Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Ml.,!,!!!,!,,.!!,!.!,.,,!,!.,!.,!!!!!.!!.!!,!,,!.!.!,.!
Status:, Reason:
019*001*********3-DIGIT 606 BANTA, HELEN S. 6143 N HOYNE AVE APT 1W CHICAGO, IL 60659-4220
Claim Number: 1023181
Index Number: 1406119010 1024
Water Account Number: 799377453185
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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 Citv Hall Room 302 60602 Telephone
312-744-3380
February 18, 2011
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021*018******MIXED AADC 606 ^^/'r/nrxdX. '.
SCHUPACK. HARRIET TTTvTA-NGHeS^FEirrTR
BJJF^Afc0-eReVEriC6OO89-6768 3TL.
Index Number: 1312222062 1001
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011085
Water Account Number: 127090516700
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: PATRICK J O'CONNOR of Ward 40.
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 meels these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I H ftflff, tftTtfCjfttfpfyC, ftthe undersigned, on oath, Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real 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 HfLA^jJjt^^l^pa^. DATE 2-Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
'"■'SsS*228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Datef_
Status:_ Reason:.
017*003*********3-DIGIT 606 LEVY, TAMARA 5205 N ROCKWELL ST APT.#2S CHICAGO, IL 60625-3309
Claim Number: 1015167
Index Number: 1312232032 1004
Water Account Number: 127090545905
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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.
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 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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
Committee on Finance City Hall Room 302 60602 www.com m i t leeon fina nee .org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l.|.ll.ll|ll|||l,ll.|l|,l||,|llll|l,|ll,||||||,|l||,l||,l|l|l
Status:_ Reason:.
017*003*********3-DIGIT 606 LACHMAN, HARRY 2816 W SUMMERDALE AVE CHICAGO, IL 60625-3420
Claim Number: 1016042
Index Number: 1312114062 1001
Water Account Number: 127090554909
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 applicadon, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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 HARrTy L.AC//M-/W
.the undersigned, on oath.
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
Telephotie 312-744-3380
j''' I -111111'111111111 * 11'111'I'-* J' *111 * I' 111111'1' 1111 * 1111 *' I
016*001*******5-DIGIT 60660 CLAVERIA, ROBERTO H. 6113 N WINCHESTER AVE APT 2B CHICAGO. IL 60660-2267
Index Number: 1406219013 0000
Water Account Number: 300740348310
2011 SENIOR CITIZENS (SE?
ft
Dear Senior Citizen: \ \
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1008816
Your 2011 application for the Senior Ciuzen's Sewer R/bal^Avas presented to the City Council by: PATRICK J O'CONNOR of Ward 40^/
To determine whether your condo/co-op/townhou/e (Qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verifyyftiat you occupied this property as your principal residence on the first day ofJanuary. 2011. If the property meets me/e 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 lhal 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
a refund under Secdon 3-12-050 of the Municipal Code of the City of d all other fees, penalties or assessments owed to the City of Chicago have br perjury of falsification herein.
years of age or older, and otherwise qualify. Chicago, that all water taxes, properly taxes
been paid and that I understand I
OWNER SIGNATURE
DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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
3J2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_l
Intro. Date:__
11111 -11111 -1 - -1111' I -1 -11MI -1 -11111 -1 -111 -11111111 -111111111 - -1
Status:_ Reason:.
017*003*********3-DIGIT 606 BAYENDERIAN, VSKEN 5343 N FRANCISCO AVE APT IN CHICAGO, IL 60625-4012
Claim Number: 1016761
Index Number: 1312114058 1001
Water Account Number: 127090558208
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and state 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 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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
Committee on Finance Cily Hall Room 302 60602 www.ei >m m i tleeo n fi n a nee .0 rg
312-744-3380
Telephone
February 18, 2011
For Official Use Only: Ward:
Intro. Date:__
I -1111 -11111 -11' -111 - - -111111 -1M -1' 11111111' 111 -111111 -11111 -11
Status:_ Reason:.
017*003*********3-DIGIT 606 HARALAMPOPOULOS, GEORGE 5346 N CALIFORNIA AVE APT IN CHICAGO, IL 60625-3416
Claim Number: 1017563
Index Number: 1312114067 1001
Water Account Number: 127090524305
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 QpiT) W CLraXCLf/lyDypi v.6ne undersigned, on oath,
J 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, 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'""l,','l,riliii"ril,ii',ili"l"',",ll,il',rll','l,"",l
Status:_ Reason:
016*001*******5-DIGIT 60660 YOUNG, CLARE 1950 W HOOD AVE APT 2A CHICAGO, IL 60660-2231
Claim Number: 1011922
Index Number: 1406219013 0000
Water Account Number: 300740324605
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 CLARE Yo UjVQ 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 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 lo 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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.l^.lll.llll,!,.,.,!!!,!,!!,,!!!!!.,,,!!,,),,!,!,!,!!!,,,,!
Status:_ Reason:.
016*001*******5-D1GIT 60660 BARON, FREDA 1922 W HOOD AVE APT 4D CHICAGO, IL 60660-2296
Claim Number: 1006526
Index Number: 1406213014 0000
Water Account Number: 300740324308
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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
SB?*228
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201 1
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017*003*********3-DIGIT 606 MASON, MARY 2755 W BERWYN AVE CHfCAGO, IL 60625-3457
For Official Use Only: Ward:__-
Intro. Date:_
Status:_
Reason:_
Claim Number: 1016577
Index Number: 1312227053 1004
Water Account Number: 127090516809
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O CONNOR of Ward 40.
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.
i MA-fty MASON _the undersigned, on oath,
Please Print Name
depose and slate 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 Secdon 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 r\AMflM/r MtU-fltS DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago. IL 60602
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
Status:_ Reason:.
KARANTONIS, TRIFON 2735 W SUMMERDALE AVE CHICAGO, IL 60625-3439
Claim Number: 1019229
Index Number: 1312222063 1003
Water Account Number: 450775450775
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, thai I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I underslatui-r^hi 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
Please Print Name
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60002 Telephone
February 18, 2011
'hr'l'irriiM'-"!-!!!-'!'!1........-i
016*001 *******5-DIGIT 60660 MAYOL, FERNANDO J. 1946 W HOOD AVE GA CHICAGO, IL 60660-2251
'"II"1
irh
.um
For Official Use Only: Ward:_
Intro. Date:
Status:_
Reason:_
Claim Number: 1008765
Index Number: 1406212006 0000
Water Account Number: 300740324605
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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.
I f~£Rf/AMJ>oJ7 MA^of 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE^L^^^^l DATE /^g'. ^ 3 , ~Z~ O I (
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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
■ i ii ■ ■ i ■ i -1 -1 - ■ i ■1 - -111111 - -1 ■ i - - -111 >111■i■11111■■■■ i ■ 11 ■ 11 - ■ i -
016*001*******5-DIGIT 60660 ROSENBERG, GLORIA J. 6125 N WINCHESTER AVE CHICAGO, IL 60660-2263
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016579
Index Number: 1406219013 0000
Water Account Number: 300740348327
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 $t.Q£t'/? -J,Jfa$jT^&$ /f ^he undersigned, on oath. Please Print Name
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 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 I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE Very Truly Yours,
E^^^/W^.T DATE ZjWlzQtf
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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:_
1111 > 1111' I' 111 -11 -1 -' h'111 -111M1111 - [1111111111' I i -1111111 -111
Status:_ Reason:.
017*003*********3-DIGrT 606 MART1NELLI, LAWRENCE A. 5340 N ROCKWELL ST APT IN CHICAGO, IL 60625-3352
Claim Number: 1016758
Index Number: 1312220036 0000
Water Account Number: 127090547109
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 MWEl?NJg(£ ft; rW^cVthe 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 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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 Cliairman
312-744-3380
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
f 11 j i1 ■ 111111 ■ ■" 11 ■ ■ ■ i -1" H11111 > ■ 1111 ■ 111 ■ i i i1 ■ i1 ■ 111 ■ i1 ■11111
Status:_ Reason:.
016*001 *******5-DIGIT 60660 HARTZEN, SHERRY R. 1956 W HOOD AVE APT 3B CHICAGO, IL 60660-2253
Claim Number: 1020667
Index Number: 1406212006 0000
Water Account Number: 453183453183
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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,
DATE
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone
February'18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
-I'lOI'iir'-iiiilil'-Mli'l'ii-l'ilir'il'i'll-i-l-liilll'il
Status:_ Reason:
0I7*003*********3-DIGIT 606 SPEISER, MARIA 2833 W SUMMERDALE AVE CHICAGO, IL 60625-3428
Claim Number: 1011959
Index Number: 1312116058 1002
Water Account Number: 127090556707
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE^^^xTj^ "^W^ DATE ^ \ T^>\ OO \ \
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Altn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
("J.'S4"
l-lll-l-hlll'll-ll-ll-11!!1111-!-!1-!1-!11!!-1-!!!1!-!!-
016*001*******5-DIGIT 60660 NAKAMOTO, NANCY K. 5833 N HERMITAGE AVE UNIT 9 CHICAGO, IL 60660-3161
Index Number: 1406405029 1009
Water A"ccount Number: 30074032338 i
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018382
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 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 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 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 SIGNATURe"/^*^ tu^ Jf. ^JlA&*J3i£ DATE Xlf^l//
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on vour behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
3J2-744-3380
Telephotie
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|,l|l||l||,|l|||||,|,|||,|lll.|||||||.|.l|l|||.l|.||||
Status:_ Reason:.
017*003*********3-DIGIT 606 BLACK, CHARLOTTE 5343 N FRANCISCO AVE CHICAGO, IL 60625-4012
Claim Number: 1008173
Index Number: 1312114058 1003
Water Account Number: 127090558208
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 C Ua?.L t mf BL 4_the undersigned, on oath.
depose and state that I am the applicant in the application, that ihis 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 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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:_
^.llll,,,!,,),!,,!!!,!,,,!!!!,!!,!.!,),,!.!,,!.!,!),,,,!,)!!,!!
Status:, Reason:
016*001*******5-DIGIT60660 KAUFMAN, AVRUM M. 1950 W HOOD AVE APT 4D CHICAGO, IL 60660-2239
Claim Number: 1018972
Index Number: 1406212006 0000
Water Account Number: 300740324605
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 /\VRUM M. KAUFM/4> the undersigned, on oath.
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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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:_
111 -11' 11' 1111111 - -1 -1111111'111M'11'' 11 j 11' I' 11 -111111 -1 -111111
Status:_ Reason:.
019*001*********3-DIGIT 606 GARDNER, BERNICE 6035 N DAMEN AVE CHICAGO, IL 60659-4353
Claim Number: 1003273
Index Number: 1406223026 1032
Water Account Number: 300119008404
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: PATRICK J O'CONNOR of Ward 40.
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 lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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 Telephune
February 18, 2011
004107;
1111111111111111 -111 -11 - -111 r11 -1111 -1111^>1 > -1 - M111111111
017*003*********3-DIGIT 606 KULL, ROMANA 5205 N ROCKWELL S' CHICAGO, IL 60625-3309
lllnl
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1005243
Index Number: 1312232032 1002 Water Account Number: 127090545905
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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.
_the undersigned, on oath,
Please Print Name
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, 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 j^/TrrtJlJfJt/'f^l jjUl> DATE j/dP. Sl3^ C%0 I(
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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:_
illllili'"Ml'"lllhl,llliNiiriHlli,ulli"ili'lili'l
Status:_ Reason:
016*001 *******5-DIGIT 60660 INCLAN, MARIA D. 6113 N WINCHESTER AVE CHICAGO, IL 60660-2267
Claim Number: 1015757
Index Number: 1406219013 0000
Water Account Number: 300740348310
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: PATRICK J O'CONNOR of Ward 40.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I plp[ f? I Pi D. XtJ cLk O the undersigned, on oath.
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 understanrM'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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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
312-744-3.380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l-illlll-'O'll-'lli-'h'-'i-Mi'-i'x-lli-Nili-li-l-lii1
Status:_ Reason:.
019*001*********3-DIGfT 606 HOROCZ1, MARIA 6160 N DAMEN AVE APT 214 CHICAGO, IL 60659-4368
Claim Number: 1011185
Index Number: 1406120005 1021
Water Account Number: 300740321408
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 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 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 lo the City of Chicago have been paid and that I understand I airusubject 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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
» 4*<«5» 228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
iM" Ml,ll li,lllllM lil i,liMliMi i lill li i,1i lll lihl11
017*003*********3-DIGIT 606 BROWNSTEIN. WILLIAM R. 2837 W BERWYN AVE UNIT #2W CHICAGO, IL 60625-3401
Index Nu mber: 1312119055 1004
For Official Use Only: Ward: _
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021406
Water Account Number: 450804450804
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK. J O'CONNOR of Ward 40.
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 AL^w^ fx u S XiKuJ^the ur
jndersigned, on oalh.
Please Prinl 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)} am subject to penalties for nrrjuTy of falsification herein.
OWNER SIGNATURE.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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 Cily Hall Room 302 60602 Telephone
February 18, 2011
i)D4;(ii)
111' - -111 n i -111' 1 -111 - r 11 -1 - - -1111 -1 -111F11 -11111 -1111 -1 -1111
017*003*********3-DIGIT 606 WALDMAN, CHARLES T. 2833 W SUMMERDALE AVE APT 2W CHICAGO, IL 60625-3428
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021282
Index Number: 1312116058 1004
Water Account Number: 450847450847
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund underSection 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 underst^d^am^bjec^po^p^naides/r/r perjury of falsification herein.
OWNER SIGNATUR Very Truly Yours,
DATE P 'J 7' II
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18,2011
Ir'li'n.....iIi'Ii'IIi-I-'-ii-IIItIiI-I'iI-'It-IIiii'iI
016*001 *******5-DIGlT 60660 DAWSON, KATHLEEN M. 1922 W HOOD AVE APT ID CHICAGO, IL 60660-2296
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019374
Index Number: 1406213014 0000
Waler Account Number: 453285453285
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
JYour .2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: PATRICK J O'CONNOR of Ward 40.
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^ft\V\VPP.V\ \U' y<X.\)JSOY\ 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 of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE^/fl^^^/M ^jlU^' DATE ?) ~ J - // Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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:
016*001 *******5-DlGIT 60660 VELEZ, D1NA 1960 W HOOD AVE APT 3D CHICAGO, IL 60660-2202
Claim Number: 1020169
Index Number: 1406212006 0000
Water Account Number: 453183453183
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
I 3)tlOfi. \/.£-L.t£°Z__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 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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:_
-ii".....'■■lIMilll'-ll"-lli'-il'--illillli-lili'-lnl
Status:_ Reason:.
017*003*********3-DIGIT 606 KOSS, MARIE J. 2904 W FOSTER AVE CHICAGO, IL 60625-4055
Claim Number: 1016759
Index Nu mber: 1312120040 0000
Water Account Number: 127090542081
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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.
^3__tne undersigned, on oath,
depose and state that I am the applicant in the applicadon, 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, ^ v
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago. IL 60602
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
i!^K^H 228
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I'-ii'-li'liili'i-i'-'MOHi'i'xii'oiii-'ii-o'inilM1
Status:_ Reason:
016*001*******5-DIGIT 60660 nOu^A^JU) MORIARU, ELIZABETH
H5155 N WOLCOTT AVE APT 3A CHICAGO, IL 60660-2356
Claim Number: 1018973
Index Number: 1406214017 0000
Water Account Number: 453292453292
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: PATRICK J O'CONNOR of Ward 40.
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 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 lo 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 PATRICK J O'CONNOR
Attn: MEG
121 N. LA SALLE ST
ROOM 305
Chicago, IL 60602
Please do not send it to the Committee on Finance; your aldennan will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1 -1111 - n -111 -11 -1111 -1 -1 -1'1 -111 -11111 -111111 -1 - - -11111 - -111 -1 - >
Status:_ Reason:.
016*001*******5-DIGIT 60660 MCGUIRE, SHEILA 6169 N WOLCOTT AVE APT IA CHICAGO, IL 60660-2332
Claim Number: 1020609
Index Number: 1406214017 0000
Water Account Number: 453292453292
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: PATRICK J O'CONNOR of Ward 40.
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 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago. IL 60602
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
City of Chicago
3J2-744-3380
Telephone
ill<i-MiFii!iiillllhllillllr--l-'l-ihllllil-llINiil-l111-1
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
016*001 *******5-DIGIT 60660 DEMES, KATHERINE H. 1940 W HOOD AVE APT 2C CHICAGO. IL 60660-2233
Status:_ Reason:.
Claim Number: 1011924
Index Number: 1406212006 0000
Water Account Number: 500740524605
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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 fatheri^C /4 Dl^g^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 siibjept 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 PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
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 1
City of Chicago
Telephone 312-744-3380
lliiliilliim-lililil-l-ilili-IIMlTil-IN-ill-il-llllli-
017*003*********3-DIGLT 606 GALAN, JEAN
6424 N GLENWOOD AVE APT 2A CHICAGO, IL 60626-5143
Index Number: 1132327031 1002
Water" Account Number: 454248454248
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023312
Dear Senior Citizen:
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Your 2011 application for the Senior Citiz£fr>s*'Sewer Rebate was presented to the Cily Council by: BRIAN G. DOHERTY i
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 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 ^m 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 BRIAN G. DOllERTT
6650-N. NORTHWEST rtWY. Xhirnpn, II 60631-
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
:M^l|iiiilliil.|m|iliiilli|.l|urj|iii|l.liil|.l.ll|i
017*003*********3-DIGiT 606 MURPHY, ONELIA 2610 W BALMORAL AVE CHICAGO, IL 60625-3126
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1006086
Index Number: 1312214052 1018
Water Account Number: 300/40302704
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J O'CONNOR of Ward 40.
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.
the undersigned, on oalh,
Please Print Name
depose and stale lhat I am the applicanl 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 SIGNATUR Very Truly Yours,
^^/)aA^ 7n/M<A date "Z/o- /ij
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J O'CONNOR Attn: MEG
121 N. LA SALLE ST ROOM 305 Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
<3^5^228