Office of the City Clerk - Record #: Or2011-825

Record #:

Or2011-825

Type:

Order

Status:

Passed

Intro date:

7/27/2011

Current Controlling Legislative Body:

City Council

Final action:

7/28/2011

Title:

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

Sponsors:

Burke, Edward M.

Topic:

CLAIMS - Police Officer/Firefighter Injuries

Attachments:

1. Or2011-825.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
7/28/2011	4152	City Council	Passed	Pass	Action details	Meeting details	Not available
7/28/2011		Committee on Finance	Recommended to Pass	Pass	Action details	Meeting details	Not available
7/27/2011		Committee on Finance	Direct Introduction		Action details	Meeting details	Not available

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

Chicago. j_ui_y ?a_f _?nn

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) __J_-

Chairman

i City Of Chicago

Police & Fire Regular Orders

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Insured Namel: City Of Chicago Fire

05/16/2011 ZORNIAK, ROMAN

05/16/2011 01/12/1999 04/21/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 03/24/2011 09/29/2005 09/29/2005 09/29/2005 07/19/2010 04/10/2011 01/02/2011 10/25/2010 04/26/2010 07/14/2009 06/22/2011 06/22/2011 06/22/2011 06/22/2011 06/22/2011 06/22/2011 03/16/2011 07/10/2010

ZORNIAK, ROMAN Walz, Randall WILLIAMS, STANLEY WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID WELSH, DAVID Venegas, Roy J Venegas, Roy J Venegas, Roy J VOJTAS, MICHAEL VOGRICH, GLENN VELLER, CARL VALE, EDWIN URQUHART, KENNETH TYLER, DONNA TRUESDALE, DANIEL TRUESDALE, DANIEL TRUESDALE, DANIEL TRUESDALE, DANIEL TRUESDALE, DANIEL TRUESDALE, DANIEL TONNE, ROBERT THOMPSON, JAMES

8750 8750 F

8811

8819

8750 8731 8801 8733 8735 8745 8801 8801 8801 8801 8801 8801 8735 8764

00432

00457 00457 00457

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

$209.69

$6.50

$2,415.11

$4,386.86

$1,473.09

$3,168.07

$1,659.16

$1,093.84

$23,232.72

$1,054.79

$7,123.04

$6.50

$6,750.43

$1,207.56

$8,213.85

$1,608.81

$14,039.86

$17,041.56

$1,100.96

$1,778.00

$8,719.29

$101.70

$6.50

$1,462.12

$6.50

$313.47

$6.50

$4,050.11

$4,444.02

City Of Chicago - Confidential

Page 1 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

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

THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THEEKE, JANIECE THEEKE, JANIECE THEEKE, JANIECE TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH Strickler, Bernard Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John

8764

8749

8745 .

8745

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

$224.27

$6.50

$200.95

$20.43

$6.50

$63.19

$8.56

$6.50

$57.59

$6.50

$57.59

$8.56

$6.50

$5.22

$204.58

$6.50

$73.71

$6.50

$0.89

$1,303.26

$1,300.00

$6.50

$1,100.00

$428.37

$124.68

$3.04

$6.26

$6.50

$108.86

$1.19

City Of Chicago - Confidential

Page 2 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/25/2001 Sorrentino, Nicholas

06/15/2011 STRIMEL, BRUCE

04/18/2011 SPEEDWELL, DAVID

05/24/2011 SOTO, CARLOS

05/22/2011 SHRADER, MICHAEL

12/18/2009 SHANAHAN, MICHAEL

05/09/2011 SCATES, WARREN

04/26/2011 SAMPEY, TIMOTHY

12/06/2003 Rogus, Andrew

04/21/2011 RUSSIAKY, GEORGE

01/21/2011 ROMERO, PETER

06/18/2011 ROMAN, LEONARDO

12/25/2010 RIVERA, JAMES

02/01/2011 RIVERA, EDWIN

07/01/2011 RIEGER, DANIEL

12/07/2010 RICHARDSON, LEANDER

06/03/2011 RICHARDS, JOHN

8731 8731 8731 8749 8749 8749 8817 8817 8817 8817 8811 8731 8763 8763 F

8731 8731 8731 8731 8731 8731 8731 8731 8801 8811 8750 8801 8801 8801 8731 8731 8735

00367

00432

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 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

$1,631.27

$1,644.36

$1,441.34

$9,608.92

$132.31

$146.32

$6.50

$16.87

$171.12

$6.50

$3,030.59

$202.39

$1,107.45

$1,303.55

$21,539.00

$17,112.00

$6.50

$2,421.07

$2.90

$3.46

$6.50

$285.86

$239.27

$1,238.52

$1,039.26

$7,619.27

$12,400.84

$620.39

$6.50

$15.85

$15,012.71

$1,238.52

$9.65

City Of Chicago - Confidential

Page 3 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/03/2011 RICHARDS, JOHN

06/27/2011 RHODES, NATHAN

08/27/2009 REIMER, RICHARD

01/14/2005 Patton, John

05/18/2011 PUGH, DONALD

03/29/2011 POWER, THOMAS

07/28/2010 PANG, KYUNG

09/20/1979 Owcarz, Eugene

08/06/2010 ORTEGA, JOHN

01/12/2011 OBOG, MARK

12/22/2010 O BRIEN, LAWRENCE

06/07/2011 NOVAK, GREGORY

01/24/2011 NGUYEN, TRANG

03/28/2011 MURPHY, EDWARD

06/05/2011 MOSQUEDA, RAUL ANTAR

8735

8750

8733

00482 00482

8731 F

8733

8801

8811

8801

PIC

8801

00439

$6.50 $167.75 $6.50 $561.71 $7,398.81 $29,217.72 $2,597.79 $2,028.05 $1,601.03 $6.50 $6.50 $22.71 $525.31 $6.50 $13.44 $888.42 $1,105.00 $3,436.95 $1,794.98 $1,564.85 $1,205.89 $2,126.25. ' $5,205.70 $1,444.94 $13,203.80 $1,195.16 $13.20 $6.50 $516.42 $1,600.00 $1,385.49 $125.82 $108.83

City Of Chicago - Confidential

Page 4 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

06/05/2011 MOSQUEDA, RAUL ANTAR

03/26/2011 MITCHELL, BARRY

09/23/2009 MC MEEL JR, MICHAEL

02/14/2011 MC GRATH, THOMAS

01/20/2011 MARTINEZ, MICHELE

05/21/2011 MARTINEZ, MICHELE

07/05/2011 MANKOWSKI, PATRICIA

02/03/2011 LANIER, SHARRIEFF

10/30/2010 LAMM, PHILIP

05/28/2011 LAMBERT JR, JOSEPH

02/12/2006 Kotlarz, Stanley T

10/21/2007 Kleinick, James

06/03/2010 KING, RAYMOND

12/22/2010 KIERNICKI, NICOLE

12/22/2010 KAWA, ROBERT

12/16/2010 KASPER, ANTHONY

. 12/16/2010 KASPER, ANTHONY

12/16/2010 KASPER, ANTHONY

8801 8801 8801 8801 8811 8811 8811 8811 8731

8749 8749 8749 8735 8735

8819 8819 F

F "

8731

8750

8811

8817

09999 00457

$6.50

$365.90

$6.50

$4.42

$6.50

$88.07

$6.50

$1,502.76

$11,039.55

$9,198.63

$4,145;54

$1,025.77

$1,670.47

$1,204.43

$1,030.59

$209.69

$6.50

$2,141.93

$1,612.40

$4,725.00

$1,850.55

$1,557.00

$1,363.00

$1,216.25

$6.50

$26.83

$1,525.53

$466.69

$1,141.26

$1,075.14

$1,141.26

$1,069.26 '

City Of Chicago - Confidential

Page 5 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/07/2011 JOHNSON, THADDEUS

06/03/2011 JACKSON, DWAIN

04/29/2009 INENDINO, SAM

03/06/2011 HERRING, CYNTHIA

05/16/2011 HANNON, MICHELLE

07/03/2011 GRAVES III, CORNELIUS

05/31/2011 GRABER, JOHN

12/17/2010 GODINEZ, JUAN

03/02/2011 GIORDANO, JOHN

05/01/2011 GENOVA, JASON

03/24/2010 GARITI, JOHN

12/02/2010 FREEMAN, EDWARD

04/20/2011 FORTUNA, NICHOLAS

8819 8819 8731 8801 8817 8817 8817 8819 8819 8811 8728 8801 8811 8811 8811 8811 8801 8801 8811 8811 8811 8811 8811 8811 8811 8811 8811 8731 8801 8801 8801 8801 8801

$1,670.47

$1,248.68

$1,565.41

$1,329.44

$1,226.70

$3,397.01

$2,579.21

$1,508.75

$1,518.52

$1,173.60

$1,151.40

$3,533.86

$6,500.00

$1,300.89

$4.48

$6.50

$1,023.81

$8,112.37

$2,001.02

$169.18

$6.50

$65.53

$6.50

$22,910.69

$6.50

$2,745.96

$277.35

$1,600.00

$767.42

$6.50

$767.42

$6.50

$383.71

City Of Chicago - Confidential

Page 6 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 04/20/2011 06/16/2011 06/16/2011 06/16/2011 06/16/2011

FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FORTUNA, NICHOLAS FLORES, MARCO FLORES, MARCO FLORES, MARCO FLORES, MARCO

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 8749 8749 8749 8749

$6.50 $383.71 $6.50 $383.71 $6.50 $383.71 $6.50 . $383.71 $6.50 $383.71 $767.42 $6.50 $6.50 $767.42 $6.50 $383.71 $6.50 $383.71 $6.50 $383.71 $6.50 $6.50 $6.50 $380.91 $6.50 $383.71 $6.50 $383.71 $6.50 $177.71 $1,617.70 $17.51 $227.68

City Of Chicago - Confidential

Page 7 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

06/16/2011 FLORES, MARCO

06/03/2011 FAULKNER, JEFFREY

07/24/2010 Dias, ROCCO

08/15/2009 DUNAGAN, BRIDGETTE

01/19/2011 CORDER, SILVIANA

12/10/2009 CONLEY, JOHN

05/17/2011 COLWELL, JASON

01/03/2010 CIPRIANI, AARON

06/26/2011 CHESACK, MICHAEL

01/13/2011 CECICH, MICHAEL

05/29/2011 CASANOVA, ALBERT

03/27/2011 CALLAGHAN, KEVIN

06/29/1986 Billups, David

07/01/2011 BROWN, TIMOTHY

01/12/2011 BRNE, BERNARD

8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8749 8735 8731 8811 8811 8749 8731 8750 8750 8731 8731 FC 8731 8731 8731 8731 8731 8731 . F F^

8735 8731

00475 00475

$6.50

$22.44

$6.50

$201.15

$6.50

$19.83

$177.71

$6.50

$17.51

$325.71

$6.50

$3.94

$2,191.39

$1,788.45

$1,685.87

$1,452.07

$9,578.49

$3,323.60

$209.69

$6.50

$6,827.63

$1,091.09

$1,494.01

$6.50

$11.55

$7,402.84

$454.00

$8,398.15

$2,883.19

$3,614.25

$1,350.61

$1,301.88

$2,083.90

City Of Chicago - Confidential

Page 8 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/02/2011

09/25/2010

02/21/2011

03/02/2007

06/01/2011

Number Total: 270

BONGIORNO, LOUIS

BERGQUIST, BRADLEY

BEASON,DAVE

Altman, James

Altman, James .

Altman, James

ARROYO,CESAR

Amount $517,119.43

Insured Namel: City Of Chicago Police

02/12/2008 Zaragoza, Angel 02/12/2008 02/12/2008 05/03/2011 06/02/2011 04/12/2010 04/12/2010 04/12/2010 05/25/2011 05/14/2011 05/14/2011 01/08/2007 04/14/2011 04/14/2011 03/14/2011 09/03/2009 01/29/2011 05/30/2011 05/30/2011 05/30/2011

Zaragoza, Angel Zaragoza, Angel ZAWADA, RICHARD ZATTAIR, NICK ZALEWSKI, MARK ZALEWSKI, MARK ZALEWSKI, MARK YOUNG, CARLIE YOCKEY, RODNEY YOCKEY, RODNEY Woznicki, Robert A WYROBA, ALBERT WYROBA, ALBERT WONG, BENNY WILLIAMS, RICKEY WILLIAMS, LUNYE WILLIAMS, HELANA WILLIAMS, HELANA WILLIAMS, HELANA

8817

8750

8728

8801

P P P

9161 9161 9161 9161 9161 9161 9161 9161 P

9161 9161 3286 9161

9161 9161 9161

00320 00320 00320 00320 00320 00320

00010 00010 00010

009 016 016 016 006

00016

315

018

006

044 044 044

$7,241.54 $1,287.88 $2,191.30 $1,543.14 $2,273.21 $1,543.14 $2,667.13 $1,744.56 $1,794.53 $1,398.24

$4,108.41

$3,350.74

$2,055.84

$1,372.41

$1,232.97

$1,050.58

$1,080.32

$1,346.23

$1,453.86

$17,633.58

$1,993.40

$1,842.02

$1,669.46

$8,230.22

$1,160.71

$1,238.52

$2,537.82

$167.20

$3,397.55

$6.50

City Of Chicago - Confidential

Page 9 of 42

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

05/30/2011 WILLIAMS, HELANA

08/07/2010 WILKOSZEWSKI, MICHELE

05/21/2010 WILKOSZ, ROBERT

05/01/2011 WIER, ERIC

06/26/2011 WESSELHOFF, MARK

10/15/2010 WEATHERSBY LEE, KAREN

07/15/2009 WATERS IV, MILTON

12/11/2010 WASHINGTON, TAKIA

06/10/2011 WALBERG III, HERBERT

03/26/2006 Viramontes, Ricardo

02/09/2008 Velazquez, Maria

01/09/1997 Vanvegten, Andre H

04/24/2011 VILLACIS, RICKY

01/07/2011 VEGA, ANA

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

9161

9161 9161 9161 3286

044 044 016 009

314 314 314

00008

00020

09999

044

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 ilice lice lice lice lice

$6.50

$230.66

$1,543.86

$6,227.72

$1,151.12

$13.44

$526.17

$6.50

$1.70

$2,000.00

$140.43

$6.50

$68,394.26

$6.50

$11.48

$6.50

$91.53

$2.34

$1,438.32

$1,636.73

$2,687.84

$2,281.44

$1,870.92

$1,559.45

$1,099.24

$11,193.20

$1,300.89

$1,519.07

$216.90

$5.54

$6.50

$1,196.57

City Of Chicago - Confidential

Page 10 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 01/19/1977 07/06/2010 06/09/2011 06/09/2011 05/07/2011 05/20/2011 02/06/2000 02/06/2000 07/09/1998

Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Tenzer, Joseph H TOMASIK, EDWARD THOMAS, DERYK THOMAS, DERYK TANNEHILL, MICHAEL TANG, WILLIAM Sullivan, James Sullivan, James Stover, Danny

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

9201

9161

00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00002 00012 177

019 -

024

00009

00004

Poll Poli Poli

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

$6.50

$477.05

$6.50

$749.65

$6.50

$639.58

$6.50

$707.73

$6.50

$319.79

$86.27

$6.50

$2,216.50

$456.09

$272.60

$408.90

$1,210.49

$1,158.55

$1.14

$6.50

$29.25

$6.50

$1,759.28

$1,490.92

$209.69

$6.50

$1,544.70

$1,897.77

$1,950.24

$1,069.59

$17,700.00

City Of Chicago - Confidential

Page 11 of 42

Incident Date Claimant

Rank

Unit of

Insured .

Total to be Paid

02/04/2011 05/16/2011 05/16/2011 05/16/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 01/21/2011 01/21/2011 04/26/2011 02/09/2011 06/09/2010 06/09/2010 06/09/2010 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011 05/25/2011

SZURA, WILLIAM SWIATKOWSKI, BRIAN SWIATKOWSKI, BRIAN SWIATKOWSKI, BRIAN SWAIN, JENNIFER SWAIN, JENNIFER SWAIN, JENNIFER SWAIN, JENNIFER SWAIN, JENNIFER SWAIN, JENNIFER SULLIVAN, PATRICK SULLIVAN, PATRICK STUBBS, LARRY STREFF JR, WILLARD STOREY, MILTON STOREY, MILTON STOREY, MILTON STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK STAU NTO N,- PATRIC K STAUNTON, PATRICK STAUNTON, PATRICK STAUNTON, PATRICK

3295 9161 9161 9161 9152 9152 9152 9152 9152 9152 3248 3248 9161 3249 9168 9168 9168 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

055

153 153 153 153 153 153 610 610

059 059 059 314 314 314 314 314 314 314 314 314 314 314 314 314 314 314 314

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

$17,702.52

$1,617.75

$2,347.51

$1,670.47

$190.72

$6.50

$18.80

$360.73

$5.29

$6.50

$1,720.60

$13,620.68

$1,070.30

$2,331.58

$1,246.68

$2,320.43

$2,122.61

$190.72

$18.80

$6.50

$190.72

$3,167.61

$14.09

$6.50'

$143.01

$18.80

$6.50

$190.72

$10.19

$6.50

$106.67

$6.50

$247.69

City Of Chicago - Confidential

Page 12 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/25/2011 05/25/2011 06/07/2011 06/07/2011 06/07/2011 06/07/2011 06/07/2011 12/06/2010 12/06/2010 12/06/2010 07/05/2010 07/05/2010 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 04/30/2011 05/27/2011 05/27/2011 05/27/2011 05/27/2011 05/27/2011 05/27/2011 03/04/2011 03/04/2011 03/04/2011 03/04/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011 04/07/2011

STAUNTON, PATRICK STAUNTON, PATRICK STAPLETON, DANIEL STAPLETON, DANIEL STAPLETON, DANIEL STAPLETON, DANIEL STAPLETON, DANIEL STAPLETON III, JOHN STAPLETON III, JOHN STAPLETON III, JOHN SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, MERCEDES SMITH, DERRICK SMITH, DERRICK SMITH, DERRICK SMITH, DERRICK SMITH, DERRICK SMITH, DERRICK SIMPSON, JOSEPH SIMPSON, JOSEPH SIMPSON, JOSEPH SIMPSON, JOSEPH SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR SIMMONS, OSCAR

9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161

314 314 044 044 044 044 044

016 016 016 016 016 016

608 608 608 608 012 012 012 012 012

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 ilice lice lice ilice lice lice

$18.80

$6.50

$2.42

$31.50

$841.01

$6,522.55

$6.50

$166.69

$1,200.00

$1,387.47

$28.21

$6.50

$23.51

$286.23

$6.50

$238.53

$6.50

$0.47

$247.63

$6.50

$1.16

$99.67

$6.50

$314.52

$57.00

$6.50

$171.01

$187.71

$16.85

$6.50

City Of Chicago - Confidential

Page 13 of 42

Incident Date Claimant Rank

04/07/2011 SIMMONS, OSCAR 9161

.04/07/2011 SIMMONS, OSCAR 9161

04/07/2011 SIMMONS, OSCAR 9161

06/11/2010 SIMMONS, KAREN 9161

03/17/2011 SIMMONS, BEVERLY 9161

06/12/2011 SIMMONS JR, DONALD 9161

05/24/2011 SILER SR, CHAVEZ 9161

03/20/2011 SCHULER, KRISHNA 3286

06/10/2011 SCHREIBER, ERIC 9161

Unit of Insured . Total to be Paid

012 City Of Chicago Police $18.50

012 City Of Chicago Police $190.72

012 City Of Chicago Police $6.50

012 City Of Chicago Police $18.80

012 City Of Chicago Police $218.72

012 City Of Chicago Police $6.50

012 City Of Chicago Police $21.56

012 City Of Chicago Police $171.01

012 City Of Chicago Police $21.56

012 City Of Chicago Police $6.50

012 City Of Chicago Police $218.72

012 City Of Chicago Police $16.85

012 City Of Chicago Police $6.50

023 City Of Chicago Police $2,319.37

023 City Of Chicago Police $2,347.76

023 City Of Chicago Police $2,253.02

023 City Of Chicago Police $4,796.71 192 City Of Chicago Police $113.23 192 City Of Chicago Police $707.70 192 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $1,339.88

044 City Of Chicago Police $1,035.02

024 City Of Chicago Police $6.50 024 City Of Chicago Police $266.00 024 City Of Chicago Police $6.50 024 City Of Chicago Police $227.00 024 City Of Chicago Police $12.08 024 City Of Chicago Police $98.45 024 City Of Chicago Police $6.50 044 City Of Chicago Police $6.50 044 City Of Chicago Police $46.44 044 City Of Chicago Police $187.06

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/04/2011 06/10/2011 06/10/2011 06/10/2011 06/10/2011 06/10/2011 06/10/2011 06/10/2011 06/10/2011 01/31/2004 12/22/2008 09/08/2010 09/08/2010 05/17/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011 03/28/2011

SAMPSON, ESTHER SALADINO, MICHAEL SALADINO, MICHAEL ■SALADINO, MICHAEL SALADINO, MICHAEL SALADINO, MICHAEL SALADINO, MICHAEL SALADINO, MICHAEL SALADINO, MICHAEL Rizzo, Paul M RUSSELL, ANGELA ROSAS, ANTONIO ROSAS, ANTONIO 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

9161 9171 9171 9171 9171 9171 9171 9171 9171 P

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

00009

007 007

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

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

$1,111.32

$6.50

$200.44

$209.69

$6.50

$247.34

$6.50

$19.76

$24.38

$1,173.00 '

$2,524.05

$1,720.20

$1,776.02

$7,435.98

$17.93

$6.50

$181.90

$20.40

$6.50

$206.95

$20.40

$6.50

$206.95

$20.62

$6.50

$209.15

$6.50

$101.70

$21.83

$6.50

$221.52

$21.83

$6.50

City Of Chicago - Confidential

Page 15 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/28/2011 RONAN, RUTH

03/28/2011 RONAN,RUTH

03/28/2011 RONAN, RUTH

04/15/2011 ROCHOWICZ JR, RICHARD

12/26/2008 ROCHA, NANCY

02/28/2011 ROBINSON, WILLIA

02/28/2011 ROBINSON, WILLIA '

02/28/2011 ROBINSON, WILLIA

9171 9171. 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171 9171

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

021 021

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

lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice, lice lice lice lice lice lice

$221.52

$17.14

$6.50

$173.92

$17.14

$6.50

$173.92

$21.83

$6.50

$221.52

$17.36

$6.50

$176.12

$1,310.28

$20.96

$6.50

$4,218.67

$6.50

$143.12

$1.17

$6.50

$96.62

$18.81

$6.50

$190.82

$18.81

$6.50

$190.82

$18.81

$6.50

$190.82

$14.11

$6.50

City Of Chicago - Confidential

Page 16 of 42

(

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/28/2011 ROBINSON, WILLIA

10/09/2010 RIZZO, DARREL

02/17/2010 RIOS, MIGUEL

05/04/2011 REYES, CHRISTOPHER

06/17/2011 RAYL, MURPHY

04/29/2011 RAMIREZ JR, MARGARITO

05/04/2011 RAICA, KRISTEN

11/27/2007 Podlo, Frank W

08/18/2008 Philp, Danielle

10/03/1992 Phillips-Ramirez, Samella

06/13/2011 PORRATA, ALVIN

06/30/2011 PIWNICKI, RAYMOND

02/21/2011 PITTMAN, RONALD

9161 9161 9161 ' 9161 9161 9161 9161 9161 9165 9161 9171 9171 9171 9171 9171 9171 9161 9161 9161 9161 P P P

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

019 019 019 153

014 014 014

00018 00005 00020 018

006 006 006 006 006 006 006

$14.11

$583.16

$6.50

$143.12

$66.83

$6.50

$2,024.46

$562.86

$1,745.64

$1,202.99

$2,192.19

$6.50

$56.01

$6.50

$3.46

$285.86

$85.02

$6.50

$65.40

$1,200.00

$2,151.60

$1,670.47

$2,521.07

$14,215.23

$1,066.82

$6.50

$78.03

$6.50

$68.15

$6.50

$176.85

$2.23

$6.50

City Of Chicago - Confidential

Page 17 of 42

Incident Date Claimant Rank

02/21/2011 PITTMAN, RONALD 9161

02/21/2011 PITTMAN, RONALD ' 9161

02/21/2011 PITTMAN, RONALD 9161

Unit of_Insured_Total to be Paid

006 City Of Chicago Police $184.26

006 City Of Chicago Police $2.95

006 City Of Chicago Police $6.50

006 City Of Chicago Police $244.02

006 City Of Chicago Police $2.53

006 City Of Chicago Police $6.50

006 City Of Chicago Police $209.16

006 City Of Chicago Police $2.23

006 City Of Chicago Police $6.50

006 City Of Chicago Police $184.28

' 006 City Of Chicago Police $6.50

006 City Of Chicago Police $315.32

006 City Of Chicago Police $6.50

006 City Of Chicago Police $105.55

006 City Of Chicago Police $1.01

006 City Of Chicago Police $6.50

006 City Of Chicago Police $83.67

006 City Of Chicago Police $1.01

006 City Of Chicago Police $6.50

006 City Of Chicago Police $83.67

006 City Of Chicago Police $3.05

006 City Of Chicago Police $6.50

006 City Of Chicago Police $252.01

006 City Of Chicago Police $6.50

006 City Of Chicago Police $749.65

006 City Of Chicago Police $6.50

006 City Of Chicago Police $408.90

006 City Of Chicago Police $6.50

006 City Of Chicago Police $408.90-

006 City Of Chicago Police $6.50

006 City Of Chicago Police $408.90

006 City Of Chicago Police $6.50

006 City Of Chicago Police $1,226.70

City Of Chicago - Confidential

Page 18 of 42

Incident Date Claimant Rank

02721/2011 PITTMAN, RONALD 9161

02/21/2011 PITTMAN, RONALD 9161

02721/2011 PITTMAN, RONALD 9161

02/21/2011 PITTMAN, RONALD 9161

02/2172011 PITTMAN, RONALD 9161

02/21/2011 PITTMAN, RONALD 9161

02721/2011 PITTMAN, RONALD 9161

02/21/2011 PITTMAN, RONALD 9161

Unit of Insured Total to be Paid

006 City Of Chicago Police $3.81

006 City Of Chicago Police $2.23

006 City Of Chicago Police $6.50

006 City Of Chicago Police $184.28

006 City Of Chicago Police $3.98

006 City Of Chicago Police $6.50

006 City Of Chicago Police $328.66

006 City Of Chicago Police $6.50

006 City Of Chicago Police $234.00

006 City Of Chicago Police $6.50

006 City Of Chicago Police $272.60

006 City Of Chicago Police $6.50

006 City Of Chicago Police $2,123.40

006 City Of Chicago Police $2.89

006 City Of Chicago Police $6.50

006 City Of Chicago Police $239.02 .

006 City Of Chicago Police $7.34

006 City Of Chicago Police $6.50

006 City Of Chicago Police $607.54

006 City Of Chicago Police $3.37

006 City Of Chicago Police $6.50

006 City Of Chicago Police $278.87

006 City Of Chicago Police $1.01

006 City Of Chicago Police $6.50

006 City Of Chicago Police $83.67

006 City Of Chicago Police $3.67

006 City Of Chicago Police $6.50

006 City Of Chicago Police $303.77

006 City Of Chicago Police $14.68

006 City Of Chicago Police $6.50

006 City Of Chicago Police $1,215.08

006 City Of Chicago Police $4.46

006 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 19 of 42

Incident Date Claimant Rank

02/21/2011 PITTMAN, RONALD 9161

02/21/2011 PITTMAN, RONALD . 9161

02/21/2011 PITTMAN, RONALD 9161

Unit of_Insured_Total to be Paid

006 City Of Chicago Police $368.51

006 City Of Chicago Police $2.95

006 City Of Chicago Police $6.50

006 City Of Chicago Police $244.02

006 City Of Chicago Police $9.32

006 City Of Chicago Police $6.62

006 City Of Chicago Police $6.50

006 City Of Chicago Police $547.79

006 City Of Chicago Police $3.67

006 City Of Chicago Police $6.50

006 City Of Chicago Police $303.77

006 City Of Chicago Police $2.95

006 City Of Chicago Police $6.50

006 City Of Chicago Police $244.02

006 City Of Chicago Police $3.67

006 City Of Chicago Police $6.50

006 City Of Chicago Police $303.77

006 City Of Chicago Police $4.60

006 City Of Chicago Police $6.50

006 City Of Chicago Police $380.06

006 City Of Chicago Police $2.95

006 City Of Chicago Police $6.50

006 City Of Chicago Police $244.02

006 City Of Chicago Police $2.23

006 City Of Chicago Police $6.50

006 City Of Chicago Police $184.28

006 City Of Chicago Police $2.89

006 City Of Chicago Police $6.50

006 City Of Chicago Police $239.02

006 City Of Chicago Police $3.67

006 City Of Chicago Police $6.50

006 City Of Chicago Police $303.77

006 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 20 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/21/2011 02/21/2011 02/21/2011 02/21/2011 11/25/2010 11/25/2010 11/25/2010 11/25/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 11/14/2010 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/11/2009 06/03/2011 06/03/2011 06/03/2011 09/09/2009 09/09/2009 09/09/2009

PITTMAN, RONALD PITTMAN, RONALD PITTMAN, RONALD PITTMAN, RONALD PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIETRYLA, SCOTT PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PIECHOCKI, JOHN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ, EVELYN PEREZ JR, ROSALI PEREZ JR, ROSALI PEREZ JR, ROSALI PEMBERTON, KENT PEMBERTON, KENT PEMBERTON, KENT

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

006 006 006 006

006 006 006 020 020 020

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

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

$41.94

$6.50

$68.15

$6.50

$3,090.12

$1,204.35

$2,090.70

$1,027.53

$6.50

$1,022.25

$545.20

$6.50

$2,398.28

$6.50

$545.20

$1,884.11

$6.50

$108.34

$6.50

$4,966.39

$10.44

$6.50

$408.35

$3.47

$6.50

$135.87

$1,725.90

$6.50

$56.71

$8,255.16

$6.50

$506.31

City Of Chicago - Confidential

Page 21 of 42

Incident Date Claimant Rank

09/09/2009 PEMBERTON, KENT 9161

09/09/2009 PEMBERTON, KENT . 9161

09/09/2009 PEMBERTON, KENT 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 $6.50

020 City Of Chicago Police $433.98

020 City Of Chicago Police $6.50

020 City Of Chicago Police $27.59

020 City Of Chicago Police $6 .50

020 City Of Chicago Police $192.50

020 City Of Chicago Police $6.50

020 City Of Chicago Police $9.66

020 City Of Chicago Police $6.50

020 City Of Chicago Police $1,022.00

020 City Of Chicago Police $9.66

020 City Of Chicago Police $6.50

020 City Of Chicago Police $1,022.00

020 City Of Chicago Police $6.50

020 City Of Chicago Police $89.10

153 City Of Chicago Police $20.11

153 City Of Chicago Police $6,531.33

153 City Of Chicago Police $204.04

153 City Of Chicago Police $17.34

153 City Of Chicago Police $6.50

153 City Of Chicago Police $175.94

153 City Of Chicago Police $20.11

153 City Of Chicago Police $6.50

153 City Of Chicago Police $204.04

153 City Of Chicago Police $17.35

153 City Of Chicago Police $6.50

153 City Of Chicago Police $ 1,440.00

153 City Of Chicago Police $17.35

153 City Of Chicago Police $6.50

153 City Of Chicago Police $176.04

153 City Of Chicago Police $20.10

153 City Of Chicago Police $6.50

City Of Chicago - Confidential

Incident Date Claimant Rank

04/08/2011 PEDRAZA JR, JOSE 9161

04/08/2011 PEDRAZA JR, JOSE . 9161

04/08/2011 PEDRAZA JR, JOSE 9161

12713/2010 PAZ, FRANKLIN 9161

12/13/2010 ' PAZ, FRANKLIN 9161

12/13/2010 PAZ, FRANKLIN 9161

Unit of_Insured_Total to be Paid

153 City Of Chicago Police $203.94

153 City Of Chicago Police $176.04

153 City Of Chicago Police $17.35

153 City Of Chicago Police $6.50

153 City Of Chicago Police $176.04

153 City Of Chicago Police $17.35

153 City Of Chicago Police $6.50

153 City Of Chicago Police $176.04

153 City Of Chicago Police $6.50

013 ' City Of Chicago Police $0.89

013 City Of Chicago Police $240.05

013 City Of Chicago Police $73.71

013 City Of Chicago Police $6.50

013 City Of Chicago Police $236.97

013 City Of Chicago Police $6.50

013 City Of Chicago Police $303.40

013 City Of Chicago Police $6.50

013 City Of Chicago Police $313.95

013 City Of Chicago Police $6.50

013 City Of Chicago Police $313.95

013 City Of Chicago Police $6.50

013 City Of Chicago Police $246.40

013 City Of Chicago Police $1.17

013 City Of Chicago Police $6.50

013 City Of Chicago Police $96.62

013 City Of Chicago Police $6.50

013 City Of Chicago Police $246.40

013 City Of Chicago Police $6.50

013 City Of Chicago Police $837.76

013 City Of Chicago Police $6.50

013 City Of Chicago Police $246.40

City Of Chicago - Confidential

Page 23 of 42

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

12/13/2010 PAZ, FRANKLIN

05/13/2011 PARUSZKIEWICZ, KEVIN

01/12/2011 PARTIPILO, MICHAEL

12/26/2010 PARKINSON, MICHELLE

12/26/2010 .PARKINSON, MICHELLE

01/06/2009 PARHAM, ANDRE

05/29/2010 PAOLINO, PHILIP

02/06/2011 PALIKIJ, MARY

02/06/2011 PALI KlJ, MARY

02/06/2011 PALIKIJ, MARY

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

013 013 013

124

006

023 023 023

$6.50

$313.95

$2.90

$1,192.80

$1,350.00

$482.66

$1.91

$6.50

$129.91

$99.50

$6.50

$4,624.31

$9.74

$6.50

$223.94

$22.18

$6.50

$490.65

$4.21

$6.50

$83.39

$7.86

$6.50

$163.97

$19.48

$6.50

$447.88

$6.50

$223.94

$9.74

$272.68

$6.50

$290.58

City Of Chicago - Confidential

Page 24 of 42

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

02706/2011 PALIKIJ, MARY

02/06/2011 PALIKIJ, MARY

07/26/2009 OWENS, MESHAY

04/15/2011 ORTIZ, DEAN

05/07/2011 ORTIZ CLAUDIO, SUSIE

03/07/2010 OLUGBALA, ASSATA

05/16/2011 OCASIO, ROYLAND

02/20/2011 O SHAUGHNESSY, THOMAS

06/06/2011 O GRADY, JAMES

06/06/2011 O GRADY, JAMES 07/27/2009 . O BRIEN, TIMOTHY .

07/27/2009 O BRIEN, TIMOTHY

05/04/2011 NORBERG, THOMAS

12/27/2010 NELSON, KIMBERLY

3286 3286 3286 3286 3286 3286 3286 3286

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

023 023 023 023 023 023 023 023

019 019 019 004

004 010 024 024 044 044 017 017

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

$6.50

$21,312.84

$1,268.82

$188.82

$6.50

$280.23

$6.50

$6,171.00

$3,611.28

$6.50

$120.75

$6.50

$49.49

$2.85

$2,641.10

$214.16

$6.50

$2.59

$1,803.38

$11.61

$1,200.00

$1,156.09

$5,141.16

$9,634.28

$1,200.00

$1,203.53

$143.43

$23.63

$333.07

$753.77

$8.94

$6.50

$285.10

City Of Chicago - Confidential

Page 25 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

12/27/2010 12/27/2010 12/27/2010 12/27/2010 12/27/2010 05/07/2011

11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 11/11/2010 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 01/10/2008 01/10/2008 01/10/2008 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 04/04/2008 04/04/2008 04/04/2008 04/04/2008 12/11/1986 12/11/1986 12/11/1986

NELSON, KIMBERLY NELSON, KIMBERLY NELSON, KIMBERLY NELSON, KIMBERLY NELSON, KIMBERLY NAPOLI, MICHAEL NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN NAJM, SEAN Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Messino, William Messino, William Messino, William Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Matual, David Matual, David Matual, David Matual, David Mathey, James J Mathey, James J Mathey, James J

9161 9161 9161 9161 9161 9161

044.

00024 00024 00024 00024 00024 00020 00020 00020 00006 00006 00006 00006 00006 00006 00610 00610 00610 00610 00009 00009 00009

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

$10.44

$6.50

$8.25

$6.50

$1,071.60

$6.50

$188.94

$2.77

$6.50

$188.94

$2.77

$10,878.72

$10,973.12

$10,897.60

$11,048.64

$2,611.97

$1,368.28

$1,132.36

$1,640.88

$4.34

$2.22

$517.32

$6.50

$17.29

$6.50

$3.30

$6.50

$87.36

$246.61

$3.11

$6.50

$211.91

City Of Chicago - Confidential

Page 26 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/26/2003 07/26/2003 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 03/05/2011 09/03/2010 09/03/2010 09/03/2010 06/25/2011 06/25/2011 06/25/2011 04/30/2011 06/14/2011 06/16/2011 02/19/2009 02/23/2011 05/17/2011 05/17/2011 05/17/2011 05/17/2011 05/17/2011 05/17/2011 05/17/2011

Malkowski, Carmen Malkowski, Carmen MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MURRAY, BABETTE MOSER, EDWARD MOSER, EDWARD MOSER, EDWARD MOORE, ANTOINETTE MOORE, ANTOINETTE MOORE, ANTOINETTE MONTOYA, VICTOR MILLAN, BJORNN MICHALSKI, ROBERT MICHALEK, MICHAEL MESCALL, KENNETH MENDEZ, RICARDO MENDEZ, RICARDO MENDEZ, RICARDO MENDEZ, RICARDO MENDEZ, RICARDO MENDEZ, RICARDO MENDEZ, RICARDO

P P

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

9161 9161 9161 9161 9161 9161.

3286 9161 9161 9161 9161 9161 9161 9161

00006 00006

011 011 011 018 153 044

701 701 701 701 701 701 701

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

$1,600.00

$1,601.57

$6.50

$377.40

$6.50

$377.40

$6.50

$377.40

$96.62

$377.40

$6.50

$429.81

$1.17

$6.50

$3,077.30

$2,843.12

$1,504.04

$213.88

$6.50

$8.68

$1,146.32

$3,193.40

$1,019.61

$1,907.02

$10,187.33

$1.87

$6.50

$93.56

$4.48

$6.50

$222.79

$6.50

City Of Chicago - Confidential

Page 27 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/17/2011 MENDEZ, RICARDO

05/19/2010 MENDEZ, JAIME

02/16/2011 MENAGH, SHAUN

09/27/2010 MCQUARTER, KIMBERLY

12/08/2010 MCCURTY, JAMES

12/08/2010 MCCURTY, JAMES '

12/08/2010 MCCURTY, JAMES

03/11/2011 MCCANN, RAYMOND

07/28/2010 MC GRATH, PATRICK

02/23/2011 MC GEE, ROBERT

07/01/2011 MAYER, MARK

9161 9161

701 701

9161 9161

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

008 008

715

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

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

$312.00 $1,064.47 $1,247.56 $1,559.45 $1,247.56 $1,871.34 $1,559.45 $2,582.99 $1,559.45 $1,224.13 $1,259.79 $1,170.66 $1,559.45 $14,153.18 $8,911.71 $1,045.22 $6.50 $575.76 $12.85 $6.50 $301.08 $27.22 $6.50 $628.56 $24.18 $905.30 $6.50 $40.00 $1,708.29 $9,658.71 $1,436.11 . $7,250.00 $1,478.94

City Of Chicago - Confidential

Page 28 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

05/08/2010 12/02/2009 12/21/2009 12/21/2009 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 06/02/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/18/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011 04/26/2011

MATTHEWS, PAUL MARTINEZ, SERGIO MARTINEZ, DANIEL MARTINEZ, DANIEL MARTINEZ JR, RUBEN MARTINEZ JR, RUBEN MARTINEZ JR, RUBEN MARTINEZ JR, RUBEN MARTINEZ JR, RUBEN MARTINEZ JR, RUBEN MARTINEZ JR, RUBEN MARTINEZ JR, RUBEN MARTINEZ JR, RUBEN MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANNING, TIMOTHY MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA MANKER, SWAZILA

9161 9161 9161 9161 9161 9161 9161 9161 9161 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

010 010 010 010 010 010 010 010 010 010 010

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

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

$1,058.25

$2,314.20

$412.03

$1,466.97

$600.00

$6.50

$250.96

$0.74

$6.50

$207.20

$10.46

$6.50

$28.80

$6.50

$31.40

$911.64

$6.50

$21.77

$932.94

$6.50

$30.42

$73.57

$986.19

$6.50

$1.30

$88.70

$18.80

$6.50

$190.72

$6.50

$5,070.27

$1.17

City Of Chicago - Confidential

Page 29 of 42

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 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 PoJ City Of Chicago 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 Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Pol

04/26/2011 MANKER, SWAZILA

09/30/2010 MALONEY, JAMES

07/19/2010 MALLEK, WILLIAM

06/02/2011 MAHADEO, ALEJANDRA

05/19/2002 Lloyd, Kimberly D

05/16/2011 LUNA, LOUIS

9161

9173

9161

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

160 014

00007

014

Police Police Police Police ice ice ice ice ice

ice

ice ice ice ice ice ice ice ice ice ice

ice

$6.50

$96.62

$7.08

$6.50

$46.82

$6.50

$68.15

$6.50

$68.15

$6.50

$83.35

$6.50

$68.15

$6.50

$161.37

$2,208.22

$1,063.92

$1,257.79

$1,638.18

$1,271.61

$164.39

$19.31

$6.50

$195.94

$16.20

$6.50

$164.39

$6.50

$148.97

$6.50

$16.20

$14.69

City Of Chicago - Confidential

Page 30 of 42

Incident Date Claimant Rank

05/16/2011 LUNA, LOUIS 9161

02/11/2011 LOPEZ, AMOR 9161

07/02/2011 LONG, ORLANDO 9161

05/25/2011 LIPSEY, MIREYA 9161

04/21/2011 LEWIS, EILEEN 9161

01/29/2011 LEJA, JACEK 3286

01/29/2011 LEJA, JACEK .3286

02/07/2011 LEBENSORGER, FRED

09/26/2009 LEAHY, BRIAN 9161

02/12/2008 Kurpiel, Joseph P

03/14/2005 Kirchner, Robert P

12/22/2010 KNUDSEN, SARA 9161

03/27/2011 KNIGHT, AISHA 9161

Unit of Insured Total to be Paid

014 City Of Chicago Police $1.09

014 City Of Chicago Police $89.64

044 City Of Chicago Police $2.76

044 City Of Chicago Police $6.50

044 City Of Chicago Police $107.96

044 City Of Chicago Police $212.25

044 City Of Chicago Police $6.50

044 City Of Chicago Police $8,305.15

022 City Of Chicago Police $1,905.57

314 City Of Chicago Police $1,200.00

008 City Of Chicago Police $3,113.50

153 City Of Chicago Police $306.14

153 . City Of Chicago Police $6.50

153 City Of Chicago Police $12.19

City Of Chicago Police $10,095.65

City Of Chicago Police $1,430.52

00017 City Of Chicago Police $3,300.00

09999 City Of Chicago Police $2,044.40

044 City Of Chicago Police $15,680.85

044 City Of Chicago Police $1,785.06

044 City Of Chicago Police $10,852.85

011 City Of Chicago Police $5.42

011 City Of Chicago Police $3,574.00

011 City Of Chicago Police $6.50

011 City Of Chicago Police $707.77

011 City Of Chicago Police $33.16

011 City Of Chicago Police $6.50

011 City Of Chicago Police $2,739.03

011 City Of Chicago Police $6.50

011 City Of Chicago Police $1,126.81

011 City Of Chicago Police $2.23

011 City Of Chicago Police $6.50

011 City Of Chicago Police $184.27

City Of Chicago - Confidential

Page 31 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

03/27/2011 KNIGHT, AISHA

06/15/2011 KINSLOW, STEVEN

08/05/2010 KERIN, ELIZABETH

05/25/2011 KEREAKES, DEMETRIOS

06/26/2011 KENNEDY, MATTHEW

10/14/1992 Johnson-Swain, Marianne C

07/17/2008 Johnson, John M

09/10/1994 Jackson, Talmitch

04/16/2011 JORITZ, NATALIE

08/27/2010 JONES, ANDREW

03/15/2011 JOHNSON, JOYCE

11/05/2009 JANUS, RICHARD

02/11/2011 JACKSON, PRENTISS

03/26/2011 JACKSON JR, WILLIAM

9161

9171

9161 9161 3286 Sgt

9206

011

011 ■

011

314

019

00006

00008

00003

630

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 ilice lice lice lice lice lice lice lice

$6.50

$14.44

$6.50

$31.92

$6.50

$448.24

$2.77

$6.50

$229.10

$3.49

$6.50

$287.86

$6.50

$66.38

$6.50

$1,341.73

$1,089.01

$1,572.64

$1,001.26

$2,191.96

$2,115.99

$1,894.55

$11,003.28

$1,659.15

$1,798.92

$2,135.35

$1,376.20

$12,695.55

$76.04

$5,174.84

$6.50

$234.86

$2,576.16

City Of Chicago - Confidential

Page 32 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/25/2011 IZA, FRANCISCO

05/03/2011 ITHAL, ALAN

06/21/2011 IRLWEG, CHRISTOPHER

06/20/2004 Hespel, William

08/25/1993 Herring, Patricia

02/05/2010 HUNDRIESER, DAVID

11/06/2009 HUMMONS, RODERICK

04/02/2011 HOZZIAN, JOANNE

06/16/2011 HOFFMAN, LAURA

05/11/2011 HINES, VANETTA

9161

253 253 253

00023 00023 00007 016

001 044 025 025 025 025

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

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

$6.50

$18.80

$190.72

$6.50

$190.72

$6.50

$18.80

$83.67

$1.01

$6.50

$17.48

$96.62

$6.50

$1,444.22

$284.87

$3.45

$6.50

$1.17

$1,749.05

$10,182.09

$3,150.00

$1,754.57

$6.50

$1,052.75

$1,023.81

$316.74

$16.78

$6.50

$170.25

City Of Chicago - Confidential

Page 33 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

05/11/2011 05/11/2011 06/26/2011 07/08/2011 03/21/2011 03/21/2011 11/25/2010 11/25/2010 11/25/2010 11/25/2010 04/30/2011 04/30/2011 04/30/2011 04/30/2011 10/22/2010 12/02/2010 12/02/2010 12/02/2010 03/29/2011 03/29/2011 03/29/2011 09/19/2008 07/11/2006 07/11/2006 10/16/2005 05/14/2010 04/02/2010 05/07/2011 05/01/2011 05/01/2011 12/03/2010 12/03/2010 12/03/2010

HINES, VANETTA HINES, VANETTA HICKEY, THERESA HEFEL, STEVEN HEBERGER, SHELLY HEBERGER, SHELLY HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, RYAN HEALY, JAMES HEALY, JAMES HEALY, JAMES HEALY, JAMES HATTER, COREY HARVEY, MARLON HARVEY, MARLON HARVEY, MARLON HARVEY, MARK HARVEY, MARK HARVEY,. MARK Griffin, Burdett Greif, Robert F Greif, Robert F Gleason-Galich, Colleen GUARNIERI, PAUL GRUBE, PATRICK GRAF, MATTHEW GONZALEZ, LUIS GONZALEZ, LUIS GONZALEZ, JOSE GONZALEZ, JOSE GONZALEZ, JOSE

po po

0300

9161

9201

9161 9161 9161 9164 9164 9161 9161 9161

025 025

193 005 005 044 044 044 044 019 019 019 019

00010 00024 00024 00016

025

701 701 701

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

$6.50

$3.83

$1,443.51

$36.00

$1,876.55

$6.50

$300.00

$300.00 ■

$320.00

$1,880.00

$11.00

$1,323.62

$6.50

$5.98

$7,097.31

$1,876.66

$460.35

$656.47

$525.31

$6.50

$13.44

$6.50

$1,498.02

$4,024.00

$6.50

$1,600.00

$1,760.40

$1,467.82

$6.50

$183.13

$59.16

$97.06

$6.50

City Of Chicago - Confidential

Page 34 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/13/2010 10/13/2010 07/04/2010 12/16/2010 12/16/2010 11/28/2009 05/23/2011 07/05/2011 12/26/2008 11/06/2010 04/30/2011 10/01/2010 01/09/2010 09/14/2010 06/03/2011 07/27/2010 05/02/2011 05/02/2011 06/09/2011 07/14/1988 04/04/2011 05/12/2010 05/12/2010 05/21/2011 02/01/2011 05/12/2011 05/21/2011 09/12/2009 03/24/2010 04/25/2011 04/25/2011 04/25/2011 04/25/2011

GOMEZ, ALEX GOMEZ, ALEX GODINEZ, WILBERT GIBBELINA, JOHN GIBBELINA, JOHN GAYTAN, LUIS GATICA, ROBB GARCIA, EDGAR GANDY JR, CLINTON FOLINO, ANTHONY FLORES, IRIS FERRERAS, LEONIDAS FERENZI, RICHARD FEREK, DANIEL FARIAS, ROGER ESCOBAR, GONZALO ENG,DOUGLAS ENG, DOUGLAS EITEL, LISA Domagala, Bernard DUNN III, GEORGE DRAGON, JEAN DRAGON, JEAN DOYLE, EILEEN DOWLING, RICHARD DOUGLAS, MARIANN DERCOLA, MATT DENNIS, ANDRE DELANEY, ANDREA DEEREN, KEVIN DEEREN, KEVIN DEEREN, KEVIN DEEREN, KEVIN

9161 9161 9161 9171 9161 9161

9161 9161

9161 9169 9161 9161 9161 9161 9161 P

9161

9161 3286 9161 9161 9161 9161 9161 9161 9161 9161

017 017 017

003

153

055

006

002

015

023

09999

189

044

044 312 005

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

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

$2,288.00

$1,930.50

$12.20

$1,612.00

$30,699.20

$1,034.90

$3,381.21

$2,547.19

$8,346.68

$1,048.44 '

$1,360.50

$1,145.32

$1,050.41

$1,737.06

$1,892.35

$190.00

$6.50

$209.69

$2,197.30

$4,829.01

$2,500.24

$84.92

$6.50

$1,022.25

$1,116.60

$1,000.48

$1,444.22

$1,305.89

$1,312.31

$2,172.19

$6.50

$456.07

City Of Chicago - Confidential

Page 35 of 42

Incident Date Claimant

Rank

Unit of

Insured

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

Total to be Paid

04/25/2011 DEEREN, KEVIN

05/12/2011 DEADY, KENNETH

06/27/2010 DAVIS, QUINTON

05/14/2010 DARCY, PATRICIA

08/09/1995 Costello-Czubernat, Bridget

02/02/2001 Cornelius, Don

08/16/2007 Chaparro, Eloisa

01/24/2001 Castillo, Diego A

03/02/2004 Calhoun, Rose

07/05/2011 CRAWFORD, ALVIN

03/17/2010 CRANE, ROBERT

05/14/2010 COWART SMITH, ANGELA

06/27/2011 CONWAY, THOMAS

06/27/2011 CONWAY, THOMAS 06/27/2011 ' CONWAY, THOMAS

07/23/2009 CONWAY, NICOLE

9161

9161 9161 9161

018 701

00007

00005

00193

00014

00007

003

017

024 024 024

Poli Poli Poll

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

$6.50

$456.07

$6.50

$456.07

$6.50

$524.22

$6.50

$524.22

$6.50

$340.75

$6.50

$1,355.18

$21,602.27

$1,772.51

$84.92

$6.50

$2,330.79

$1,511.94

$8,362.00

$13,147.78

$6.50

$1,288.24

$273.43

$4,544.26

$1,055.77

$1,543.50

$111.97

$187.77

$6.50

$4.80

$6.50

$1,328.54

$53.95

City Of Chicago - Confidential

Page 36 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

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

07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 07/23/2009 05/23/2009 05/13/2011 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009 05/27/2009

CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONWAY, NICOLE CONROY, BRIDGET CONEY,DAPHNE

COLE I COLE I COLE I COLE I COLE I COLE I COLE I COLE I COLE I COLE I COLE I COLE I COLE I

DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY DENSEY

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

008 001 001 001 001 001 001 001 001 001 001 001 001 001

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

$419.78 ■ $6.50 $17.26 $378.25 $6.50 $15.96 $419.78 $6.50 $17.26 $419.78 $6.50 $17.26 $366.98 $6.50 $14.22 $393.38 $6.50 $15.74 $219.34 $2,421.66 $1,872.00 $1,320.76 $4,114.06 $41,736.80 $1,326.00 $2,184.00 $1,950.00 $2,028.00 $1,872.00 $1,872.00 $1,872.00 $1,872.00 $2,184.00

City Of Chicago - Confidential

Page 37 of 42

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

06/20/2011 COHEN, JONATHAN 9161

06/21/2011 CINTRON, ANGEL 9161

06/18/2011 CHERNIK, MICHAEL 9161

04/03/2011 CARTER, ACSHRAMM ADAR 9161

04/08/2011 CARRENO, JESSE 9161

10/10/2009 CAMPOS, MARCO 9161

12/28/2010 CACOK, GENEVA 9161

01/23/2011 CABRERA, DANIEN 9161

04/24/2007 Brown, James E P

05/05/2011 BRUNO, MARCO 9161

Unit of_Insured_Total to be Paid

001 City Of Chicago Police $1,872.00

001 City Of Chicago Police $4.83

001 City Of Chicago Police $6.50

001 City Of Chicago Police $47.70

001 City Of Chicago Police $1,872.00 City Of Chicago Police $1,289.19

044 City Of Chicago Police $3,906.45

025 City Of Chicago Police $36.00

025 City Of Chicago Police $6.50

008 City Of Chicago Police $6.50

008 City Of Chicago Police $115.85

008 City Of Chicago Police $340.75

008 City Of Chicago Police $6.50

008 City Of Chicago Police $4.70

008 City Of Chicago Police $6.50

008 City Of Chicago Police $220.18

008 City Of Chicago Police $1,022.25

City Of Chicago Police $1,239.67

City Of Chicago Police $1,122.00

002 City Of Chicago Police $3,000.00 City Of Chicago Police $1,071.60

00012 City Of Chicago Police $1,400.00

00012 ' City Of Chicago Police $1,476.00

011 City Of Chicago Police $2,346.00

011 City Of Chicago Police $3.43

011 City Of Chicago Police $89.12

011 City Of Chicago Police $6.50

011 City Of Chicago Police $1.31

011 City Of Chicago Police $236.50

011 City Of Chicago Police $6.50

011 City Of Chicago Police $3.47

City Of Chicago - Confidential

Page 38 of 42

Incident Date Claimant Rank

05/05/2011 BRUNO, MARCO 9161

03/13/2011 BROOKS, DERRICK 9161

07/02/2011 BROCK, STEVEN 9161

06/27/2011 BRADY, TERENCE 9161

04/15/2011 BRADLEY, VALENA 9161

06/19/2011 BRACKEN, MATTHEW 9161

05/15/2011 BOROFF, JOSEPH 9161

12/11/2010 BORCHERS, DANIEL 9161

10/16/2010 BOETTCHER, JASON 9161

06/26/2011 BLAS, RONALD 9171

04/09/2011 BEHREND, DONNA 9161

11/11/2010 BATZER, ZOE 9161

11/19/2009 BATES, JACQUELYN '9161

05/25/2011 BARANOWSKI, JOHN 9171

Unit of Insured Total to be Paid

011 City Of Chicago Police $236.50

011 City Of Chicago Police $6.50

011 City Of Chicago Police $3.47

011 City Of Chicago Police $236.50

011 City Of Chicago Police $6.50

011 City Of Chicago Police $3.47

011 City Of Chicago Police $6.50

011 City Of Chicago Police $233.55

011 City Of Chicago Police $251.60

012 City Of Chicago Police $1,007.97 022 City Of Chicago Police $1,905.57

City Of Chicago Police $1,223.81

City Of Chicago Police $6.50

City Of Chicago Police $54.52

044 City Of Chicago Police $2,480.44

City Of Chicago Police $2,108.63

016 City Of Chicago Police $5,341.27

City Of Chicago Police $2,932.85

City Of Chicago Police $1,897.77

City Of Chicago Police $1,909.67

City Of Chicago Police $1,903.69

012 City Of Chicago Police $6.50

044 City Of Chicago Police $16,526.47

044 City Of Chicago Police $1,368.00

123 City Of Chicago Police $5,481.46

011 City Of Chicago Police $6.50

011 City Of Chicago Police $22.06

011 City Of Chicago Police $6.50

011 City Of Chicago Police $190.72

011 City Of Chicago Police $223.75

011 City Of Chicago Police $18.80

City Of Chicago - Confidential

Page 39 of 42

Incident Date Claimant Rank

05/25/2011 BARANOWSKI, JOHN 9171

05/24/2011 BANDOLA, ROBERT 9161

06/09/2011 BALESTRI, FRANK 9161

05/16/2011 AUGUSTYNIAK, CHESTER 9161

05/23/2011 ARJONA, JUAN 9206

05/23/2011 ARJONA, JUAN 9206'

05/23/2011 ARJONA, JUAN 9206

05/23/2011. ARJONA, JUAN 9206

05/23/2011 ARJONA, JUAN 9206

.05/23/2011 ARJONA, JUAN 9206

05/23/2011 ARJONA, JUAN 9206

Unit of_Insured_Total to be Paid

011 City Of Chicago Police $6.50

011 City Of Chicago Police $223.75

City Of Chicago Police $4,977.00

051 City Of Chicago Police $2,875.31

013 City Of Chicago Police " $6.50

013 City Of Chicago Police $314.55

013 City Of Chicago Police $6.50.

013 City Of Chicago Police $136.30

013 City Of Chicago Police $6.50

013 City Of Chicago Police $314.55

013 City Of Chicago Police $629.10

013 City Of Chicago Police $6.50

377 City Of Chicago Police $494.45

377 City Of Chicago Police $6.50

377 City Of Chicago Police $19,348.06

377 City Of Chicago Police $6.50

377 City Of Chicago Police $51.68

377 City Of Chicago Police $10.19

377 City Of Chicago Police $6.50

377 City Of Chicago Police $106.67

377 City Of Chicago Police $6.50

377 City Of Chicago Police $788.13

377 City Of Chicago Police $5.61

377 City Of Chicago Police $6.50

377 City Of Chicago Police . $219.14

377 City Of Chicago Police $13.85

377 City Of Chicago Police $6.50

377 City Of Chicago Police $542.07

377 City Of Chicago Police $9.44

377 City Of Chicago Police $6.50

377 City Of Chicago Police $369.18

377 City Of Chicago Police $16.13

377 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 40 of 42

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

05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 05/23/2011 03/25/2011 05/28/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011 03/21/2011

ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ' ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ARJONA, JUAN ALVAREZ, JOSE ALI, JAVED ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID ADCOCK, DAVID

9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9206 9161 9161 3286 3286 3286 3286 3286 3286

377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 377 044

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

$631.24

$6.92

$6.50

$271.04

$6.92

$6.50

$271.04

$10.19

$6.50

$106.67

$5.60

$6.50

$219.14

$5.60

$6.50

$219.14

$271.04

$6.50

$6.92

$271.04

$6.50

$6.92

$280.48

$7.17

$6.50

$1,444.94

$1,052.66

$6.50

$202.88

$0.88

$6.50

$21.64

$12.98

City Of Chicago - Confidential

Page 41 of 42

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Total:

03/21/2011

02/22/2011

Number 1089

Number 1359

ADCOCK, DAVID

ADAIR, KENNETH

Amount $1,144,396.54

Amount $1,661,515.97

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

$6.50

$28.49

$107.28

$6.50

$405.76

$209.54

$6.50

$791.41

$1.89

$6.50

$46.51

$53.64

$1,776.60

City Of Chicago - Confidential

Page 42 of 42

Legislation Text

Legislation Details

Legislation Details (With Text)