(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,
Helene S. Gabelnick_is hereby entitled to a Fifty Dollar ($50.00)
(Name)
Senior Citizen Sewer Charge Refund for the premises located at
_910 South Michigan Avenue. Apartment 1811 .
(Address)
SECTION 2. This ordinance shall take effect upon its passage and publication.
FOR OFFICIAL CLAIM # USE ONLY WARD DATE STATUS R
APPLICATION FOR SENIOR CITIZENS SEWER CHARGE ANNUAL REFUND
OWNER NAME: ^6 ^ ^-AJ X-C/cf H^L
IS"
Last Name First Name M.I.
OWNER ADDRESS: ^ /./
' ~ "¦' ¦'¦ ' ' ¦ . " '¦ Apt#
<¦¦. i
CHICAGO, IL 606 Q< HOME PHONE #: (311 ) , y^S - £ y 73 OWNERBIRTHDATE: O7 / ^3 / / 3 '! :"f' f
WATER ACCOUNT NUMBER: Str1^ -': 6^7^ 5" A-Nil) 5^7 ^4 -5^g7^, ' (found on water bill) , ^ ' f -"' "
PROPERTY TAX NUMBER: / 7 / / 5^ ¦ ' •/ 307 , / Oj\ O ' /r /J35^;:' (found on property tax bill) ' ' 1
TYPE OF STRUCTURE: ' CP Condominium Unit • 1 ;
I 2. Townhouse ' ' '
11 3. Cooperative Apartment
I, /J^
<^. (°H£i&xiiJn i c^tL , the'undersigned on oath depose and stat 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" aim subject to penalties for perjury or falsification herein. . ' 'r
OWNER-SIGNATURE: /^^Le M^dl-dl^L'? DATE: KloxJ . / <>' B.olO ; PLEASE RETURN TO YOUR ALDERMAN'S OFFICE IU^DlOiiBjrj^l
City of Chicago
Department of Revenue-Water Division
P.O. Box 6330
Chic...
Click here for full text