Alderman Edward M. Burke Chairman
February 18.2011
City of Chicago
Committee on Finance City; Hall Room 302 60602 vwiv.committeeonlinance.ofji
For Official Use Only: Ward:. Intro. Status:_ Reason:.
Dite
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0l8*OOl+********3-DIGIT 606 KOSINSKA, DANUTA 6407 S OAK PARK AVE #B-21 CHICAGO, IL 60638-4842
Index Number: 1919208050 1012 Wafer Account Number: 550065550065
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Coiincil by: MICHAEL R. ZALEWSKI of Ward 23.
lb determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Ordinance, the Committee on Finance must verity that you occupied this property as day of January, 2011. If the property meets these requirements, you must sign and date your ward office before July 1. 2011.
.the undersigned, on oath,
Please Print Name
depose end state that I am the applicant in the application, that this is my principal place that I am the owner of record of said real estate property or that I have a legal or equitable years of age or older, and otherwise qualify for e. refund under Section 3-12-050 of the Mi Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments been paid and that I understand I am subject to penalties for perjury of falsification herein
OWNER SIGNATURE. Very Truly %urs, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI 'Attn: MAROE 6247 S. ARCHER AVB Chicago. IL 60638
Please do not send it to the Commute on Finance; your alderman will introduce it on yoifr behalf. RETAIN 1 COPY FOR YOUR RECORDS
Telephone 312-744-3380
Claim Number: 1016048
Senior Citizens Rebate your [principal residence on the first this application and return il to
of
residence as of January 1, 2011, interest therein, that I am 65 nicipal Code of the City of ojved to the City of Chicago have
xod laraasdi dH
WU2Q:G 1102 GO JBW
Alderman Edward M. Burke Chairman
City of Chicago
.312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:
ii
Status:_ Reason:.
018*001*********3-DIGIT 606 WRONA, BERNICE J 6260 S NEWLAND AVE CHICAGO, IL 60638-3966
Claim Number: 1000456
Index Number: 1918302074 1004
Water Account Number: 300876640416
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: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee 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 y^f^A. V/t^^^O. WKO fi/tf the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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.
City of Chicago
Alderman Edward M. Burke Chairman
Telephone 312-744-3380
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
lIN'Ol'I'l'll'I'IIX-'ll'")"'!!^!-!!!'!')-!'!!-!'!!'-!!
Status:_ Reason:
018*001*********3-DIGIT 606
ADAM, STEPHANIE M. 6642 W 64TH PL APT 2E CHICAGO, IL 60638-4942
Claim Number: 1015146
Index Number: 1919209045 1004
Water Account Number: 230143053082
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: MICHAEL R. ZALEWSKI of Ward 23.
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 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 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
Please Print Name
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
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018*001 *********3-DIGrT 606 BARUCH, THERESE 6325 W 63RD ST # 3N-3 b CHICAGO, IL 60638-7018
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017483
Index Number: 1920100058 1006
Water Accoum Number: 7777001 15340
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I ftt£A£:$ls tne undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 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 SIGNATURE )^l£srJ-*LSi^ ^^^-^-^DATE ^/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephotie
February 18, 2011
Hllii-llilillilll-lllul"lrl-ll'li'hiilllilrll--lliTi11
018*001*********3-DIGIT 606 BUCZKO, PH1LOMENA 6264 S GULLIKSON RD APT 2B CHICAGO, IL 60638-3943
For Official Use Only: Ward:_
Intro. Date:
Status:_
Reason:_
Claim Number: 1020112
Index Number: 1918312052 1002
Water Account Number: 596661590566
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: MICHAEL R. ZALEWSKI of Ward 23.
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.
U 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 ofJanuary I, 2011, lhal 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 SIGNATTj^^^ DATE 3-.3 ~
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do nol 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
Telephone 312-744-3380
February 18, 2011
"-'Mlll'I'r iM'll'-ilr M'-'M'MiIIiimI1'!--i'iii i'Ii11'!!!
018*001 *********3_D1GIT 606 GUZY JOSEPHINE & JOZEF 5429 S MASSASOIT AVE UNIT 5 CHICAGO. IL 60638-2855
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000359
Index Number: 1908427011 1005
Water Account Number: 224132413094
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: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 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 Cw££/ ^<3S2£-r . __thfe undersigned, c^f/oath, /
/Please'-Print Name
depose and state lhal I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat 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 SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN l^OPYyOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_.
Intro. Date:_
i>i>....111 r -11 - -111111!-1111111111111 - -1 -1 1111 - >11>-1-(---
Status:_ Reason:
018*001 *********3-DIGIT 606 ZAZZARA, ANTHONY A. 6655 W 64TH PL CHICAGO, IL 60638-4949
Claim Number: 1020974
Index Number: 1919213014 1004
Water Account Number: 550083550083
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: MICHAEL R. ZALEWSKI of Ward 23.
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.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
I A 7V f^h-ry y. A^^^yforc undersigned, on oath,
Please Print Name
been paid and that I understand I am subject to penalties for perjury of falsification herein.
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
,|II||||I|||II|I,.|||[II||||I|TI,|1III,|I,I|,.I,I.||,.,|||I|.
018*001 *********3-DIGIT 606 KOZLOWSKJ, JOSEPH M. 6303 W 63RD ST UNIT 2D CHICAGO, IL 60638-7015
Index Number: 1920100059 1004 Waler Account Number: 549718549718
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018957
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: MICHAEL R. ZALEWSKI ol" Ward 23.
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 Ihe 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 I, 2011.
_the undersigned, on oath,
Please Print Name
depose and state lhal I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 thai 1 understand I am subject lo penalties for perjury of falsification herein.
3n /^k/
DATE
-U-
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cilv Hall Room 302 60602 Telephone
February 18, 201 1
■i'MII111.....M'-i'IiIi'Ii"-!!!!!'!'!!!!''!'!-!-!'!'!11!!1
018*001*********3-DIGIT 606 MORENO, MAURILLO C. 6237 S NEWLAND AVE APT IN CHICAGO, IL 60638-3902
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018185
Index Number: 1918302074 1031
Water Account Number: 228142552683
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: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale ihis application and return it to your ward office before July 1, 2011.
i Mau/iIU t_Moreno .the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand \ am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE flwuM tyH>r$AA£> DATE Q?/^// )_
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago. IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 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:_
,||l,|ll||l|,|||,|,||l|||l|,l||l||l,|||l|||l|,lil,|,lll||l,l|
Status:_ Reason:.
018*001*********3-DIGIT 606 O'NEAL, ANN M. 6654 W 64TH PL CHICAGO. IL 60638-4954
Claim Number: 1015880
Index Number: 1919209048 1005
Water Account Number: 230143055682
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the Cily Council by: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence oh the first day ofJanuary, 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 /j /J pf\ A'fii£?f\l the undersigned, on oath.
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 T 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 olherwise 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago. IL 60638
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.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i - r 1111111111 - -111 -1 -111 -111111111 - -11111 - -111 - -1 -111 - -11 r111111
Status:_ Reason:.
018*001*********3-DIGIT 606 RUSCKO, IRENE H. 5630 S NARRAGANSETT AVE CHICAGO, IL 60638-3457
Claim Number: 1019704
Index Number: 1918215042 1003
Water Account Number: 551823551823
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: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 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 that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 lo the Cily 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago. IL 60638
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 oalh.
Please Print Name
DATE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■i'-^iNiI-I-IiIIiI-II'i-I1!-1-1!!11-!!11!!!1-1-1!1-!!-1-!!
Status:_ Reason:.
018*001*********3-DIGIT 606 ADKJNS, MARY P. 6407 S OAK PARK AVE # E-1 CHICAGO, IL 60638-4842
Claim Number: 1016045
Index Number: 1919208050 1010
Water Account Number: -300876640652
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: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 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.
depose and stale thai I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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
/
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iMnirlll-lil-lillhl»nll-iillilll-liillMlllllillni
Status:_ Reason:.
018*001*********3-DIGiT 606 AUGUSTYN, ANTOINETTE M. 5419 S MASSASOIT AVE UNIT 5 CHICAGO, IL 60638-2800
Claim Number: 1019360
Index Number: 1908427012 1005
Water Account Number: 551146551146
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MICHAEL R. ZALEWSKI of Ward 23.
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 A l\f ~[01U cflE ff. Jl} J~T ^the undersigned, on oath.
depose and stale that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 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.
OWNER SIGNATURe/X^^-^ A ^Wcjjy DATE £ (1 3 I < (
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
l'llllll<llll
"HrHH'lirlh'Hii
018*001*********3-DIGIT 606 BADOWSKI, STEPHANIE 6535 W 64TH PL APT 1W CHICAGO, IL 60638-4870
■■iiil'M'li'ii-M
For Official Use Only: Ward:___■_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020614
Index Number: 1919214026 1013
Water Account Number: 549980549980
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: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 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. j
I S^phlrjlP. &Qdf)ll£/a 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 ofJanuary 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 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 subjectjo penalties Jbyjerjury of falsification herein.
OWNER S\CiHm\]\^^J#/lMfi^ DATE_ Very Truly Yours
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
■'iSI^'228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|||l|ll||l||ll|,l,|l,|,l,||,||l||l.|.l|ll|||.l.||.l.l|ll||||
Status:_ Reason:.
018*001*********3-DIGIT 606 BERGERON, JEAN C. 6650 W 64TH PL CHICAGO, IL 60638-4944
Claim Number: 1002523
Index Number: 1919209047 1006
Water Account Number: 230143055675
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: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee 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 il to your ward office before July 1, 2011.
I d/*AA/ /f $ £ /tGFlfoAJ the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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, lhat all waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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
February 18, 2011
City of Chicago
Telephone 312-744-3380
111' I -'1' I' 111 *1111 * * 11 * I -111' * 11 h 11' 11'11 *1111111' 11111 i * 111 -1'
773- 5&l-C?OSO
018*001*********3-DIGIT606 B-RQDY, IRENE M. - Jawies* J. 6051 S ARCHER AVE UNIT 2B CHICAGO, IL 60638-2848
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1005466
Index Number: 1908424135 1006 Water Account-Number: 300666600872
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: MICHAEL R. ZALEWSKI of Ward 23.
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.
3 r«r Ay
Jhe 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 ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that 1 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 unde^tand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATU
DATE
4s>-/tY
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Atln: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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
312-744-3.380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
"-I'-l-iiii-illOinl'IMMIhi'ilirli
Status:_ Reason:
018*001*********3-DIGIT 606 CONTRERAS, BEN 6755 W 63RD ST # Al-SOUTH CHICAGO, IL 60638-4050
Claim Number: 1019005
Index Number: 1919200061 1002
Waler Account Number: 595503549709
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: MICHAEL R. ZALEWSKI of Ward 23.
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 state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi 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 SIGNATURE DATE 2.- //_
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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 oalh,
Please Print Name
»tj*g*fe228
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18/2011
111111 - > -1 - i I -1 -11 -1111 -111111 j -1111111 -1 -1 -1111111!111111111111
018*001*********3-DIGIT 606 DIACCl, MARIA 5832 W 54TH PL CHICAGO, IL 60638-2777
For Official Use Only: Ward: _
Intro. Date:.
Status:_
Reason:_
Claim Number: 1006101
Index Number: 1908424138 1001
Water Account Number: 226132427402
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: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 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.
V ,--- V
I [YNCA^N C\ °VC-C^ 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 ofJanuary 1, 2011, that I am the owner of record of said real estate property or thai 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 SIGNATURE /\f\qyV,^ CpHbrjfl^ DATE_<3 " ^/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11" 11111JI"1" 11111111 ■ JI h1" I' I' i 11111.' ■1' ■1'' I ■" 1"11' I'1" I'" I
Status:_ Reason:.
018*001*********3-DIGIT 606 DRISCOLL, MARY C. 6413 S OAK PARK AVE APT 4E CHICAGO, IL 60638-6801
Claim Number: 1016067
Index Number: 1919208050 1019
Water Account Number: 300876640652
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: MICHAEL R. ZALEWSKI of Ward 23.
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 slate 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 properly or thai I have a legal or equilable 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, ff Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:^__
Intro. Date:_
||||ll||l|,ll|l||l||l||||,l,|l|,|,|lll|l.,|.||||l||,.,l|||l,lll
Status:_ Reason:
018*001*********3-DIGIT 606 GALEY, DOLORES 5429 S MASSASOIT AVE CHICAGO, IL 60638-2855
Claim Number: 1016771
Index Number: 1908427011 1006
Water Account Number: 224132413094
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: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this properly 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,
depose and state thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, thai I am the owner of record of said real eslale 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 waler 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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
sc*g«Jfe22e
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_-
Intro. Date:_
lll.iililii,!,!!)!)!,,.,!,!,!!!!.,!,!!!,.!!.),!,),,!.,,!.!,!!!!,,
Status:_ Reason:.
018*001*********3-DIG1T 606 GRANKO, ELEANOR B. 6758 W 64TH PL CHICAGO, IL 60638-4854
Claim Number: 1018323
Index Number: 1919208050 1036
Water Account Number: 300876640652
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: MICHAEL R. ZALEWSKI of Ward 23.
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 4F~/^*?-^gy- £>^>^bme undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or lhal I have a legal or equitable interest therein, thai 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 lo 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
DATE
City of Chicago
Alderman Edward M. Burke Chai rman
312-744-3380
Telephone
cm is 17
February 18, 2011
For Official Use Only:
Ward:___
Intro. Date:_
1 -1111 -11 - r 111M111111 r i - -11 - 111! -1111 -1 -1 -11 - -111 m 111111111111
Status:_ Reason:
018*001*********3-DIGiT 606 HALERZ, MARY LOU 6251 S NEWLAND AVE CHICAGO, IL 60638-3958
Claim Number: 1011513
Index Number: 1918302074 1020
Water Account Number: 228142529134
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: MICHAEL R. ZALEWSKI of Ward 23.
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 fVl fy-fi-Y Let* Jhe undersigned, on oath,
depose and state lhat I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi 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 lo 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your aldennan will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
»<^g*>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro Date:_
I -11M'' 1111111 -1 11' 11111 - -1 -11111 -1! -11111 > 111 1111111111 -11111
Status:_ Reason:.
018*001*********3-DIGIT 606 KANIUK, WILLIAM 6553 W 64TH PL APT 2E CHICAGO, IL 60638-4863
Claim Number: 1015784
Index Number: 1919214025 1016
Water Account Number! 230143052683
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: MICHAEL R. ZALEWSKI of Ward 23.
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 state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 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 lhat 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
i T-11 -1 ■ ■ i -1111 ■ ■ ■ i ■ i ■ i--1 ■ -1 -11-1> 11 - ■ i - --111 ■ - ■ 11 -1 - -1 ■ -11 -111
018*001*********3-DIGIT 606 KOTRBA, ESTHER 6252 S NEWLAND AVE CHICAGO, IL 60638-3965
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1005825
Index Number: 1918302074 1008
Water Account Number: 300876640416
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: MICHAEL R. ZALEWSKI of Ward 23.
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 properly as your principal residence on the first day ofJanuary, 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 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 estaie 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 ofthe 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 SIGNATURE
DATE
Aklk
qjL
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Xfj^ZSfip 228
Alderman Edward M. Burke - Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
!iliiilillllll'llhrilllllilh.....-'"i'i-iI ■'il ih ■
Status:_ Reason:
018*001*********3-DIGIT 606 MILLER, HARRIET 6525 W 64TH PL APT IE CHICAGO, IL 60638-4874
Claim Number: 1009336
Index Number: 1919214018 1002
Water Account Number: 230143055910
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I //ti t/t/K )£'JV,7f)jUt^/ . the undersigned, on oath,
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly 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 ofthe City of Chicago, that all waler taxes, property laxes. and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecLto 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do riot 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 SIGNATU
DATE ^^J?" /I
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lli'-'illliniilMi'Mhil'll'nl'iX'lliill-'iiT'-ll11!1
Status:_ Reason:.
018*001*********3-DIGIT 606 SAUTER, MARY LOU 6545 W 64TH PL APT 1W CHICAGO, IL 60638-4867
Claim Number: 1017011
Index Number: 1919214025 1002
Water Account Number: 230143055729
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 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~ieiVi) /~oi\ n>-<~h&-<^_the undersigned, on oath.
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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:_
Status:_ Reason:.
018*001*********3-DIGIT 606 SCHALK, KURT W 6230 S NEWLAND AVE CHICAGO, IL 60638-3962
Claim Number: 1000354
Index Number: 1918302074 1055
Water Account Number: 3008766404 i 6
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: MICHAEL R. ZALEWSKI of Ward 23.
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 state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 tees, 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:
|l,|ll,|,||||,l|||l,|l|l|ll.ll||,||l||.l|l|l|||,|,|,|,l|l
Status:_ Reason:
018*001*********3-DIGIT 606 SEYLLER, JOHN J. 6525 W 64TH PL CHICAGO, IL 60638-4917
Claim Number: 1020616
Index Number: 1919214026 1006
Water Account Number: 550055550055
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: MICHAEL R. ZALEWSKI of Ward 23.
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 dale this application and return it to your ward office before July 1, 2011.
I dddfV <jT 3ey//e^r_the undersigned, on oath,
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 ofthe 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 au?i subiCCtf to ne^ltiesfo/ perjury of falsification herein.
Very Truly Yours, ./ ./ '
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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.
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
ilill-llnillnllil-lllll-lil-ilrl'lnlil'liMlililil-l-l
Status:_ Reason:.
018*001 *********3-DiGIT 606 VANECKO, RITA 6659 W 64TH PL APT 106 CHICAGO, IL 60638-4948
Claim Number: 1018652
Index Number: 1919213014 1006
Water Account Number: 777700115449
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: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this properly as your principal residence on the first day ofJanuary, 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.
.the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 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 MICHAEL R. ZALEWSKI
Altn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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
Telephone 312-744-3380
February 18, 2011
''"l-i'M-'M''"-"^'!'!!!!-!'!"!'!!
018*001*********3-D1G1T 606 WIDEIKIS, ELENORE A. 6515 W 63RD ST CHICAGO, IL 60638-4146
Index Number: 1919202075 1008
Water Account Number: 777700016627
-'Mill
'iir
For Official Use Only: Ward:__
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000104
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary 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 oflhe Municipal Code ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATU Re£JL**~***-- # '^^Ji^iii,
Very Truly Yours,
DATE
2-23 2* //
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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:_
llilii.,!!.,!.)...,!-),,.,!.!-,-,--,!-,,,-,,!!!!!-!,,!!!!!!!
Status:_ Reason:.
018*001 *********3-DIGIT 606 WILK, IRENE D.
5632 S NARRAGANSETT AVE # 204 CHICAGO, IL 60638-3463
Claim Number: 1019703
Index Number: 1918215042 1004
Water Account Number: 551823551823
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: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 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.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 lo 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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 ^SLul+ji & ItSjjJL
DATE ob. - & & ' 11
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
1111111 11111 11 -111 - -1 -11 -111' 111111 -11111 -1111111 -
018*001.*********3-DIGIT 606 WILK, KAROLINA 6759 W 64TH ST CHICAGO, IL 60638-4890
Index Number: 1919208050 1005
Water Account Number: 300876640652
-il'l-
For. Official Use Only: Ward:__■
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017276
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: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. ----
OWNER SIGNATURE QiM)$Jl\U& f7W^ DATE 02 ~£3~30 I I
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
^S^.228
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
iilTiH'-ilii'Mliir'ii.....Il-ilr-'i-1 ir I h iX-'mii-Mil
018*001*********3-DIGIT 606 WINCZO, JAN MARION 5429 S MASSASOIT AVE UNIT 4 CHICAGO, IL 60638-2855
Index Number: 1908427011 1004 Water Account Number: 224132413094
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000623
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: MICHAEL R. ZALEWSKI of Ward 23.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. It" 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 ol" residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interesi 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 topenalties for perjury of falsification herein.
OWNER Slfigk /fa^ DATE Q2'J3~I/_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I 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:_
Status:_ Reason:.
YAKES, STELLA I.
6425 S OAK PARK AVE #S1
CHICAGO, IL 60638-4818
Claim Number: 1017634
Index Number: 1919208050 1028
Water Account Number: 3008 /6640652
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: MICHAEL R. ZALEWSKI of Ward 23.
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 ofJanuary, 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.
_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 waler 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 MICHAEL R. ZALEWSKI
Attn: MARGE
6247 S. ARCHER AVE
Chicago, IL 60638
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.
<^«|*>228