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Claim Number <br />94PDS0139 <br />98BLD0255 <br />92FDS0392 <br />96FDS0220 <br />96FDS0303 <br />98FDS0375 <br />99FDS0149 <br />94PDS0445 <br />00-1185 <br />00-1406 <br />95LIB0123 <br />00-1080 <br />00-1374 <br />00-1249 <br />98FDA0252 <br />80000821 <br />98CDA0048 <br />Claimant <br />Shirey, Martha <br />Shuck, Larry <br />Sierra, John <br />Sierra, John <br />Sierra, John <br />Sierra, John <br />Sierra, John <br />Silverthorne, Robert <br />Simmons, John <br />Simmons, John <br />Taylor, Irma <br />Teran, Gracie <br />Thomas, Jack <br />Thyr, Robert <br />Torres, James <br />Traficanto, Cynthia <br />Turley, Doris <br />Injury Date <br />05101!1994 <br />07/21 /1998 <br />11 /01 /1992 <br />06/01 /1996 <br />1 012 9/1 9 9 6 <br />10/19/1998 <br />04/26/1999 <br />1 2/0811 9 94 <br />09!2111999 <br />05!10/2000 <br />03/20/1995 <br />07/15/1999 <br />04!20!2000 <br />12/13!1999 <br />07115!1998 <br />06101 /1977 <br />02!02/1998 <br />File 179 <br />Indemnity <br />Medical <br />Indemnity <br />Indemnity <br />Indemnity <br />Indemnity <br />Indemnity <br />Indemnity <br />Indemnity <br />Indemnity <br />Indemnity <br />Indemnity <br />Medical <br />Indemnity <br />Indemnity <br />Indemnity <br />Medical <br />Destroyed Date File Location <br />09/01/2008 Destroyed <br />09/01/2008 Destroyed <br />09/01/2008 Destroyed <br />09/01/2008 Destroyed <br />09/01 /2008 Destroyed <br />09/01/2008 Destroyed <br />09/01/2008 Destroyed <br />09/01/2008 Destroyed <br />09!01/2008 Destroyed <br />09/01/2008 Destroyed <br />09/01/2008 Destroyed <br />09!01/2008 Destroyed <br />09/01/2008 Destroyed <br />09/01!2008 Destroyed <br />09/01!2008 Destroyed <br />09/01 /2008 Destroyed <br />09/01/2008 Destroyed <br />Organization <br />Police Department <br />Finance & Mgmt Svcs <br />Fire Department <br />Fire Department <br />Fire Department <br />Fire Department <br />Fire Department <br />Police Department <br />Fire Department <br />Fire Department <br />Library Department <br />Police Department <br />Planning & Building <br />Finance & Mgmt Svcs <br />Fire Department <br />Public Works <br />Community Development <br />Run Date: 08/07/2008 17:19:04 Run By: FROMERO City of Santa Ana -Confidential <br />Page 6 of 6 <br />19D-15 <br />