Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'■I'lll'lll-l-lll'-'l11ill""!'!!'''!!"!''!'"!!'!'!'!1
Status:_ Reason:.
010*001 *******5-DIGIT 60630 AHN, SOONAE
5255 N RIVERSEDGE TER APT 501 CHICAGO, IL 60630-1785
Claim Number: 1018928
Index Number: 1310200026 1100
" Water Account Number: 430368430368
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
M' * 111 -'1 -11 -11111 - E11111111 -1M111111111'1" 11111 * 11 [ 111 -11 -1'
019*001*********3-DIGIT 606 BARR, ELAYNE 5919 N SAUGANASH LN CHICAGO, IL 60646-6045
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1006344
Index Number: 1303403062 0000 Water Account Number: 777700032292
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
-rT<-r\ the undersigned, on oath,
please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand^am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE \^-^^f^^ \^gfLAA^PSE ^ -X.<f^? I
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO
Attn:(DANIELLE
121 N. LA SALLE ST
ROOM 300
Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
111 -1 i 11 -11 -1 -111 -11 -111 -1111 -1111-1ji1^> n1 - -1 - -111 > -11 > -1 > 111 -
010*001 *******5-DIGIT 60630 BEEBE, MARY A.
5225 N RIVERSEDGE TER APT 505 CHICAGO, IL 60630-1749
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018193
Index Number: 1310200024 1050
" Water Account Number: 777700127879 "
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I MflfW flfifl the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE/^ ><* /£*v>\J
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l-hi'-li-'i-ilil'-l'll'-lll-li'l-ioili'l-'hl-xill-'h-i
Status:_ Reason:
018*001 *******'**3_DIGIT 606 BERGER, CAROL C. 4235 N KEELER AVE APT 2C CHICAGO, IL 60641-2280
Claim Number: 1016063
Index Number: 1315410032 1009
Water Account Number: 300139033411
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I C?GPO I C i Be^TCt &r__ihe undersigned, on oath,
Please Print Name
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Seclion 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand f am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
oomn
■llili,hlliilluili-lll-iilillllllllliilllirlrllMllhil
019*001*********3-DIGIT 606 BEYER, LORRAINE C. 3900 W BRYN MAWR AVE APT 407 CHICAGO, IL 60659-3140
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017548
Index Number: 1302300005 1027
Water Account Number: 777700099828" - -
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application lor the Senior Citizen's Sewer Rebate was presented lo the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/lownhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property m^l.s uhegq raqujreigents, you must sign and date this application and return it to your;
ay ot January, 2U11. it the property me£ts tnege reqijiremen
I__the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE H ^ ^ ^ W
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:__
111111 -11 - - -11 - -1 -11 -1 -111 -111111111 - >111111111111111! 11 -11111 -1
Status:_ Reason:.
019*001 *********3-DIGIT 606 BOCEK, EDYTHE A 3850 W BRYN MAWR AVE APT 306 CHICAGO, IL 60659-3141
Claim Number: 1017639
Index Number: 1302300006 1016
Water Account Number: 430358430358
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I 1^>VTI (£- A . BOcFk._the undersigned, on oath.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE ^/^^/iLy . f^srx^JLs
DATE t/^ JLan
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
|,||||,||,l|,ll|,|||l,||||,|||,l,|ll|||,ll,||.l||l||l|l|l|
Status:. Reason
019*001 *********3-DIGrT 606 BOLAND, ZERDA R. 3850 W BRYN MAWR AVE APT 403 CHICAGO, IL 60659-3142
Claim Number: 1017547
Index Number: 1302300006 1023
Water Account Number: 777700099835
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
he undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
7
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
i1 ii ■ ■ ■1 ■ ■ i ■ 111 ■ i ■ ■111111 ■1 ■ i1 ■111 ■ ■ i ■111 ■i■■■111■11■111111 ■ 11 ■ ■ i
019*001*********3-DIGrr 606 BOOKIE, LILLIAN L 3950 W BRYN MAWR AVE APT 508 CHICAGO, IL 60659-3149
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022737
Index Number: 1302300009 1038
Water Account Number: 430364430364
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
fhU /. ■ ~B>oO \iCi £T the undersigned, on oath. Please Print Name
depose and state that I am the applicant in ihe application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Chicago City Council - Cornmittee on Finance - Application for Senior Citizens Sewer C... Page 1 of 1
City of Chicago Claim Form
Application For Senior Citizens Sewer Charge Annual Refund
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM*_
WARD_
DATE _
STATU S_
R_
11
Claimant Name
Claimant Address
Claimant
City, State & Zip Code
Claimant Telephone
Claimant Birthdate:
Property Tax Number:
Water Account Number:
Building Type:
Note: *AII Fields Must Be Filled In
IL
Office
Home
Cellular
2_
PIN
;3-a2-~3-c?-<? -/Jo <?-
Com Units L/ Q
Res Units
_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury or falsification herein.
OWNER SIGNATURE:_
DATE: 9,( ff
Edit Form
Print this claim form
Please print this and return application to your aldermanic office before July 1
© 2007 Chicago City'Council - Committee on Finanace. All Rights Reserved
2/8/2011
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18,2011
"-r-i'r Ih11'r h'^l'lrh.....11' 11'1 h I r I -111111111 -11 -11
010*001*******5-DIGlT 60630 CARLSON, LOIS A 5225 N RIVERSEDGE TER APT 506 CHICAGO, IL 60630-1749
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017638
Index Number: 1310200026 1051
Water Account Number: 430366430366
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I LoiZ> fi- QftftL^Q//' the undersigned, on oath, Please Print Name
depose and state lhal I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Seclion 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^ DATE
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-hlMMI'Irill ri-l-I'M ri.......11' i1 ■ i11111 ■1 ■11 ■ ■ i1 ■ I ■ i111
Status:_ Reason:
010*001 *******5-DIGIT 60630 CIURA. VICTOR M 5255 N RrVERSEDGE TER APT 505 CHICAGO. IL 60630-1785
Claim Number: 1022603
Index Number: 1310200026 1104
Water Account Number: 430368430368
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO ol" Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Jhe undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
»ui^g» 228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ili-l-ililniiiil-illllilllllllnii-llillll-lll-ll-l-llil-i»
Status:_ Reason:.
019*001*********3-DIGrT606 CONNOLLY, FAUSTINA 3950 W BRYN MAWR AVE APT 206 CHICAGO, IL 60659-3157
Claim Number: 1022695
Index Number: 1302300009 1006
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LASALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
DATE
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
'V-i i i i ■1 ■ i1 1111-1 ■ 11 ■ i ■ ■1111 ■1111■■ ■ i ■ ■ i ■11 ■ ■ ■i■111■11111111
010*001*******5-DIGIT 60630 COOPER, CECIL
5255 N RIVERSEDGE TER APT 310 CHICAGO, IL 60630-1777
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023219
Index Number: 1310200026 1083
Water Account Number: 430368430368
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
"I ^t-lL £,Q&Pcr^. _the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE (S^X lWW DATE
Very Truly Yours, \J
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please da not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
^8g*228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1111' 11111 - -111' 11111111 -111111 - -1 -11' 1111 -111111' 11 [ I -11111 -111
Status:_ Reason:.
010*001*******5-DIGlT 60630
CROSS, CHESTER J.
5320 N LOWELL AVE # 3-301
Claim Number: 1018931
CHICAGO, IL 60630-1751
Tndex Number: 1310200026 1124
Water Account Number: 430373430373
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I ^//gjf7gy^^. C-tXjQ _ihe undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
11 -1'111 -1111111 -111' 11111' I > 11111' 111111111' 1111111 < -111 -' 111' 11
Status:_ Reason:.
010*001*******5-DIGIT 60630 DAVOREN, PATRICIA E 5225 N RIVERSEDGE TER APT 414 CHICAGO, IL 60630-1744
Claim Number: 1022571
Index Number: 1310200026 1044
Water Account Number: 430366430366
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application tor the Senior Citizen's Sewer Rebate was presented lo the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman MARGARET LAURINO
Attn: DANIELLE , .
121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oalh.
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.||iH|i||i.|||i,i,i,,ii|,|.i,,ii|,.|in,.ii,||i|...|,.||i,|
Status:, Reason
019*001*********3-DIGJT 606 DOCKERY, MARY 3850 W BRYN MAWR AVE APT 410 CHICAGO, IL 60659-3143
Claim Number: 1017534
Index Number: 1302300006 1030
Water Account Number: 777700099743
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
PteaseVPrinl Name
le undersigned, on oath,
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_;
Intro. Date:_
I -11 -1'' I h -111111'' 111111111 * -11 -1111' 111' 11'1' EI -11 -1 < 1111 -11'
Status:_ Reason:.
019*001*********3-DIGIT 606 DUNN, MARION B. 3940 W BRYN MAWR AVE APT 502 CHICAGO, IL 60659-3155
Claim Number: 1017811
Index Number: 1302300008 1032
Water Account Number: 777700099828
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
'sifgS*'228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
ii i:^. i, 11111 < -, i. i. 11. i -, 11111,, i ■ 111. i, ■ i,, i, 11, i -1 -, 111,111
019*001 *********3_DiGIT 606 ERSKINE, PEGGY 3940 W BRYN MAWR AVE APT 201 CHICAGO, IL 60659-3154
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018362
Index Number: 1302300008 1001
Water Account Number: 777700099835
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
gned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3^12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. ^A*-&^DATE _
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room .'302 60602 Telephone
Chairman ww.conimilteennfinance.orj; 312-744-3380
February 18, 2011
1111-111-M1111 -1 -11 - -11 -111111111^>i11-1111111 -1111 -11 -1 -
010*001*******5-DIGIT 60630 GELLER, ALVIN E 5320 N LOWELL AVE APT 506 CHICAGO, IL 60630-1766
Index Number: 1310200026 1151
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022700
Water Account Number: 430373430373 '
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and slate lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real eslale property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly laxes, and af/other fees, penalties or assessments owed to the City of Chicago have been paid and that I understancH^am subj^eWo penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE I j
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
■SiSgl*'228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
'Irl-'i'llll'l-'l'l-iih'-ll'ili-l"-!'!!''!-!-!!''!!!)'!1'!-'!
Status:_ Reason:
019*001*********3-DIGIT 606 GIERKE, SANDRA J. 3950 W BRYN MAWR AVE APT 507 CHICAGO. IL 60659-3149
Claim Number: 1019790
Index Number: 1302300009 1037
Water Account Number: 777700099729
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I underst&nd I am subject to penalties for perjury of falsification herein.
Very Truly Yours, ' Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 ■ 111111 ■1 i 111"1 ■ i ■ IUI ■ ■ 1111 ■ 111 ■ ■1" 11 ■111 ■1111 ■ ■ 111111 ■ 1111
Status:_ Reason:.
010*00l*******5-DIGIT 60630 GOLDBERG, ANNE 5255 N RIVERSEDGE TER APT 312 CHICAGO, IL 60630-1777
Claim Number: 1023283
Index Number: 1310200026 1085
Water Account Number: 430368430368
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Akju/S~ Gvi-n &£~£LG-__the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, ^ Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago. IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
'(-'"-MliMi-r'Ir-l'H'Mliil1-"!!1'I''ii il llliiil'lh'l11!
Status:_ Reason:.
018*001 *********3-DIGIT 606 GOOS, LOUISE E. 4219 N KEYSTONE AVE CHICAGO, IL 60641-2323
Claim Number: 1008958
Index Number: 1315412026 1002
Water Account Number: 300139033466
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I_l~f~->(4 f / f^r" 3 d S the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
111 - - -1 -111111111 11111 -(111 f 111'111 -11111111 -111 - -1111 - -1! i -111
Status:_ Reason:
019*001 *********3-DFGrT 606 GUGLIUZZA, PHILLIP C. 3950 W BRYN MAWR AVE APT 306 CHICAGO, IL 60659-3147
Claim Number: 1017561
Index Number: 1302300009 1016
Water Account Number: 777700099828
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, v y
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
I UP////iy ^undersigned,
Please Print Name
on oath,
<^J*>228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
nMIII-hll--iii il-1--"illi-''I-ih1--■■iil'll-I'-'ril'i1 "I
Status:_ Reason:
019*001*********3-DIGIT 606 HAMILTON, FLORENCE 3850 W BRYN MAWR AVE APT 302 CHICAGO, IL 60659-3141
Claim Number: 1017603
Index Number: 1302300006 1012
Water Account Number: 777700099743
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I_f /-6 ft £ A^g- J/AAIUTqA/ the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago. IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE £L*u~^ Ut^dLt*-*
DATE 3-- 3-/- 1QII
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
Status:_ Reason:
HANSON, REUBEN
3900 W BRYN MAWR AVE APT 307
CHICAGO, IL 60659-3138
Claim Number: 1022680
Index Number: 1302300005 1017
Water Account Number: 430360430360
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this'application and return it to your ward office before July 1, 2011.
I ffzojsgf} l~l(Zn^50 f)_the undersigned, on oalh,
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
II,!,,,),,,!!,!,!!!!,!!!),!!!!!!!,,,!!!,,!,!!,!,.,!!!,!!!.!,.!
Status:_ Reason:.
019*001*********3-DIGIT 606 HARTMAN. ALAN J 3950 W BRYN MAWR AVE APT 502 CHICAGO, IL 60659-3149
Claim Number: 1022681
Index Number: 1302300009 1032
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the Cily Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this properly as your principal residence on ihe first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I ,4 ~& |A fu-\x~c\k-r\__the undersigned, on oath.
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
rlllililliliriililil"l"llul"i-liliHlilIHlni-lul
019*001*********3-DIGIT 606 HELLER, DEENAH 4252 W HARRINGTON LN CHICAGO, IL 60646-6038
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023404
Index Number: 1303403145 0000
Water Account Number: 430344430334
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I ft HkU, /j^mdersigned. on oath,
Please Print Name
depose and slate thai I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. Very Truly Yours,
Edward M. Burke
MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE I2l N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN l COPY FOR YOUR RECORDS
228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
017*003*********3-DIGIT 606 HODGES, ROBERT D. 3725 W BYRON ST APT G CHICAGO, IL 60618-4061
Index Number: 1323113030 1010 Water Account Number: 471239471239
l.l,!)!,!,,.!.
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019082
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I >TJ> £>e1Zj& f/pc{p ■ J?hc undersigned, on oath. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January l, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to,penalties for perjury of falsification herein.
uOWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
',r'l"ll,lilii'll'"l'"i'r'i"ll"i'lrll'll,il""iii'r,"l
Status:_ Reason:.
010*001 *******5-DIGIT 60630 ITO, HARRIET S 5320 N LOWELL AVE CHICAGO, IL 60630-1751
Claim Number: 1021738
Index Number: 1310200026 1141
Water Account Number: 430373730373
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i kturner j--to _lhe undersigned, on oath,
Please Print Name
depose and state thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject tp penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do noi send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
DATE.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11!11 -[ I -11111 111 -11 - - -111111 m -1 - - < -11111111111111 -1!1111 -11111
Status:_ Reason:.
019*001*********3-DlGrT 606 JANEZIC, MARTHA J 3950 W BRYN MAWR AVE APT 402 CHICAGO, IL 60659-3158
Claim Number: 1022682
Index Number: 1302300009 1022
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I AlJ)r\THff \f[ $A//k t^ e_the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
DATE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
IJI>47'>0
iIIiiiiI-iiII-IiiiItiIiI-iIINI-iiItii-Ii'ii-itIIIiiIIiii
019*001 *********3_DIGIT 606 JARDINE, ANN
3900 W BRYN MAWR AVE APT 402 CHICAGO, IL 60659-3139
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017535
Index Number: 1302300005 1022
Water Account Number: 430360430360
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of WV 1 39.
To determine whether your condo/co-op/to nhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE/^fc/fl? (^T/z^^^ DATE cZ //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
^S^.228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|l.|||1l1|1l||1|ll|ll||1ll,lrl1|r,|||||l|,||T,|l|1l|l,l|
Status:_ Reason:.
0i9*001*********3-DIGIT606 JEDYNAK, WIKTOR1A 4218 N KEYSTONE AVE # 3C CHICAGO, IL 60641-2353
Claim Number: 1019720
Index Number: 1315411027 1018
Water" Account Number: 431196431196
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I fkfe?^ )ft ~~jE'fc>yi\[ Q Kthe undersigned, on oath, Please Pnnt Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 -1 -1! - -1 -11111 -11111111 - -11111111111111) -111111 -111 -1 -1111111!
Status:_ Reason:.
010*001*******5-DIGIT 60630 JENSEN, MARIAN R. 5255 N RIVERSEDGE TER APT 203 CHICAGO, IL 60630-1745
Claim Number: 1018192
Index Number: 1310200024 1063
Water Account Number: 777700127893
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.IIHI,,,!!,!.,!,!!!,!,,!!!!,!,!!!!,!.)!!,,!!!!.!!,!!,,!.)
Status:_ Reason:.
019*001 *********3-DIGIT 606 JOHNSON, LILLIAN M. 3850 W BRYN MAWR AVE APT 406 CHICAGO, IL 60659-3143
Claim Number: 1017588
Index Number: 1302300006 1026
Water Account Number: 777700099729
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
y)"7)£>ri the undersigned, on oath.
depose and state thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
■■i-ii-i'l li -lil-ill11-IM 'il ■
010*001 *******5-DTGIT 60630 KAIM. HANS L. 5340 N LOWELL AVE APT 408 CHICAGO, IL 60630-1768
■irl'r"
For Official Use Only: Ward:_._
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018930
Index Number: 1310200026 1190
Water Account Number: 777700164860
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I '& / hg_the undersigned, on oath.
Please Print Name
depose and state lhal I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property laxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that T understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^/^^KO J-^U^i DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only: Ward:
Intro. Date:_
11 -11111' 111111M111 [ 111111' 111!' 111 -11 -1111' 11 -11' - -11111 - -11111
Status:_ Reason:.
019*001 *********3-DIGIT 606 KAKJS, AN ASTASIA 3900 W BRYN MAWR AVE APT 510 CHICAGO, IL 60659-3140
Claim Number: 1017557
Index Number: 1302300005 1040
Water Account Number: 777700099835
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
I frNfl-^rft-Sl ft MflhlKthe undersigned, on oath.
Please Print Name
OWNER SIGNATURE.
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
■l"l"lliirilMillll"rll.....l-'ir'-ir'nIMr'-'iM-l
Status:_ Reason:.
019*001*********3-DIGrT 606 KAMYS, DORIS A 3940 W BRYN MAWR AVE APT 510 CHICAGO, IL 60659-3155
Claim Number: 1022740
Index Number: 1302300008 1040
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I D<?l~- I 6 A-' K df lM\] 5 the undersigned, on oalh,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estale property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■Ihl'l'ii'-'-"!^-!!-!^^^!!-!!^!-^-^^^!!!-!!!!!
Status:_ Reason:.
019*001*********3-DIGIT 606 KENTGEN, GERALDINE T 3950 W BRYN MAWR AVE APT 510 CHICAGO, IL 60659-3149
Claim Number: 1022684
Index Number: 1302300009 1040
Water Account Number: 430364430364
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I &*A&£r<J£- /^""yf^Fa^gJthe undersigned, on oath, 
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understood I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
;^i.iiijiiiiiiiiiiijIi,iiiiIiiii.iijiiiiiii.mi.ii.iiii
019*001*********3-DIGIT 606 KIM, JIN H
3900 W BRYN MAWR AVE APT 409 CHICAGO, IL 60659-3140
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022604
Index Number: 1302300005 1029
Water Account Number: 430360430360
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i_Kim _H_
_the undersigned, on oath.
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I underjtfanchl anLsubjecl to penalties for perjury of falsification herein.
OWNER SIGNATU
Very Truly Yours,
Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
tuMKI 2
illli'M-1-1111!!.....1 -11 -111 -111111 - E11111 -11111
019*001*********3-DIGIT 606 KLASS, MINETTE 3950 W BRYN MAWR AVE APT 303 CHICAGO, IL 60659-3147
■'ll'-'l
II'
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019453
Index Number: 1302300009 1013
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property, or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund-under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undjrit^ndji^^^bject to penahies for perjury of falsification herein.
OWNER S1GNATUR^^:::::^^^^^^^:;^^^ DATE /^^~^^^} ^^^^
Very Truly Yours. /
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Hlll'hllM^'l,,,!!,!,,!!!!,!!!,!!,!!,,,!!!,,,!,,,,,!!!,!
Status:_ Reason:
010*001*******5-DIGIT 60630 KOEHLER, DOROTHY E. 5360 N LOWELL AVE APT 509 CHICAGO, IL 60630-2696
Claim Number: 1018929
Index Number: 1310200026 1256
Water Account Number: 459566459566
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
1 JPoloTHH £ KOEHt-Er^- the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Aid erman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■IN-1 -111 -111 -111 - -11111 -1111 -111111111111 - - -111 -11 - -11 -1111 - -1
019*001*********3-D1GIT 606 KOENIG. MARGIT 3150 W BRYN MAWR AVE APT 303 CHICAGO, IL 60659-3710
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019673
Index Number: 1302434030 1010
Water Account Number: 430215430215
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE V^iQ lY^^ [t^? iAJUq DATEi^i2&JcS^li
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
oom i
1 -1 > 111111 -111111111MI i - -111111111 -11 -11111111 - > i -1 -11 -111 -111
019*001*********3-DIGIT 606 LAFTSID1S, HELEN 3150 W BRYN MAWR AVE APT 203 CHICAGO, IL 60659-3700
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019762
Index Number: 1302434030 1006
Water Account Number: 430215430215
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I ^ the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, lhal this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE /^f ^ ^ cf*llf$/ 'A ft DAFE Very Truly Yours, "
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
|||l|l||l|i|||ll|iiiiillllliilrlllliiiT'llr'llliHllMlu
Status:_ Reason:.
019*001*********3-DIGIT 606 LAUER, CEC1LE M. 3950 W BRYN MAWR AVE APT 204 CHICAGO, IL 60659-3157
Claim Number: 1020619
Index Number: 1302300009 1004
Water Account Number: 430364430364
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
I QgO-i \t- M M eV__the undersigned, on oath,
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
■"InlhiliiMlli'lll'illXi-iili-ilil-liilx-lill'-iil1
Status:_ Reason:.
010*001*******5-DIGIT 60630 LEE, CHOONG Y
5225 N RIVERSEDGE TER APT 209 CHICAGO, IL 60630-1737
Claim Number: 1023194
Index Number: 1310200026 1004
Vater Account Number: 430366430366
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18,2011
UJ-IS07
■IN'M-'x-l'lhln'-'li'i'inllirl-'Tl'iillOrli-'i'li11
019*001*********3-DIGIT 606 LEHR, ROSEMAR1E E. 3940 W BRYN MAWR AVE APT 303 CHICAGO, IL 60659-3144
Index Number: 1302300008 1013
Water Account Number: 777700099835
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017597
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the Cily Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and stale lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE7^^^^^ (5 ■ ^S^Aa/datE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
li'-llll'-oil'-'lliiiioiilr'ilii-'ii-ill'li-o-lll-l'-lill
Status:_ Reason:.
019*001 *********3-DIGIT 606 MARESH, ALICE M. 3850 W BRYN MAWR AVE APT 308 CHICAGO, IL 60659-3141
Claim Number: 1017598
Index Number: 1302300006 1018
Water Account Number": 777700099743
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand-!) am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
DATE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i -1 -11 -111 m -1' - r -11 > i - e -11 j -1 -111 e - -1111 -111 i 1111 -111 f 111 > -1 -
Status:_ Reason:
010*001*******5-DIGIT 60630 MARKS, ROBERT H. 5225 N RIVERSEDGE TER APT 508 CHICAGO, IL 60630-1749
Claim Number: 1017595
Index Number: 1310200020 1053
Water Account Number: 777700127879
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I ' fiolciC.r't f~| Plott-l^vS the undersigned, on oath,
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
-ll-ll"^!-'!!!^!!^-'!!!!^-!!-!'!-^!!!^^!!!-!-!!1
010*001 *******5-DIGIT 60630 MCCUE, MARGARET M. 5360 N LOWELL AVE APT 510 CHICAGO, IL 60630-2696
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019087
Index Number: 1310200026 1257
Water Account Number: 459566459566
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I /V\fl%GA%FT W #^Mdersigned. on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecl to penalties for perjury of falsification herein.
OWNER SIGNATUR^^^^^/i^^^ DATE Jj-jS^^ & ^/
Very Truly Yours, (/
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
■*Sg^"228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111111" 111111'1'11■■111"11■111'I"1111'I11111i11111"11 ■■11111
Status:_ Reason:
010*001*******5-DIGlT 60630 MELLA, CAROLYN 5320 N LOWELL AVE APT 501 CHICAGO, IL 60630-1766
Claim Number: 1022606
Index Number: 1310200026 1146
Water Account Number: 43G37343G373
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am ihe owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l'iiiiTl-liililillii-lNll-ll-l-l-llil"i-uli-lilll-ll
Status:_ Reason:.
019*001*********3-DiGIT 606 METALLIDES, MARY 3950 W BRYN MAWR AVE APT 504 CHICAGO, IL 60659-3149
Claim Number: 1023234
Index Number: 1302300009 1034
Water Account Number: 430364430364
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it lo the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
( Please Print Name
#SI?»>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
MICHALETZ, ROBERTA A.
3940 W BRYN MAWR AVE APT 203
CHICAGO, IL 60659-3154
Claim Number: 1020536
Index Number: 1302300008 1003
Water Account Number: 430364430364
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under Ihe Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July I, 2011.
I r^o\^&-rXrZ, A bAm",V»ci\e-\~-z_the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room .302 60602 Telephone
February 18, 2011
■ I ■ 11 ■111 s i1M i ■ 111 i ■ I"1 I ■ M11111 ■ 111. i1"111, i" ■" i" 11 ■ 111 ■ i1
019*001 *********3-DIGIT 606 MILLER, ANDREA 6323 N CICERO AVE #A CHICAGO, IL 60646-4421
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023233
Index Number: 1303100028 0000
Water Account Number: 454404454404
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oalh,
Please Print Name
depose and slate that I am ihe applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. DATE <~X'^ 3
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 2011
<n)47"2
,|,||ii|i|i,-|,,f-h|,,,|ii--,iri-,i||i|i>||<-i||i||<|i|"|i
019*001*********3-DIGrr 606 MILLER, SALLIE A. 3900 W BRYN MAWR AVE APT 406 CHICAGO, IL 60659-3140
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017530
Index Number: 1302300005 1026
Water Account Number: 777700099835
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I SfiLL/k' F\ f0;LL.iT(f^ the undersigned; on oath> Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE -A^^ ^ ' ^ -X<L-^ DATE \ u_
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l|||ll,l|,l||.,l||,||||ll.l...|l|.l.|l|||l|||.||ll,.ll,||l||,
Status:_ Reason:.
018*001*********3-DiGrT606 MILLER, WALTER L. 4225 N KEYSTONE AVE CHICAGO, IL 60641-2325
Claim Number: 1015145
Index Number: 1315412027 1019
Water Account Number: 300139033466
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I \AffiLTP/<{ U. jmlLL£R the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i11111 - -1 -11 h I -1 -1111111 -.....i>-'i-In i-MI")'I'-Xi'lill-II
Status:_ Reason:.
019*001 *********3-DIGIT 606 MURPHY, MARY P 3940 W BRYN MAWR AVE APT 406 CHICAGO, IL 60659-3146
Claim Number: 1022686
Index Number: 1302300008 1026
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
)M A-g-W P, H^/Lfl f4 Ythe undersigned, on oath.
Piease Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111M111 -111 h1111111 - -111111111111 -11 < I -1 h 11 -1111 -11J1111 - h11
Status:, Reason:
010*001*******5-DIGIT 60630 MURRAY, SHARON A 5320 N LOWELL AVE APT 304 CHICAGO, IL 60630-1780
Claim Number: 1022836
Index Number: 1310200026 1127
Water Account Number: 430373430373
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
le undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 1111111 < 111 -1 -11 - -1 - -11 -111111M -111 -11111 -1 -1 -1 - - -M -1 < -1111
Status:_ Reason:.
010*001*******5-DIGIT 60630 NYDICK, ROSE B 5360 N LOWELL AVE APT 303 CHICAGO, IL 60630-1796
Claim Number: 1023405
Index Number: 1310200026 1224
Water Account Number: 459566459566
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the Cily Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale lhat I am ihe applicant in the application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
y D/<S/Cthe undersigned, on oath,
Please Prinl Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Teleplione
February 18, 201 1
ii■■i■i1■■ 11 ■ i ■ i ■ i ■ i ■ 111 ■ 11■■i1■i■1111 ■ i ■1 ■ ■ 11 ■ ■ i ■ i >
019*001 *********3-DIGIT 606 O'CHERONY, ROSALYN K 3950 W BRYN MAWR AVE APT 210 CHICAGO, IL 60659-3157
Index Number: 1302300009 1010 Water Account' Numbers430365430365v
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022691
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I ibri/JL-W~ k. [)f\\SiAAnnAA the undersigned, on oath, ''Please Print Name o
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, thai all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE A^a^tu . ^ 0 'ci^V^n^ DATE 3. - 2. ^> - ) )
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■iHllllllilr'ii'H'ili'liii'lii'-i'-'-'li'lTi'lil'-ili11
Status:_ Reason:.
019*001*********3-DIGIT 606 OLSEN, MARIA T. 3950 W BRYN MAWR AVE APT 302 CHICAGO, IL 60659-3147
Claim Number: 1017558
Index Number: 1302300009 1012
Water Account Number: 777700099828
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I MAR.IA T> <3U<,E7J the undersigned, on oalh. Please Print Name
depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
DATE
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Teleplione
February 18, 2011
004040
I - M1 - -1111P11111111E111111 i I -111 -11 - M111111111 -1 -1 - M11 h1
017*003*********3-DIGIT 606 OSHANA, ALICE V. PO BOX 180076 STATION T CHICAGO, IL 60618-0538
For Official Use Only: Ward:_-
Intro. Date:_
Status:_
Reason:_
Claim Number: 1015289
Index Number: 1311420040 1002
Water Account Number: 125100027323
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
e undersigned, on oalh,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that. I understandJ?am subject to ner^kies for perjury of falsification herein.
OWNER SIGNATURE.
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
i.|i||,iii-|i|,ii|T|,r.|,,|,,||i|i,.i,,.i.<,ii,lhii,|,|
010*001*******5-DIGIT60630 PHILBIN, NOREINE D. 5340 N LOWELL AVE APT 510 CHICAGO, IL 60630-1769
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019214
Index Number: 1310200026 1205
Water Account Number: 459556459556
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I M i-C i'» (f) ■ uJj/Jj//} the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATUR
DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
i i ri■■■ 11 > 111111 ■1■-■ i ■ 111 ■ ■ 11■■■11 ■ ■ i ■ i ■ i ■ 11■i■ i ■ ■ > ■ i■i■■ i ■ ■
010*001 *******5-DIGIT 60630 PINTO, CARMEN 5320 N LOWELL AVE APT 208 CHICAGO, IL 60630-1752
For Official Use'Only: Ward:_:
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021404
Index Number: 1310200026 1120
Water Account Number: 430373430373
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Q r>vt>r\o n PvnVa_the undersigned, on oath,
Please Print Name
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE Q^OAj«v.¥)'-firA^ DATE Jy^l 5 /JUS \ \
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18,2011
IVIIIIII.IIIIII,...!!!!.!)!,!!,!,,,!!,,.!!!,,!,!,!!.!.!.!,!,
018*001*********3-DIGIT 606 POTTHAST, CHRISTINE 4229 N KEYSTONE AVE APT 2F CHICAGO, IL 60641-2326
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022743
Index Number: 1315412027 1014
Water Account Number: 431195431195
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to^ecalties for perjury of falsification herein.
OWNER SIGNATURE WUfvlfc DATE <3 ~///
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
111111 -11111 > 1111 -1 -1111111111H i1111111 -1111111 -111111 - -11111111
Status:_ Reason:.
019*001 *********3-DIGrr 606 PROESSNER, KARL M. 6085 N SAUGANASH AVE #2 CHICAGO, IL 60646-5239
Claim Number: 1019551
Index Number: 1303219054 0000
Water Account Number: 398349398349
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
KARLNl. PROESSHEK
.the undersigned, on oath.
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
liT'il-llhi'Ni'l'I'ii-iil-i-llii-l'nl-NiNii1!!
Status:_ Reason:.
010*001*******5-DIGIT 60630 ROMAN, FLORENCE 5255 N RIVERSEDGE TER APT 313 CHICAGO, IL 60630-1777
Claim Number: 1017592
Index Number: 1418204025 0000
Water Account Number: 777700127879
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If die property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I 1^1-o r-\c cT VXfrry\flrA the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject topenalties for perjury of falsification herein.
OWNER SIGNATUt^^^/^-^iq^<-^ ^S^^to^y^^i-r^ DATE. Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
^llll,.!,.!.!,!!!.!!!),,!,,,!,,,,),!!,!!,!!!.!!!,).!!.!!.,.)!
Status:_ Reason:.
010*001 *******5-DIGIT 60630 SCHAR, GEORGIANA L. 5340 N LOWELL AVE APT 502 CHICAGO, IL 60630-1769
Claim Number: 1019156
Index Number: 1310200026 1197
Waier Account Number: 459556459556
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I &£C) (?G L*> SjCJjAl? the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and lhat I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
-sSg-S*228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
1 -11 -1'11 -1111 -11' I -111111'111 -111 -111 - - -1 -11' I -11111111 -11111 -11
Status:_ Reason:.
019*001*********3-DIGIT606 SEARS, MARY E 4250 W HARRINGTON LN CHICAGO, IL 60646-6038
Claim Number: 1023466
Index Number: 1303403146 0000
Water Account Number: 430344430344
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
the undersigned, on oath.
DATE
City of Chicago
Committee on Finance
Aide rman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
ilh', llii illl i l1111 ■i i1- l- i1
010*001 *******5-DIGIT 60630 SHAMOUN, A IDA 5320 N LOWELL AVE APT 306 CHICAGO, IL 60630-1780
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022837
Index Number: 1310200026 1129
Water Account Number: 430373430373
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name
.the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am stihjec4-4e-peaa]ties for perjury of falsification herein.
OWNER SIGNATURE
DATE.
4&u
3*/ Jlof/
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
^HS*228
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
111 - -111111.....il'lli-'-ili-ii-'lil1-111!!!!111!-!!!-!-!!!1!1!
019*001 *********3-DIGJT 606 SHEEHAN, CATHLEEN B 3950 W BRYN MAWR AVE APT 501 CHICAGO, IL 60659-3149
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022703
Index Number: 1302300009 1031
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes,^property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undersrand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
ATE CP*
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
^S^228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
li,;iliillii|1iT1|li1|iinii,ii.iii.iIT.|i.ili.||.T
010*001*******5-DIGIT 60630 SIMON, S STEVEN 5340 N LOWELL AVE APT 313 CHICAGO, IL 60630-1771
I.-II
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022747
Index Number: 1310200026 1182
Water Account Number: 459556459556
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i <>■ STB/evJ SihoU tne undersigned, on oalh.
Please Print Name
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that 1 am the owner of record of said real estate' properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undej^st^djjmj^bject to penalties for perjury of falsification!-herein.
OWNER SIGNATUr^E^--2./.2jfy ) (_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce il on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
IK.H70I
l.l.ll.ll,,!,,!!),!!.,!,!,,!!,!,,!,!!!!.!!!.!.,!,!!!!!!!.!,,
019*001*********3-DIGrr 606 SLAVITT. MARLENE 3900 W BRYN MAWR AVE APT 405 CHICAGO. IL 60659-3140
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022744
Index Number: 1302300005 1025
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to
your ward office before July 1, 2011. Please Print Name
Jhe undersigned, on oalh,
depose and s lhat I a years o Chicagi been paid ai
OWNER S
Very Truly Yours
Edward M. Burke
e that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, wner of record of said real estate property or thai I have a legal or equitable interest therein, that I am 65 der, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of er taxes.^roperty taxes, and all other/ees. penalties or assessments owed to the City of Chicago have Ilunderstaftd I am subject l<j penaftle77or perjury c
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
l|l.l|l.|||.|ll.|ll||Tl|ll.||l,M,ll|.ll...|l|.Tl.l.||||l|
Status:_ Reason:.
Oio*001 *******5-DIGIT 60630 SONG, JEE H
5320 N LOWELL AVE APT 405 CHICAGO, IL 60630-1781
Claim Number: 1022746
Index Number: 1310200026 1139
Water Account Number: 4303734303/3
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
I ~vJ HO the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
oojsin
-I-HITI-I|-Illlllll|-I|-Illll-Illll|-Illlllll
019*001*********3-DIGIT 606 SPETYLA, DOLORES A. 3950 W BRYN MAWR AVE APT 301 CHICAGO, IL 60659-3147
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017514
Index Number: 1302300009 101
Water Account Number: 777700099835
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
♦<*fg?*228
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 201
| 1111111,1.11
Hl'l"i-hll"lilHI-li"ll-lillliiil-Mi
018*001*********3-DiGrT 606 STANGL, DOROTHY G. 4236 N KEDVALE AVE CHICAGO, IL 60641-2228
For Official Use Only: Ward:
Intro. Date:.
Status:_
Reason:_
Claim Number: 1015506
Index Number: 1315410033 1001
Water Account Number: 300139031965
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
I P&:^CyL /ry 3 /rf/!/jl the undersigned, on oath, Please Print Name ^
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
~J)2^Cjr$/J=L&Z,.~tf DATE ^h^/
OWNER SIGNATURE. Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_^_
Intro. Date:_
.l.l,!,,!,!,.!!,!!,)!,,!!!!!!.!,,!.,,.,!.!!!,,!,!.!!,!!!
Status:_ Reason:.
019*001*********3-DIGIT 606 STEFANOVIC, ANNELIESE 4332 N KEYSTONE AVE APT 3C CHICAGO, IL 60641-5199
Claim Number: 1002745
Index Number: 1315404036 1013
Water Account Number: 300139033527
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
jhe undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■11 ^ -1111111111111 -1111 -' -111 *1' I -1111' 11111111111 -11' I'
019*001*********3-DIGFr 606 STILLMAN, STEPHEN J 5757 N SAINT LOUIS AVE #2 CHICAGO, IL 60659-4405
|ll|l
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023284
Index Number: 1302419037 1002
Water "Account Number: 458077458077
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I §T{f>fftJ J- SriU__the undersigned, on oalh,
Please Print Name
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estale property or thai I have a legal or equitable inleresl therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water laxes, propertyJ^x/Cs, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understarwHgafiQuWffict to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
ATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
■^Sjs?*'?28
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111111 - E11 -1 -' 11 -' -1111111 - - -111111' -'111111111' I -111111111 -11
Status:_ Reason:.
019*001*********3-DIGIT 606 SUCH, CONRAD J 3940 W BRYN MAWR AVE APT 302 CHICAGO, IL 60659-3144
Claim Number: 1022687
Index Number: 1302300008 1012
Water Account Number: 430365430365
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I CoiJftftP J! SU.g-H the undersigned, on oath,
depose and slate lhal I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
■ I f11" 111 * I * - - -11111111'111111 -1 > -111111 -11 -1' 1111 -11 *' *1 - * 111111
February 18, 201 1
For Official Use Only:
Ward:__
Intro. Date:_:
010*001*******5-DIGIT 60630 SUMMERVILLE-MCCAULEY MARY F. 5320 N LOWELL AVE APT 210 CHICAGO, IL 60630-1752
Status:_ Reason:.
Claim Number: 1021405
Index Number: 1310200026 1122
Water Account Number: 430373430373
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Mk&k f, Sulf^K^lh K^^Kf lne undersigned, on oath, (] Please Print Name ^
depose and state Lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water laxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
OWNER SIGNATURE '
ATE.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,lll|.,|||.l.|||l.|l||ll|ll|.ll|ll||||l|||l||l||l|||,|.|l|,.||
Status:_ Reason:
019*001 *********3-DIGiT 606 TAKAMI, HISAKO 3950 W BRYN MAWR AVE APT 308 CHICAGO, IL 60659-3147
Claim Number: 1022688
Index Number: 1302300009 1018
Water Account Number: 430364430364
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I f-jlSKKo '7ft-Kr\M(_the uncjersigned, on oath.
depose and stale lhal I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Ann: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IM-'Irllii-iiii'i'-h'lll-i'-MrlMII'illl-Mlir1-1
Status:_ Reason:.
019*001 *********3-DIGIT 606 TAUSSIG, ANNETTE E 3940 W BRYN MAWR AVE APT 209 CHICAGO, IL 60659-3154
Claim Number: 1017463
Index Number: 1302300008 1009
Water Account Number: 430364430364
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July I, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
.the undersigned, on oath.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_'
Intro. Date:_
lIIIHIIIIiillil-l-liill-llill-illllrlhliuiMrlii"lll
Status:_ Reason:.
010*001*******5-DIGIT60630 TRENN, JOHANN A 5225 N RIVERSEDGE TER APT 405 CHICAGO, IL 60630-1744
Claim Number: 1022698
Index Number: 1310200026 1035
Water Account Number: 430366430366
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If Ihe property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
m 71:i ■ - -1 -11 - ■ 1111 - ■11 ■ <11111--1111 -1 -11 -1111111 - - e-11111 ■ 11 -
010*001*******5-DIGIT 60630 VIGEN, KATHRYN L 5360 N LOWELL AVE APT 412 CHICAGO, IL 60630-2600
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023427
Index Number: 1310200026 1246
Water Account Number: 459566459566
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Jhe undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
As/if///
OWNER SIGNATURE
Very Truly Yours,
ATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
11 r1 -1E i -111111111111 -1 - -1! - -1 - -111 - M i11111111 - -1111 111! -11111
Status:_ Reason:.
019*001*********3-DIGIT 606 WARD, ARLENE
3900 W BRYN MAWR AVE APT 410 CHICAGO, IL 60659-3140
Claim Number: 1017533
Index Number: 1302300005 1030
Water Account Number: 777700099835
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
ft __the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE ClryU^, ^/^Q- DATE / I)_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 201 1
11:-1 -1■--1 -11 *11 -1 -1111111111 - -1111 -1 -11111111111111 -111 -11111
010*001 *******5-DIGIT 60630 WILNEW1C, ELSE J. 5360 N LOWELL AVE APT 512 CHICAGO, IL 60630-2696
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021238
Index Number: 1310200026 1259
Water Account Number: 459566459566
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I I {-SOU l^lCJi/£Q<i Ids the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undersUndLam subject to penalties for perjury of falsification herein.
OWNER SIGNATURE/^^ /cfr&t££tl?C. DATE "^f/// Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke City Hall Room 302 00602 Telephone
February 18, 201 1
!||Tll|||||l||llll!r||lll|lllIT||||ll|||lMl|ll||lll|l|l|
010*001*******5-DIG1T 60630 WOROZAKEN, JOSPHINE S. 5225 N RIVERSEDGE TER APT 203 CHICAGO, IL 60630-1737
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017590
Index Number: 1310200020 1033
Water Account Number: 777700127879
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: MARGARET LAURINO of Ward 39.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
undersigned, on oath,
Please Print Name
depose and state lhat I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^r^M^UUL,
Very Truly Yours.
uim&ja&^ ATE ^ASjiZOtl
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MARGARET LAURINO Attn: DANIELLE 121 N. LA SALLE ST ROOM 300 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS