| Affairs and Licensing
' Public Way Use Unit
333 S. State. Suite 310 Chicago, IL 60604-3977
Bruce Dumont
Museum Of Broadcast Communications 400 N. State St., Apt./Suite 240 Chicago, IL 60654-5624
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04/27/2009
Dear BRUCE DUMONT:
Our records indicate that an annual bill is due for the following on your account:
Account: 291322
Site: 1
Location: 360 N. STATE ST. ,
Permit Description: Structural Projection ... fU- "\ S
Permit Number: 1043713 [\ k / ^ \ y
Permit Term: 06/08/2009 - 06/07/2010 Year(s) [) ' ^
Default in permit payment terms will terminate your permit privileges granted by the Chicago Department of Business Affairs and-Licensing.
Please,toJJoW'the'|Tiuple steps belowito ensure you are in good standing and legally using the public way: j . s. -•-H
1 rSubmit $300.00. Return the payment with the coupon in the envelope provided to ensure I. your payment is_g£p«>priatg|y credited to your account.
2. y\-ve*rd a hold pracemenl'on'your account by paying the permit fees within 30 days.
3. Please submit an updated certificate of insurance naming the City of Chicago as additional
insured.
4. Direct any questions to (312) 74-GOBIZ
A 25% penalty will be added for payments received after due date. CHICAGO DEPARTMENT OF BUSINESS AFFAIRS AND LICENSING
5ac2A1
MUSEUM OF BROADCAST COMMUNICATIONS
14144
r/neck Date 6/23/2005
Check No. 014144
Vendor CIT333 City of Chicago Dept
o
Ref Nbr.
invc
Nbi
032537 ¦032538 032539 032540 032541 032542 032543
1043730
1043728
1043727
1043717
104317
1043713
1043711
Invc Date 5/20/2009 5/20/2009 5/20/2009 5/20/2009 5/20/2009 5/20/2009 5/20/2009
Invoice Amount. 200.00 3,537.00 1,122.00 3, 7 9.0 . 00 300.00 500.00 100.00
Amoi
Paid
200.00 3,587.00 1,122.00 3,790.00 300.00 300.00 100.00
raicer
of R-vens
Net Check Amt
0. 00 0. 00
0 . 00 0 . 00
o. o: o. :-c
0 . 00
3,399.00
^DELUXE CORP" 1+800-328-0304 www.deluxeforms.com
Internal Revenue Service
Date: August 22, ...
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