FOR OFFICIAL CLAIM#.
USE ONLY WARD_
DATE_
STATUS_
R
APPLICATION FOR. SENIOR CITIZENS SEWER CHARGE ANNUAL REFUND
OWNER NAME: _<9<%l{ SZ_
fifflatstNaMd /MJT&kt Name M.I.
OWNER ADDRESS:
Apt #
CHICAGO, IL 606_ HOME PHONE #: ([Y] ) #3 7 - /(<f4
OWNER BIRTHDATE: f)( I (P) I f.f$4
WATER ACCOUNT NUMBER:, (found on water bill)
PROPERTY TAX NUMBER:
/.7/ ,101 Mb ////7
(found on property tax bill)
TYPE OF STRUCTURE: 1.) Condominium Unit
2. ) Townhouse
3. ) Cooperative Apartment
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 ot assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury or falsification herein.
OWNER SIGNATURE:
'£31_DATE: J/dd/^/S
PLEASE RETURN TO YOUR ALDERMAN'S OFFICE BEFORE JULY 1
Alderman William Banks
36th Ward
6839 West Behnoat
Chicago Illinois 60634
ATTN: -jtia^JUtUe/Josephine Gordils
City of Chicago
Department of Revenue-Water Division
P.O. Box 6330
Chicago, Illinois 60680-6330
METERED ACCOUNT
Little leaks cause big bills.
Check for and repair leaks.
You must pay for all metered water.
OAKFIELD WEST CONDO 499321-499321 Dec-23-2010 Jan-13-2011
Service Address: 2317 33 N NEVA AVE CHICAGO IL 60707
Summary of Charges for Oct-19-2010 thru Dec-20-2010
Total Current Water..................................................................................... $ 8887.11
Total Current Sewer.................................................................................. $ 7642.91
Penalty.................................................................................................... $ 74.84
Total Current Charges.......................................................................... $ 16604.86
Previous Balance....................................................................................... $ 15136.62
Adjustments............................................................................................ $ 0.00
Payments................................................................................................... $ 15136.62
Total Due................................................................................................ $ 16604.86
Penalties accrue at a rate of 1.25% per month on late balances.
The Department pf Revenue's Water Division offers a variety of f lexible payment plans for water bills Including a special circumstances/hardship plan for those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-line or call us for more information.
Meter Reading Details
1000 Cubic Feet = 7480 Gallons
35086
39518
592.5
D113BDH □qqi4c1ci32:i.omc1ci321 □ rjorjibbOHfib □DDibbDMab s
* 239.03 ]
, ' BY 12/13/10 (on time) i
2009 Second Installment Property Ta
Property Index Number (PIN)
13-31-107-024-1117
Volume Code Tax Year (payable In)
364 71033 2009 (2010)
Town
JEFI
/ IF PAID LATE 12/14/10 - 01/13/11 $ 242.62
IF PAID LATE 01/14/11- 02/13/11
$ 246,21
IF PAID LATE 02/14/11 - 03/13/11
$ 249.80
THANK YOU FOR YOUR FIRST INSTALLMENT PAYMENT OF;
$ 488.13 ON 02-25-10
LATE PENALTY IS 1.5% PER MONTH, BY STATE LAW.
TAX CflLCU
2008 Assessed Valui
* ii imcva Avt . CHICAGO !L 60707 2616 , PropertyClassrficaton 2-98
Taxing District
MISCELLANEOUS TAXES
NW Home Equity Assurance Metro Water Reclamation District Parka-Musaum/Aquariurn Bond Chicago Park District Miscellaneous Taxes Total
2009 Tax 2009 Hate 2009% Pension
. 0. 63 40:98 2.20 46,32 90. 13
0.004. 0. 261-0. 014' 0; 295 0. 674
0. 09% 5.64X ■ 0.30% 6.37X 12.40X
2:35
1:88
SCHOOL TAXES ! ; Board of Education " v Chicago Community College Dist 608 School Taxes Total
371 51 23.55 396: 06
2.388. 0. 150' 2.618
MUNICIPALITY/TOWNSHIP TAXES
Chicago School Bldg & Imp Fund Chicago Library Fund ' City or Chicago MuhlcipalltriTwnahlp faxes\ Total
51. 09V .3. 24X 64. 33%
.17.59 *- 15. 54 139.28 172.41
0. 112 0. 099 0.887 1.098
'. 2: 42% .2.14% 19. 15X 2S.71X
64.06
COOK COUNTY TAXES
Cook County Forest Preserve District County of Cook Cook County Public 8afety Cook County. Health Facilities Coo* County Taxes Total
7.69 30. 78 17.90 13. 19 69. 66
0. 049. 0. 196 0.114 0.084 0.443
1.06K ■ 4. 23S 2.46% 1.8U 8.66X
0.15 11.14
(Oo not payttose totals)
727. 16 4.63} lOO^ OOX
2008 Tax 2008 Rate
0. 74 46.40
: 2. 76 56.71
106.61
4KB'. 17 28. 72 483.89
21.54 18.78 170.87 211. 19
9.39 41,26 19.33 15.84 86.82
,0. 004 0.252 0. 015 0.308 0.679
? 472 0:156 2.628
0.117 0.102 0. 928 1.147
0,051 0.224 0.105 0.086 0.466
887.61 4.820
2009 Assessment Level.
2009 Assessed Valut
2009 State Equalization -F X
2009 Equalized Assessed
2009 Local Tax Rate -
■;, -yxt
2009 Total Tax Before Ext
■i Homeowher's^ExBmptioh-Senior Citizen Exemption Senior Assessment Freeze
■2009 Total Tax After Exert
. First Installment ■' Second Installment * Total.2009 Tax (Payable lr
JOZEF B0GUS2 2317 N NEVA 105 CHICAGO IL 60707-2817
Slesse White»$ecretar» of State, ■ "v\;
DfllVER'SUCE
; ^jj^jV B'2'2'0-4204-4005 ■»■>■ ■ 01 05v44 ■
, JOSEF BOGUSI^' ^23W-N'NEvVAVE , C+IICfl GO 11x60707"
Clriv:: D t/i<i: , ' Rest: "" ' !■/?).''■ ORG
Male -6;r>3" 220 lbs HZL Eyes
SEP-10-07 13:33 From:Comjnittee o.n Finance
+7448B17
T-401 P.03/03 Job-701
FOR OFFICIAL CLAIM#
USE ONLY WARD.
DATE. STATUS, R
APPLICATION FOR SENIOR CITIZENS SEWER CHARGE ANNUAL REFUND
OWNER NAME:
a/hqs ret i x
Last Name First Name ^^.1.
.OWNER ADDRESS: 7^7 /^^/^ ftf fa *V<? /
d _ ____________'
Apt #----
CHICAGO, IL 606.5^ HOME PHONE #: )
OWNER BIRTHDATE:
WATER ACCOUNT NUMBER: Yf. */rf$'030
(found on water bill)
PROPERTY TAX NUMBER:/c^ / 3j^ l /O 0_ l //J I /OS (found on property tax bill)
TYPE OF STRUCTURE: (1.) CondorninjunTpMp
2.) Townhouse ~
3. ) Cooperative Apartment
, 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 Secdon 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 1 understand I am subject to penalties for perjyryA>r falsification herein.
OWNER SIGNATURE^_
PLEASE RETURN TO YOUR ALDERMAN'S OFFICE BEFORE JULY 1
Alderman William Banks
36chwaid
6839 West Belmont
Chicago Illinois 60634
ATTN: -jbla<^bi«Us/Jo$ephiae Cordils
METERED ACCOUNT
Little leaks cause big bills.
City of Chicago ; Department of Revenue-Water Division P.O. Box 6330 -Chicago, Illinois 60680-6330
Customer Service: 312-7444426
Always include your name, account number, and a call back number. Ieaks-
I metered water.
CUSTOMER NAME
IRVING PK TERRENCE
ACCOUNT NUMBER
475030-475030
BILL DATE
Dec-21-2010
DUE DATE
Jan-11 -201
Service-Address: 7701 07 W IRVING PARK RD CHICAGO IL 60634-2132
Summary of Charges for Oct-15-2010 thru Dec-16-2010
Total Current Water.................................................................................. $
Total Current Sewer..................................]............................................. $
Penalty....................................................................................................... $
Total Current Charges............................................................................. $
Previous Balance.......................................1............................................... $
Adjustments...............................................\............................................... $
Payments...................................................:............................................... $
Total Due................................................................................................ $
Penalties accrue at a rate of 1.25% per month on late balances.
i
874.28 \9s, f^
0.00"J 0.00Im£>*-=
91^DueDateaZJ^^ 914.39 -l"-)cHj__
/.,...} Memo □ i planter T
?:rc-,viH'!"'--:'rv,1
j special drctiR us for inore information,s
Meter Reading Details
METERED UNITS IN THOUSANDS
Gallons
READINGS ;; PREVIOUS I CURRENT
6085
6521
1000 Cubic Feet = 7480 Gallons
USAGE IN THOUSANDS Cubic Feet = Gallons
ACTUAL or ESTIMATED
(Li Ubl' a u m'd
58.3
436
B
□lllHtill 00DM75D3DDH75D30 3 00000o7fi2a DDDQQfi74Efl 1
r.
THIS IS A LEGAL DOCUMENT UNDER THE UNIFORM " ANATOMICAL GIFT ACT OR SIMILAR LAWS ' I hereby make an anatomical gH, effective upon my death
?D Arry organ or tissue DATE-
Q Only the IcUowfng 1__!_
. Signature ol donor_',. ■_■_.-
Intarmattm / Living. Will 3e*J Area -
■ "I
hiii iams taej »t £ KT£ r^ty^3&wcLa.y*j w. hn& 1/1.3: k«v* w in nil M«ic*#*ii£^K«wifi»w hi
. miii [i^'i imr---- - r------- ■ - - - .-.ti- ■ ■■■
IK ^ KJlimt!^IWWIIi*^^M«ll«^t(1tiBI III
mS- } certificate of extension ^-
'' . . License expires four'(4),years from' = j t expiration date on the face of license.
-JesseWhite
'■ ' ' Illinois Secretary of State
Cook County Assessor s Office
118 North Clark Street, Chicago, IL 60602
Dear Taxpayer,
We are pleased to inform you that the Cook County Assessor's Office has. issued a Certificate of Error which may affect your property taxes. Please- note that the issuance of the Certificate of Error is only the- first step in the process. The Certificate of Error becomes final.onSy after the Assessor's Office or the Circuit Court approves it.
The information below details the recommended Lax amount due for your property. The recommendation assumes that the Certificate of Error will be finally approved. If the Certificate of Error is denied, you will be liable for the entire amount ofthe original tax bill. Please refer to the enclosure for further details concerning Certificates of Error.
You will receive written notice of final approval or denial of your Certificate of Error. If the Certificate of Error receives final approval, your tax bill will be adjusted accordingly. If the final approval of the Certficate of Error entitles you to a refund, the Cook County Treasurer will send you a refund - or an application for a refund:
P!§i^JJY!6wJlli.reverse side_of this bill for detailed payment instructions and locations. -
It is strongly advised that you retain a copy of this letter for your records.
Sincerely,
ames M. Houlihan Cook County Assessor_
PROPERTY LOCATION: 7707 W IRVING PARK RD CHICAGO IL 60634
DATE: DEC. 3, 2010 CERTIFICATE OF ERROR NO.: 0024279 TAX YEAR: 2009
PROPERTY INDEX NUMBER:
12-24-100-111-1034
Original Assessed Value: 13,780
Original Equalized Assessed Value: 27,631
Recommended Assessed Value: 13,780
Recommended Equalized Assessed Value: 23., 631
If payment received or postmarked by:
12/03/2010 -. 12/13/2010 12/14/2010 - 1/13/2011 1/14/2011.- 2/13/2011 2/14/2011 - ■ 3/13/2011
Original tax payment due
Adjusted Tax payment due
00 0.
00 0.
00 0.
00 0.
Total Original Tax * Total Taxes'Paid Original Balance Due'
1,279.59 Total Recommended Tax 1,279.59 Total Taxes Paid
.00 Recommended Balance Due
094.35 279.59 .00
00 00 00 00
* Please note, if the Certificate of £rror. is denied and additional money is due on the original bill, interest and penalties will be added to that delinquent amount.
or trrorHecdmmesiQed lax
Bring entire bill when paying by person. Please do not use on-line checking systems to pay.
PAYMENT DUE 12/13/2010 Adjusted tax due: Original tax due:
Amount Paid
$ 0.00 $
Check this box to change mailing address (where bill is sent) and complete form on back.
0.00
Certificate of Error No.:
Property Index number (PIN)
» Volume
12-24-100-111-1034
313
'Write PIN and Volume on check made payable to Cook County Treasurer.
00000000000 122mD0111103M7 00T22 OODDDODOODD ODDQDOOOODO 00000000000
COOK COUNTY TREASURER PO BOX 4488
Carol Stream IL 60197-4488
FELIX RAMOS 401 7707 W IRVING PK RD
CHICAGO
IL 60634-2188
1S2 mDOll 1103 M/0/0=i/F/OOQQODODOO/S
I
:: Cook County Treasurer's Office - Chicago, Illinois
Page 1 of2
Payments
Payment Status Online Payment By Mail
Cook County Property Tax and Payment Information
At Chase Bank
/ Community Bank
In Person
Get a Copy of Bill
Returned Checks
Prior Years
Prepayment
If Taxes Were Sold
Home
Rrxearch a Topic:
Research our ever-expanding library of useful topics. Click Here.
Printed copies of this information may not be used as a tax bill. Payments must be submitted with original tax bill.
Property Index Number (PIN): 12-24-100-111-1034
2009 Tax Year Information - Payable in 2010
Tax Year 2009 Tax Type: Current Tax Volume: 313 PCL: 2-99
Property Location
7707 W IRVING PARK RD ~
CHICAGO. IL 60634-2188
(To update contact the Cook County Assessor's Office at 312-443-7550.)
Mailing Information
Exemption Information
FELIX RAMOS 401 7707 W IRVING PK RD CHICAGO, IL 60634-2188
To update your mailing information click here.
To request a duplicate tax bill click here.
Homeowner Exemption Received: YES Senior Citizen Exemption Received: MS Y&£ Senior Freeze Exemption Received: NO
If you are entitled to an exemption you did not receive, click here.
To check if you received exemptions on previous tax years, click here.
Tax Payment Information
Installment
1st 2nd
Tax Amount Billed
$684.57 $409.78
Tax Due Date
03/02/2010 12/13/2010
Last Payment Received
$684.57
$595.02
Balance Due:
$0.00
Date Received
02/13/10 11/24/10 Printable Version
The balance due, including any penalty, is as of: 12/4/2010 Payments processed are posted through: 12/3/2010
The Cook County Clerk's office can help you with redemption and delinquent inquiries on prior year's taxes. You may reach the Clerk at:
Main Number (312) 603-5656
Search Again:
PIN Search:
Use the search field below to search property tax information. Enter your 14-digit PIN:______
12-24 " "
100 - 111
1034
Please type in the 6-letter security code below exactly as you see it displayed, and then click Search.
Search
Reset
http:// cookcounty treasurer, com/paymentresults. aspx?ntopicid=3 «&banktype= 1
12/4/2010
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■ I. ■. ■ i11 I"{i1 m 11 ■111" 11 (111M1111MI ■1.' i ■ ■1 ■111 i11 ■ ■ ■1111
Status:_ Reason:.
011*001*******5-DIGIT 60634
FONTANA, MILDRED L. 8216 W BELMONT AVE CHICAGO, IL 60634-2816
Claim Number: 1009273
Index Number: 1223426035 1008
Water Account Number: 300585655423
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: JOHN RICE of Ward 36.
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 properly 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.
\/Vj/Afl'tf £{) A- /^/Zf^^hhe undersigned, on oalh,
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 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 JOHN RICE Attn: JOSPH1NE 6839 W. BELMONT Chicago, IL 60634
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^^t
%teZ2&6^ DATE 0 /J^ ///
Alderman Edward M. Burke Cliairman
City of Chicago
Committee on Finance Cily Hall Room 302 00602 vvww.c(>mmilleei>nlinan(:e.c>rg
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 -11 -11 -J11 -1 j11111' 11 -1 -11 -1 * 111 -11111111'-1 -1 -111 f 111111JI
Status:_ Reason:.
011*00l*******5-DIGIT 60634 PESZEK, ESTHER 8350 W ADDISON ST APT 205 CHICAGO, IL 60634-1925
Claim Number: 1000772
Index Number: 1223224043 1012
Water Account Number: 119161793154
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: JOHN RICE of Ward 36.
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 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017933
February 18, 2011
i ■ ■ m i ■ -11 ■ ■ ■ ■ i ■ - ■ - < -1 ■ i ■ 1111111 ■ i -11 > i ■1 -1 - - ■ ■ i ■ i ■ 11 - ■ ■ i ■ 11 ■ 111
011*001 *******5-DIGIT 60634 GAUGER, CHARLES A. 6551 W SCHOOL ST APT 204 CHICAGO, IL 60634-2987
Index Number: 1319431034 1035
-Water Account Number: 777700100263------------' ----- ■ --'-----....
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: JOHN RICE of Ward 36.
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
C, \\&C tC, ■ ("Vwyf'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 ofthe Municipal Code ofthe 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.
OWNER SIGNATURE^^^1 J(.t<h^/' DATE ^1*(3> / 1 /_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
Alilerman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'lrl'liliil'hl-iilll'ilr!ll'l-ll'il'Mllilll hlMrl1'1'1!!!
Status:, Reason
019*001 *********3-DIGiT 606 JOHNSEN, RENA 8455 W LELAND AVE UNIT 102 CHICAGO, IL 60656-4210
Claim Number: 1017072
Index Number: 1214112025 1106
Water Account Number: 300585655553
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: JOHN RICE of Ward 36.
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.
i fit*/A- Jo VMSundersigned, on oath,
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 Secdon 3-12-050 ofthe Municipal Code of the 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.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
l"hlTllllllllHllIIIU"llll'l'lTll"l"rllll"|-|"ll
Status:_ Reason:.
019*001*********3-DIGIT 606 TUZZIO, SAMUEL S. 4623 N CHESTER AVE UNIT 303W CHICAGO, IL 60656-4228
Claim Number: 1002139
Index Number: 1214112025 1081
Waler Account Number: 300585655553
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: JOHN RICE of Ward 36.
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.
/Cl ^Z. ^2-/0 the undersigned, on oath,
depose and state lhal I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 1, 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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 Z-'&^/S
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephune
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11111 -111111 -111111 -11111 -1111 -11 -111! 11 111111111 -111 - -111 - - -1 -1
Status:_ Reason:.
011*001*******5-DIGIT 60634 GALELLA, BETTY R. 7707 W IRVING PARK RD APT 206 CHICAGO, IL 60634-2190
Claim Number: 1019067
Index Number: 1224100111 1017
Water Account Number: 475030475030
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: JOHN RICE of Ward 36.
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 il lo your ward office before July 1, 2011.
I P?£ T'f V L-Ufczundersigned, 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 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 JOHN RICE Attn: JOSPHINE 6839 W BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
OWNER SIGNATURE.
ATE.
2*
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance Cily Hall Room 302 60602 ww'W'.oommilleecinfiriancp.org
February 18,2011
i - n i i 11 ■ 1111 ■ 111 ■ -11 - - ■ -1111 -11 ■ - -111 ■ -1 -1 -11 ■ ■ i ■ -11 -111 ■ 111 ■ i
020*001 *********3-DIGiT 607 FILMONCZYK, ELW1RA 2037 N HARLEM AVE APT 3E CHICAGO, IL 60707-3128
Index Number: 1331124049 1005
Water Account Number: 499308499308
Telephone 312-744-3380
For Official Use Only:
Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020532
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: JOHN RICE of Ward 36.
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 I, 2011.
I
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 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.
OWNER SIGNATURE 'fj^l Ma*-**^
DATE ■ & k< <L0^ r
Very Truly Yours,
Edward M. Burke
V
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
1 - -111 r I -1111 -11 - -111111 -1111 -11 11 r 11 >11 r111 > 1111 - - -1 -111 i -111
Status:_ Reason:.
Oi1*001*******5-DIGIT60634 BARBIERI, MARIO 6560 W BELMONT AVE APT 203 CHICAGO, IL 60634-3980
Claim Number: 1022412
Index Number: 1319431034 1080
Water Account Number: 431144431144
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: JOHN RICE of Ward 36.
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 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.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 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 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 I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W BELMONT Chicago, IL 60634
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
OWNER SIGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance Cily Hall Room 302 60602 www.ci mi tn i lleeon fi nance.< >rg
312-744-3380
Telephone
11 ^' 11 -1111111 - -11 -1 ■ - - -11 -111111 -1 -1 ■ -11111 -111 -1 ■ 111111111 - i
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
011*001*******5-DIGIT 60634 , DAMASK. DOROTHY- <J//t/j£>&A-
3150 N NEVA AVE APT 2A CHICAGO, IL 60634-4568
Status:_ Reason:.
Claim Number: 1002502
Index Number: 1330100026 1004
Water Account Number: 117141719592
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: JOHN RICE of Ward 36.
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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
1111111 -11111 -11 - - h - -1 i111111'11111111111 - -1111111P11!111111111
Status:_ Reason:.
011 *001*******5-DIGIT 60634
KJELER, HELEN S. '--
8350 W ADDISON ST APT 204 CHICAGO, IL 60634-1925
DE C E/)S£J>
Claim Number: 1011160
Index Number: 1223224043 1011
Water Account Number: i 19161793154
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: JOHN RICE of Ward 36.
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 this application and return it to your ward office before July 1, 2011.
I Jo^lFP)4 . K/PLE/^ 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
1111 -' I -11111 - M -1111111 -11 j 111111 -1 f' -1 -11F1111 -111 -11' 11 - M -1 -
020*001*********3-DIG1T 607 LIVORSI, FRANCISCO 2317 N NEVA AVE APT 113A CHICAGO, IL 60707-2830
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016062
Index Number: 1331107024 1125
Water Account Number: 300370010192
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I trRf}NQ\SC0 L\\fO/l$ ( 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 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^^^^^^^^a^ c^/^/U^C DATE_°? w ~//
/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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 Cliairman
City of Chicago
Telephone 3J2-744-3380
February 18, 2011
iil-iil1.....'IP'rlri'llll-'i'l-l'Tiii'll1-
011*001 *******5-DIGiT 60634 PHILLIPS, BERTHA S. 7707 W IRVING PARK RD APT 309 CHICAGO, IL 60634-2137
Index Number: 1224100111 1031 Water Account Number: 119151790806
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000604
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: JOHN RICE of Ward 36.
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 BiF/tr^A -5? Pt/M/PpS 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 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,
DATE_3 - 0.3 /J
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
illil-'i'l'Xihl'M'lliiNii'i'iii-iii'lT-ll-'ill'li'i111
Status:, Reason:
020*001 *********3-DIGIT 607 GOGGIN, VIRGINIA A. 2333 N NEVA AVE APT 215C CHICAGO, IL 60707-2846
Claim Number: 1019007
Index Number: 1331107024 1079
Water Account Number: 499321499321
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: JOHN RICE of Ward 36.
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.
' Please Print Name '
depose and state that 1 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 an>sttbject 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
'y'^lht undersigned, on oath,
OWNER SIGNATURE
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IM'' 111 If -11 -11111 - -1111 -1' 111111M1'-'11'1111h -11'1MI -11111
Status:_ Reason:
011*001 *******5-DIGIT 60634 MARZEC, ALICE J. 6560 W BELMONT AVE # I04D CHICAGO, IL 60634-5043
Claim Number: 1017922
Index Number: 1319431034 1082
Waler Account Number: 777700100263'
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to Ihe City Council by: JOHN RICE of Ward 36.
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.
l/^ ^?^XvZ H-1 ) C <t A 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 thai 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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.
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
,'iil"'lil'il'ill,"i'lrl'll"l,ilillilii'l,i'ii"','",l""ll
019*001*********3-DIGiT 606 DELMARTO, ANTHONY F. 4624 N COMMONS DR UNIT 21 IE CHICAGO, IL 60656-4202
For Official Use Only: Ward::_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1002071
Index Number: 1214112025 1024
Water" Account' Number:' 300585655553
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: JOHN RICE of Ward 36.
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.
I flv^OU) f- p[~k A//f'/li 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 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 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
i ■ i --ii ■ - ■ -111111-1■111 -11 ■11< 11 -1 -11111 ■ ■ <i■-1 ■ 11 - --■--■ i ■ ■-1< i
February 18, 2011
For Official Use Only:
Ward:_■
Intro. Date:_
019*001*********3-DIGIT 606 MALUS, SHIRLEY 8455 W LAWRENCE AVE APT 3C CHICAGO, IL 60656-2962
Status:_ Reason:
Claim Number: 1002470
Index Number: 1214101053 1011
Water Account Number: 300585655690
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed tp the City of Chicago have been paid and lhat I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
I_SH-fZ-L&y A/\PtL.O$ the undersigned, on oath.
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
■V" ■ i ■1 ■1111 ■ i111 ■ i1 ■ 111 ■ 11 ■ ■ i1 ■ i1 ■ i ■ i ■1 ■ 111111 ■1 ■ 11 ■ ■ i ■ 111 ■1 ■
020*001*********3-DIGIT 607 KENDAL, RAYMOND J. 2218 N NEWLAND AVE APT 206 CHICAGO, IL 60707-3324
Index Number: 1331115024 1014
Water Account Number: 300360038216
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018834
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: JOHN RICE of Ward 36.
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.
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 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 Secdon 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 penaltiesfor perjury of falsification herein.
nderstand 1 am sum
OWNER SIGNATURE^^^y A /LX^^? DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
"nii.||.i|.,i|,|.iii|iiii.||iiii.|.i.,i||i|ii|,...,.|.|...iii
011*001 *******5-DtGlT 60634 FONTANO, CAMILLE 8350 W ADDISON ST CHICAGO, IL 60634-1996
Index Number: 1223224043 1005
Water Account Number: 119161793154
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000768
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: JOHN RICE of Ward 36.
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 requiremenls, you must sign and date this application and return it lo
your ward office before July 1, 2011. Please Prinl 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 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.
DATE
OWNER SIGNATURE Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W BELMONT Chicago, IL 60634
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
Telephone 312-744-3380
February 18, 2011
-Tl-- hi l hilll, i,lii i M-'ll'l-' i-l-i-'i-'i l-'i'ih'li'i1
020*001 *********3-DIGTT 607 PROSS, FLORENCE 2155 N HARLEM AVE FRNT 108 CHICAGO, IL 60707-3268
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003606
Index Number: 1331118034 1004
Water Account Number: 300370007974
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/lownhouse 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 I, 2011.
, /^^r^OS^ 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 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. Very Truly Yours,
^ttfi-^jL^ou. G^^e- DATE *3 / 7 / ' f
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
Committee on Finance Cily Hall Room 302 60602 wmv.omnmilteeonfinance.org
312-744-3380
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
017*003*********3-DIGIT 606 DAVIS, ELOIS
8317 S SAINT LAWRENCE AVE APT IN CHICAGO, IL 60619-5730
Claim Number: 1022413
Index Number: 2034413024 0000
Water Account Number: 693893600429
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: JOHN RICE of Ward 36.
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 JE 1 G 1 *Z> ft (_) | *3 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, 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 Secdon 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
llhhlT'l'HilH'H'ii'i'lHirh'i'T-i'M'I'ni"
Status:. Reason:
020*001 *********3-DIGIT 607 KUCZYNSKI, JOZEF 6968 W DIVERSEY AVE APT 5 CHICAGO. IL 60707-1729
Claim Number: 1019130
Index Number: 1328707025 6968
Water Account Number: 498912498912
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: JOHN RICE of Ward 36.
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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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 (< flC,~Z)JNSK\ AA/fVA the undersigned, on oath,
Please Print Name
^"^■228
CHICAGO, ILLINOIS MEDICAL CERTIFICATE OF DEATH
TATE FILE NUMBER 2010 0035115
DATE ISSUED 05/14/2010
m
'^COUNTY OF DEATH H COOK .
DECEDENTS LEGAL NAME'
[ JOZEF WKUCZYNSKI
AGE AT LAST BIRTHDAY
. 87 YEARS
SEX
MALE
DATE OF DEATH MAY 12, 2010
DATE OF BIRTH
MARCH 10.-1923
CITY OR TOWN
CHICAGO
. HOSPITAL OR OTHER INSTITUTION NAME V
OUR LADY OF THE RESURRECTION MEDICAL CTR
,>PLACEOF DEATH
Il INPATIENT
BIRTHPLACE
POLAND
SOCIAL SECURITY NUMBER
335-58-4099 .
MARITAL STATUS AT TIME OF DEATH
MARRIED : -^A^fe
SURVIVING SPOUSE'S NAME .
ANNA CZABROWSKI
EVER IN U.S. ARMED FORCES? NO
RESIDENCE: :' . .
6968 W DIVERSEY AVE
CITY OR TOWN
CHICAGO.
INSIDE CITY LIMITS?
YES
^COUNTY | COOK
ZIP CODE
60707;
FATHER'S NAME >
ALEXANDER KUCZYNSKI
MOTHER'S NAME PRIOR TO FIRST MARRIAGE
ROSALIA POTAPSKI
fNFORMANTS NAME . ANNA: KUCZYNSKI;
RELATIONSHIP
WIFE
S^^HETHOD OF DISPOSITION
I BURIAL
PLACE OF DISPOSITION MARYHILL CATHOLIC CEMETERY
MAILING ADDRESS ■ ■■y.'y-
ii6968;W DiVERSEY AVEi CHICAGO, IL, 60707
LOCATION - CITY OR TOWN AND STATE NILES, IL
DATE OF.DISPOSITION
MAY 15, 2010
1
FUNERAL HOME
CASEY LASKOWSKI & SONS FUNERAL HOME, 4540 WEST DIVERSEY, CHICAGO, IL, 60639
^FUNERAL DIRECTOR'S NAME % BRIAN J KOSKIEWICZ
FUNERAL DIRECTOR'S ILLINOIS LICENSE NUMBER
034015255
Local registrar's name ] DAVID ORR
DATE FILED WITH LOCAL REGISTRAR,
MAY 14, 2010
&CAUSE OF DEATH
IMMEDIATE CAUSE (Final disease or condition resulting In death) .'-
PART I. END. STAGE RENAL DISEASE
Due to (or as a consequence of}: .
b. CONGESTIVE HEART DISEASE
" Due to {or as a consequence of):;.;.'!
c. ARTERIOSCLEROSIS
YEARS
YEARS
YEARS
Due to (or as a consequence, of):
^3ART II. Enter other.*/gnffie«n( conditions contributing lo death but not resulting in the underlying cause given in PART I
WERE AUTOPSY FINDINGS USED TO COMPLETE CAUSE OF DEATH?; N/A
2-plD TOBACCO USE CONTRIBUTE TO DEATH?
FEMALE PREGNANCY STATUS v
NOT APPLICABLE
MANNER OF DEATH
NATURAL
SfDATE OF INJURY
TIME OF INJURY
PLACE OF INJURY.!
Location of injury
gpESCRIBE HOW INJURY OCCURRED:
&ATTEND THE DECEASED?.
yes \
DATE LAST SEEN ALIVE.'
MAY 12, 2010
WAS MEDICAL EXAMINER OR ,. CORONER CONTACTED? NO
DATE PRONOUNCED .
TIME OF DEATH
11:00 AM
^CERTIFIER .
9 PHYSICIAN
DATE CERTIFIED . .
MAY 13, 2010
i^lAME, ADDRESS AND ZIP CODE OF PERSON COMPLETING CAUSE OF DEATH :
':'(% CHRISTOPHER KUBIK, CHICAGO, ILLINOIS, 60634.
PHYSICIAN'S LICENSE NUMBER
036066884
m
mi mi
This is to certify that this is a true and correct copy irom the official record filed with Illinois Department of Health.
David Orr
Cook County Clerk
death
mm
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18; 2011
For Official Use Only:
Ward:__
Intro. Date:_
ii"ii||iiiiiiiiii||ii'||"|iii||,ii|i"|i|iiiii|i,,i|iiir-i
Status:_ Reason:.
020*001 *********3-DIGIT 607 CHARNOTA, CAMILLE 2049 N HARLEM AVE CHICAGO, IL 60707-3131
Claim Number: 1007025
Index Number: 1331124050 1009
Water Account Number: 300370007950
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: JOHN RICE of Ward 36.
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 il lo your ward office before July 1, 2011.
depose and stale 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 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
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago. IL 60634
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
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'irii'l",ll,l"'"rr'liir,lirlii"irl,!"iili'l'l,i",lr'
Status:_ Reason:
011*001*******5-DIGIT 60634 WOJTIUK, JUSTYNA 7707 W IRVING PARK RD APT 302 CHICAGO, IL 60634-2137
Index Number: 1224100111 1024 Water Account Number: 119151790806
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: JOHN RICE of Ward 36.
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 lhat 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, lhat 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 JOHN RICE Attn: JOSPHINE 6839 W BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
NJlease Print yhme
the undersigned, on oath.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
011*001*******5-DIGIT 60634 BERTONE, ANTHONY J. 8359 W ADDISON ST APT 201 CHICAGO, IL 60634-1905
Index Number: 1223400007 1008 Water Account Number: 300585655324
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1009554
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualities 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.
.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 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 't^UZ&tX^DATE^^^ Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephc
ihone
February 18, 2011
liMI'i'l'-'ilH'-'-i'-'i'-llrllii'-i'-ii-ih1
020*001*********3-DIGIT 607 STILTNER, RUTH 2320 N NORDICA AVE APT 21 ID CHICAGO, IL 60707-2804
Index Number: 1331107024 1199
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1016074
Water Account Number: 300370010192
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: JOHN RICE of Ward 36.
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.
~~f~y\ 6> Kfie 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 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 ofthe 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 1 understand I am subject to, penalties for perjury of falsification herein.
OWNER SIGNATURE <J\ /I&L S Jt^A^ DATE 4^- 3jL A> //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
111 i11 -11 -111 -111 - -11 -1111111! i1 -11 i -111111 > -1 -11111111 - -111111
Status:_ Reason:
019*001*********3-DIGIT 606 NAGAKURA, MIDORI H. 4624 N COMMONS DR UNIT 110 CHICAGO, IL 60656-4200
Claim Number: 1018155
Index Number: 1214112025 1010
Water Account Number: 300585655553
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: JOHN RICE of Ward 36.
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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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 SIGNATUR]
ATE
3-a- a
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
021*018******MIXED AADC 606
Claim Number: 1000769
Index Number: 1223224043 1021
Water Account Number: 119161793154
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: JOHN RICE of Ward 36.
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 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 JOHN RICE Attn: JOSPHINE 6839 W BELMONT Chicago, IL 60634
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
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111111' -111 -11111111111 *1' 1111 i -1111 -119111111' I -11111' I -1'111
Status:_ Reason:.
020*001*********3-DIGIT 607 EVANS, MARY P. 2325 N NEVA AVE APT 404B CHICAGO, IL 60707-2842
Claim Number: 1016857
Index Number: 1331107024 1040
Water Account Number: 30037001 Oi 92
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: JOHN RICE of Ward 36.
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 applicadon and return il to your ward office before July 1, 20JL
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.
Very Truly Yours. c/ Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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.
DATE
Alderman Edward M. Burke Chairman
February 18, 2011
(BJ4;SS0
lllrli-Nlllllllillll-illlillihilTlTllT-l
020*001 *********3-DIGIT 607 NER1, RAYMOND 2147 N HARLEM AVE CHICAGO, IL 60707-3274
Index Number: 1331118036 1004
Water Account Number: 300370008007
City of Chicago
I -11' 111111 *
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003616
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: JOHN RICE of Ward 36.
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
/ Please Pnnt Name
Jhe 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 water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 1 am subject topenalties for perjury of falsification herein.
1^P^(y&^^py> date fejr',
Very Truly Yours,
OWNER SIGNATURE]
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN l COPY FOR YOUR RECORDS
■*Sj3£»228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l-l'llllllllf I--I-I|-|-Ill|-|-Illll--Illlivil-1-1--!!!-!-11-!
Status:_ Reason:.
01i*001*******5-DIGIT 60634 LANASA, CATHERINE 6561 W SCHOOL ST # 106C CHICAGO, IL 60634-2988
Claim Number: 1017925
Index Number: 4649764034 1064
Waler Account Number: 777700100263
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: JOHN RICE of Ward 36.
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 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 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 Secdon 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 TQ YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
OWNER SIGNATURE ^rJ^U^ ^Tk^^DATE & ' £S ' TPII
*'C57'228
City of Chicago
Alderman Edward M. Burke Cliairman
Committee on Finance City Hall Room 302 60602 wwiv.C'ommilleeorifinance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_■
Intro. Date:_
' 1111'11 -11111! 1111 -1 -111111 -1 - -1 - f1' I -1 - -1 -11' 111111 -111' 111 -111
Status:_ Reason:.
011 *001 *******5-DIGIT 60634 DEPA, ZOF1A
3143 N NASHVILLE AVE APT 2C CHICAGO, IL 60634-4993
Claim Number: 1019361
Index Number: 1330204050; 1005.
Water Account Number: 300370009277
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: JOHN RICE of Ward 36.
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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
it Name
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:___
Intro: Date:.
Status:_
Reason:_
Claim Number: 1017538
019*001 *********3-DIGlT 606 HEITZ, VIRGINIA J. 8455 W LAWRENCE AVE APT 3A CHICAGO, IL 60656-2962
Index Number: 1214101053 1009
Water Account Number: 300585655683
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: JOHN RICE of Ward 36.
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
1.
you/ ward office before JulyJ, 2
Ast f a-»/ /\ *J. 7y£ f the undersigned, on oath. Please Print Name
depose and stale thai 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 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 penalfies for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
llll-lh-lliilllll-hni'-l-inll-lliiliiiilillllllrlllll-li
Status:_ Reason:.
020*001 *********3-DlGIT 607 PAOLI, RAFAEL R. 6974 W DIVERSEY AVE APT 2N CHICAGO, IL 60707-1730
Claim Number: 1020507
Index Number: 1330133043 1002
Water Account Number: 498866498866
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: JOHN RICE of Ward 36.
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 to the City 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago. IL 60634
Please do not send it to the Committee on Finance: your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
the undersign^, 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:_.
.||ii.i|,i.ii,|ii||i|.i,iiii,.i.i,|i.|i|iiM|i.i,|,.||ii||i
Status:_ Reason:.
019*001*********3-DIGIT 606 DETLAFF. MARION E. 4624 N COMMONS DR UNIT 410E CHICAGO, IL 60656-4206
Claim Number: 1003765
Index Number: 1214112025 1049
Water Account Number: 300585655553
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualities 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 this application and return it to your ward office before July 1, 2011 j
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 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i-HI-'nH'i'l.....11111 -1111 h -1 -111 - -' -11' 1111111'1' 1111111
Status:_ Reason:
019*001*********3-DIGIT 606 DELZENERO, ANN M. 8444 W WILSON AVE UNIT 104 CHICAGO, IL 60656-4213
Claim Number: 1015037
Index Number: 1214112025 1160
Waler Accounl Number: 300585655553
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: JOHN RICE of Ward 36.
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 {\NN T^gL? 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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.
■0AM-
City of Chicago
Committee on Finance
Alderman. Erlward M. Burke City Hall Room 302 60602 Teleplione
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018793
February 18, 2011
i 11 i i 111 -1 ■1 ■ ■ i - ■ i ■ - ■ i ■ - ■ 1111 -1 -111 ■ -1 - -111 ■ 1111111 ■ ■ i ■ 11 -1 ■ i - ■ -
020*001 *********3-DIGIT 607 KOSKI, GLORIA A. 7001 W MEDILL AVE # IM CHICAGO, IL 60707-2902
Index Number: 1331 108015 1004
Water Account Number: 111141361857
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: JOHN RICE of Ward 36.
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,
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 sfyhll-tJU (2), j^sxiJL, DATE.
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago. IL 60634
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:_
'l,mhihilliiMlrliillllllill,illillilrlliilHI,,llurl
Status:_ Reason:.
011 *001 *******5-DIGIT 60634 SMITH, THERESA M. 7707 W IRVING PARK RD APT 409 CHICAGO, IL 60634-2192
Claim Number: 1019008
Index Number: 1224100111 1042
Water Accouni Number: 119151790806
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: JOHN RICE of Ward 36.
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.
Jhe 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 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 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 JOHN RICE Altn: JOSPHINE 6839 W. BELMONT Chicago. IL 60634
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 <£ - 11
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lli-lll-liiiilliil'iliii-ilii>illTiiliillillll-ill-l-lirlil
Status:_ Reason:.
01 i*001*******5-DIGIT 60634 SLOBODA, MARY 7707 W IRVING PARK RD CHICAGO, IL 60634-2188
Claim Number: 1000558
Index Number: 1224100111 1016
Water Account Number: 119151790806
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: JOHN RICE of Ward 36.
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.
depose and state thai 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, lhal 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 olher 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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.
Pleasie Print Name
*SH*> 228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lirlll-l-l-i<IHilllr-llM"l-i"irliill--illhlllhil
Status:, Reason
020*001 *********3-DIGIT 607 BRANDT, LUCILLE 2333 N NEVA AVE APT 41 IC CHICAGO, IL 60707-2850
Claim Number: 1002518
Index Number: 1331107024 1107
Waler Account Number: 300370010192
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/lownhouse 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
111 - -11 - -1 -11 -111 -111 (- -11111 -11 - -1111 - 11M111 h 11 -1 -1111 -11 -111
Status:_ Reason:
011*001 *******5-DIGIT 60634 LOPRESTI, MARIE A. 3207 N NOTTINGHAM AVE CHICAGO, IL 60634-4580
Claim Number: 1005458
Index Number: 1319328046 1002
Water Account Number: 300139045253
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualities 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_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, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that \ 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
City of Chicago
Alderman Edward M. Burke Chairman
.312-744-3380
Telephone
February 18, 2011
For Official Use Only: Ward:
Intro. Date:_
li'Mi'Mili'MM iil'TI'I'li'MI'1'1.....M-i-1 - iiiMllt'ii i"l
Status:_ Reason:
020*001*********3-DIGIT 607 VESTUTO, BETTE 2320 N NORDICA AVE #212 CHICAGO, IL 60707-2826
Claim Number: 1002543
Index Number: 1331107024 1200
Water Account Number:" 300370010192
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: JOHN RICE of Ward 36.
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.
STiJ fa 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Teleph
Hone
February 18, 2011
- i m 111111111 - ■ ■ i -11 ■ ■ i <i■■ 1111 --■i■ 111 ■ -■■ -1 -1 ■i■■ ■ ■ -1-11-1 -
011*001*******5-DIGIT60634 PASTORINO, MARIE A. 7707 W IRVING PARK RD CHICAGO, IL 60634-2188
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000600
Index Number: 1224100111 1040
Water Account Number: 119151790806
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: JOHN RICE of Ward 36.
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 MftRlg ft PA5TO/3jk1Q the undersigned, on oalh, 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 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^^"U^w^ C? Pc<aA^X^ATE oljol3 jl I__
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
Commitlee on Finance City Hall Room 302 60602 ww.commilleeoiifinance.oru;
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■'llnlllllliliilulll-ilMiill-li-lil"nlhiiilhililil
Status:_ Reason:.
011*001*******5-DIGIT 60634 PRIES, WINNIE U 8350 W ADDISON ST APT 206 CHICAGO, IL 60634-1925
Claim Number: 1000765
Index Number: 1223224043 1013
Water Account Number: 474688474688"
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualities 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 date this application and return it to your ward office before July 1, 2011.
I PRUTS vAf//VN/£ - (J < 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, 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
|,|||||l|ll|||l||||.|||ll.|,|||,|ll|.l,ll,|,|||||ll.||l||l|||||
011*001*******5-DIGIT60634 EDENS. WALTER 8359 W ADDISON ST CHICAGO, IL 60634-1957
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018761
Index Number: 1223400007 1010
Water Account Number: 300585655324
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: JOHN RICE of Ward 36.
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 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,
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 ofthe 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 Joj^aU/es for perjury of falsification herein.
OWNER SIGNATURJf^? J^^^,C^4^^DATE <?°? " <&&//
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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 City Hall Room 302 60602 Telephone
February 18, 2011
iiii||iii--iiiii|i-i---iiiiiif|i--|i-iii-|iiii|iiiii-|i|--11-111
019*001 *********3-DIGIT 606 TABERT, RONALD T. 8465 W LAWRENCE AVE APT 2A CHICAGO, IL 60656-2965
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018242
Index Number: 1214101053 1017
Water Account Number: 300585655583
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: JOHN RICE of Ward 36.
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 this application and return it lo your \wd office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and slate 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, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to Ihe City of Chicago have been paid and that I understand am subject to penalties for perjury of falsification herein.
OWNER SIGNATUrWc^^*^*^'^ DATE.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
11! 11' 111111 I' 1111111MI' 111111111111' 11 -111 - -111' 1111 -111M -111
Status:_ Reason:.
020*001 *********3-DIGrT 607 LEPLEY, ANTHONY A 2333 N NEVA AVE # 208 CHICAGO, IL 60707-2820
Claim Number: 1023278
Index Number: 1331107024 1072
Water Account Number: 499321499321
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualities 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.
Please Print Name
depose and stale lhal 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 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago. IL 60634
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
Telephone 312-744-3380
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:___
!■'i J hh ■ r'l j'-i "I ■ 111 ■ ri ■ ■ i J ■ ri1-I i f "i I1.....'i--|i|ii||Mr
Status:_ Reason:
020*001*********3-DIGIT 607 GONZALES, JUANA L. 2317 N NEVA AVE APT 11 IA CHICAGO, IL 60707-2830
Claim Number: 1020805
Index Number: 1331.107024 1123
Water Account Number: 30037001019Z
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: JOHN RICE of Ward 36.
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 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, w Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, LL 60634
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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February. 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
Ix-'i'-'i'-ll'-'Oililh-'l-i'l-l'ii-ili-il-lilrn'liM1
Status:_ Reason:.
020*001*********3-DIGIT 607 KULFAN, ANTONI 2333 N NEVA AVE APT 3IOC CHICAGO, IL 60707-2847
Claim Number: 1023232
Index Number: 1331107024 1090
Water Account Number: 499321499321
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: JOHN RICE of Ward 36.
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 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.
_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 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.
Very Truly Yours, ' Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
020*001*********3-DIGIT 607 KOZIEL, CHESTER 2320 N NORDICA AVE # 403 CHICAGO, IL 60707-2826
Minn
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023277
Index Number: 1331 107024 1215
Water Account Number: 499321499321
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: JOHN RICE of Ward 36.
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 date this application and return il lo your ward office before July 1, 2011.
CHESTER Kq-zle.L
the undersigned, on oath, Please Print Name
depose and slate 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and lhal I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. Very Truly Yours,
f^t&^< /^g/^DATE OJt /tt
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
^fS^228
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
(111(111 -11 -' -' -1 - -1 -' 11111 > 111111111 *1 * 11'''1111111111111111 * 11
Status:_ Reason:
011*001*******5-DIGIT60634 ANTONACCI, MINNIE A. 3207 N NOTTINGHAM AVE APT 3B CHICAGO, IL 60634-4545
Claim Number: 1016799
Index Number: 1319328046 1007
Water Account Number: 300139045253
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: JOHN RICE of Ward 36.
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 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
undersigned, on oalh,
Please Print Name
OWNER SIGNATUR1
"*S£?*'228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 1'8, 2011
020*001*********3-DlGIT607 MC CLANAHAN. VIRGINIA O. 6974 W DIVERSEY AVE APT IS CHICAGO. IL 60707-1730
ll'll'l
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020462
Index Number: 1330133043 1004
Water Account'Number: 498866498866
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: JOHN RICE of Ward 36.
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.
[ Vi k G- (Mi ft 0- M C C j. /] r/ft // heundersi gned. 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 ^^9t^<uat>- 0 - W)g C J^^p^^_3- - ~2-b - £L.O (/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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 Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-11 - - -111 -1' -111 i I -11111' -1'11111'11' I' I'1' 111111111111' 11111'111
Status:. Reason:
011*001*******5-DlGIT 60634 OLVERA, OFELIA R. 7707 W IRVING PARK RD APT 108 CHICAGO. IL 60634-2136
Claim Number: 1019059
Index Number: 1224100111 1008
Waler Account Number: 475030475030
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: JOHN RICE of Ward 36.
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 il 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
li'i'i'-ihil ll-i1'■■['il r-ir hi--l-'MMril-■ iill-M-l-'lht
Status:_ Reason:.
01 l*001*******5-DIGIT 60634 DOMBROWSKI, BERNICE R. 8350 W ADDISON ST APT 303 CHICAGO, IL 60634-1926
Claim Number: 1019450
Index Number: 1223224043 1017
Water Account Number: 474688474688
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: JOHN RICE of Ward 36.
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.
M. M / C t the undersigned, on oath.
depose and state lhat 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 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, lhat all water taxes, properly 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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.
ijwvu-^ DATE £ ~ 2 ^ I I
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance Cily Hall Room 302 60602 www.comni i 1 leeonfi nance, org
Telephone 312-744-3.380
February 18,2011 . . ' ■■
i i i-1, 11 n-1 -1 - - -,,i-11, -1 -111 -11■11 -11 -11111 -11111 -1111 ■ -
020*001*********3_Digit 607 URBAN, CLAIRE M 6974 W DTVERSEY AVE APT 3N CHICAGO, IL 60707-1730
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020463
Index Number: 1330133043 1003
Water Account Number: 498866498866
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: JOHN RICE of Ward 36.
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 date this application and return it lo 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 ofJanuary 1, 2011, thai 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.
OWNER SIGNATURE ^AjjE ^, Ufli/W DATE Q^W-^Olf
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
020*001*********3-DIGIT 607 ARPAJA, ROSEMARY 2147 N HARLEM AVE CHICAGO, IL 60707-3274
Claim Number: 1011691
Index Number: 1331118036 1008
Water Account Number: 300370008007
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: JOHN RICE of Ward 36.
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 il to your ward office before July 1. 2011.
Ar PA / /7 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, 201 1, that I am the owner of record of said real estate property 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 Secdon 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 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 JOHN RICE Attn: JOSPHINE 6839 W BELMONT Chicago, IL 60634
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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
II,.!!,!!,!.,,!!!!.!!,,!,,)!,!,!!!,),!!,,!,!!,!!,,!!,,,,,.,!!,,,
Status:_ Reason:
0i9*001*********3-DlGiT 606 ROCHWICK, LILA J. 4624 N COMMONS DR UNIT 409E CHICAGO, IL 60656-4206
Claim Number: 1016704
Index Number: 1214112025 1048
Water Account Number: 300585655553
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: JOHN RICE of Ward 36.
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 (■ / /4 \J, (3.0C H \A/ 1 C the undersigned, on oath,
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.
OWNER SIGNATURE L?6i^> g . /Q^Ar^^U^ DATE_Z - 3. V - ?~Q I I
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
1111 -11111 n11 - -1111111 -1 -1 -11 > > m > i1 > i > -11 > -1 > 111 - -11E11 h 11111
Status:_ Reason:
020*001 *********3-DIGIT 607 BENAGES, ADOLPH & HILDA 2131 N HARLEM AVE REAR 230 CHICAGO, IL 60707-3249
Claim Number: 1015886
Index Number: 1331118040 1016
Water Account Number: 300370008045
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: JOHN RICE of Ward 36.
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 properly 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 lo your ward office before July 1, 2011.
he undersigned, on oath,depose and state that I am the applicant in the application, lhal 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 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.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
j i ri: i ■ -1111,!11-1-11■11■■111-■i -1-11-1-■ i ■11 -11 ■ i - ■ -111
011 *001 *******5-DIGIT 60634 COPELLO, CATHERINE 6564 W ROSCOE ST APT 1W CHICAGO, IL 60634-3807
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003567
Index Number: 1319412032 1004
Water Account Number: 300139051654
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualifies lor 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 this application and return it to your ward office before July 1, 2011.
I /C /fTl-fe'rZlt^t: Ccl^LL o the 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 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 City of Chicago, thai 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.
DATE 3 - J- ■/ - 11
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
i:()M
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■hlluhl^ir-hHilUH"-llHlliH"lTlillill'MI11
Status:_ Reason:.
011*001*****+*5-DIGIT 60634 JEWETT, JULIA T. 7707 W IRVING PARK RD APT 310 CHICAGO, IL 60634-2137
Claim Number: 1000606
Index Number: 1224100111 1032
-Water Account-Number: 119151790806
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: JOHN RICE of Ward 36.
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, 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.
Very Truly Yours, '-' W Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
■■Iniiil-'liliXIII'-'-Xi'-iil-l-'ll'iliM-in'-i-l1
Status:_ Reason:.
011*001*******5-DIGIT 60634 MORAZON1, VIOLA M 8350 W ADDISON ST APT 203 CHICAGO, IL 60634-1925
Claim Number: 1000774
Index Number: 1223224043 1010
Water Account Number: 119161793154 "
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: JOHN RICE of Ward 36.
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.
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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:_
l,illll,ri,ll,ll,ll,illll,,,il,iiilili,,l,llil,,li,l,llllilllM
Status:_ Reason:.
011*001*******5-DIGIT 60634 SANDEFUR, ALMA R. 6561 W SCHOOL ST APT 203C CHICAGO, IL 60634-2991
Claim Number: 1017939
Index Number: 1319431034 1056
Waler Account Number: 777700100263
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: JOHN RICE of Ward 36.
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, 2014.
f U the undersigned, on oalh,
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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER signatur;
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,.1|||.||.||I,III,||,.|.||,I1|||.T|I|III,|II||I.I|.|.|.|.||
Status:_ Reason:.
020*001 *********3-DIGIT 607 PEREZ, FRANCISCO 2155 N HARLEM AVE CHICAGO, IL 60707-3226
Claim Number: 1015885
Index Number: 1331118034 1001
Water Account Number: 300370007974
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: JOHN RICE of Ward 36.
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 Ihe properly 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, 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 underslancW^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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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 SIGNATU
ZSJtUL+-&-, j> Q ffiyfr DATE 3-V /)
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111111111 - -111 > -11 -11 -111 - >11.....-i-li-l-'ll'll-hiiMII
Status:_ Reason:
011 *001 *******5-DIGIT 60634 ST. MARIE, DANIEL R. 3207 N NOTTINGHAM AVE # 1A CHICAGO, IL 60634-4580
Claim Number: 1018794
Index Number: 1319328046 1001
Water Account Number: 300139045253
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualities 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 pfililZt- (Z, ^-r. fi^^^tf< the 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 1 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
OWNER SIGNATURE
'4^6- DATE
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011'
||,||||l,|,.|l|l,l,l|l||,,||l|,|l||||l|llll|l|l||,l|l,l||l,,l|,
020*001*********3-DIGIT 607 CASSANO. MARGARET 7190 W DICKENS AVE CHICAGO, IL 60707-3809
For Official Use Only: Ward:_____
Intro. Date:_
Status:_
Reason:_
Claim Number: 1010992
Index Number: 1331118041 1001
Water Account Number: 300169013708
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: JOHN RICE of Ward 36.
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.
_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, thai 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 IWCVU^CXA^t <2 dL^om^ DATE_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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^^^t> 228
City of Chicago
Alderman Edward M. Burke Cliairman
Committee on Finance
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_■
Intro. Date:__
i> >'Mii-i-I---I I --Mi-IMImI--lIMl-MiMmIM-1111.....'i-111.
Status:_ Reason:.
020*001 *********3-DIGU 607 CONNER, JUDITH A. 2333 N NEVA AVE APT 315C CHICAGO, IL 60707-2848
Claim Number: 1002522
Index Number: 1331107024 1095
Water Account Number: 300370010192
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application lor the Senior Citizen's Sewer Rebate was presented to the City Council by: JOHN RICE of Ward 36.
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 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, VJ Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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.
^Al Qy(L^^ DATE ^/^ycPD//
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
"i"1"11!-1!.....'■iiiTl-lTi-l'ir'-i'r'i'NI'iM'il
Status:_ Reason:
020*001*********3-DIGIT 607 GERNER, RICHARD J. 2218 N NEWLAND AVE APT 402 CHICAGO, IL 60707-3358
Claim Number: 1019281
Index Number: 1331115024 1026
Water Account Number: 499301499301
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, ihe 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
^?/C£7<U?D J'&&R fj"SJf 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:_
I'llrO'-i'-l'-iiii-IIXih'lillhli-liilll'l-i'-iiill-il
Status:_ Reason:.
020*001*********3-DIGIT 607 ^XPi Ke P M FY ft, GPl? AI DINF-M & JEANETTE M. STAFFA V-^/^oe-/ 2218 N NEWLAND AVE CHICAGO, IL 60707-3341
Claim Number: 1000780
Index Number: 1331115024 1021
Water Account Nurhber: 300360038216 '
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: JOHN RICE of Ward 36.
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 ofthe City of Chicago, lhal 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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, 201 I
City of Chicago
Telephone 3L2-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019655
-'-■I'-l'-l'-lin'il'-'hhhil-'lliili'ii-lrlilll'i'i-l-i
01 l*001*******5-DIGIT 60634 WLODARSKI, MARIE 7117 W BELMONT AVE APT IC CHICAGO. IL 60634-4547
Index Number: 1330101036 1007
Water Account Number: 475588475588
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: JOHN RICE of Ward 36.
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.
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 subject to penalties for perjury of falsification herein.
DATE
OWNER SIGNATURE. Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
4
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.II.,.,,!!.!.!,!!!!,!!!,!!.!!,!!!,.!!,)!!!,,,!!!,!,,,,,,!.,!!
11
Status:_ Reason:.
020*001 *********3-DIGIT 607 CIECKO, SOPHIE 2325 N NEVA AVE APT 41 IB CHICAGO, IL 60707-2842
Claim Number: 1006165
Index Number: 1331107024 1047
Water Account Number: 300370010192
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: JOHN RICE of Ward 36.
To determine whether your condo/co-op/townhouse qualities 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 il 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 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 JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
♦■^s*^228
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
,||ll|l|l,||l||lll,|||||,l|,|||l||,ll|||.|||il|.|.|||l.|,|l.
Status:_ Reason:.
011*001*******5-DIGIT 60634 BORATYN, JAN
3258 N HARLEM AVE UNIT 405 CHICAGO, IL 60634-4779
Claim Number: 1022519
Index Number: 1224431028 1025
Water Account Number: 744774607838
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: JOHN RICE of Ward 36.
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 verily lhat 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 that I am Ihe 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 ofthe Municipal Code ofthe City of Chicago, thai all waler 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.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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.
Alderman Edward M. Burke Cliairman
February 18, 2011
City of Chicago
II,!,,,!,!,,!,!,,!,,,.,,!,!!,.!)!.).!),!!,.!!.!!!!,.!!.,,!.!
020*001 *********3-DIGIT 607 O'ROURKE. ALICE M. 2037 N HARLEM AVE AFT IE CHICAGO, IL 60707-3128
Index Number: 1331124049 1001
Waier Account ^Number: 499308499508
Telephone 3L2-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020508
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: JOHN RICE of Ward 36.
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.
the undersigned, on oath,
Please Print Name
depose and state that T 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.
Very Truly Yours,
Edward M. Burke
lerstana i am subject to penalties n
DATE <D--rS*oL'- //
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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:.
020*001*********3-DIGIT 607 ROBERTS, FRANCES 2317 N NEVA AVE APT 201A CHICAGO, IL 60707-2831
Claim Number: 1017257
Index Number: 1331107024 1129
Water Account Number: 300370010192
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: JOHN RICE of Ward 36.
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 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.
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 Secdon 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman JOHN RICE Attn: JOSPHINE 6839 W. BELMONT Chicago, IL 60634
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
228