City of Chicago
Alderman Edward M. Burke Chairman
3 J 2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lliii-illii-liiiiliilll-illillhill-'illllilllll-il-l-il
Status:_ Reason:.
018*OOI*********3-DIGrT 606 ANDERSON, JOSEPHINE 6233 N NIAGARA AVE APT 3E CHICAGO, IL 60631-2146
Claim Number: 1002077
Index Number: 1306110051 1011
Water Account Number: 300777620363
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 undersigned, on oath.
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
OWNER SIGNATURE
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
! i -1 -1111 -1 - - - -111 -111 m 11111 -11111 h - - -1 - -111H11 ii -1 -'1 h 11M11
Status:_ Reason:.
018*001*********3-DIGIT 606 ARITA, AIDA M.
6525 N NASHVILLE AVE AFT 403D CHICAGO, IL 60631-1769
Claim Number: 1016103
Index Number: 1031409060 1026
Water Account Number: 3009776274T6
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 -AiPA M. fc\'k\Tf>t 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, 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Roum 302 60602 Telephone
February 18, 2011
I|.III|I,.m|I|.II......Mill.-MILI
NTH'
Mh-l-
ll I' 11F111111
'.l-l'r'li-
018*001*********3-DIGIT 606 BARABAS, FRANCES 6831 N NORTHWEST HWY # 4 CHICAGO, IL 60631-1285
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021104
Index Number: 0936108061 1004
Water Account Number: 459343459343
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 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~^gl^^.y.^ DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i M11 < -111111111 -111 -111111 - -11111 -11111 -11 -11 -11111111111 -1111
Status:_ Reason:.
019*001*********3-DIGIT 606 BAUER, CONSTANCE 8748 W SUMMERDALE AVE APT 5E CHICAGO, IL 60656-2820
Claim Number: 1004696
Index Nu mber: 1211116030 1028
Water Account"Number: 459202459202
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
OWNER SIGNATURE^
^sS*22S
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■h-'I'-'i'iOlnll-hll-illii-'ll-l-iONM-lxi-i-i-i
Status:_ Reason:.
018*001*********3-DIGIT 606 BIENIEK, FRANK J. 6525 N NASHVILLE AVE APT 505E CHICAGO, IL 60631-1798
Claim Number: 1021037
Index Number: 1031409060 1036
Water Account Number: 455756455756
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 youc 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
the undersigned, on oath.
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201 1
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000108
i"rrillil-'l^ll-ll--ll-llll--iiil-il---lllllciill--l-,-i--lii-l
018*001*********3-DIGIT 606 BLOCK, MAEDEAN 6559 N NORTHWEST HWY APT IC CHICAGO. IL 60631-1439
Index Number: 0936419106 1018 Water Account Number: 133152821717
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I / //A*-* *4^"l^- ' 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 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 Secdon 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 to penalties for perjury of falsification herein.
OWNER SIGNATURE}^joj^^JLJ^^ DATE -~~ ^* n /f
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
■11■iM11 ■ ■ i ■ i11 -1111 nii1111■11 ■ ■111111 n ■ i >11 ■1111■■i111 ■11111
018*001*********3-DIGIT 606 BOSNAK, MILANO V. 5973 N NORTHWEST HWY APT 3B CHICAGO, IL 60631-2663
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023204
Index Number: 1306221036 1008
" Water Account Number: 455946455946
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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,
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 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 lo penalties for perjury of falsification herein.
OWNER SIGNATURE, Very Truly Yours,
DATE X~>2-«r~ H
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alrlerman Edward IVf. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
'r"l'llrl',',l"ir'i'i""rill'l'i,','l,"i"ir',l'r"r'1
018*001 *********3-DlGlT 606 BRUGGER, ROBERT 6462 N NORTHWEST HWY CHICAGO, IL 60631-1455
Index Number: 0936425053 1007 Water Account Number: 300777623447
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000482
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, 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 SIGNATUR Very Truly Yours, Edward M. Burke
DATE>^~ ^
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
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 Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1 n11 ■111 ■ ■ ir J i ■1' i ■ ■ i ■ ■ i ■11 ■1 ■ ■ ■ 111 ■ 1111 ■11 ■ ■ 11 r1 ■" f 11 ■1 ■ i1111f
Status:_ Reason:.
018*001*********3-DIGIT 606 CABAJ, M1CHAL
8711 W BRYN MAWR AVE APT 508 CHICAGO, IL 60631-3734
Claim Number: 1022706
Index Number: 1211104032 1037
Water Account Number: 643761595258
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
sSg?*228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Teleplione
February 18, 2011
IV^i ■ ■ -1 ■ 11 ■ -11111 -111111 -11 -11111 -11 -111 -111 -111 -111 - -11 -1 -1 -111
019*001 *********3-DIGlT 606 CALLEGARI, DIANE P. 7200 W SUMMERDALE AVE CHICAGO, IL 60656-1811
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019985
Index Number: 1212214024 0000
Water Account Number: 660353460646
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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/fi/Jfj /? <£cw/f /Tjtthe 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 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,P/L^/Vrtffi^*^ DATE & \ M> I1
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
hirrr MiPM-M^MXi'i'mMIiIi1-1!!1!11-!-Irril11!-1!11-
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
019*001*********3-DIGIT 606 CALT, VIRGIN A A. 7131 N CALDWELL AVE CHICAGO, IL 60646-1035
Status:_ Reason:.
Claim Number: 1004679
Index Nu mber: 1031208046 1003
Water Account Number: 300967625239
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
t /yif'y? /?. /? L 7~~ti\z 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■-■ll-'I'i'l'-IOili-l'il-ilil'i'lhlil'-'-l-lil-'ll-l"!!!1
Status:_ Reason:.
018*001*********3-DIGIT 606 CANTALUPO, MARY JANE 6453 N NORTHWEST HWY CHICAGO, IL 60631-1451
Claim Number: 1017081
Index Number: 0936419108 1003
Water Account Number: 300119035000
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
\/(lf)K y Jfi &t\ NXfjr LlLhjfiK 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
III,,,!,!,.!!!,!,,),,,!.,!.!,,,.!,!!.,.!!!,!.!,!!!,!!,.,!),!,,,
018*001 *********3-DIGIT 606 CARLSON, ROY A. 8727 W BRYN MAWR AVE APT 302 CHICAGO, IL 60631-3747
Index Number: 1211104034 1011
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021028
Water Account Number: 704714603071
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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.
undersigned, on oath,
^SyJ DATE_
Please Print Name
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate 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, 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 undereraTRLI am subject^ penalties for perjury of falsification herein.
OWNER SIGNATURE f~Jd^t ■
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
^i^228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
.|||||||l|.ll||l|...||ln,||,|l,|l,.l|.|.|.l,||||l,||l|,l|||,|
Status:_ Reason:.
018*001 *********3-DIGiT 606 CASALS, LUIS
6233 N NIAGARA AVE APT 4C CHICAGO, IL 60631-2125
Claim Number: 1020099
Index Number: 1306110051 1016
Water Account Number: 455838455838
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the Cily of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
I
.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:_
1.....11111 -1111 -11)1 - - -1 i -111 - H -111 - - -111 -11 -1111 - -11 -1 -111111
Status:_ Reason:.
019*001*********3-DIGIT606 CHIN, CHEES.
7229 W HIGGINS AVE UNIT 506 CHICAGO. IL 60656-1859
Claim Number: 1020862
Index Number: 1212202087 1028
Water Account Number: 430618430618
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
_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 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, 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ii||iilhi|i||l|||l||iri|||i|i|ilNlllllhlli'rl'iililllIMl
Status:_ Reason:.
018*001*********3-DIGTT606
CHMIELOWSKJ, IRENE E. 6490 N NORTHWEST HWY CHICAGO, IL 60631-1403
Claim Number: 1011802
Index Number: 0936425052 1030
Water Account Number: 300977627782
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
_the undersigned, on oath.
Please Print Name
OWNER SIGNATURE JPVZx^C *£ C9}(Ml
DATE a~aa- Q-O (/
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
inli'l-l-il'-li'hinilli-'ilhhi-x-i'li-'l-N'liMI-1!
Status:_ Reason:.
019*001 *********3-DIGIT 606 CRISCIONE, VIOLA A. 7212 W SUMMERDALE AVE CHICAGO, IL 60656-1811
Claim Number: 1018013
Index Number: 1212214018 0000
Water Account Number: 300119048609
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: BRIAN G. DOHERTY of Ward 41.
To determine 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.
ti£_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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
OWNER SIGNATURE.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'i"ll',iii'lli",'l,r'l"',riiiil,ii",i",l"'",'i"l,'ll'"
Status:_ Reason:.
018*001*********3-DIGiT 606 CUMMINGS, MARY 6549 N HARLEM AVE APT 2W CHICAGO, IL 60631-3931
Claim Number: 1019559
Index Number: 1031306021 1008
Water Account Number: 455846455846
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: B RI AN G. DOHERTY of Ward 41.
To determine 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, lhat 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 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 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
.the undersigned, on oath,
Please Print Name
OWNER SIGNATUR]
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
00414.5
hlhl"llllillllHl"'iHlHlilllillliHihll"llil"H'
018*001 *********3-DIGIT 606 DEAHUNTY, PATRICIA B 6478 N NORTHWEST HWY APT 1 CHICAGO, IL 60631-1459
Index Number: 0936425051 1001
Water Account Number: 458970458970
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022707
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: BRIAN G. DOHERTY of Ward 41.
To determine 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.
_the undersigned, on oath.
depose and state lhal I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject lo penaltj.es for perjury of falsification herein.
DATE
OWNER SIGNATURE Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Commitlee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 201
■"■itiI'M-i'I
11' -11 h'1111 -1 -1111111111' 111111 -111111 -1 -11
018*001*********3-DIGIT606 DIEZEL, NORMA P 6458 N NORTHWEST HWY CHICAGO, IL 60631-1412
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1008090
Index Number: 0936425054 1002
Water Account Number: 300977627508
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 }(g < H f} P. ^J) I & Z- £ L 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 Secdon 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^^^<-',^<^^ ^ ^"^f^ DATE_^ " ^ ~//
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
Please do nol 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 Teleplione
February"18, 2011
I ii) 1720
li,iiill,iil"ii,lrlili,ii,"in.....
019*001*********3-D1GIT 606 DIMAANO, DIANA F 6460 W HIGGINS AVE APT 1B CHICAGO, IL 60656-2255
' 1111 > 1111 -
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1008110
Index Number: 1307220056 1003
Water Account Number: 430613430613
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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, 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 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, 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.
^^&5*&&*£ DATE G^-^~f(
OWNER SIGNATURE.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
^■■rlMl-illlll-llli,ll"l-i-l"l-ll,,iilll,ll,l-ill-llll-11-1
019*001*********3-DIGIT 606 DREWIENKOWSK1, MARY 8558 W CATHERINE AVE CHICAGO, IL 60656-2845
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1008114
Index Number: 1211121037 1006
Water Account"Number:" 127162801791
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 lo your ward office before July 1, 2011. . '
»v the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, lhal Ihis 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 suhject to penalties fypr perjury of falsification herein.
OWNER SIGNATU
Very Truly Yours,
U,]>&JH - 2.Z 2-. 11
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February'18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11111 -1111 - -11 - -11 >111111 r1111 - -11111 - -1 - -11 - -1 -11111111111 11111
Status:_ Reason:.
019*001*********3-DIGIT 606 DUCHIN, JAYNE 7227 W HIGGINS AVE UNIT 305 CHICAGO, IL 60656-1853
Claim Number: 1007110
Index Number: 1212202085 1015
Water Account Number: 300 f 19021643"
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: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/lownhouse 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.
I J fi-yfV'rr. D<JC14/a/ the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 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
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:__
Intro. Date:_
PI -1 -11 -11....11' 11111111 -11' 111 -1'1111 -1II11 111111' 111 -1' 111
Status:_ Reason:.
018*001*********3-DIGIT 606 DUGAN, MARY C. 5973 N NORTHWEST HWY CHICAGO, IL 60631-2651
Claim Number: 1001456
Index Number: 1306221036 1002
Waler Account Number: 777700015648
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under ihe 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.
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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
the undersigned, on oath.
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:_
Status:_ Reason:
018*001*********3-DIGfT 606 EDWARDS, AUDREY T. 6867 N OVERHILL AVE APT 3D CHICAGO, IL 60631-1170
Claim Number: 1004702
Index Number: 0936109033 1012
Water Account Number: 135152869004
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 die property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
\^t^0 fLtz)/ ~T7 A&PS 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 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
OWNER SIGNATURE.
DATE.
228
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke CiIv Hall Room 302 60602 Telephone
February 18,201 1
IIHI,,!!!!,.,,,,!,!!!,!,!,,!!!!!!,,!!!,,!,!,.!,,.!!,,.
018*001*********3-DIGrT 606 FRANCUZ, CHRISTINE 6525 N NASHVILLE AVE APT 404D CHICAGO, IL 60631-1796
II.I.II
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1007180
Index Number: 1031409060 1027
Waler Account Number: 300977627416
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
/V C & the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under 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 ^hl^l'/Mf ^LClU>6&^-__DATE Fz^s ^ (I
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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, 201 1
IK)-!
I'-i'-i'i'llii-lli'ii'lx'ii'iillxiXi-ilx-'-x-'-ll-lliill-
018*001 *********3-DIGrT 606 FABRIZIO, GERALDINE 5941 N ODELL AVE CHICAGO. IL 60631-2378
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017391
Index Number: 1201401041 1002
Water Account Number: 300119036195
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
IO 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-tc^ penalties for perjury of falsification herein.
I
OWNER SIGNATU ■ / Very Truly Yours,
DATE
^ - ^ O//
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
Please do not send it to the Committee on Finance: your alderman will introduce il on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,11,11,11111,1,1,r|,ll|l|l|||1|l,l|ll|lT|IHr||l||rr|||
Status:_ Reason:
018*001*********3-DIGIT 606 FAZIO. ANN
6121 N NORTHWEST HWY APT 409 CHICAGO, IL 60631-2149
Claim Number: 1020031
Index Number: 1306110054 1039
Water Account Number: 455851455851
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
/ 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60002 Telephone
February 18, 2011
i -11M - - -111 ■ -11111 -11111 -1 -111111' 11 -1 -1 -1 -1 <' 111 -1 -1 ■ 1111 -11 -1
018*001*********3-DIGIT 606 GASERO, ROSEMARIE A. 6858 N NORTHWEST HWY CHICAGO, IL 60631-1258
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011149
Index Number: 0936111045 1010
Waler Account Number: 135152855876
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 /I QSczrlA 4 R l£~ Sc^ 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 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.
OWNER SIGNATURE/f^^-a^^ </^<^<l^-^ DATE ^ ~ V
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
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:_
Status:_ Reason:
019*001*********3-DIGrT 606 GELLER, ROSE
8748 W SUMMERDALE AVE APT IE CHICAGO, IL 60656-2820
Claim Number: 1004635
Index Number: 1211116030 1005
Water Account Number: 300777624617
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
L-L<21? 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 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' BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
ii'lll"!-.......1111111111 m - -1 -1 -111 - -1 - -111111 - -111111111111 -
019*001 *********3-DIGIT 606 GEORGE, SOPHIE 8517 W CATHERINE AVE CHICAGO, IL 60656-1590
Index Number: 1211119026 1027 Water Account Number: 3001 i 9004693
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1008072
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
Sxp^Yn V£ Qr e<3 <£-- the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 1, 2011, that 1 am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refuncLunder Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all otnpr fees, penalties or assessments owed to the City of Chicago have been paid and that I understand-^alin subject to penalti*^ for perjury of falsification herein.
OWNER SIGNATURE ^*&j*Jbs V^f^^^jjfkb--' ^ c~" //
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
^jg*>228
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
HM745
-1111 -111 -1 -111 -11111111 - -1MI r i -1 -111111 - -1 -111111111111 -11111 -1
019*00l*********3-DIGrT 606 GIAMBRONE, ANNA M 8748 W SUMMERDALE AVE APT 6F CHICAGO, IL 60656-2867
Index Number: 1211116030 1035
Water Account Number: 300777624617
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1008068
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 diese requirements, you must sign and date this applicadon and return it to your ward office before July 1, 2011.
I ^ ' G> VAMfeffDtO^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 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 arn^tibjecLfo penalties for perjury of falsification herein.
v
OWNER SIGNATU
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|l|,|l.ll|||,l|l|,|||||.||||,|||l.||.ll||.l|.ll||llll|l||l||
Status:_ Reason:.
019*001*********3-DIGIT 606 GROMIEC, STAN1SLANA K. 7225 W HIGGINS AVE UNIT 305 CHICAGO, IL 60656-1849
Claim Number: 1021646
Index Number: 1212202084 1015
Water Account Number: 430618430618
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
the undersigned, on oath,
Please Print Name
^8g».228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Tll||l|||lllhl||l|||1|l|l|||l|||l|1||llr|l,llTll|
Status:_ Reason:.
018*001*********3-DIGIT 606 GUCWA, AUDREY H. 6233 N NIAGARA AVE CHICAGO. IL 60631-2146
Claim Number: 1002076
Index Number: 1306110051 1014
Water Account Number: 300777620363
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary I, 20J1, 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 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
the undersigned, on oath,
Please Print Name
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
|ITI,I,1111,1111,1,11,111111,11,,|,,,1,1,,I,,,!,,,!,!,,,
Status:_ Reason:.
018*001 *********3-DIGiT 606 GUIDA, JOSEPH C. 6453C N NORTHWEST HWY CHICAGO, IL 60631-1421
Claim Number: 1000087
Index Number: 0936419108 1016
Water Account Number: 300119035000
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 201 1 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 \J <0St>r°Jl C (rpy/Jirfthe 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 equilable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
OWNER SIGNATURE.
**2tu&&, 'J.
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 201 I
li'il MM'-M-l-11 ih-"Ml-null1-i---nh-'-l <i-'MM >'l-ill1
018*001*********3-DIGiT 606 HALUPNICZAK, CECILIA P. 6869 N NORTHWEST HWY APT 2E CHICAGO, IL 60631-1235
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1001475
Index Number: 0936108059 1011
Water Account Number: 300119035697
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
/
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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. ^
the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that 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
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1 -1111' 1111111111 -1111' 11 -1' - -111 -11111'1111111111' I h 11 -11 - L'' 11
Status:_ Reason:.
019*001 *********3-DIGIT 606 HEYKA, MARTA 7225 W HIGGINS AVE UNIT 304 CHICAGO, IL 60656-1849
Claim Number: 1017138
Index Number: 1212202084 1014
Water Account Number: 300119021643
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 2011
11 ri i 11 -,-, -111 -, -1 - - (11 -11, i,-, -11 -11 --11 -1 - - -, -1«■ i1«««■ i ■ 111 ■«
018*001*********3-DIGIT 606 HOFFMAN, ANNE L. 6534 N NORTHWEST HWY CHICAGO, IL 60631-1447
Index Number: 0936425050 1011
Water Account Number: 300777623461
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1007168
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 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 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 tc/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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 60631
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 Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111111111111111 > 11 -11M -1111 -" 1111' 111111->I -111 -11 - -' 111 -'11
Status:_ Reason:.
018*001*********3-DIGiT 606
HOKENSON, FLORENCE 6869 N NORTHWEST HWY CHICAGO, IL 60631-1367
Claim Number: 1001534
Index Number: 0936108059 1012
Water Account Number: 3001 i 9035697
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 applicadon and return it to your ward office before July 1, 2011.
\pfpf<SHCB M- riokZHSQfl_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 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, lhal 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
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 r' -11111 -111111 -1' i -11111111 - r I - -1111'1 -1
11 ■111111 ■ 11 ■ i1
Status:_ Reason:.
018*001*********3-DIG1T 606 HUBBELL, JOSEPH G. 6525 N NASHVILLE AVE # 3C CHICAGO, IL 60631-1751
Claim Number: 1021108
Index Number: 1031409060 1118
Water Account Number: 455756455756
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: BRIAN G. DOHERTY of Ward 41.
To determine 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.
_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 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
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(-111 -' 11L1111111 -1111'' 11 -111 -1' 111 -11111111111111 -1111111' -
Status:_ Reason:
019*001*********3-DIGIT 606 HUYBRECHT, CAROLE 8507 W RASCHER AVE UNIT 3E CHICAGO, IL 60656-1393
Claim Number: 1019750
Index Number: 1211121035 1018
Water Account Number: 430547430547
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 C-fl*lo'-E- rA u[br^cKi" ^e undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
DATE
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
111 -111.....>-<->l>-hi-lr>n-li-ir
019*001 *********3_DIGiT 606 IVES, MARTIN A. 5219 N POTAWATOMIE ST CHICAGO. IL 60656-2456
ll-TTl"!11!1!
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016036
Index Number: 1211115021 1001
Water Account Number: 300777623980
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 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.
OWNER SIGNATURE
^ / Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
'^^■226
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i - -1 -1 - r -111 m 1111 > -11111 u11111111111 1111 - -'
Status:_ Reason:.
019*001 *********3-DIGIT 606 JANUS, DOROTHY L. 6961 W HIGGINS AVE APT 2S CHICAGO, IL 60656-1939
Claim Number: 1017703
Index Number: 1307113045 1002
Water Account Number: 127142712989
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 'PogcrOlY L rJ H-'-S__the undersigned, on oath.
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
lilllilliu"T"llliililrilll,lu"llllilili"il'l,llllh
Status:_ Reason:.
018*001*********3-DIGIT 606 JUDZKA, CHRISTINE 5950 N ODELL AVE APT 6A CHICAGO, IL 60631-2369
Claim Number: 1009144
Index Number: 1201401040 1006
Water Account Number: 300777624006
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 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 T 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
the undersigned, on oath,
Please Print Name
DATE
Qi^^>228
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance City Hall Room 302 60602 www.com m itteei infi nance.org
February 18, 2011
i n ■ i ■ 11 i i i -1 - ■ ■ 11 ■ i -111 ■ i ■ ■ 11 ■ - ■ -1 -11 -11 - 11 11 i i -11 ■ i - ■ 11
019*001*********3-DIGIT 606 JOHNSTON. DOROTHY 5159 N EAST RIVER RD UNIT 104 CHICAGO, IL 60656-2657
Index Number: 1211310070 1004
Water Account Number: 300i 19011936
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1002499
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 V(0&CD tU \f /l/l Jg» H-*Ji -ToJ the undersigned, on oath, Ple'ase 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 /&^^r^.
DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
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 Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
-1 ■ 11 ■ 11111 ■ 111 ■1 ■ 11 ■ ■ ■1 ■ ■ i ■ 11 1111 ■1 -111 ■ I" ■ i11 > 111 > 111 11! ■ 11
Status:_ Reason:
018*001*********3-DIGIT 606 KACZYNSKI, VIRGINIA 6538 N NORTHWEST HWY APT IH CHICAGO, IL 60631-4001
Claim Number: 1021407
Index Number: 0936425050 1008
Water Account Number: 458958458958
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
fs/(/f- ~G2.yfVSA?t the undersigned, on oath, O Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary I, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
(10171 I
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lli-lillillil-lli-iilli-il-ilil-il-l-lllii-ll-llhlilllil>il
Status:_ Reason:.
019*001 *********3-DIGIT 606 KENSEK, SYLVIA J. 7229 W HIGGINS AVE UNIT 603 CHICAGO, IL 60656-1864
Claim Number: 1001458
Index Number: 1212202087 1031
Water Account Number: 300119021643
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 lo your ward office before July 1, 2011.
.the undersigned, on oath,
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1. 2011, that I am the owner of record of said real estate 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
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:_
iiii-ll^iii'lil-M-l'i-'l-'iMiii-'iilrl'Oiillii'ri11
Status:_ Reason:
018*001*********3-DIGIT 606 KERR, LOIS E.
6538 N NORTHWEST HWY APT 1G CHICAGO, IL 60631-4001
Claim Number: 1015488
Index Number: 0936425050 1007
Waler Account Number: 300777623461
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verily 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.
I Z-^/S J^- $_the undersigned, on oath,
depose and state that I am the applicant in the applicadon, 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 to penalties for perjury of falsification herein.
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
Very Truly Yours,
i_>'ard M. Burke
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
IiiIiIIItiii-Iii-ii-IiiIiiiI-Iiiiii-i-IIiI-ii-I-Iii-iiiI-ii
Status:_ Reason:.
018*001*********3-DIGIT 606 KOEHLER, AUGUSTE 6589 N NORTHWEST HWY CHICAGO, IL 60631-1444
Claim Number: 1000268
Index Number: 0936411034 1017
Water Account Number: 133152821922
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
_lhe undersigned, on oath.
depose and state thai I am ihe 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
I ■ 1^ I -11 -111 -11111 -1111 -1 -11 -1 - -11 ^111 -1111111 -11'11' 11111111 -
019*001 *********3-DIGrF 606 K.OHN, EVA 5355 N DELPHIA AVE CHICAGO, IL 60656-4653
Index Number: 1211119025 1005
Water Account Number: 300119009872
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1009171
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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, 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 J^uri subject to penalties^or perjury of falsification herein.
DATE 01' Z8~10 ' \
OWNER SIGNATURE. Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|ll||l.|l.ll|lll||l||lr.l.||l||||l||||||rl.||,l||.l||||||.|
Status:. Reason:
018*001*********3-DIGIT 606 KONRATH, FRIEDA 6811 N OLMSTED AVE CHICAGO, IL 60631-1380
Claim Number: 1002460
Index Number: 0936112027 1018
Water Account Number: 135152843293
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 /?f/^77/y 4&>'\/AZ/r71-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 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 lo the Cily 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
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:_
lii|i.,|||i|llil|ll|||iiii.lliii,i,i.li|ii-Nliiil--lll-lll-
Status:_ Reason:
018*001 *********3-DIGIT 606 KOTLINSKI, ROSEMARY C. 6804 N OVERHTLL AVE #5C CHICAGO, IL 60631-1230
Claim Number: 1019993
Index Nu mber: 0936112031 1014
Water Account Number: 430535430535
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 stale 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Plei
:ase Print Name
DATE_£-- li
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
m1 -111 -1 -11 -1 11111 - -111111--11111 -111 -111 -11111 -111 11!-111111
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
0I9*001*********3-DIGIT 606 KUJAWA, PAULINE S. 8748 W SUMMERDALE AVE APT 3B CHICAGO, IL 60656-2361
Status:, Reason
Claim Number: 1020467
Index Number: 1211116030 1013
Water Account Number: 459202459202
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
(AJfr 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
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:_
-111111' 1111111' I -111111111111J11! -1 1111 -11'' I -'111 -' 11' 111111' I
Status:_ Reason:.
018*001*********3-DIGIT 606 KELLY, AMELIA P. 6800 W RAVEN ST UNIT 202 CHICAGO, IL 60631-2526
Claim Number: 1002159
Index Number: 1306110052 1015
Water Account-Number: 300767618325' -
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
jhe undersigned, on oath,depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
»'$S3?»>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
1104120
018*001 *********3-DIGIT 606 KALCHBRENNER, FRANK 6800 N OVERFULL AVE CHICAGO, IL 60631-1379
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1006050
Index Number: 0936112031 1010
Water Account Number: 300119036287
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 ft\ /A fo « K A i-C H g rVM l> the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under 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 -^-DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
* <jt^j^5^»fc> 228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
iilllll-ll-illl-ll-i-lNlnlilil-l-illl-hill-llil-lllill
Status:_ Reason:.
018*001*********3-DIGIT 606 KEEGAN, JAMES 6815 N OLMSTED AVE APT 101 CHICAGO, IL 60631-1204
Claim Number: 1003772
Index Number: 0936112027 1004
Wafer Account Number: 459347459347
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name"
.the undersigned, on oath,
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
I'"'11 ■■'1" 111' 11' 11'''' 11'1'' 11'' 1" f' I' MI'' I' I' I'' 11"' I
019*001*********3-DIGiT 606 KOEHLER, HENRY G. 5143 N EAST RIVER RD UNIT E-157 CHICAGO, IL 60656-2856
Index Number: 1211310074 1009 'Witter Account Number: 300119011950
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011705
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
jhe undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Secdon 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE Very Truly Yours. Edward M. Burke
DATE -/1
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020066
February 18, 2011
i- 7-M -111 f - -1111 -11 -111 - -111 - -1111111 - -11 -11111 - ■ 111E -11 - - -11 -
018*001*********3-DIGIT 606 LIBERMAN, ENID B. 6121 N NORTHWEST HWY APT 306 CHICAGO, IL 60631-2149
Index Number: 1306110054 1036 Water Account Number: 455851455851
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: BRIAN G. DOHERTY of Ward 41.
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
Jhe 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 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 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 Cily of Chicago have been paid and that I understand-^am subject topenalties 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:
T
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_■
Intro. Date:_
ihllhl""iliiTliiHlilllll'lill'illlTillilllnl"lr"1
Status:_ Reason:.
019*001*********3-DIGIT 606 LUCAS, HARRY A. 8519 W CATHERINE AVE CHICAGO, IL 60656-2916
Claim Number: 1016332
Index Number: 1211119026 1022
Water AccounfNumber: 300119004693
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 H/t/ety Li/ess__ _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, 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 topenalties 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
DATE.
sj8^>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
019*00I*********3-DIGIT 606 LYDON, SARAH A 8554 W CATHERINE AVE UNIT 2E CHICAGO, IL 60656-2527
Claim Number: 1008098
Index Number: 1211121037 1008
Water Account Number: ! 27162801784
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please
Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 1-8, 2011
||l|l.l.|||||||l|l||l.l|l.ll|ll.|||.|lll|l|||l|,l|||ll|ll
018*001*********3-DIGIT 606 MAHONEY MARY 6858 N NORTHWEST HWY CHICAGO, IL 60631-1258
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003877
Index Number: 0936111045 1005
Water Account Number: 135152855876
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 M
fi, \\ y H a tfo / *
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 1 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 ofthe 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 //l^^i Stf M<r^ DATE_ Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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 Teleplione
February 18, 2011
■■IMi1iiIiI-iIIii-iI,iIiii-1I-iiii,iiiiiiiIiIIiiII-iiii-
018*001*********3-DIGIT606 MAKR1NSKJ, AIDA L. 5947 N ODELL AVE CHICAGO, IL 60631-2379
Index Number: 1201401041 1010
-Water AccounrNuinber:-3001i9036195 - - ^---------"-~-------
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1009151
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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,
Please Print Name
depose and state that I am the applicant in the applicadon, lhat this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
- OWNER-SIGNATURE ^^l^c. "DATE - 3 Y- cQo li if-
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 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
9^^*228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Ruom 302 60602 Telephone
February 18, 2011
"114410
'H'MHI'"lilll'llllilllllllrlililll-l-irl-illliiiN"Tl
018*001*********3-DIGIT 606 MCDERMOTT, BERNARD F. 8747 W BRYN MAWR AVE APT 406 CHICAGO, IL 60631-3684
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023203
Index Number: 1211104033 1025
Water Account Number: 700726599205
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 flg'ftWAftb F, m^hgAmo"nThe 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 to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE jB?su*jqJ>J 3&Q8Asr»effi~ DATE /' OngtL, JJ_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
Please do not send it to tlie Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
'IS?*'228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephi
>none
February 18, 2011
019*001 *********3-DIGIT 606 MISIC, STEVE
5147 N EAST RIVER RD UNIT 148 CHICAGO, IL 60656-2684
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1001610
Index Number: 1211310071 1024
Water Account Number: 300119011899
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
/_SZ+_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 understaryfXam 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
«c*)gg«>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'i',il'r',ll",',l'i"rllll"llil,"rl'll,l"il',r'"i'iil''
Status:_ Reason:.
018*001 *********3-DIGIT 606 MICUCCI, PATRICIA 6121 N NORTHWEST HWY APT 303 CHICAGO. IL 60631-2162
Claim Number: 1020065
Index Number: 1306110054 1016
Water Account Number: 455851455851
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 slate lhal 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
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:_
r >i >ri III ih i'i IiM"-inn1-1-1" I--'<in hlllll >r ii'l i
Status:_ Reason:
018*001*********3-DIGIT 606 MOORE, DOLORES A. 6440 W DEVON AVE APT 306 CHICAGO, IL 60631-2057
Claim Number: 1004677
Index Number: 1031417050 1024
Water Account Number:' 455690455690
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 b<? L(? I'teS A - ° ^_the undersigned, on oath,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real 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 Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE A>rJt,^,s,s , '?7J&-ryv~ DATE £ '//_
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
io-ni -i
--i'Mil1-hh11! Irl-I i" Mil-iMMI'irM-.-> M-l i--h-h-i'M-i i
018*001*********3-DIGIT 606 MOOREHOUSE, NANCY E. 6858 N NORTHWEST HWY APT 1D CHICAGO, IL 60631-1291
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1004650
Index Number: 0936111045 1004 Water Account Number: 459355459355
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 applicadon 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 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 ^L^ty At+t-<*M*-tA^c-~ DATE o^/^V j U Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward IM. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|l|,,1,1,111,11,111,1111,.lllllll,,,,!!,,!!,,!!!,,!,,!,,,,,!,,,!
Status:_ Reason:.
019*001*********3-DIGrT 606 MUI, WAI K. 7227 W HIGGINS AVE CHICAGO, IL 60656-1868
Claim Number: 1007111
Index Number: 1212202085 1027
Water Account Number: 300119021643
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 applicadon and return it to your ward office before July 1, 2011.
i Ml) 1 , la) & \ K » 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 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 I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
s^g^-228
City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance City Hall Room .302 60602 w\.c(immitteeonfinanee.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■iirl'-nl.....1111111 -11111M111 -1 j i -11111 -111.....'ri'i'h
Status:_ Reason:.
019*001 *********3-DIGIT 606 NEMETH, FERENC 5345 N DELPHIA AVE CHICAGO, IL 60656-4643
Claim Number: 1016266
Index Number: 1211119023 1029
Water Account Number: 300119U09575
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 Secdon 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
fikyi fi LAAvt undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 201
City of Chicago
iiiIiIiit"I-iI'iiItii'tii-tI--IIiI-iI-II-ii-ii-iiIii
018*001 *********3-DIGFT 606 ONOFRJO, ROSINA 8711 W BRYN MAWR AVE APT 501 CHICAGO, IL 60631-3734
Index Number: 1211104032 1030
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023202
Water Account Number: 643761595258
2011 SENTOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 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^OStlNfy Q^pP It? 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 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. Very Truly Yours,
f\«l/>Hf. . O.^un j^l^ft DATE_OXj Xt-j j 11
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Cliairman
February 18, 201
City of Chicago
llillliilllMliiilllliiTl-iillTiilllll-ilili-llNii-ii-li
018*001*********3-DIGiT 606 OLSON, CECELIA L. 6538 N NORTHWEST HWY CHICAGO, IL 60631-4001
Index Number: 0936425050 1027
Water Account Number: 300777623461
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1007177
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 il to your ward office before July 1, 2011.
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 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 Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE <^^-^^a>6^^-^t<Pt^DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lrl-ilil-lihillrlllFllT-iMl-l-llll-ill-lilnllll-
Status:_ Reason:.
019*001 *********3-DIGIT 606 OLZESKI, LUCILLE 7229 W HIGGINS AVE UNIT 602 CHICAGO, IL 60656-1859
Claim Number: 1001541
Index Number: 1212202087 1030
Water Account Number: 300119021643
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 £ LX2.J Me. C7Z £~sA1 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 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, thai 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
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:_
ii-i-itIii-u-I-iiii>-iIiI-iIiitiiiiiItiiiii-iiiiIiIIiiiI
Status:_ Reason:.
019*001*********3-DIGrr 606 OTOOLE, MARY B. 7229 W HIGGINS AVE UNIT 301 CHICAGO, IL 60656-1898
Claim Number: 1001600
Index Nu mber: 1212202087 1011
Water Account Number: 300H9021643
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 applicadon and return it to your ward office before July 1, 2011.
I M fj f{Y iS - 0 L'f£> 0 ^ the "ndersigned. 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 lo 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 60631
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
«<*tg^.228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
11 -1 - -111111 - M i11111 -1111 i I -1111111111111 -111111 -11111 -1111 - -111
February 18, 2011
019*001*********3-DIGIT 606 PAWLOWSKI, LUCLAN 5159 N EAST RIVER RD UNIT 208D CHICAGO, IL 60656-2770
For Official Use Only:
Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011342
Index Number: 1211310070 1032
Water Account Number: 300119011929
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
.the undersigned, on oath,
Please Print Name
DATE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room :i()2 60602 Telephone
February 18, 2011
""hrl'r'iii'i'i'-hi"!'1.....11111 m -11111111 - (11 - -1 - i 11
018*001 *********3-DIGrT 606 PERUZZATO, ALBERT 6221 N NIAGARA AVE APT 504 CHICAGO, IL 60631-2120
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000283
Index Number: 1306110050 1046
Water Account'Number: 300777620370 "
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRI AN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee oh 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 /^Z^^7^%^^g/^^,ndersigned on oath. Please Print Name 1
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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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 Teleplione
February 18, 201 1
H04-4I7
IHIiiIIitIIIhiiiIiu'iiitii"iHiIiIiIiiIIiiIfIti'II
018*001*********3-DIGIT 606 PIEKUT, JANUSZ A 8711 W BRYN MAWR AVE APT 707 CHICAGO, IL 60631-3736
For Official Use Only: Ward:_'
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022623
Index Number: 1211104032 1056
Water Account Number: 643761595258
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 thai I have a legal or equitable interest therein, thai I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the 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 falsificadon herein.
OWNER SIGNATURE .^u/V^/ £'2 /^t j^&^&^'DATE J3 ' ~ O I (
Very Truly Yours, * Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY \
Attn: MAURITA
6650 N. NORTHWEST HWY.
Chicago, IL 60631
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 Citv Hall Room 302 60602 Telephone
February 18, 2011
i1 i i i-1111111111 < 111 ■ - ■ 11 - -1 ■ ■ ■ i ■ ■11 -1 ■ 111 ■ 11 -111 - ■ 1111 ■ ■
019*001*********3-DIGiT 606 PIPiTONE, EVA M. 5321 N DELPHIA AVE CHICAGO, IL 60656-4619
Index Number: 1211119019 1010
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1009160
Water Account Number: 300119009551
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or 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. fifiS*. ^.^t^^-DATE JZJS'.AZ^JJ
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 - - -11111 * 111111 -111 -11111 -1 - * 11 -1' 111 - * 1111111' I -11111 - -1111
Status:_ Reason:
018*001*********3-DIGIT606 POCIASK, HELEN 6587 N NORTHWEST HWY CHICAGO, IL 60631-1443
Claim Number: 1002770
Index Number: 0936411034 1007
Water Account Number: 133152821885
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 applicadon and return it lo your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the 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 T 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago. IL 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
He Lei? PeciaStK
the undersigned, on oath,
Please Print Name
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1111 -1L111 -11111 -1 11111 - i I -11 -111111 -11 - 11111111111' - -11 -1 - -1 - J
Status:_ Reason:.
018*001*********3-DIGIT 606 POCIASK, TONY
6490 N NORTHWEST HWY APT 3A CHICAGO, IL 60631-1464
Claim Number: 1004647
Index Number: 0936425052 1013
Waler Account Number: 300977627782
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 arn^bjocTtrjybenalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
the undersigned, on oath,
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
(«14dVI
1 ] 11 -111111 - -111111M11 -1111111 -1 -11M -111 >^ 11111111111 -1.....1
Oi9*ooi*********3-DIGIT 606 RADLOWSKI, HELEN M. 8415 W GREGORY ST UNIT 201 CHICAGO, IL 60656-1282
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1009200
Index Number: 1211122008 1003
Water Account Number: 300777619721
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
Lo LU <, 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 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^/^ ?7?. , J DATE tII^^/^OII_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I f I ■1 I" I' 11111'111 ■ 111'' 11111' 1111" 1111' 111111'" I"1'1" ■""'1111"
Status:_ Reason:.
018*001*********3-DIGIT 606 RANDAZZO, JEAN 6482 N NORTHWEST HWY CHICAGO, IL 60631-1461
Claim Number: 1016861
Index Number: 0936425051 1022
Water Account Number: 300977627751
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Cliairman
February 18, 2011
ill.i.mi.ill.milMl...I.ii
City of Chicago
i - -1 -1111111 -1111 -11l--111E - -11 -1111111
019*001*********3-DIGIT 606 RATARAC, DUKE AND ANKJCA 5218 N DELPHIA AVE CHICAGO, IL 60656-2573
Index Number: 1211115022 1030 Water Account Number: 300777o 19356
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1003758
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Please Print Name
.the undersigned, on oath,
depose and stale that I am the applicant in the applicadon, 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
aides for perjury of falsification herein.
been paid and that I underst OWNER SIGNATUR Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1111 -1 -' I' I -1 -1111111'1111111111'' I -1 -111111111 -1111 [''111 -11' 11
Status:_ Reason:.
018*001 *********3-DIGIT 606 REITER, DAVID J. 6800 W RAYEN ST UNIT 104 CHICAGO. IL 60631-2525
Claim Number: 1011522
Index Number: 1306110052 1007
- -Water Account Number: 300767618325
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 J)a^|"jP ^J - |^' j"^L~ ^_tne 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 lhat I have a legal or equitable interesi 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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understandTam 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
OWNER SIGNATUR]
'■Msy/t- DATE
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
■i--i-l--!i-ii-liitll-illl--!li-llil-,-l-ii-iillil-l-liii-r-'l
019*001*********3-DIGrT 606 REGAN, THOMAS C. 7229 W HIGGINS AVE UNIT 105 CHICAGO, IL 60656-1861
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017025
Index Number: 1212202087 1003
Water Account Number: 300119021643
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
l/jj/cfilffS C /\£ &fl?$ 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 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 SI<^NATU^1^^^^^ O/^^u^ DATE " \l I
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
x^gS*228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
illi-lil-ilii-lliiilnl-lllili-ill-llilillli-l-lll-lTili-l
Status:_ Reason:.
018*001*********3-DIGIT 606 REULEIN, INGA E. 6505 N NASHVILLE AVE CHICAGO, IL 60631-1712
Claim Number: 1000397
Index Number: 1031409062 1035
Water Account Number: 300977627409
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 applicadon and return it to your ward office before July 1. 2011.
I ff<JCrJ\ (r < /?/?£//- £7/7 the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1002051
-11 j 111M111111 -11 -1111111:1 h I - m i k I m 1 - -1 -11 - -111 - -111 -11 -111 -1
018*001*********3-DIGIT 606 RINGA. GERALDINE 6587 N NORTHWEST HWY CHICAGO, IL 60631-1443
Index Number: 0936411034 1004
Water Account Number: 133152821885
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or 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 that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE,
iJfjLj ajU^*^f\^mjjc^ DATE &5 /&' / // Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 - -1 -11111 h I -11 <1 - h -1' 111' 11'11'' -1 -1 1111' -' 1111 -11111111 -' 11
Status:_ Reason:.
018*001 *********3-DIGIT 606 SAGAN, ANN 6589 N NORTHWEST HWY CHICAGO, IL 60631-1444
Claim Number: 1002052
Index Number: 0936411034 1010
Water Account Number: 133152821922
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 oh 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.
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, lhat I am the owner of record of said real estate property or thai 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-'I'-'lli-i'i'ill'lo-llll'-o^'ii-lili'lli-lhi'-liOlii1
II
Status:_ Reason:
019*001*********3-DIGIT 606 SCHIFO, CHARLOTTE 8421 W GREGORY ST UNIT 102 CHICAGO, IL 60656-1247
Claim Number: 1021285
Index Number: 1211122008 1026
Water Account Number: 458581458581
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 C^A/IjL /oife- <SC'hi f~Q_the undersigned, on oath,
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1. 2011, that I am the owner of record of said real estate property or 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 60631
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
Please Print Name
RETAIN I COPY FOR YOUR RECORDS
■^8g*.228
City of Chicago
Alderman Edward M. Burke Chairman
Committee on Finance City Hall Room 302 60602 wwiv.commitleennfinance.org
312-744-3380
Telephone
11111111 -111 > > i11 > 1111 -1 -111 - - -1 -1 > > i > - -111 r1 -11 -11 -11 -1 -111 [ 11 - <
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
018*001*********3-DIGIT 606 SCHN1TZER, BERN1CE A 5975 N ODELL AVE UNIT 2B CHICAGO, IL 60631-2337
Status:_ Reason:.
Claim Number: 1000497
Index Number: 1201401039 1009
Water Account Number: 300777623959
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: BRIAN G. DOHERTY of Ward 41.
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 S£. H/V/ ci> A> SCrff /^/77-£f£ 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 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, 1/ Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
OWNER SIGNATUREJ^^L/1^ /A. r
ATE 7^, Jfy Z0//
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
iiM||l|ll|il|ini|iii||1||,|1|rii,||ni|il',illhMl'hlh
018*001 *********3-DIGIT 606 SCHULTE, RALPH J 6505 N NASHVILLE AVE APT 502 CHICAGO, IL 60631-1749
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023342
Index Number: 1031409062 1033
Water Account Number: 455755455755
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BERNARD L. STONE of Ward 50.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I fiAt-P-fl ^).£&fiULf£__the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. fiai$,)r$rJuM>> date f£3f>3. ?*M
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BERNARD L. STONE Attn: MARY ANN /GERI 121 N. LA SALLE ST ROOM 200 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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only: Ward:
Intro. Date:_
lihilllhllrl,ll"l"llllihl'iirl"'ll'"lli'llll"liil'l
Status:_ Reason:.
018*001*********3-DIGIT 606 SCIACCA, FLORENCE 6875 N NORTHWEST HWY CHICAGO, IL 60631-1369
Claim Number: 1002406
Index Number: 0936108059 1004
Water Account Number: 300119035697
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I flC>R£h}CE Set* /-} CC$_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, 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, 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|.|II|...||I||T|I.|I||I.||I|IIII|||I||.|||I|I.|||||||I|II|I
Status:_ Reason:.
018*001 *********3-DIGIT 606 SICHAU, MARTHA 6559 N NORTHWEST HWY APT 2A CHICAGO, IL 60631-1439
Claim Number: 1015258
Index Number: 0936419106 1019
■Water Account Number: 133152821717
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 flt-TKjHFI SicHf-TU 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, 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, 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
Commiltee on Finance City Hall Room 302 60602 www.com m i 1 teeon fi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only: Ward:
Intro. Date:_
i-ll-l-llill-ll-llilllli-ll-llil-liilll-ili-ll-lnl-hilllil
Status:_ Reason:
018*001*********3-DIGIT 606 SIKORSKY, DORIS J. 6559 N NORTHWEST HWY APT 1A CHICAGO, IL 60631-1439
Claim Number: 1000384
Index Number: 0936419106 1017
Water Account Number: 133152821717
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: BRIAN G. DOHERTY of Ward 41.
To determine 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.
jhe undersigned, on oath,
depose and state that I am the applicant in the applicadon, lhat this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, 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 t/ penalties for perjury of falsification herein.
Very Truly Yours, U Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18,2011
-i nlf 111111 f i1111 -1 -11111 - M -1111111 - - -1 - ■ I -111111 -1 -1 -111111 -1
018*001*********3-DlGrr 606 SOLOHUB, HALINA 6440 W DEVON AVE APT 302 CHICAGO, IL 60631-2057
Index Number: 1031417050 1020
Water Account Number: 133142762230
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1015117
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 to your ward office before July 1, 2011.
Jhe undersigned, on oath,
Please Print Name .« ,
fifirLlAfff yi^
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^^f^d^_# DATE £~ _2J> H
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 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
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
'ill-111 ■"■1"111"1111111' I ■ 111"1"111 ■11«11111111111111 -11" I ■ 11
018*001*********3-DIGFT 606 STRUGALA, MARJANNA 6533 N NORTHWEST HWY APT 2D CHICAGO, IL 60631-1429
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017887
Index Number: 0936419107 1010
Water Account Number: 300977627850
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application lor the Senior Citizen's Sewer Rebate was presented lo the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
I .$ir\U(7l)jk I^RiJii///^ the undersigned, on oalh. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that T understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE A^c^/TrtXy^y^^^^Y^jp^DATE 0?^/c~>l3///
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
lllVlli^irll-lilMilIIMllllMliilllllllllllirlNlili
OI8*001*********3-DIGiT 606 SWANSON, NORMAN J. 8747 W BRYN MAWR AVE APT 201 CHICAGO, IL 60631-3688
Index Number: 1211104033 1001
Water Account Number: 700726599205
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023201
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
Please Print Name
jhe undersigned, on oath.
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 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 subjacTtcThenalties for perjury of falsification herein.
OWNER SIGNATURE /Y^-^^H
DATE
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRTAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
*§«J«,228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1' 11'' 11111111' 11111 -1411 [11111 - J -1111J1 -11M -'1111 -11111'111 -11
Status:_ Reason:.
018*001*********3-DIGIT 606 TARENSKI, EVA E 5975 N ODELL AVE UNIT 2C CHICAGO, IL 60631-2337
Claim Number: 1022671
Index Number: 1201401039 1010
Water Account Number: 458865458865
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 EVA E", fAft-ErsISM_tne undersigned, on oath.
depose and stale lhal I am the applicant in the application, lhal this is my principal place of residence as of January 1. 2011, that I am ihe 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 Cily 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
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:_
■rh'Mr'-M-'ilxilil-'li-llrii'M-ilT-il'iTli11
Status:_ Reason:.
018*001*********3-DIGIT 606 T1MM, PATRICIA T. 6800 W RAVEN ST UNIT 405 CHICAGO, IL 60631-2529
Claim Number: 1018136
Index Number: 1306110052 1038
Water Account Number: 300767618325
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
.the undersigned, on oath.
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
'mil111
.iiii.i
iln-Mhiii-lirli1111!1!!......
019*001*********3-DIGIT 606 TOKJMOTO, MARY ANN 7239 W SUMMERDALE AVE CHICAGO, IL 60656-1810
Index Number: 1212215003 0000
IIIIXIl'l
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019765
Water Account Number: 650948460651
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 under^ajl,! am subject u^jjerplties for perjury of falsification herein.
OWNER SIGNATURE ' 7^''? 4"/>*M/M DATE. Very Truly Yours, ^ Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: _
Intro. Date:_
lil,lllllTil'il'i,li,liilllrlliii,li'lilii,,ll"iliiilll,"lil
Status:, Reason:
019*001*********3-DIGJT 606
TUAZON, RUPERTA L. 4823 N HARLEM AVE #2 CHICAGO, IL 60656-3505
Claim Number: 1008952
Index Number: 1307336029 1026
Water Account Number: 300/ /7619/52
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
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 dale this application and return it to your ward office before July 1, 2011.
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 lo 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
Please do not send it to tlie 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:_
Status:_ Reason:.
019*001 *********3-DIGIT 606 TUNNO, KATIE A. 5147 N EAST RIVER RD UNIT 337F CHICAGO, IL 60656-2824
Claim Number: 1007148
Index Number: 1211310071 1061
Water Account Number: 300119011912
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 applicadon 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. lhat I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
.the undersigned, on oath,
DATE.
"*Ss?*>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
I -111111111' 111' 11 -1 - - -11'11 - -11 -111111 - * 111 -11 - - -1 - -11 h'111111 -
018*001*********3-DIGfT 606 WEBER, RICHARD F. 5939 N NORTHWEST HWY CHICAGO. IL 60631-2674
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1016661
Index Number: 1306402052 1007
Water Account Number: 300119034557
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 Rfg#4/?D £~ [P G-R&'P- 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 und©f&tand Lam subject to penalties for perjury of falsification^erein.
OWNER SIGNATURE
DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Commitlee on Finance
Aid ernian Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 201 1
! i - - j 1111 -1111111 - - -1 -1 -11 - n i -1111111 - - 11 >111 -1111 -111 r 11 (111r I
018*001 *********3-DIGlT 606 WIKTOREK, LILLIAN T. 6505 N NASHVILLE AVE CHICAGO, IL 60631-1712
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1016277
Index Number: 1031409062 1004
Water Account Number: 300977627409
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application tor the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 lo your ward office before July 1, 2011.
undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR^^^-^--^ /- /jL^jj^pzS DATE ^ ~ ~~ jf
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|T|||I|II|||.|,,||I|I||,II|,I,I|I,|||I|||I,||,|,||T||,||I
Status:_ Reason:.
019*001*********3-DIGfT 606 WOHLFAHRT, EBERHARD 8539 W RASCHER AVE UNIT 1W CHICAGO, IL 60656-1327
Claim Number: 1019054
Index Number: 1211121033 1007
Water Account Number: 430644430644
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 efbt£-(tG-fcd cJo4^f^^r 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 1 have a legal or equitable interest therein, that 1 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 60631
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
Please Print Name
OWNER SIGNATURE
DATE ^Az^/cA^ //
RETAIN 1 COPY FOR YOUR RECORDS
Sag?* 228
City of Chicago
Alderman Edward M. Burke Chairman
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
iVluiiml-"lh'hlHf'.'ilIHillll"lTllllilll"iiH
Status:_ Reason:.
018*001 *********3-DLGlT 606 WOJTALEW1CZ, EDWARD S. 5975 N ODELL AVE CHICAGO, IL 60631-2358
Claim Number: 1017777
Index Number: 1201401039 1001
Water Account Number: 300777623959
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 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.
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 Cily 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.
OWNER SIGNATUR DATE,
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
le 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
0044117
■I.,!.)!!!.!.,!,!!,!!,.!...,.!!,,!.,!,.,.,!.,,.!,!!!,!,,!!.!!.!
018*001 *********3-DIGIT 606 WROBEL, ALFRED J. 7808 W HIGGINS RD APT D CHICAGO. IL 60631-3345
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011920
Index Number: 1201311078 0000 Water Account Number: 541873690008
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the 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 {2M+-*^Jl /^kJ^-^t*-X^ DATE ° f /
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
illlll-illll-illilll-li-ll-ll-illl-lllillnllill-ll'li--l-i
Status:_ Reason:.
018*001 *********3-DIGlT 606 WYNNE, MARY A. 6800 W RAVEN ST UNIT 403 CHICAGO. IL 60631-2528
Claim Number: 1019621
Index Number: 1306110052 1036
Water Account Number: 455927455927
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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 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, 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 BRIAN G. DOHERTY^N Attn: MAURITA ) 6650 N. NORTHWEST HWY. / Chicago, IL 60631 ^^y^
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:_
l-l-ll-lil'-lli-liliilu-lMlllinlllilinln.....Il-'"lh
Status:_ Reason:
018*001*********3-DIGIT 606 YANKOVICH, LOUISE 6849 N OLMSTED AVE APT 8 CHICAGO, IL 60631-1205
Claim Number: 1017140
Index Number: 0936111051 1008
Water Account Number: 135152864634
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: BRIAN G. DOHERTY of Ward 41.
To determine 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 to your ward office before July 1, 2011.
I LovlSE- y/ltikoV/C/l1 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 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
Please Print Name
Alderman Edward M. Burke Chairman
February 18, 2011
1 -111111 -111 -111 -11111 1 >^ 111 -11111 -111 -j1MI-1111 -1
018*001*********3-DIGIT 606 YONAN, DOLLY 6800 N HARLEM AVE APT 303 CHICAGO, IL 60631-1193
Index Number: 0936229041 1007 Water Account Number: 777700075549
City of Chicago
IN.II
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:
Claim Number: 1015033
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I
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 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 Cily of Chicago have been paid and that I understand! am subject to penalties for perjury of falsification hereir
■eir^/^
OWNER SIGNATURE AVH^/. l^711^U4^ DATE_ Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201 1
>-ililiilu-h--i i-'iIP'iiM-M'Iii-IMIimMIii il-l-ihll--!-1!
018*001*********3-DIGIT 606 ZAKRZEWSKI, MARY E. 6567 N HARLEM AVE APT 2W CHICAGO. IL 60631-3924
For Official Use Only:
Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019289
Index Number: 1031306021 1050
Water Account Number: 45584745584/
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: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I WA&y tf, 2 /9^?JkJ6)CI 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, 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.
OWNER SIGNATURE, Very Truly Yours,
-^ybsu^^M-. DATE_A -£cl -//
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago. IL 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
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,llllll|l||,lhir|l|||,ll|ll||.l|||l|||M||llll|rTl||H|l
Status:_ Reason:.
018*001*********3-DIGIT 606
ZBIKOWSKI. WANDA H. 6505 N NASHVILLE AVE CHICAGO, IL 60631-1712
Claim Number: 1011341
Index Number: 1031409062 1039
Water Account Number: 300977627409
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I %$ I Kd> LU SKI $/WbA If 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 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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY. Chicago, IL 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
Please Print Name
228
Alderman Edward M. Burke Chairman
February 18, 201 1
City of Chicago
lilhhliilll,illl,lillr,lilllrllriiirliillrl'il'l'lll,li
018*001*********3-01017 606 ZERING, RICHARD C. 6440 W DEVON AVE APT 208 CHICAGO, IL 60631-2097
Index Number: 1031417050 1017
Water Account Number: 133142762230
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1004692
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the-Senior Gitizens 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,
Please Print Name
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 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 lo penalties for perjury of falsification herein.
OWNER SIGNATUR
^.^^y DATE
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 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
^S?*228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephune
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
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Status:_ Reason:.
019*001 *********3-DIGIT 606 ZWINN, EDMUND W. 7213 W BALMORAL AVE CHICAGO, IL 60656-1801
Claim Number: 1015381
Index Number: 1212214006 0000
Waler Account Number: 127152800326
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRIAN G. DOHERTY of Ward 41.
To determine 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.
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 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 BRIAN G. DOHERTY Attn: MAURITA 6650 N. NORTHWEST HWY Chicago, IL 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
.the undersigned, on oath.
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