Alderman Edward M Chairman
Burke
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_;
lllnllll.l.l.l.l,,!,,!,,,,,!!,,!,!,.,,!!,!.!,,,!!.!!,.!,!,.!,
Status:_ Reason:.
019*00l*********3-DIGIT 606 GRYGORCEWICZ, MICHAEL 4300 W FORD CITY DR APT 1505 CHICAGO, IL 60652-1285
Claim Number: 1000227
Index Number: 1927401038 1070
Water Account Number: 300299006885 -
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: FRANK OLIVO of Ward 13.
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.
\fr)\eM^BL (g-^y (yg^r,lrA)t P,2-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 FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago. IL 60629
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 $) 6;hfit
0
^DATE .3- / t/
*<3*^5^^ 228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
111 -1'1111 -111M11111' - - -11 -11111 -1 -1 -111 -111111111111111' 11 -1111
Status:_ Reason:.
018*001*********3-DIGIT 606 SWIDERSKJ, ZOFIA 6809 S PULASKI RD APT 3C CHICAGO, IL 60629-4156
Claim Number: 1019158
Index Number: 1923308041 1015
Water Account Number: 438152438152
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: FRANK OLIVO of Ward 13.
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 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.
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 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 FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
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
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
hTrMll1!!-!1!!!!1!!1!1!!111-1!1-1-111--1!!!-!1!!!--1!!1!!--11!!
019*001*********3-DIG1T 606 ARMSTRONG, RUEBERTHA M. 4280 W FORD CITY DR # 501 CHICAGO, IL 60652-1293
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000224
Index Number: 1927401038 1182
Water Account Number: 300299006885
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: FRANK OLIVO of Ward 13.
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
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.
OWNER SIGNATUR Very Truly Yours,
ETjjfP/iuA^ /^i^UfojpATE ~~ M
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
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--111111MI11- -1II11---1111111-111II -11M-11111111l
Status:_ Reason:.
0]9*001*********3-DIGJT 606 SUTICH, GEORGE R. 7948 S PULASKI RD CHICAGO, IL 60652-2338
Claim Number: 1016612
Index Number: 1934215087 1008
Water Account Number: 300299025121
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: FRANK OLIVO of Ward 13.
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 C?£oQ<££~. R . 5s/y "7~Tc // 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, property taxes, and all olher 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 FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
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.
ATE '3 g / ~ <£ O //
228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
11 ■} 111 ■ 1111 ■ ■ 11 ■ 11 ■11 i" i1 ■1 ■ I h1 ■ ■ ■1 ■1 ■ 1111 ■11111 -11M11111
Status:_ Reason:.
018*001*********3-DIGIT 606 GROBAREK, RUTH M. 6809 S PULASKI RD CHICAGO, IL 60629-4156
Claim Number: 1017813
Index Number: 1923308041 1003
Water Account Number: 300279020603
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: FRANK OLIVO of Ward 13.
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 lhat 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.
l7\uf-l-t lY\- (yr^Wv^K_tne 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 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 FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
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:_
j I -1111 i -11 j -111 - r 1111 - -111 -M - - - -1 -11 < 111111 111111111 - -11 -11111
Status:_ Reason:.
019*001 *********3-DIGIT 606 WILK, JOSEPHINE H. 8008 S PULASKI RD # 203N CHICAGO, IL 60652-2334
Claim Number: 1017275
Index Number: 1934215084 1009
Water Account Number: 300299025176
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: FRANK OLIVO of Ward 13.
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 ^O^^PHir^Cfp lQlU-Kthe 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 FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
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 SIGNATUR]
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
---li<ihl--lli--i-IiMIii-IimI-"I---iiI-Ii-11 MiiiI-Iii-k'i-
019*001 *********3-DIGiT 606 MAHER, LORETTA C. 4300 W FORD CITY DR CHICAGO, IL 60652-1266
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 101001
Index Number: 1927401038 1040
Water Account Number: 300299006885
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: FRANK OLIVO of Ward 13.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. )^cYvdfo^&1r)c%$haT\ date -h?jfi- £ 3, '^ko 11
Very Truly Yours,
Edward M. Burke
MAIL l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD
Chicago, IL 60629 L^J-i-L Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN l 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:_
i|iilil,.ii|...ll.lil|ili.li|ii||-i||i-il-ini|i||i|i»Mlii
Status:_ Reason:.
0I9*001*********3-DIGIT 606 SLATTERY, MARY F. 4262 W FORD CITY DR CHICAGO, IL 60652-1294
Claim Number: 1010026
Index Number: 1927401038 1290
Water Account Number: 300299006885
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: FRANK OLIVO of Ward 13.
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 f\Ka^rC-> f~ SV'£j4~hLf~H lhe 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 FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
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.
'Sgl*'228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
illli-'I'iill-OiiMli'lxiiiliiil1-!1-....''ill1111'1!1!!1!1
Status:_ Reason:.
019*001*********3-DIGIT606 CAVICO, FRANK J. 4300 W FORD CITY DR APT 1507 CHICAGO, IL 60652-1285
Claim Number: 1019408
Index Number: 1927401038 1098
Water Account Number: 300299006885
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: FRANK OLIVO of Ward 13.
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, 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 FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
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:_
lllTMllhlrl|l|llllll"Nl'lhlllllllllllT'lllllllllllll
Status:_ Reason:.
018*001 *********3-DIGIT 606 WOLFE, KENNETH J 4039 W 58TH ST #C CHICAGO, IL 60629-4432
Claim Number: 1023322
Index Number: 1915228061 0000
Water Account Number: 197124197124
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: FRANK OLIVO of Ward 13.
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 K<,V^O^>S ^S.N^JqV^-^; the undersigned, on oath.
depose and slate 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 I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
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:_
IIIIi-iiIi-i-iiI-IiiiIii-iiiIIiiI-iiii-iiIiiiiNNiiIi-I1-1
Status:_ Reason:.
018*001 *********3-DIGIT 606 MISKIEWICZ, HELENA 6811 S PULASKI RD APT 3E CHICAGO, IL 60629-4157
Claim Number: 1023321
Index Number: 1923308041 1017
Water Account Number: 438152438152
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: FRANK OLIVO of Ward 13.
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.
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 FRANK OLIVO Attn: SHARI KNIGHT 6500 S. PULASKI RD Chicago, IL 60629
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
the undersigned, on oath.
Please Print Name
DATE.
RETAIN 1 COPY FOR YOUR RECORDS