This record contains private information, which has been redacted from public viewing.
Record #: Or2011-122   
Type: Order Status: Passed
Intro date: 2/9/2011 Current Controlling Legislative Body: Committee on Finance
Final action: 3/9/2011
Title: Cancellation of warrants for collection for Washington & Jane Smith - Account No. 9744397
Sponsors: Rugai, Virginia
Topic: PERMITS/LICENSE/FEE EXEMPTIONS - Cancellation - Warrants for Collection
Attachments: 1. Or2011-122.pdf
 
Bill To:
City of Chicago Department of Buildings
120 N. Racine 1st FL Chicago, IL 60607-2010
Phone: 312-743-3600
TTY: 312-744-2975
* SEND Payment to Revenue Address below MUST include Payer ID/Invoice Ref # to ensure accurate payment posting.
41 T1 ***"*"**"*SINGLE-PIECE WASHINGTON JANE SMITH 2340 W 113th PI Chicago, IL 60643-4107
INVOICE
Payer ID
Reference/Invoice Number
Reference/Invoice Date
Payment Due Date
AC22408
271381
01/25/2011
02/24/2011
Location
Bill Number
Inspection Date
Inspection Number
Inspection Type
Description
Amount
Current Billing
11365 S Western Ave
368597
01/07/2011
9744397
BR_ANNUAL
4units-Boiler Bureau
$190.00
KEEP THIS PORTION FOR YOUR RECORDS.
To avoid penalties, please remit payment by Payment Due Date.
TOTAL
$190.00
 
□
DETACH HERE AND RETURN THIS PORTION WITH PAYMENT IN THE ENVELOPE PROVIDED.
For information changes, check this box and make corrections below. Remit Payment by 02/24/2011.
Organization:
Address:  2340 W 113th PI
Chicago, IL 60643-4107
Contact:  WASHINGTON JANE SMITH Phone:
CITY OF CHICAGO
Department of Revenue 8108 Innovation Way Chicago, IL 60682-0081
I.IIII..III..I...I.III...II...II....IIII...II....I
Payer ID
Reference Number
AC22408
271381
Reference Date
Amount Due
01/25/2011
$190.00
• Check enclosed (payable to the City of Chicago)
• Please include your Payer ID on your check.
• Do Not Mail Cash.
For payment questions: Call Department of Revenue at 312-742-3317.
oooom
41-50 B8220
1 □DD5713fll 012511 DEE411 □□□□□nDDD 1
Page 1 of 1