Office of the City Clerk - Record #: Or2011-736

Record #:

Or2011-736

Type:

Order

Status:

Passed

Intro date:

7/6/2011

Current Controlling Legislative Body:

City Council

Final action:

7/6/2011

Title:

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

Sponsors:

Burke, Edward M.

Topic:

CLAIMS - Police Officer/Firefighter Injuries

Attachments:

1. Or2011-736.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
7/6/2011	2420	City Council	Passed	Pass	Action details	Meeting details	Not available
7/6/2011	2420	Committee on Finance	Recommended to Pass	Pass	Action details	Meeting details	Not available
7/6/2011		Committee on Finance	Direct Introduction		Action details	Meeting details	Not available

CHICAGO July 6.2011

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_(^viva voce.vote^

of the members of the committee with_dissenting vote(s)). \

Respectfully submitted

(signed^

FINANCE MEETNG OF

HOSPITAL AND MEDICAL EXPENSES OF INJURED POLICE OFFICERS AND FIREFIGHTERS

Submitted herewith are payments, each in an amount $1000 or less, 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"~ 425 - $43,090.45

"A" 6175 -- $590,670.62

FIRE "B"~ 20 -- $1,837.38

"A"-- 1902 -- $194,352.76

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

"A" -- 0 -- $0

Total Amount Involved 8523 $829,951.21

Chicago. July 6_r 3 011

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

02/10/2011 ZORNIAK, ROMAN 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 " 02/15/2008 02/15/2008 02/15/2008 . 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999

ZORNIAK, ROMAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN ZAENTZ, JONATHAN YOUNG, GARRY YOUNG, GARRY Willis, Rodger Willis, Rodger Willis, Rodger Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall

8750

8745

8731

00359 00359 00359 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432

City Of Chicago City Of Chicago City Of Chicago City Of Chi

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

$934.89

$6.50

$14.38

$6.50

$7.19

$6.50

$562.34

$281.17

$23.63

$105.07

$415.31

$6.10

$6.50

$19.13

$196.22

$6.50

$19.35

$196.22

$6.50

$19.35

$196.22

$6.50

$19.35

$196.22

$6.50

$19.35

$196.22

$6.50

City Of Chicago - Confidential

Page 1 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999

Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz, Walz Walz Walz, Walz Walz Walz, Walz, Walz, Walz, Walz, Walz, Walz Walz, Walz, Walz, Walz,

Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randall Randal Randal Randal Randal Randal Randal Randall

00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432

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

$19.35

$196.22

$6.50

$19.35

$196.22

$6.50

$19.35

$198.42

$6.50

$19.56

$135.47

$6.50

$1.64

$196.22

$6.50

$19.35

$198.42

$6.50

$19.56

$198.42

$6.50

$19.56

$6.50

$969.60

$6.50

$81.05

$6.50

$540.34

$261.37

$6.50

$6.68

$36.90

$6.50

City Of Chicago - Confidential

Page 2 of 246

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

01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 01/12/1999 04/21/2011 04/21/2011 04/21/2011 04/21/2011 04/21/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011 02/09/2011

Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall Walz, Randall WILLIAMS, STANLEY WILLIAMS, STANLEY WILLIAMS, STANLEY WILLIAMS, STANLEY WILLIAMS, STANLEY WHITERS, STEVEN WHITERS, STEVEN WHITERS, STEVEN WHITERS, STEVEN WHITERS, STEVEN

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

8811 8811 8811 8811 8811 8801 8801 8801 8801 8801

00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432 00432

$0.94

$135.47

$6.50

$1.64

$210.91

$6.50

$20.80

$194.03

$6.50

$19.13

$194.03

$6.50

$19.13

$194.03

$6.50

$19.13

$194.03

$6.50

$19.13

$194.03

$6.50

$19.13

$194.03

$97.34

$6.50

$60.57

$6.50

$50.06

$6.50

$23.99

$243.32

$6.50

City Of Chicago - Confidential

Page 3 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

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

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

$23.99

$243.32

$6.50

$23.99

$243.32

$6.50

$23.99

$243.32

$6.50

$23.99

$190.82

$6.50

$18.81

$243.32

$6.50

$23.99

$386.50

$243.22

$6.50

$23.98

$6.50

$17:11

$6.50

$88.26

$316.90

$6.50

$58.53

$309.43

$6.50

$12.56

$434.15

City Of Chicago - Confidential

Page 4 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 10/27/2010 10/27/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 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 WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WARD, PATRICK WARD, PATRICK 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 8819 8819 8819 8819 8819 8819 8812 8812 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731

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

$6.50

$5.26

$434.15

$6.50

$5.26

$618.41

$6.50

$7.49

$553.85

$6.50

$6.71

$910.96

$6.50

$11.03

$138.39

$6.50

$5.71

$6.50

$149.46

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

City Of Chicago - Confidential

Page 5 of 246

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 11/14/2010 11/14/2010 11/14/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010

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 WARD,CHARLES WALTER, KAREN WALTER, KAREN WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL WALSH, MICHAEL

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

$18.81

$96.62

$6.50

$1.17

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$207.59

$6.50

$50.60

$6.50

$4.70

$6.50

$115.85

$7.74

$115.85

$6.50

City Of Chicago - Confidential

Page 6 of 246

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

03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 03/23/2010 02/02/2009 02/02/2009 07/17/2010 07/17/2010 07/17/2010 07/17/2010 07/17/2010

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

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

$4.70

$6.50

$109.37

$6.50

$88.55

$935.67

$6.50

$37.95

$935.67

$6.50

$37.95

$935.67

$6.50

$37.95

$935.67

$37.95

$935.67

$6.50

$37.95

$143.42

$6.50

$1.74

$132.00

$6.50

$190.71

$6.50

$27.00

$304.00

$35.00

$6.50

$380.71

$6.50

City Of Chicago - Confidential

Page 7 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/16/2010 WALSH, JAMES

03/13/2010 WALSH, GREGG

03/13/2010 WALS H, GREGG

04/10/2011 VOGRICH, GLENN

07/03/2010 VOGENTHALER, THOMAS

8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8811 8811 8811 8731 8731 8731 8731 8811 8811 8811 8811 8811

$6.50

$31.80

$6.50

$126.77

$505.30

$6.50

$16.65

$600.36

$6.50

$21.52

$6.50

$314.75

$185.76

$6.50

$6.22

$193.74

$6.50

$6.08

$528.36

$6.50

$17.38

$233.17

$3.42

$6.50

$38.00

$358.80

$6.50

$28.21

$286.23

$6.50

$28.21

City Of Chicago - Confidential

Page 8 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 07/03/2010 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011

VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VOGENTHALER, VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL

THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS THOMAS

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

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

$286.23

$6.50

$28.21

$286.23

$6.50

$28.21

$6.50

$108.52

$57.66

$286.23

$23.51

$6.50

$238.53

$6.50

$28.21

$238.53

$6.50

$23.51

$171.12

$6.50

$16.87

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$96.62

$228.60

$6.50

$22.53

$6.50

City Of Chicago - Confidential

Page 9 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011 01/02/2011

VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL

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

$1.17

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$172.49

$6.50

$17.00

$220.09

$6.50

$21.69

$171.12

$6.50

$16.87

$220.19

$6.50

$21.70

$172.49

$6.50

$17.00

$172.49

$6.50

$17.00

$172.49

$6.50

$17.00

$171.12

$6.50

$16.87

$236.78

$6.50

City Of Chicago - Confidential

Page 10 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

VELLER VELLER VELLER VELLER VELLER VELLER VELLER, VELLER, VELLER VELLER VELLER, VELLER, VELLER, VELLER, VELLER, VELLER, VELLER, VELLER, VELLER, VELLER, VELLER, VELLER VELLER, VELLER VELLER VELLER VELLER VELLER VELLER VELLER VELLER VELLER VELLER

, CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL , CARL

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

$23.33

$149.28

$6.50

$14.71

$149.28

$6.50

$14.71

$6.50

$29.35

$149.28

$6.50

$14.71

$172.38

$6.50

$16.98

$124.78

$6.50

$12.29

$172.49

$6.50

$17.00

$172.49

$6.50

$17.00

$171.12

$6.50

$16.87

$286.23

$6.50

$28.21

$238.53

$6.50

$23.51

City Of Chicago - Confidential

Page 11 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/02/2011 01/02/2011 01/02/2011 01/02/2011 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010

VELLER, CARL VELLER, CARL VELLER, CARL VELLER, CARL VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN 'VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN

8801 8801 8801 8801 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

Fi Fi 10 Fi Fi Fi F Fi Fi

$238.53

$6.50

$23.51

$286.23

$242.19

$6.50

$23.87

$315.58

$6.50

$31.11

$242.19

$6.50

$23.87

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$242.19

$6.50

City Of Chicago - Confidential

Page 12 of 246

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

10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010

VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN

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

Fi lo Fi Fi Fi Fi Fi Fi F

$23.87

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$242.19

$6.50

$23.87

$315.58

$6.50

$31.11

$242.19

$6.50

$23.87

$168.80

$6.50

$16.64

$242.19

$6.50

$23.87

$242.19

$6.50

$23.87

$315.58

$6.50

$31.11

$242.19

$6.50

City Of Chicago - Confidential

Page 13 of 246

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 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 02/15/2011 02/15/2011 02/15/2011 05/16/2011 05/16/2011 05/16/2011 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010

VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN VALE, EDWIN TYLER, DONNA TYLER, DONNA TYLER, DONNA TREZEK, WILLIAM TREZEK, WILLIAM TREZEK, WILLIAM THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES

8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8745 8745 8745 8735 8735 8735 8764 8764 8764 8764 8764 8764 8764 8764

$23.87

$242.19

$6.50

$23.87

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$645.78

$20.24

$6.50

$314.52

$6.50

$190.72

$6.50

$100.68

$11.81

$6.50

$90.22

$8.56

$6.50

City Of Chicago - Confidential

Page 14 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON THOMPSON

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

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

$57.59

$282.81

$6.50

$671.04

$3.65

$6.50

$414.00

$18.81

$6.50

$18.80

$190.72

$6.50

$18.80

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.72

$6.50

City Of Chicago - Confidential

Page 15 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/10/2010 07/10/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 10/20/2010 04/10/1990 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005

THOMPSON, JAMES THOMPSON, JAMES TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG TERLECKY, GREG Strickler, Bernard 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

8764

8731

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

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

$18.80

$190.82

$81.36

$6.50

$14.72

$59.50

$6.50

$21.37

$6.50

$53.87

$4.68

$6.50

$81.36

$4.68

$6.50

$9.72

$186.77

$142.28

$24.69

$1.01

$86.94

$6.50

$5.00

$76.00

$6.50

$223.32

$6.50

$265.16

$6.50

$60.14

$97.39

City Of Chicago - Confidential

Page 16 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 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 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007 02/25/2007

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 Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard Soso, Richard

00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00638 00638 00638 00638 00638 00638 00638 00638 00638 00638 00638 00638 00638

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

$6.50

$23.40

$86.06

$6.50

$25.48

$47.74

$6.50

$18.39

$142.28

$6.50

$1.01

$223.99

$6.50

$2.14

$90.39

$6.50

$25.70

$87.19

$6.50

$572.00

$42.65

$6.50

$8.04

$17.94

$19.10

$6.50

$608.92

$8.54

$6.50

$272.16

$6.08

City Of Chicago - Confidential

Page 17 of 246

Incident Date Claimant_Rank

02/25/2007 Soso, Richard F

10/25/2001 Sorrentino, Nicholas F

10/25/2001 Sorrentino, Nicholas . F

10/25/2001 Sorrentino, Nicholas F

12/23/2007 Sobus, Timothy F

12/03/2000 Sinopoli, Enzo M

Unit of_Insured_Total to be Paid

00638 City Of Chicago Fire $6.50

00638 City Of Chicago Fire $193.74

00638 City Of Chicago Fire $8.04

00638 City Of Chicago Fire $6.50

00638 City Of Chicago Fire $42.65

00638 City Of Chicago Fire $24.74

00638 City Of Chicago Fire $6.50

00638 City Of Chicago Fire $788.76

00367 City Of Chicago Fire . $5.45

00367 City Of Chicago Fire $163.53

00367 City Of Chicago Fire $6.50

00367 City Of Chicago Fire $304.77

00367 City Of Chicago Fire $328.58

00367 City Of Chicago Fire $6.50

00367 City Of Chicago Fire $8.34

00367 City Of Chicago Fire $118.01

00367 City Of Chicago Fire $13.33

00526 City Of Chicago Fire $74.86

00526 City Of Chicago Fire $6.50

00526 City Of Chicago Fire $3.04

00526 City Of Chicago Fire $74.86

00526 City Of Chicago Fire $6.50

00526 City Of Chicago Fire $3.04

09999 City Of Chicago Fire $140.13

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $140.13

09999 City Of Chicago Fire $6.50

09999 City Of Chicago Fire $140.13

09999 City Of Chicago Fire . $6.50

09999 City Of Chicago Fire $141.55

09999 City Of Chicago Fire $591.62

City Of Chicago - Confidential

Page 18 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/05/2008 02/05/2008 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010

Santoyo, Richard Santoyo, Richard STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY

F F

8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745 8745

00435 00435

$15.99

$402.93

$143.42

$6.50

$1.74

$494.98

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

City Of Chicago - Confidential

Page 19 of 246

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

11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 04/18/2011 ■

STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY STINNETT, GREGORY SPEEDWELL, DAVID

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

Fi Fi lo Fi Fi Fi Fi

$322.89

$6.50

$10.13

$6.50

$38.33

$407.40

$6.50

$12.78

$614.72

$6.50

$19.69

$322.89

$6.50

$10.13

$567.37

$6.50

$17.80

$645.78

$6.50

$20.26

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$322.89

$6.50

$10.13

$400.00

$6.50

$0.46

$190.82

City Of Chicago - Confidential

Page 20 of 246

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

04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 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 12/12/2010 12/12/2010 12/12/2010

SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPEEDWELL, DAVID SPANGELO, ANTHONY SPANGELO, ANTHONY SPANGELO, ANTHONY

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 8801 8801 8801

$6.50

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$101.70

$6.50

$632.81

$207.41

$6.50

$20.44

$808.60

$6.50

$20.67

$6.50

$190.82

$6.50

$18.81

$6.50

$124.76

$18.81

$6.50

$913.64

City Of Chicago - Confidential

Page 21 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/12/2010 SPANGELO, ANTHONY

10/04/2009 SOFIA, JEFF

10/04/2009 SOFIA, JEFF.

10/04/2009 SOFIA, JEFF

.10/04/2009 SOFIA, JEFF

'10/04/2009 SOFIA, JEFF

10/04/2009 SOFIA, JEFF

8801 8801 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733

$6.50

$272.60

$215.32

$21.57

$21.23

$215.32

$6.50

$21.23

$215.32

$6.50

$21.23

$263.03

$6.50

$25.93

$215.32

$6.50

$21.23

$167.62

$6.50

$16.53

$215.32

$6.50

$21.23

$215.32

$6.50

$21.23

$215.32

$6.50

$21.23

$215.32

$6.50

$21.23

$215.32

City Of Chicago - Confidential

Page 22 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/04/2009 SOFIA, JEFF

05/22/2011 SHRADER, MICHAEL

05/14/2011 SHMERL, DAVID

07/20/2009 SHEWCHUK, MARY KATHLEEN

04/04/2011 SHERIDAN, JOHN

05/28/2010 SCHNEIDER, TIMOTHY

8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8733 8817 8735 8735

873

$6.50

$21.23

$215.32

$6.50

$21.23

$215.32

$6.50

$21.23

$215.32

$6.50

$21.23

$218.82

$6.50

$42.23

$6.50

$1.57

$151.71

$6.50

$135.25

$6.50

$585.00

$6.50

$473.27

$6.50

$20.79

$6.50

$99.60

$6.50

$180.28

$6.50

City Of Chicago - Confidential

Page 23 of 246

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 Chicagi City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago I City Of Chicago I City Of Chicago I City Of Chicago-1 City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

05/28/2010 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 05/11/2011 05/11/2011 08/24/2010 08/24/2010 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 04/26/2011

SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SCHNEIDER, TIMOTHY SANTOYO, RICHARD SANTOYO, RICHARD SANICKI, BRADLEY SANICKI, BRADLEY 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 SAMPEY, TIMOTHY

873

881

8764

8763

Fi Fi Fi )0 Fi Fi Fi F

$16.04

$39.67

$6.50

$17.56

$34.46

$6.50

$3.54

$46.75

$6.50

$4.74

$194.62

$155.88

$6.50

$169.02

$100.91

$207.59

$217.95

$6.50

$21.48

$176.12

$6.50

$17.36

$217.95

$6.50

$21.48

$176.12

$6.50

$17.36

$484.61

$21.48

$6.50

$217.95

$21.48

City Of Chicago - Confidential

Page 24 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/26/2011 SAMPEY, TIMOTHY

03/18/2007 Ramirez, Joseph

11/28/2009 RUNAS, MARK

09/28/2010 RUIZ, NOEL

04/29/2011 ROWAND, DEBRA

01/21/2011 ROMERO, PETER

12/10/2009 RODRIGUEZ, DAVID

10/26/2010 RODRIGUEZ, ANTHONY

.10/26/2010 RODRIGUEZ, ANTHONY

8763 8763 F F

8811 8811 8811 8811 8731 8731 8750 8750 8750 8731 8731 8731 8731 8731 8731 8731 8731 8731 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817

00328 00328

$217.95

$6.50

$156.11

$4.38

$298.55

$2.29

$6.50

$46.00

$99.91

$6.50

$74.93

$6.50

$2.89

$239.04

$6.50

$2.89

$95.60 ,

$6.50

$1.40

$262.54

$6.50

$12.43

$6.50

$0.95

$132.09

$6.50

$13.02

$132.10

$6.50

$13.02

City Of Chicago - Confidential

Page 25 of 246

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

10/26/2010 RODRIGUEZ, ANTHONY

12/25/2010 RIVERA, JAMES

08/27/2009 REIMER, RICHARD

8817

881

8733

Fi Fi |0 Fi F Fi F F

$6.50

$176.12

$6.50

$17.36

$132.09

$6.50

$13.02

$236.50

$3.47

$6.50

$236.50

$3.43

$6.50

$3.68

$6.50

$3.47

$15.34

$303.79

$6.50

$233.55

$18.81

$6.50

$190.82

$14.11

$6.50

$143.12

$14.11

$6.50

$143.12

$18.81

City Of Chicago - Confidential

Page 26 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/27/2009 08/27/2009 08/27/2009 05/31/2011 05/31/2011 01/15/2009 01/15/2009 05/27/2011 04/14/2011 04/14/2011 01/14/2005 01/14/2005 03/29/2011 03/29/2011 03/29/2011 02/03/2011 01/25/2010 01/25/2010 01/25/2010 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

REIMER, RICHARD REIMER, RICHARD REIMER, RICHARD REILLY, TERRANCE REILLY, TERRANCE REILLY, REED REILLY, REED RADTKE, DANIEL QUINN, TIMOTHY QUINN, TIMOTHY Patton, John Patton, John POWER, THOMAS POWER, THOMAS POWER, THOMAS POLLACK, RICHARD PINKSTON, SHERRY PINKSTON, SHERRY PINKSTON, SHERRY 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

8733 8733 8733 8728 8728

8749

8801

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

00482 00482

$6.50

$429.95

$190.82

$6.50

$539.60

$53.55

$22.46

$6.50

$52.00

$6.50

$136.29

$5.45

$239.40

$202.43

$6.50

$4.87

$6.50

$243.43

$64.19

$6.50

$12.83

$71.81

$6.50

$13.39

$42.73

$6.50

$12.02

$71.81

$6.50

$13.39

$71.81

$6.50

City Of Chicago - Confidential

Page 27 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/27/2011 PHEE, FRANK

02/17/2011 PERREAULT, KELLY

04/10/2011 PEMBERTON, WARD

10/28/2010 PEACE, HEATHER

11/07/2010 PASULKA, CHRISTOPHER

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

$13.39

$71.81

$6.50

$13.39

$64.19

$6.50

$12.83

$73.68

$352.85

$6.50

$5.18

$189.64

$6.50

$2.79

$89.12

$6.50

$1.31

$89.12

$6.50

$1.31

$60.96

$6.50

$13.58

$6.50

$45.07

$48.00

$6.50

$315.58

$31.11

$6.50

$30.92

$635.50

City Of Chicago - Confidential

Page 28 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/07/2010 PASULKA, CHRISTOPHER

07/28/2010 PANG, KYUNG

12/22/2010 PAGE, BRODERICK

8801 8801 8801 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 8735 8735 8735 8735

$6.50

$25.53

$88.23

$6.50

$1.29

$20.15

$6.50

$9.76

$115.21

$6.50

$14.25

$995.67

$6.50

$14.61

$6.50

$182.16

$6.50

$377.16

$6.50

$5.53

$6.50

$771.45

$840.65

$28.74

$33.68

$6.50

$4.53

$6.50

$177.16

$1.17

$384.27

$6.50

$96.62

City Of Chicago - Confidential

Page 29 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/20/1979 09/20/1979 09/20/1979 09/20/1979 08/16/2000 05/17/2010 05/17/2010 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 04/25/2011 04/25/2011 04/25/2011 04/25/2011 04/25/2011 04/25/2011

Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Ocallaghan, Patrick OLIVER, MICHAEL OLIVER, MICHAEL O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE O BRIEN, LAWRENCE NUNEZ, JORGE NUNEZ, JORGE NUNEZ, JORGE NUNEZ, JORGE NUNEZ, JORGE NUNEZ, JORGE

F F F F F

870

880

00439 00439 00439 00439 00377

$10.65

$419.77

$565.84

$19.15

$816.42

$17.48

$6.50

$8.46

$6.50

$20.28

$207.20

$6.50

$4.08

$6.50

$135.19

$79.75

$6.50

$2.04

$896.37

$6.50

$354.90

$418.59

$698.60

$2.04

$6.50

$79.75

$6.50

$2.04

$6.50

$168.32

$6.50

$44.00

$7.23

City Of Chicago - Confidential

Page 30 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/25/2011 NUNEZ, JORGE

05/28/2011 NEGLIA, MATT

03/31/2004 Muscare, Tina

01/22/2005 Mullally, Dennis

05/28/1999 Mcmahon, James P

10/05/2004 Mckendry, Kevin

06/18/2010 MURPHY, THOMAS '

06/18/2010 MURPHY, THOMAS

08/10/2010 MURAWSKI, CHRISTOPHE

8801

8735 8735 8735 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

00632 City Of Chicago Fire

00492 City Of Chicago Fire

00473 City Of Chicago Fire

$6.50

$178.24

$6.50

$219.92

$22.93

$6.50

$897.41

$7.49

$6.50

$5.62

$12.45

$130.00

$6.50

$322.47

$9.84 .

$268.60

$6.50

$7.71

$6.50

$189.82

$10.43

$6.50

$48.50

$6.50

$17.48

$6.50

$15.01

$6.50

$297.44

$14.14

$6.50

$280.26

$12.38

City Of Chicago - Confidential

Page 31 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/24/2009 11/24/2009 11/24/2009 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 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011

MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MENDOZA, JULIO MC GRATH, THOMAS MC GRATH, THOMAS MC GRATH, THOMAS MC GRATH, THOMAS MC GRATH, THOMAS MC GRATH, THOMAS MC GRATH, THOMAS MC GRATH, THOMAS MC GRATH, THOMAS

8811 8811 8811 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750

$89.64

$6.50

$1.09

$6.50

$518.70

$3.14

$6.50

$259.35

$3.14

$6.50

$259.35

$3.14

$6.50

$259.35

$3.14

$6.50

$259.35

$3.14

$6.50

$259.35

$6.50

$6.28

$314.92

$6.50

$10.28

$264.18

$6.50

$8.68

$264.18

$6.50

$8.68

City Of Chicago - Confidential

Page 32 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/14/2011 MC GRATH, THOMAS

01/12/2011 MC CORMICK, MICHAEL

01/12/2011 MCCORMICK, MICHAEL

03/12/2011 MC CLUSKEY, KRISTIN

05/04/2010 MC CARTY JR, EDWARD

01/20/2011 MARTINEZ, MICHELE

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

$535.76

$6.50

$19.48

$482.24

$6.50

$15.91

$220.19

$23.15

$6.50

$905.79

$6.50

$21.70

$8.39

$21.70

$6.50

$220.19

$6.50

$18.81

$6.50

$190.82

$18.81

$190.82

$6.50

$43.23

$1.77

$6.50

$42.30

$1.56

$6.50

$18.28

$8.34

$32.60

City Of Chicago - Confidential

Page 33 of 246

incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/20/2011 01/27/2011 02/04/2011 02/04/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011

MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINEZ, MICHELE MARTINELLI, JOSEPH MARTIN, ROBERT MARTIN, ROBERT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8731 8817 8817 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807 8807

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

$6.50

$159.16

$151.65

$6.50

$189.60

$9.72

$6.50

$14.72

$44.20

$6.50

$358.21

$2.09

$6.50

$27.42

$375.00

$209.69

$6.50

$215.51

$22.17

$6.50

$6.15

$91.59

$469.20

$6.50

$19.04

$91.59

$6.50

$22.17

$6.50

$15.19

$34.55

City Of Chicago - Confidential

Page 34 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 12/21/2008 12/21/2008 12/21/2008 12/21/2008 12/21/2008 12/21/2008 12/21/2008 02/01/1985 04/19/2011 04/19/2011 04/19/2011 12/18/2008 12/18/2008 12/18/2008 11/07/2010 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 02/03/2011

MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MALITO, SCOTT MADDEN, JOHN MADDEN, JOHN MADDEN, JOHN MADDEN, JOHN MADDEN, JOHN MADDEN, JOHN MADDEN, JOHN Lasco, Samuel LUNZ, JOHN LUNZ, JOHN LUNZ, JOHN LUCAS, SAMUEL LUCAS, SAMUEL LUCAS, SAMUEL LOPEZ, JOSEPH LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF

8807 8807 8807 8807 8807

. F 8750 8750 8750

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

00388

$6.50

$227.78

$5.85

$6.50

$11.04

$81.36

$6.50

$11.61

$11.62

$6.50

$202.14

$4.68

$186.83

$208.74

$6.50

$0.98

$313.59

$6.50

$26.29

$6.50

$260.00

$6.50

$7.71

$384.00

$6.50

$4.77

$242.43

$6.50

$0.43

$242.44

$6.50

$0.90

$238.97

City Of Chicago - Confidential

Page 35 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201 02/03/201

LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF LANIER, SHARRIEFF

8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735 8735

Fi Fi |0 Fi Fi Fi Fi Fi Fi

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

$6.50

$3.63

$121.66

$6.50

$0.96

$178.15

$6.50

$2.43

$217.26

$6.50

$3.08

$203.33

$6.50

$0.24

$178.15

$6.50

$2.43

$199.86

$6.50

$2.98

$307.18

$6.50

$63.62

$6.50

$3.21

$825.68

$6.50

$813.20

$6.50

$41.07

$260.46

$6.50

$13.16

City Of Chicago - Confidential

Page 36 of 246

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

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

LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM LAMM

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

$127.68

$484.78

$1.55

$48.00

$6.50

$95.47

$6.50

$1.15

$6.50

$36.69

$332.12

$6.50

$10.42

$664.23

$6.50

$20.82

$494.82

$6.50

$15.91

$814.35

$6.50

$26.33

$811.00

$6.50

$26.63

$6.50

$35.40

$958.59

$6.50

$31.26

$6.50

$35.40

$639.06

City Of Chicago - Confidential

Page 37 of 246

9fZ pgeaBed

lenuapijuoo - oBsoigo jo M\0

WIS

oreges

099$ 9L'99$ 899$ 0S'9$ 19'**$ 600Cf:$ 09'9$

8zz$

09'6W$ 0S'9$

60^-ew$

139H 099$ 9Z806$

9036$ 099$

zzm$

099$ £Z£Wi 9VZZS

09'9$

0S'9$ 881.36$

09'9$

ison

0S'9$ 0Z00E$ 0S'9$ 09 9$ t>802$ 099$

ajy o6E3!43 jo Ajo gjy o6boil|0 jo *1!0 ajy o6eo!L|3 jo M\0 ajy oBeojLio jo *J!0 ajy o6bo|L|0 jo *}!0 ajy o6eo!L|3 jo *J!3 ajy oBeoiu.0 jo *1!0 gjy oBeojLio jo *J!0 gjy o6eo!43 jo Mo ajy oBeomo jo *J!0 ajy oBeomo jo Ajiq ajy oBeomo jo AJIO ajy oBboilio jo Aj!0 ajy oBBOjLio jo ^l!0 gjy o6eo!40 jo A)!3 ajy o6eo!L|3 jo A}|0 ajy o6eo!i|o jo Aj|0 ajy o6eD!U,o jo *t!3 ajy o6bo!U,o jo A)!0 ajy o6eo!L|0 jo *)!0 ajy o6bo!U,o jo *J!0 ajy o6bO!U,o jo M'.O ajy oBeoiu.0 jo *)!0 ajy oBeomo jo Aj!0 ajy o6eo!U,o jo ajy o6bo!U,o jo *J!0 ajy oBeomo jo Alio ajy oBboiho jo M\0 ajy oBboiho jo Ajiq gjy oBboiho jo Ajo 9jy o6bo!L|0 jo Aj!0 gjy o6bo!ho jo ajo ajy o6bo!L|0 jo Alio

66660 66660

ZL88 ZL88 1.088 1088 0SZ8 09Z8 0SZ8 0SZ8 09Z8 09Z8 0SZ8 0SZ8 1088 1088 1088 1088 1088 1-088 1088 L088 1.088 1088 1088 9EZ8 9£Z8 18Z8 Z088 d d

ANOH1NV 'ySdSVX ANOH1NV 'y3dSVX NHOr 'VaN3X

NHor 'vonsx

3H00IN 'IXOINyHIX 3103IN 'IXOINy3IX 3100IN 'lX0INy3IX SHOO-IN 'IX3INy3IX 3HOOIN 'IXOINy3IX 3100IN 'IXOINy3IX 3100IN 'IXOINy3IX 3"100IN 'ixoiNysix ayvHOiy 'n ysisox ayvHOiy 'n ysisox ayvHOiy 'n yaisox ayvHOiy 'ii ysisox ayvHOiy 'n ysisox ayvHOiy 'n ysisox ayvHOiy 'n ygisox ayvHOiy 'n y3isox ayvHOiy 'n y3isox ayvHOiy 'n ysisox ayvHOiy 'ii yaisox

H13NN3X 'IXSMOIZOX H13NN3X 'IXSMOIZOX

ysHdoismHO 'ixsayx ayvHOiy 'ansvmx

i|dasof 'A||ax Ljdasop 'A||9>| dlllHd 'wm\n dlllHd 'rVMIfllVH

dniHd 'wiAjvn dniHd 'wi/wn

OLOZ/91/ZL 0L0Z/91/ZL 6003/02/90 600Z/OZ/90

oiaziLz/zi

.0L0Z/ZZ/ZL

oloz/zz/zl oloz/zz/zl

010Z/ZZ/ZL

ovozuzrzi oloz/zz/zl oloz/zz/zl lloz/lz/lo

IL0Z/LZ/L0 LL0Z/LZ/L0 LL0Z/LZ/L0 LL0Z/IZ/L0 LL0Z/LZ/L0 LLOZ/LZ/LO LL0Z/LZ/L0 LL0Z/LZ/L0 L10Z/LZ/L0 LL0Z/LZ/L0 LLOZ/GL/M) LL0Z/9LM) 01QZIWIZV 010Z/ZZ/01

loozrzzno loozrzzno

OLOZ/OE/OL

oLoz/oe/oi. OLOZ/oe/oi.

0102/OE/Ol.

P!Bd gq o; |B)Oi

p9jnsu|

>|UEy

juewieio 9)bq jugppui

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010

KASPER, KASPER, KASPER, KASPER, KASPER, KASPER, KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER KASPER, KASPER, KASPER, KASPER,

ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY ANTHONY

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

$11.87 $399.22 $6.50 $13.32 $6.50 $39.96 $6.50 $42.94 ' $6.50 $37.64 $408.91 $408.91 $408.91 $408.91 $408.91 $408.91 $408.91 $408.91 $408.91 $963.50 $6.50 $11.66 $6.50 $169.26 $408.91 $408.91 $408.91 $408.91 $408.91 $408.91 $408.91 $336.18 $6.50

City Of Chicago - Confidential

Page 39 of 246

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

12/16/2010 KASPER, ANTHONY

05/08/2011 JOYNER, KEVIN

04/07/2011 JOHNSON, THADDEUS

01/18/2011 JESSEE, PATRICK

8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8731 8731 8731 8731 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819

$12.83

$6.50

$39.96

$6.50

$39.96

$6.50

$99.60

$10.44

$6.50

$408.57

$36.48

$6.50

$93.48

$18.00

$6.50

$95.32

$246.36

$6.50

$377.43

$6.50

$450.85

$6.50

$450.85

$6.50

$901.70

$6.50

$129.74

$6.50

City Of Chicago - Confidential

Page 40 of 246

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 01/18/2011 01/18/2011 01/18/2011 01/18/2011 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 10/30/2010 02/04/2011

JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JESSEE, PATRICK JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES JENKINS, JAMES HOWARD, LARRY

8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8793 8793 8793 8793 8793 8793 8793 8793 8793 8793 8793 8793 8793 8764

City Of Chicago 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 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

$344.96

$6.50

$553.23

$6.50

$222.41

$6.50

$177.18

$6.50

$540.00

$6.50

$901.70

$74.52

$178.24

$6.50

$7.23

$382.70

$41.24

$94.11

$6.50

$37.80

$223.32

$6.50

$431.71

$135.20"

$6.50

$40.52

$6.50

$135.20

$6.50

City Of Chicago - Confidential

Page 41 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/04/2011 HOWARD, LARRY 8764

01/24/2011 HOOVER, CHRISTY 8750

12/20/2010 HERRERA, EDWARD 8807

04/05/2011 HENDERSON TALMAGE, SEVEREN 8728

05/21/2011 HECKMANN, MARGARET 8750

10/08/2009 HATTEN, OSA 8733

05/16/2011 HANNON, MICHELLE 8819

07/02/2008 Guzman, Rogelio F

10/23/1997 Graves, Michael P M

01/07/2011 GUTIERREZ, DARCIE 8749

00498 00647 00647

$209.69

$88.70

$1.30

$6.50

$207.59

$6.50

$96.62

$1.17

$399.76

$6.50

$1.29

$50.45

$6.50

$142.39

$348.18

$6.50

$22.58

$84.72

$6.50

$4.41

$6.50

$68.01

$6.90

$59.19

$6.50

$19.29

$215.22

$6.50

$21.22

$223.73

$6.50

City Of Chicago - Confidential

Page 42 of 246

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

01/07/2011 GUTIERREZ, DARCIE

12/11/2010 GRAVES III, CORNELIUS

05/31/2011 GRABER, JOHN

12/17/2010 GODINEZ, JUAN

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8811 8811 8811 8728 8728 8728 8728 8728 8728 8728 8801 8801 8801

,o Fi

Fi Fi Fi

$22.06

$215.22

$6.50

$21.22

$238.42

$6.50

$23.50

$238.42

$6.50

$23.50

$167.51

$6.50

$16.51

$262.92

$6.50

$25.92

$195.62

$16.87

$171.12

$6.50

$96.62

$1.17

$7.98

$6.50

$304.80

$6.50

$123.07

$10.08

$155.45

$21.12

$190.61

$6.50

City Of Chicago - Confidential

Page 43 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010 12/17/2010

GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN GODINEZ, JUAN

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

$18.78

$190.61

$6.50

$18.78

$223.43

$6.50

$22.03

$175.83

$6.50

$17.34

$175.83

$6.50

$17.34

$190.61

$6.50

$18.78

$132.47

$6.50

$1.60

$190.61

$6.50

$175.94

$18.78

$190.61

$6.50

$18.78

$6.50

$17.34

$190.61

$6.50

$18.78

$190.61

$6.50

City Of Chicago - Confidential

Page 44 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ GODINEZ, GODINEZ, GODINEZ GODINEZ, GODINEZ, GODINEZ, GODINEZ GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ, GODINEZ,

JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN JUAN

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

$18.78

$175.94

$6.50

$17.34

$175.94

$6.50

$17.34

$175.94

$6.50

$17.34

$190.61

$6.50

$18.78

$190.61

$6.50

$18.78

$190.61

$6.50

$18.78

$145.56

$6.50

$1.76

$223.64

$6.50

$22.04

$156.23

$6.50

$15.40

$214.31

$6.50

$175.83

$6.50

$17.34

City Of Chicago - Confidential

Page 45 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

12717/2010 12/17/2010 03/24/2010 03/24/2010 11/05/2010 11/05/2010 04/16/2011 04/16/2011 04/16/2011 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 12/02/2010 12/02/2010 12/02/2010 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 02/25/2011 04/13/2010 04/13/2010 01/02/2011 01/02/2011 01/02/2011 01/02/2011

GODINEZ, JUAN GODINEZ, JUAN GARITI, JOHN GARITI, JOHN GARCIA, JOSE GARCIA, JOSE GARCIA, ISRAEL GARCIA, ISRAEL GARCIA, ISRAEL GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE GALLAS, CHRISTOPHE FREEMAN, EDWARD FREEMAN, EDWARD FREEMAN, EDWARD FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN FLYNN, SEAN DUNN, MARK DUNN, MARK DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD

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

8731 8731 8731 8731

$6.50

$17.31

$292.87

$11.36

$68.50

$6.50

$12.94

$6.50

$656.60

$1.17

$6.50

$96.62

$1.74

$6.50

$143.42

$6.47

$535.21

$6.50

$272.60

$6.50

$68.01

$6.50

$8.93

$4.41

$137.61

$6.50

$64.53

$89.12

$31.11

$6.50

$315.58

City Of Chicago - Confidential

Page 46 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/02/2011

02/24/2011

11/26/2010

05/24/2011

05/02/2009 '

05/02/2009

DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DRABIK, RICHARD DIGBY, DONNELL DIGBY, DONNELL DIGBY; DONNELL DIGBY, DONNELL DIGBY, DONNELL DIGBY, DONNELL DIETZ, KEVIN DIETZ, KEVIN DIETZ, KEVIN DIETZ, JUAN DEMPSEY, ROBERT DEMPSEY, ROBERT DEMPSEY, ROBERT

8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8731 8735 8735 8735 8735 8735 8735 8811 8811 8811 8750 8750 8750 8750

$31.11

$6.50

$315.58

$31.11

$6.50

$315.58

$31.11

$6.50

$315.58

$31.11

$6.50

$315.58

$9.65

$168.80

$6.50

$16.64

$167.75

$6.50

$1.31

$6.50

$25.80

$261.80

$4.21

$6.50

$42.70

$185.89

$6.50

$4.75

$873.47

$6.50

$143.80

$1.74

City Of Chicago - Confidential

Page 47 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/02/2009 05/02/2009 05/02/2009 05/02/2009 02/25/2011 02/25/2011 02/25/2011 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 12/22/2010 04/15/2011 04/15/2011 05/22/2009 05/22/2009 05/22/2009 08/05/2003 03/19/2002 03/19/2002 03/24/2008 03/24/2008 03/24/2008 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/25/2009 04/08/2011 04/08/2011 04/08/2011

DEMPSEY, ROBERT DEMPSEY, ROBERT DEMPSEY, ROBERT DEMPSEY, ROBERT DEMPSEY, ROBERT DEMPSEY, ROBERT DEMPSEY, ROBERT DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEL GRECO, MICHAEL DEAR, AARON DEAR, AARON DANIELAK, JOSEPH DANIELAK, JOSEPH DANIELAK, JOSEPH Cordt, Robert Collins, John Collins, John Ciara, Michael Ciara, Michael Ciara, Michael CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CZARNECKI, TODD CRONIN, TIMOTHY CRONIN, TIMOTHY CRONIN, TIMOTHY

8750 8750 8750 8750 8749 8749 8749 8731 8731 8731 8731 8731 8731

8749

8750 8750 8750 8750 8750 8750 8701 8701 8701

09999 00320 00320 00003 00003 00003

$6.50

$1.74

$510.65

$143.42

$31.78

$6.50

$71.50

$6.50

$2.87

$195.57

$3.38

$6.50

$117.73

$16.25

$6.50

$17.82

$6.50

$697.35

$119.14

$6.50

$93.00

$246.27

$142.39

$133.41

$4.89

$403.77

$4.89

$6.50

$23.51

$190.72

City Of Chicago - Confidential

Page 48 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/08/2011 CRONIN, TIMOTHY

01/19/2011 CORDER, SILVIANA

10/29/2010 CONNORS, PATRICK

03/29/2011 COLE, JOHN

06/15/2010 CHISESI, VINCENT

05/05/2010 CENTRACCHIO, MICHAEL

01/13/2011 CECICH, MICHAEL

8701

8749

8735

8750

8731

$6.50

$18.80

$238.53

$25.93

$6.50

$263.03

$16.53

$6.50

$167.62

$20.44

$6.50

$207.41

$6.50

$399.00

$6.50

$96.62

$1.17

$143.42

$1.74

$6.50

$8.20

$6.50

$3.63

$6.50

$101.70

$14.76

$6.50

$4.20

$6.50

$31.28

$6.50

$135.19

City Of Chicago - Confidential

Page 49 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/13/2011 CECICH, MICHAEL

05/13/2011 CARBONNEAU, THOMAS

01/12/2010 CARBONNEAU, THOMAS

02/28/2011 CAMPBELL, BRIAN

03/27/2011 CALLAGHAN, KEVIN

8735

FF -

8731

$6.50

$510.00

$6.50

$225.78

$202.43

$6.50

$15.05

$274.68

$6.50

$11.33

$222.68

$6.50

$8.34

$18.00

$6.50

$129.56

$6.50

$1.57

$6.50

$44.19

$782.07

$6.50

$31.34

$274.68

$6.50

$11.33

$339.35

$190.82

$18.81

$6.50

$190.82

$6.50

City Of Chicago - Confidential

Page 50 of 246

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 01/01/2011 01/01/2011 01/01/2011 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986

CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CALLAGHAN, KEVIN CABRAL, CESAR CABRAL, CESAR CABRAL, CESAR Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David Billups, David

8731

F .

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

$18.81

$6.50

$84.72

$190.82

$6.50

$18.81

$16.95

$6.50

$18.81

$16.95

$190.82

$6.50

$18.81

$101.70

$6.50

$190.82

$1.17

$6.50

$96.62

$6.50

$2.72

$748.50

$6.50

$30.98

$491.45

$6.50

$22.23

$189.11

$6.50

$7.98

$361.05

$6.50

$14.73

City Of Chicago - Confidential

Page 51 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 06/29/1986 08/14/2010 08/14/2010 08/14/2010 01/26/2010 01/26/2010 01/26/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010 10/19/2010

Hups, David

illups, David

Hups, David BYRNE, JAMES BYRNE, JAMES BYRNE, JAMES BURKE SR, MARK BURKE SR, MARK BURKE SR, MARK BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA BROWN, ALICIA

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

8735 8735 8735 8801 8801 8801 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749

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

$301.08

$6.50

$12.85

$662.13

$6.50

$27.58

$162.51

$6.50

$1.97

$316.08

$6.50

$6.32

$182.35

$6.50

$2.21

$225.11

$139.42

$2.79

$6.50

$231.21

$3.40

$6.50

$340.75

$6.50

$408.90

$6.50

$340.75

$6.50

City Of Chicago - Confidential

Page 52 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/19/2010 BROWN, ALICIA

12/22/2010 BROWN JR, EGNECHLES

01/12/2011 BRNE, BERNARD

02/14/2011 BRENNAN JR, JOSEPH

05/18/2011 BRADY, STEVEN

05/04/2010 BRADLEY, ANTOINETTE

05/02/2011 BONGIORNO, LOUIS

02/21/2011 BEASON, DAVE

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

$272.60

$6.50

$749.65

$123.00

$6.50

$195.92

$6.50

$41.08

$288.35

$6.50

$3.51

$86.44

$314.52

$54.31

$6.50

$54.94

$6.50

$311.38

$6.50

$313.47

$6.50

$16.95

$6.50

$101.70

$318.11

$874.12

$6.50

$47.45

$29.50

$6.50

$20.64

$5.35

$25.67

City Of Chicago - Confidential

Page 53 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/28/2009 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 01/05/2011 01/05/2011 01/05/2011 01/05/2011 01/05/2011 01/05/2011 01/05/2011 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 05/06/2004 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010

BEALS JR, AARON BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, JAMES BASILE, GARY BASILE, GARY BASILE, GARY BASILE, GARY BASILE, GARY BASILE, GARY BASILE, GARY BASILE, GARY Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO

8819

8735

8731 8731 8731 8731 8731 8731 8731 8731

00407 00407 00407 00407 00407 00407

$6.50

$754.80

$6.50

$754.80

$6.50

$754.80

$6.50

$754.80

$6.50

$251.60

$6.50

$408.86

$6.50

$408.86

$6.50

$818.75

$408.86

$6.50

$382.47

$6.50

$4.63

$382.47

$6.50

$4.63

$31.11

$6.50

$1.17

$315.58

$6.50

$31.11

$388.96

City Of Chicago - Confidential

Page 54 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO

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

$6.50

$38.34

$388.96

$6.50

$38.34

$96.62

$6.50

$1.17

$315.58

$6.50

$31.11

$201.15

$6.50

$96.62

$6.50

$1.17

$19.83

$182.14

$6.50

$17.95

$168.80

$6.50

$16.64

$315.58

$6.50

$31.11

$388.96

$6.50

$38.34

$315.58

$6.50

$315.58

$6.50

City Of Chicago - Confidential

Page 55 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 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 02/06/2011 02/06/2011

AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO AYALA, FRANCISCO ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD ASEVES, RICHARD

8731 8731 8731 8731 8731 8731 8731 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

$31.11

$462.35

$6.50

$45.58

$388.96

$6.50

$38.34

$315.58

$6.50

$31.11

$210.14

$6.50

$20.71

$182.14

$6.50

$17.95

$462.35

$6.50

$45.58

$315.58

$96.62

$6.50

$15.87

$15.19

$6.50

$6.15

$190.76

$6.50

$322.07

$6.50

$13.07

$15.19

City Of Chicago - Confidential

Page 56 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/06/2011 02/06/2011 02/06/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011 01/15/2011

ASEVES ASEVES ASEVES ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN ALTMAN

01/15/2011 ALTMAN

RICHARD

MARK

MARK_

MARK

8735 8735 8735 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817 8817

8817

$6.50

$6.15

$391.00

$11.27

$6.50

$15.21

$582.10

$6.50

$114.54

$6.50

$343.62

$141.55

$6.50

$697.42

$6.50

$68.73

$91.92

$6.50

$22.54

$90.65

$6.50

$26.29

$44.94

$6.50

$19.56

$45.96

$6.50

$19.32

$63.82

$6.50

$15^21

$63.82

City Of Chicago - Confidential

Page 57 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/15/2011

Number Total: 1902

ALTMAN, MARK

Amount $194,352.76

Insured Namel: City Of Chicago Police

08/23/2008 Zayas, Alberto 08/23/2008 Zayas, Alberto 08/23/2008 Zayas, Alberto 08/23/2008 Zayas, Alberto 08/23/2008 Zayas, Alberto

8817

00015 00015 00015 00015 00015

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

$6.50

$15.21

$45.96

$6.50

$11.27

$45.96

$6.50

$11.27

$45.96

$6.50

$11.27

$251.17

$6.50

$57.19

$63.82

$6.50

$15.21

$63.82

$6.50

$15.21 .

$45.96

$6.50

$11.27

$45.96

$63.82

$150.98

$6.50

$101.70

$6.50

City Of Chicago - Confidential

Page 58 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/09/2010 11/09/2010 11/09/2010 01/18/2011 01/18/2011 01/18/2011 01/18/2011 01/18/2011 09/18/2010 09/18/2010 09/18/2010 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 01/18/2011 01/18/2011 01/18/2011 01/18/2011 02/17/2011 02/17/2011 02/17/2011 05/14/2011 05/14/2011 05/14/2011 05/14/2011 05/14/2011 01/08/2007

ZONIS, PIERRE ZONIS, PIERRE ZONIS, PIERRE ZOLDAN, ANTON ZOLDAN, ANTON ZOLDAN, ANTON ZOLDAN, ANTON ZOLDAN, ANTON ZEPEDA, GERARDO ZEPEDA, GERARDO ZEPEDA, GERARDO ZEPEDA, ANDRES ZEPEDA, ANDRES ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZALINSKI, STANISLAW ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE ZAHLMANN, KRISTINE YOCKEY, RODNEY YOCKEY, RODNEY YOCKEY, RODNEY YOCKEY, RODNEY YOCKEY, RODNEY Woznicki, Robert A

9161 9161 9161 3286 3286 3286 3286 3286

9161

3286

9161

015 015 015 015 015

010 010 010

00016

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

$2.58

$6.50

$175.60

$9.11

$6.50

$619.88

$34.60

$6.50

$65.32

$6.50

$8.13

$6.50

$35.00

$815.94

$6.50

$41.19

$6.50

$84.92

$65.61

$6.50.

$6.50

$87.05

$6.50

$83.46

$96.62

$6.50

$1.17

$167.75

$6.50

$16.95

$62.57

$9.65

$6.50

City Of Chicago - Confidential

Page 59 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/08/2007 01/08/2007 01/08/2007 10/18/2008 10/18/2008 10/18/2008 09/30/2006 08/02/2008 08/02/2008 08/02/2008 08/02/2008 04/25/2008 04/25/2008 04/25/2008 04/25/2008 04/25/2008 04/25/2008 04/25/2008 04/25/2008 04/25/2008 04/25/2008 04/25/2008 03/22/2007 03/22/2007 03/22/2007 03/22/2007 03/22/2007 03/22/2007 03/22/2007 03/22/2007 03/22/2007 03/22/2007 03/22/2007

Woznicki, Robert A Woznicki, Robert A Woznicki, Robert A Williams, Malik Williams, Malik Williams, Malik Watson, Gregory Ward, Aaron A Ward, Aaron A Ward, Aaron A Ward, Aaron A Walker, Ronald S Walker, Ronald S Walker, Ronald S Walker, Ronald S Walker, Ronald S Walker, Ronald S Walker, Ronald S Walker, Ronald S Walker, Ronald S Walker, Ronald S Walker, Ronald S Wager, Gary Wager, Gary Wager, Gary Wager, Gary Wager, Gary Wager, Gary Wager, Gary Wager, Gary Wager, Gary Wager, Gary Wager, Gary

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

00016 00016 00016 00003 00003 00003 00701 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00650 00650 00650 00650 00650 00650 00650 00650 00650 00650 00650

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

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

$6.50

$246.70

$39.84

$6.50

$6.84

$7.60

$101.70

$6.50

$2.44

$6.50

$123.90

$6.50

$461.30

$6.50

$101.70

$6.50

$140.00

$6.50

$50.94

$141.55

$6.50

$16.88

$6.50

$141.55

$6.50

$844.00

$6.50

$141.55

City Of Chicago - Confidential

Page 60 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/22/2007 03/22/2007 04/14/2011 04/14/2011 04/14/2011 03/14/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010

Wager, Gary Wager, Gary WYROBA, ALBERT WYROBA, ALBERT WYROBA, ALBERT WONG, BENNY WOLFE, RAMA WOLFE, RAMA WOLFE, RAMA WOLFE, RAMA WOLFE, RAMA WOJTASIK, JAY -WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK.JAY WOJTASIK, JAY

P P

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

00650

315

018

003

Poll Poli Pot

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

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

$6.50

$673.17

$225.00

$110.00

$6.50

$52.83

$40.00

$364.00

$6.50

$18.81

$190.72

$6.50

$18.80

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$190.72

$6.50

$18.80

$190.82

$6.50

$18.81

$190.72

$6.50

$18.80

$72.10

$6.50

$7.11

City Of Chicago - Confidential

Page 61 of 246

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

WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY WOJTASIK, JAY

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

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

$190.82

$6.50

$238.53

$6.50

$23.51

$190.72

$18.81

$190.72

$6.50

$18.80

$143.12

$6.50

$14.11

$190.82

$6.50

$18.81

$190.72

$6.50

$18.80

$170.17

$6.50

$16.77

$238.42

$6.50

$23.50

$6.50

$18.80

$190.82

$6.50

$18.81

$197.20

$6.50

$19.44

City Of Chicago - Confidential

Page 62 of 246

Incident Date Claimant Rank

11/29/2010 WOJTASIK, JAY 9161

01/28/2011 WO, RANDALL Det

Unit of Insured Total to be Paid

City Of Chicago Police $238.42

City Of Chicago Police $6.50

City Of Chicago Police $23.50

City Of Chicago Police $238.42

City Of Chicago Police $6.50

City Of Chicago Police $23.50

City Of Chicago Police $190.72

City Of Chicago Police $6.50

City Of Chicago Police $18.80

City Of Chicago Police $238.42

City Of Chicago Police $6.50

City Of Chicago Police $23.50

City Of Chicago Police $238.42

City Of Chicago Police $6.50

City Of Chicago Police $23.50

City Of Chicago Police $190.72

City Of Chicago Police $6.50

City Of Chicago Police $18.80

City Of Chicago Police $190.72

City Of Chicago Police $6.50

City Of Chicago Police $18.80

City Of Chicago Police $238.42

City Of Chicago Police $6.50

City Of Chicago Police $23.50

City Of Chicago Police $190.82

City Of Chicago Police $6.50

City Of Chicago Police $18.81

City Of Chicago Police $215.32

City Of Chicago Police $6.50

City Of Chicago Police $21.23

City Of Chicago Police $190.82

City Of Chicago Police $6.50

650 City Of Chicago Police $171.12

City Of Chicago - Confidential

Page 63 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/28/2011 WO, RANDALL

02/18/2010 WILLIAMS, RAMSEY

05/24/2011 WILLIAMS, MARVIN

01/29/2011 WILLIAMS, LUNYE

09/03/2010 WILLIAMS LEE, BELINDA

09/03/2010 WILLIAMS LEE, BELINDA ■

09/03/2010 WILLIAMS LEE, BELINDA

Det

9161

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

650 650 012 012 012

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

Pol Pol

Poli

ce ce

Ice ice ice ce ce ce ce ce ce ce ice ice ice ce ce ce ce ice ice ice ice ice ice ce ce ce ce ice ice ice ice

$16.87

$6.50

$1.01

$6.50

$83.67

$209.69

$6.50

$29.49

$6.50

$2.72

$6.50

$225.11

$678.33

$6.50

$22.58

$182.16

$6.50

$11.81

$8.55

$6.50

$0.55

$172.44

$6.50

$11.19

$172.44

$6.50

$11.19

$172.44

$6.50

$11.19

$172.44

City Of Chicago - Confidential

Page 64 of 246

Incident Date Claimant Rank

09/03/2010 WILLIAMS LEE, BELINDA 9161

Unit of Insured Total to be Paid

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $346.49

003 City Of Chicago Police $6.50

003 City Of Chicago Police $22.48

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $84.92

003 City Of Chicago Police $6.50

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $174.05

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.29

003 City Of Chicago Police $75.30

003 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 65 of 246

Incident Date Claimant_Rank

09/03/2010 WILLIAMS LEE, BELINDA 9161

05/21/2010 WILKOSZ, ROBERT 9161

Unit of_Insured_Total to be Paid

003 City Of Chicago Police $4.89

003 City Of Chicago Police $443.63

003 City Of Chicago Police $6.50

003 City Of Chicago Police $28.78

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $174.05

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.29

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $174.05

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.29

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $172.44

003 City Of Chicago Police $6.50

003 City Of Chicago Police $11.19

003 City Of Chicago Police $290.12

003 City Of Chicago Police $6.50

003 City Of Chicago Police $348.10

003 City Of Chicago Police $6.50

009 City Of Chicago Police $17.07

009 City Of Chicago Police $351.31

009 City Of Chicago Police $6.50

009 City Of Chicago Police $22.80

City Of Chicago - Confidential

Page 66 of 246

Incident Date Claimant_Rank

05/21/2010 WILKOSZ, ROBERT 9161

Unit of_Insured_Total to be Paid

009 City Of Chicago Police $178.08

009 City Of Chicago Police $6.50

009 City Of Chicago Police $11.56

009 City Of Chicago Police $356.16

009 City Of Chicago Police $6.50

009 City Of Chicago Police $23.12

009 City Of Chicago Police $356.16

009 City Of Chicago Police $6.50

009 City Of Chicago Police $315.69

009 City Of Chicago Police $6.50

009 City Of Chicago Police $23.12

009 City Of Chicago Police $178.08

009 City Of Chicago Police $6.50

009 City Of Chicago Police $11.56

009 City Of Chicago Police $382.91

009 City Of Chicago Police $6.50

009 City Of Chicago Police $24.85

009 City Of Chicago Police $20.49

009 City Of Chicago Police $10.62

009 City Of Chicago Police $6.50

009 City Of Chicago Police $7.22

009 City Of Chicago Police $323.79

009 City Of Chicago Police $6.50

009. City Of Chicago Police $21.01

009 City Of Chicago Police $125.48

009 City Of Chicago Police $6.50

009 City Of Chicago Police $8.14

009 City Of Chicago Police . $359.41

009 City Of Chicago Police $6.50

009 City Of Chicago Police $23.32

009 City Of Chicago Police $97.14

009 City Of Chicago Police $6.50

009 City Of Chicago Police $6.30

City Of Chicago - Confidential

Page 67 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/21/2010 05/21/2010 05/01/2011 02/12/2011 02/12/2011 02/12/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 02/20/2011 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010

WILKOSZ, ROBERT WILKOSZ, ROBERT WIER, ERIC WHITE, MARK WHITE, MARK WHITE, MARK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WHERFEL, PATRICK WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID

9161 9161 9161 9161 9161 9161

009 009

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ■lice lice lice lice lice lice lice lice lice lice lice lice lice dice

$263.09

$6.50

$39.76

$6.50

$100.80

$25.04

$118.25

$6.50

$1.31

$1.74

$89.12

$6.50

$95.41

$6.50

$9.40

$95.41

$6.50

$9.40

$95.41

$6.50

$9.40

$101.70

$6.50

$101.70

$6.50

$143.12

$6.50

$14.11

$95.41

$6.50

$9.40

$190.82

$6.50

City Of Chicago - Confidential

Page 68 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009

WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WESTON, ROBERT WESTON, ROBERT WESTON, ROBERT WESTON, ROBERT WESTON,ROBERT WESTON,ROBERT WESTON, ROBERT WESTON, ROBERT WESTON,ROBERT WESTON, ROBERT WESTON,ROBERT

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

050 050 050 050 050 050 050 050 050 050 050

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

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$143.12

$6.50

$14.11

$143.12

$6.50

$14.11

$47.71

$6.50

$4.70

$95.41

$6.50

$9.40

$95.41

$6.50

$9.40

$171.12

$6.50

$16.87

$6.50

$53.05

$143.12

$6.50

$14.11

$190.72

City Of Chicago - Confidential

Page 69 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/11/2009 WESTON, ROBERT

08/16/2010 WEITZMAN, JOSHUA

10/15/2010 WEATHERSBY LEE, KAREN

02/23/2011 WARNER, BRIAN

07/10/2008 Viverito, Vincent

03/26/2006 Viramontes, Ricardo

9161 9161 9161 9161

9161

3286

050 050 050 050

018 .

018

00025

00008

Poli Poli Poli

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

$6.50

$18.80

$286.41

$28.23

$30.89

$6.50

$198.08

$59.13

$1.70

$6.50

$402.34

$74.00

$6.50

$12.88

$223.33

$6.50

$775.52

$6.50

$140.43

$6.50

$229.19

$54.80

$6.50

$345.00

$21.56

$171.01

$6.50

$16.85

$218.72

$6.50

City Of Chicago - Confidential

Page 70 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 03/26/2006 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997

Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Viramontes Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten,

Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Ricardo Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H

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

lice 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 ilice lice lice lice lice lice lice

$21.56

$6.50

$21.09

$6.50

$13.67

$171.01

$6.50

$16.85

$207.41

$6.50

$20.44

$171.01

$6.50

$16.85

$190.72

$6.50

$18.80

$218.72

$6.50

$21.56

$218.72

$6.50

$762.25

$6.50

$520.59

$506.41

$174.75

$6.50

$621.63

$6.50

City Of Chicago - Confidential

Page 71 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/09/1997 Vanvegten, Andre H

07/02/2008 Valenti, Ross

03/09/2011 VLCANSKY, MILAN

03/22/2011 VIRAMONTES, RICARDO

03/18/2011 VELAZQUEZ, COSME

07/02/2010 VALERIO, MAGDALENA

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

09999 09999 00019 00019 00019

10 10 10 10 10 10

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

$3.56

$293.82

$6.50

$8.11

$6.50

$199.75

$5.57

$6.50

$33.73

$11.80

$6.50

$1.17

$6.50

$2.90

$96.62

$240.05

$1.87

$6.50

$4.09

$179.41

$93.56

$6.50

$84.91

$199.64

$54.52

$6.50

$600.00

$12.58

$6.50

City Of Chicago - Confidential

Page 72 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/02/2010 VALERIO, MAGDALENA

08/25/2010 URBAN, ANETA

04/10/2011 ULDRYCH, TIMOTHY

08/03/2006 Thomas, Herman A

11/02/2007 Tannehill, Michael A

08/08/2010 TURNER, RONALD

04/06/2011 TURNER, DEJUAN

05/19/2011 TROST, MARK

01/01/2011 TRIPOLI, JOSEPH

9161

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

044 044 044

00002

00019

008

005

008

650

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

$495.00

$6.50

$280.50

$11.39

$187.71

$6.50

$2.16

$18.50

$178.30

$6.50

$272.60

$6.50

$319.79

$6.50

$91.04

$6.50

$13.78

$6.50

$101.70

$6.50

$61.06

$11.04

$6.50

$5.85

$701.82

$6.50

$17.94

$264.24

$6.50

$6.75

$37.76

$6.50

City Of Chicago - Confidential

Page 73 of 246

Incident Date Claimant_Rank

01/01/2011 TRIPOLI, JOSEPH 9165

Unit of_Insured_Total to be Paid

650 City Of Chicago Police $0.96

650 City Of Chicago Police $302.00

650 City Of Chicago Police $6.50

650 City Of Chicago Police $7.71

650 City Of Chicago Police $264.24

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.75

650 City Of Chicago Police $184.01

650 City Of Chicago Police $6.50

650 City Of Chicago Police $4.70

650 City Of Chicago Police $202.91

650 City Of Chicago Police $6.50

650 City Of Chicago Police $636.96

650 City Of Chicago Police $6.50

650 City Of Chicago Police $16.26

650 City Of Chicago Police $212.32

650 City Of Chicago Police $6.50

650 City Of Chicago Police $5.42

650 City Of Chicago Police $325.56

650 City Of Chicago Police $6.50

650 City Of Chicago Police $8.31

650 City Of Chicago Police $5.19

650 City Of Chicago Police $264.24

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.75

650 City Of Chicago Police $264.24

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.75

650 City Of Chicago Police $283.10

650 City Of Chicago Police $6.50

650 City Of Chicago Police $7.23

650 City Of Chicago Police $240.66

650 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 74 of 246

Incident Date Claimant_Rank

01/01/2011 TRIPOLI, JOSEPH 9165

Unit of Insured Total to be Paid

650 City Of Chicago Police $6.14

650 City Of Chicago Police $160.44

650 City Of Chicago Police $6.50

650 City Of Chicago Police $4.10

650 City Of Chicago Police $320.87

650 City Of Chicago Police $6.50

650 City Of Chicago Police $8.19

650 City Of Chicago Police $283.11

650 City Of Chicago Police $6.50

650 City Of Chicago Police $7.23

650 City Of Chicago Police $240.05

650 City Of Chicago Police $6.50

650 City Of Chicago Police $2.90

650 City Of Chicago Police $160.43

650 City Of Chicago Police $6.50

650 City Of Chicago Police $4.09

650 City Of Chicago Police $304.05

650 City Of Chicago Police $6.50

650 City Of Chicago Police $314.52

650 City Of Chicago Police $6.50

650 City Of Chicago Police $273.66

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.99

650 City Of Chicago Police $235.90

650 City Of Chicago Police $6.50

650 City Of Chicago Police $6.03

650 City Of Chicago Police $184.01

650 City Of Chicago Police $6.50

650 City Of Chicago Police $4.70

650 City Of Chicago Police $221.77

650 City Of Chicago Police $6.50

650 City Of Chicago Police $5.66

650 City Of Chicago Police $486.01

City Of Chicago - Confidential

Page 75 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/01/2011

03/11/2009

09/20/2009

03/12/2011

05/21/2011

05/13/2011

02/24/2011

10/15/2010

10/15/2010''

10/15/2010

TRIPOLI, JOSEPH TRIPOLI, JOSEPH TREACY, JOSEPH TREACY, JOSEPH TREACY, JOSEPH TRAAN, GUAM TORRES, ROMAN TORRES, ROMAN TORRES, ROMAN TORRES, JOSE TORRES, JOSE TORRES, JOSE TORRES, JOSE TIRADO, EUGENIO TIRADO, EUGENIO TIRADO, EUGENIO TIRADO, EUGENIO TIRADO, EUGENIO TIRADO, EUGENIO TIRADO, EUGENIO THOMAS, ISAAC THOMAS, ISAAC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC

9165 9165 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3286 3286 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

650 650 044 044 044 001 153 153 153

044 044 044 044 044 044 044

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

$6.50

$12.41

$62.37

$6.50

$3.59

$112.99

$6.50

$2.08

$81.40

$6.50

$104.84

$94.79

$20.03

$6.50

$106.67

$6.50

$165.58

$510.02

$10.19

$804.60

$6.50

$96.62

$340.75

$6.50

$749.65

$6.50

$954.10

$6.50

$981.37

$1.17

City Of Chicago - Confidential

Page 76 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/15/2010 10/15/2010 10/15/2010 05/13/2011 05/13/2011 07/04/2008 07/04/2008 07/04/2008 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 07/09/1998 04/06/2008 04/06/2008 04/06/2008 02/15/1992 02/15/1992 02/15/1992 02/15/1992 02/15/1992 02/15/1992 02/15/1992 02/15/1992 02/15/1992 07/13/2008 07/13/2008 03/07/2001 03/07/2001 11/01/2008

TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC TAYLOR, ERIC Sullivan, Julianne Sullivan, Julianne Sullivan, Julianne Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Stover, Danny Smith Jr, Lee A Smith Jr, Lee A Smith Jr, Lee A Schodtler, James Schodtler, James Schodtler, James Schodtler, James Schodtler, James Schodtler, James Schodtler, James Schodtler, James Schodtler, James Scales, Monica Scales, Monica Saverson, Kendahl C Saverson, Kendahl C Salvage, Donna

9161

009

00019

00004

00006

00020

00003

00004

00024

|0 Pol Po

Pol Pol

lice Hce 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 lice lice lice fice lice lice

$1.17 .

$96.62

$6.50

$159.37

$507.61

$29.19

$6.50

$83.22

$6.50

$4.79

$6.50

$0.35

$56.00

$6.08

$2.38

$6.50

$12.65

$409.91

$6.50

$10.47

$116.90

$6.50

$2.99

$18.99

$743.11

$6.50

$317.47

$6.50

$201.31

$6.50

$686.34

City Of Chicago - Confidential

Page 77 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/04/2010 02/04/2010 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 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 08/30/2010 08/30/2010 08/30/2010 05/30/2011 05/30/2011 05/30/2011 05/25/2011 05/29/2011 05/29/2011 03/27/2010 05/05/2010

SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SZURA, WILLIAM SWIATKOWSKI, BRIAN SWIATKOWSKI, BRIAN SWIATKOWSKI, BRIAN SWIATKOWSKI, BRIAN SWIATKOWSKI, BRIAN SWIATKOWSKI, BRIAN SWARBRICK, JOHN SWARBRICK, JOHN SWARBRICK, JOHN SWANSON, MICHAEL SWANSON, MICHAEL SWANSON, MICHAEL SWAIN, JENNIFER SUTTON, ROSILYNN SUTTON, ROSILYNN SURVILLION, ALLEN SUMMERS, BRUCE

9169 9169 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 3295 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9152

9161

055 055 055 055 055 055 055 055 055 055 055 055 055 055 055 055

153

311

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

$6.50

$56.99

$95.41

$6.50

$18.66

$21.56

$6.50

$21.23

$123.41

$6.50

$12.16

$218.72

$6.50

$9.40

$6.50

$215.32

$6.50

$4.74

$203.17

$116.76

$40.64

$6.50

$166.07

$9.55

$6.50

$9.00

$5.06

$280.03

$85.40

$6.50

$380.00

$36.10

City Of Chicago - Confidential

Page 78 of 246

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 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 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 03/02/2010 03/02/2010 03/02/2010 04/17/2010 04/17/2010

SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, PATRICK SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD SULLINS, EDWARD STUBBS, LARRY STUBBS, LARRY STUBBS, LARRY STUBBS, LARRY STUBBS, LARRY STUBBS, LARRY STUBBS, LARRY STUBBS, LARRY STUBBS, LARRY STRANGE, KIMBERLY STRANGE, KIMBERLY STRANGE, KIMBERLY STOVALL, RAMONA STOVALL, RAMONA

3248

9161

Sgt

9161

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

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

$136.30

$6.50 ■

$173.00

$6.50

$272.60

$6.50

$173.00

$6.50

$101.70

$3.09

$6.50

$121.07

$96.62

$6.50

$1.17

$13.89

$184.28

$0.78

$2.23

$6.50

$0.17

$64.74

$14.44

$287.82

$14.53

$6.50

$56.56

City Of Chicago - Confidential

Page 79 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/17/2010 STOVALL, RAMONA

10/04/2009 STEPHANS, KEVIN

02/13/2011 STEINBRENNER, RICHARD

12/06/2010 STAPLETON III, JOHN

02/13/2011 STACKER, GREGORY

05/25/2011 SPRENG, MICHAEL

04/01/2011 SPREMO, STEVEN

03/08/2011 SPEARS, JUNE

9161 9161 9161 3286 3286 3286 3286

9161

002 002 002

005 005 005 044 044 044 312

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

$10.15

$763.94

$6.50

$15.27

$6.50

$259.92

$220.37

$6.50

$435.17

$6.50

$258.71

$576.00

$3.57

$62.07

$6.50

$37.78

$32.86

$104.77

$126.38

$245.62

$6.50

$9.97

$83.67

$6.50

$1.01

$209.16

$6.50

$2.53

$239.04

$6.50

$2.89

$239.04

$6.50

City Of Chicago - Confidential

Page 80 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po! City Of Chicago Pol City Of Chicago Po^:City Of Chicago Po City Of Chicago Po: City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago 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 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 03/08/2011 03/08/2011 03/08/2011

SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE SPEARS, JUNE

Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po Po

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

$2.89 $239.04 $6.50 $2.89 $239.04 $6.50 $2.89 $239.04 $6.50 $2.89 $239.04 $6.50 $6.50 $2.89 $239.04 $6.50 $2.89 $239.04 $6.50 $2.89 $328.68 $6.50 $3.98 $478.08 $6.50 $5.78 $83.67 $6.50 $1.01 $83.67 $6.50 $1.01 $239.04

City Of Chicago - Confidential

Page 81 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/08/2011 SPEARS, JUNE

01/17/2009 SPAARGAREN, JACQUELINE

02/26/2011 SOTO, NEFTALI

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

701 701

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

$2.89

$239.04

$6.50

$2.89

$83.67

$6.50

$1.01

$2.89

$239.04

$6.50

$2.89

$239.04

$8.56

$26.01

$190.82

$16.73

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$9.6.62

$6.50

$1.17

$190.82

$6.50

$18.81

City Of Chicago - Confidential

Page 82 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/26/2011 02/26/2011 03/14/2009 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

SOTO, NEFTALI SOTO, NEFTALI SNYDER, FREDERICK SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA SMITH, DAINA

3286 3286 9161

189 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009 009

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

ice ice ice ice ce ce ce ce ce ice ice ice ice-ce ce ce ce ce ce ice ice ice ice ice ice ce ce ce ce ice ice ce ce

$6.50

$126.00

$6.50

$190.72

$6.50

$18.80

$249.61

$6.50

$190.72

$6.50

$18.80

$190.61

$6.50

$18.78

$190.61

$6.50

$18.78

$190.61

$6.50

$18.78

$98.45

$6.50

$8.70

$220.18

$143.01

$6.50

$14.09

$190.72

$6.50

$18.80

City Of Chicago - Confidential

Page 83 of 246

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 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 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 Pot City Of Chicago Pol City Of Chicago Pol

05/1272011 05/12/2011 05/12/2011 05/12/2011 05/17/2009 05/17/2009 05/17/2009 05/17/2009 05/17/2009 05/17/2009 05/17/2009 05/17/2009 05/17/2009 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 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

SISKA, JOSEPH SISKA, JOSEPH SISKA, JOSEPH SISKA, JOSEPH SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR 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

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

044 044 044 044 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012 012

Poll Poll Pol

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

$6.50

$209.69

$6.50

$283.48

$6.50

$0.57

$295.29

$0.80

$6.50

$538.08

$944.00

$6.50

$633.26

$6.50

$7.55

$6.50

$13.18

$43.86

$6.50

$125.93

$6.50

$101.00

$29.05

$6.50

$687.74

$28.64

$6.50

$653.36

$16.16

$6.50

$30.82

$6.50

$397.88

City Of Chicago - Confidential

Page 84 of 246

Incident Date Claimant

Rank

02/01/2011 SIMMONS, FREDDIE

03/17/2011 SIMMONS, BEVERLY 9161

03/17/2011 SIMMONS, BEVERLY ■ 9161

03/17/2011 SIMMONS, BEVERLY 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $15.84

City Of Chicago Police $331.38

City Of Chicago Police $353.08

City Of Chicago Police $6.50

192 City Of Chicago Police $6.50

192 City Of Chicago Police $3.94

192 City Of Chicago Police $388.46

192 City Of Chicago Police $6.50

192 City Of Chicago Police $4.70

192 City Of Chicago Police $96.62

192 City Of Chicago Police $6.50

192 City Of Chicago Police $1.17

192 City Of Chicago Police $194.23

192 City Of Chicago Police $6.50

192 City Of Chicago Police $2.35

192 City Of Chicago Police $194.23

192 City Of Chicago Police $6.50

192 City Of Chicago Police $2.35

192 City Of Chicago Police $194.23

192 City Of Chicago Police $6.50

192 City Of Chicago Police $2.35

192 City Of Chicago Police $139.45

192 City Of Chicago Police $6.50

192 City Of Chicago Police $1.69

192 City Of Chicago Police $96.62

192 City Of Chicago Police $6.50

192 City Of Chicago Police $1.17

192 City Of Chicago Police $258.97

192 City Of Chicago Police $6.50

192 City Of Chicago Police $3.13

192 City Of Chicago Police $287.86

192 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 85 of 246

Incident Date Claimant Rank

03/17/2011 SIMMONS, BEVERLY 9161

05/24/2011 SILER SR, CHAVEZ 9161

01/21/2011 SHILNEY, JOHN 3608

Unit of_Insured_Total to be Paid

192 City Of Chicago Police $3.49

192 City Of Chicago Police $168.32

192 City Of Chicago Police $6.50

192 City Of Chicago Police $2.04

192 City Of Chicago Police $707.70

192 City Of Chicago Police $6.50

192 City Of Chicago Police $113.23

192 City Of Chicago Police $401.73

192 City Of Chicago Police $6.50

192 . City Of Chicago Police $193.78

192 City Of Chicago Police $194.23

192 City Of Chicago Police $6.50

192 City Of Chicago Police $80.49

192 City Of Chicago Police $6.50

192 City Of Chicago Police $50.03

192 City Of Chicago Police $22.42

192 City Of Chicago Police $6.50

192 City Of Chicago Police $14.17

192 City Of Chicago Police $2.35

192 City Of Chicago Police $129.49

192 City Of Chicago Police $6.50

192 City Of Chicago Police $1.57

192 City Of Chicago Police $325.71

044 City Of Chicago Police $6.50

044 City Of Chicago Police $82.00

189 City Of Chicago Police $248.15

189 City Of Chicago Police $6.50

189 City Of Chicago Police $24.46

189 City Of Chicago Police $6.50

189 City Of Chicago Police $24.46

189 City Of Chicago Police $248.15

189 City Of Chicago Police $6.50

189 City Of Chicago Police $24.46

City Of Chicago - Confidential

Page 86 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/21/2011 SHILNEY, JOHN

12/17/2009 SHEPHERD, CHRISTIAN

01/24/2011 SHEARER, ERIK

05/14/2011 SEGURA, STEVEN

08/19/2010 SCHAFFER, JOHN

05/31/2011 SANCHEZ, JOSE

05/06/2011 SANCHEZ, CARLOS

04/04/2011 SAMPSON, ESTHER

3608 3608 3608 3608 9161 9161 3286 9161 9161 9169 9169 9169 9169 9169 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

189 189 189 189 013 013 044 010 010 055 055 055 055 055 015

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

$248.15

$6.50

$24.46

$248.15

$6.50

$728.09

$537.74

$67.11

$6.50

$122.00

$6.50

$877.56

$3.42

$55.26

$155.93

$6.50

$3.98

$96.62

$6.50

$1.17

$6.50

$885.95

$6.50

$272.60

$340.75

$6.50

$954.10

$6.50

$1.17

$6.50

$96.62

City Of Chicago - Confidential

Page 87 of 246

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

05/20/2010 SALVAGE, MICHAELYN

11/21/2010 SAID, WASIM

07/03/1998 Rodriguez, Abelardo

09/30/1988 Riggenbach, Carl

09/18/2008 Randle, Reginald

12/22/2008 RUSSELL, ANGELA

01/14/2011 RUMSA, NICHOLAS

05/16/2011 ROWLAND, LUCIUS

05/16/2011 ROSS, KAMARI

9161

9161 9161 9161 9161

044

00002

00007

00014

312 312 312 312

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

$6.50

$2.99

$218.70

$6.50

$4.00

$1.38

$67.47

$6.50

$74.31

$6.50

$678.11

$463.62

$543.84

$6.50

$339.39

$6.50

$208.34

$2.53

$6.50

$814.00

$6.50

$707.69

$6.50

$56.19

$6.50

$504.31

$6.50

$769.76

$242.18

City Of Chicago - Confidential

Page 88 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/16/2011

10/01/2010

05/17/2011

03/28/2011

03/28/2011.

03/28/2011

05/30/2011

ROSS, KAMARI ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO ROSAS JR, FILIBERTO RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH . RONAN, RUTH RONAN, RUTH RONAN, RUTH RONAN, RUTH ROMANO, LINDA

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

044 044 044

025

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

$6.50

$22.89

$80.49

$6.50

$22.64

$6.50

$17.36

$330.25

$6.50

$101.70

$6.50

$48.50

$177.61

$6.50

$17.51

$165.12

$6.50

$16.28

$176.12

$6.50

$17.36

$173.92

$6.50

$17.14

$209.65

$6.50

$20.66

$209.15

$176.12

$20.62

$17.94

City Of Chicago - Confidential

Page 89 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/30/2011 ROMANO, LINDA

05/04/2011 ROMAN, EDWIN

02/18/2011 RODRIGUEZ, MARCELO

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

025 025 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192 192

$701.82

$6.50

$165.58

$54.64

$20.03

$835.50

$6.50

$33.91

$144.35

$6.50

$18.16

$214.96

$6.50

$50.87

$540.36

$6.50

$13.81

$144.35

$6.50

$18.16

$282.13

$6.50

$7.21

$6.50

$3.35

$259.12

$6.50

$3.80

$228.37

$6.50

$3.35

$188.94

City Of Chicago - Confidential

Page 90 of 246

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

02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011 02/18/2011

RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ, RODRIGUEZ,

MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO MARCELO

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

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

$6.50

$2.77

$188.94

City Of Chicago - Confidential

Page 91 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

MARCELO

LYDIA

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

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

$6.50

$2.77

$6.50

$67.83

$6.50

$5.20

$6.50

$299.44

$6.50

$41.06

$228.37

$6.50

$3.35

$228.37

$6.50

$190.72

$18.80

$171.01

$6.50

$16.85

$143.12

$6.50

$14.11

$171.01

$6.50

$16.85

$123.41

$6.50

$12.16

$143.12

$6.50

$14.11

City Of Chicago - Confidential

Page 92 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010

LYDIA

JOSEPH

JOSE

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

044 044 044 044 044 044 044 044 044 044

$171.01

$6.50

$16.85

$190.72

$6.50

$18.80

$218.72

$6.50

$21.56

$123.41

$6.50

$12.16

$123.31

$6.50

$12.15

$190.72

$6.50

$18.80

$190.72

$6.50

$19.93

$14.09

$575.78

$6.50

$24.18

$394.64

$6.50

$15.09

$285.86

$14.63

$3.46

City Of Chicago - Confidential

Page 93 of 246

Incident Date Claimant Rank

11/11/2010 RODRIGUEZ, JOSE 9161

06/02/2011 RODRIGUEZ, HAROLD 9164

10/09/2010 RIZZO, DARREL 9161

05/17/2011 RIGAN, KEITH 9161

03/14/2009 RICHTER, ERICH 9161

11/29/2010 RICHARDSON, SHANE 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $301.01

044 City Of Chicago Police $6.50

044 City Of Chicago Police $299.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $ 11.45

044 City Of Chicago Police $299.85

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.45

044 City Of Chicago Police $401.35

044 City Of Chicago Police $6.50

044 City Of Chicago Police $319.41

044 City Of Chicago Police $6.50

010 City Of Chicago Police $633.01

010 City Of Chicago Police $16.17

010 City Of Chicago Police $6.50

019 City Of Chicago Police $6.50

019 City Of Chicago Police $141.55

019 City Of Chicago Police $6.50

019 City Of Chicago Police $141.55

019 City Of Chicago Police $6.50

019 City Of Chicago Police $31.92

019 City Of Chicago Police $6.50

019 City Of Chicago Police $73.38

153 City Of Chicago Police $157.10

153 City Of Chicago Police $6.50

153 City Of Chicago Police $36.21

017 City Of Chicago Police $39.14

City Of Chicago Police $6.50

City Of Chicago Police $73.97

City Of Chicago - Confidential

Page 94 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 11/29/2010 05/07/2011 05/07/2011 05/07/2011 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 01/31/2010 04/30/2011 04/30/2011 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

RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, SHANE RICHARDSON, PHILLIP RICHARDSON, PHILLIP RICHARDSON, PHILLIP REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REYES, LIZETTE REY, VIOLET REY, VIOLET REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607

013 013 013 013 013 013 013 013 044 044 284 284 284 284 284 284 284 284 284 284 284

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

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

$6.50

$273.90

$6.50

$3.32

$83.67

$6.50

$1.01

$251.19

$6.50

$8.14

$106.16

$6.50

$110.82

$6.50

$88.07

$6.50

$209.69

$14.11

$218.82

$143.12

$16.87

$6.50

$171.12

$6.50

$16.87

$218.82

$6.50

$21.57

City Of Chicago - Confidential

Page 95 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 06/08/2011 10/11/2009 10/11/2009 10/11/2009 02/05/2011 02/05/2011 02/05/2011 05/20/2010 05/20/2010 05/20/2010 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011 02/17/2011

REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REIDY, BRIAN REGAN, JACQUELINE REEVES, TARA REEVES, TARA REEVES, TARA RAMOS, IVAN RAMOS, IVAN RAMOS, IVAN RAMOS, FRANCIS RAMOS, FRANCIS RAMOS, FRANCIS RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA RAMIREZ, VERONICA

3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 3607 9164

3286 3286 3286

3286 3286 3286 3286 3286 3286 3286 3286

284 284 284 284 284 284 284 284 284 284 284 284 284 284 284

044 044 044 044 044 044 044 ' 044

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

$66.46

$6.50

$636.08

$6.50

$7.70

$171.12

$21.57

$6.50

$218.82

$6.50

$21.57

$243.32

$6.50

$23.99

$6.50

$10.16

$6.50

$225.10

$2.72

$17.00

$6.50

$0.69

$95.60

$1.40

$6.50

$269.46

$6.50

$269.46

$6.50

$337.61

$269.46

$6.50

City Of Chicago - Confidential

Page 96 of 246

Incident Dale Claimant_Rank

12/21/2009 RAMIREZ JR, MARGARITO 9161

04/29/2011 RAMIREZ JR, MARGARITO 9161

06/24/2005 Piper, Peter J P

08/18/2008 Philp, Danielle P

10/03/1992 Phillips-Ramirez, Samella P

06/29/2008 Peter, Dawn J P

08/31/2010 PURUIS, ROBERT 9161

06/17/2010 PURTELL, CYNTHIA 9161

Unit of Insured Total to be Paid

014 City Of Chicago Police $6.50

014 City Of Chicago Police $121.72

014 City Of Chicago Police $2.43

014 City Of Chicago Police $21.69

00020 City Of Chicago Police $375.75

00005 City Of Chicago Police $220.36

00005 City Of Chicago Police $299.08

00020 City Of Chicago Police $6.50

00055 City Of Chicago Police $418.35

00055 City Of Chicago Police $24.06

00055 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $267.18

044 City Of Chicago Police $3.92

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 $156.34

008 City Of Chicago Police $15.41

008 City Of Chicago Police $128.34

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.65

008 City Of Chicago Police $176.04

008 City Of Chicago Police $6.50

008 City Of Chicago Police $17.35

008 City Of Chicago Police $156.34

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.41

008 City Of Chicago Police $157.07

008 City Of Chicago Police $15.48

008 City Of Chicago Police $128.34

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.65

City Of Chicago - Confidential

Page 97 of 246

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

06/17/2010 06/17/2010 06/17/2010 06/17/2010 06/17/2010 05/11/2011 05/11/2011 05/11/2011 05/11/2011 06/09/2011 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 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

PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURTELL, CYNTHIA PURDIMAN, PAMELA PURDIMAN, PAMELA PURDIMAN, PAMELA PURDIMAN, PAMELA PUCHALSKI, WALTER 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 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

008 008 008 008 008 007 007 007 007 022 004 004

Poli Poli Pol

Poli

ce ce

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

$156.34

$6.50

$15.41

$156.34

$6.50

$44.04

$331.30

$6.50

$952.47

$6.50

$73.71

$7.16

$6.50

$592.65

$3.13

$6.50

$258.97

$1.17

$6.50

$96.62

$6.26

$6.50

$517.94

$1.17

$6.50

$96.62

$4.03

$6.50

$333.68

$3.13

City Of Chicago - Confidential

Page 98 of 246

Incident Date Claimant_Rank

01/12/2011 PORTIS, VICTOR 9161

03/27/2011 PORRATA, ALVIN 9161

10/31/2010 POPE, TRETA 9161

05/12/2011 POCIUS, NICHOLAS 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $258.97

City Of Chicago Police $3.13

City Of Chicago Police $6.50

City Of Chicago Police $258.97

City Of Chicago Police $0.89

City Of Chicago Police $517.94

City Of Chicago Police $6.50

City Of Chicago Police $6.26

City Of Chicago Police $258.97

City Of Chicago Police $6.50

City Of Chicago Police $3.13

018 City Of Chicago Police $6.50

018 City Of Chicago Police $2.77

018 City Of Chicago Police $1.40

018 City Of Chicago Police $6.50

018 City Of Chicago Police $95.60

018 City Of Chicago Police $3.70

018 City Of Chicago Police $6.50

018 City Of Chicago Police $251.92

018 City Of Chicago Police $3.70

018 City Of Chicago Police $6.50

018 City Of Chicago Police $251.92

018 City Of Chicago Police $3.70

018 City Of Chicago Police $6.50

018 City Of Chicago Police $251.92

018 City Of Chicago Police $3.42

018 City Of Chicago Police $6.50

018 City Of Chicago Police $233.12

018 City Of Chicago Police $188.94

044 City Of Chicago Police $25.08

044 City Of Chicago Police $207.57

07 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 99 of 246

Incident Date Claimant_Rank

05/12/2011 POCIUS, NICHOLAS 9161

02/23/2011 PILAFAS, STEVE 3286

11/25/2010 PIETRYLA, SCOTT 9161

11/14/2010 PIECHOCKI, JOHN 9171

02/26/2011 PHILLIPS, JEFFRY 3286

10/24/2010 PETRULIS, AARON 9161

08/15/2009 PERILLI, TINA 9161

09/09/2009 PEMBERTON, KENT 9161

Unit of Insured Total to be Paid

07 City Of Chicago Police $209.69

07 City Of Chicago Police $6.50

07 . City Of Chicago Police $430.27

07 City Of Chicago Police $6.50

07 City Of Chicago Police $54.52

018 City Of Chicago Police $25.04

018 City Of Chicago Police $14.14

018 City Of Chicago Police $100.80

018 City Of Chicago Police $6.50

City Of Chicago Police $33.81

City Of Chicago Police $112.80

City Of Chicago Police $6.50

012 City Of Chicago Police $6.50

012 City Of Chicago Police $14.11

012 City Of Chicago Police $143.12

012 City Of Chicago Police $128.44

012 " City Of Chicago Police $14.11

012 City Of Chicago Police $12.66

012 City Of Chicago Police $143.12

012 City Of Chicago Police $6.50

253 City Of Chicago Police $9.26

253 City Of Chicago Police $161.08

253 City Of Chicago Police $6.50

009 City Of Chicago Police $6.50

009 City Of Chicago Police . $973.08

009 City Of Chicago Police $24.87

009 City Of Chicago Police $6.50

009 City Of Chicago Police $7.65

009 City Of Chicago Police $186.90

020 City Of Chicago Police $6.50

020 City Of Chicago Police $27.59

City Of Chicago - Confidential

Page 100 of 246

Incident Date Claimant Rank

09/09/2009 PEMBERTON, KENT 9161

04/08/2011 PEDRAZA JR, JOSE 9161

.04/08/2011 PEDRAZA JR, JOSE 9161

04/08/2011 PEDRAZA JR, JOSE 9161

Unit of_Insured_Total to be Paid

020 City Of Chicago Police $6.50

020 City Of Chicago Police $610.16

020 City Of Chicago Police $6.50

020 City Of Chicago Police $30.96

020 City Of Chicago Police $6.50

020 City Of Chicago Police $272.60

020 City Of Chicago Police $6.50

020 City Of Chicago Police $101.43

020 City Of Chicago Police $192.50

020 City Of Chicago Police $6.50

020 City Of Chicago Police $106.76

020 City Of Chicago Police $101.43

020 City Of Chicago Police $6.50

020 City Of Chicago Police ' $273.39

020 City Of Chicago Police $6.50

020 City Of Chicago Police $231.00

153 City Of Chicago Police $6.50

153 City Of Chicago Police $16.80

153 City Of Chicago Police $175.94

153 City Of Chicago Police $6.50

153 City Of Chicago Police $17.34

153 City Of Chicago Police $199.23

153 City Of Chicago Police $6.50

153 City Of Chicago Police $19.64

153 City Of Chicago Police $190.72

153 City Of Chicago Police $6.50

153 City Of Chicago Police $18.80

City Of Chicago - Confidential

Page 101 of 246

Incident Date Claimant_Rank

04/08/2011 PEDRAZA JR, JOSE 9161

Unit of Insured Total to be Paid

153 City Of Chicago Police $143.01

153 City Of Chicago Police $6.50

153 City Of Chicago Police $14.09

153 City Of Chicago Police $190.82

153 City Of Chicago Police $6.50

153 City Of Chicago Police $18.81

153 City Of Chicago Police $143.01

153 City Of Chicago Police $6.50

153 City Of Chicago Police $14.09

153 City Of Chicago Police $190.72

153 City Of Chicago Police $6.50

153 City Of Chicago Police $18.80

153 City Of Chicago Police $ 156.44

153 City Of Chicago Police $6.50

153 City Of Chicago Police $15.42

153 City Of Chicago Police $156.34

153 City Of Chicago Police $6.50

153 City Of Chicago Police $15.41

153 City Of Chicago Police $177.66

153 City Of Chicago Police $128.34

153 City Of Chicago Police $6.50

153 City Of Chicago Police $12.65

153 City Of Chicago Police $156.34

153 City Of Chicago Police $6.50

153 City Of Chicago Police $15.41

153 City Of Chicago Police $6.50

153 City Of Chicago Police $17.52

153 City Of Chicago Police $156.34

153 City Of Chicago Police $6.50

153 City Of Chicago Police $15.41

153 City Of Chicago Police $6.50

153 City Of Chicago Police $175.94

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 102 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/08/2011 PEDRAZA JR, JOSE

12/13/2010 PAZ, FRANKLIN

05/13/2011 PARUSZKIEWICZ, KEVIN

01/12/2011 PARTIPILO, MICHAEL

09/18/2010 PARTIDA, ARTURO

12/26/2010 PARKINSON, MICHELLE

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

153 153 153 153 153 153 153 153 153 153 153 013

124 124 124 124 124 124 124 124 124 124 124 044 044

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

$17.34

$175.94

$6.50

$17.34

$205.41

$6.50

$20.24

$167.62

$6.50

$16.53

$170.43

$56.26

$9.75

$90.00

$6.50

$178.24

$12.01

$208.80

$6.50

$814.00

$6.50

$7.23

$20.80

$192.91

$6.50

$212.18

$928.13

$29.15

$974.44

$23.73

$6.50

City Of Chicago - Confidential

Page 103 of 246

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

04/09/2011 PAPKE, JOSEPH

04/28/2011 PANOTHIOCAS, GEORGE

09/11/2010 PALIKIJ, MICHAEL

02/06/2011 PALIKIJ, MARY

02/06/2011 PALI KlJ, MARY

02/06/2011 PALIKIJ, MARY

03/30/2006 Odonnell-Weiss, Karen

09/20/2010 OWENS, MESHAY

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

3286 3286 3286 3286 3286 3286 3286 3286 P

153 153 153

023 023 023 023 023 023 023 023 00044

lice lice lice lice lice lice lice Hce lice lice lice lice lice lice lice lice ilice ilice lice fice lice lice lice lice lice lice lice lice lice lice ilice lice lice

$2.97

$202.46

$22.06

$6.50

$223.75

$18.80

$6.50

$190.72

$18.80

$6.50

$190.72

$22.06

$6.50

$223.75

$6.50

$662.23

$6.50

$16.92.

$35.70

$6.50

$3.52

$6.50

$545.36

$6.50

$613.39

$6.50

$53.00

$279.01

$64.60

$6.50

$2.38

$510.86

City Of Chicago - Confidential

Page 104 of 246

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

09/20/2010 OWENS, MESHAY

01/28/2011 OWENS, JOHN

04/07/2011 ORTIZ, RODOLFO

02/28/2011 ORTIZ, JOSUE

08/05/2010 ORTIZ, CYNTHIA

02/07/2011 ORTIZ, CARLOS

05/07/2011 ORTIZ CLAUDIO, SUSIE

3286 9161 9161 9161 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

701

013 013 013

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

Poll Poli Poli

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

$6.50

$16.02

$196.77

$12.88

$6.50

$35.00

$103.80

$6.50

$33.09

$6.50

$88.23

$1.29

$88.23

$6.50

$152.00

$668.90

$215.22

$6.50

$21.22

$83.67

$6.50

$1.01

$195.51

$6.50

$19.27

$195.62

$6.50

$19.29

$16.51

$6.50

$167.51

City Of Chicago - Confidential

Page 105 of 246

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

05/07/2011 ORTIZ CLAUDIO, SUSIE

03/25/2011 ORLANDO, PHILLIP

09/17/2010 OLSZEWSKI, MAREK

07/10/2010 OCON, HECTOR

01/31/2011 O SHAUGHNESSY, JENNIFER

01/31/2011 0 SHAUGHNESSY, JENNIFER

01/31/2011 O SHAUGHNESSY, JENNIFER

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

9161 9161

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

Poli Pol Poli

ce ce ce

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

$16.51

$6.50

$167.51

$1.83

$6.50

$151:40

$20.44

$6.50

$207.41

$19.78

$64.00

$6.50

$732.39

$6.50

$69.19

$33.91

$6.50

$206.55

$4.80

$397.01

$167.51

$864.96

$16.51

$146.79

$6.50

$184.22

$6.50

$18.16

$112.00

$6.50

$11.04

$167.51

City Of Chicago - Confidential

Page 106 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/31/2011 O SHAUGHNESSY, JENNIFER

07/27/2009 O BRIEN, TIMOTHY

02/02/2011 O BRIEN, AMIE

10/23/2008 Nunez, Felipe

9161

044

020

00141

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

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

$6.50

$16.51

$167.51

$6.50

$16.51

$6.50

$15.74

$6.50

$248.49

$6.50

$22.04

$176.04

$6.50

$17.35

$142.39

$190.72

$6.50

$18.80

$190.61

$6.50

$18.78

$6.50

$223.64

$17.35

$6.50

$176.04

$223.75

$22.06

$6.50

$230.67

City Of Chicago - Confidential

Page 107 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/23/2008 01/03/2008 01/03/2008 01/03/2008 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 05/08/2011 05/08/2011 05/08/2011 05/08/2011 05/08/2011 05/08/2011 12/27/2010 12/27/2010 12/27/2010 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011

Nunez, Felipe Nielsen, Paul W Nielsen, Paul W Nielsen, Paul W NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NUNEZ, FELIPE NOWAK, THOMAS NOWAK, THOMAS NOWAK, THOMAS NOVALEZ, LUIS NOVALEZ, LUIS NOVALEZ, LUIS NOVALEZ, LUIS NOVALEZ, LUIS NOVALEZ, LUIS NELSON, KIMBERLY NELSON, KIMBERLY NELSON, KIMBERLY NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN

P P P P

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

00141

00079

153

015

018

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

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

$38.70

$6.50

$191.98

$11.04

$6.50

$16.87

$182.22

$6.50

$22.49

$82.33

$170.00

$6.50

$20.33

$6.50

$44.25

$901.60

$3.39

$4.99

$260.00

$6.50

$14.95

$424.56

$6.50

$1.99

$126.25

$6.50

$0.59

$239.07

$6.50

$11.76

$239.07

$6.50

City Of Chicago - Confidential

Page 108 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 05/02/2011 10/21/2009 10/21/2009 10/21/2009 05/07/2011 05/07/2011

NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NATIVIDAD, MARTIN NASH, THOMAS NASH, THOMAS NASH, THOMAS NAPOLI, MICHAEL NAPOLI, MICHAEL

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

Poli Poli Poli Poli

045 045 045 044 044

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

$13.74

$0.47

$6.50

$99.67

$1.70

$6.50

$362.58

$11.76

$6.50

$204.67

$11.76

$6.50

$204.67

$13.74

$6.50

$204.67

$13.74

$6.50

$239.07

$15.35

$6.50

$267.07

$239.07

$6.50

$13.74

$231.51

$6.50

$13.31

$6.50

$337.19

$180.81

$17.94

$701.82

City Of Chicago - Confidential

Page 109 of 246

Incident Date Claimant_Rank

05/07/2011 NAPOLI, MICHAEL 9161

10/17/1996 Mullen, James P

Unit of Insured Total to be Paid

044 City Of Chicago Police $178.24

044 City Of Chicago Police $6.50

044 City Of Chicago Police $7.23

044 City Of Chicago Police $6.50

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $150.97

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $75.00

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $136.80

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $18.28

00024 City Of Chicago Police $49.52

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $21.17.

00024 City Of Chicago Police $270.00

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $56.59

00024 City Of Chicago Police $136.80

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $834.04

00024 City Of Chicago Police $425.64

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $29.20

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $1.68

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $53.49

00024 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 110 of 246

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

10/17/1996 Mullen, James

11/15/2004 Muhammad, Vanessa

11/15/2004 Muhammad, Vanessa"

11/15/2004 Muhammad, Vanessa

04/22/2008 Moses-Hughes, Katherine M

09/24/2008 Morales, Lorraine T

01/26/2008 Michael, Linda

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

00024 00024 00024 00024 00024 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00005 00005 00005 00005 00005 00005 00005 00169 00169 00169 00006 00006 00006 00006 00006 00006 00006

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

$25,68

$63.47

$6.50

$42.06

$99.82

$494.68

$18.08

$6.50

$2.61

$6.50

$215.14

$1.74

$6.50

$5.99

$143.42

$6.50

$59.19

$24.12

$271.95

$3.17

$15.63

$135.18

$299.67

$7.27

$73.62

$190.15

$6.50

$26.46

$122.72

$19.68

$22.20

$133.69

City Of Chicago - Confidential

Page 111 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/26/2008 01/26/2008 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 01/27/2008 01/27/2008 01/27/2008 01/27/2008 01/27/2008

Michael, Linda Michael, Linda Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mclemore, Lavar D Mclemore, Lavar D Mclemore, Lavar D Martinez, Rita M Martinez, Rita M

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

00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00003 00003 00003 00004 00004

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

$321.60

$1.69

$6.50

$88.16

$6.50

$66.12

$6.50

$793.48

$6.50

$52.86

$6.50

$598.17

$6.50

$30.00

$6.50

$209.69

$6.50

$47.13

$41.65

$6.50

$1.69

$6.50

$41.65

$3.86

$6.50

$67.19

$4.46

$77.58

City Of Chicago - Confidential

Page 112 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/27/2008 Martinez, Rita M P

07/26/2003 Malkowski, Carmen P

03/05/2011 MURRAY, BABETTE 3286

12/16/2010 MUDD, MARCUS 9161

12/16/2010 MUDD, MARCUS ' 9161

12/16/2010 MUDD, MARCUS 9161

06/08/2011 MROCZKOWSKI, KRISTOPHER 9161

02/22/2010 MOYER, CHRISTOPHE 9161

10/06/2010 MOYA, FRANCISCO 9161

06/02/2011 MOSES HUGHES, KATHERINE 9161

10/10/2009 MORENO, NANCY

11/21/2008 MORALES, VINCENT

00004 00004 00004 00004 00006

153

044

lice lice lice lice 'lice lice lice lice lice lice lice lice lice lice lice lice Hce lice lice lice lice lice lice lice fice lice lice lice lice lice lice lice lice

$6.50

$5.98

$103.98

$6.50

$110.00

$96.62

$372.15

$6.50

$334.94

$6.50

$8.55

$6.50

$1.17

$372.15

$42.89

$6.50

$189.91

$79.34

$6.50

$11.61

$293.28

$6.50

$6.15

$6.50

$296.13

$6.50

$235.32

$6.50

$235.32

$6.50

$235.32

City Of Chicago - Confidential

Page 113 of 246

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 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 City Of Chicago 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

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 12/28/2010 10/10/2010 10/10/2010 10/10/2010 04/30/2011 04/30/2011 04/30/2011 11/29/2009 11/29/2009 11/29/2009 11/29/2009 11/08/2010 11/08/2010 05/24/2011 05/24/2011 05/24/2011 12/30/2009 12/30/2009 12/30/2009 12/30/2009 12/30/2009 01/22/2011 01/22/2011

MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MORALES, VINCENT MOORE, KENNETH MOCK, LLOYD MOCK, LLOYD MOCK, LLOYD MIUCIN.ZORAN MIUCIN, ZORAN MIUCIN, ZORAN MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, RANITA MITCHELL, ERIK MITCHELL, ERIK MITCHELL, ERIK MITCHELL, ERIK MITCHELL, ERIK MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MIRANDA, ROBERTO MINGO, TARA MINGO, TARA.

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 3286 3286

715 011 011 011 011 011 011 066 066 066 066

011 011 011 011 011 006 006

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

S6.50

$329.68

$6.50

$296.13

$6.50

$303.72

$6.50

$303.72

$607.44

$6.50

$32.59

$6.50

$762.93

$446.31

$6.50

$13.41

$330.33

$281.35

$11.42

$147.00

$6.50

$24.99

$96.25

$6.50

$7.44

$614.94

$139.08

$6.50

$13.71

$6.50

$63.05

$6.50

$58.56

City Of Chicago - Confidential

Page 114 of 246.

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/18/2011 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 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

MILLS, JOEL MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH

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 3286

008

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

$449.57

$338.64

$13.74

$158.63

$6.50

$15.63

$158.63

$6.50

$15.63

$158.63

$6.50

$15.63

$158.63

$6.50

$15.63

$177.64

$6.50

$17.51

$182.14

$6.50

$17.95

$204.16

$6.50

$20.12

$158.63

$6.50

$15.63

$128.32

$6.50

$870.84

$6.50

$22.26

$5.21

City Of Chicago - Confidential

Page 115 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 02/23/2011 02/23/2011 02/23/2011 02/23/2011 09/04/2010 05/19/2011 05/19/2011 05/19/2011 01/01/2011

MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MESCALL, KENNETH MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDOZA, MARCO MENDEZ, MARK

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 9161

Poli Poli Pol

011 011 011 044

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

$127.50

$6.50

$5.18

$158.63

$6.50

$15.63

$270.93

$6.50

$136.61

$6.50

$13.46

$136.61

$6.50

$13.46

$158.63

$6.50

$15.63

$158.63

$6.50

$15.63

$45.00

$6.50

$182.14

$6.50

$17.95

$204.16

$6.50

$20.12

$6.50

$216.90

$5.54

$459.22

City Of Chicago - Confidential

Page 116 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

01/01/2011 02/26/2011 02/26/2011 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010

MENDEZ, MARK MCLEMORE, LAVAR MCLEMORE, LAVAR MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCGUIRE, JOHN MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES

9161

044

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

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

$6.50

$52.41

$6.50

$792.60

$6.50

$138.39

$6.50

$226.40

$6.50

$467.13

$717.38

$6.50

$717.38

$6.50

$158.99

$6.50

$21.47

$307.64

$207.36

$6.50

$16.25

$623.97

$6.50

$27.08

$310.31

$6.50

$13.14

$327.48

$6.50

$14.37

$104.00

$6.50

City Of Chicago - Confidential

Page 117 of 246

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 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 12/08/2010 03/11/2011 03/11/2011

MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCURTY, JAMES MCCANN, RAYMOND MCCANN,RAYMOND

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

008 008

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

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

$5.98

$250.34

$6.50

$11.26

$274.68

$6.50

$11.33

$301.08

$6.50

$12.85

$6.50

$44.53

$361.05

$6.50

$14.73

$96.62

$6.50

$1.17

$301.08

$6.50

$12.85

$548.92

$6.50

$21.31

$568.62

$6.50

$23.29

$914.99

$6.50

$41.64

$387.45

$6.50

$123.41

City Of Chicago - Confidential

Page 118 of 246

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

03/11/2011 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 05/13/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011

MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCANN, RAYMOND MCCALLUM, RICHARD MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN' MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN

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 9161

008 008 008 008 008 008 008 008 008 008 008 008 008 008 008 253

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

$12.16

$123.41

$6.50

$12.16

$140.00

$6.50

$13.80

$8.70

$6.50

$123.41

$6.50

$12.16

$171.12

$6.50

$16.87

$6.50

$18!80

$18.80

$6.50

$190.72

$18.80

$6.50

$190.72

$14.09

$6.50

$143.01

$6.50

$190.72

$18.80

$6.50

$190.72

$1.17

$6.50

City Of Chicago - Confidential

Page 119 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 04/06/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011 02/23/2011

MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MC MEEL, MARTIN MCGUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MCGUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MCGUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MCGUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MCGUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MCGUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MC GUIRE, THOMAS MC GEE, ROBERT MC GEE, ROBERT MC GEE, ROBERT MC GEE, ROBERT MC GEE, ROBERT MC GEE, ROBERT MC GEE, ROBERT

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

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

Poli Poli Poli

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

$96.62

$18.80

$6.50

$190.72

$6.50

$21.57

$6.50

$218.82

$6.50

$159.37

$6.50

$218.82

$68.15

$21.57

$6.50

$218.82

$16.87

$6.50

$171.12

$23.20

$6.50

$235.41

$21.57

$218.82

$26.40

$220.19

$6.50

$21.70

$238.53

$6.50

$23.51

City Of Chicago - Confidential

Page 120 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 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

MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE, MC GEE,

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

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

Poll Poll Pol

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$190.82

$6.50

$18.81

$6.50

$20.51

$173.00

$6.50

$159.71

$6.50

$15.74

$190.72

$6.50

$18.80

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$286.23

$6.50

City Of Chicago - Confidential

Page 121 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/23/2011 MC GEE, ROBERT

02/23/2011 MC GEE, ROBERT 02/23/2011 ■ MC GEE, ROBERT

02/23/2011 MC GEE, ROBERT .

02/23/2011 MC GEE, ROBERT

09/17/2009 MC DONALD, CHARLES

05/20/2011 MC CLELLAND III, WILLIAM

05/11/2011 MC CLAIN, RODERIQUE

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

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

$28.21

$190.82

$6.50

$18.81

$172.49

$6.50

$17.00

$267.90

$6.50

$26.40

$267.90

$6.50

$26.40

$267.90

$6.50

$209.69

$614.56

$6.50

$7.44

$900.00

$6.50

$21.66

$253.03

$6.50

$3.07

$6.50

$24.60

$259.95

City Of Chicago - Confidential

Page 122 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/11/2011 MC CLAIN, RODERIQUE

12/23/2010 MAYOSKI, NICOLE

12/14/2009 MAYAS, CARLOS

06/21/2010 MATLOB, KENNETH

06/21/2010 MATLOB, KENNETH -

06/21/2010 MATLOB, KENNETH

9161 9161 9161 9161 9161 9161

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

153 153 153 153 153

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

$1.42

$6.50

$117.54

$3.15

$6.64

$21.02

$6.50

$97.02

$64.54

$6.50

$223.44

$6.50

$14.49

$233.16

$6.50

$15.13

$237.22

$6.50

$15.39

$281.73

$6.50

$18.28

$458.23

$6.50

$29.73

$6.50

$552.09

$6.50

$434.91

$32.57

$6.50

$41.85

City Of Chicago - Confidential

Page 123 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/21/2010 08/10/2010 05/31/2011 05/31/2011 05/31/2011 05/31/2011 12/21/2009 12/21/2009 12/21/2009 05/07/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011 05/07/2011 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 04/22/2009 04/18/2011 04/18/2011 04/18/2011

MATLOB, KENNETH MATIAS, HECTOR MARTINO, JASON MARTINO, JASON MARTINO, JASON MARTINO, JASON MARTINEZ, DANIEL MARTINEZ, DANIEL MARTINEZ, DANIEL MARTINEZ JR, JOSE MARTINEZ JR, JOSE MARTINEZ JR, JOSE MARTINEZ JR, JOSE MARTINEZ JR, JOSE MARTINEZ JR, JOSE MARTINEZ JR, JOSE MARTINEZ JR, JOSE MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARTIN, GWENDOLYN MARIN JR, LUIS MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY

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

640

010 010 010 013 013 013 013 013 013 013 013

9161 9161 9161 9161

013

lice lice lice lice lice lice lice lice lice ■lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice ilice

$112.03

$499.90

$83.88

$6.50

$898.13

$6.50

$35.66

$362.16

$6.50

$28.50

$2.13

$6.50

$27.75

$6.50

$2.19

$6.50

$35.17

$129.17

$6.50

$488.96

$8.63

$6.50

$231.91

$1.17

$4.05

$6.50

$96.62

$17.38

$100.25

$794.49

$6.50

$18.62

City Of Chicago - Confidential

Page 124 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/02/2010 MANDER, THOMAS

07/19/2010 MALLEK, WILLIAM

10/12/2010 MAHAY, EDWARD

12/17/2008 MAHADEO, ALEJANDRA

06/02/2011 MAHADEO, ALEJANDRA

10/05/2010 MACIOLEK, JOLANTA

12/14/2005 Lisula, Nancy J

09/12/2008 Lipinski, David

03/07/2003 Lange, Jimmie

05/29/2011 LOVELESS, ANTOINETT

03/02/2009 LORENZ, JOHN

09/01/2010 LOPEZ, MONICA

9201

9161

9161 9161 9161 9161 9161 9161 9161 9161

177 177 177 014 014 001 11

044

00006

00010

00701

044

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

$6.50

$28.84

$237.00

$6.50

$15.16

$6.50

$37.85

$5.54

$216.90

$6.50

$53.55

$6.50

$188.70

$6.50

$386.29

$231.48

$57.87

$378.74

$6.50

$1.23

$263.34

$42.04

$6.50

$128.12

$6.50

$7.37

$177.80

$417.08

$6.50

City Of Chicago - Confidential

Page 125 of 246

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 11/27/2009 01/11/2009 01/11/2009 01/11/2009 01/11/2009 01/11/2009 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/15/2011 05/15/2011 05/15/2011 05/15/2011

LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, MONICA LOPEZ, JAMES LOPEZ MALAVE, IRMA LOPEZ MALAVE, IRMA LOPEZ MALAVE, IRMA LOPEZ MALAVE, IRMA LOPEZ MALAVE, IRMA LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LOHSE, WILLIAM LODUCA, BRADLEY LODUCA, BRADLEY LODUCA, BRADLEY LODUCA, BRADLEY

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

010 010 010 010 010 011 011 011 011 011 011 011 011 011 011 011 011

lice lice lice lice lice lice ilice ilice 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

$14.75

$6.50

$7.09

$231.32

$6.50

$8.77

$85.50

$6.50

$82.09

$2.19

$6.50

$129.74

$16.42

$6.50

$142.39

$6.50

$358.74

$77.59

$6.50

$216.90

$6.50

$36.00

$6.50

$0.92

$6.50

$48.50

$5.54

$177.18

$6.50

$718.88

$6.50

$18.38

$153.17

City Of Chicago - Confidential

Page 126 of 246

Incident Date Claimant_Rank

12/22/2008 LEON, MARCO 9161

01/29/2011 LEJA, JACEK 3286

Unit of_Insured _Total to be Paid

024 City Of Chicago Police $399.94

153 City Of Chicago Police $10.52

153 City Of Chicago Police $312.30

153 City Of Chicago Police $6.50

153 City Of Chicago Police $11.98

153 City Of Chicago Police $612.28

153 City Of Chicago Police $6.50

153 City Of Chicago Police $24.38

153 City Of Chicago Police $252.63

153 City Of Chicago Police $6.50

153 City Of Chicago Police $ 10.52

153 City Of Chicago Police $252.63

153 City Of Chicago Police $6.50

153 City Of Chicago Police $10.52

153 City Of Chicago Police $463.66

153 City Of Chicago Police $6.50

153 City Of Chicago Police $18.65

153 City Of Chicago Police $557.26

153 City Of Chicago Police $6.50

153 City Of Chicago Police $22.83

153 City Of Chicago Police $324.63

153 City Of Chicago Police $6.50

153 City Of Chicago Police $13.73

153 City Of Chicago Police $6.50

153 City Of Chicago Police $252.63

153 City Of Chicago Police $5.78

153 City Of Chicago Police $6.50

153 City Of Chicago Police $7.02

153 City Of Chicago Police $179.32

153 City Of Chicago Police $6.50

153 City Of Chicago Police $218.99

153 City Of Chicago Police $7.64

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 127 of 246

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 01/29/2011 01/29/2011 01/29/2011 01/29/2011 01/29/2011 01/29/2011 01/29/2011 01/29/2011 01/29/2011 01/29/2011 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 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011 02/07/2011

LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEJA, JACEK LEE, JAMES LEE, JAMES LEE, JAMES LEE, JAMES LEE, JAMES LEE, JAMES LEE, JAMES LEE, JAMES LEE, JAMES LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER,

FRED FRED FRED FRED FRED FRED FRED 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 3286

153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 153 024 024 024 024 024 024 024 024 024

Poli Poli Poli

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

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

$199.11

$17.69

$6.50

$509.77

$96.62

$6.50

$1.17

$96.62

$6.50

$1.17

$143.42

$6.50

$1.74

$259.57

$6.50

$8.30

$376.91

$6.50

$15.93

$11.52

$6.50

$70.55

$6.78

$53.05

$6.50

$287.27

$6.50

$378.35

$6.50

$350.17

$6.50

$727.12

City Of Chicago - Confidential

Page 128 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201 02/07/201

LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER, LEBENSORGER,

FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED FRED

Pot Poli Poli

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

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

$6.50

$201.31

$6.50

$329.22

$6.50

$19.10

$517.92

$6.50

$68.98

$6.50

$1.01

$292.89

$6.50

$4.30

$179.77

$350.17

$6.50

$344.96

$6.50

$700.34

$6.50

$89.12

$6.50

$1.31

$455.02

$6.50

$637.44

$6.50

$511.64

$6.50

$125.80

$6.50

City Of Chicago - Confidential

Page 129 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER, FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER,FRED LEBENSORGER, FRED LEBENSORGER,FRED LEBENSORGER,FRED LARSON, ANDREW LARSON,ANDREW LARSON,ANDREW LARSON,ANDREW LARSON, ANDREW LARSON,ANDREW LARSON,ANDREW

9161 9161 9161 9161 9161 9161 9161

Poli Poli Poli

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

$89.12

$6.50

$1.31

$88.07

$6.50

$455.02

$6.50

$62.98

$6.50

$0.92

$524.80

$6.50

$25.67

$495.00

$6.50

$164.68

$190.81

$6.50

$18.81

$160.09

$6.50

$15.78

$89.12

$6.50

$1.31

$287.27

$6.50

$21.56

$6.50

$147.70

$21.56

$6.50

$218.72

City Of Chicago - Confidential

Page 130 of 246

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

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 09/01/2010 09/01/2010 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 04/09/2011 04/09/2011 03/14/2005 03/14/2005 03/14/2005 03/14/2005

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 LANGLE, WILLIAM . LANGLE, WILLIAM LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE LAMPKIN, ELAINE Kirchner, Robert Kirchner, Robert Kirchner, Robert Kirchner, Robert

9161

044

012

09999

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

$14.10

$6.50

$916.02

$6.50

$21.56

$6.50

$218.72

$6.50

$21.56

$218.72

$6.50

$14.56

$279.93

$6.50

$95.60

$3.42

$6.50

$233.30

$3.25

$6.50

$1.40

$2.50

$6.50

$170.32

$15.73

$6.50

$221.84

$197.48

$26.17

$1.49

$6.50

City Of Chicago - Confidential

Page 131 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/14/2005 Kirchner, Robert

03/27/2005 Kennelly, Michael V

01/10/2011 KWIATKOWSKI, JOSEPH

05/25/2011 KURI, CESAR

08/07/2010 KUBIAK, CAROLYN

05/08/2011 KRUGER, KARL

08/13/2010 KRAMER, WAYNE

12/03/2008 KONOW, STEVEN

9161

09999 00019 00019

314 314 314 314 314

315 315 018 018 018

Pol Pol Pol

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

$58.14

$7.29

$6.50

$23.95

$4.84

$6.50

$20.03

$6.50

$165.58

$30.40

$6.50

$338.07

$6.50

$351.70

$6.50

$730.27

$6.50

$336.00

$35.97

$22.78

$183.95

$17.95

$156.00

$19.32

$156.00

$19.32

$150.80

$18.68

City Of Chicago - Confidential

Page 132 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/03/2008 12/22/2010 12/22/2010 12/22/2010 12/22/2010

KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KONOW, STEVEN KNUDSEN,SARA KNUDSEN,SARA KNUDSEN, SARA KNUDSEN, SARA

9161 9161 9161 9161

044 044 044 044

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

$156.00

$19.32

$156.00

$19.32

$156.00

$19.32

$195.00

$24.15

$156.00

$19.32

$102.19

$222.26

$125.45

$15.54

$58.50

$1.49

$7.50

$1.73

$571.35

$70.76

$144.95

$17.95

$144.95

$17.95

$156.00

$19.32

$183.95

$22.78

$144.95

$348.60

$6.50

$13.15

City Of Chicago - Confidential

Page 133 of 246

Incident Date Claimant_Rank

12/22/2010 KNUDSEN, SARA 9161

03/27/2011 ' KNIGHT, AISHA 9161

04/14/2011 KIZZIAH, AARON 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $6.50

044 City Of Chicago Police $307.18

044 City Of Chicago Police $6.50

044 City Of Chicago Police $165.67

044 City Of Chicago Police $6.50

044 City Of Chicago Police $293.53

044 City Of Chicago Police $6.50

044 City Of Chicago Police $270.48

044 City Of Chicago Police $6.50

044 City Of Chicago Police $309.24

044 City Of Chicago Police $6.50

044 City Of Chicago Police $270.49

044 City Of Chicago Police $6.50

044 City Of Chicago Police $254.77

044 City Of Chicago Police $6.50

044 City Of Chicago Police $307.18

044 City Of Chicago Police $6.50

044 City Of Chicago Police $307.18

044 City Of Chicago Police $6.50

044 City Of Chicago Police $256.83

044 City Of Chicago Police $6.50

044 City Of Chicago Police $256.83

044 City Of Chicago Police $6.50

044 City Of Chicago Police $165.66

011 City Of Chicago Police $18.55

023 City Of Chicago Police $190.72

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.80

023 City Of Chicago Police $207.41

023 City Of Chicago Police $6.50

023 City Of Chicago Police $20.44

023 City Of Chicago Police $190.82

023 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 134 of 246

Incident Date Claimant Rank

04/14/2011 KIZZIAH, AARON 9161

04/14/2011 KIZZIAH, AARON ' 9161

04/14/2011 KIZZIAH, AARON 9161

Unit of_Insured_Total to be Paid

023 City Of Chicago Police $18.81

023 City Of Chicago Police $167.62

023 City Of Chicago Police $6.50

023 City Of Chicago Police $16.53

023 City Of Chicago Police $6.50

023 City Of Chicago Police $51.58

023 City Of Chicago Police $437.60

023 City Of Chicago Police $6.50

023 City Of Chicago Police $6.42

023 City Of Chicago Police $190.72

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.80

023 City Of Chicago Police $238.42

023 City Of Chicago Police $6.50

023 City Of Chicago Police $23.50

023 City Of Chicago Police $190.82

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.81

023 City Of Chicago Police $190.82

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.81

023 City Of Chicago Police $190.82

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.81

023 City Of Chicago Police $190.72

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.80

023 City Of Chicago Police $167.51

023 City Of Chicago Police $6.50

023 City Of Chicago Police $16.51

023 City Of Chicago Police $190.82

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.81

City Of Chicago - Confidential

Page 135 of 246

Incident Date Claimant_Rank

04/14/2011 KIZZIAH, AARON 9161

06/21/2010 KIRCHENS, JAMES 9161

06/21/2010 KIRCHENS, JAMES' 9161

06/21/2010 KIRCHENS, JAMES 9161

Unit of_Insured_Total to be Paid

023 City Of Chicago Police $190.72

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.80

023 City Of Chicago Police $190.72

023 City Of Chicago Police $6.50

023 City Of Chicago Police $18.80

044 City Of Chicago Police $28.21

044 City Of Chicago Police $6.50

044 City Of Chicago Police $28.21

044 City Of Chicago Police $238.53

044 City Of Chicago Police $6.50

044 City Of Chicago Police $23.51

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $286.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $28.21

044 ■ City Of Chicago Police $286.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $28.21

044 City Of Chicago Police $286.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $28.21

044 City Of Chicago Police $286.23

City Of Chicago - Confidential

Page 136 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW, KINSLOW,

STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN STEVEN 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 3286 3286 3286 3286 3286 3286 3286 3286 3286

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

$256.24

$6.50

$89.12

$6.50

$1.31

$3.77

$256.24

$6.50

$3.77

$182.32

$6.50

$2.68

$256.24

$6.50

$89.12

$6.50

$1.31

$3.77

$256.24

$6.50

$3.77

$6.50

$256.24

$6.50

$3.77

$256.24

$6.50

$3.77

$256.24

$6.50

$3.77

$256.24

$6.50

City Of Chicago - Confidential

Page 137 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KINSLOW, STEVEN KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KHAN, KASHIF KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN KESSEM, BRIAN

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

044 044 044 044 044 044 044 044

lice lice lice 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

$3.77

$256.24

$6.50

$3.77

$256.24

$6.50

$3.77

$256.24

$6.50

$3.77

$256.24

$6.50

$3.77

$256.24

$6.50

$3.77

$6.50

$127.65

$96.62

$1.51

$1.17

$124.50

$6.50

$3.47

$236.50

$3.47

$6.50

$236.50

$6.50

$3.47

City Of Chicago - Confidential

Page 138 of 246

Incident Date Claimant_Rank

11/01/2010 KESSEM, BRIAN 9161

05/30/2009 KERIN, ELIZABETH 9161

08/05/2010 KERIN, ELIZABETH 9161

05/25/2011 KEREAKES, DEMETRIOS - 9161

05/25/2011 KEREAKES, DEMETRIOS 9161

05/11/2010 KENNA, STEVEN 9161

Unit of Insured Total to be Paid

City Of Chicago Police $236.50

City Of Chicago Police $6.50

City Of Chicago Police $3.47

City Of Chicago Police $89.12

City Of Chicago Police $6.50

City Of Chicago Police $1.31

City Of Chicago Police $177.38

City Of Chicago Police $6.50

City Of Chicago Police $2.60

City Of Chicago Police $177.38

City Of Chicago Police $6.50

City Of Chicago Police $2.60

City Of Chicago Police $236.50

City Of Chicago Police $6.50

044 City Of Chicago Police $273.01

044 City Of Chicago Police $19.93

9 City Of Chicago Police $33.78

9 City Of Chicago Police $3.68

9 City Of Chicago Police $6.50

9 City Of Chicago Police $143.98

9 City Of Chicago Police $6.50

9 City Of Chicago Police $0.86

314 City Of Chicago Police $20.43

314 City Of Chicago Police $165.58

314 City Of Chicago Police $6.50

314 City Of Chicago Police $20.03

314 City Of Chicago Police $207.31

314 City Of Chicago Police $6.50

003 City Of Chicago Police $322.05

003 City Of Chicago Police $10.74

003 City Of Chicago Police $264.70

003 City Of Chicago Police $10.63

City Of Chicago - Confidential

Page 139 of 246

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

05/11/2010 KENNA, STEVEN

05/11 /2010 KEN NA, STEVEN

10/04/2010 KELNOSKY, STEVEN

04/28/2009 KATSAROS, DIMITRIOS

09/26/2009 KAPUT, STEVEN

07/28/2010 KANER, KURT

05/22/2011 KANE, PAUL

10/14/1992 Johnson-Swain, Marianne C

9161 9161

003 003

9161 9161 9161 9161

9173 P

019 019

153 00006

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

$262.06

$13.07

$18.80

$225.82

$6.50

$22.26

$238.42

$6.50

$23.50

$238.42

$6.50

$23.50

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$218.61

$6.50

$190.72

$21.54

$6.50

$21.54

$218.61 .

$197.24

$65.46

$4.80

$397.01

$25.60

$6.50

City Of Chicago - Confidential

Page 140 of 246

Incident Date Claimant_Rank

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

08/25/1997 Johnson-Shelby, Estella P

08/25/1997 ' Johnson-Shelby, Estella P

08/25/1997 Johnson-Shelby, Estella P

10/25/2008 Johnson, Odessa P

07/17/2008 Johnson, John M P

09/10/1994 Jackson, Talmitch P

09/06/2010 JOYNER, ROBBIE 9161

Unit of_Insured_Total to be Paid

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $216.74

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $8.55

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $11.76

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $181.36

00006 City Of Chicago Police $11.76

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $181.35

00006 City Of Chicago Police $0.55

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $186.93

00006 City Of Chicago Police $0.55

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $8.55

00006 City Of Chicago Police $142.11

00006 City Of Chicago Police $6.50

00006 City Of Chicago Police $9.22

00011 City Of Chicago Police $151.63

00011 City Of Chicago Police $6.50

00011 City Of Chicago Police $13.10

00008 City Of Chicago Police $68.01

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $4.41

00003 City Of Chicago Police $167.31

00003 City Of Chicago Police $6.79

00003 City Of Chicago Police $6.50

715 City Of Chicago Police $0.32

715 City Of Chicago Police $2.67

City Of Chicago - Confidential

Page 141 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/26/2010 11/26/2010 11/26/2010 12/16/2009 12/16/2009 12/16/2009 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 12/12/2010 12/12/2010 12/12/2010 12/12/2010 12/12/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 08/27/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010 10/29/2010

JONES, ROSEZITA JONES, ROSEZITA JONES, ROSEZITA JONES,NANCY JONES, NANCY JONES, NANCY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES, GREGORY JONES,ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JONES, ANDREW JOHNSON, RAYMOND JOHNSON, RAYMOND JOHNSON, RAYMOND JOHNSON,RAYMOND JOHNSON, RAYMOND JOHNSON, RAYMOND JOHNSON,RAYMOND

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

015 015 015

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

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

$6.50

$96.62

$1.17

$6.50

$1.17

$96.62

$6.50

$246.37

$6.50

$204.42

$6.50

$246.37

$6.50

$246.37

$6.50

$89.10

$204.42

$246.37

$6.50

$2.89

$3.61

$6.50

$298.79

$6.50

$239.04

$4.70

$6.50

$74.86

$205.00

$6.50

$115.85

$135.12

City Of Chicago - Confidential

Page 142 of 246

Incident Date Claimant Rank

10/29/2010 JOHNSON, RAYMOND

11/29/2010 JOHNSON, LAWRENCE

03/15/2011 JOHNSON, JOYCE 3286

09/26/2010 JOHNSON, AJAMU BOM 9161

05/19/2011 JOHNSEN, GLENN 9161

09/10/2010 JIMENEZ, LUIS 9161

11/05/2009 JANUS, RICHARD Sgt

08/22/2009 JANDA, LIANE 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $371.53

City Of Chicago Police $6.50

City Of Chicago Police $3.04

City Of Chicago Police $54.13

City Of Chicago Police $1.40

City Of Chicago Police $6.50

City Of Chicago Police $95.60

City Of Chicago Police $167.51

City Of Chicago Police $143.42

City Of Chicago Police $6.50

City Of Chicago Police $16.51 City Of Chicago Police . $167.51

City Of Chicago Police $6.50

City Of Chicago Police $16.51

City Of Chicago Police $6.50

City Of Chicago Police $167.51

City Of Chicago Police $14.09

City Of Chicago Police $6.50

City Of Chicago Police $143.01

City Of Chicago Police $16.51

City Of Chicago Police $6.50

City Of Chicago Police $64.54

City Of Chicago Police $6.50

City Of Chicago Police $869.41

City Of Chicago Police $22.22

765 City Of Chicago Police $6.50

630 City Of Chicago Police $37.35

630 City Of Chicago Police $70.36

630 City Of Chicago Police $121.34

630 City Of Chicago Police $437.86

City Of Chicago Police $315.58

City Of Chicago - Confidential

Page 143 of 246

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

08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009

JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE

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

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

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$242.19

$6.50

$23.87

$242.19

$6.50

$23.87

$168.80

$6.50

$16.64

$242.19

$6.50

$23.87

$242.19

$6.50

$23.87

$388.96

$6.50

$38.34

$242.19

$168.80

$6.50

$16.64

City Of Chicago - Confidential

Page 144 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

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

$242.19

$6.50

$23.87

$242.19

$6.50

$23.87

$242.19

$6.50

$23.87

$4.29

$6.50

$0.06

$606.41

$6.50

$8.91

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$242.19

$6.50

$23.87

$6.50

$23.87

$606.41

$6.50

$8.91

, $168.80 $6.50 $16.64

' $6.50

City Of Chicago - Confidential

Page 145 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 08/22/2009 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

JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JANDA, LIANE JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS

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

ilice lice lice lice lice lice dice 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

$164.19

$643.50

$6.50

$25.05

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$242.19

$6.50

$23.87

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$275.03

$6.50

$62.45

$6.50

$310.32

$6.50

$753.08

City Of Chicago - Confidential

Page 146 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 10/25/2010 10/25/2010 10/25/2010 10/25/2010 10/25/2010 05/01/2011 05/01/2011 05/01/2011 05/01/2011 05/01/2011 11/13/2010 11/13/2010 11/13/2010 11/13/2010 11/13/2010 03/26/2011 03/26/2011 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

JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON, PRENTISS JACKSON,DEBORAH JACKSON, DEBORAH JACKSON,DEBORAH JACKSON,DEBORAH JACKSON, DEBORAH JACKSON, CORTNEY JACKSON, CORTNEY JACKSON,CORTNEY JACKSON,CORTNEY JACKSON,CORTNEY JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON, CARLA JACKSON JR, WILLIAM JACKSON JR, WILLIAM IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS

9161 9161 9161 9161 9161

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

004 004 004 004 004

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

$21.49

$6.50

$165.00

$6.50

$620.64

$11.16

$218.29

$6.50

$200.82

$6.50

$4.02

$6.50

$44.42

$6.50

$7.23

$178.24

$54.71

$6.50

$552.79

$6.69

$6.50

$15.73

$6.50

$190.82

$18.81

$6.50

$18.81

$277.84

$6.50

$88.07

$6.50

$207.41

$6.50

City Of Chicago - Confidential

Page 147 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02711/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 02/11/2011 04/25/2011 01/15/2004 08/25/1993 08/25/1993 06/04/2008 08/05/1992 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 12/03/2010 12/03/2010 04/02/2011 04/02/2011

IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZZO JR, THOMAS IZA, FRANCISCO Hicks, Nathan Herring, Patricia Herring, Patricia Hanson, Kristen Hanley, Richard HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUNDRIESER, DAVID HUBERTS JR, DENNIS HUBERTS JR, DENNIS HOZZIAN, JOANNE HOZZIAN, JOANNE

9161

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

00044

00007

00019

00007

016

001 001

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 fice lice lice lice lice

$20.44

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$153.50

$247.50

$236.63

$36.12

$842.92

$643.07

$23.30

$286.23

$18.81

$6.50

$28.21

$6.50

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$190.82

$6.50

$207.59

$6.50

$7.64

$6.50

City Of Chicago - Confidential

Page 148 of 246

Incident Date Claimant_Rank

04/02/2011 HOZZIAN, JOANNE 9161

02/23/2011 HOYOU, ASHOOR 3286

05/08/2011 HOLLIDAY, DAVID 9161

05/05/2011 HOFFMANN, Steven 9161

05/25/2011 HOFFMAN, NICOLE 9161

01/18/2011 HITZ, THOMAS 9161

05/11/2011 HINES, VANETTA po

Unit of Insured Total to be Paid

001 City Of Chicago Police $299.34

001 City Of Chicago Police $48.50

001 City Of Chicago Police $6.50

001 City Of Chicago Police $598.68

001 City Of Chicago Police $6.50

001 City Of Chicago Police $299.34

001 City Of Chicago Police $3.83

001 City Of Chicago Police $6.50

001 City Of Chicago Police $150.04

001 City Of Chicago Police $7.65

001 City Of Chicago Police $11.10

001 City Of Chicago Police $6.50

001 City Of Chicago Police $343.86

001 City Of Chicago Police $22.20

001 City Of Chicago Police $6.50

001 City Of Chicago Police $687.72

001 City Of Chicago Police $12.75

001 City Of Chicago Police $6.50

001 City Of Chicago Police $396.45

001 City Of Chicago Police $21.04

001 City Of Chicago Police $650.80

001 City Of Chicago Police $6.50

City Of Chicago Police $108.75

City Of Chicago Police $6.50

City Of Chicago Police $56.01

019 City Of Chicago Police $567.00

019 City Of Chicago Police $6.50

019 City Of Chicago Police $11.18

044 City Of Chicago Police $28.74

701 City Of Chicago Police $8.51

701 City Of Chicago Police $6.50

701 City Of Chicago Police $148.00

025 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 149 of 246

Incident Date Claimant Rank

05/11/2011 HINES, VANETTA po

02/26/2011 HICKEY, DAVID 9161

11/17/2010 HERNANDEZ, DANIEL 9161

07/19/2009 HERNANDEZ JR, RAUL 9161

08/03/2010 HENRY, NICOLE 9161

12/04/2010 HENRY, NICOLE 9161

Unit of_Insured_Total to be Paid

025 City Of Chicago Police $20.26

025 City Of Chicago Police $792.68

025 City Of Chicago Police $72.22

193 City Of Chicago Police $6.50

193 City Of Chicago Police $136.29

City Of Chicago Police $68.15

City Of Chicago Police $15.42

City Of Chicago Police $6.50

City Of Chicago Police $603.67

City Of Chicago Police $202.41

City Of Chicago Police $6.50

City Of Chicago Police $202.41

City Of Chicago Police $6.50

005 City Of Chicago Police $1.17

005 City Of Chicago Police $258.97

005 City Of Chicago Police $6.50

005 City Of Chicago Police $3.13

005 City Of Chicago Police $258.97

005 City Of Chicago Police $6.50

005 City Of Chicago Police $3.13

005 City Of Chicago Police $249.01

005 City Of Chicago Police $6.50

005 City Of Chicago Police $3.01

005 City Of Chicago Police $96.62

005 City Of Chicago Police $6.50

005 City Of Chicago Police $1.17

005 City Of Chicago Police $258.97

005 City Of Chicago Police $6.50

005 City Of Chicago Police $3.13

005 City Of Chicago Police $249.01

005 City Of Chicago Police $6.50

005 City Of Chicago Police $3.01

005 City Of Chicago Police $194.23

City Of Chicago - Confidential

Page 150 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 12/04/2010 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

HENRY, NICOLE HENRY, NICOLE HENRY, NICOLE HENRY, NICOLE HENRY, NICOLE HENRY, NICOLE HENRY, NICOLE 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

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

005 005 005 005 005 005 005

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

$6.50

$2.35

$821.73

$6.50

$9.94

$96.62

$6.50

$5.00

$413.33

$1.22

$6.50

$100.61

$3.12

$6.50

$257.97

$6.50

$516.05

$6.50

$817.38

$204.17

$6.50

$2.47

$303.77

$6.50

$3.67

$338.63

$6.50

$4.10

$278.87

$6.50

$3.37

$6.50

City Of Chicago - Confidential

Page 151 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/25/2010 06/18/2009 06/18/2009 06/18/2009 06/18/2009 06/18/2009 06/18/2009 10/22/2010 10/22/2010 10/22/2010

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 HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, JAMES HEALY, JAMES HEALY, JAMES HEALY, JAMES HEALY, JAMES HEALY, JAMES HATTER, COREY HATTER, COREY HATTER, COREY

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 9161 9161

044 044 044 044 044 044 019 019 019 019 019 019

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

$565.76

$6.50

$6.85

$2.89

$239.02

$6.50

$2.89

$239.02

$6.50

$2.89

$239.02

$6.50

$2.89

$239.02

$6.50

$2.89

$239.02

$6.50

$975.09

$6.50

$440.31

$6.50

$0.58

$6.50

$185.00

$6.50

$160.00

$6.50

$135.00

$6.50

$21.56

$218.72

$6.50

City Of Chicago - Confidential

Page 152 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

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

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

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

$21.56

$95.41

$6.50

$9.40

$171.12

$6.50

$16.87

$171.12

$6.50

$16.87

$218.82

$6.50

$21.57

$238.53

$6.50

$23.51

$190.82

$6.50

$18.81

$29.25

$6.50

$1.14

$6.50

$119.92

$6.50 -

$70.99

$6.50

$272.61

$6.50

$15.67

$159.71

$6.50

$15.74

City Of Chicago - Confidential

Page 153 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 10/22/2010 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 04/17/2011 12/13/2009 12/13/2009

HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HATTER, COREY HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, JANICE HARRIS, DAVID HARRIS, 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

006 006 006 006 006 006

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

$190.82

$6.50

$18.81

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$218.72

$6.50

$21.56

$218.72

$6.50

$21.56

$6.50

$58.44

$218.72

$6.50

$96.62

$6.50

$1.17

$453.64

$6.50

$5.49

$16.39

$166.19

City Of Chicago - Confidential

Page 154 of 246

Incident Date Claimant Rank

04/19/2010 HARRIS, CHARLESTON 9161

05/02/2011 HALERZ, JOHN 9161

04/17/2008 Griffin, Richard C P

06/06/2008 Gricki-Onorato, Victoria V P

09/28/2004 Golosinski, Mark P

09/28/2004 Golosinski, Mark' P

09/28/2004 Golosinski, Mark P

Unit of Insured Total to be Paid

123 City Of Chicago Police $6.50

123 City Of Chicago Police $228.96

123 City Of Chicago Police $894.36

008 City Of Chicago Police $52.00

008 City Of Chicago Police $6.50

008 City Of Chicago Police $8.55

008 City Of Chicago Police $6.50

008 City Of Chicago Police $0.55

008 City Of Chicago Police $201.60

008 City Of Chicago Police $6.50

008 City Of Chicago Police $13.08

008 City Of Chicago Police $6.50

008 City Of Chicago Police $115.06

008 City Of Chicago Police $6.50

008 City Of Chicago Police $409.95

008 City Of Chicago Police $6.50

00006 City Of Chicago Police $36.00

00006 City Of Chicago Police $47.19

00006 City Of Chicago Police $1.80

00006 City Of Chicago Police $2.44

00014 City Of Chicago Police $1.05

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $86.64

00024 City Of Chicago Police $654.71

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $20.83

00024 City Of Chicago Police $909.90

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $3.30

00024 City Of Chicago Police $596.24

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $18.84

00024 City Of Chicago Police $87.36

City Of Chicago - Confidential

Page 155 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/28/2004 09/28/2004 02/17/2007 04/06/2008 04/06/2008 04/06/2008 04/16/2005 04/16/2005 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 09/29/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010 10/10/2010

Golosinski, Mark Golosinski, Mark Gass, George W Garza, Armando Garza, Armando Garza, Armando Gaji, Tiffany S Gaji, Tiffany S GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUTIERREZ, VICTORIA GUNNING, JOSEPH GUNNING, JOSEPH GUNNING, JOSEPH GUNNING, JOSEPH GUNNING, JOSEPH GUNNING, JOSEPH

P P P P P P P P

9161

9161'

9161

00024

00153

00006

00003

012

City Of Chicago Pol

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

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

$6.50

$28.69

$6.50

$103.98

$5.98

$69.19

$6.50

$446.35

$150.97

$6.50

$150.97

$6.50

$352.94

$6.50

$352.94

$6.50

$796.80

$1.39

$6.50

$94.64

$2.68

$6.50

$182.45

City Of Chicago - Confidential

Page 156 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/02/2010 04/02/2010 04/02/2010 04/02/2010 04/02/2010 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 02/17/2011 02/17/2011 02/22/2009 02/22/2009 02/22/2009 02/22/2009 02/22/2009 02/22/2009 02/22/2009 02/22/2009 02/17/2011 02/17/2011 02/17/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011

GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GRUBE, PATRICK GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GROH, JOSEPH GRIMM, THOMAS GRIMM, THOMAS GRIMM, THOMAS GRIMM, THOMAS GRIMM, THOMAS GRIMM, THOMAS GRIMM, THOMAS GRIMM, THOMAS GRIMM, THOMAS GRIMM, THOMAS GRIFFIN II, EDDIE GRIFFIN II; EDDIE GRIFFIN II, EDDIE GREVE, TIMOTHY GREVE, TIMOTHY GREVE, TIMOTHY GREVE, TIMOTHY

9161 9161 9161 9161 9161

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

012 012 012 012 012 012 012 012

022 022 022 022

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

$74.86

$101.28

$6.50

$3.04

$6.50

$97.30

$62.69

$12.34

$25.59

$6.50

$21.04

$6.50

$161.19

$8.97

$6.50

$51.61

$12.87

$985.11

$6.50

$103.25

$6.50

$224.41

$20.80

$6.50

$145.86

$488.07

$34.71

$6.50

$603.84

City Of Chicago - Confidential

Page 157 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/26/2011 03/26/2011 03/26/2011 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 12/16/2010 05/28/2011 05/28/2011 05/28/2011 05/28/2011 10/14/2010 10/14/2010 10/14/2010 10/14/2010 10/14/2010 10/14/2010 10/14/2010 10/14/2010

GREVE, TIMOTHY GREVE, TIMOTHY GREVE, TIMOTHY GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRASSER, ANGELE GRAN IAS, GEORGE GRANIAS, GEORGE GRAN IAS, GEORGE GRANIAS, GEORGE GRANEY, KEVIN GRANEY, KEVIN GRANEY, KEVIN GRANEY, KEVIN GRANEY, KEVIN GRANEY, KEVIN GRANEY, KEVIN GRANEY, KEVIN

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

022 022 022

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

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

lice ilice ilice 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

$6.50

$754.80

$6.50

$0.07

$6.50

$5.99

$17.48

$6.50

$8.44

$6.50

$225.44

$13.10

$6.50

$339.93

$11.35

$6.50

$318.62

$29.47

$6.50

$809.17

$6.50

$317.27

$24.54

$8.10

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

City Of Chicago - Confidential

Page 158 of 246

Incident Dale Claimant_Rank

10/14/2010 GRANEY, KEVIN 9161

10/14/2010. GRANEY, KEVIN 9161

10/14/2010 GRANEY, KEVIN 9161

10/14/2010 GRANEY, KEVIN " 9161

10/14/2010 GRANEY, KEVIN 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $223.31

044 City Of Chicago Police $6.50

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $101.70

044 City Of Chicago Police $6.50

044 City Of Chicago Police $72.18

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.43

044 City Of Chicago Police $223.31

044 City Of Chicago Police $207.41

044 City Of Chicago Police $6.50

044 City Of Chicago Police $20.44

City Of Chicago - Confidential

Page 159 of 246

Incident Date Claimant Rank

10/14/2010 GRANEY, KEVIN 9161

05/08/2011 GRANATO, MICHAEL 9161

Unit of Insured Total to be Paid

044 City Of Chicago Police $143.12

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.11

044 City Of Chicago Police $143.12

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.11

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.81

044 City Of Chicago Police $190.82

153 City Of Chicago Police $166.75

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 160 of 246

Incident Date Claimant Rank

05/08/2011 GRANATO, MICHAEL 9161

02/09/2011 GRANADO, DAVID 3286

11/01/2010 GRAHAM, BRIAN 9161

Unit of_Insured_Total to be Paid

153 City Of Chicago Police $144.55

City Of Chicago Police $6.50

044 City Of Chicago Police $190.72

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.80

044 City Of Chicago Police $190.72

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.80

044 City Of Chicago Police $190.61

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.78

044 City Of Chicago Police $190.72

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.80

044 City Of Chicago Police $190.72

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.80

044 City Of Chicago Police $355.93

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.31

044 City Of Chicago Police $129.48

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.57

044 City Of Chicago Police $16.63

044 City Of Chicago Police $6.50

044 City Of Chicago Police $16.40

044 City Of Chicago Police $14.44

044 City Of Chicago Police $6.50

044 City Of Chicago Police $199.74

044 City Of Chicago Police $6.50

044 City Of Chicago Police $19.69

044 . City Of Chicago Police $10.95

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 161 of 246

Incident Date Claimant Rank

11/01/2010 GRAHAM, BRIAN 9161

05/07/2011 GRAF, MATTHEW 9161

04/10/2011 GORZKOWSKI, TIMOTHY 9161

Unit of_Insured_Total to be Paid

044 City Of Chicago Police $7.14

044 City Of Chicago Police $190.61

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.78

044 City Of Chicago Police $190.72

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.80

044 City Of Chicago Police $143.01

044 City Of Chicago Police $6.50

044 City Of Chicago Police $14.09

044 City Of Chicago Police $23.34

044 City Of Chicago Police $6.50

044 City Of Chicago Police $190.61

044 City Of Chicago Police $6.50

044 City Of Chicago Police $18.78

044 City Of Chicago Police $190.72

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 $564.46

044 City Of Chicago Police $6.50

044 City Of Chicago Police $22.64

044 City Of Chicago Police $825.68

044 City Of Chicago Police $6.50

025 City Of Chicago Police $691.02

025 City Of Chicago Police $6.50

025 City Of Chicago Police $7.23

025 City Of Chicago Police $178.24

025 City Of Chicago Police $6.50

025 City Of Chicago Police $17.66

153 City Of Chicago Police $197.54

153 City Of Chicago Police $102.55

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 162 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/10/2011 GORZKOWSKI, Tl MOTHY

04/10/2011 GORZKOWSKI, TIMOTHY

05/11/2009 GORDON, MATTHEW

03/08/2011 GOOSHERST, DANIEL

01/12/2011 GOODSON, LARRY

10/22/2010 GOODRICH, WILLIAM

05/30/2011 GONZALEZ, CAROLINE

11/05/2010 GOMEZ, MIGUEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 3249 3249 3249 3249 3249 3249 3249

9161 9161 9161 9161

153 153 153 153 153 153 153 153 153 153 044 253 253 253 177 177 177 177 177 177 177

022 022 022 022

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

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

$6.50

$2.39

$1.09

$6.50

$89.64

$1.09

$6.50

$89.64

$1.24

$6.50

$11.39 .

$280.50

$6.50

$113.77

$25.33

$6.50

$4.69

$259.28

$4.17

$6.50

$18.91

$283.95

$83.88

$6.50

$277.84

$6.50

$165.58

$20.03

$6.50

City Of Chicago - Confidential

Page 163 of 246

Incident Date Claimant Rank

07/18/2009 ' GOMEZ, CHRISTINA 9161

07/18/2009 GOMEZ, CHRISTINA 9161

10/13/2010 GOMEZ, ALEX

04/11/2011 GOLBECK, JAMES 9161

02/02/2011 GOINS, ROBERT 3295

05/31/2009 GLOWACKI, CHRISTINE 9161

05/22/2011 GLOVER, LILLIE 9161

06/28/2009 GLASCOTT, ERIN 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $46.82

City Of Chicago Police $7.16

City Of Chicago Police $472.32

City Of Chicago Police $6.50

City Of Chicago Police $6.94

City Of Chicago Police $3.15

016 City Of Chicago Police $17.45

016 City Of Chicago Police $225.44

016 City Of Chicago Police $6.50

016 City Of Chicago Police $7.23

016 City Of Chicago Police $554.88

016 City Of Chicago Police $6.50

016 City Of Chicago Police $20.44

016 City Of Chicago Police $6.50

016 City Of Chicago Police $502.88

016 City Of Chicago Police $20.44

016 City Of Chicago Police $6.50

016 City Of Chicago Police $21.97

016 City Of Chicago Police $603.79

016 City Of Chicago Police $6.50

016 City Of Chicago Police $554.88

153 City Of Chicago Police $6.50

153 City Of Chicago Police $188.72

153 . City Of Chicago Police $4.82

153 City Of Chicago Police $27.00

153 City Of Chicago Police $6.50

153 City Of Chicago Police $0.69

016 City Of Chicago Police $6.50

016 City Of Chicago Police $396.30

016 City Of Chicago Police $10.12

007 City Of Chicago Police $58.43

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 164 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/28/2009 06/28/2009 05/24/2011 05/24/2011 05/24/2011 05/24/2011 05/24/2011 05/24/2011 05/24/2011 05/24/2011 05/24/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010

GLASCOTT, ERIN GLASCOTT, ERIN GIBSON, DAVID GIBSON, DAVID GIBSON, DAVID GIBSON, DAVID GIBSON, DAVID GIBSON, DAVID GIBSON, DAVID GIBSON, DAVID GIBSON, DAVID GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIBBONS, KEVIN GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

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

$473.34

$12.10

$11.04

$6.50

$1.87

$6.50

$93.56

$44.29

$6.50

$85.43

$5.85

$256.23

$6.50

$413.88

$2.60

$6.07

$177.38

$3.77

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

$31.11

$315.58

$6.50

City Of Chicago - Confidential

Page 165 of 246

Incident Date Claimant Rank

07/22/2010 GIANNOS, ELIAS 9161

Unit of_Insured_Total to be Paid

019 City Of Chicago Police $31.11

019 City Of Chicago Police $19.00

019 City Of Chicago Police $6.50

019 City Of Chicago Police $9.20

019 City Of Chicago Police $43.16

019 City Of Chicago Police $126.89

019 , City Of Chicago Police $6.50

019 City Of Chicago Police $62.07

019 City Of Chicago Police $107.92

019 City Of Chicago Police $315.58

019 City Of Chicago Police $6.50

019 City Of Chicago Police $31.11

019 City Of Chicago Police $168.80

019 City Of Chicago Police $6.50

019 City Of Chicago Police $16.64

019 City Of Chicago Police $493.00

019 City Of Chicago Police $6.50

019 City Of Chicago Police $141.91

019 City Of Chicago Police $6.50

019 City Of Chicago Police $2.08

019 City Of Chicago Police $249.25

019 City Of Chicago Police $6.50

019 City Of Chicago Police $15.01

019 City Of Chicago Police $141.91

019 City Of Chicago Police $6.50

019 City Of Chicago Police $2.08

019 City Of Chicago Police $315.58

019 City Of Chicago Police $6.50

019 City Of Chicago Police $31.11

019 City Of Chicago Police $315.58

019 City Of Chicago Police $6.50

019 City Of Chicago Police $31.11

019 City Of Chicago Police $86.44

City Of Chicago - Confidential

Page 166 of 246

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

07/22/2010 GIANNOS, ELIAS

05/19/2009 GEMIGNANI, ANTHONY

06/02/2011 GEMIGNANI, ANTHONY

09/01/2010 GAYTAN, PEGGY

09/01 /2010 GAYTAN, PEGGY

09/01/2010 GAYTAN, PEGGY

09/01 /2010 GAYTAN, PEGGY

09/01/2010 GAYTAN, PEGGY

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

019 019 019

Poli Pol Poli

ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce Ice ice ice ice ice ice ce ice ce ce ce

$6.50 $3.51 $315.58 $21.02 $5.02 $6.50 $6.50 $450.85 $6.50 $382.70 $6.50 $450.85 $6.50 $697.25 $6.50 $73.71 $6.50 $0.89 , $6.50 $84.92 $6.50 $482.28 $6.50 $84.92 $6.50 $382.70 $6.50 $6.50 $18.08 $6.50 $18.60 $96.62 $6.50

City Of Chicago - Confidential

Page 167 of 246

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 09/01/2010 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

GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN, GAYTAN,

PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY PEGGY

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

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

$1.17

$84.91

$6.50

$96.00

$6.50

$1.04

$6.50

$450.85

$6.50

$450.85

$6.50

$450.85

$6.50

$340.75

$6.50

$450.85

$6.50

$450.85

$6.50

$382.70

$6.50

$901.70

$450.85

$6.50

$382.70

$6.50

$681.50

$6.50

$555.66

City Of Chicago - Confidential

Page 168 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/01/2010 GAYTAN, PEGGY

06/26/2010 GAWLOWSKI, RADOSLAW

05/23/2011 GATICA, ROBB

03/05/2011 GASKEW, DORIS

06/07/2010 GARCIA, WILLIAM

06/07/2010 GARCIA, WI LLIAM

9161 9161 9161 9161

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

017 017 018 018 018 018 018 018 018 018 018 018 018 018 018

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice tice lice lice lice lice lice lice lice fice dice lice lice lice lice

$6.50

$555.66

$6.50

$555.66

$86.64

$6.50

$22.79

$35.93

$6.50

$1.05

$6.50

$33.80

$9.20

$9.00

$5.70

$352.22

$6.50

$19.99

$125.51

$404.10

$6.50

$20.42

$515.88

$6.50

$26.06

$201.19

$6.50

$10.16

$868.38

$6.50

$43.85

$515.88

City Of Chicago - Confidential

Page 169 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/07/2010 06/07/2010 06/07/2010 06/07/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 05/26/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 07/11/2010 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011

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

WILLIAM

MARGARITA

JOSE

ANTHONY

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

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

018 018 018 018 018 018 018 018 018 018 018

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

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

$6.50

$26.05

$6.50

$54.05

$143.42

$6.50

$1.74

$143.01

$6.50

$14.09

$18.67

$6.50

$5.47

$150.97

$6.50

$204.00

$6.50

$210.00

$5.16

$6.50

$100.31

$296.05

$6.50

$600.00

$77.60

$6.50

$170.01

$7.87

$6.50

$307.85

$5.61

$6.50

$1.64

City Of Chicago - Confidential

Page 170 of 246

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

05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 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 04/11/2011 04/11/2011 04/11/2011 12/26/2008 12/26/2008 12/26/2008 07/16/2010

GARCIA, ANTHONY GARCIA, ANTHONY GARCIA, ANTHONY GARCIA, ANTHONY GARCIA, ANTHONY GARCIA, ANTHONY 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 GARAY, RODRIGO GARAY, RODRIGO GARAY, RODRIGO GANDY JR, CLINTON GANDY JR, CLINTON GANDY JR, CLINTON GAMEZ, ISRAEL

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

9161

011 011 011 011 011 011

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

$6.50

$495.35

$219.14

$4.67

$6.50

$182.70

$229.23

$6.50

$257.00

$6.50

$3.97

$215.82

$6.50

$3.74

$298.20

$6.50

$5.16

$301.62

$6.50

$5.22

$229.23

$5.22

$6.50

$301.62

$3.97

$6.50

$229.23

$3.97

$6.50

$109.71

$6.50

City Of Chicago - Confidential

Page 171 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/16/2010 05/26/2010 05/26/2010 05/26/2010 12/10/2010 12/10/2010 12/10/2010 12/10/2010 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 02/14/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011

GAMEZ, ISRAEL GALLARDO, SAUL GALLARDO, SAUL GALLARDO, SAUL GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN GAAL, CHRISTIAN FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FRENZEL, EUGENE FOSTER, SUZETTE . FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE

9161 9161 9161 9161 9164 9164 9164 9164 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

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

$445.74

$370.09

$76.99

$6.50

$93.80

$6.50

$498.98

$6.50

$12.76

$345.09

$6.50

$1.43

$404.84

$6.50

$24.80

$6.50

$19.84

$206.54

$6.50

$28.62

$99.61

$6.50

$204.42

$6.50

$239.02

$6.50

$178.21

$6.50

$204.44

$6.50

City Of Chicago - Confidential

Page 172 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 03/26/2011 09/17/2010 09/17/2010

FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FOSTER, SUZETTE FORD, BRUCE FORD, BRUCE

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

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

$10.62

$6.50

$5.61

$241.11

$6.50

$241.11

$6.50

$239.02

$6.50

$277.84

$6.50

$220.16

$6.50

$239.02

$6.50

$239.02

$6.50

$239.02

$6.50

$239.02

$6.50

$88.07 .

$6.50

$27.25

$178.21

$6.50

$204.42

$6.50

$178.21

$6.50

$3.16

$137.45

City Of Chicago - Confidential

Page 173 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

09/17/2010 09/17/2010 09/17/2010 09/17/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 11/06/2010 10/17/2010 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

FORD, BRUCE FORD,BRUCE FORD,BRUCE FORD, BRUCE FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOLINO, ANTHONY FOERTSCH, JOHN FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR FLORES, VICTOR

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

003

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 lice

$26.76

$6.50

$123.77

$6.50

$59.13

$6.50

$218.09

$6.50

$46.92

$250.15

$46.92

$162.79

$6.50

$20.59

$94.81

$6.50

$7.70

$143.12

$6.50

$14.11

$176.15

$6.50

$17.37

$128.44

$6.50

$12.66

$176.04

$6.50

$17.35

$182.42

$6.50

City Of Chicago - Confidential

Page 174 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

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

$17.98

$176.15

$6.50

$17.37

$143.12

$6.50

$14.11

$128.44

$6.50

$12.66

$80.74

$6.50

$7.96

$95.41

$6.50

$9.40

$128.44

$6.50

$12.66

$89.64

$6.50

$1.09

$31.88

$6.50

$143.12

$6.50

$14.11

$128.44

$6.50

$12.66

$147.91

$6.50

$14.58

City Of Chicago - Confidential

Page 175 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/23/2010 03/23/2010 03/23/2010 03/23/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 08/25/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010 12/21/2010

FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLORES, SAMUEL FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLISK, MARGARET FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST FLEPS, HORST

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

189 189 189 189

018 018 018 018 018 018

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

$408.90

$6.50

$409.97

$6.50

$18.80

$190.72

$6.50

$18.80

$215.22

$6.50

$21.22

$215.22

$6.50

$21.22

$215.22

$6.50

$21.22

$215.22

$6.50

$21.22

$236.59

$6.50

$190.72

$21.22

$215.22

$6.50

$412.25

$6.50

$16.73

$66.30

$6.50

$2.70

City Of Chicago - Confidential

Page 176 of 246

Incident Date Claimant Rank

12/21/2010 FLEPS, HORST 9161

12/21/2010 FLEPS, HORST 9161'

12/21/2010 FLEPS, HORST 9161

11/17/2010 FIGUEROA, EDDIE

05/20/2010 FIELDS, JEROHN 9161

Unit of Insured Total to be Paid

018 City Of Chicago Police $299.97

018 City Of Chicago Police $6.50

018 City Of Chicago Police $12.18

018 City Of Chicago Police $6.50

City Of Chicago Police $6.50

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.97

002 City Of Chicago Police $190.88

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.81

002 City Of Chicago Police $142.91

002 City Of Chicago Police $6.50

002 City Of Chicago Police $14.08

002 City Of Chicago Police $190.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $64.04

002 City Of Chicago Police $6.50

002 City Of Chicago Police $26.67

002 City Of Chicago Police $208.01

002 City Of Chicago Police $6.50

002 City Of Chicago Police $20.51

002 City Of Chicago Police $190.51

City Of Chicago - Confidential Page 177 of 246

Incident Date Claimant_Rank

05/20/2010 FIELDS, JEROHN 9161

Unit of_Insured_Total to be Paid

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $287.80

002 City Of Chicago Police $6.50

002 City Of Chicago Police $7.36

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $6.50

002 City Of Chicago Police $64.04

002 City Of Chicago Police $6.50

002 City Of Chicago Police $26.67

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $238.32

002 City Of Chicago Police $6.50

002 City Of Chicago Police $23.49

002 City Of Chicago Police $238.32

002 City Of Chicago Police $6.50

002 City Of Chicago Police $23.49

002 City Of Chicago Police $238.32

002 City Of Chicago Police $6.50

002 City Of Chicago Police $23.49

City Of Chicago - Confidential

Page 178 of 246

Incident Date Claimant Rank

05/20/2010 FIELDS, JEROHN 9161

05/20/2010 FIELDS. JEROHN 9161

05/20/2010 FIELDS, JEROHN 9161

01/09/2010 FEREN2I, RICHARD 9161

09/16/2010 FEIL, CHRISTOPHER 9161

Unit of_Insured_Total to be Paid

002 City Of Chicago Police $238.32

002 City Of Chicago Police $6.50

002 City Of Chicago Police $23.49

002 City Of Chicago Police $238.32

002 City Of Chicago Police $6.50

002 City Of Chicago Police $23.49

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.80

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $190.61

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.78

002 City Of Chicago Police $64.04

002 City Of Chicago Police $6.50

002 City Of Chicago Police $26.67

002 City Of Chicago Police $975.00

002 City Of Chicago Police $557.33

002 City Of Chicago Police $6.50

002 City Of Chicago Police $14.24

002 City Of Chicago Police $192.39

153 City Of Chicago Police $66.24

393 City Of Chicago Police $190.82

393 City Of Chicago Police $6.50

393 City Of Chicago Police $18.81

City Of Chicago - Confidential

Page 179 of 246

Incident Date Claimant Rank

09/16/2010 FEIL, CHRISTOPHER 9161

Unit of_Insured_Total to be Paid

393 City Of Chicago Police $171.12

393 City Of Chicago Police $6.50

393 City Of Chicago Police $16.87

393 City Of Chicago Police $171.12

393 City Of Chicago Police $6.50

393 City Of Chicago Police $16.87

393 City Of Chicago Police $171.01

393 City Of Chicago Police $6.50

393 City Of Chicago Police $16.85

393 City Of Chicago Police $171.01

393 City Of Chicago Police $6.50

393 City Of Chicago Police $31.27

393 City Of Chicago Police $98.00

393 City Of Chicago Police $6.50

393 City Of Chicago Police $1.93

393 City Of Chicago Police $6.50

393 City Of Chicago Police $16.85

393 City Of Chicago Police $190.82

393 City Of Chicago Police $6.50

393 City Of Chicago Police $18.81

393 City Of Chicago Police $143.01

393 City Of Chicago Police $6.50

393 City Of Chicago Police $14.09

393 City Of Chicago Police $550.43

393 City Of Chicago Police $6.50

393 City Of Chicago Police $361.71

393 City Of Chicago Police $98.72

393 City Of Chicago Police $6.50

393 City Of Chicago Police $187.71

393 City Of Chicago Police $6.50

393 City Of Chicago Police $18.50

393 City Of Chicago Police $88.07

393 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 180 of 246

Incident Dale Claimant Rank

09/16/2010 FEIL, CHRISTOPHER 9161

03/01/2011 FASUNA, JOSEPH

06/03/2011 FARY, TIMOTHY 9161

11/20/2010 EWING, DEAN 9161

11/20/2010. EWING, DEAN 9161

11/20/2010 EWING, DEAN 9161

Unit of Insured Total to be Paid

393 City Of Chicago Police $190.72

393 City Of Chicago Police $6.50

393 City Of Chicago Police $18.80

393 City Of Chicago Police $171.01

393 City Of Chicago Police $6.50

393 City Of Chicago Police $16.85

393 City Of Chicago Police $123.31

393 City Of Chicago Police $6.50

393 City Of Chicago Police $12.15

393 City Of Chicago Police $190.72

393 City Of Chicago Police $6.50

393 City Of Chicago Police $18.80

393 City Of Chicago Police $6.50

393 City Of Chicago Police $250.00

393 City Of Chicago Police $6.50

393 City Of Chicago Police $98.72

393 City Of Chicago Police $6.50

393 City Of Chicago Police $18.69

393 City Of Chicago Police $576.32

024 City Of Chicago Police $6.50

5 City Of Chicago Police $390.51

005 City Of Chicago Police $276.77

005 City Of Chicago Police $6.50

005 City Of Chicago Police $491.48

005 City Of Chicago Police $24.76

005 City Of Chicago Police $657.54

005 City Of Chicago Police $6.50

005 City Of Chicago Police $27.44

005 City Of Chicago Police $20.18

005 City Of Chicago Police $6.50

005 City Of Chicago Police $10.73

005 City Of Chicago Police $594.22

City Of Chicago - Confidential

Page 181 of 246

Incident Date Claimant

Rank

11/20/2010 03/27/2009 03/27/2009 03/27/2009 03/27/2009 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010

EWING, DEAN ESQUIVEL, CIRILO ESQUIVEL, CIRILO ESQUIVEL, CIRILO ESQUIVEL, CIRILO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO

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

Unit of_Insured_Total to be Paid

005 City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $894.88

044 City Of Chicago Police $36.32

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $195.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $19.27

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 182 of 246

Incident Date Claimant Rank

07/27/2010 ESCOBAR, GONZALO 9161

Unit of_Insured_Total to be Paid

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $190.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $18.80

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $74.86

002 City Of Chicago Police $6.50

002 City Of Chicago Police $3.04

002 City Of Chicago Police $74.86

002 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 183 of 246

Incident Date Claimant Rank

07/27/2010 ESCOBAR, GONZALO 9161

Unit of Insured Total to be Paid

002 City Of Chicago Police $3.04

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $220.09

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.69

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 184 of 246

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

07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 11/12/2010 11/12/2010 11/12/2010 04/03/2011 04/03/2011 09/13/2005 09/13/2005 09/13/2005 07/14/1988 07/14/1988 07/14/1988 08/14/2010 08/14/2010 08/14/2010 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 02/26/2011

ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ERICKSEN, CHRIS ERICKSEN, CHRIS ERICKSEN, CHRIS EDWARDS JR, ELMORE EDWARDS JR, ELMORE Drew, Michael J Drew, Michael J Drew, Michael J Domagala, Bernard Domagala, Bernard Domagala, Bernard DURHAM,SHENETTA DURHAM,SHENETTA DURHAM, SHENETTA

DUNN I DUNN I DUNN I DUNN I DUNN I DUNN I DUNN I DUNN I DUNN I DUNN I

II, GEORGE II, GEORGE II, GEORGE II, GEORGE II, GEORGE II, GEORGE II, GEORGE II, GEORGE II, GEORGE II, GEORGE

DUBOSE JR, ALFONSIA

9161

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

002

044

018

00018

09999

189 189 189 189 189 189 189 189 189 189

Poli Pot Poli

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

$21.56

$218.72

$6.50

$21.56

$218.72

$6.50

$21.56

$218.72

$176.45

$6.50

$7.16

$85.76

$12.88

$31.60

$10.90

$6.50

$773.63

$54.35

$407.17

$26.01

$6.50

$364.00

$6.50

$0.65

$670.23

$6.50

$361.20

$2.13

$6.50

$83.45

$144.00

$36.71

City Of Chicago - Confidential

Page 185 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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 02/26/2011 02/26/2011

DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR, DUBOSE JR,

ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA ALFONSIA

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

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

$162.19

$6.50

$25.39

$16.50

$202.74

$6.50

$31.74

$162.19

$6.50

$25.39

$159.87

$6.50

$25.93

$162.19

$6.50

$25.39

$159.87

$6.50

$25.93

$157.16

$6.50

$26.10

$141.91

$6.50

$2.08

$151.58

$6.50

$37.24

$148.87

$6.50

$37.41

$153.90

$6.50

City Of Chicago - Confidential

Page 186 of 246

Incident Date Claimant_Rank

02/25/2011 DU BOISE JR, JOHN 3286

02/25/2011 DU BOISE JR, JOHN ' 3286

02/25/2011 DU BOISE JR, JOHN 3286

Unit of_Insured_Total to be Paid

715 City Of Chicago Police $14.11

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.11

715 City Of Chicago Police $143.12

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.11

715 City Of Chicago Police $143.12

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.11

715 City Of Chicago Police $143.12

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.11

715 City Of Chicago Police $143.12

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.11

715 City Of Chicago Police $143.12

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.11

715 City Of Chicago Police $910.00

715 City Of Chicago Police $591.26

715 City Of Chicago Police $6.50

715 City Of Chicago Police $74.86

715 City Of Chicago Police $6.50

715 City Of Chicago Police . $3.04

715 City Of Chicago Police $737.17

715 City Of Chicago Police $6.50

715 City Of Chicago Police $245.37

715 City Of Chicago Police $74.86

715 City Of Chicago Police $6.50

715 City Of Chicago Police $3.04

715 City Of Chicago Police $74.86

715 City Of Chicago Police $6.50

City Of Chicago - Confidential Page 187 of 246

Incident Date Claimant Rank

02/25/2011 DU BOISE JR, JOHN 3286

04/04/2010 DREW, TRACEY 9161

05/21/2011 DOYLE, EILEEN 9161

Unit of Insured Total to be Paid

715 City Of Chicago Police $3.04

715 City Of Chicago Police $277.84

715 City Of Chicago Police $6.50

715 City Of Chicago Police $369.00

715 City Of Chicago Police $6.50

715 City Of Chicago Police $9.44

715 City Of Chicago Police $541.35

715 City Of Chicago Police $6.50

715 City Of Chicago Police $53.34

715 City Of Chicago Police $143.12

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.11

715 City Of Chicago Police $143.12

715 City Of Chicago Police $6.50

715 City Of Chicago Police $14.11

715 City Of Chicago Police $143.12

044 City Of Chicago Police $886.27

044 City Of Chicago Police $5.87

044 City Of Chicago Police $6.50

044 City Of Chicago Police $416.14

044 City Of Chicago Police $6.50

044 City Of Chicago Police $26.99

044 City Of Chicago Police $170.02

044 City Of Chicago Police $6.50

044 City Of Chicago Police $11.03

044 City Of Chicago Police $643.76

044 City Of Chicago Police $6.50

044 City Of Chicago Police $68.01

044 City Of Chicago Police $6.50

044 City Of Chicago Police $4.41

044 City Of Chicago Police $283.48

044 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 188 of 246

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 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011 02/01/2011

DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING DOWLING, DOWLING,

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

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

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

$6.50

$265.23

$6.50

$265.23

$6.50

$359.59

$6.50

$265.23

$6.50

$239.02

$6.50

$239.02

$6.50

$231.48

$6.50

$450.75

$6.50

$239.03

$6.50

$288.39

$6.50

$239.03

$6.50

$280.98

$6.50

$218.07

$6.50

$775.00

$6.50

$4.74

$340.00

$6.50

$1.97

City Of Chicago - Confidential

Page 189 of 246

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

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 05/12/2011 10/16/2010 10/16/2010 02/13/2011 02/13/2011 02/27/2011

DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOWLING, RICHARD DOUGLAS, MAR IAN N DORRIS, JOHN DORRIS, JOHN DINEEN, JOHN DINEEN, JOHN DIMALANTA, RENE

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 9171 9171 3286 3286

044 009 009

025

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

$307.18

$6.50

$307.18

$450.75

$6.50

$450.75

$6.50

$41.94

$6.50

$343.88

$6.50

$340.73

$6.50

$265.23

$6.50

$307.18

$6.50

$307.18

$6.50

$307.18

$6.50

$343.88

$6.50

$301.93

$6.50

$265.23

$404.84

$230.00

$6.50

$246.40

$49.96

City Of Chicago - Confidential

Page 190 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02727/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 02/27/2011 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

DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE

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

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

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

$6.50

$145.04

$91.04

$6.50

$54.57

$242.02

$6.50

$50.37

$165.58

$6.50

$20.03

$155.95

$6.50

$6.33

$207.39

$6.50

$3.05

$175.85

$6.50

$2.58

$144.35

$6.50

$18.16

$144.35

$6.50

$18.16

$9.00

$6.50

$5.06

$231.34

$6.50

$16.72

$109.98

City Of Chicago - Confidential

Page 191 of 246

Incident Date Claimant

Rank

Unit of

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 12/08/2010 12/08/2010 12/08/2010 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011

DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIMALANTA, RENE DIAZ, EDWIN DIAZ, EDWIN DIAZ, EDWIN DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT DERCOLA, MATT

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

025 025 025 025 025 025 025 025 025 025 025 025 025 025 025 025 025 044 044 044 312 312 312 312 312 312 312 312 312 312 312 312 312

City Of Chi

Insured

Total to be Paid

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

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

$6.50

$24.84

$144.35

$6.50

$18.16

$330.19

$6.50

$4.84

$70.92

$6.50

$7.08

$6.50

$190.87

$301.72

$6.50

$57.30

$6.50

$541.46

$12.88

$6.50

$303.79

$171.12

$6.50

$16.87

$190.72

$6.50

$18.80

$6.50

$1.74

$6.50

$3.68

$187.71

$6.50

■ Confidential

Page 192 of 246

Incident Date Claimant Rank

05/21/2011 DERCOLA, MATT 9161

09/12/2009 DENNIS, ANDRE 9161

05/19/2011 DENNIS, ANDRE 9161

06/20/2010 DELEON, DIANE 9161

04/11/2011 DELANEY, RYAN 9161

05/02/2011 DEL COIRO, LOUIS 9161

07/12/2010 DEEREN, KEVIN 9161

05/12/2011 DEADY, KENNETH 9161

Unit of Insured Total to be Paid

312 City Of Chicago Police $18.50

312 City Of Chicago Police $143 .80

005 City Of Chicago Police $304.80

005 City Of Chicago Police $6.50

005 City Of Chicago Police $11.80

005 City Of Chicago Police $30.47

005 City Of Chicago Police $6.50

005 City Of Chicago Police $5.57

City Of Chicago Police $5.00

City Of Chicago Police $218.72

City Of Chicago Police $21.56

City Of Chicago Police $6.50

City Of Chicago Police $218.72

City Of Chicago Police $21.57

City Of Chicago Police $6.50

City Of Chicago Police $218.82

City Of Chicago Police $21.56

City Of Chicago Police $6.50

City Of Chicago Police $218.72

City Of Chicago Police $21.56

City Of Chicago Police $6.50

City Of Chicago Police $218.72

City Of Chicago Police $6.50

City Of Chicago Police $21.56

City Of Chicago Police $6.50

010 City Of Chicago Police $32.90

010 City Of Chicago Police $3.24

010 City Of Chicago Police $6.50

018 City Of Chicago Police $26.54

018 City Of Chicago Police $106.67

018 City Of Chicago Police $6.50

018 City Of Chicago Police $10.19

018 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 193 of 246

Incident Date Claimant Rank

05/12/2011 DEADY, KENNETH 9161

05/31/2011 DE HAAN, DARREN 9161

06/27/2010 DAVIS, QUINTON 9161

06/27/2010 DAVIS, QUINTON ' 9161

06/27/2010 DAVIS, QUINTON 9161

Unit of_Insured_Total to be Paid

018 City Of Chicago Police $171.29

153 City Of Chicago Police $216.90

153 City Of Chicago Police $6.50

153 City Of Chicago Police $5.54

701 City Of Chicago Police $12.32

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $15.71

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $381.05

701 City Of Chicago Police $6.50

701 City Of Chicago Police $ 11.95

701 City Of Chicago Police $381.05

701 City Of Chicago Police $6.50

701 City Of Chicago Police $11.95

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $500.99

701 City Of Chicago Police $6.50

701 City Of Chicago Police $15.71 .

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 194 of 246

Incident Date Claimant Rank

06/27/2010 DAVIS, QUINTON 9161

06/27/2010 DAVIS, QUINTON . 9161

06/27/2010 DAVIS, QUINTON 9161

06/27/2010 DAVIS, QUINTON . 9161

06/27/2010 DAVIS, QUINTON 9161

Unit of Insured Total to be Paid

701 City Of Chicago Police $13.83

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $500 .99

701 City Of Chicago Police $126 .46

701 City Of Chicago Police $6.50

701 City Of Chicago Police $18.56

701 City Of Chicago Police $101.70

701 City Of Chicago Police $6.50

701 City Of Chicago Police $49.45

701 City Of Chicago Police $6.50

701 City Of Chicago Police $30.23

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $500.99

701 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 195 of 246

Incident Date Claimant_Rank

06/27/2010 DAVIS, QUINTON 9161

11/08/2010 DAVIS, LEON 9161

03/03/2009 DAVILA, DIEGO 9161

10/11/2010 DAVIDSON, SUZETTE 9165

Unit of_Insured_Total to be Paid

701 City Of Chicago Police $15.71

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $441.02

701 City Of Chicago Police $6.50

701 City Of Chicago Police $13.83

701 City Of Chicago Police $323.84

701 City Of Chicago Police $6.50

701 City Of Chicago Police $10.15

701 City Of Chicago Police $383.81

701 City Of Chicago Police $6.50

701 City Of Chicago Police $12.03

701 City Of Chicago Police $383.81

701 City Of Chicago Police $6.50

701 City Of Chicago Police $12.03

701 City Of Chicago Police $393.05

701 City Of Chicago Police $6.50

003 City Of Chicago Police $77.82

003 City Of Chicago Police $6.50

003 City Of Chicago Police $125.37

003 City Of Chicago Police $6.50

003 City Of Chicago Police $216.93

189 City Of Chicago Police $6.50

189 City Of Chicago Police $33.03

189 City Of Chicago Police $3.44

610 City Of Chicago Police $6.50

610 City Of Chicago Police $265.33

610 City Of Chicago Police $6.50

610 City Of Chicago Police $88.07

610 City Of Chicago Police $7.16

610 City Of Chicago Police $6.50

610 City Of Chicago Police $280.24

City Of Chicago - Confidential

Page 196 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/11/2010 10/19/2009 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 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 12/20/2010 12/20/2010 12/20/2010

DAVIDSON, SUZETTE DAVIDSON, SUZETTE DAVIDSON, SUZETTE DAVIDSON, SUZETTE DAVIDSON, SUZETTE DAVENPORT JR, FRED DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM DANILOV, VADIM

9165 9165 9165 9165 9165

610 610 610 610 610

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

ce ce

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

$2.94

$6.50

$51.20

$488.07

$6.50

$167.30

$6.50

$16.50

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$236.78

$6.50

$23.33

$220.19

$6.50

$21.70

$263.92

$6.50

$3.19

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$90.07

$6.50

$1.09

City Of Chicago - Confidential

Page 197 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009

DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANILOV, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL, DANIHEL,

VADIM

MICHAEL

Pol Pol Pol

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

$171.12

$6.50

$16.87

$171.12

$6.50

$16.87

$6.50

$21.56

$6.50

$21.56

$190.72

$6.50

$18.80

$73.71

$6.50

$0.89

$187.71

$6.50

$18.50

$195.62

$6.50

$218.72

$21.56

$6.50

$19.29

$218.72

$6.50

$21.56

$195.62

$6.50

$19.29

City Of Chicago - Confidential

Page 198 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 11/20/2009 01/30/2011 01/30/2011

DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANIHEL, MICHAEL DANGLES, ROBERT DANGLES, ROBERT

PO PO

022 022

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

$195.51

$6.50

$19.27

$218.72

$6.50

$21.56

$204.15

$6.50 '

$20.13

$73.71

$6.50

$0.89

$218.72

$6.50

$21.56

$218.82

$6.50 "

$21.57

$218.82

$6.50

$21.57

$223.75

$6.50

$22.06

$190.72

$6.50

$18.80

$218.72

$6.50

$21.56

$218.72

$6.50

$333.42

City Of Chicago - Confidential

Page 199 of 246

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

04/17/2011 DALY, EDMUND

12/14/2006 Cortes, Edward

06/21/2005 Chiagkouris, Christine

03/27/2008 Casey, Lynn

03/02/2004 Calhoun, Rose

11/06/2010 CZARNIK, MARK

10/28/2010 CROSS, LENWOOD

03/23/2011 CRANFIELD, BERTRAM

03/17/2010 CRANE, ROBERT

9161

9161 9161 9161 9161 9161 9161 9161 9161 9161

00010

09999

00057

00007

023

9161

017

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

$6.50

$69.19

$678.11

$277.32

$6.50

$157.78

$60.74

$85.39

$42.62

$192.56

$726.57

$261.25

$6.50

$3.16

$239.02

$3.37

$2.89

$278.87

$6.50

$135.44

$6.50

$29.79

$11.15

$62.56

$87.58

$203.40

City Of Chicago - Confidential

Page 200 of 246

Incident Date Claimant Rank

03/17/2010 CRANE, ROBERT 9161

Unit of_Insured_Total to be Paid

017 City Of Chicago Police $6.50

017 City Of Chicago Police $61.96

017 City Of Chicago Police $218.09

017 City Of Chicago Police $6.50

017 City Of Chicago Police $738.00

017 City Of Chicago Police $6.50

017 City Of Chicago Police $31.35

017 City Of Chicago Police $374.02

017 City Of Chicago Police $6.50

017 City Of Chicago Police $121.34

017 City Of Chicago Police $527.02

017 City Of Chicago Police $6.50

017 City Of Chicago Police $26.60

017 City Of Chicago Police $6.50

017 City Of Chicago Police $50.68

017 City Of Chicago Police $306.93

017 City Of Chicago Police $6.50

017 City Of Chicago Police $15.49

017 City Of Chicago Police ' $734.14

017 City Of Chicago Police $6.50

017 City Of Chicago Police $24.52

017 City Of Chicago Police $826.44

017 City Of Chicago Police $6.50

017 City Of Chicago Police $31.99

017 City Of Chicago Police $275.48

017 City Of Chicago Police $6.50

017 City Of Chicago Police $10.67

017 City Of Chicago Police $600.00

017 City Of Chicago Police $6.50

017 City Of Chicago Police $234.08

017 City Of Chicago Police $11.94

017 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 201 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 03/17/2010 11/17/2010 11/17/2010 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009

CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRANE, ROBERT CRADICK, EDWARD CRADICK, EDWARD COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE

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

017 017 017 017 017 017 017 017 017

$6.23

$63.26

$6.50

$61.96

$6.50

$13.46

$6.50

$234.00

$128.96

$6.50

$2.90

$177.38

$6.50

$2.60

$233.55

$6.50

$3.43

$174.42

$6.50

$2.57

$174.42

$6.50

$2.57

$174.42

$6.50

$2.57

$233.55

$6.50

$3.43

$233.55

$6.50

$3.43

City Of Chicago - Confidential

Page 202 of 246

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

12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 12/05/2009 01/10/2009 01/10/2009 01/10/2009 10/13/2010 10/13/2010

COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COX, PAULINE COUSINS, WILLIAM COUSINS, WILLIAM COUSINS, WILLIAM COSENTINO, MICHAEL COSENTINO, MICHAEL

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

Poli Pol Pol

021 021 021 016 016

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

$233.55

$6.50

$3.43

$230.60

$6.50

$3.39

$225.79

$6.50

$3.31

$189.63

$6.50

$30.17

$6.50

$280.60

$89.12

$6.50

$1.31

$565.13

$6.50

$8.30

$296.09

$6.50

$4.35

$90.22

$6.50

$11.81

$197.11

$6.50

$180.36

$10.37

$6.50

$195.51

$18.81

City Of Chicago - Confidential

Page 203 of 246

Incident Date Claimant Rank

10/13/2010 COSENTINO, MICHAEL 9161

03/08/2011 CONWAY, KEITH 9161

Unit of Insured Total to be Paid

016 City Of Chicago Police $19.27

016 City Of Chicago Police $207.41

016 City Of Chicago Police $6.50

016 City Of Chicago Police $20.44

016 City Of Chicago Police $147.91

016 City Of Chicago Police $6.50

016 City Of Chicago Police $14.58

016 City Of Chicago Police $215.22

016 City Of Chicago Police $6.50

016 City Of Chicago Police $21.22

016 City Of Chicago Police $215.22

016 City Of Chicago Police $6.50

016 City Of Chicago Police $21.22

016 City Of Chicago Police $190.72

016 City Of Chicago Police $6.50

016 City Of Chicago Police $18.80

016 City Of Chicago Police $215.22

016 City Of Chicago Police $6.50

016 City Of Chicago Police $21.22

016 City Of Chicago Police $190.72

016 City Of Chicago Police $6.50

016 City Of Chicago Police $18.80

016 City Of Chicago Police $190.82

016 City Of Chicago Police $6.50

016 City Of Chicago Police $18.81

016 City Of Chicago Police $190.82

016 City Of Chicago Police $6.50

016 City Of Chicago Police $18.81

016 City Of Chicago Police $190.82

016 City Of Chicago Police $6.50

005 City Of Chicago Police $880.72

005 City Of Chicago Police $1.40

City Of Chicago - Confidential

Page 204 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/08/2011 03/08/2011 03/08/2011 03/08/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010 01/22/2010

CONWAY, KEITH CONWAY, KEITH CONWAY, KEITH CONWAY, KEITH CONEY, DAPHNE CONEY, DAPHNE CONEY, DAPHNE CONEY, DAPHNE CONEY, DAPHNE CONEY, DAPHNE CONEY, DAPHNE CONEY, DAPHNE COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND COLLINS, RAYMOND

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

005 005 005 005 008 008 008 008 008 008 008 008

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

$6.50

$95.60

$32.54

$6.50

$700.00

$5.61

$6.50

$10.62

$6.50

$25.06

$159.37

$243.93

$23.51

$88.07

$6.50

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$238.53

$6.50

City Of Chicago - Confidential

Page 205 of 246

Incident Date Claimant Rank

01/22/2010 COLLINS, RAYMOND 9161

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

City Of Chicago Police $23.51

City Of Chicago Police $238.53

City Of Chicago Police $6.50

001 City Of Chicago Police $3.45

001 City Of Chicago Police $6.50

001 City Of Chicago Police $820.06

001 City Of Chicago Police $675.18

001 City Of Chicago Police $15.99

001 City Of Chicago Police $227.18

001 City Of Chicago Police $312.00

001 City Of Chicago Police $157.26

001 " City Of Chicago Police $157.26

001 City Of Chicago Police $157.26

001 City Of Chicago Police $864.82

001 City Of Chicago Police $6.50

001 City Of Chicago Police $9.33

001 City Of Chicago Police $6.50

001 City Of Chicago Police $4.98

001 City Of Chicago Police $35.72

001 City Of Chicago Police $6.50

001 City Of Chicago Police $317.38

001 City Of Chicago Police $6.50

001 City Of Chicago Police $59.26

001 City Of Chicago Police $11.04

001 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 206 of 246

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 $5.85

001 City Of Chicago Police $6.50

001 City Of Chicago Police $118.55

001 City Of Chicago Police $64.36

001 City Of Chicago Police $6 .50

001 City Of Chicago Police $16.25

001 City Of Chicago Police $410.73

001 City Of Chicago Police $11.51

001 City Of Chicago Police $52.89

001 City Of Chicago Police $10.14

001 City Of Chicago Police $76.93

001 City Of Chicago Police $262.00

001 City Of Chicago Police $661.94

001 City Of Chicago Police $936.00

001 City Of Chicago Police $163.00

001 City Of Chicago Police $110.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $618.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $96.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $103.41

001 City Of Chicago Police $376.45

001 City Of Chicago Police $5.86

001 City Of Chicago Police $35.09

001 City Of Chicago Police $31.28

001 City Of Chicago Police $147.12

001 City Of Chicago Police $143.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $5.99

001 City Of Chicago Police $6.50

001 City Of Chicago Police $4.74

City Of Chicago - Confidential

Page 207 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/27/2009 COLE II, DENSEY

10/25/2010 COBB, SHAWN

02/12/2011 CLINKSCALES, PHYLLIS

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 3286 3286 3286 3286 3286

001 001 001 001 001

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

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

$77.52

$6.50

$3.15

$85.00

$6.50

$146.47

$0.69

$6.50

$253.96

$6.50

$3.07

$253.96

$6.50

$3.07

$214.14

$6.50

$2.59

$10.92

$6.50

$5.31

$686.46

$6.50

$14.44

$6.50

$39.60

$6.50

$5.24

$209.16

$6.50

$2.53

$253.96

$6.50

$3.07

City Of Chicago - Confidential

Page 208 of 246

Incident Date Claimant_Rank

02/12/2011 CLINKSCALES, PHYLLIS 3286

Unit of_Insured_Total to be Paid

005 City Of Chicago Police $194.20

005 City Of Chicago Police $6.50

005 City Of Chicago Police $2.35

005 City Of Chicago Police $204.17

005 City Of Chicago Police $6.50

005 City Of Chicago Police $2.47

005 City Of Chicago Police $194.20

005 City Of Chicago Police $6.50

005 City Of Chicago Police $2.35

005 City Of Chicago Police $253.96

005 City Of Chicago Police $6.50

005 City Of Chicago Police $3.07

005 City Of Chicago Police $343.60

005 City Of Chicago Police $6.50

005 City Of Chicago Police $4.16

005 City Of Chicago Police $194.20

005 City Of Chicago Police - $6.50

005 City Of Chicago Police $2.35

005 City Of Chicago Police $36.53

005 City Of Chicago Police $6.50

005 City Of Chicago Police $43.29

005 City Of Chicago Police $6.50

005 City Of Chicago Police $432.99

005 City Of Chicago Police $361.34

005 City Of Chicago Police $6.50

005 City Of Chicago Police $20.78

005 City Of Chicago Police $475.00

005 City Of Chicago Police $6.50

005 City Of Chicago Police $235.75

005 City Of Chicago Police $928.89

005 City Of Chicago Police $6.50

005 City Of Chicago Police $529.45

005 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 209 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

02/12/2011 CLINKSCALES, PHYLLIS

02/12/2011 ' CLINKSCALES, PHYLLIS

02/12/2011 CLINKSCALES, PHYLLIS

04/09/2011 CLAUDIO, PABLO

04/11/2011 CIOE, MICHAEL

3286 3286 3286 3286 3286 3286 3286 3286 3286

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

005 005 005 005 005 005 005 005 005

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

Pol Poli Poli

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

$6.50

$52.63

$6.50

$194.20

$6.50

$2.35

$204.17

$6.50

$2.47

$26.25

$6.50

$2.01

$714.42

$31.78

$18.26

$71.50

$6.50

$14.30

$167.41

$6.50

$16.50

$200.44

$6.50

$19.76

$200.54

$6.50

$167.62

$6.50

$16.53

$19.77

$217.66

City Of Chicago - Confidential

Page 210 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

CIOE, MICHAEL CIOE, MICHAEL CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, 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 9161 9161 9161 9161

153 153

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 fice lice lice lice lice lice dice dice

$6.50

$145.03

$583.74

$6.50

$25.12

$6.50

$528.80

$38.28

$6.50

$39.00

$1.42

$6.50

$117.54

$1.42

$6.50

$335.49

$6.50

$11.21

$342.63

$6.50

$12.10

$293.50

$6.50

$13.28

$479.74

$6.50

$19.14

$265.47

$6.50

$11.04

$239.87

$6.50

City Of Chicago - Confidential

Page 211 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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 04/27/2011 04/27/2011 04/27/2011 04/27/2011 04/27/2011 04/27/2011 04/27/2011 04/27/2011 04/27/2011 04/27/2011 04/27/2011 05/22/2011 05/22/2011 03/16/2011

CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIFUENTES, JUAN CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CIANCIO, VINCENT CHO,SEUNG CHO,SEUNG CHESTER, PAUL

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

044 044 044 044 044 044 044 044 044 044 044 017 017

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

$9.57

$6.50

$13.66

$918.41

$6.50

$38.33

$111.65

$775.52

$6.50

$19.82

$6.50

$1.35

$117.54

$6.50

$1.42

$153.50

$6.50

$1.86

$117.54

$9.55

$6.50

$261.43

$28.99

$6.50

$963.34

$8.27

$6.50

$267.00

$6.50

$815.32

$209.69

$6.50

$387.91

City Of Chicago - Confidential

Page 212 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/16/2011 CHESTER, PAUL

05/26/2011 CASTRO, SUSAN

04/03/2011 CARTER, ACSHRAMM ADAR

04/21/2011 CARROLL, MICHAEL

04/06/2011 CARROLL, JOSEPH

3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 3286 9165 9161 9161 9161 9161 9161 9161 9161 9164 9164 9164 9164 9164 9164 9164 9164

620 008 008 008 008 008 253 253 004 004 004 004 004 004 004 004

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

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ^-lice

$6.50

$17.60

$860.04

$6.50

$34.15

$96.62

$6.50

$1.17

$745.19

$6.50

$28.13

$670.14

$6.50

$24.42

$9.93

$273.42

$6.50

$11.15

$6.50

$817.80

$6.50

$204.45

$41.70

$89.64

$45.00

$6.50

$209.16

$6.50

$1.01

$6.50

$83.67

$2.53

City Of Chicago - Confidential

Page 213 of 246

Incident Date Claimant Rank

04/06/2011 CARROLL, JOSEPH 9164

03/11/2011 CARRILLO, IGNACIO 9161

03/20/2011 CARRANZA, AARON 3286

11/02/2010 CAMPBELL, ROBERT 9161

12/03/2010 CAMPBELL, MICHAEL 9161

01/18/2010 CAMPBELL II, ALVIN 9161

05/13/2011 CABANIN, JOSE 9161

Unit of Insured Total to be Paid

004 City Of Chicago Police $209.69

004 City Of Chicago Police $6.50 044 City Of Chicago Police $8.40 044 City Of Chicago Police $123.07 044 City Of Chicago Police $6.50 044 City Of Chicago Police $7.98 044 City Of Chicago Police $6.50 044 City Of Chicago Police $6.50 044 City Of Chicago Police $1.15 044 City Of Chicago Police $6.50 044 City Of Chicago Police $45.00 044 City Of Chicago Police $26.43 044 City Of Chicago Police $129.53

City Of Chicago Police $1.87

City Of Chicago Police $6.50

City Of Chicago Police $93.56

City Of Chicago Police $3.26

City Of Chicago Police $6.50

City Of Chicago Police $163.01

City Of Chicago Police $6.50

City Of Chicago Police $58.56

311 City Of Chicago Police $1.29

311 City Of Chicago Police $6.50

311 City Of Chicago Police $88.23

008 City Of Chicago Police $208.74

008 City Of Chicago Police $6.50

008 City Of Chicago Police $0.98

005 City Of Chicago Police $520.44 005 City Of Chicago Police $6.50 005 City Of Chicago Police $10.41

City Of Chicago Police $6.50

City Of Chicago Police $317.27

City Of Chicago - Confidential

Page 214 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 05/21/2011 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

18/1993 18/1993 18/1993 18/1993 18/1993 18/1993 18/1993 18/1993 18/1993

CABANIN, JOSE CABANIN, JOSE CABANIN, JOSE CABANIN, JOSE CABANIN, JOSE CABANIN, JOSE CABALLERO, RICK CABALLERO, RICK CABALLERO, RICK CABALLERO, RICK CABALLERO, RICK CABALLERO, RICK CABALLERO, RICK 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 Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A

9161

010

00008

00012

00008

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

$55.80

$8.10

$6.50

$235.75

$475.00

$1.43

$6.50

$81.43

$103.42

$6.50

$29.11

$6.50

$126.91

$7.29

$6.50

$80.00

$50.61

$6.50

$11.27

$6.50

$60.30

$322.73

$6.50

$61.05

$222.28

$6.50

$37.13

$319.48

$6.50

City Of Chicago - Confidential

Page 215 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

1/18/1993 1/18/1993 1/18/1993 1/18/1993 1/18/1993 1/18/1993 1/18/1993 1/18/1993 1/18/1993 1/18/1993 1/18/1993 1/18/1993 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002 06/30/2002

Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Brain, Karen A Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L Biggins, David L

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

P .

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

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 dice lice lice lice lice lice lice

$61.80

$325.98

$6.50

$60.30

$61.05

$6.50

$322.73

$33.01

$6.50

$128.02

$325.98

$168.32

$56.44

$2.04

$260.96

$6.50

$3.16

$6.50

$928.89

$6.50

$23.74

$232.40

$6.50

$2.82

$522.91

$6.50

$6.33

$89.10

$6.50

$173.00

$6.50

$195.85

City Of Chicago - Confidential

Page 216 of 246

Incident Date Claimant Rank

06/30/2002 Biggins, David L P

05/23/2010 BUX, EMIL 9161

Unit of_Insured_Total to be Paid

00005 City Of Chicago Police $6,50

00005 City Of Chicago Police $6.50

015 City Of Chicago Police $315.58 '

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $242.19

015 City Of Chicago Police $6.50

015 City Of Chicago Police $23.87

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police - $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

City Of Chicago - Confidential

Page 217 of 246

Incident Date Claimant

Rank

05/23/2010 BUX, EMIL 9161

Unit of_Insured_Total to be Paid

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $242.19

015 City Of Chicago Police $6.50

015 City Of Chicago Police $23.87

015 City Of Chicago Police $242.19

015 City Of Chicago Police $6.50

015 City Of Chicago Police $23.87

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

015 City Of Chicago Police $242.19

015 City Of Chicago Police $6.50

015 City Of Chicago Police $23.87

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

City Of Chicago - Confidential

Page 218 of 246

Incident Date Claimant _Rank

05/23/2010 BUX, EMIL 9161

05/23/2010 'BUX, EMIL 9161

05/23/2010 BUX, EMIL 9161

11/03/2010 BURNETTE, MICHAEL 9161

11/20/2010 BUCKLEY, JOEY 9164

Unit of_Insured_Total to be Paid

015 City Of Chicago Police $388.96

015 City Of Chicago Police $6.50

015 City Of Chicago Police $38.34

015 City Of Chicago Police $244.85

015 City Of Chicago Police $6.50

015 City Of Chicago Police $24.13

015 City Of Chicago Police $315.58

015 City Of Chicago Police $6.50

015 City Of Chicago Police $31.11

022 City Of Chicago Police $6.50

022 City Of Chicago Police $498.26

022 City Of Chicago Police $2.45

022 City Of Chicago Police $6.50

022 City Of Chicago Police $678.78

022 City Of Chicago Police $6.50

022 City Of Chicago Police $474.33

022 City Of Chicago Police $6.50

022 City Of Chicago Police $186.26

022 City Of Chicago Police $6.50

022 City Of Chicago Police $2.26

022 City Of Chicago Police $416.07

022 City Of Chicago Police $6.50

022 City Of Chicago Police $89.64

022 City Of Chicago Police $6.50

022 City Of Chicago Police $1.09

022 City Of Chicago Police $202.20

006 City Of Chicago Police $0.72

006 City Of Chicago Police $6.50

006 City Of Chicago Police $28.04

006 City Of Chicago Police $6.50

006 City Of Chicago Police $101.70

City Of Chicago - Confidential

Page 219 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/05/2011 BRUNO, MARCO

05/12/2011 BROWN, SHIRLEY

02/24/2011 BROWN JR, HERBERT

04/20/2011 BROWN JOHNSON, LOLITA

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 3286 3286 3286 9161 9161 9161

011 161 161

123 123 123

lice lice 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 dice lice lice lice lice lice

$182.70

$61.86

$6.50

$129.47

$6.50

$19.65

$88.92

$6.50

$14.51

$129.47

$6.50

$19.65

$49.78

$6.50

$4.23

$129.47

$6.50

$19.65

$641.65

$6.50

$26.04

$6.50

$15.42

$129.47

$6.50

$19.65

$7.23

$6.50

$178.24

$121.64

$6.50

$129.42

$0.16

City Of Chicago - Confidential

Page 220 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

04/20/2011 BROWN JOHNSON, LOLITA

12/07/2010 BREIER, NICHOLAS

04/15/2011 BRADLEY, VALENA

04/02/2011 BOYKE, EVELYN

9161 9161 9161

123 123 123

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

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

Poli Poli Pol

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 ice ce ce ce ce ce

$6.50

$10.62

$91.90

$2.17

$239.04

$6.50

$179.27

$3.61

$6.50

$298.79

$6.50

$2.89

$6.50

$80.49

$101.70

$6.50

$1.47

$5.58

$6.50

$334.90

$6.50

$1.09

$282.20

$6.50

$1.16

$341.70

$6.50

$1.47

$282.20

$6.50

$341.70

$6.50

City Of Chicago - Confidential

Page 221 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/15/2011 05/15/2011 03/02/2011 03/02/2011 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 12/11/2010 09/18/2009 09/18/2009 05/25/2011 05/25/2011 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 04/18/2010 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011 01/31/2011

BOROFF, JOSEPH BOROFF, JOSEPH BORISSOVA, EMILIA BORISSOVA, EMILIA BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BORCHERS, DANIEL BOND, WENDY BOND, WENDY BOLTON, RICHARD BOLTON, RICHARD BOJAN, BRYAN BO JAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOJAN, BRYAN BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY

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 P.O P.O P.O P.O P.O

044 044 016 016 016 016 016 016

153 153 153 153 153 153 153 153 153 153 153

Poli Poli Pol

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

$6.50

$17.57

$6.50

$209.69

$6.50

$268.40

$54.68

$6.50

$54.68

$6.50

$202.46

$6.50

$645.24

$6.50

$112.50

$6.50

$84.93

$18.07

$5.47

$487.50

$20.44

$6.50

$540.00

$6.50

$170.91

$21.23

$6.50

$215.32

$18.80

$6.50

$190.72

$18.78

City Of Chicago - Confidential

Page 222 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po: City Of Chicago Po City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago PC City Of Chicago Po: 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 01/30/2011 01/30/2011 10/16/2010 10/16/2010 10/16/2010 05/15/2011 05/15/2011 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 12/20/2010 12/20/2010 12/20/2010 12/20/2010 12/20/2010

BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOGGAN, KIMBERLY BOFFO, ROY BOFFO, ROY BOETTCHER, JASON BOETTCHER, JASON BOETTCHER, JASON BLESSING, ANTHONY BLESSING, ANTHONY BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BLAYDES, CURTIS BEYAH, ABDULLAH BEYAH, ABDULLAH BEYAH, ABDULLAH BEYAH, ABDULLAH BEYAH, ABDULLAH

P.O

Sgt

9161

9161 9161 9161 9161 9161

006 006

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

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

$6.50

$190.61

$6.50

$21.20

$215.11

$6.50

$16.84

$218.61

$21.54

$6.50

$209.69

$6.50

$1.74

$6.50

$143.42

$88.07

$6.50

$91.53

$6.50

$2.34

$32.80

$1.89

$36.00

$6.50

$0.92

$69.20

$6.50

$8.34

$186.26

$6.50

$2.26

City Of Chicago - Confidential

Page 223 of 246

Incident Date Claimant Rank

12/20/2010 BEYAH, ABDULLAH 9161

12/15/2010 BETANCOURT, WILLIAM 9171

12/15/2010 BETANCOURT, WILLIAM ' 9171

12/15/2010 BETANCOURT, WILLIAM 9171

Unit of Insured Total to be Paid

044 City Of Chicago Police $222.68

044 City Of Chicago Police $6.50

044 City Of Chicago Police $34.59

044 City Of Chicago Police $558.22

044 City Of Chicago Police $6.50

044 City Of Chicago Police $20.24

044 City Of Chicago Police $863.86

014 . City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 . City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

City Of Chicago - Confidential

Page 224 of 246

Incident Date Claimant Rank

12/15/2010 BETANCOURT, WILLIAM 9171

Unit of Insured Total to be Paid

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.82

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.57

014 City Of Chicago Police $266.42'

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $74.88

014 City Of Chicago Police $6.50

014 City Of Chicago Police $15.01

City Of Chicago - Confidential

Page 225 of 246

Incident Date Claimant Rank

12/15/2010 BETANCOURT, WILLIAM 9171

01/13/2011 BERNSON, JOSHUA

04/19/2011 BERNARD, ROSIE 9161

04/17/2010 BELL, KANETHA 9161

04/09/2011 BEHREND, DONNA 9161

Unit of Insured Total to be Paid

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $218.72

014 City Of Chicago Police $6.50

014 City Of Chicago Police $21.56

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

014 City Of Chicago Police $6.50

014 City Of Chicago Police $26.26

014 City Of Chicago Police $266.42

City Of Chicago Police $4.51

City Of Chicago Police $6.50

City Of Chicago Police $10.40

014 City Of Chicago Police $6.50

003 City Of Chicago Police $84.92

003 City Of Chicago Police $6.50

012 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 226 of 246

Incident Date Claimant Rank

04/09/2011 BEHREND, DONNA 9161

11/23/2010 BEDNAREK, RICHARD 9171

Unit of Insured Total to be Paid

012 City Of Chicago Police $6.50

012 City Of Chicago Police $812.26

012 City Of Chicago Police $53.47

012 City Of Chicago Police $9.84

006 City Of Chicago Police $220.09

006 City Of Chicago Police $6.50

006 City Of Chicago Police $21.69

006 City Of Chicago Police $220.09

006 City Of Chicago Police $6.50

006 City Of Chicago Police $21.69

006 City Of Chicago Police $238.53

006 City Of Chicago Police $6.50

006 City Of Chicago Police $23.51

006 City Of Chicago Police $238.53

006 City Of Chicago Police $6.50

006 City Of Chicago Police $23.51

006 City Of Chicago Police $267.90

006 City Of Chicago Police $6.50

006 City Of Chicago Police $26.40

006 City Of Chicago Police $286.13

006 City Of Chicago Police $6.50

006 City Of Chicago Police $28.20

006 City Of Chicago Police $220.09

006 City Of Chicago Police $6.50

006 City Of Chicago Police $21.69

006 City Of Chicago Police $220.19

006 City Of Chicago Police $6.50

006 City Of Chicago Police $21.70

006 City Of Chicago Police $286.23

006 City Of Chicago Police $6.50

006 City Of Chicago Police $28.21

006 City Of Chicago Police $220.09

006 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 227 of 246

Incident Date Claimant Rank

11/23/2010 BEDNAREK, RICHARD 9171

Unit of_Insured_Total to be Paid

006 City Of Chicago Police $21.69

006 City Of Chicago Police $263.03

006 City Of Chicago Police $6.50

006 City Of Chicago Police $25.93

006 City Of Chicago Police $220.19

006 . City Of Chicago Police $6.50

006 City Of Chicago Police $21.70

006 City Of Chicago Police $88.07

006 City Of Chicago Police $6.50

006 City Of Chicago Police $238.53

006 City Of Chicago Police $6.50

006 City Of Chicago Police $23.51

006 City Of Chicago Police $286.13

006 City Of Chicago Police $6.50

006 City Of Chicago Police $28.20

006 City Of Chicago Police $267.79

006 City Of Chicago Police $6.50

006 City Of Chicago Police $26.39

006 City Of Chicago Police $238.53

006 City Of Chicago Police $6.50

006 City Of Chicago Police $23.51

006 City Of Chicago Police $238.42

006 City Of Chicago Police $6.50

006 City Of Chicago Police $23.50

006 City Of Chicago Police $88.07

006 City Of Chicago Police $6.50

006 City Of Chicago Police . $238.53

006 City Of Chicago Police $6.50

006 City Of Chicago Police $23.51

006 City Of Chicago Police $88.07

006 City Of Chicago Police $6.50

006 City Of Chicago Police $88.07

006 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 228 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

11/23/2010 11/23/2010 11/23/2010 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/25/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 01/14/2011 11/11/2010 02/01/2011 02/01/2011 02/01/2011 11/19/2009 11/19/2009 11/19/2009 11/19/2009 11/19/2009 11/19/2009

BEDNAREK, RICHARD BEDNAREK, RICHARD BEDNAREK, RICHARD BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEASLEY, ROBERT BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BEALS, TAMIKO BATZER, ZOE BATTAGLIA, CHARLES BATTAGLIA, CHARLES BATTAGLIA, CHARLES BATES, JACQUELYN BATES, JACQUELYN BATES, JACQUELYN BATES, JACQUELYN BATES, JACQUELYN BATES, JACQUELYN

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

006 006 006 012 012 012 012 012 157 157 157 157 157 157 157 157 157 157 157 157 157 157 157 044 074 074 074 123 123 123 123 123 123

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

$220.19 $6.50 $21.70 $92.27 $10.59 $6.50 $209.76 $6.50 $235.31 $6.50 $23.19 $190.61 $6.50 $18.78 $336.64 $6.50 $4.08 $18.78 $6.50 $190.61 $190.61 $6.50 $18.78 $170.25 ' $236.50 $3.47 $6.50 $6.50 $959.37 $492.45 $6.50 $6.50 $893.50

City Of Chicago - Confidential

Page 229 of 246

Incident Date Claimant Rank

11/19/2009 BATES, JACQUELYN 9161

10/12/2010 BARD, CHRIS 3286

05/25/2011 BARANOWSKI, JOHN 9171

05/24/2011 BANDOLA, ROBERT 9161

01/15/2010 BALASZ, TIMOTHY 9161

01/15/2010 BALASZ, TiMOTHY 9161

01/15/2010 BALASZ, TIMOTHY 9161

Unit of Insured Total to be Paid

123 City Of Chicago Police $6.50

123 City Of Chicago Police $250.00

009 City Of Chicago Police $698.76

009 City Of Chicago Police $6.50

009 City Of Chicago Police $6.67

011 City Of Chicago Police $20.03

011 City Of Chicago Police $6.50

City Of Chicago Police $96.47

City Of Chicago Police $6.50

City Of Chicago Police $50.14

City Of Chicago Police $9.75

City Of Chicago Police $23.44

City Of Chicago Police $6.63

City Of Chicago Police $52.21

City Of Chicago Police $6.50

City Of Chicago Police $190.72

City Of Chicago Police $23.49

City Of Chicago Police $18.80

City Of Chicago Police $238.32

City Of Chicago Police $6.50

City Of Chicago Police $23.49

City Of Chicago Police $190.72

City Of Chicago Police $6.50

City Of Chicago Police $18.80

City Of Chicago Police $190.72

City Of Chicago Police $6.50

City Of Chicago Police $18.80

City Of Chicago Police $225.11

City Of Chicago Police $6.50

City Of Chicago Police $2.72

City Of Chicago Police $95.31

City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 230 of 246

Incident Date Claimant_Rank

01/15/2010 BALASZ, TIMOTHY 9161

12/17/2010 BAKUTIS, MARY ANN 9161

08/18/2010 BAKER, TAMMY 9161

Unit of_Insured_Total to be Paid

City Of Chicago Police $9.39

City Of Chicago Police $143.01

City Of Chicago Police $6.50

City Of Chicago Police $14.09

City Of Chicago Police $190.72

City Of Chicago Police $6.50

City Of Chicago Police $18.80

City Of Chicago Police $190.61

City Of Chicago Police $6.50

City Of Chicago Police $18.78

City Of Chicago Police $238.32

City Of Chicago Police $6.50

008 City Of Chicago Police $54.50

City Of Chicago Police $13.83

City Of Chicago Police $482.55

City Of Chicago Police $6.50

City Of Chicago Police $15.13

City Of Chicago Police $386.60

City Of Chicago Police $6.50

City Of Chicago Police $12.12

City Of Chicago Police $386.60

City Of Chicago Police $6.50

City Of Chicago Police $12.12

City Of Chicago Police $441.02

City Of Chicago Police $6.50

City Of Chicago Police $13.83

City Of Chicago Police $165.16

City Of Chicago Police $6.50

City Of Chicago Police $5.18

City Of Chicago Police $386.60

City Of Chicago Police $6.50

City Of Chicago Police $12.12

City Of Chicago - Confidential

Page 231 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/18/2010 08/18/2010 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 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 01/18/2011

BAKER, TAMMY BAKER, TAMMY BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI BAILEY, STACI

9161

P.O

Poli Pol Pol

ce ce ce

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

$441.02

$6.50

$283.88

$6.50

$3.43

$283.88

$6.50

$3.43

$283.88

$6.50

$3.43

$249.01

$6.50

$3.01

$96.62

$6.50

$1.17

$293.84

$6.50

$3.55

$258.97

$6.50

$3.13

$283.88

$6.50

$3.43

$283.88

$6.50

$3.43

$96.62

$6.50

$1.17

$283.88

City Of Chicago - Confidential

Page 232 of 246

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

01/18/2011 BAILEY, STACI

08/16/2010 BAEZAJR, RAUL

05/11/2011 BAEZ, RONALD

06/29/2008 Alessi, Christine

05/16/2011 AUGUSTYNIAK, CHESTER

09/28/2010 AUBERT, LANELL

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 9161 9161 9161 9161 9161 9161 9161 9161 P

P P

9161 9161 9161 9161 9161 9161 9161 9161

023

004

00023

013

007

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 ilice lice lice lice lice lice

$6.50

$3.43

$283.88

$6.50

$3.43

$567.76

$6.50

$6.86

$249.01

$6.50

$3.01

$96.62

$6.50

$1.17

$6.50

$202.46

$6.50

$32.97

$184.30

$6.50

$105.61

$66.35

$345.16

$19.85

$6.50

$10.19

$6.50

$123.02

$6.50

$4.04

$159.87

$6.50

City Of Chicago - Confidential

Page 233 of 246

Incident Date Claimant Rank

09/28/2010 AUBERT, LANELL 9161

09/28/2010. AUBERT, LANELL 9161

09/28/2010 AUBERT, LANELL 9161

Unit of_Insured_Total to be Paid

007 City Of Chicago Police $25.93

007 City Of Chicago Police ' $121.64

007 City Of Chicago Police $6.50

007 City Of Chicago Police $19.05

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $148.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $37.41

007 City Of Chicago Police $141.04

007 City Of Chicago Police $6.50

007 City Of Chicago Police $30.77

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $229.84

007 City Of Chicago Police $6.50

007 City Of Chicago Police $58.06

007 City Of Chicago Police $114.92

007 City Of Chicago Police $6.50

007 City Of Chicago Police $29.03

007 City Of Chicago Police $114.92

007 City Of Chicago Police $6.50

007 City Of Chicago Police $29.03

007 City Of Chicago Police $209.61

007 City Of Chicago Police $6.50

007 City Of Chicago Police $39.57

City Of Chicago - Confidential

Page 234 of 246

Incident Date Claimant Rank

09/28/2010 AUBERT, LANELL 9161

09/28/2010 AUBERT, LANELL . 9161

09/28/2010 AUBERT, LANELL 9161

09/28/2010 AUBERT, LANELL , 9161

09/28/2010 AUBERT, LANELL 9161

Unit of_Insured_Total to be Paid

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $153.90

007 City Of Chicago Police $6.50

007 City Of Chicago Police $36.71

007 City Of Chicago Police $153.90

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $67.78

007 City Of Chicago Police $6.50

007 City Of Chicago Police $24.71

007 City Of Chicago Police $322.17

007 City Of Chicago Police $6.50

007 City Of Chicago Police $46.74

007 City Of Chicago Police $92.20

007 City Of Chicago Police $6.50

007 City Of Chicago Police $35.73

007 City Of Chicago Police $36.71

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $200.42

007 City Of Chicago Police $6.50

007 City Of Chicago Police $32.27

007 City Of Chicago Police $192.13

007 City Of Chicago Police $6.50

007 City Of Chicago Police $43.59

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

City Of Chicago - Confidential

Page 235 of 246

Incident Date Claimant

Rank

09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/28/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 09/26/2010 05/23/2011 05/23/2011 12/27/2008

AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL AUBERT, LANELL ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ASCENCIO, RAMON ARJONA, JUAN ARJONA, JUAN ARAMBULA, SAUL

9161 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 9206

Unit of_Insured_Total to be Paid

007 City Of Chicago Police $129.47

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.69

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $162.19

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.39

007 City Of Chicago Police $153.90

007 City Of Chicago Police $6.50

007 City Of Chicago Police $36.71

007 City Of Chicago Police $200.42

007 City Of Chicago Police $6.50

007 City Of Chicago Police $32.27

007 City Of Chicago Police $159.87

007 ( City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $159.87

007 City Of Chicago Police $6.50

007 City Of Chicago Police $25.93

007 City Of Chicago Police $146.97

007 City Of Chicago Police $6.50

007 City Of Chicago Police $4.83

City Of Chicago Police $117.54

City Of Chicago Police $6.50

City Of Chicago Police $404.82

City Of Chicago Police $1.42

377 City Of Chicago Police $6.50

377 City Of Chicago Police $25.08

City Of Chicago Police $323.97

City Of Chicago - Confidential

Page 236 of 246

Incident Date Claimant Rank

12/27/2008 ARAMBULA, SAUL

05/08/2011 ANGELO, DEAN 9161

01/22/2009 ANDERSON, DOUGLAS 9161

05/07/2011 AMOJE, JOSEPH 9161

03/25/2011 ALVAREZ, JOSE 9161

Unit of Insured Total to be Paid

City Of Chicago Police $6.50

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.19

044 City Of Chicago Police $6.50

044 City Of Chicago Police $61.69

City Of Chicago Police $54.78

City Of Chicago Police $6.50

City Of Chicago Police $3.15

City Of Chicago Police $29.60

City Of Chicago Police $955.57

City Of Chicago Police $94.79

044 City Of Chicago Police $902.39

044 City Of Chicago Police $1.33

044 City Of Chicago Police $6.50

044 City Of Chicago Police $109.55

044 City Of Chicago Police $39.81

044 City Of Chicago Police $6.50

044 City Of Chicago Police $30.83

044 City Of Chicago Police $46.17

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.47

044 City Of Chicago Police $6.50

044 City Of Chicago Police $121.49

044 City Of Chicago Police $123.75

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.50

044 City Of Chicago Police $109.55

044 City Of Chicago Police $6.50

044 City Of Chicago Police $1.33

044 City Of Chicago Police $6.50

044 City Of Chicago Police $10.92

044 City Of Chicago Police $762.75

City Of Chicago - Confidential

Page 237 of 246

Incident Date Claimant_Rank

03/25/2011 ALVAREZ, JOSE 9161

05/05/2011 ALTWASSER, PATRICK .9161

05/05/2011 ALTWASSER, PATRICK 9161

06/05/2011 ALONSO JR, JAVIER

12/15/2009 ALI, MEER 9161

11/19/2010 ALCAZAR, DAVID

10/31/2010 ALANIZ, BRIAN 9161

Unit of_Insured_^_Total to be Paid

044 City Of Chicago Police $6.50

044 City Of Chicago Police $9.23

044 City Of Chicago Police $6.50

044 City Of Chicago Police $35.79

044 City Of Chicago Police $699.80

044 City Of Chicago Police $6.50

044 City Of Chicago Police $17.89

044 City Of Chicago Police $360.00

City Of Chicago Police $6.50

City Of Chicago Police $945.79

City Of Chicago Police $16.77

City Of Chicago Police $170.06

City Of Chicago Police $6.50

City Of Chicago Police $207.59

City Of Chicago Police $6.50

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $286 .23

010 City Of Chicago Police $6.50

010 City Of Chicago Police $28.21

010 City Of Chicago Police $266.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $26.27

010 City Of Chicago Police $190.82

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $21.57

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 238 of 246

Incident Date Claimant_Rank

10/31/2010 ALANIZ, BRIAN 9161

Unit of Insured Total to be Paid

010 City Of Chicago Police $21.57

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $124.66

010 City Of Chicago Police $6.50

010 City Of Chicago Police $8.09

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

City Of Chicago - Confidential

Page 239 of 246

Incident Date Claimant Rank

10/31/2010 ALANIZ, BRIAN 9161

Unit of Insured Total to be Paid

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $124.55

010 City Of Chicago Police $238.53

010 City Of Chicago Police $6.50

010- City Of Chicago Police $23.51

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $6.50

010 City Of Chicago Police $13.55

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $66.60

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.08

010 City Of Chicago Police $79.80

010 City Of Chicago Police $6.50

010 City Of Chicago Police $4.89

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $168.38

010 City Of Chicago Police $6.50

010 City Of Chicago Police $10.92

010 City Of Chicago Police $84.19

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $79.80

010 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 240 of 246

Incident Date Claimant Rank

10/31/2010 ALANIZ, BRIAN 9161

10/31/2010 ALANIZ, BRIAN 9161.

10/31/2010 ALANIZ, BRIAN 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $4.89

010 City Of Chicago Police $218.82

010 City Of Chicago Police $6.50

010 City'Of Chicago Police $21.57

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $238.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.51

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 " City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $238.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.51

010 City Of Chicago Police $238.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.51

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $238.53

010 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 241 of 246

Incident Date Claimant_Rank

10/31/2010 ALANIZ, BRIAN 9161

10/31/2010 ALANIZ, BRIAN ' 9161

10/31/2010 ALANIZ, BRIAN 9161

04/12/2011 AKINS, ROBIN 9161

Unit of_Insured_Total to be Paid

010 City Of Chicago Police $23.51

010 City Of Chicago Police $238.53

010 City Of Chicago Police $6.50

010 City Of Chicago Police $23.51

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $18.81

010 City Of Chicago Police $190.82

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $84.19

010 City Of Chicago Police $6.50

010 City Of Chicago Police $5.46

010 City Of Chicago Police $208.85

004 City Of Chicago Police $6.50

004 City Of Chicago Police $140.08

004 City Of Chicago Police $188.65

004 City Of Chicago Police $6.50

004 City Of Chicago Police $12.24

004 City Of Chicago Police $328.70

004 City Of Chicago Police $6.50

004 City Of Chicago Police $21.33

004 City Of Chicago Police $156.26

004 City Of Chicago Police $6.50

004 City Of Chicago Police $10.14

004 City Of Chicago Police $188.65

004 City Of Chicago Police $6.50

004 City Of Chicago Police $12.24

004 City Of Chicago Police $176.49

004 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 242 of 246

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

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 04/12/2011 04/12/2011 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/24/2009 12/09/2010 12/09/2010 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011

AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AKINS, ROBIN AHEARN, DORY AHEARN, DORY AHEARN, DORY AHEARN, DORY AHEARN, DORY AHEARN, DORY AHEARN, DORY AHEARN, DORY AHEARN, DORY ADREANI, JOHN ADREANI, JOHN ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG

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 9161

004 004 004 004 004 004 004 004 004 004 004 016 016 016 016 016 016 016 016 016

Poli Poli Pol

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

$11.45

$68.01

$6.50

$4.41

$160.31

$6.50

$10.40

$149.78

$6.50

$9.72

$9.09

$6.50

$460.00

$6.50

$250.00

$6.50

$100.64

$51.76

$6.50

$262.77

$15.91

$6.50

$0.69

$242.18

$6.50

$147.95

City Of Chicago - Confidential

Page 243 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 05/13/2011 04/26/2011 04/26/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011

ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG ADAMS, CRAIG ADAMS JR, EDWARD ADAMS JR, EDWARD ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH

9161 9161 9161 9161 9161 9161 9161 9161 9171 9171

610 610

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

$0.69

$6.50

$18.16

$6.50

$184.21

$6.50

$758.22

$147.95

$6.50

$15.35

$21.56

$218.72

$6.50

$21.56

$6.50

$18.08

$190.72

$6.50

$18.80

$227.23

$6.50

$22.40

$218.72

$6.50

$21.56

$218.72

$6.50

$21.56

$168.32

$6.50

$2.04

$171.01

$6.50

City Of Chicago - Confidential

Page 244 of 246

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Total:

02/22/2011

04/24/2011

05/13/2011

Number Amount 6175 $590,670.62

ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH' ADAIR, KENNETH ADAIR, KENNETH ADAIR, KENNETH ACEVES, JUAN ACEVES, JUAN ACEVEDO, MARTIN ACEVEDO, MARTIN ACEVEDO, MARTIN ACEVEDO, MARTIN ACEVEDOMARTIN ACEVEDO, MARTIN

9161 9161 9161 9161 9161 9161 9161 9161

010 010 010 010 010 010

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

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

$16.85

$275.96

$6.50

$4.05

$218.72

$6.50

$21.56

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$190.72

$6.50

$18.80

$218.72

$6.50

$21.56

$218.72

$6.50

$21.56

$218.72

$6.50

$65.95

$209.69

$6.50

$11.12

$285.86

$168.66

$997.50

City Of Chicago - Confidential

Page 245 of 246

Number Total: 8077

Amount $785,023.38

Legislation Text

Legislation Details

Legislation Details (With Text)