Office | Exemption Information Page 1 of 1
Office of Cook County Treasurer - Maria Pappas
Cook County Exemption Information
Property Index Number (PIN): 13-18-410-034-1029 (This information is updated every Monday.)
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2009 |
Homeowner Exemption Received: |
YES |
YES |
YES |
YES |
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Senior Citizen Exemption Received: |
YES |
YES |
YES |
YES |
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Senior Freeze Exemption Received: |
NO |
NO |
NO |
YES |
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Cook County Treasurer's
O Phimi
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2/10/2011
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
Chairman mnv.commilleeiinfinance.iirg 312-744-3380
February 18, 2011
lrliillililllM'llrliliillihlllilillhllr'lll''illlllllih
01 l*001*******5-DIGIT 60634 ALBARACIN, CARMEN 6460 W BELLE PLAJNE AVE # 5A CHICAGO, IL 60634-5613
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018444
Index Number: 1318410033 1037
water Account Number: 777700057795
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: THOMAS ALLEN of Ward 38.
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^eVAA***^ 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 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 I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE (^Qt^j^tf^A <&&aA& 6mDATE ^/^-^/f/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
llli-llili-l-llrllllll'Tl-l-lii-i-ll-illlllll-liiillnil
Status:_ Reason:.
01 l*001*******5-DIGIT 60634 ALMARIA, SUSANA R. 6400 W BERTEAU AVE APT 208 CHICAGO, IL 60634-1487
Claim Number: 1020610
Index Number: 1318409069 1008
Waler Account Number: 473759473759 -
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: THOMAS ALLEN of Ward 38.
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. Tf the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I 3if5ftN' A* ft, f\ LM<\£l/>t 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 I. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
'I'hiili'nllilllllli'-'N-l'lii'il-lliililil-'-iillil-iil
011*001 *******5-DIGIT 60634 ANDERSON, JENNIE & VIRGINIA 6400 W BERTEAU AVE APT 311 CHICAGO. IL 60634-1482
For Official Use Only:
Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017628
Index Number: 1318409069 1024 Water Account Number: 7777001 3942 i
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: THOMAS ALLEN of Ward 38.
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.
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 1 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 fb"r perjury of fa\^^cati^\^^^ru^^
OWNER SIGNATUREy^^t^A^&^fri ^7d^2' Z & /I
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
I -11 -111111111 -1111 -11 -1 -'11 -1 -1 -1 -11 -1 -11 -111 > I'-'11111 -1 -111
011*001*******5-DIGIT 60634 BANKE, LILLIAN 6461 W WARNER AVE CHICAGO, IL 60634-6222
Status:_ Reason:.
Claim Number: 1018820
Index Number: 1318409069 1191
Waler Account Number: 777700165955
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: THOMAS ALLEN of Ward 38.
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 ^/LL-iAAf jQAA/'/^Z 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, thai all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
1111 -1111 -111111111 j 11 - -11111 r -11J -111 -J11111111 -' - -111111 -1! - - m
011*001*******5-DIGIT 60634 BARGI, MARIO
4106 N NARRAGANSETT AVE APT 511 CHICAGO, IL 60634-5407
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1015850
Index Number: 1318411004 1044
Water Account Number: 777700033325
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I f^) Pr?\ j O TV*^ A J the undersigned, on oath. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or thai I have a legal or equitable interest therein, 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 lo 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,
l^asv**rr~ "Boa^. date_^
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111 ■ ■ ■ 11 f11111.111 ■ 111 ■ i ■ 11111 ■ I ■ - ■111 ■ 1111 > ■ 111111 ■ i ■ H111 ■ ■ > i
Status:_ Reason:.
011*001 *******5-DIGIT 60634 BARLOW, JUANITA 4210 N NATCHEZ AVE APT 501 CHICAGO, IL 60634-6240
Claim Number: 1022277
Index Number: 1318409074 1040
"Water Account Number:"47334547335"
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: THOMAS ALLEN of Ward 38.
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 dale 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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.
228
Alderman Edward M. Burke Chairman
City of Chicago
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll-'l-ii-'lli'-xi-i'l'i'li"-!!!!-!!-'!!-'!'-'!!-!'!!1
Status:_ Reason:
011 *001 *******5-DIGIT 60634 BARTAKOVICS, FRANK 6401 W BERTEAU AVE APT 502 CHICAGO, IL 60634-6220
Claim Number: 1021538
Index Number: 1318409069 1105
Water Account Number: 473756473756
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: THOMAS ALLEN of Ward 38.
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
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 to the City of Chicago have been paid and that 1 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
your ward office before July 1, 2011.
.the undersigned, on oath.
Please Print Name
OWNER SIGNATURE.
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 3 L2-744-3380
February 18, 2011
II.,!!!,!,.!!,!,,!.,!,,!,,!!,!.!!!,.!!!!!,.!,,,,!!!!!!.,!!,!.!.
011*001*******5-DIGIT 60634 BARTLETT, JOE H
6400 W BELLE PLAINE AVE APT 408 CHICAGO, IL 60634-1465
Index Number: 1318410035 1030
Water Account Number: 616033473727
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022885
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: THOMAS ALLEN of Ward 38.
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 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 SIGNATU
DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■-I'li-l-h-llill-'i'-M-lil-M'-lil'i'l'h-lilirhli
Status:_ Reason:.
011*001 *******5-DIGIT 60634 BARTON, JOSEPH M. 6540 W IRVING PARK RD APT 401 CHICAGO. IL 60634-6430
Claim Number: 1021396
Index Number: 1318409033 1021
Water Account Number: 431135431135
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: THOMAS ALLEN of Ward 38.
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 I, 2011, lhal 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 thajj understand I am subject tp penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
■^Ss^228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only: Ward:
Intro. Date:_
iiIiiiHIiHIIHIHiiiiiI"iHii"i-ii-IHiiItIiIiItIii
Status:_ Reason:.
0ll*001*******5-DIGIT 60634 BASICH, ESTHER
6455 W BELLE PLAINE AVE APT 310 CHICAGO, IL 60634-5617
Claim Number: 1015497
Index Number: 1318411006 1020
Water Account Number: 7//700052332
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: THOMAS ALLEN of Ward 38.
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 Julyi, 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 SfGNATURE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephune
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|,I,|||1|III|111||||1TIII||,|1||I1||1|MI|I|II11|||||I|I||I||
Status:_ Reason:
01 i*00l*******5-DIGIT 60634 BEER, JEAN L
4160 N NATCHEZ AVE APT 310 CHICAGO, IL 60634-6233
Claim Number: 1020777
Index Number: 1318409069 1273
Water Account'Number: 524294524294
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: THOMAS ALLEN of Ward 38.
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 ~~&>hA (- ■ BirTc __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, 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 THOMAS ALLEN Ann: PEGGY 5817 W. IRVING PK. RD 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
DATE r^~^^-//
■^5^228
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
«■1 «i11111111 - ■«■ i -11 ■ 111 -11 ■ ■1 ■ ■i■1■■i1■i ■ i ■ 11 ■1 ■ ■ ■11111 ■ ■■11111
0| 1*001 *******5_DlGiT 60634 BENZINGER,ARLENE C. 6430 W BERTEAU AVE APT 304 CHICAGO, IL 60634-6248
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022575
Index Number: 1318409074 1067
Water Account Number: 473345473345
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Lfc/J£: Q.^gj£szjA$>G=££fiL- the undersigned, on oath, Please Print Name
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 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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I under^ind I am subject to penalties for perjury of falsification herein.
c?.
OWNER SIGNATURE
Very Truly Yours,
DATE
ltication m
■Ul
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
'iii"ll'r'il'l'll"i'ilil,"l,n"ri'lllili'l"l"lill'irl''
Status:_ Reason:.
011*001 *******5-DIGIT 60634 BERNACKI, BOLESLAW 6430 W BELLE PLAINE AVE APT 305 CHICAGO, IL 60634-5608
Claim Number: 1021508
Index Number: 1318410034 1016
Water Account Number:' 473721473721
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
illllllir'-lllil-l'hlMiil'll-'illl1rill'illiil'll-il'lli11
Status:_ Reason:.
011*001*******5-DIGIT 60634 BEZANES, OLGA 4100 N NEENAH AVE APT 202N CHICAGO, IL 60634-1469
Claim Number: 1020766
Index Number: 1318410032 1008
Water Account Number: 473715473715
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: THOMAS ALLEN of Ward 38.
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.
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, 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 understandAam 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 0,>y<^y//
*<^5^jfc» 228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|TT||I,|I||I,.II|I.||,II|||||II||I||||,||||I,||I|I|||||
Status:_ Reason:.
010*001 *******5-DIGIT 60630 BIEDRON, JOANN B. 4660 N AUSTIN AVE APT 102 CHICAGO, IL 60630-3132
Claim Number: 1020912
Index Number: 1317107194 1002
Water Account Number: 431075431075
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Commitlee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
-J -11 -1 - (11 h1 -111 -11' -1111 - -11 r i -11 -11111111 - -11 -111 u i111111111
011*001*******5-DIGIT 60634 BINKOWSKI. HARRY S. 4106 N NARRAGANSETT AVE APT 502 CHICAGO, IL 60634-5407
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000055
Index Number: 1318411004 1035
Water Account Number: 777700033325
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: THOMAS ALLEN of Ward 38.
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 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, 201
the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or thai I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours.
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
h-1r11m11r - - -1111111111II --f-1 - - -1111 111 -11 -11 - m 111 --11111
ii
Status:_ Reason:.
011 *001 *******5-DIGIT 60634 BLAHO, ELEANOR A. 6455 W BELLE PLAINE AVE APT 205 CHICAGO. IL 60634-1448
Index Number: 1318411006 1005
Water Account Number: 777700052332
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i5/J? Avar ft. /3t^//Ahe 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 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
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:_
IoIi-t'-III'-iOiI'-I-Ii-I-iVIi-I'I-"!-!!!!'!"!!'!-!!!!
Status:_ Reason:.
011*001*******5-DIGIT 60634 BLAHO, JOHN
6400 W BELLE PLAINE AVE APT 206 CHICAGO, IL 60634-1466
Claim Number: 1011631
Index Number: 1318410035 1006
Water Account Number: 777700069033
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: THOMAS ALLEN of Ward 38.
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.
i JOHN 0LBHO
Jhe undersigned, on oalh.
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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
on:*,
-h'l-i IM-irill-h'liihl'i Mi'-l'-'l II-i-l II11
010*001 *******5-DIGIT 60630 BLAKE. MARION 6050 W EASTWOOD AVE APT 305 CHICAGO, IL 60630-3160
.1,1,1,111
For Official Use Only: Ward: _
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023299
Index Number: 1317107209 1022
Water Account Number: 473599473599
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: THOMAS ALLEN of Ward 38.
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.
_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 lo the City of Chicago have been paid and that I undeKtand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ) ' I N-' A^C<V^DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
h -1 -111 -11111 -1 - - -11 -1 -11 >111 -1111111 - -1 -1111M111 m 111 -1 -11111
Status:, Reason
011*001*******5-DIGIT 60634 BLOCK, DENNIS B. 6430 W BELLE PLAINE AVE APT 302 CHICAGO. IL 60634-5608
Claim Number: 1009681
Index Number: 1318410034 1013
Water Account Number: 473721473721
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: THOMAS ALLEN of Ward 38.
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.
.the undersigned, on oath.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephune
February 18, 2011
lliil'llillllllMlliilnlllllhMlilllllll
010*001*******5-DIGIT 60630 BONCLER, ELEANOR V. 4660 N AUSTIN AVE APT 305 CHICAGO, IL 60630-3133
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1005321
Index Number: 1317107194 1032
Water Account Number: 300139005201
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: THOMAS ALLEN of Ward 38.
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.
undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUREi^^a^rt^ TT&m^J^ ^, DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Citv Hall Room 302 60602 Telephone
February 18, 201 1
I f" 11 ■ 11"1"" 11"'1"" M11111""1" l" I" 111111""" 11" I" 111" I" ■"" 11" I
011*001*******5-DIGIT 60634 BOYES, NORMA A. 6460 W BELLE PLAINE AVE APT 410 CHICAGO, IL 60634-1451
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019671
Index Number: 1318410033 1032
Water Account Number: 473719473719
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 \\f0l/tM¥\ ft- ftpy/fS the undersigned, on oath. Please Print Name /
depose and state that 1 am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^{fP^yHyq^ v/? rsjjZ4-^ DATE_ Altaian
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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-'i'i-lxio-hlhl-'-'ii-iMI'"-)-'!-^!-!)'!!-!'!!-!!11!
Status:_ Reason:.
011*001 *******5-DIGIT 60634 BRANDO, STELLA 6400 W BELLE PLAINE AVE APT 505 CHICAGO, IL 60634-1462
Claim Number: 1018764
Index Number: 1318410035 1038
Water Account Number: 777700069033
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: THOMAS ALLEN of Ward 38.
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.
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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|-lllllllllll-|lllllllllll-H-|ll|-|-|-h|-l-"ll|-lllllll
Status:_ Reason:.
010*001*******5-DIGIT 60630 BRUNO, BERN ICE 4702 N AUSTIN AVE CHICAGO, IL 60630-3185
Claim Number: 1000635
Index Number: 1317107195 1012
■Water Account Number: 123131939509
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: THOMAS ALLEN of Ward 38.
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 to your ward office before July 1, 2011.
CS /l/ O_the undersigned, on oath,
depose and slate 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 tare«r?property taxes, and aether fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 SIG
been paid and that I uj
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only: Ward:_
Intro. Date:
11 -1 -1111 -1 -11 -1 -111 - - h 1111 -1H i M IM111 - -1 -1 - - -1 - -111 -11111111
Status:_ Reason:.
0I1*001*******5-DIGIT 60634 BUDA. IRENE
6460 W BELLE PLAINE AVE APT 202 CHICAGO, IL 60634-1450
Claim Number: 1021112
Index Number: 1318410033 1002
Water Account Number: 473719473719
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i^irl-HIViilMM-llMiilllri»uliliili-l-,ll-l-lilli
01i*001*******5-DIGIT 60634 BUDN1CK, FRANCES A. 4106 N NARRAGANSETT AVE APT 304 CHICAGO, IL 60634-1597
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016852
Index Number: 1318411004 1015
Water Account Number: 777700033325
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
the undersigned, on oalh,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE<7^t^A<L &~ Ay^J/iAJ^- DATE_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
I -1111111 -11111' 1111 -1' 11 111111111M111111'111 *111 -111111' * I [ 11
Status:_ Reason:.
011*001*******5-DIGIT 60634 BUHLER, BARBARA A. 6455 W BELLE PLAINE AVE APT 307 CHICAGO, IL 60634-5617
Claim Number: 1019902
Index Number: 1318411006 1017
"Water Account Number:'473713473713
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: THOMAS ALLEN of Ward 38.
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.
I ~&A^AaZJ) J?. ~£utS£G/L_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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Telephone
February 18, 201
M11J111' I' II111-''1111111 111 -1 -' I - J1111111111' I'
011*001 *******5-DIGIT 60634 BUSCARINT, GENEVIEVE F. 4160 N NATCHEZ AVE APT 409 CHICAGO, IL 60634-6234
Ill-Ill1!
II
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019010
Index Number: 1318409069 1283
Water Account Number: 524294524294
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: THOMAS ALLEN of Ward 38.
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.
r_ A£/ J//the undersigned, on oalh.
Please Print Name
depose and state lhal I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER S\GNAT\3RE^£Ji^&^^Ls^ /6jjA^£LA^i^ DATE_Jl ■ AS~ -JO//
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 .i02 60602
Telephone
.312-744-3380
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■ 111. ■ 11 ■11 i 11111 ■ ■ I ■ 11 ■ f ■ 11111 ■ ■ ■1 r 11! 11M i ■ 11 ■ 111 ■1 ■ ■ ■ I ■11" ■ I
Status:_ Reason:.
011*001*******5-DIGIT 60634 CARON. ROBERT L. 6400 W BELLE PLAINE AVE APT 411 CHICAGO, IL 60634-1465
Claim Number: 1019410
Index Number: 1318410035 1033
Water Account Number: 616033473727
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: THOMAS ALLEN of Ward 38.
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 I, 2011.
I /?C fif* fi) I A , C^f fjo /|>the undersigned, on oath, Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am ihe 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Telephotie
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iIIi-I'iii1.....■lllliilllrllurlHllilrll'lllll"irlil
Status:_ Reason:.
011*001*******5-DIGIT 60634 CEFFALIO, ANNA 6401 W BERTEAU AVE APT 401 CHICAGO, IL 60634-6218
Claim Number: 1018277
Index Number: 1318409057 1087
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
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 (J_the undersigned, on oath,
depose and slate lhal 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
1 -1 h I - -11111111111111111' > I' 1111'' 1111 - -' MI i 1111' I - -111''11 111
Status:_ Reason:.
011*001 *******5-DIGIT 60634 CERVANTES, LUCY M. 6450 W BERTEAU AVE APT 205 CHICAGO, IL 60634-6241
Claim Number: 1019411
Index Number: 1318409074 1101
Waler Account Number: 473384473384 "
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: THOMAS ALLEN of Ward 38.
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
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 foLperjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
your ward office before July 1, 2011.
Please Print Name
OWNER SIGNATURE.
DATE £-2^- //
'SSI*'228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
III,!.!!!.,!!!.-!!,.!!,!!,!,!,!,!!,!,,,!,!,!!,,),!!,!!!.,!!!!.,.
Status:_ Reason:.
011*001*******5-DIGIT 60634 CERVANTES, LUPE 6450 W BERTEAU AVE APT 412 CHICAGO, IL 60634-6244
Claim Number: 1019412
Index Number: 1318409074 1134
Water Account Number: 473384473384
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: THOMAS ALLEN of Ward 38.
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.
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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-I'li-ll^i-'iillXni'i-rXi'il-'illl-liXi'-'-lili1-!1
Status:_ Reason:
011*001 *******5-DIGIT 60634 CHJPEI, EVA A.
4210 N NATCHEZ AVE APT 303 CHICAGO. IL 60634-6237
Claim Number: 1019055
Index Number: 1318409071 1016
Water Account Number: 473345473345
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: THOMAS ALLEN of Ward 38.
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 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 1 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Telepl
:pnone
February 18, 2011
■■lrhlillllll-ifllirll-lilii-illiilll-iill-l-ll---!-liil-lill-
011 *001 *******5-DIGIT 60634 CHRISTIAN, JOANNE 6450 W BERTEAU AVE APT 202 CHICAGO, IL 60634-6241
Index Number: 1318409074 1098 Water Account Number: 473384473384
For Official Use Only: Ward: _
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019363
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: THOMAS ALLEN of Ward 38.
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 to your ward office before July 1, 2011.
I "s<ig-^TneJ C^t-vA-Vx^cA 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 of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE Qt!-■^-'^^^ DATE ^f-*.-3 | i I_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Aide rman Edward M. Burke Cilv Hall Room 302 60602 Telephone
February 18, 2011
(V1247-I
011*001*******5-DIGIT 60634 CICERO, JEANETTE M. 4106 N NARRAGANSETT AVE APT 501 CHICAGO. IL 60634-5407
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:
Claim Number: 1018076
Index Number: 1318411004 1034
Water Account Number: 777700033325 "
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: THOMAS ALLEN of Ward 38.
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.
(2, / zf^vSiiAindersigned. 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 SKNATlJRE^^^^^y^^^^^ DATE __
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
llljji,,!.!.,!,!!!!!,,!!!!!!.!!.,!,,!),,,!,!.!!,!!
011*001 *******5-DIGlT 60634 CIELOCHA, THERESA I. 3746 N CENTRAL AVE APT 2E CHICAGO, IL 60634-2714
■'"'Il
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000054
Index Number: 1320219037 1013
Water Account Number: 300565611503
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: THOMAS ALLEN of Ward 38.
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.
|-/7/£/?fc5/7 J Cf fcLOdUp 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 SIGNATURi^^yi^^/ C'jtfjtvkstis DATE {) 2 _
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
«<^SJs>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
(»)2?74
-||||I|I-||I-||I|||I-IHIII-|-I|I-|||-II||I|I-|I-|I|-|||-I|I|
011*001*******5-DIGIT 60634 CIPOLLA, FLORENCE M. 6450 W BERTEAU AVE APT 212 CHICAGO, IL 60634-6241
Index Number: 1318409074 1108
Water Account Number: 473384473384
For Official Use Only: Ward: _
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020074
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: THOMAS ALLEN of Ward 38.
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 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 lo penalties for perjury of falsification herein.
OWNER SIGNATURE*^C>^g- ^tjklM^ DATE.
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
illr'l-'i-l'Xi'iliihii'-'llii'i-llili'-ln-l-'il11-11!!1
Status:_ Reason:.
011*001*******5-DIGIT 60634 CLAWSON, MELVIN L. 6455 W BELLE PLAINE AVE APT 401 CHICAGO. IL 60634-1480
Claim Number: 1010993
Index Number: 1318411006 1022
Water Account Number: 777700052332
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: THOMAS ALLEN of Ward 38.
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.
[ ft/\£ Uy (iV j . liA WS ah/ 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:.
Ward:_
Intro. Date:_
1111' 11' 1111111'' I < I'111111'11'1111 * *' I -1 -11' 1111' -11111' I > 11 >111
Status:_ Reason:.
011*001*******5-DIGIT60634 COSTA, SALVATORE 6540 W IRVING PARK RD APT 202 CHICAGO, IL 60634-2468
Claim Number: 1015567
Index Number: 1318409033 1002
Waler Account Number: 777700072649
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
the undersigned, on oalh.
depose and slate that I am the applicant in the application, that ihis is my principal place of residence as ofJanuary I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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-'lllll-l"I|-Illll"l<llllllhllli"lhll|-Ill"ll-Ill
Status:_ Reason:
011*001 *******5-DIGIT 60634 COUGHLIN, DOLORES M. 6441 W WARNER AVE APT 208 CHICAGO, IL 60634-6226
Claim Number: 1018685
Index Number: 1318409069 1128
Water Account Number: 777700146299
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: THOMAS ALLEN of Ward 38.
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 properly 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, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
llllll-l-ih'iilllNI-l-hl-ilnMM-llil-l-Til-ll-lil
Status:_ Reason:.
011*001*******5-DIGIT 60634 CRUZ, CATHERINE 6400 W BERTEAU AVE APT 411 CHICAGO, IL 60634-1488
Claim Number: 1021024
Index Number: 1318409069 1037
Water Account Number: 473754473754'
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: THOMAS ALLEN of Ward 38.
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 properly meets these requirements, you must sign and date this application and return it to your ward office before July I, 2011.
depose and state thai I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
111111111111 >' 11111111 -11111111' -11 -1' -111 -11 -' I -1111 -1 -11111 -1M
011*001 *******5-DIGIT 60634 CYGAL. RICHARD E 6460 W BELLE PLAINE AVE APT 305 CHICAGO, IL 60634-5614
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021717
Index Number: 1318410033 1016
- Water Account Number: 473719473719
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: THOMAS ALLEN of Ward 38.
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 >(t 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 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
Very Truly Yours,
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Citv Hall Room 302 60602 Telephone
February 18, 2011
j|ji:,ii,i,ll,illiM|iiij|lii,,.,ll|,|,|M|l||||.i,
011*001 *******5-DIGIT 60634 CZECH, ROSELLE A. 6400 W BELLE PLAINE AVE APT 307 CHICAGO, IL 60634-1463
IMi1
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1015253
Index Number: 1318410035 1018
Water Account Number: 777700069033
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: THOMAS ALLEN of Ward 38.
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.
rsigned. 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, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE /C faUAsLt-^ O^WL DATE
U
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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:_
i111111111j ■ n ■ 11 111111111111 ■111■'11. i111 ■11111 n1 ■ ■ i1111■■1
Status:, Reason:
011*001*******5-DIGIT 60634 DEKAS, EVELYN F. 6430 W BELLE PLAINE AVE CHICAGO, IL 60634-5607
Claim Number: 1009672
Index Number: 1318410030
Water Account Number: 777700062124
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: THOMAS ALLEN of Ward 38.
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.
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 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 1 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IImIII,,!,,,!!!,!!!!,,!!!,!!!,,!!.,.,,,.,,!!,,!,!,!!.!,),.!,!,,
Status:_ Reason:
011*001*******5-DIGIT 60634 DELANEY, NORINNE 3746 N CENTRAL AVE APT 3B CHICAGO, IL 60634-2717
Claim Number: 1002361
Index Number: 1320219037 1018
Water Account Number: 300565611505
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: THOMAS ALLEN of Ward 38.
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 il lo your ward office before July 1, 2011.
I aJ oPi QiO \\ g-L-p,v> £- ^ the undersigned, on oath,
depose and state thai I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code 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 lhat I understand"! am subject to penalties for perjury of falsification hereinr
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman .will introduce it on your behalf.
Please Print Name
DATE.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Rnnm 302 60602 Telephone
February 18, 2011
1111 > 111 ■" M" ■11" ■ ■ 1111 ■ ■1 ■ I" 1111 ■ -11111 ■ i1 ■ ■1 ■ ■ 111 i ■ ■" i11 ■ 11
010*001 *******5-DIGLT 60630 DONALDSON. E. PATRICIA 4660 N AUSTIN AVE APT 203 CHICAGO, IL 60630-3181
For Official Use Only: Ward:__
Intro. Date:.
Status:_
Reason:_
Claim Number: 1001414
Index Number: 1317107194 1016
Water Account Number: 300139005201
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: THOMAS ALLEN of Ward 38.
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 ward office before July 1, 2011.
I £>PAT7?,(?/A VOr/AUDSON 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 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 SIGNATUR
E^ 8oJn^<^hm<M^^ date 2iP- <&2, Mil
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
■*fK?!£228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, .2011
For Official Use Only:
Ward:_
Intro. Date:_
- -1111 -1 -11H11 -111 > -1 -1 -1111 -111111111 -111 -11 -1111111 -E11 - - -1111
Status:_ Reason:.
011*001*******5-DIGIT 60634 DORAN, JOHN
6455 W BELLE PLAINE AVE APT 403 CHICAGO, IL 60634-1449
Claim Number: 1018860
Index Number: 1318411006 1024
Water Account Number: 777700052332
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: THOMAS ALLEN of Ward 38.
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 oalh,
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.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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:_
11 - -11 -11 -1 -1111 -111111(111111111 -111111! 11 1111 - - -1 -11 -11M -' 11
Status:_ Reason:
011*00l*******5-DlGIT60634 DOUGAN, BETTY J. 6526 W IRVING PARK RD APT 202 CHICAGO, IL 60634-2466
Claim Number: 1015254
Index Number: 1318409032 1002
Waler Account Number: 431T39431139
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: THOMAS ALLEN of Ward 38.
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,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that 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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
'lease Print Name
OWNER SIGNATURE.
DATE % % " I I
'Sg»>22e
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'i11U1111111'!' 111 -' I' 11111' -111' IIII -1'I - -11 -1'-11111' 11 11' 11
Status:_ Reason:
011 *00l *******5-DIGIT 60634 DOUGLASS, EVELYN E. 6400 W BERTEAU AVE APT 306 CHICAGO, IL 60634-1482
Claim Number: 1017643
Index Number: 1318409056 1034
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject ta penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
ifjSthe undersigned, on oath.
Please Print Name
OWNER SIGNATU
^ATE j- ' ^ 3 j
'$^|5^^ 228
Alderman Edward M. Burke Chairman
February 18, 201 1
City of Chicago
11 <1111 -1 < -1 - <11111 m i - -1111 -11 r11111 -1111111111 - -111 -1 -1 -111 - > i
01i*001*******5-DIGIT 60634 EIRJCK, ROSEMARY 6441 W WARNER AVE APT 507 CHICAGO, IL 60634-6230
Index Number: 1318409057 1172
Water Account Number: 777700146299
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018838
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: THOMAS ALLEN of Ward 38.
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
O S/^ KA /\ l^ y^y/F^/^e 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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code 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
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro Date:_
11111111M-1111 -1 -11 - h i -1 >11.111111M-111111111111 -1111 - -1111 -11
Status:_ Reason:
011*001*******5-DIGIT 60634 FABIANSKJ, FRANK 6401 W BERTEAU AVE APT 509 CHICAGO, IL 60634-6220
Claim Number: 1021539
Index Number: 1318409069 1112
Water Account Number: 473756473756
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: THOMAS ALLEN of Ward 38.
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.
_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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201
111111''' II -1 -1' M -1' >' 111 - - -111111111 -11111 -111 -1111 -111 -11' 1111
011*001*******5-DIGIT 60634 FILETTI, BEATRICE C. 6400 W BERTEAU AVE APT 404 CHICAGO, IL 60634-1488
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019550
Index Number: 1318409069 1030
Water Account Number: 473754473754
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath.
Please Print Name
depose and state 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 Cily 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 lo penalties for perjury of falsification herein.
OWNER SIGNATURE/^^cZ^ CiddsUl^^ DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
1111"'11111" 11111"11 ■ 11"' I" ■ 111'' I"11' I'11' ■1' 11111M11111111' 11
Status:_ Reason:.
011*001*******5-DIGIT 60634 GABRIELS EN, EMILY B 6433 W BELLE PLAINE AVE APT 311 CHICAGO, IL 60634-5611
Claim Number: 1002395
Index Number: 1318411005 1022
Water Account Number: 777700045945
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: THOMAS ALLEN of Ward 38.
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 &fWt~y (^\6ti<=lSSrJ lhe undersignedi on oatn?
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 ofthe Municipal Code ofthe City of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Name
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
■Ili-ll-'-li-liO'il'-'il-illo-inllilliii'lii'l1!-11-1!11!!
Status:_ Reason:.
011*001 *******5-DIGlT 60634 GAGLIANO, LOLA 4160 N NATCHEZ AVE APT 311 CHICAGO, IL 60634-6233
Claim Number: 1019335
Index Number: 1318409069 1274
Water Account Number: 524294524294
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: THOMAS ALLEN of Ward 38.
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 L&LA GAGi-lAtVO 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:' _
Intro. Date:_
lilHII'hllll,4il,hMr,Hril"llllll"Hrllllll'il111
Status:_ Reason:
011*001*******5-DIGIT 60634 GARIOTO, STELLA S. 6441 W WARNER AVE APT 306 CHICAGO, IL 60634-6227
Claim Number: 1018188
Index Number: 1318409057 1141
Water Account Number: 777700146299
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: THOMAS ALLEN of Ward 38.
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.
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, 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
«|S^>228
City of Chicago
Alderman Edward IY1. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111 -111111 -1 -'1 -1 - h 111' 11' I' 1111111111 -111' IM111 -' -1 f11 -1 -11''
Status:_ Reason:.
010*001*******5-DIGIT60630 GASKIN, JULIE
6050 W EASTWOOD AVE APT 108 CHICAGO, IL 60630-3175
Claim Number: 1015900
Index Number: 1317107209 1007
Water Account Number: 777700085850
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: THOMAS ALLEN of Ward 38.
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 stale 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 \ I
City of Chicago
Alderman Edward M. Burke Cliairman
Commitlee on Finance City Hall Room 302 60602 www.com m it teeonJi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lillT'll"liiilllll'lllii,lll,hll,ili,llilN"l,,lilllllll
Status:_ Reason:.
011*001 *******5-DIGIT 60634 GIACONE, THELMA J. 6300 W MONTROSE AVE APT 301 CHICAGO, IL 60634-5402
Claim Number: 1019845
Index Number: 1317117038 1007
Water Account Number: 473586473586
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: THOMAS ALLEN of Ward 38.
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 TH EL-fflfl. .T. C->-l fiCa A/g the undersigned, on oath,
depose and slate 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Chairman
City of Chicago
February 18, 2011
11111111'111111'11111'' * 11111 -1111' I - -1 '1' I' -11'11M111' 1111111 -
010*001*******5-DIGIT 60630 GIUFFR1DA, MARIO T. 6050 W EASTWOOD AVE # 206A CHICAGO, IL 60630-3176
Index Number: 1317107209 1014 Water Account Number: 777700085850
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018493
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: THOMAS ALLEN of Ward 38.
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.
Vl^/tSZ^/Z/M'the undersigned, on oath, Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am^aitfject to penalties for perjury of falsification herein.
'H£> f'
DAT
OWNER SIGNATUR
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
».*lfj3«.22e
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18,2011
UOJdlS
1 1111 > 11 ■11)1 ■ 11.11 h1 ■ i11 ■ i ■ 111 > h I ■ I > ■ ■ j 11 -1 ■11 j 11 111111 ■1 ■1
011*001 *******5-DIGIT 60634 GOODMAN, BENJAMIN Z. 6540 W IRVING PARK RD APT 604 CHICAGO, IL 60634-6432
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019667
Index Number: 1318409033 1044
Water Account Number: 431136461136
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: THOMAS ALLEN of Ward 38.
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.
I 6t^jami* £ooc/mG * 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 J^^^j^\ (^-s>"3 ^ DATE O j2 1 1
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
■*SI?»>22e
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
i-iM-Mhl-llilllili-,i,ililii,iil.....'"'iItiIiII'iiI'I
011*001*******5-DIGIT 60634 GORE, RAY V.
4160 N NATCHEZ AVE APT 405 CHICAGO. IL 60634-6234
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018763
Index Number: 1318409069 1279
Water Account Number: 777700178691
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: THOMAS ALLEN of Ward 38.
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
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 Cily of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I undersJ^ficTT^irn subject to penalties for perjury of falsification herein.
OWNER SIGNATU
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
Alrleniiaii Edward M. Burke Chairman
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l'lllllllll,'lll'lllllllllll"ll'lllll'l""l'll,llllll'l'l',llM
Status:_ Reason:.
011*001*******5-DIGIT 60634 GRABKOWSKI, TERESA 6526 W IRVING PARK RD APT 209 CHICAGO. IL 60634-2466
Claim Number: 1015214
Index Number: 1318409032 1009
Water Account'Number: 777700072670"
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: THOMAS ALLEN of Ward 38.
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.
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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 oath.
Please Print Name
DATE
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
^.ll,.!,!),!!,,,!!!!!!.!,,!!!!!.,!!!!,!!,!,!...,,!!!!,!!,
011*001*******5-DIGIT60634 GRECO, RUSSELL J 6460 W BELLE PLAINE AVE APT 211 CHICAGO, IL 60634-1450
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023246
Index Number: 1318410033 1011
Water Account Number: 473719473719
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to 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, lhal I am the owner of record of said real estate property or that I- have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE^^^^A^^,^^g<%?? DATE 3-/'///__
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
February 18, 2011
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1002411
.,l|11|1rll|1||ll||||Ti|.lll|l|ll|||.,ll.||rl,1l|
010*001*******5-DIGIT 60630 GREINKE. DOROTHY V. 4660 N AUSTIN AVE APT 314 CHICAGO, IL 60630-3182
Index Number: 1317107194 1041
Water Account Number: 4310/343 i 075
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: THOMAS ALLEN of Ward 38.
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
Please
_the undersigned, on oalh.
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, 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.
OWNER SIGNATURE^'^T^Jt,^ j^/fW^W^ DATE_
Very Truly Yours, ^
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l,hrHih'H'iil,llT"iilll,lliillilllil,l"l,lll,,'Hllll
Status:. Reason
011*001*******5-DIGIT60634 GROBOSCH, JOSEPH P. 6430 W BELLE PLAINE AVE APT 306 CHICAGO, IL 60634-5608
Claim Number: 1017576
Index Number: 1318410034 1017
Water Account'Number: 777700062124
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day 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, lhat 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
Chai rman wivw.comniitteeonfinance.orE 312-744-3380
February 18, 201 1
■iil'ilh'»lllriiHM-Vlllilil'Ml'hlil'Mllllhl
011*001*******5-DIGIT60634 GROENER, GENEVIEVE 6400 W BELLE PLAINE AVE APT 402 CHICAGO, IL 60634-1465 "
Index Number: 1318410035 1024
Water Account Number: 777700069033
For Official Use Only: Ward:_
Intro Date:.
Status:_
Reason:_
Claim Number: 1016858
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: THOMAS ALLEN of Ward 38.
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 il to your ward office before July 1, 2011.
Please Print 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 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=olderrand-other-wise qua!ify-for=a^
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 f understand I am subject to penalties for perjury of falsification herein.-".
OWNER SIGNATURE,
DATE 3-j--aaH_
Very Truly Yours,
Edward M. Burke . .
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: V
Alderman THOMAS ALLEN /" ' V ^ :
Attn: PEGGY ' .-. . V -: "-' ' '.' j
5817 W. IRVING PK. RD * Chicago, IL 60634 -
Please do riot 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
3J2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
llll|rl1ll|l|hl|lh|l|.l|l|l|llrl|lrlll.Tl||ll|l|l||l|l||l
Status:_ Reason:.
011*001 *******5-DIGIT 60634 GROSSMAYER, NICK M. 6455 W BELLE PLAINE AVE APT 406 CHICAGO, IL 60634-1449
Claim Number: 1011157
Index Number: 1318411006 1027
Waler Account Number: /77700052332
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: THOMAS ALLEN of Ward 38.
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 thai 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.
I M/C-fc jV) (yRyS&fjsAV'ii.y?'ihe 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 1 am the owner of record of said real estate property or thai 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, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
=>Sg»*228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3.380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
^ll,,,,,,!,,!,,.,,,!)!,!,!!,!!!...!,!!!!!,,,,!!,.!!,!.,,,!,!!!!,
011*001*******5-DIGIT 60634 GRUND, LOUISE R. 6430 W BELLE PLAINE AVE APT 310 CHICAGO, IL 60634-5608
Status:_ Reason:.
Claim Number: 1016814
Index Number: 1318410034 1021
Water Account Number: 777700062124
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: THOMAS ALLEN of Ward 38.
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 lloufs ^- ^ t GfKortP 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
011*001 *******5_DIGIT 60634 GUEVARA, AMELIA 6461 W WARNER AVE APT 309 CHICAGO, IL 60634-6208
Status:_ Reason:.
Claim Number: 1018537
Index Number: 1318409069 1207
Water Account Number: 777700165955
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: THOMAS ALLEN of Ward 38.
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 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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, 2011
For Official Use Only:
Ward:__
Intro. Date:_
i p 11 -11 n i11 < i1 -111 -11 -1111 -1 -1 -111111111 -11 - - 11 -111 -1 m i - - h i1
Status:_ Reason:.
011*001 *******5-DIGIT 60634 GUSKE, SHIRLEY F. 6430 W BELLE PLAINE AVE APT 202 CHICAGO, IL 60634-1454
Claim Number: 1009674
Index Number: 1318410030 1002
Water Account Number: 777700062124
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: THOMAS ALLEN of Ward 38.
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 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 lhal 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'iii-iiiiiiitIIiiii"iiHI"IIIIiItI-Ii-ii-iI'"'iIii'I
Status:_ Reason:.
011*001*******5-DIGlT 60634 HAAG, DAVID J.
6433 W BELLE PLAINE AVE APT 509 CHICAGO, IL 60634-5612
Claim Number: 1003631
Index Number: 1318411005 1042
Water Account" Number: 777700045945
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: THOMAS ALLEN of Ward 38.
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.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
■III'-HINtI".....'iill-io-'illii"!!"!!!-!!!1--'--!
Status:_ Reason:.
011*001*******5-DIGIT 60634 HEDRICK, CAROL A 6540 W IRVING PARK RD APT 510 CHICAGO, IL 60634-2469
Claim Number: 1021997
Index Number: 1318409033 1040
Water Account Number: 43 i 135431135
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this properly as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 Ihe 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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 ^ ~ //
■*g3g»>228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
011*001 *******5-DIGIT 60634 HICKSON, GLORIA 6401 W BERTEAU AVE APT 403 CHICAGO, IL 60634-6219
Claim Number: 1018480
Index Nu mber: 1318409069 1089
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
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 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Gl-Pftlft IflCKSO^ undersigned,
on oath,
Please Print Name
Alderman Edward M. Burke Chairman
February 18/2011
I-I0I--M-I1!---'I'-lh-'I'liii'llli-l'lll
010*001*******5-DIGIT 60630 HOLUBOVSKY, NANCY R. 4660 N AUSTIN AVE APT 105 CHICAGO, IL 60630-3132
Index Number: 1317107194 1005
City of Chicago
'IIN'Mlll'll"!!!!!1
Telephone 312-744-3380
For Official Use Only:
Ward: ._
Intro. Date:^__
Status:_
Reason:_
Claim Number: 1019452
Water Account Number: 431075431075
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: THOMAS ALLEN of Ward 38.
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.
' 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 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.
DATE c?A3///
Very Truly Yours,
OWNER SIGNATUR
nderstand 1 am subject to penalties lor p
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 -1! -11 > I - -11 - -1111 - -11 -1 -11111111111H1111 11 -1111 I -11 - -1111 -
Status:_ Reason:.
011*001*******5-DIGIT 60634 ILIES, GENOWEFA 7019 W IRVING PARK RD APT 6 CHICAGO, IL 60634-3674
Claim Number: 1023173
Index Number: 1319104056 1006
Water Account Number: 672461431102
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify lhat 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 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Gevoour-e-fq lilts
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:_
llllillllll|-lTl-|l'llllll»M-|llTllll'illll|-|-|ll-M
Status:_ Reason:
011*001*******5-DIGTT 60634 JANKOWSKJ, LAVERNE 6540 W IRVING PARK RD APT 208 CHICAGO, IL 60634-2468
Claim Number: 1019261
Index Number: 1318409033 1008
Water Account Number: 431136431136
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: THOMAS ALLEN of Ward 38.
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 /■ ft V fitfr^fc ZffJ-^A^OoJ^ k( 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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^rt^^^e-.(Q./SWf^s^^iA,' DATE
City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance City Hall Room 302 60602 www.ci mini i tteennfi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111|l|||lll|||l.1||l1|ll|Tl1.,||1l|lr,1|,||||||.|,ll|,l,||l1|
Status:_ Reason:.
011*001*******5-DIGIT60634 JARMUTH, ANNA M. 4106 N NARRAGANSETT AVE APT 209 CHICAGO, IL 60634-1589
Claim Number: 1018075
Index Number: 1318411004 1009
Waler Account Number: 777700033325
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: THOMAS ALLEN of Ward 38.
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.
(x/7^[q undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Chairman
February 18, 201
City of Chicago
Telephune 312-744-3380
For Official Use Only: Ward:
Intro. Date:_
Status:_
Reason:_
1111111'1111 - -11111111 -111' -11'11'111111' 11111 -1111 -1 -11M111111 -
010*001 *******5-DIGIT 60630
JOHNSON, HERMAN n . K, L ,nnoMO
6040 W EASTWOOD AVE Claim Number: 1008028
CHICAGO, IL 60630-3179
Index Number: 1317107204 1001
Water Account Number: 777700025195
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: THOMAS ALLEN of Ward 38.
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 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
DATE
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Commiltee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 201 1
noy-n'i
11111 - -111111111 -11!1111 -1111111 - - -1 1111 - r 1111111 -111 -1 -1 r11 -1 -1
011 *001 *******5-DIGJT 60634 JOHNSON, MARY A. 6540 W IRVING PARK RD APT 207 CHICAGO, IL 60634-2468
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018944
Index Number: 1318409033 1007
Water Account Number: 431135431135
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: THOMAS ALLEN of Ward 38.
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 il lo your ward office before July 1, 2011.
I /YW-V^ A. TO H A7S0 A/ the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the 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 >^ - %lSu^r>^ DATE ^ U~ J>° "
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18. 2011
011*001 *******5-DIGFT 60634
loo 5 J^SS- R0ZA
6530 W IRVING PARK RD APT 302C CHICAGO, IL 60634-6421
For Official Use Only: Ward: '
Intro. Date:_ Status: Reason:_
Claim Number: 1015417
Index Number: 1318409034 1012
" ' " Water Account Number:"473747473747
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: THOMAS ALLEN of Ward 38.
To determine whether your cohdo/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 dale 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 RoOyC- DATE 3" 7- H
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
-111 - -' 111111 -111' 1111'11 * 11111 -11111111111 -1 -''1 1111111' 11 (I -11
Status:_ Reason:.
010*001*******5-DIGIT 60630 JORGENSEN, KRISTIAN N. 6100 W LELAND AVE APT 302 CHICAGO. IL 60630-3047
Claim Number: 1005350
Index Number: 1317107203 1008
Water Account Number: 123131951911
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: THOMAS ALLEN of Ward 38.
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 fr?fa*>1~i H ■ 5<>KG-t:>JzeJ 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 l, 20! I, 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, 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 l SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Name
DATE_X ' 1/
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iill-llli-llllliiilllhl-iiiirlii»hl-lrlliliillillliiil
Status:_ Reason:
011*001*******5-DIG1T 60634 KARAS, MARIA
6430 W BELLE PLAINE AVE APT 509 CHICAGO, IL 60634-5609
Claim Number: 1021546
Index Number: 1318410034 1042
Water Account Number: 473721473721
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: THOMAS ALLEN of Ward 38.
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.
S~ 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, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lliOxi-hi'-li'N'-'llli'oi-'nliil'i'hl'li11!11-1!!111!1!
Status:_ Reason:
011 *001 *******5_DiGlT 60634 KARBACH, ANN J. 6461 W WARNER AVE AFT 215 CHICAGO, IL 60634-6207
Claim Number: 1019011
Index Number: 1318409069 1195
Water Account Number: 777700165955
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: THOMAS ALLEN of Ward 38.
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 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, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecl.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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
he 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:_
-1111 -11111 -1 -111 -1 - -11!11111111 -11 -1111 - - -11 - i -111111M111 - H1
Status:_ Reason:.
011 *001 *******5_DiGIT 60634 KARP, DOLORES A. 6430 W BELLE PLAINE AVE APT 510 CHICAGO, IL 60634-5609
Claim Number: 1018446
Index Number: 1318410034 1043
Water Accouiii Number: 47372147372 i
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: THOMAS ALLEN of Ward 38.
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.
0 the undersigned, on oath.
depose and stale lhal I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, v Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
3 J 2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i'i-I-i.....I - i1111 -1111Mi-11-'iI -111111<11m1111111[ 111 < 1111111
Status:_ Reason:.
010*001*******5-DIGIT 60630 KELLEY, JOSEPHINE M. 6111 W LELAND AVE # 302 CHICAGO. IL 60630-3000
Claim Number: 1011879
Index Number: 1317107202 1005
Water Account Number: 123131951959
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day 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, 201I.
I Jo&(stotJ i A/ If M - h/g U.G%q 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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
l,l|lrllll.|.||||ll.l||ll...||.lll.|ll.|l|,|.|||l||||.|||.ll
Status:_ Reason:.
011*001*******5-DIGIT 60634 KELLY, CLAIRE
6441 W WARNER AVE BLDG 7 # 304 CHICAGO, IL 60634-6225
Claim Number: 1018113
Index Number: 1318409069 1139
Water Account Number: 777/00146299
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: THOMAS ALLEN of Ward 38.
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.
I L~A-J?£ £ £//1* tne 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 ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
'SSS*'228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
I ■ 111111111■"" 11" 11II"111" 11111"1""11"11111" 11111111" 1111"I"I"111
Status:_ Reason:.
011*001 *******5-DIGIT 60634 KING, MARGARET J. 6401 W BERTEAU AVE APT 312 CHICAGO, IL 60634-6218
Claim Number: 1018297
Index Number: 1318409056 1081
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
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 ^1 *> J [/. jF-^A__the undersigned, on oath,
depose and state lhat 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 ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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 City Hall Room .'502 60602 Telephone
February 18, 2011
«M|T-1»i11111111 ■111 i ■ i ■11 ■ i111111111111 ■1111111111111
011*001 *******5_DIGIT 60634 KNUDSEN,J. ROBERT 6460 W BELLE PLAINE AVE APT 507 CHICAGO, IL 60634-5615
Index Number: 1318410033 1040
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1005335
Water Account Number: 777700057795
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day 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.
1 v), ^Ofofc.P.T [pWig* the undersigned, on oath. Please Print Name
depose and state thai I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or 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 lo penalties for perjury of falsification herein.
OWNER SIGNATURE. DATE w
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN C\JUU^
Attn: PEGGY
5817 W. IRVING PK. RD
Chicago, IL 60634
Please do nor 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
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
xi-iliil'-ll'l-'illr-i'iF-Oiilh'lii'lMlhlii'-il-i1
Status:_ Reason:.
011*001*******5-DIGIT 60634 KOETZ, DONNA M. 6461 W WARNER AVE APT 217 CHICAGO, IL 60634-6207
Claim Number: 1020136
Index Number: 1318409069 1197
Water Account Number: 473325473325
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: THOMAS ALLEN of Ward 38.
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,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 1'8, 2011
For Official Use Only:
Ward:_
Intro. Date:_
illlMN-l'iliuhrhlMl^nMlrllililMinlinll
Status:, Reason
011*001 *******5-DIGIT 60634 KOLAK, MIKE
6433 W BELLE PLAINE AVE APT 204 CHICAGO, IL 60634-1400
Claim Number: 1020767
Index Number: 1318411005 1004
Water Account Number: '473705473705'
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: THOMAS ALLEN of Ward 38.
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 to your ward office before July 1, 2011.
■ fVhff/= I/OLDIC^ gned, 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Alderman Edward M. Burke Chairman
City of Chicago
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11'1111' 111 - -11111
Status:_ Reason:.
011*001*******5-DIGIT 60634 KOLODZIEJ, WALTER C. 6401 W BERTEAU AVE APT 414 CHICAGO, IL 60634-6220
Claim Number: 1020073
Index Number: 1318409069 1100
Water Account Number: 473756473756
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: THOMAS ALLEN of Ward 38.
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.
s
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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Telephone
February 18, 2011
mill j
"1111111" 1111'" I * ■111'' 1111111111111' 11111111' I" 111M11 *"1' i
011*001*******5-DIGIT 60634 KONDILES, DIMITRA 6540 W IRVING PARK RD APT 602 CHICAGO. IL 60634-6432
For Official Use Only: Ward:
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017387
Index Number: 1318409033 1042
" Water Account Number: 777700072649 ---- "~ " -----
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: THOMAS ALLEN ol'Ward 38.
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 Ihese requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I Qi ftjtTfZft f(QfJDJL&&& 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 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^^TrZ^^L/^ 'fZ/y//^ ^? 3 /f
■ ~ /
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
«228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
11 -1111' 11 -1' 111 *111111'111 -1 ^ 11M11'' -' 111JI'' 1111 -' 11 -11
011*001*******5-DIGIT 60634 KOPOULOS. ELAINE M. 6540 W IRVING PARK RD APT 410 CHICAGO, IL 60634-6431
Index Number: 1318409033 1030
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021389
Water Account Number: 43 i 135431135
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: THOMAS ALLEN of Ward 38.
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 £ L/H/Vg . (A, ^CoPouLoS 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 waler 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.
OWNER SIGNATURE jkJUu*^ , M ■ j^f&uJlo^ DATE 3 ~3 //_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
I'1 j 11111111111M11111 -1111'11 -111 -1J11111111 - -1 -11111M -1' 11' I -1
Status:_ Reason:
011*001 *******5-DIGIT 60634 KOSCINSKI, ANTOINETTE 6316 W MONTROSE AVE # 203W CHICAGO, IL 60634-5404
Claim Number: 1001430
Index Number: 1317117038 1023
Water Account Number: 777700026747
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: THOMAS ALLEN of Ward 38.
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 fihJTpl rJ£,\T& H'o^KaJS^I the uncjersigned, 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 properly 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only: Ward:
Intro. Date:_
l-lNiil-illil-llT»ilirilliillli-lllll-l-il-lilrhil
Status:_ Reason:.
011*001 *******5-DIGIT 60634 KOTLARZ, JOSEPH L. 6530 W IRVING PARK RD APT 603 CHICAGO, IL 60634-6424
Claim Number: 1015424
Index Number: 1318408034 1043
Water Account Number: 777700085010
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: THOMAS ALLEN of Ward 38.
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.
I O^^E'TU L /^QfLARl- ___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 I, 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 waler laxes, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE.
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1""" 1111" 11 " 11111"11111" I" 11 ■"" I'' I'1""' I' 111 ■1111' I" 111" J' 11"'
Status:_ Reason:.
011*001*******5-DIGIT60634 KRAWCZYK, ANN MARIE 6530 W IRVING PARK RD APT 501 CHICAGO, IL 60634-2462
Claim Number: 1018495
Index Number: 1318409034 1031
-Water Account Number: 777700085010"
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: THOMAS ALLEN of Ward 38.
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 to your ward office before July 1, 2011.
I J)nn/\a#lf: KftlvlC^y k_the undersigned, on oalh,
depose and slate that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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-
V
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
llllrllllillllTlliil-lhll-lillii-liilllllliliilillllliilllll
Status:_ Reason:
011*001*******5-DIGIT60634 KRUK, ROMAN P.
6460 W BELLE PLAINE AVE APT 201 CHICAGO, IL 60634-1450
Claim Number: 1019649
Index Number: 1318410033 1001
Water Account-Number: 4737194/3719
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: THOMAS ALLEN of Ward 38.
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 slate that I am the applicant in the application, lhat 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
.the undersigned, on oath,
OWNER SIGNATURE.
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 3J2-744-3.380
February 18, 2011
11 h i - - -1 -1111111' 1111) 11 -1111 -1111 -1 -1 i 11111111 - r111 - -11111 -11
010*001*******5-DIGIT 60630 KRUPA, RALPH 4660 N AUSTIN AVE APT 201 CHICAGO, IL 60630-3181
Index Number: 1317107194 1014 Water Account Number: 300139005201
For Official Use Only: Ward:_.
■Intro. Date:.
Status:_
Reason:_
Claim Number: 1000214
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: THOMAS ALLEN of Ward 38.
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 il to your ward office before July 1, 2011.
r r?AL^r4 ^?L)^PA
Please Print Name
depose and state that I am the applicant in the application, thai 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 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 lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
.the undersigned, on oath,
OWNER SIGNATURE V^eX-JZt^. "t\k^W DATE. Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
> 228
City of Chicago
Alderman Edward M. Burke Chairman
Commitlee on Finance
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Illi'ln'-'-li-lilirliXi'il-'-iir1.....l-Hiri-i-i-11-1
Status:_ Reason:.
011*001*******5-DIGIT 60634 KUBICA, LORETTA H. 6540 W IRVING PARK RD APT 206 CHICAGO, IL 60634-2468
Claim Number: 1018146
Index Number: 1318409033 1006
Water Account Number: 777700072649
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: THOMAS ALLEN of Ward 38.
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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
: i i r.1: |. 11. i. i., 11 11.111. |. |, 111 11, |,.,,,., |
011 *001 *******5-DIGIT 60634 KUBOW1TCH. LEO 6461 W WARNER AVE APT 201 CHICAGO, IL 60634-6207
.1,1,1111
■llr'i'i
For Official Use Only: Ward:_ :
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020535
Index Number: 1318409069 1181
Water Account Number: 473325473325
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: THOMAS ALLEN of Ward 38.
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 il to your ward office before July 1, 2011.
I tBO KU///^^undersigned, on oath. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that 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 fp* perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
».-*J{S5fe.22B
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
|,||l||l|,||,|l|l,|||||l|.||l.|.l|l||.l.|.||
011*001*******5-DIGIT 60634 KURZ, HARRIET M. 6430 W BELLE PLAINE AVE APT 205 CHICAGO, IL 60634-1454
I'lllll'lT1!1
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011881
Index Number: 1318410034 1005
Water Account Number: 777700062124
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this properly as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
Please Print Name
depose and 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.
DATE P - ? - /V
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
Status:_ Reason:.
KWIATEK, GERTRUDE M 4702 N AUSTIN AVE APT 204 CHICAGO. IL 60630-3198
Claim Number: 1000526
Index Number: 1317107195 1010
Water Account Number: 123131939509
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: THOMAS ALLEN of Ward 38.
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 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 l, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE flL "X^^
<*Sg?»>22B
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l-lliliil-llTliililll-ilFl-i-llilil-lll-lll-l-li-lilnl-»
Status:_ Reason:.
011*001*******5-DIGIT 60634 LAMONT, EDWINA 6455 W BELLE PLAINE AVE APT 411 CHICAGO, IL 60634-1449
Claim Number: 1020799
Index Number: 1318411006 1032
Water Account Number: 473713473713
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: THOMAS ALLEN of Ward 38.
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 properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I £ 5)vO i C\ <3~, K/c /y> O 7~the undersigned, on oath.
depose and state that I am the applicant in the application, thai 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, 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.
ATE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephune
February 18, 2011
M1'■lill-1lii-- l-illilii-il-llil i1ilf-i1liilillllil-lll-l-il
011 *001 *******5-DIGIT 60634 LAZZARA, SAM S. 6450 W BERTEAU AVE APT 308 CHICAGO, IL 60634-6243
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021035
Index Number: 1318409074 1117
Water Account Number: 473345473345
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: THOMAS ALLEN of Ward 38.
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,
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 J am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE]
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
*jSS>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
illllll-iiiliilil-lllll->ir'llllu-lil-llr»iililhlrlillll
Status:_ Reason:.
011 *001*******5-DIGIT 60634 LECHOWICZ, JANE 4160 N NATCHEZ AVE APT 407 CHICAGO, IL 60634-6234
Claim Number: 1019216
Index Number: 1318409069 1281
Water "Account Number: 777700178691
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: THOMAS ALLEN of Ward 38.
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 0~A /V/^ /? C-l~)fi Jju> 1 C Zthe 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 to penalties for perjury of falsification herein.
Very Truly Yours, I Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
City of Chicago
II,!,.!!,.,,,.!!!!,!!!,!)!,,!!!!,,!!,!,!),!,!!,!,,!!!!,,!!,!!!,!,
011 *001 *******5-DIGIT 60634 LEDIC, JULIA
6450 W BERTEAU AVE APT 312 CHICAGO, IL 60634-6243
Index Number: 1318409074 1121
Telephone 312-744-3380
For Official Use Only: Ward:__
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019368
Water Account Number: 473384473384
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name
jhe undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE ^^f^te* '^Fit^^ DATE ~Z / / Z-0 \ I
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD Chicago, IL 60634
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
»<$g!S>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
11 i11 ■1 ■ 111111 ■ -1 1 -111111 ■111 ■ i11 ■ i11111111111 i ■111 ■ i11
011*001*******5-DIGIT 60634 LEESE, RUBY A. 6441 W WARNER AVE AFT 502 CHICAGO, IL 60634-6230
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022278
Index Number: 1318409069 1167
Water Account Number: 473759473759
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: THOMAS ALLEN of Ward 38.
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 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 SIGNATUREV^tSi^lU// L/ . /L7yjL^j_gDATE Very Truly Yours,
4^ t^^i
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
-'SSI*228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
i'i'I--"-'illi1'Mi--ilt-lli>-i'lhllM-lli>ilM1 M'uli'-'I Il'l
Status:_ Reason:
011*001*******5-DIGIT 60634 LEHMANN, LAVERNE 6530 W IRVING PARK RD APT 407 CHICAGO, IL 60634-6423
Claim Number: 1015408
Index Number: 1318409034 1027
Water Account Number: /77700085010
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: THOMAS ALLEN of Ward 38.
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 VetfUf L-EM/H/HJaJ the undersigned, on oalh,
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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 subjecl 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD Chicago, IL 60634
Please do nol 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_3 - I - if
City of Chicago
Alderman Edward M. Burke Chairman
.H2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lll,,,,,!,,!,,,,!!!,,!.!.!!.!.!.!...!!!,,!),!!.!.,!,!.!,!!!.,,!
Status:_ Reason:.
011 *001 *******5-DIGIT 60634 LEMPICKI, HELEN 3609 N NARRAGANSETT AVE CHICAGO, IL 60634-6418
Claim Number: 1003573
Index Number: 1320125044 1002
Water Account Number: 119131667705
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: THOMAS ALLEN of Ward 38.
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 lhal 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.
l//l~~L-&<y I/. /.PTj-f /C^/ihe 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 property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, that all water taxes, 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 THOMAS ALLEN . Attn: PEGGY 5817 W. IRVING PK. RD 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:_
-hi-liihlil"lliil"lrll-liii-lliillll"ui-.....t'IIiII
Status:_ Reason:.
011*001*******5-DIGIT 60634 LEON. RUTH E.
6441 W WARNER AVE BLDG 7 # 206 CHICAGO, IL 60634-6225
Claim Number: 1018107
Index Number: 1318409057 0000
Water Account Number: 777700146299
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: THOMAS ALLEN of Ward 38.
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 j\ (/^ l\ ' 0 the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water laxes, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
llll|-Ulllllllll-|llllTllll|-|llhll|-||-|Tllll|-Tllll
Status:_ Reason:
011*001 *******5-DIGIT 60634 LEONARDI, VINCENT J. 6430 W BERTEAU AVE APT 301 CHICAGO, IL 60634-6248
Claim Number: 1020967
Index Number: 1318409074 1064
Water Account'Number: 473375473375
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: THOMAS ALLEN of Ward 38.
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 JftfJ L L.G'OA/A bi 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 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.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
«.-*g3(*22S
City of Chicago
Alderman Edward M. Burke Chairman
3 12-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward: _
Intro. Date:_
.|||||ll|ll..l|l.l|.||l|l,l|l||||||ll|l||||l||l|,||||
Status:_ Reason:.
011 *001 *******5-DIGIT 60634 LEWCZENKO, MARIA 6461 W WARNER AVE AFT 214 CHICAGO, IL 60634-6207
Claim Number: 1018908
Index Number: 1318409069 1194
Water Account Number: 777700165955
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: THOMAS ALLEN of Ward 38.
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 il lo 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, thai 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK RD 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
»,*lj«g*.228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 111111 - -11 -11 -1111111111 -' 11111' i1 -1 -11 - -!1 -' I!1 - -'111 -1' j I'1
Status:_ Reason:.
011*001 *******5-DIGIT 60634 LICHTFUSS, ELIZABETH 6540 W IRVING PARK RD APT 505 CHICAGO, IL 60634-2469
Claim Number: 1015852
Index Number: 1318409033 1035
Water Account Number: 777700072649
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
\£l*lgi<T&t:TH LlOHtP U£$- the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 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. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Telephone
February 18, 2011
-1111 -111111 -1JI -11 -11111111 -111 - -11M i j 111111 -111111 -1 -11111 -1 -
01 l*001*******5-DIGIT 60634 LILLEGARD, MARY E. 4106 N NARRAGANSETT AVE APT 510 CHICAGO, IL 60634-5407
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1002503
Index Number: 1318411004 1043
Water Account Number: 777700033325
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I rfAfc^ fc* LlLi*fLGfilQ-$> 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, 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 1 am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.eommitteeiinlinance.urg
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Illl-I-I|-Il|-Illlll|-Illl|-I-I|-I-Ill|-I|-Illlllllllln|-|
Status:_ Reason:.
011*001*******5-DIGIT 60634 LINDIO, FRANCIS 7019 W IRVING PARK RD APT 11 CHICAGO. IL 60634-2311
Claim Number: 1023172
Index Number: 1319104056 1011
Water Account Number: 627461431102
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/tpwnhouse 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 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 interesi 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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand1 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
^Bjj-Alfli S> }L t/^Pf &e undersigned, on oath.
Please Print Name
s^g?>228
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
"u:4«7
lllilliilillhl-lillilli--ll-llllli-llllll-lr-lllllllillll-i
011*00l*******5-DIGIT 60634 LINWOOD, PHYLLIS H. 6460 W BELLE PLAINE AVE APT 307 CHICAGO, IL 60634-5614
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1008131
Index Number: 1318410033 1018
- Water Account Number: 777700057795
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: THOMAS ALLEN of Ward 38.
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.
) f/ Uj> Ogq/ tne 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 Very Truly Yours,
kW^Jtih* ^uoW DArE-^xi- 2 b 11
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
III...,!!,!.!!!!,!.,.!!!,!.!!.!,,..,..!!,.)!!!,,!!,,,!!,,,
Status:_ Reason:.
011*001 *******5-DIGIT 60634 LOPRESTI, VINCENT M. 6400 W BERTEAU AVE APT 313 CHICAGO, IL 60634-1482
Claim Number: 1017622
Index Number: 1318409056 1020
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
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.
_lhe 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 ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
Illlll|-Il|--I|-Illlllll|-Illllllllll|-Illlll|-Ill>|-Ill-Illl
Status:_ Reason:.
011*001 *******5-DIGIT 60634 LUCZAK, MINERVA M. 6526 W IRVING PARK RD APT 401 CHICAGO, IL 60634-6426
Claim Number: 1015846
Index Number: 1318409032 1021
Water Account Number: 777700072670
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: THOMAS ALLEN of Ward 38.
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, 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 201 1
.lllll,,,,!,,,,,,!,,!!!!,,!,!!,,!!,!,,,!!!!,!,!!!!!!!,!,!,!!!,,!,
011*001*******5-DIGIT 60634 MAIBUSCH, STEPHANIE H. 6460 W BELLE PLAINE AVE APT 402 ■ CHICAGO, IL 60634-1451
For Official Use Only: Ward: _
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018395
Index Number: 1318410033 1024
WaieVAccount Number: 777700057795
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: THOMAS ALLEN of Ward 38.
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 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.
l5fcp/)/f/V//ff fp /tyf-f^U 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 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.
OWNER SIGNATURI^yfe^^OCt^fyjJ/utJe^^ PJ^^jf-/-_
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
ir3^g^fr 228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll|l|l,|.,l|l,ll||.||.|...|,||,|||l|||l|ll|M..||||||||l
Il'l
Status:_ Reason:
011*001 *******5-DIGIT 60634 MAITA, MARIE M. 6461 W WARNER AVE APT 508 CHICAGO, IL 60634-6210
Claim Number: 1020611
Index Number: 1318409069 1242
Water Account Number: 473325473325
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: THOMAS ALLEN of Ward 38.
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.
1 M/jftfB M/fj ~Tft_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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
■«SS5»>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18,2011
i■T'm ■1 - ■ i ■ i ■1 - -1 ■i-111 ■ ■ ■ -11 ■ - ■ i ■ ■111---1 - ■ 11 - -111111 ■i■1111 - ■ ■
01 l*001*******5-DIGIT 60634 MANICKJ, LORRAINE 4210 N NATCHEZ AVE APT 202 CHICAGO, IL 60634-6236
Index Number: 1318409074 1002 Watfir^Account Number: 473345473345
. 2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019668
Your 2011 application for the Senior Citizen's Sewer k'w.; ue was presentedVv tne City Council by: THOMAS ALLEN of Ward 38.
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 LOKAQlhfe MftJ^Cfcf 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 pen*Jties for perjury of falsification herein.
OWNER SIGNATURE ^^'IdaW'
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
i It i11111 -1 -11M1! 11111 -1 -1M i H11111 -111 -111111 -111111 ^ 111111 >
Status:_ Reason:.
011 *001 *******5-DIGIT 60634 MANTO, DORIS A. 6441 W WARNER AVE APT 310 CHICAGO, IL 60634-6227
Claim Number: 1018591
Index Number: 1318409069 1145
Water Account Number: 777700146299
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: THOMAS ALLEN of Ward 38.
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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:
Intro. Date:
i'i''"!'''''!'!^!'''!!!'!'!!'!''!'Illllilil'!liillll-lil'hill
Status:_ Reason:
010*001 *******5_DIGIT 60630 MARLOVITZ, JOHN 4660 N AUSTIN AVE APT 303 CHICAGO, IL 60630-3133
Claim Number: 1001469
Index Number: 1317107194 1030
Water Account Number: 300139005201
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: THOMAS ALLEN of Ward 38.
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 il 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 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
11 - -11 - -11 -111 -11111111 -1111.....h i M11
,lll|l
011*001*******5-DIGIT 60634 MARTINO, ROBERT 6526 W IRVING PARK RD APT 304 CHICAGO, IL 60634-6425
" 11' 11' 1111
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016621
Index Number: 1318409032 1014
Water Account Number: 777700072670
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: THOMAS ALLEN of Ward 38.
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.
, Roe< N\/\<LTINQ lhe undersigned, on oathi
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, properly 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.
y^NER SIGNATURE fc&~lrZ^jA /^(n^J^^Jf (2Al(
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
Fllll|-lll-|l|-ll|-TTlllTllll-|lll|-lllll»|--||-|lllhl
Status:, Reason
011 *001 *******5-DIGIT 60634 MASELLA, ANTHONY 6441 W WARNER AVE APT 315 CHICAGO, IL 60634-6227
Claim Number: 1018497
Index Number: 1318409069 1150
Water Account Number; 777700146299
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: THOMAS ALLEN of Ward 38.
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 lhat I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Afflrtf Prhf M/i 5g LL Pr_the undersigned, on oath.
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephotie
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-111 -11111111''11111 -1111111 * 11 >1111111111' I -' -' 111111' 11111'1111
Status:_ Reason:.
011 *001 *******5-DIGlT 60634 MAYFIELD, HELEN A. 4160 N NATCHEZ AVE APT 302 CHICAGO. IL 60634-6233
Claim Number: 1019983
Index Number: 1318409069 1265
Water Account Number: 524294524294
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return il lo 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 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 lhal 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
"iSs**-228
City of Chicago
Commiltee on Finance
Aid erman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
H ■1 ■ ■1 ■ ■1 i >1 i 11111 ■ > i ■ i i 1 r1" 11 i * ■ -111 i I > ■ I i m 11 ■ i 11 ■ i i 1 f 111
011*001*******5-DIGIT 60634 MCGANN, JAMES G. 4106 N NARRAGANSETT AVE APT 401 CHICAGO, IL 60634-1590
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011517
Index Number: 1318411004 1023
Water Account Number: 777700033325
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this properly as your principal residence on the firsl 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.
hi tJ 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, 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 utfderjJand I am subject lo penaltiesfor perjury of falsification herein.
OWNER SIGNATURE>;> dWMs>
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
: Vun. 111, i, 111,111111..., 111., i. 11.11,,. 111111, ]
010*001 *******5-DIGIT 60630 MCMANUS, CAROL A 6050 W EASTWOOD AVE APT 209 CHICAGO, IL 60630-3160
■hl-l""1!
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018294
Index Number: 1317107209 1017
Water Account Number: 473599473599
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: THOMAS ALLEN of Ward 38.
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.
ftM U s 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 fldA^f lfY)^tY}*sv^ DATE 2-^/'Xl/2.Q i\
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
-1111111' i -111 -111111 -11 i1111 -1' -1111 -11111 r11 -111 - -1 -111 -' 111
Status:_ Reason:.
011*001*******5-DIGIT 60634 MCNEELA, PATRICIA D. 6430 W BELLE PLAINE AVE APT 504 CHICAGO, IL 60634-5609
Claim Number: 1021537
Index Number: 1318410034 1037
Water Account Nurhber: 473721473721
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: THOMAS ALLEN of Ward 38.
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 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
*5g*>22B
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lIMl-l--lli>'li Ii-iIi-IiiiIi-iIiI-iI-ii--IiIiI> I'I-i'iIIM'-Ii
Status:_ Reason:.
011*001*******5-DIGIT 60634 METSALA, HELEN M. 6460 W BELLE PLAINE AVE APT 209 CHICAGO, IL 60634-1450
Claim Number: 1019670
Index Number: 1318410033 1009
Water Account Number: 473719473719
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: THOMAS ALLEN of Ward 38.
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 il to your ward office before July 1, 2011.
I //■cT^^'/t/ *\. /ytprTJrtLA' 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 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 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 THOMAS ALLEN
Attn: PEGGY
5817 W. IRVING PK. RD
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
Telephune 312-744-3380
February 18, 201 1
rriii-il-lMl-lillil!lll-lhiiilll-iii--i-lii-lll-ilii-ill-l-ii-
011*001*******5-DIGlT 60634 METZGER, ELAINE C. 4100 N NEENAH AVE APT 20IN CHICAGO, IL 60634-1469
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020782
Index Number: 1318410032 1007
Water Account Number: 473715473715
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: THOMAS ALLEN of Ward 38.
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 it to your ward office before July 1, 2011.
gned, on oath.
Please Print Name
depose and state that I am the applicant m.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 SIGNATUR^J^tVia, (L^^lx^_LU DATE.
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Bourn 302 60602 Telephone
February 18, 2011
110240 I
"■il'il'-l'-l-l"'!'!^!!!!!!!-''!'-!'-'!!-!!!'-'-!!-!!11'-!-
011*001*******5-DlGIT 60634 MICHALEC, LEONA E. 4106 N NARRAGANSETT AVE APT 405 CHICAGO, IL 60634-1590
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011616
Index Number: 1318411004 1027
Water Account Number: 777700033325
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: THOMAS ALLEN of Ward 38.
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 il to your ward office before July 1, 2011.
I Ll^Oh/f) H/r^'Ame undersigned, on oath,
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 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 thai I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR Very Truly Yours,
DATE £~ ~ //
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
■ill-i'il-i'il'l"!!-)-!'-!!!!-''!'-!'!-'!!-'-!'!-!-!'!-!!-
Status:_ Reason:.
011*001 *******5-DIGIT 60634 MOCSAN, ILONA 6400 W BERTEAU AVE APT 202 CHICAGO, IL 60634-1487
Claim Number: 1021321
Index Number: 1318409069 1002
Water Account Number: 473759473759
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: THOMAS ALLEN of Ward 38.
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 tlie 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephune
February 18, 2011
i i ■ ■ i1111 ■111111 ■ 111 ■ ■ i1 ■ ■ 11111 ■ ■ ■ ■ ■ i ■ ■ ■ ■ i ■ i11 ■ i 1111 ■11 ■ 11
011 *001 *******5-DIGIT 60634 MOORE, ANNA D. 6530 W IRVING PARK RD APT 604 CHICAGO, IL 60634-6424
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1015410
Index Number: 1318409034 1044
Water Account Number: 777700085010
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify thai 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 /)- N >V/3_P' jH P 6 ft ^the undersigned, on oalh,
Please Print Name
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or 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 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 to penalties for perjury of falsification herein.
OWNER SIGNATURE (jiyy/^^ jQ^/^VT ^ DATE_J^/l/^f_ M_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
<<^K^>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 201 1
1111111' 111' 1111 -' I -' -11111111111111 - -111' 11 -1111111' 111111 -1111
011*001*******5-DIGIT 60634 MORAN, ISABEL W 6460 W BELLE PLAINE AVE APT 406 CHICAGO, IL 60634-1451
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1008142
Index Number: 1318410033 1028
Water Account Number: 777700057795
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return 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 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 JIalJU^ 34^ ^rM^W DATE J Sl'll_
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
'2?*'228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1 j 11 -11 h -1 m -11 -111 -1'111111 - -11J11111 -111111! i111111 - r 11 -11111
Status:_ Reason:.
01 i*001*******5-DIGIT 60634 MOR1ARTY, EUGENE M. 6526 W IRVING PARK RD APT 502 CHICAGO, IL 60634-2467
Claim Number: 1015144
Index Number: 1318409032 1032
Water Account Number: 777700072670
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
jhe undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
;v?t m , i. 11. i -. i,,,,, i.,,, 11,111. i -11, i,,, i ■ i, i, 11 -1111 ■ i, 111 ■,
011*001*******5-DIGIT 60634 MUENCH, MARY L. 3857 N HARLEM AVE APT 201 CHICAGO, IL 60634-5522
Index Number: 1319109045 1007
Water Account Number: 475473475473
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019582
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: THOMAS ALLEN of Ward 38.
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 applicadon and return it to your ward office before July 1, 2011.
I
ur waru oince oeipre JUiy i,zuit. /
ndersigned, on oath,
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, 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 Lam subjectio penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Cliairman
City of Chicago
312-744-3380
Telephotie
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.||ll|l|,l||ll|l|,|,l,l||ll|||l|||l,|l|,l|||l|.||l||,|||,ll
Status:_ Reason:.
011*001*******5-DIGIT 60634 MULLIGAN, ANNE T. 6400 W BERTEAU AVE APT 303 CHICAGO, IL 60634-1482
Claim Number: 1017627
Index Number: 1318409056 1025
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
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.
ft A-J 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 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 subjisict 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 THOMAS ALLEN . Attn: PEGGY 5817 W. IRVING PK. RD Chicago, IL 60634
Please do nol send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Nami
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward: _
Intro. Date:_
l-lliliil-i-ll-l-lllinli-T»ill-linllllnlliii-l-l-lil
Status:_ Reason:.
010*001*******5-DIGIT 60630 MURPHY, MARION 4660 N AUSTIN AVE CHICAGO, IL 60630-3100
Claim Number: 1000645
Index Number: 1317107194 1006
Water Account Number: 300139005201
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on Ihe first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and slate 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^^^^ MuS^lf DATE >^ ^ 2 * #
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD Chicago, IL 60634
Please do not send it to tlie Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
_the undersigned, on oath.
Please Print Name
■^^^■228
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 201!
mew
.I,.)!,!!!.,!!!,,,!!!,,!,,!!,,,!,!!!,,,,,,!!!!,!,!!.,)!.!.!!.
011*001*******5-DIGIT 60634 NAASE, KATHARINA 6400 W BELLE PLAINE AVE APT 311 CHICAGO, IL 60634-1463
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011627
Index Number: 1318410035 1022
Water Account Number: 777700069033
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 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
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Commitlee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
011*001 *******5-DIGIT 60634 NAUMIEC, JUNE R. 6401 W BERTEAU AVE APT 213 CHICAGO, IL 60634-6216
mImIII.
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020137
Index Number: 1318409069 1069
Water Account Number: 473756473756
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: THOMAS ALLEN of Ward 38.
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.
/r) / gg^ the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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 ter penalties for perjury of falsification herein.
w_^-^^2t<^c^ D ATE
OWNER SIGNATUREV^^c--^-<g-V L»Q(-^<^^DArE / ^ O J /
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 IY1. Burke Chairman
February 18, 2011
City of Chicago
'iHi'i'iIitHiIii"iiiiiiiiiiiI-iIHiiIiIiiIiIIiHIiii'iiI
01l*001*******5-DIGIT 60634 NETHER, GERTRAUD 6441 W WARNER AVE AFT 303 CHICAGO, IL 60634-6200
Index Number: 1318409069 1138
Water Account Number: 473759473759
Telephone 312-744-3380
For Official Use Only: Ward:_■ '
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023206
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: THOMAS ALLEN of Ward 38.
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 stale that I am the applicant in Ihe 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 | am subject to penaj^ies/fpr perjury of falsification herein.
OWNER SIGNATURE" /p^AtC^^i , * > DATE_ Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
3- 2.- -ZOff
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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-'i-'N-iilllhll'illl'iiNiOiTii-iilll'-iih'M-l'i11!!
Status:_ Reason:
011 *001 *******5-DIGIT 60634 NOVAK, CHARLES J. 6450 W BERTEAU AVE APT 210 CHICAGO, IL 60634-6241
Claim Number: 1019409
Index Number: 1318409074 1106
Water Accouni Nuinber: 473384473384
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: THOMAS ALLEN of Ward 38.
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 I, 2011.
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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
"1" I"" 11" 111" 111111"1" 1111 ■ I"" 11'111"" I" 111111111"1" ■ 11"11"1 ■" I
Status:_ Reason:.
011*001*******5-DIGIT60634 NOWAK, MIROSLAWA 6530 W IRVING PARK RD APT 502 CHICAGO, IL 60634-2462
Claim Number: 1015423
Index Number: 1318409034 1032
Water Account Number: 473747473747
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: THOMAS ALLEN of Ward 38.
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.
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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
Il'l1"'"!!'!''!1"!"Ml"!!!!!'!'!!''"'!!"!1-1'11'!''!!'1
Status:_ Reason:
011 *001 *******5-DIGIT 60634 NOWAK, NICOLE D 6430 W BELLE PLAINE AVE APT 411 CHICAGO, IL 60634-1455
Claim Number: 1021718
Index Number: 1318410034 1033
Water Account Number: 473721473721
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: THOMAS ALLEN of Ward 38.
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.
I /V^Cc^' b- ffc oj> ft/c~_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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
"'Si?*228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 < 111111 11' (' I'1 -11'111 * 11111 -11 -11111 -11 -11 -111111 1111 -11111
Status:_ Reason:.
011*001*******5-DIGIT 60634 NUCCIO, GIROLAMO 6401 W BERTEAU AVE APT 517 CHICAGO, IL 60634-6221
Claim Number: 1019900
Index Number: 1318409069 1120
Waler Account Number: 473756473 /56
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: THOMAS ALLEN of Ward 38.
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.
I (tIRoUHD flDr^CtQ 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 topenalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.
Mil
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■ll-l'IMil'ii-iliNI-N'liTlilllXiililiil'ilr1-1!-1-!
Status:_ Reason:.
011*001*******5-DIGIT60634 OLAH, GERTRUDE 6455 W BELLE PLAINE AVE APT 208 CHICAGO, IL 60634-1448
Claim Number: 1018863
Index Number: 1318411006 1008
Water Account Number: 777700052332
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: THOMAS ALLEN of Ward 38.
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 oalh,
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, lhat 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
«^eg-»228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
11 - r i11J -1111 -11' - -11' 11 -11111 -M1 -1 -1111111 r - -1J i111111 - f 1111 -11
Status:_ Reason:.
011*001*******5-DIGIT 60634 OLSZEWSKI, LORETTA 6430 W BELLE PLAINE AVE APT 403 CHICAGO, IL 60634-1455
Claim Number: 1009661
Index Number: 1318410034 1025
Water Account Number: 473721473721
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: THOMAS ALLEN of Ward 38.
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 'LbACttrt OISz.£.uj sk/__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 lhal 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 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
011 *001 *******5-DIGIT 60634 OLVERA, CARLOS 6450 W BERTEAU AVE APT 408 CHICAGO, IL 60634-6244
Status:_ Reason:
Claim Number: 1019370
Index Number: 1318409074 1130
Water Account Number: 473384473384
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: THOMAS ALLEN of Ward 38.
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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi 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 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111111 m - - M -1 -1' i1 -1 -111 -111 1111 -111 -1111 -111 - -111111111111 -11
Status:_ Reason:.
01 l*00l*******5-DIGIT 60634 O'MALLEY, MARTIN J. 6430 W BERTEAU AVE APT 406 CHICAGO. IL 60634-6250
Claim Number: 1020969
Index Number: 1318409074 1080
Water Account Number: 473375473375
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: THOMAS ALLEN of Ward 38.
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 sigh and date this application and return it to your ward office before July 1. 2011.
undersigned, on oath.
depose and stale 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN
Attn: PEGGY
5817 W. IRVING PK. RD
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
^s^228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l'ihii,llll,'lllli"lllllli""ll'l,lll,il,ll'lll'hlillllili
Status:_ Reason:.
On *001 *******5-DIGIT 60634 ORIA, MAXINE G. 6461 W WARNER AVE AFT 303 CHICAGO. IL 60634-6208
Claim Number: 1018539
Index Number: 1318409069 1201
Water Account Number: 77//00165955
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: THOMAS ALLEN of Ward 38.
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...
<£. Pit'lA _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 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 thai 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Cliairman
City of Chicago
Teleplione 312-744-3380
For Official Use Only: Ward:__
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011694
February 18, 2011
11" 11 ■" 11" I' 11 ■"" 11""1" ■ 111"111" 11" 11111" I ^ 111 ■ 111111""11 ■ 1111111
011*001 *******5-DIGIT 60634 OSWALD, ADAM 6400 W BELLE PLAINE AVE CHICAGO, IL 60634-1460
Index Number: 1318410035 1032
' Water-Account Number: 777700069033 "
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: THOMAS ALLEN of Ward 38.
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.
Please Print 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 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.
4^ C&>
OWNER SIGNATURE.
DATE 9L -3i%-3lO I I
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
U|l|lrl,|l|||MlMrl||L1l||1MU|lMM|l1||||l|l
Status:_ Reason:
011*001*******5-DIGIT 60634 PACANA, LILLIAN 6441 W WARNER AVE APT 401 CHICAGO, IL 60634-6228
Claim Number: 1019057
Index Number: 1318409069 1151
Water Accounl'Number: 473759473759
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: THOMAS ALLEN of Ward 38.
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.
1 LiL^iftAt PA C # \hz 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 properly or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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 -2 'JL 3 ~^<QJ(
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
■'1'11"""111"111" 111111111"" I'11"'1"II1" 1"111"11" 11 ■111 ■1111111'I
Status:_ Reason:.
011*001*******5-DIGIT 60634 PAJU, SALME
6433 W BELLE PLAINE AVE APT 309 CHICAGO, IL 60634-5611
Claim Number: 1002456
Index Number: 1318411005 1020
Water Account Number: 777700045945
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance musl 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.
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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
t.y^f.22B
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
'iiill'liir,',ll,,,l'l,il'ilill'l,'ir'li',l'i
011 *001 *******5-DIGIT 60634 PETERSON, GERALDINE E. 6450 W BERTEAU AVE APT 402 CHICAGO. IL 60634-6244
mi.i
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019831
Index Number: 1318409074 1124
Water Account Number: 473384473384
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: THOMAS ALLEN of Ward 38.
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 properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
F ~^^?-^m"e 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 l, 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 to penalties for perjury of falsification herein.
OWNER SIGNATURE ^U^Mx^-Z. $jL$AA4*Tr~' DATE JjJZr?-//
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
I -1111 -1 -111111111 1111 - -111E i -1111 m 11 -1' i - -111111 - -1 -1 -111111H
Status:_ Reason:.
011*001*******5-DlGrT 60634 PIENKOS, ANGELA V. 6400 W BELLE PLAINE AVE APT 501 CHICAGO, IL 60634-5622
Claim Number: 1018144
Index Number: 1318410035 1034
■ Water-Account Number: 777700069033"
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: THOMAS ALLEN of Ward 38.
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 to penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
ftl/lJ (, t Lfr y. Pit: /V^ AQ undersigned, on oath.
Please Print Name
9 *ijSfij^^p 228
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 312-744-3380
February 18, 201 1
■II"''!!'!-!-!-!''!-'!-1'!1'!.....■'■"ll"llHHI"lll
011*001 *******5-DIGIT 60634 PIWOWAR, STEPHANIE 6400 W BERTEAU AVE APT 501 CHICAGO, IL 60634-1488
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017621
Index Number: 1318409056 1018
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
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.
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 thai 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 ofthe 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
Xm^jIJLf DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
11 -11 -111'1 -11111111 * -111111' 111'11'1 h'11' 1111 -1 - [ -1M11111 * 111
Status:_ Reason:.
011*001*******5-DIGIT 60634 PRINDES, MERCY 6401 W BERTEAU AVE APT 505 CHICAGO, IL 60634-6220
Claim Number: 1021279
Index Number: 1318409069 1108
Water Account Number: 473756473756
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: THOMAS ALLEN of Ward 38.
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 y^<f/gC(/ lft £/ Ul)£rS 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 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am siibiect 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE A.
*SSS*228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
--^iImi1 MM1111 >'il-i'Ji--ih'i-Oii'-l-i'-i-l1'--il'llilni-
011*001*******5-DIGIT 60634 PURE, JEFFREY H.
4106 N NARRAGANSETT AVE APT 411 CHICAGO, IL 60634-1590
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022520
Index Number: 1318411004 1033
Water Account Number: 473697473697
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: THOMAS ALLEN of Ward 38.
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 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 ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUREi/^W^^^_ /4^^^DATE X - ^
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
r'Mi-'Irll'm'i'il-'M.....'■"■■■i'I-M-i'iIii'I'-M
Status:_ Reason:.
01i*ooi*******5-DIGIT 60634 QUINN, MARY L. 6540 W IRVING PARK RD APT 407 CHICAGO, IL 60634-6431
Claim Number: 1019903
Index Number: 1318409033 1027
Water Account Number: 431 i 36431136
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo ihe Cily Council by: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/lownhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i Mar* ^ Q zjL-OJi_the undersigned, on oath,
/Please Print Name
depose and stale lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
( (
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3.380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lll-l-llllllillliiilliMi-lll-li-lll-il-lil-llillliT-li111
II
Status:_ Reason:.
010*001 *******5-DIGIT 60630 BARBARA A RAJAH 6050 W EASTWOOD AVE APT 208 CHICAGO, IL 60630-3160
Claim Number: 1015896
Index Number: 1317107209 1016
Water Account Number: 777700085850
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: THOMAS ALLEN of Ward 38.
To determine whemer 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.
<^p fo\T>.fr ft \\__the undersigned, on oalh,
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 urfcferstand 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD Chicago, IL 60634
Please do not send it lo the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURl
DATE
^5£>-22e
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
i-llir'i'l'il-'il'illl-ii'illlili'ixiili-i'-'iiill'l-'llllill
Status:_ Reason:.
011*001*******5-DIGIT 60634 REBACZ, STANLEY J. 6433 W BELLE PLAINE AVE APT 511 CHICAGO, IL 60634-5612
Claim Number: 1019722
Index Number: 1318411005 1044
Water Account Number: 473705473705
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: THOMAS ALLEN of Ward 38.
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.
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 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, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN
Attn: PEGGY
5817 W. IRVING PK. RD
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
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
■l i?■ M - -1 -11 -11111 ■ -111 -1 -1 -1 -111 -111 -11 -1 - -11 -111 f 11 -11 - E1111 -1
011*001 *******5-DIGIT 60634 REHOR, JOSEF
6540 W IRVING PARK RD APT 610 CHICAGO, IL 60634-6432
For Official Use Only: Ward:_J_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017225
Index Number: 1318409033 1050
Water Account Number: 777700072649
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i J os al R e fa o v .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 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 to penalties for perjury of falsification herein.
OWNER SIGNATURE.
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
^g?*>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3.380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lllii"liMll-l-llillil'liliiuliil"l'linlllllll-"ll'1-
Status:_ Reason:.
011*001*******5-DlGIT 60634 RENALDI, IRENE C. 4210 N NATCHEZ AVE APT 201 CHICAGO, IL 60634-6236
Claim Number: 1020612
Index Number: 1318409074 1001
Water Account Number: 473345473345
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: THOMAS ALLEN of Ward 38.
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 i i\fzk/ir J LP <_the undersigned, on oath.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 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 subjeefto. penalties for perjury of falsification herein.
Very Truly Yours. {J Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
.,,jg**.228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.ImIIII,!,!!,.!,.!,!!)!.,!,,!!,,,.!.!!,.,!!!!,.,!!.!,!,!,.
Status:_ Reason:.
011*001*******5-DIGIT 60634 RHODES, REGINA M. 6300 W MONTROSE AVE APT 206 CHICAGO, IL 60634-5401
Claim Number: 1001440
Index Number: 1317117038 1006
Water Account Number: 777700028934
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: THOMAS ALLEN of Ward 38.
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.
I ^g-qt^'v. V^V ^V|Qr^Q_,g the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, properly taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
c.-*r?Sjte.228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephune
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I'l-ii-'lnlll-l1-11!1!!-!1!!1-1!1!1!!!!!)11!!!1-1-!-!-1-!
Status:_ Reason:
011*001 *******5_DIGIT 60634 RICHTER, TONI E. 6441 W WARNER AVE APT 514 CHICAGO, IL 60634-6230
Claim Number: 1018187
Index Number: 1318409057 1179
Water Account Number: 777700146299
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: THOMAS ALLEN of Ward 38.
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.
Q/f__the 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
-h1 'I-■ I l-i-I'"iilll i'i ill-'i-M-1!1 il M11!!1!11!!!! I1
Status:_ Reason:.
011*001*******5-DIGIT60634 RIFE, NELLIE
6461 W WARNER AVE APT 213 CHICAGO. IL 60634-6207
Claim Number: 1018907
Index Number: 1318409069 1193
Water Account Number: 777700165955
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: THOMAS ALLEN of Ward 38.
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 slate 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.
^E^>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
^ 11111r■11" ■1 ■ ■ I ■1 ■ -11 ■111 ■ I■1j1■I■11 ■ 111 ■1 ■'1II ■ ■ ■ 11111111" I
Status:_ Reason:.
011*001*******5-DIGIT 60634 ROWE. JACK G. 6430 W BERTEAU AVE APT 303 CHICAGO, IL 60634-6248
Claim Number: 1020966
Index Number: 1318409074 1066
Water Account Number: 473375473375
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: THOMAS ALLEN of Ward 38.
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 il lo your ward office before July I. 2011.
£tJ 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, 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, thai 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
in
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.|||,|l,||||,|,||l|ll|l|ll,||l,l|l,l|,|l|||||l||||ll|r|l|ll|l
Status:_ Reason:.
011*001*******5-DIGlT 60634 RUFF, ROSALIE
6401 W BERTEAU AVE BLDG 8-402 CHICAGO, IL 60634-6215
Claim Number: 1017695
Index Number: 1303209008 0000
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
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, 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE.
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: 1015491
|||l|l.ll.|ll|.||.|l|.|.||||l||l.|||l|||l|||l|||,l||,|,l|,,|,
011*001*******5-DIGIT 60634 SAHAGAN, NADINE 6540 W IRVING PARK RD APT 209 CHICAGO, IL 60634-2468
Index Number: 1318409033 1009 Water Account Number: 777700072649
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: THOMAS ALLEN of Ward 38.
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 to
your ward office before July 1, 2011.
ndersigned, on oalh.
Please Print Name
depose and state lhal I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
r9M-^^ "lo//
OWNER SIGNATURE. Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
liMllllilliillTilinll-illll-lllililTll-ili»llllillhi
Status:_ Reason:
011*001*******5-DIGIT 60634 SAMMARTINO, JOSEPH A. 6441 W WARNER AVE BLDG 7 # 210 CHICAGO, IL 60634-6225
Claim Number: 1018110
Index Number: 1318409057 0000
Water Account Number: 777700146299
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: THOMAS ALLEN of Ward 38.
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 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cilv Hall Room 302 60602 Telephone
February 18, 2011
--|-Il|--|--Illl|-I|--I|-|--|-|-Il|-|-Il-Ill-I|-M--I-Illllllll|-
011*001*******5-DIGIT60634 SANDER, FRANK 6526 W IRVING PARK RD APT 504 CHICAGO, IL 60634-2467
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019323
Index Number: 1318409032 1034
. Water Account Number: 431139431139
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: THOMAS ALLEN of Ward 38.
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_Frank Sander__lne 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 topenalties for perjury of falsification herein.
OWNER SIGNATU
Very Truly Yours,
DATE
Feb. 22, 2011
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
- -11111111L11 - -111111! i1 - -11111-111-ii -11 -11 -1 -' 11111111111111'
Status:_ Reason:.
01l*001*******5-DIGIT60634 SBERTOLL. GRACE L. 6400 W BELLE PLAINE AVE APT 302 CHICAGO, IL 60634-1463
Claim Number: 1011618
Index Number: 1318410035 1013
Water Account Number: 777700069033
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: THOMAS ALLEN of Ward 38.
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 lhat 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE J' J "d~Q I (
City of Chicago
Commiltee on Finance
Aide rniiin Edward M. Burke Cilv Hall Room 302 60602 Telephone
February 18, 2011
l|...|l.|...l||.l.|||l...||lll||||l||.||fl.||||||||l.l|
01i*001*******5-DIGIT 60634 SCALZITTI, NANCY 6430 W BERTEAU AVE APT 311 CHICAGO. IL 60634-6248
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019371
Index Number: 1318409074 1074
- Water Account Number: 473375473375
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: THOMAS ALLEN of Ward 38.
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,
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 ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE^Ov^^' J^^f ^n^/j/t], DATE 3 ~ i- II
11 * Very Truly Yours, "
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
i"T'll-"-illlrlu-illlill-lll-li"lllllllllll-llllr11
Status:_ Reason:.
011*001*******5-DIGlT 60634 SCHUBERT.CONNIE M. 4210 N NATCHEZ AVE APT 411 CHICAGO, IL 60634-6239
Claim Number: 1022579
Index Number: 1318409074 1037
Water Account Number: 473345473345
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: THOMAS ALLEN of Ward 38.
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.
_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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
■■hll,l,illliT,li,,,illil,l'lllll,,l,iil",i
llllllll'llllllll1
Status:_ Reason:.
011*001*******5-DIGIT 60634 SCHWEBEL, DOLORES 6530 W IRVING PARK RD APT 505 CHICAGO, IL 60634-2462
Claim Number: 1020461
Index Number: 1318409034 1035
Water Account Number: 473747473747
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: THOMAS ALLEN of Ward 38.
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 properly 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.
ATE JL'A3^<ZLo//
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance
City Hall R.....n 302 60602
wwwcomrnitteeonfinance.nrs
Telephone 312-744-3380
February 18, 2011
fi.i. i,. |. i,. i, ] 11,|. 11.11,|., 111i, | | ■i,., 11.11.11 (., 11,, i.
011*001 *******5-DIGIT 60634 SEITMAN, F3ERN1CE 6400 W BELLE PLAINE AVE APT 203 CHICAGO, IL 60634-1466
Index Number: 1318410035 1003 Water Account Number: 473727473727
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018950
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name
3.
iWv** y-\ 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 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 lhat I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
Edward M. Burke
ATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN
Attn: PEGGY
5817 W. IRVING PK. RD
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
<t «?jj^j5^j!>> 228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 ■1111111 f ■ 11111 ■ ■11 ■ ■11 ■ ■ ■ i111J ■ i > 11HI i1111.1 111 " -'111 > I
Status:_ Reason:.
01i*001*******5-DIGIT 60634 SHARKEY, DOROTHY G. 6400 W BERTEAU AVE APT 301 CHICAGO, IL 60634-1473
Claim Number: 1017617
Index Number: 1318409057 1014
Water Account Number: 777700139421
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return 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 1 am subject tapenaltiesibr perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Please Print Name
.the undersigned, on oath,
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_"
Intro. Date:_
Status:_
Reason:_
Claim Number: 1008138
February 18, 2011
(«>:s(iu
11111111M - - > - -11 -11 - <1 -1111 11 -11 -111 -1111 - -11 -11 > -1 -111111 > 111 -
011*001*******5_DIG[t 60634 SIGALOS, ELSIE J
6460 W BELLE PLAINE AVE APT 505 CHICAGO, IL 60634-5615
Index Number: 1318410033 1038
Water Account Number: 777700057795
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: THOMAS ALLEN of Ward 38.
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
.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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code 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.
YOWNER SIGNATURF^A^ ^l^fj^ DATE S ' X^> ^1
Very Truly Yours, Edward M. Burke
DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD Chicago, IL 60634
&sc do net-sVnSirto 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 City Hall Room 302 60602 mvw.commilteeonfinanee.iire
Telephone 312-744-3380
February 18, 2011
ii-lllllTll-llllliiiiililiillllll-lTinl-,-li-lllrllllll
011*001*******5-D1GIT 60634 SKONECZNY, TEOFILA 6430 W BELLE PLAINE AVE APT 409 CHICAGO. IL 60634-1455
Index Number: 1318410030 1031
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1009664
Water Account Number: 777700062124
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: THOMAS ALLEN of Ward 38.
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 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.
^ O A) 6^-^X-AtJAe undersigned, on oath,
lease Print Name
depose and state thai I am the applicant in ihe 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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.....'■lllrlllr»l'iMili»ilulrllllIMlllrlllillii-ll
Status:_ Reason:.
011*001 *******5_DIG[T 60634 SMITH, PLEAS J. 4210 N NATCHEZ AVE APT 403 CHICAGO, IL 60634-6239
Claim Number: 1019846
Index Number: 1318409074 1029
Water Account Number: 473345473345
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: THOMAS ALLEN of Ward 38.
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 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 forperjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Name
OWNER SIGNATURE!
Alderman Edward M. Burke Cliairman
February 18, 2011
City of Chicago
illl-hihl-lllll-llliililllllnli-ii-i-llillllTlil-llli
011*001 *******5-DIGFT 60634 SNYDER, PHYLLIS K. 6530 W IRVING PARK RD APT 605 CHICAGO, IL 60634-6424
Index Number: 1318409034 1045
Water Account Number: 777700085010
Teleplione .312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1015405
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: THOMAS ALLEN of Ward 38.
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.
//A5 /)<^?/V j{? t ^undersigned.
on oalh.
Please Print Name
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 lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE /f^ J^t-y^Cc-^ DATE ? " ^ *j ~~ ^ ° //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
HiTh|luilli|,|ilh|TliniM"i'<ilil'«HII!illiii
Status:_ Reason:.
011*001 *******5-DIGIT 60634 SOBOLEWSKI, JRENEX* V-6400 W BELLE PLAINE AVE APT 309 CHICAGO, IL 60634-1463
Claim Number: 1011695
Index Number: 1318410035 1020
Water Account Number: 777700069033
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: THOMAS ALLEN of Ward 38.
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.
gfiLw^j>j\fcJ_the undersigned, on oath.
depose and stale 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 - ' f 1
■^8?»>228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i" >1 ■ ■ m i ■ n ■ i ■11 ■ i ■1 >11 ■111 f1 ■ ■ i11111, i ■ -1 ■ 11 ■ ■ ■ i11111 m ■ 11
Status:_ Reason:
010*001*******5-DIGIT 60630 SOMOGY1, DOLORES . 6050 W EASTWOOD AVE APT 107 CHICAGO, IL 60630-3175
Claim Number: 1015808
Index Number: 1317107209 1006
Water Account Number: 777700085850
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: THOMAS ALLEN of Ward 38.
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 properly as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
-1111 -1111 -1 h - f 111M1111 -1 -1 - ] -1111J -' f11! 11 > -1 -111111111 - -111
Status:_ Reason:.
011*001*******5-DIGIT 60634 SPEAKER, DOLORES E. 6540 W IRVING PARK RD APT 605 CHICAGO, IL 60634-6432
Claim Number: 1015500
Index Number: 1318409033 1045
Water Account"Number:-777700072649
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
\X?QLjDff&$ > S?(zA KJiT/^ the undersigned, on oath,
depose and slate lhal I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of ihe 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Commiltee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
I'l-'-'-il'-'illilll'i'x-lilllhi'llill-llil'i-111-1-!!-1-1!
011*001*******5-DIGIT60634 SPEROS, DONALD G. 6316 W MONTROSE AVE # 101W CHICAGO, IL 60634-5404
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023174
Index Number: 1317117038 1019
Water Account Numbeir473586473586
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day 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 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 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 I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUReO^sn ofljft^ ^"^SUV^ DATE ^^>~ U
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
iXlll'lllhlllll
Status:_ Reason:
SPYTEK, GENOWEFA
6530 W IRVING PARK RD APT 506
CHICAGO, IL 60634-2462
Claim Number: 1021388
Index Number: 1318409034 1036
Water Account Number: 4/3747473/4/
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: THOMAS ALLEN of Ward 38.
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, 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 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 THOMAS ALLEN
Attn: PEGGY
5817 W. IRVING PK. RD
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 j-<r- 10 n
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
IiI-IiI'iIiIi-'I'-'-II'iiiI-iiIi-iii'I'IIi-'ItiIIti1-!
Status:_ Reason:
011*001*******5-DIGIT 60634 STENZEL, CECELIA L. 6461 W WARNER AVE APT 209 CHICAGO, IL 60634-6207
Claim Number: 1018742
Index Number: 1318409069 1189
Water Account Number: 777700165955
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: THOMAS ALLEN of Ward 38.
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 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.
I Gec£.\, jA. 1 i.S^T£^7.£L>_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 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 -1 -11 -1111' 111 -11111111111111111!I-1111-1l-11 - < 11111 -1-1111
Status:_ Reason:.
011*001 *******5-DIGIT 60634 SUZUKI, RUTH
6540 W IRVING PARK RD APT 301 CHICAGO, IL 60634-6429
Claim Number: 1015495
Index Number: 1318409033 1011
Water Account Number: 777700072649
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: THOMAS ALLEN of Ward 38.
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, lhat this is my principal place of residence as ofJanuary I. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
3L2-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
I -11111 - -! 111111 h11 > 1 -1 - -1 -111M111111111 -1 -1111 -111111 -1 -11P11
Status:_ Reason:.
011 *001 *******5-DIGIT 60634 TAMBORELLO, MARION 6455 W BELLE PLAINE AVE APT 509 CHICAGO, IL 60634-5618
Claim Number: 1017554
Index Number: 1318411006 1041
Water Account Number: 777700052332
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
L L.O_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, 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, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and thai 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD Chicago, IL 60634
Please da not send it ta 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:_
,|||||l|ll|,|,|ll|||,|l|ll||,|l||.|,,l||||.l||l.l||l.l.l.||||
Status:_ Reason:.
01 i*001*******5-DIGIT 60634 THOMAS, MARILYN B. 6430 W BERTEAU AVE APT 507 CHICAGO, IL 60634-6251
Claim Number: 1020498
Index Number: 1318409074 1092
Waler Account Number: 473375473375
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: THOMAS ALLEN of Ward 38.
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.
p rr\ a, -5 the undersigned, on oath.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 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 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
■sJg^.228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ill-ll'lliMiMMl'l1ll'ilrlllMlilllMiillillliillllii"rt'IM
Status:_ Reason:.
011*001*******5-DIGIT 60634 TORRI, EDDIE L.
6530 W IRVING PARK RD APT 507 CHICAGO, IL 60634-2462
Claim Number: 1015406
Index Number: 1318409034 1037
Water Account Number: 777700085010
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I ££$p / £ l~ - ^"^<^^yftie 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 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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 Name
Alderman Edward M. Burke Chairman
City of Chicago
3 J 2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
"',ll,"llll"lll'l','ll",r',l"l,""llll"'ll'l',lll"l',"l
Status:_ Reason:.
011 *001 *******5-DIGIT 60634 TRELETSKY, HENRY 4160 N NATCHEZ AVE APT 204 CHICAGO, IL 60634-6214
Claim Number: 1019009
Index Number: 1318409069 1256
Water Account Number: 524294524294
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: THOMAS ALLEN of Ward 38.
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 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 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 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 ftZR/Sfrhg-TTt ^/fg^T^ft V the undersigned, on oath,
Please Print Name
OWNER SIGNATURE,
DATE M-M'//
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'ii'iil,l,'r'ilii'i'il'li",r',"'""'r,rl'l"i'"i"ri'll'
Status:_ Reason:
010*001*******5-DIGIT 60630 VANDERHOOK. LOUIS 4660 N AUSTIN AVE APT 206 CHICAGO, IL 60630-3181
Claim Number: 1000622
Index Number: 1317107194 1019
Water Account Number: 431075431075
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: THOMAS ALLEN of Ward 38.
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 oh 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 \/atJ fiHZTiMo P & 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■li,"lllii'iliil'lllli,illllllll,iill,iiii'lilli"lllii"lrll'1
Status:_ Reason:.
011*001*******5-DIGIT 60634 VAN VLIERBERGEN, ROBERT C. 6430 W BERTEAU AVE APT 402 CHICAGO, IL 60634-6249
Claim Number: 1019413
Index Number: 1318409074 1076
Water Account Number: 473375473375
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: THOMAS ALLEN of Ward 38.
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 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 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
e<S!@*>22B
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
011*001*******5-DIGIT60634 WATERHOUSE, LOIS L 6530 W IRVING PARK RD APT 610 CHICAGO, IL 60634-6424
Index Number: 1318409034 1050 Water Account Number: 473747473747
Telephone .312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022601
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: THOMAS ALLEN of Ward 38.
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 drd ol'fic/5efo/e J/ily 1, 2011.
the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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 taxesfiVoperty taxes, and jnLoTTier fees, penalties or assessments owed to the City of Chicago have been paid and lhat I unaej/tapa I am puhfjej/t t^r^alties for perjury of falsification herein.
OWNER SIGNATU
Very Truly Yours, Edward M. Burke
usiticatipn nerein.
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
-1111 -11' 1111 -1 -111 -11111111111 -11111111111E111111 -111 -11 -1 - i -11
011*001 *******5-DIGIT 60634 WAWRZOS, WLADYSLAWA 6460 W BELLE PLAINE AVE APT 308 CHICAGO, IL 60634-5614
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019672
Index Number: 1318410033 1019
Water Account Number: 473719473719
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this applicadon and return it to your ward office before July 1, 2011.
L\Ji<L Zf)$ the undersigned, on oath. Please Print Name
depose and state that I am the applicant in the applicadon, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^)/,7/,^il (/^JiA\ }JZ>jJ 4ft <pffDATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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 NI. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
011*001*******5-DIGIT 60634 WEBER, DAVID E. 6430 W BERTEAU AVE APT 201 CHICAGO, IL 60634-6247
Status:^. Reason:.
Claim Number: 1019373
Index Number: 1318409074 1053
Water Account Number: 473375473375
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: THOMAS ALLEN of Ward 38.
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.
.the undersigned, on oath.
depose and state that 1 am the applicant in the applicadon, 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 interesi 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 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
<^S**>228
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
illii-l-llnilii»lli-lli-Mll»iillllll-ll-li-l-lnlillllill
Status:_ Reason:.
011*001*******5-DIGIT60634 WILLIAMS, HELENA 6430 W BELLE PLAINE AVE APT 404 CHICAGO, IL 60634-1455
Claim Number: 1021507
Index Number: 1318410034 1026
Water Account Number: 473721473721
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: THOMAS ALLEN of Ward 38.
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 HElr;rVn WiH-lR^S 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 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.
OWNER SIGNATURE <M ilo^m. U*-^iajYv\S DATE_0- I 2^ 1X^1/
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:._
'll'i'n'lii'il'll111!!.....'ll-llll'll'-lllhl1111-!1!!-!1
Status:, Reason
0U*001*******5-DIGIT 60634 WITTE, ANN M.,
6530 W IRVING PARK RD APT 201 CHICAGO. IL 60634-2461
Claim Number: 1015407
Index Number: 1318409034 1001
Water-Account Number: 777700085010
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: THOMAS ALLEN of Ward 38.
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.
depose and state that I am the applicant in the applicadon, 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 THOMAS ALLEN Attn: PEGGY 5817 W IRVING PK. RD 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
DATE.
City of Chicago
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
j V ri ] i. i,. i. 11 11, i, i, i, 111., |,. 11, | j i., ■. 11 111., 111111,, t,,
011*001 *******5-DIGIT 60634 WOJCIECHOWSKJ, DOLORES 6450 W BERTEAU AVE APT 307 CHICAGO, IL 60634-6243
Index Number: 1318409074 1116
Water Account Number: 473384473384 " . . .
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019451
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: THOMAS ALLEN of Ward 38.
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 it to your ward office before July 1, 2011.
Please Print ^arjie
undersigned, on oath,
depose and slate lhat 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 lhat I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR ^j^iy'Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
312-744-3381)
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1111111 -11111111111111 -11 -1!1111 -111111111 -1 m 111111111111 -1 I -1
Status:_ Reason:.
01 i*001*******5-DIGIT 60634 WOJEWOCKJ, LEONARD 6441 W WARNER AVE BLDG 7 # 307 CHICAGO, IL 60634-6225
Claim Number: 1018111
Index Number: 1318409057 1142
Water Account Number: 777700146299
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: THOMAS ALLEN of Ward 38.
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 ihe 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 lhal 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 -1111111 -1 -1 - -11111 - -11 -1111 -11 -1 <111 - - 111 -111' I -1! 11 -111 - -1
Status:_ Reason:.
011*001*******5-DIGIT 60634 YATSUSHIRO, KENJI 6433 W BELLE PLAINE AVE CHICAGO, IL 60634-5610
Claim Number: 1001411
Index Number: 1318411005 1039
Water Account Number: 777700045945
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: THOMAS ALLEN of Ward 38.
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 it to your ward office before July 1, 2011.
ro_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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-.....Illl-lilliil-lllllilllnu-ll-llllllllnrl-lil-ll-l
Status:_ Reason:.
011*001 * * * * * * *5-DIGIT 60634 YOUNG, BLANCH 6441 W WARNER AVE APT 311 CHICAGO, IL 60634-6227
Claim Number: 1018589
Index Number: 1318409069 1146
Water Account Number: 777700146299
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: THOMAS ALLEN of Ward 38.
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, is Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
DATE
*§U*>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60002 Telephone
February 18, 2011
011*001 *******5-DIGIT 60634 ZALOGA, CHRISTINE MARIE 6441 W WARNER AVE APT 205 CHICAGO. IL 60634-6226
I'-hl'l
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022509
Index Number: 1318409069 1125
Water Account Number: 473759473759
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: THOMAS ALLEN of Ward 38.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee 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.
undersigned, on oath.
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as 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/1 am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
ATE
3-2
Ait
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
^8g.»228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
III.,!,!!!,!.,.!!.!.!!,!,.!!,!!,!!,.,!.!!),,!.,,!)!,!
Status:_ Reason:.
011*001*******5-DIGIT 60634 ZANETTO, LILLIAN 6526 W IRVING PARK RD APT 609 CHICAGO, IL 60634-6428
Claim Number: 1015204
Index Number: 1318409032 1049
Water Account Number: 777700072670
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: THOMAS ALLEN of Ward 38.
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.
I ^j4W£"TT(fl the undersigned, on oalh,
depose and state lhat I am the applicant in the applicadon, 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, 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, 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
■'■■■HlllllllllllllTn"ll"lrlllHlirIUll»lllM
011*001*******5-DIG1T 60634 ZEMGULIS, MARTHA A. 6530 W IRVING PARK RD APT 408 CHICAGO, IL 60634-6423
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1015418
Index Number: 1318409034 1028
-'Water Account NumberT777700085010 "
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: THOMAS ALLEN of Ward 38.
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.
e undersigned, on oath,
Please Print Name
depose and state lhat I am the applicant in the application, thai 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 Cf'. ^a^yO^l DATE__oi" Si ~ //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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
■*f8^22s
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Koom 302 60602 Telephone
February 18, 2011
^■■iiHI-lHIIMMl-lilll'l-liliilll'iililllll'iiill'iMli
01 l*001*******5-DIGFT 60634 ZMINKOWSKJ, ELIZABETH A. 6400 W BERTEAU AVE APT 513 CHICAGO, IL 60634-1478
Index Number: 1318409056 1052
Water Account Number: 777700139421
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017891
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the Cily Council by: THOMAS ALLEN of Ward 38.
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 applicadon and return it to your ward office before July 1, 2011.
I j~ll?-aAfTt\ A % PVAkdlvSfci 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, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^ zf^Lj tHx jurf^, DATE 3*/2 8~//V
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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:_
111M1 ■ ■1.1111 ■11 1111 ■111 ■ 1111 ■11 ■ 111111 ■ ■11 ■ 11 ■ i i ■ M111 ■ ■!1
Status:_ Reason:.
010*001*******5-DIGIT 60630 ZUBA, TED H.
6050 W EASTWOOD AVE APT 103 CHICAGO, IL 60630-3175
Claim Number: 1015802
Index Number: 1317107209 1003
Water Account Number: 777700085850
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 20.11 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: THOMAS ALLEN of Ward 38.
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, lhal 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 lhal 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 THOMAS ALLEN Attn: PEGGY 5817 W. IRVING PK. RD 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