(Senior Citizen Sewer Refund)
BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF CHICAGO:
SECTION 1. Pursuant to Section 3-12-050 of the Municipal Code of Chicago,
_Frank C. Bailey_is hereby entitled to a Fifty Dollar ($50.00)
(Name)
Senior Citizen Sewer Charge Refund for the premises located at
_8335 South St. Lawrence Avenue_.
(Address)
SECTION 2. This ordinance shall take effect upon its passage and publication.
FOR OFFICIAL CLAIM # USE ONLY WARD_ DATE_
STATUS
APPLICATION FOR SENIOR CITIZENS SEWER CHARGE ANNU/1L.^-',:iJND
OWNER NAME:
Last Name First Name M.L OWNER ADDRESS: SocSTfi £a^T jL-sa)fe*J(Zc WC-__
Apt#
CHICAGO, IL 606 /f HOME PHONE #: & T& - / 7 I'
OWNER BIRTHDATE: / I J7 iJZJ
WATER ACCOUNT NUMBER:, (found on water bill)
PROPERTY TAX NUMBER: (found on property tax bill)
TYPE OF STRUCTURE: 1.) Condominium Unit
2. ) Townhouse
3. ) Cooperative Apartment
I^f&tttiic. CL, ^g'l&x/_, the undersigned on oath depose and state that I am :.
(print name here)
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-S^ATORETT^^l^ /it^P. 0Q^^_ DATE:#//^ /U
PLEASE RETURN TO YOUR ALDERMAN'S OFFICE BEFORE JULY 1
Alderman Freddrenna M. Lyle 6th Ward
121 North LaSalle Street Room 300 Chicago Illinois 60602 ATTN: Vinona Summers
City of Chicago
Department of Revenue-Water Division P.O. Box 6330 Chicago, Illinois 60680-6330
Customer Service: 312-744-4426 E-mail: waterbill@cityofchicago.org Always include your name, account number, and a call back number. Web: www...
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