAMILLO, ARMANDO ALAMILLO, ARMANDO AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, KIMBERLY AKINS, KIMBERLY ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID

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

004 004 004 004 004 004 004 010 010

ty Oi ty Oi ty Oi ty O: ty O tyO tyO ty O: tyO tyO tyO tyO tyO tyO tyO tyO tyO tyO tyO tyO ty O ty O tyO ty O tyO ty O ity O ty O ty O ty O ty O ty O tyO

f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol f Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol 'f Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol if Chicago Pol if Chicago Pol 'f Chicago Pol 'f Chicago Pol if Chicago Pol 'f Chicago Pol 'f Chicago Pol

lice 'lice 'lice lice lice lice lice lice 'lice tice 'lice 'lice 'lice tice 'lice lice ilice 'lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice

$116.06

$2.96

$16.21

$634.08

$63.75

$6.50

$90.19

$6.50

$166.77

$126.81

$10.82

$6.50

$174.07

$38.98

$199.75

$12.98

$6.50

$16.06

$6.50

$276.59

$6.50

$104.03

$49.05

$28.49

$370.08

$66.45

$6.50

$31.38

$6.50

$17.90

City Of Chicago - Confidential

Page 313 of 314

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Total: Total:

03/21/2011 ADCOCK, DAVID

09/09/2009 ADAMS, TIMOTHY

04/26/2011 ADAMS JR, EDWARD

04/26/2011 ADAMS J R, E DWARD

04/26/2011 ADAMS JR, EDWARD

04/24/2011 ACEVES, JUAN

08/04/2010 ABEJERO, RESTITUTO

Number Amount 7836 $770,343.28

Number Amount 10349 $1,052,424.29

3286 3286

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

610 610 610 610 610 610 610

017

ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago.Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol

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

$6.50

$8.11

$560.53

$132.80

$6.50

$95.00

$6.50

$21.77

$82.53

$274.29

$364.00

$209.69

$161.02

$150.60

$6.50

$6.53

$40.00

$6.11

$6.50

$57.77

$6.50

$26.12

City Of Chicago - Confidential

Page 314 of 314

Legislation Text

Legislation Details

Legislation Details (With Text)