ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY
(NOTICE: THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE-DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THIS FORM DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS; BUT WHEN A POWER IS EXERCISED, YOUR AGENT WILL HAVE TO USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS FORM. A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS THE AGENT IS NOT ACTING PROPERLY. YOU MAY NAME SUCCESSOR AGENTS UNDER THIS FORM BUT NOT CO-AGENTS. UNLESS YOU EXPRESSLY LIMIT THE DURATION OF THIS POWER IN THE MANNER PROVIDED BELOW, UNTIL. YOU REVOKE THIS POWER OR A COURT ACTING ON YOUR BEHALF TERMINATES IT, YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT YOUR LIFETIME, EVEN AFTER YOU BECOME DISABLED. THE POWERS YOU GIVE YOUR AGENT ARE EXPLAINED MORE FULLY IN SECTION 3-4 OF THE ILLINOIS "STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY LAW" OF WHICH THIS FORM IS A PART (SEE THE BACK OF THIS FORM). THAT LAW EXPRESSLY PERMITS THE USE OF ANY DIFFERENT FORM OF POWER OF ATTORNEY YOU MAY DESIRE. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU.)
POWER OF ATTORNEY made this day of November, 2010
1. I, IRWIN S. STEINBERG, residing at 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois, hereby appoint my wife, ELAINE S. STEINBERG, as my attorney-in-fact (my "agent") to act for me and in my name (in anyway I could act in person) with respect to the following powers, as defined in Section 3-4 of the "Statutory Short Form Power of Attorney for Property Law" (including all amendments), but subject to any limitation on or additions to the specified powers inserted in paragraph 2 or 3 below:
(YOU MUST STRIKE OUT ANY ONE OR MORE OF THE FOLLOWING CATEGORIES OF POWERS YOU DO NOT WANT YOUR AGENT TO HAVE. FAILURE TO STRIKE THE TITLE OF ANY CATEGORY WILL CAUSE THE POWERS DESCRIBED IN THAT CATEGORY TO BE GRANTED TO THE AGENT. TO STRIKE OUT A CATEGORY YOU MUST DRAW A LINE THROUGH THE TITLE OF THAT CATEGORY.)
(a) Real estate transactions
(b) Financial institution transactions
(c) Stock and bond transactions
(d) Tangible personal property transactions
(e) Safe deposit box transactions
(f) Insurance and annuity transactions
(g) Retirement plan transactions
(h) Social security, employment and military service benefits
(i) Tax matters
(j) Claims and litigation
(k) Commodity and option transactions
(I) Business operations
(m) Borrowing transactions
(n) Estate transactions
(o) All other property powers and transactions.
(LIMITATIONS ON AND ADDITIONS TO THE AGENT'S POWERS MAY BE INCLUDED IN THIS POWER OF ATTORNEY IF THEY ARE SPECIFICALLY DESCRIBED BELOW.)
2. The powers granted above shall not include the following powers or shall be modified or
limited in the following particulars (here you may include any specific limitations you deem appropriate, such as a prohibition or conditions on the sale of particular stock or real estate or special rules on borrowing by the agent):
None.
3. In addition to the powers granted above, I grant my agent the following powers (here you may add any other delegable powers including, without limitation, power to make gifts, exercise powers of appointment, name or change beneficiaries or joint tenants or revoke or amend any trust specifically referred to below):
None
(YOUR AGENT WILL HAVE AUTHORITY TO EMPLOY OTHER PERSONS AS NECESSARY TO ENABLE THE AGENT TO PROPERLY EXERCISE THE POWERS GRANTED IN THIS FORM, BUT YOUR AGENT WILL HAVE TO MAKE ALL DISCRETIONARY DECISIONS. IF YOU WANT TO GIVE YOUR AGENT THE RIGHT TO DELEGATE DISCRETIONARY DECISION-MAKING POWERS TO OTHERS, YOU SHOULD KEEP THE NEXT SENTENCE, OTHERWISE IT WOULD BE STRUCK OUT.)
4. My agent shall have the right by written instrument to delegate any or all of the foregoing powers involving discretionary decision-making to any person or persons whom my agent may select, but such delegation may be amended or revoked by any agent (including any successor) named by me who is acting under this power of attorney at the time of reference:
(YOUR AGENT WILL BE ENTITLED TO REIMBURSEMENT FOR ALL REASONABLE EXPENSES INCURRED IN ACTING UNDER THIS POWER OF ATTORNEY. STRIKE OUT THE NEXT SENTENCE IF YOU DO NOT WANT YOUR AGENT TO ALSO BE ENTITLED TO REASONABLE COMPENSATION FOR SERVICES AS AGENT.)
5. My agent shall be entitled to reasonable compensation for services rendered as agent under this power of attorney.
(THIS POWER OF ATTORNEY MAY BE AMENDED OR REVOKED BY YOU AT ANY TIME AND IN ANY MANNER. ABSENT AMENDMENT OR REVOCATION, THE AUTHORITY GRANTED IN THIS POWER OF ATTORNEY WILL BECOME EFFECTIVE AT THE TIME THIS POWER IS SIGNED AND WILL CONTINUE UNTIL YOUR DEATH UNLESS A LIMITATION ON THE BEGINNING DATE OR DURATION IS MADE BY INITIALING AND COMPLETING EITHER (OR BOTH) OF THE FOLLOWING:)
6. ( X ) This power of attorney shall become effective immediately upon execution of this document.
7. Intentionally Omitted.
(IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAME(S) AND ADDRESS(ES) OF SUCH SUCCESSOR(S) IN THE FOLLOWING PARAGRAPH.)
8. If any agent named by me shall die, become legally disabled, resign or refuse to act, I name the following (each to act alone and successively, in the order named) as successor(s) to such agent:
(IF YOU WISH TO NAME A GUARDIAN OF YOUR PERSON OR A GUARDIAN OF YOUR ESTATE, OR BOTH, IN THE EVENT A COURT DECIDES THAT ONE SHOULD BE APPOINTED, YOU MAY, BUT ARE NOT REQUIRED TO, DO SO BY INSERTING THE NAME(S) OF SUCH GUARDIAN(S) IN THE
2
FOLLOWING PARAGRAPHS. THE COURT WILL APPOINT THE PERSON NOMINATED BY YOU IF THE COURT FINDS THAT SUCH APPOINTMENT WILL SERVE YOUR BEST INTERESTS AND WELFARE. YOU MAY, BUT ARE NOT REQUIRED TO, NOMINATE AS YOUR GUARDIAN(S) THE SAME PERSON NAMED IN THIS FORM AS YOUR AGENT.)
9. If a guardian of my person is to be appointed, I nominate the following to serve as such guardian: My wife, ELAINE S. STEINBERG, 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois 60611
10. If a guardian of my estate (my property) is to be appointed, I nominate the following to serve as such guardian:
My wife, ELAINE S. STEINBERG, 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois 60611
11. I am fully informed as to all the contents of this form and understand the full import of this grant of powers to my agent.
(YOU MAY, BUT ARE NOT REQUIRED TO, REQUEST YOUR AGENT AND SUCCESSOR AGENTS TO PROVIDE SPECIMEN SIGNATURES BELOW. IF YOU INCLUDE SPECIMEN SIGNATURES IN THIS POWER OF ATTORNEY, YOU MUST COMPLETE THE CERTIFICATION OPPOSITE THE SIGNATURES OF THE AGENTS.)
Signed.
Specimen signature of agent (and successors)
I certify that the signatures of my agent (and successors) are correct
3
SECTION 3-4 OF THE. ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY LAW
Section 3-4. Explanation of powers granted in the statutory short fonn power of attorney for property. This Section defines each category of powers listed in the statutory short form power of attorney for property and the effect of granting powers to an agent. When the title of any of the following categories is retained (not struck out) in a statutory property power form, the effect will be to grant the agent all of the principal's rights, powers and discretions with respect to the types of property and transactions covered by the retained category, subject to any limitations on the granted powers that appear on the face of the form. The agent will have authority tp exercise each granted power for and in the name of the principal with respect to all of the principal's interests in every type of property or transaction covered by the granted power at the time of exercise, whether the principal's interests are direct or indirect, whole or fractional, legal, equitable or contractual, as a joint tenant or tenant in common or held in any other form; but the agent will not have the power under any of the statutory categories (a) through (o) to make gifts of the principal's property, to exercise powers to appoint to others or to change any beneficiary whom the principal has designated to take the principal's interests at death under any will, trust, joint tenancy, beneficiary form or contractual arrangement, the agent will be under no duty to exercise granted powers or to assume control of or responsibility for the principal's property or affairs; but when granted powers are exercised, the agent will be required to use due care to act for the benefit of the principal in accordance with the terms of the statutory property power and will be liable for negligent exercise. The agent may act in person or through others reasonably employed by the agent for that purpose and will have authority to sign and deliver all instruments, negotiable and enter into all agreements and do all other acts reasonably necessary to implement the exercise of the powers granted to the agent.
(a) Real estate transactions. The agent is authorized to: buy, sell, exchange, rent and lease real estate (which term includes, without limitation, real estate subject to a land trust and all beneficial interests in and powers of direction under any land trust); collect all rent, sale proceeds and earnings from real estate; convey, assign and accept title to real estate; grant easements, create conditions and release rights of homestead with respect to real estate; create land trusts and exercise all powers under land trusts; hold, possess, maintain, repair, improve, subdivide, manage, operate and insure real estate; pay, contest, protest and compromise real estate taxes and assessments; and, in general, exercise all powers with respect to real estate which the principal could if present and under no disability.
(b) Financial institution transactions. The agent is authorized to: open, close, continue and control all accounts and deposits in any type of financial institution (which term includes, without limitation, banks, trust companies, savings and building and loan associations, credit unions and brokerage firms); deposit in and withdraw from and write checks on any financial institution account or deposit; and, in general, exercise all powers with respect to financial institution transactions which the principal could is present and under no disability.
(c) Stock and bond transactions. The agent is authorized to: buy and sell all types of securities (which term includes, without limitation, stocks, bonds, mutual funds and all other types of investment securities and financial instruments); collect, hold and safekeep all dividends, interest, earnings, proceeds of sale, distributions, shares, certificates and other evidences of ownership paid or distributed with respect to securities; exercise all voting rights with respect to securities in person or by proxy, enter into voting trusts and consent to limitations on the right to vote; and, in general, exercise all powers with respect to securities which the principal could if present and under no disability.
(d) Tangible personal property transactions. The agent is authorized to: buy and sell, lease, exchange, collect, possess and take title to all tangible personal property;
4
move, store, ship, restore, maintain, repair, improve, manage, preserve, insure and safekeep tangible personal property; and, in general, exercise all powers with respect to tangible personal property which the principal could if present and under no disability.
(e) Safe deposit box transactions. The agent is authorized to: open, continue and have access to all safe deposit boxes; sign, renew, release or terminate any safe deposit contract; drill or surrender any safe deposit box; and, in general, exercise ail powers with respect to safe deposit matters which the principal could is present and under no disability.
(f) Insurance and annuity transactions. The agent is authorized to: procure, acquire, continue, renew, terminate or otherwise deal with any type of insurance or annuity contract (which terms include, without limitation, life, accident, health, disability, automobile casualty, property or liability insurance); pay premiums or assessments on or surrender and collect all distributions, proceeds or benefits payable under any insurance or annuity contract; and, in general, exercise all powers with respect to insurance and annuity contracts which the principal could if present and under no disability.
(g) Retirement plan transactions. The agent is authorized to: contribute to, withdraw from and deposit funds in any type of retirement plan (whjch term includes, without limitation/any tax qualified or no qualified pension, profit sharing, stock bonus, employee savings and other retirement plan, individual retirement account, deferred compensation plan and any other type of employee benefit plan); select and change payment options for the principal under any retirement plan; make rollover contributions from any retirement plan to other retirement plans or individual retirement accounts; exercise all investment powers available under any type of self-directed retirement plan; and, in general, exercise all powers with respect to retirement plans and retirement plan account balances which the principal could if present and under no disability.
(h) Social Security, unemployment and military service benefits. The agent is authorized to: prepare, sign and file any claim or application for Social Security, unemployment or military service benefits; sue for, settle or abandon any claims to any benefit or assistance under any federal, state, local or foreign statute or regulation; control, deposit to any account, collect, receipt for, and take title to and hold all benefits under any Social Security, unemployment, military service or other state, federal, local or foreign statute or regulation; and, in general, exercise all powers with respect to Social Security, unemployment, military service and governmental benefits which the principal could if present and under no disability.
(i) Tax matters. The agent is authorized to: sign, verify and file all the principal's federal, state and local income, gift, estate, property and other tax returns, including joint returns and declarations of estimated tax; pay all taxes; claim, sue for and receive all tax refunds; examine and copy all the principal's tax returns and records; represent the principal before any federal, state or local revenue agency or taxing body and sign and deliver all tax powers of attorney on behalf of the principal that may be necessary for such purposes; waive rights and sign all documents on behalf of the principal as required to settle, pay and determine all tax liabilities; and, in general, exercise all powers with respect to tax matters which the principal could if present and under no disability.
(j) Claims and litigation. The agent is authorized to: institute, prosecute, defend, abandon, compromise, arbitrate, settle and dispose of any claim in favor of or against the principal or any property interests of the principal; collect and receipt for any claim or settlement proceeds and waive or release all rights of the principal; employ attorneys and others and enter into contingency agreements and other contracts as necessary in connection with litigation; and, in general, exercise all powers with respect to claims and
5
litigation which the principal could if present and under no disability.
(k) Commodity and option transactions. The agent is authorized to: buy, sell, exchange, assign, convey, settle and exercise commodities futures contracts and call and put options on stocks and stock indices traded on a regulated options exchange and collect and receipt for all proceeds of any such transactions; establish or continue option accounts forthe principal with any securities or futures broker; and, in general, exercise all powers with respect to commodities and options which the principal could if present and under no disability.
(I) Business operations. The agent is authorized to: organize or continue and conduct any business (which term includes, without limitation, any farming, manufacturing, service, mining, retailing or other type of business operation) in any form, whether as a proprietorship, joint venture, partnership, corporation, trust of other legal entity; operate, buy, sell, expand, contract, terminate or liquidate any business; direct, control, supervise, manage or participate in the operation of any business and engage, compensate and discharge business managers, employees, agents, attorneys, accountants and consultants; and, in general, exercise all powers with respect to business interests and operations which the principal could if present and under no disability.
(m) Borrowing transactions. The agent is authorized to: borrow money; mortgage or pledge any real estate or tangible or intangible personal property as security for such purposes; sign, renew, extend, pay and satisfy any notes or other forms of obligation; and, in general, exercise all powers with respect to secured and unsecured borrowing which the principal could if present and under no disability.
(n) Estate transactions. The agent is authorized to: accept, receipt for, exercise, release, reject, renounce, assign, disclaim, demand, sue for, claim and recover any legacy, bequest, devise, gift or other property interest or payment due or payable to or for the principal; assert any interest in and exercise any power over any trust, estate or property subject to fiduciary control; establish a revocable trust solely for the benefit of the principal that terminates at the death of the principal and is then distributable to the legal representative of the estate of the principal; and, in general, exercise all powers with respect to estates and trusts which the principal could if present and under no disability; provided, however, that the agent may not make or change a will and may not revoke or amend a trust revocable or amendable by the principal or require the trustee of any trust for the benefit of the principal to pay income or principal to the agent unless specific authority to that end is given, and specific reference to the trust is made, in the statutory property power form.
(o) All other property powers and transactions. The agent is authorized to: exercise all possible powers of the principal with respect to all possible types of property and interests in property, except to the extent the principal limits the generality of this category (o) by striking out one or more of the categories (a) through (n) or by specifying other limitations in the statutory property power form.
6
STATE OF ILLINOIS)
)SS:
COUNTY OF COOK)
The undersigned, a notary public in and for the above county and state, certifies that IRWIN S: STEINBERG, known to me to be the same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the additional witness in person and acknowledged signing and delivering the instrument as the free and voluntary act of the principal, for the uses and purposes therein set forth, and certified to the correctness of the signature(s) of the agent(s).
' Notary Public My commission expires:.
2.
DATE: November M . 2010
[SEAL]
OFFICIAL SEAL RICHARD N KAPLAN NCTAftV PUBLIC-STATI CP UM08
The undersigned witness certifies that IRWIN S. STEINBERG, known to me to be the same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the notary public and acknowledgedsigwing and delivering the instrument as the free and voluntary act of the principal, forthe uses and purpgse^the^ein set forth. I believe him to be of sound mind and memory.
DATE: November
2010
Printed Name
Address
City, State, Zip
Prepared By:
Richard N. Kaplan, Esq. 6160 N.Cicero #320 Chicago, IL 60646 773/481-2700
7
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
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005*001 *******5-DIGIT 60611 STENDER, WALTER W 20 E CEDAR ST APT 14C CHICAGO, IL 60611-5116
For Official Use Only: Ward:__
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021866
Index Number: 1703201067 1023
Water Account Number: 585689585689
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of 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 understarttLFam subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Cliairman
City of Chicago
RECFIVED FEB 2 5 2011
Teleplione 312-744-3380
February 18, 201
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004*001*******5-DIGIT60611 STENHOUSE, WALLACE 175 E DELAWARE PL APT 8707 CHICAGO, IL 60611-1739
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1002088
Index Number: 1703220020 1650
Water Account Number: 300120622073
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
I
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
been paid and lhat I understand I ai
OWNER SIGNATURE.
Very Truly Yours,
r perjury of falsification herein. DATE III
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECEIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
M111 -11 -1111 - -11111111 -11' - -11 -1 -1' I - * 1111111 -1111 -11111 -111111
Status:_ Reason:
004*001*******5-DIGIT 60611 STERN, JUNE
990 N LAKE SHORE DR APT 17A CHICAGO, IL 60611-1344
Claim Number: 1007153
Index Number: 1703208021 1061
Water Account Number: 300120618982
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I JU N CT f\ f^Ahe 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 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
RECEIVED FEB 2 5 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
hl'H,lllTllll,'l,l'l''ll,,l',',l',''llllll',llllll,ll'lllM'
Status:_ Reason:.
001*001*******5-DIGIT 60601 STEVENS, MARY 360 E RANDOLPH ST APT 2107 CHICAGO, IL 60601-7336
Claim Number: 1019021
Index Number: 1710318031 1143
Water Account Number: 301050017515
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it 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 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
I MftRlj JSTTkl/Z/JQ. the undersigned, on oath,
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
111111 ■ [1""" 11' 1111"11! 111 i1 ■'1 ■1' 11' 11 ■ H" 111"111111.1"""1111111
Status:_ Reason:.
019*001 *********3-DIGIT 606 STEWART, DAVEY 300 N STATE ST APT 3208 CHICAGO, IL 60654-5449
Claim Number: 1020561
Index Number: 1709410014 1220
Water Account Number: 58715258/i 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: BRENDAN REILLY of Ward 42.
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 of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to/penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
OWNER SIGNATURE.
RECEIVED HM 03 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111111 n i -11111 -1 -111 -111 - -11 - -1111 -111 -11 - -111111111 < -11 -1 -11111
Status:, Reason
006*001*******5-DIGIT60611 STIBER, JOHN A
505 N LAKE SHORE DR APT 5009 CHICAGO, IL 60611-6442
Claim Number: 1021867
Index Number: 1710214016 1202
Water Account Number: 587860587860
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 JOHN) Bo STlfct-rfc 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 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 Cily of Chicago, that all water taxe^ property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I im xabject tfTSenalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
OWNER SIGNATURE.
date oa-ay-i I
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
-IIII h I' 11111 -11 -11 -11 -111111111111 - h111 - -1'! 11 I -14 -
013*001*******5-DIGIT 60645 STONE, BERNARD 6833 N KEDZIE AVE APT 1116 CHICAGO, IL 60645-2885
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1003255
Index Number: 1036120003 1170
Water Account Number: 300109026337
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal iresidence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
S>Q.crard Sfcne
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 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 alLalher fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject tOypferufities for perjury of falsification herein.
OWNER SIGNATUREN^g*^^^^ <4** *r*Z> DATE 3/oL^f U Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Teleplione
February 18, 2011
1101)7(14
li-lx'ii-iX-iliM-'X'l-lhil-'il'iii-ill-MiiI'lT-llllii
004*001*******5-DIGIT 60611 STONE, JACK D. 100 E BELLEVUE PL APT 15A CHICAGO, IL 60611-1123
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011399
Index Number: 1703202063 1012
Water Account Number: 585685585685
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 wajd^TTice before July 1. 2011.
I__h<~K j). s5"/p fJ 6- lhe undersigned, on oath,
Please Print Name
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that 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, afid all other fees, penalties or assessments owed to the City of Chicago have
been paid and that I understand I
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
nalties for perjury of falsification herein.
DATE V / W / ^ I I
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I -1 - -11111' i -1' 11 -11111 -1M i - (11 -1111 - -1 (111111 -1 - -1 11 -11111111
Status:_ Reason:.
005*001*******5-01011 60611 STONE, LORRAINE M. 230 E ONTARIO ST APT 1005 CHICAGO, IL60611-3206
Claim Number: 1017325
Index Number: 1710203028 1048
Wuiei" Account Number: 303050318993
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
DATE *2 - 2 T - /J.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room .'i()2 60602 Telephone
February 18, 2011
(«)ins.;
11 - - - -' i -1111 - -1111 -11 i1 -11111 -1 I -1 -1M11 -11111111 -1111111 -11 -
004*001 *******5-DIGIT 60611 STOPECK, EUGENE 990 N LAKE SHORE DR APT 6C CHICAGO. IL 60611-1368
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011531
Index Number: 1703208021 1013
Water Account Number: 585775585/75
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 ^ ^ GtLfrJ cT STO^^-^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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties fr^r perjury of falsification herein.
OWNER SIGNATURE.
Very Truly Yours,
DATE
4^1
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECFIVED FEB 2 5 2011 City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
III,!,!!!,!!!!,.!!!,,,,!,,!,!!,!!,!,!!!,,!!,!,!.!!!!,!!!,!.!!!!
001*001*******5-DIGIT 60601 STORAKO, JEANETTE J. 155 N HARBOR DR APT 2302 CHICAGO, IL 60601-5006
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011511
Index Number: 1710401005 1296
Water Account Number: 300209034887
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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 T£M£TTF T. ST^/T^nders igned, 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE.
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
121 N. LA SALLE ST
ROOM 200
Chicago, IL 60602
Please do nol send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
RECEIVED FEB 2 5 2011
Telephone 312-744-3380
February 18, 2011
mil'mo
ll-liiliillirllilhinl-iliiliiil-ll-l-ii-lil-lllllil-ll-l-1
006*001*******5-DIGIT 60611 STOTLAND, ROBERTA R 950 N MICHIGAN AVE APT 2503 CHICAGO, IL 60611-7508
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022881
Index Number: L703207068 1092
Water Account Number: 585785585785
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office beforeJuly 1, 20.1
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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand lyam subjecKto panallies/for perjury of falsification herein.
OWNER SIGNATURE t1&\- jUovS/W DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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
RECFIVED MAR 0 3 2011
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
IllllOllXllMilllOl-llTl-l-ll'-'-llllI
003*001*******5_DIGIT 60610 STRANG, EILEEN L. 55 W DELAWARE PL APT 307 CHICAGO, IL 60610-6085
■llll'l'-l'll'lll1
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018088
Index Number: 6154621222 1546
Water Account Number: 777700162802
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
Lthe 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 ajfolherjees, penalties or assessments owed to the City of Chicago have been paid and that I understajjd^m^bjecuc^MfrTaTues for perjury of falsification herein.
OWNER SIGNATURE s> #IW*'?7 JS/Usr'/ DATE_ Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:__
Intro. Date:_
■ 111 ■ 111 ■ 11 ■ t""1 ■1 11111111111 ■"" 111' I ■ 1111'1" I'11'11" 11"'111 ■" 11
Status:_ Reason:.
005*001 *******5-DIGIT 60611 STRAUSS, JOSEPHINE N. 180 E PEARSON ST APT 4301 CHICAGO. IL 60611-2171
Claim Number: 1004471
Index Number: 1703226065 1071
Water Account Number: 30012062201"! ' ~
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
I ^PSEy /V< .Sri\ftrP<& the undersigned, on oath,
Please Print Name
OWNER SIGNATURE.
DATE ^L-3-^~ ft
RECEIVED MAR'03 2011
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:___
11111111 -1 - -1 -11111111111 -' i -11 -111111111111! -1111 - -1 >11 -111111 -1
Status:_ Reason:
002*00l*******5-DIGIT 60610 STREETER, SALLY B. 1460 N SANDBURG TER AFT 602 CHICAGO, IL 60610-1531
Claim Number: 1021589
Index Number: 1704207086 1031
Water Account Number: 58326/58526/
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
£ E-f^F-t. the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY
Attn: MARTHA
121 N. LA SALLE ST
ROOM 200
Chicago, IL 60602
Please da not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
■n-il-x-'lll'i-o'-'rlMII'I'lii'lliT-'l.....■i'-I'i'-i
Status:_ Reason:.
005*001*******5-DIGIT 60611 SUDAK, JAN 211 EOHIO ST APT 716 CHICAGO, IL 60611-3222
Claim Number: 1021870
Index Number: 1710209025 1067
Water Account Number: 587603587603
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY
Attn: MARTHA
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 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:_
lli'irllhliilrl"lll,ilrll,lliilriilll,llill,llrllllllllil
Status:_ Reason:.
006*001 *******5-DIGIT 60611 SUGARMAN, BERN1CE 850 N DEWITT PL APT 14H CHICAGO. IL 60611-7320
Claim Number: 1002738
Index Number: 1703227022 1128
Water Account Number: 300120605108
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Bf^iLhllC £ SI/ $ filjl MAf]} the undersigned, on oath,
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 property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print
OWNER SIGNATUR]
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Teleplione
February 18, 2011
,|.,l||l|.l|l|||,|.l|,,|l|,l||l|lll||l|||l|ll||,||l|||l|
005*001 *******5-DIGFT 60611 SUMMERS, ALAN 230 E ONTARIO ST APT 2306 CHICAGO, IL 60611-3208
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017409
Index Number: 1710203028 1127
Water Account Number: 303050318993
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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 Al-AK} S>UAAA4 f^ft- *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 of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, 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 undersj&nd I am suflject 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECEIVED MAR 0 4 2011
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18,2011
iil^l,,!)!,.,,!.!!.,,.!!.!!!!!.,!,!,!,...)!!!.!!
021*029******MFXED AADC 606 SUN, ROD CRT & V\ ViAf^ 21 LOMJTA DR MILL VALLEY, CA 94941-1441
-'iM-l-IMI
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017298
Index Number: 1703222020 0000
Water Account Number: 300120618005
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
he undersigned, on oalh,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penajfjps for perjury of falsification herein.
OWNER SIGNATURE U^C--o -DATE_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECEIVED m 0 9 ?or
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 31.2-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
February 18, 2011
- h -111' I (-11111111M - -111 -' 11 - - -11 -11 -11 - > 11111111111111 i' 11111'
004*001 *******5-DIGIT 60611 SUPERFINE, ELAINE C. 1110 N LAKE SHORE DR APT 17S CHICAGO. IL 60611-1023
Index Number: 1703201066 1016
Water Account Number: 300120619992
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
Claim Number: 1010862
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I ^/-l/^ (f, Pl^fct^l k) 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, 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^r'-^^^- ^ ft^u-rO^L-- DATE Z/cZS/1 f_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
<^8^>228
RECFIVED MAR 0 2 2011
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
r'l'iiiii^i'-^hT'NiiiHi'hi'M-iMi'Mi'l'i
005*001*******5-DIGlT 60611 SUSMAN, MICHAEL B. 161 E CHICAGO AVE APT 50F CHICAGO, IL 60611-2627
Index Number: 1710200068 1208
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021171
Water Account Number: 586906586906
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand*! am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. Very Truly Yours,
stanAI am subject to penalties for perjury of falsification herein.
[yx-~---n.TP l\r\\\\
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
003*001*******5-DIGIT 60610 SWANSTROM, THOMAS E. 55 W DELAWARE PL APT 817 CHICAGO, IL 60610-6071
Claim Number: 1023115
Index Number: 1704441024 1149
Water Account Number: 585810585810
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
t-T\a*»>A-5» Va, S <\ STfcov^hc 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 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 BRENDAN REILLY
Attn: MARTHA
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
OWNER SIGNATURE ^^N*.
,^^W-2C^_DATE / A \
RfctfW*n MAR 03 7011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lilillllilllllil,l,ll-hilll'l,,lrlillililllill,ill,llil,llll
Status:_ Reason:.
005*001*******5-DIGIT 60611 SWENSON, MARIE 200 E DELAWARE PL APT 21D CHICAGO, IL 60611-5797
Claim Number: 1002659
Index Number: 1703214014 1114
Water Account Number: 300120608503
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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 /flAfltb <yV £~tf&oAJ 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SlGNATUREP^^^jRC^j^^,^. jo-^> DATE fi - cUS-
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
RECEIVED FEB 2 5 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
',r,"i'l'ililliililill'",'l'""r,'l'r'lr"',ii",iiii'l'r
Status:_ Reason:
003*001*******5-DIGIT 60610 TAFT, MARY A.
1355 N SANDBURG TER AFT 601 CHICAGO, IL 60610-7965
Claim Number: 1016386
Index Number: 1704216064 1328
Water Account Number: 300130403002
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
_the undersigned, on oalh,
Please Print Name
DATE.
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
-lliji'l111!!1!1!-iiri-lli--ll'>llllil!llll-M-l'-''I'I-'II'Mi
Status:_ Reason:
005*001 *******5-DIGIT 60611 TAKAYAMA, MASAMI 880 N LAKE SHORE DR AFT 24H CHICAGO, IL 60611-5720
Claim Number: 1023116
Index Number: 1703222015 0000
Water Account Number: 585604585604
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 MASAMI TAKAYAMA 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
DATE
RECEIVED MAR 0 3 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
no 11-.i
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|,|l|l|||||l||.|||,||||,l||l,l||||l||.|l.|l|..||.l
Status:_ Reason:.
005*001*******5-DIGIT 60611 TAMAN, LEWIS 132 E DELAWARE PL APT 5606 CHICAGO, IL 60611-4950
Claim Number: 1011534
Index Number: 1703211030 1059
Water Account Number: 777700024499
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that 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 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
mil I5d
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
11" 11111" ■11'1""111" 111MI" ■ 111 ■ i" 111"1 f" I ■ ■ I"" I ■"11111111" -" 11
Status:_ Reason:.
005*001*******5-DIGIT 60611 TANNS, GAIL 1150 N LAKE SHORE DR CHICAGO, IL 60611-5215
Claim Number: 1002621
Index Number: 1703200063 1020
Water Account Number: 300 i 20620213
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 G~ f) I I "^Tpf/H'fiJ $ 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
RECEIVED MAR 0 3 2011
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i ■ ■ ■ i111111 -1 ■ i ■ i ■1111 ■1! 111 ■ i ■ i111 ■11 ■ ■ ■ ■ 111111111 ■1 ■ ■ 11 ■ ■ 11111
003*001 *******5-DIGIT 60610 TATE, MURIEL J.
1360 N SANDBURG TER APT 2302 CHICAGO. IL 60610-7908
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1019052
Index Number: 1704216064 1047
Water Account Number: 585261585261
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 UQd££S52!{l I am subjecLto penalties for perjury of falsification herein.
OWNER SIGNATURE / JkxA^ds-^^^^ DATE ^>^/^^/^a^/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
City of Chicago
RECFIVED FEC £ 5 ::::
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
h'll',,h'''Nhllhil,,i'l,,l,,ll''l,i''l',',l,,'''ilir,lri
Status:_ Reason:.
005*001*******5-DIGIT 60611 TAUB. ROBERT G. 132 E DELAWARE PL APT 5204 CHICAGO, IL 60611-4946
Claim Number: 1000082
Index Number: 1703211030 1030
Water Account Number: 777700024499
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and slate lhal I am the applicant in Ihe 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, thai all water taxes, properly 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
RECFIVED FEB 2 5 2011
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
Chairman ww-w.eommilteeonfinance.org 312-744-3380
February 18, 2011
i--MMiiili--iilililiMi--Mi-il-lilMll--hl-Ml--l1iiiill-lil
003*001*******5-DIGFT 60610 TAUSCHE, CHARLES A. 1360 N SANDBURG TER APT 2701 CHICAGO, IL 60610-8109
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020890
Index Number: 1704216064 1024
Water Account Number: 585262585262
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I C[yH 1/ \&£ ^ 7*^C%SSCrX\^e^lhe 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 thai I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE.
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
i.l|11|i|ii|i|i1|ii|i||l||,i||ini||i|i|h|ii|lhlhi|n||1
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
004*001 *******5-DIGIT 60611 TAYLOR, DOLORES D. 1000 N LAKE SHORE PLZ APT 40B CHICAGO, IL 60611-1512
Status:_ Reason:.
Claim Number: 1017217
Index Number: 1703204064 1105
Water Account Number: 300209012207
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 1^t?\e»r&.< A V^y/pv_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 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
»'ii^fci 228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
mil ifi?
February 18, 201 I
For Official Use Only:
Ward:
Intro. Date:
l-lil-l-iiillilillilhllllllllilhlnlilil-llil-u-l-in
Status:_ Reason:.
005*001 *******5-DIGIT 60611 TAYLOR, GLORIA R. 1150 N LAKE SHORE DR APT 11A CHICAGO, IL 60611-5224
Claim Number: 1021479
Index Number: 1703200063 1096
Water Account Number: 585987585987
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
the undersigned, on oath,
RECFIVED FEB 2 5 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1 -1'' -111 -111111' i 111 -11 * - -111 -111 - - -111 -1111' 1111' 11111111 -1 -' I
Status:_ Reason:.
005*001*******5-DIGIT 60611 TAYLOR, JANE U 210 E PEARSON ST APT 2A CHICAGO, IL 60611-2397
Claim Number: 1021851
Index Number: 1703227020 1002
Water Account Number: 585618585618
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
RECFIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iMn'hTli'hlilllilrlllliiilllliillillhhhilTplM
Status:_ Reason:.
019*001 *********3-DIGIT 606 TEIFELD, ROY
500 W SUPERIOR ST UNIT 1112 CHICAGO, IL 60654-8138
Claim Number: 1021657
Index Number: 1709114021 1077
Water Account Number: 616790586401
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
DATE
Alderman Edward M. Burke Cliairman
City of Chicago
Committee on Finance City Hall Room 302 60602 www.cc >m m i I teeonfi nance.org
Telephone 312-744-3380
February 18, 2011
-lo-llli'l-IIXil'iilli'i-ll-liiiil-'lll-
006*001 *******5-DIGIT 60611 TEL1NGATOR, JUDITH M 950 N MICHIGAN AVE APT 3702 CHICAGO, IL 60611-7520
I'l1"!!
■ii
M.I
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011533
Index Number: 1703207068 1070
Water Account Number: 300120622707
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 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 SIGNATUR
Very Trul> Yours,
^^DATE fM-2<f/2sJ/y
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
*@»228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
||||l||||.||l,|,||,.||||ll|l.ll||||l|||||ll|.ll|||.|ll|lr|.l|||
Status:_ Reason:.
004*001 *******5-DIGIT 60611 TENSCHER, CAROL ANN 1000 N LAKE SHORE PLZ APT 18B CHICAGO, IL 60611-1411
Claim Number: 1002667
Index Number: 1703204064 1039
Water Account Number: 585833585833
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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/lJlO L /4>W 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 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
DATE Z-/2-gT>//
»<*fS?*>22e
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
RECEIVED FEB 2 5 2011
Telephone 312-744-3380
11111' I h 11' 11' 111 -111' I' H11 * 111 <' 1111'" I * 11'111' -'1111 * 11 * 111
006*001 *******5-DIGIT 60611 TESLER. D1ANNE R. 161 E CHICAGO AVE APT 26F CHICAGO. IL 60611-6665
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021656
Index Number: 1710200068 1308 Water Account Number: 586906586906
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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, that I 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.
'kAJkx/ DArE -z/W'/
OWNER SIGNATURE. Very Truly Yours, Edward M. Burke
L 1 SIGNED AND DATED COPYNDIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS
City of Chicago
RECEIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
llll,!!.,!!,,,!!!,!!,,,!.!.,!,!!,,!!,!,!,!,.,!!!)!!!,.!!!!.!!
Status:_ Reason:.
003*001*******5-DIGIT 60610 TEW, EILEEN L.
1560 N SANDBURG TER APT 3510 CHICAGO, IL 60610-7733
Claim Number: 1016752
Index Number: 1704207087 1392
Water Account Number: 300130441621
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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 stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 2011
110] 260
111111111111 -1 -11 - - M -1 m 11 -1 -1 - - -11111 -11111 -111 -111 -111111M -1
006*001 *******5-DIGIT 60611 THIERY, ETHEL 21 E CHESTNUT ST APT 4E CHICAGO, IL 60611-6037
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020832
Index Number: 1703223023 1020
Water Account Number: 585893585893
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I hTriil- ~T~R ' £"/j^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 of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE.
DATE £-3J-f^<(
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
*<^gg^228
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.....Hlrlh-iliMiir'll'-IMr'r'-i'i'-'liirli'HIi1
Status:_ Reason:.
001*001*******5-DIGIT 60601 THOMPSON, MARY T. 400 E RANDOLPH ST APT 2425 CHICAGO, IL 60601-7311
Claim Number: 1016753
Index Number: 1710400012 1521
Water Account Number: 300209034825
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
I V\ rVf^ "\ ■ "X V\ ^>Vt\ Y the undersigned, on oath,
Please Print Name
RECEIVED FEB 2 5 1011
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 -1 -11111 1 - - M1 - -11 -1111111 <1 h' IM111111 -1 - -' 1111111
Status:_ Reason:
002*001 *******5-DIGIT 60610 THOMPSON, SHIRLEY S. 70 W BURTON PL APT 1201 CHICAGO, IL 60610-1467
Claim Number: 1019730
Index Number: 1704208031 1010
Waler Account Number: 585272585272
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day 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.
\J\ca.\j ^> IVao vv>p6ctfaie-t(ndersigned. on oath,
depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
CUOMO
II,.!!.,!!!!!,!!!,!.!!,,,,,!,,,,!,,!!,,!!,!!.!!!!,,!,!!.
003*001*******5_DiGIT 60610 THORNTON, JAMES D. 1355 N SANDBURG TER APT 1106 CHICAGO, IL 60610-7971
Index Number: 1704216064 1468
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1007064
Water Account Number: 300130403019
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
iJti/htTr D-t^^^j^Ke undersigned, on oath, Please Print Name
depose and slate lhal 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 Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER S,C,NATURFJ^^ J^J^C DATEM <* V Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
005*001 *******5-DIGlT 60611
T1MBERLAKE, BARBARA 400 E OHIO ST APT 4702 CHICAGO, IL 60611-4640
Claim Number: 1016305
Index Number: 1710208014 1048
Water Account Number: 303050222795
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
121 N. LA SALLE ST
ROOM 200
Chicago, IL 60602
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
RECEIVED FEB 2 5 2011
City of Chicago
Alderman Edward M. Burke Chairman
3J2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll-liiiilliliiiuilinlil'lliilihll-lllirlll-lllilliTl
Status:_ Reason:.
003*001*******5-DIGIT 60610 TOCUS. NORA J. 1122 N CLARK ST APT 1801 CHICAGO, IL 60610-7880
Claim Number: 1021288
Index Number: 1704412028 1220
Water Account Number: 586243586243
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
DATE _ 3,3 Il
RECFIVED MAR 0 4 2011
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
||l.|.|.||l|l|||l|lll||l|.l|||l|l|.h||||.l|l|Tl.|llll|l||
Status:_ Reason:.
001*001*******5-DIGIT 60601 TOSCAS, JACQUELYN 400 E RANDOLPH ST APT 2315 CHICAGO, IL 60601-7385
Claim Number: 1020407
Index Number: 1710400012 1481
Water Account Number: 432924432924
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
_the undersigned, on oath,
Please Print Name
DATE
RECEIVED MAR 0 2 2011
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
;i.ti | i 11., i ]. 11.i,,111,11. |, i,,,,. 111.111,..11,111.
002*001 *******5-DIGIT 60610 TOZER, CONSTANCE M. 1312 N SANDBURG TER CHICAGO, IL 60610-5671
Index Number: 1704209044 1002
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020544
Water Account Number: 434235434235
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
\0^m^n\./irj>_ ff] t / Q the undersigned, on oath,
Please Print Name
depose and state that 1 am the applicant in the application, that this is my principal place of residence as 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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE ^L^^t^ ^^-0)^_^DATE Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
UOZ 8 0 WW Q3AI333a RECEIVED MAR 0 3
ENDAN REILLY
Alderman42nd Ward CITY COUNCIL
CITY OF CHICAGO
42nd Ward Office
311 West Superior Street Suite 212 Chicago, Illinois 6061 O Telephone: (312) 642-4242
City Hall Office
City HallRoom 300 121 North LaSalle Street
Chicago, Illinois 60602 Telephone: (312) 744-3062
COMMITTEE MEMBERSHIPS
Buildings Committees, Rules, and Ethics Health
Traffic Control and Safety Transportation and Public Way
Dear Downtown Resident:
Thank you for recently submitting your Senior Sewer Rebate application to my office. I have reviewed the information you have submitted and I regret to inform you that your paperwork is incomplete.
Enclosed please find the application instructions as well as the refund application that will need to be filled out. Please resubmit the completed application and all necessary supporting documentation, as indicated on the instruction sheet.
Please mail the completed paperwork to:
Alderman Brendan Reilly, 42nd Ward Attention: Martha Donnelly City Hall, Room ZOtf^OO 121 North LaSalle Street Chicago, IL 60602
Thank you again for contacting my office! I look forward to working with you in the future. Please feel free to contact my office if we can be of additional assistance to
Case # 82037
CARL SANDBURG VILLAGE CONDOMINIUM ASSOCIATION II Proposed Operating Budget January 1, 2011 to December 31, 2011
Account'
Acct.
■' #
2010 Budget
.2010 ; : fotai ' Estimate
2011
Rroposey'' Budget ...
: Variance: 2010 >; :&:PfbVosed^2dl'1'r;
3,276,100 3,272,447
INCOME
Assessments 5001 2,907,100 2,907,100 2,965,242 58,142
Homeowners Assessment Inc 5007 369,000 365,347_360,867 (8,133)
Total Assessments
OTHER INCOME
Commercial Rent 5004 10,182 10,018
Laundry Income 5029 56,000 59,361
Pet Fees 5032 2,325 3,350
Fines 5044 3,000 2,500
Late Fees 5045 12,000 13,929
Interest 5050 0 1,022
Locks & Keys 5065 300 1,311
Health Club 5069 38,640 42,290
Move In / Out Fees 5070 24,000 21,700
Lockout Fees 5072 2,200 2,025
Bicycle Room Fee 5076 5,000 4,975
Maintenance Income 5080 16,500 22,042
Lease Process Fees 5086 6,800 7,550
Scavenger Rebate 5089 33,697 0
Other Misc Income 5090 _4,960_2,482
Total Other Income 215,604 194,556. 217,100 1,496
GARAGE INCOME
Parking Income 5060 491,220 503,770 500,000 8,780
3,326,109
10,500
56,000 3,000 3,000
12,000 800 300
42,000
22,300 2,000 5,000
16,500 7,500
33,700 2,500
58,142
318 0
675 0 0
800 0
3,360 (1,700)
(200) 0 0
700 , 3
(2,460)
2.00% -2.20%
1.77%
3.12% 0.00%
29.03% 0.00% 0.00% 0.00% 0.00% 8.70%
-7.08%
-9.09% 0.00% 0.00%
10.29% 0.01% -49.60%
0.69% i
1.79%
TOTAL INCOME
3,982,924 3,970,773 4,043,209
60,285
1.51%
EXPENSES
ADMINISTRATIVE EXPENSES
Homeowners Assessment Exp 6200
Office Supplies 6315
Copier & Printing Expense 6324
Postage / Messenger 6325
Telephone Expense / Internet 6330
Management Fee 6335
Auditing Fee 6340
Legal Expense - Owners 6344
Legal Expense 6345
Professional Fees 6350
Condo Resident Activity 6365
Fees and Licenses 6375
Office Rent 6380
Administrative Expense 6390
369,000 3:000 10,000 4,500 10,500 83,301 7,100 0
20,000 1,800 5,700 5,000 5,337 8,500
360,867 2,779 9,878 5,399 15,883 82,680 6,900 6,259 11,400 3,594 5,794 4,210 5,282 7,270
360,867 3,000
12,200 5,500
13,900
82,700 6,900 2,500
20,000 4,300 5,900
13,700 5,300 8,500
(8,133) 0
2,200 1,000 3,400 (601) (200) 2,500 0
2,500 200
8,700 (37) 0
-2.20% 0.00% 22.00% 22.22% 32.38% -0.72% -2.82% 0.00% 0.00% 138.89% 3.51% 174.00% -0.69% 0.00%
Total Administrative Expenses
533,738
528,195
545,267
11,529
2.16%
1
October 12, 2010
Approved for Distribution
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PAYMENT DUE 12/13/2* Adjusted tax due: Orig $ i 1,042.01 $
Check Ihls box la chanoe mailing addrcjy'lwhorc bill is seiil)>and comploto form on bach.
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Bring entire bill \qhen paying by person. Please do not use on-line checking systems to pay.
10 \ nal lax due: J
2y000\22
Certificate of Error No.:
, Amount Paid _
dU^GMMM
■ Propony Inilon Number (PIN)
» Volume
17-04-207-086-1297
498
'Write PIN and Volume on check made payable to Cook County Treasurer.
00002000220 170M2Q70fitil2':l7cl QQTSS 00002030222 000020b022M 000020c!022b
COOK COUNTY TREASURER PO BOX 4488
Carol Stream IL 60197-4488
MYRNA TRAFMAN
1460 N SANDBURG 312A
CHICAGO IL 60610-8514
17042070fibl2ti7/0/OcVF/000020002E/2
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.'■Jesse White - Secretary of State
02-07-12
MUMBER ISSUED EXPIRES.
T 615-5454-3638 £2£^8,
MYRNA ETRAFI^aVi 1460 N SANfe)BER!Sl&RRA
CHICAG0;»iL^4OiT;--.-:S.';
Birthdate 02-0743., " Female 4'11" 104Jbs_ - ;BRN Eyes Restrictions.Type* - 'Class .■, B ■' ORG D
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The Chicago City Council I ^ ^
COMMITTEE ON FINANCE L.
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Home > Claims > Sewer Charoe Details >
Senior Citizens Annual Refund Application
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1ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY (NOTICE: THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE-DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THIS FORM DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS; BUT WHEN A POWER IS EXERCISED, YOUR AGENT WILL HAVE TO USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS FORM. A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS THE AGENT IS NOT ACTING PROPERLY. YOU MAY NAME SUCCESSOR AGENTS UNDER THIS FORM BUT NOT CO-AGENTS. UNLESS YOU EXPRESSLY LIMIT THE DURATION OF THIS POWER IN THE MANNER PROVIDED BELOW, UNTIL. YOU REVOKE THIS POWER OR A COURT ACTING ON YOUR BEHALF TERMINATES IT, YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT YOUR LIFETIME, EVEN AFTER YOU BECOME DISABLED. THE POWERS YOU GIVE YOUR AGENT ARE EXPLAINED MORE FULLY IN SECTION 3-4 OF THE ILLINOIS "STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY LAW" OF WHICH THIS FORM IS A PART (SEE THE BACK OF THIS FORM). THAT LAW EXPRESSLY PERMITS THE USE OF ANY DIFFERENT FORM OF POWER OF ATTORNEY YOU MAY DESIRE. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU.) POWER OF ATTORNEY made this day of November, 2010 1. I, IRWIN S. STEINBERG, residing at 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois, hereby appoint my wife, ELAINE S. STEINBERG, as my attorney-in-fact (my "agent") to act for me and in my name (in anyway I could act in person) with respect to the following powers, as defined in Section 3-4 of the "Statutory Short Form Power of Attorney for Property Law" (including all amendments), but subject to any limitation on or additions to the specified powers inserted in paragraph 2 or 3 below: (YOU MUST STRIKE OUT ANY ONE OR MORE OF THE FOLLOWING CATEGORIES OF POWERS YOU DO NOT WANT YOUR AGENT TO HAVE. FAILURE TO STRIKE THE TITLE OF ANY CATEGORY WILL CAUSE THE POWERS DESCRIBED IN THAT CATEGORY TO BE GRANTED TO THE AGENT. TO STRIKE OUT A CATEGORY YOU MUST DRAW A LINE THROUGH THE TITLE OF THAT CATEGORY.) (a) Real estate transactions (b) Financial institution transactions (c) Stock and bond transactions (d) Tangible personal property transactions (e) Safe deposit box transactions (f) Insurance and annuity transactions (g) Retirement plan transactions (h) Social security, employment and military service benefits (i) Tax matters (j) Claims and litigation (k) Commodity and option transactions (I) Business operations (m) Borrowing transactions (n) Estate transactions (o) All other property powers and transactions. (LIMITATIONS ON AND ADDITIONS TO THE AGENT'S POWERS MAY BE INCLUDED IN THIS POWER OF ATTORNEY IF THEY ARE SPECIFICALLY DESCRIBED BELOW.) 2. The powers granted above shall not include the following powers or shall be modified or limited in the following particulars (here you may include any specific limitations you deem appropriate, such as a prohibition or conditions on the sale of particular stock or real estate or special rules on borrowing by the agent): None. 3. In addition to the powers granted above, I grant my agent the following powers (here you may add any other delegable powers including, without limitation, power to make gifts, exercise powers of appointment, name or change beneficiaries or joint tenants or revoke or amend any trust specifically referred to below): None (YOUR AGENT WILL HAVE AUTHORITY TO EMPLOY OTHER PERSONS AS NECESSARY TO ENABLE THE AGENT TO PROPERLY EXERCISE THE POWERS GRANTED IN THIS FORM, BUT YOUR AGENT WILL HAVE TO MAKE ALL DISCRETIONARY DECISIONS. IF YOU WANT TO GIVE YOUR AGENT THE RIGHT TO DELEGATE DISCRETIONARY DECISION-MAKING POWERS TO OTHERS, YOU SHOULD KEEP THE NEXT SENTENCE, OTHERWISE IT WOULD BE STRUCK OUT.) 4. My agent shall have the right by written instrument to delegate any or all of the foregoing powers involving discretionary decision-making to any person or persons whom my agent may select, but such delegation may be amended or revoked by any agent (including any successor) named by me who is acting under this power of attorney at the time of reference: (YOUR AGENT WILL BE ENTITLED TO REIMBURSEMENT FOR ALL REASONABLE EXPENSES INCURRED IN ACTING UNDER THIS POWER OF ATTORNEY. STRIKE OUT THE NEXT SENTENCE IF YOU DO NOT WANT YOUR AGENT TO ALSO BE ENTITLED TO REASONABLE COMPENSATION FOR SERVICES AS AGENT.) 5. My agent shall be entitled to reasonable compensation for services rendered as agent under this power of attorney. (THIS POWER OF ATTORNEY MAY BE AMENDED OR REVOKED BY YOU AT ANY TIME AND IN ANY MANNER. ABSENT AMENDMENT OR REVOCATION, THE AUTHORITY GRANTED IN THIS POWER OF ATTORNEY WILL BECOME EFFECTIVE AT THE TIME THIS POWER IS SIGNED AND WILL CONTINUE UNTIL YOUR DEATH UNLESS A LIMITATION ON THE BEGINNING DATE OR DURATION IS MADE BY INITIALING AND COMPLETING EITHER (OR BOTH) OF THE FOLLOWING:) 6. ( X ) This power of attorney shall become effective immediately upon execution of this document. 7. Intentionally Omitted. (IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAME(S) AND ADDRESS(ES) OF SUCH SUCCESSOR(S) IN THE FOLLOWING PARAGRAPH.) 8. If any agent named by me shall die, become legally disabled, resign or refuse to act, I name the following (each to act alone and successively, in the order named) as successor(s) to such agent: (IF YOU WISH TO NAME A GUARDIAN OF YOUR PERSON OR A GUARDIAN OF YOUR ESTATE, OR BOTH, IN THE EVENT A COURT DECIDES THAT ONE SHOULD BE APPOINTED, YOU MAY, BUT ARE NOT REQUIRED TO, DO SO BY INSERTING THE NAME(S) OF SUCH GUARDIAN(S) IN THE 2 FOLLOWING PARAGRAPHS. THE COURT WILL APPOINT THE PERSON NOMINATED BY YOU IF THE COURT FINDS THAT SUCH APPOINTMENT WILL SERVE YOUR BEST INTERESTS AND WELFARE. YOU MAY, BUT ARE NOT REQUIRED TO, NOMINATE AS YOUR GUARDIAN(S) THE SAME PERSON NAMED IN THIS FORM AS YOUR AGENT.) 9. If a guardian of my person is to be appointed, I nominate the following to serve as such guardian: My wife, ELAINE S. STEINBERG, 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois 60611 10. If a guardian of my estate (my property) is to be appointed, I nominate the following to serve as such guardian: My wife, ELAINE S. STEINBERG, 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois 60611 11. I am fully informed as to all the contents of this form and understand the full import of this grant of powers to my agent. (YOU MAY, BUT ARE NOT REQUIRED TO, REQUEST YOUR AGENT AND SUCCESSOR AGENTS TO PROVIDE SPECIMEN SIGNATURES BELOW. IF YOU INCLUDE SPECIMEN SIGNATURES IN THIS POWER OF ATTORNEY, YOU MUST COMPLETE THE CERTIFICATION OPPOSITE THE SIGNATURES OF THE AGENTS.) Signed. Specimen signature of agent (and successors) I certify that the signatures of my agent (and successors) are correct 3 SECTION 3-4 OF THE. ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY LAW Section 3-4. Explanation of powers granted in the statutory short fonn power of attorney for property. This Section defines each category of powers listed in the statutory short form power of attorney for property and the effect of granting powers to an agent. When the title of any of the following categories is retained (not struck out) in a statutory property power form, the effect will be to grant the agent all of the principal's rights, powers and discretions with respect to the types of property and transactions covered by the retained category, subject to any limitations on the granted powers that appear on the face of the form. The agent will have authority tp exercise each granted power for and in the name of the principal with respect to all of the principal's interests in every type of property or transaction covered by the granted power at the time of exercise, whether the principal's interests are direct or indirect, whole or fractional, legal, equitable or contractual, as a joint tenant or tenant in common or held in any other form; but the agent will not have the power under any of the statutory categories (a) through (o) to make gifts of the principal's property, to exercise powers to appoint to others or to change any beneficiary whom the principal has designated to take the principal's interests at death under any will, trust, joint tenancy, beneficiary form or contractual arrangement, the agent will be under no duty to exercise granted powers or to assume control of or responsibility for the principal's property or affairs; but when granted powers are exercised, the agent will be required to use due care to act for the benefit of the principal in accordance with the terms of the statutory property power and will be liable for negligent exercise. The agent may act in person or through others reasonably employed by the agent for that purpose and will have authority to sign and deliver all instruments, negotiable and enter into all agreements and do all other acts reasonably necessary to implement the exercise of the powers granted to the agent. (a) Real estate transactions. The agent is authorized to: buy, sell, exchange, rent and lease real estate (which term includes, without limitation, real estate subject to a land trust and all beneficial interests in and powers of direction under any land trust); collect all rent, sale proceeds and earnings from real estate; convey, assign and accept title to real estate; grant easements, create conditions and release rights of homestead with respect to real estate; create land trusts and exercise all powers under land trusts; hold, possess, maintain, repair, improve, subdivide, manage, operate and insure real estate; pay, contest, protest and compromise real estate taxes and assessments; and, in general, exercise all powers with respect to real estate which the principal could if present and under no disability. (b) Financial institution transactions. The agent is authorized to: open, close, continue and control all accounts and deposits in any type of financial institution (which term includes, without limitation, banks, trust companies, savings and building and loan associations, credit unions and brokerage firms); deposit in and withdraw from and write checks on any financial institution account or deposit; and, in general, exercise all powers with respect to financial institution transactions which the principal could is present and under no disability. (c) Stock and bond transactions. The agent is authorized to: buy and sell all types of securities (which term includes, without limitation, stocks, bonds, mutual funds and all other types of investment securities and financial instruments); collect, hold and safekeep all dividends, interest, earnings, proceeds of sale, distributions, shares, certificates and other evidences of ownership paid or distributed with respect to securities; exercise all voting rights with respect to securities in person or by proxy, enter into voting trusts and consent to limitations on the right to vote; and, in general, exercise all powers with respect to securities which the principal could if present and under no disability. (d) Tangible personal property transactions. The agent is authorized to: buy and sell, lease, exchange, collect, possess and take title to all tangible personal property; 4 move, store, ship, restore, maintain, repair, improve, manage, preserve, insure and safekeep tangible personal property; and, in general, exercise all powers with respect to tangible personal property which the principal could if present and under no disability. (e) Safe deposit box transactions. The agent is authorized to: open, continue and have access to all safe deposit boxes; sign, renew, release or terminate any safe deposit contract; drill or surrender any safe deposit box; and, in general, exercise ail powers with respect to safe deposit matters which the principal could is present and under no disability. (f) Insurance and annuity transactions. The agent is authorized to: procure, acquire, continue, renew, terminate or otherwise deal with any type of insurance or annuity contract (which terms include, without limitation, life, accident, health, disability, automobile casualty, property or liability insurance); pay premiums or assessments on or surrender and collect all distributions, proceeds or benefits payable under any insurance or annuity contract; and, in general, exercise all powers with respect to insurance and annuity contracts which the principal could if present and under no disability. (g) Retirement plan transactions. The agent is authorized to: contribute to, withdraw from and deposit funds in any type of retirement plan (whjch term includes, without limitation/any tax qualified or no qualified pension, profit sharing, stock bonus, employee savings and other retirement plan, individual retirement account, deferred compensation plan and any other type of employee benefit plan); select and change payment options for the principal under any retirement plan; make rollover contributions from any retirement plan to other retirement plans or individual retirement accounts; exercise all investment powers available under any type of self-directed retirement plan; and, in general, exercise all powers with respect to retirement plans and retirement plan account balances which the principal could if present and under no disability. (h) Social Security, unemployment and military service benefits. The agent is authorized to: prepare, sign and file any claim or application for Social Security, unemployment or military service benefits; sue for, settle or abandon any claims to any benefit or assistance under any federal, state, local or foreign statute or regulation; control, deposit to any account, collect, receipt for, and take title to and hold all benefits under any Social Security, unemployment, military service or other state, federal, local or foreign statute or regulation; and, in general, exercise all powers with respect to Social Security, unemployment, military service and governmental benefits which the principal could if present and under no disability. (i) Tax matters. The agent is authorized to: sign, verify and file all the principal's federal, state and local income, gift, estate, property and other tax returns, including joint returns and declarations of estimated tax; pay all taxes; claim, sue for and receive all tax refunds; examine and copy all the principal's tax returns and records; represent the principal before any federal, state or local revenue agency or taxing body and sign and deliver all tax powers of attorney on behalf of the principal that may be necessary for such purposes; waive rights and sign all documents on behalf of the principal as required to settle, pay and determine all tax liabilities; and, in general, exercise all powers with respect to tax matters which the principal could if present and under no disability. (j) Claims and litigation. The agent is authorized to: institute, prosecute, defend, abandon, compromise, arbitrate, settle and dispose of any claim in favor of or against the principal or any property interests of the principal; collect and receipt for any claim or settlement proceeds and waive or release all rights of the principal; employ attorneys and others and enter into contingency agreements and other contracts as necessary in connection with litigation; and, in general, exercise all powers with respect to claims and 5 litigation which the principal could if present and under no disability. (k) Commodity and option transactions. The agent is authorized to: buy, sell, exchange, assign, convey, settle and exercise commodities futures contracts and call and put options on stocks and stock indices traded on a regulated options exchange and collect and receipt for all proceeds of any such transactions; establish or continue option accounts forthe principal with any securities or futures broker; and, in general, exercise all powers with respect to commodities and options which the principal could if present and under no disability. (I) Business operations. The agent is authorized to: organize or continue and conduct any business (which term includes, without limitation, any farming, manufacturing, service, mining, retailing or other type of business operation) in any form, whether as a proprietorship, joint venture, partnership, corporation, trust of other legal entity; operate, buy, sell, expand, contract, terminate or liquidate any business; direct, control, supervise, manage or participate in the operation of any business and engage, compensate and discharge business managers, employees, agents, attorneys, accountants and consultants; and, in general, exercise all powers with respect to business interests and operations which the principal could if present and under no disability. (m) Borrowing transactions. The agent is authorized to: borrow money; mortgage or pledge any real estate or tangible or intangible personal property as security for such purposes; sign, renew, extend, pay and satisfy any notes or other forms of obligation; and, in general, exercise all powers with respect to secured and unsecured borrowing which the principal could if present and under no disability. (n) Estate transactions. The agent is authorized to: accept, receipt for, exercise, release, reject, renounce, assign, disclaim, demand, sue for, claim and recover any legacy, bequest, devise, gift or other property interest or payment due or payable to or for the principal; assert any interest in and exercise any power over any trust, estate or property subject to fiduciary control; establish a revocable trust solely for the benefit of the principal that terminates at the death of the principal and is then distributable to the legal representative of the estate of the principal; and, in general, exercise all powers with respect to estates and trusts which the principal could if present and under no disability; provided, however, that the agent may not make or change a will and may not revoke or amend a trust revocable or amendable by the principal or require the trustee of any trust for the benefit of the principal to pay income or principal to the agent unless specific authority to that end is given, and specific reference to the trust is made, in the statutory property power form. (o) All other property powers and transactions. The agent is authorized to: exercise all possible powers of the principal with respect to all possible types of property and interests in property, except to the extent the principal limits the generality of this category (o) by striking out one or more of the categories (a) through (n) or by specifying other limitations in the statutory property power form. 6 STATE OF ILLINOIS) )SS: COUNTY OF COOK) The undersigned, a notary public in and for the above county and state, certifies that IRWIN S: STEINBERG, known to me to be the same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the additional witness in person and acknowledged signing and delivering the instrument as the free and voluntary act of the principal, for the uses and purposes therein set forth, and certified to the correctness of the signature(s) of the agent(s). ' Notary Public My commission expires:. 2. DATE: November M . 2010 [SEAL] OFFICIAL SEAL RICHARD N KAPLAN NCTAftV PUBLIC-STATI CP UM08 The undersigned witness certifies that IRWIN S. STEINBERG, known to me to be the same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the notary public and acknowledgedsigwing and delivering the instrument as the free and voluntary act of the principal, forthe uses and purpgse^the^ein set forth. I believe him to be of sound mind and memory. DATE: November 2010 Printed Name Address City, State, Zip Prepared By: Richard N. Kaplan, Esq. 6160 N.Cicero #320 Chicago, IL 60646 773/481-2700 7 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 i 1"111 I ■ i11111 ■ ■ ■ I" i1 r 11111111 ■ ■ 11 ■ 11 ■ 1111111 ■' ■ 11 ■ ■11 ■ ■ r i ■1 ■ 005*001 *******5-DIGIT 60611 STENDER, WALTER W 20 E CEDAR ST APT 14C CHICAGO, IL 60611-5116 For Official Use Only: Ward:__ Intro. Date:. Status:_ Reason:_ Claim Number: 1021866 Index Number: 1703201067 1023 Water Account Number: 585689585689 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of 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 understarttLFam subject lo penalties for perjury of falsification herein. OWNER SIGNATURE DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Cliairman City of Chicago RECFIVED FEB 2 5 2011 Teleplione 312-744-3380 February 18, 201 .II,!,...!!..,.!,,,!!!!!!.,,!,!.,)!!.!!!!,!!.!.)!!!!!!.!. 004*001*******5-DIGIT60611 STENHOUSE, WALLACE 175 E DELAWARE PL APT 8707 CHICAGO, IL 60611-1739 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1002088 Index Number: 1703220020 1650 Water Account Number: 300120622073 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, I Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I ai OWNER SIGNATURE. Very Truly Yours, r perjury of falsification herein. DATE III Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ M111 -11 -1111 - -11111111 -11' - -11 -1 -1' I - * 1111111 -1111 -11111 -111111 Status:_ Reason: 004*001*******5-DIGIT 60611 STERN, JUNE 990 N LAKE SHORE DR APT 17A CHICAGO, IL 60611-1344 Claim Number: 1007153 Index Number: 1703208021 1061 Water Account Number: 300120618982 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011. I JU N CT f\ f^Ahe 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ hl'H,lllTllll,'l,l'l''ll,,l',',l',''llllll',llllll,ll'lllM' Status:_ Reason:. 001*001*******5-DIGIT 60601 STEVENS, MARY 360 E RANDOLPH ST APT 2107 CHICAGO, IL 60601-7336 Claim Number: 1019021 Index Number: 1710318031 1143 Water Account Number: 301050017515 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I MftRlj JSTTkl/Z/JQ. the undersigned, on oath, Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18,2011 For Official Use Only: Ward:_ Intro. Date:_ 111111 ■ [1""" 11' 1111"11! 111 i1 ■'1 ■1' 11' 11 ■ H" 111"111111.1"""1111111 Status:_ Reason:. 019*001 *********3-DIGIT 606 STEWART, DAVEY 300 N STATE ST APT 3208 CHICAGO, IL 60654-5449 Claim Number: 1020561 Index Number: 1709410014 1220 Water Account Number: 58715258/i 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: BRENDAN REILLY of Ward 42. 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 of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to/penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS the undersigned, on oath, Please Print Name OWNER SIGNATURE. RECEIVED HM 03 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111111 n i -11111 -1 -111 -111 - -11 - -1111 -111 -11 - -111111111 < -11 -1 -11111 Status:, Reason 006*001*******5-DIGIT60611 STIBER, JOHN A 505 N LAKE SHORE DR APT 5009 CHICAGO, IL 60611-6442 Claim Number: 1021867 Index Number: 1710214016 1202 Water Account Number: 587860587860 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 JOHN) Bo STlfct-rfc 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 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 Cily of Chicago, that all water taxe^ property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I im xabject tfTSenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS OWNER SIGNATURE. date oa-ay-i I City of Chicago Commillee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone February 18, 2011 -IIII h I' 11111 -11 -11 -11 -111111111111 - h111 - -1'! 11 I -14 - 013*001*******5-DIGIT 60645 STONE, BERNARD 6833 N KEDZIE AVE APT 1116 CHICAGO, IL 60645-2885 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003255 Index Number: 1036120003 1170 Water Account Number: 300109026337 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal iresidence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. S>Q.crard Sfcne 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 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 alLalher fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject tOypferufities for perjury of falsification herein. OWNER SIGNATUREN^g*^^^^ <4** *r*Z> DATE 3/oL^f U Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Teleplione February 18, 2011 1101)7(14 li-lx'ii-iX-iliM-'X'l-lhil-'il'iii-ill-MiiI'lT-llllii 004*001*******5-DIGIT 60611 STONE, JACK D. 100 E BELLEVUE PL APT 15A CHICAGO, IL 60611-1123 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011399 Index Number: 1703202063 1012 Water Account Number: 585685585685 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 wajd^TTice before July 1. 2011. I__h<~K j). s5"/p fJ 6- lhe undersigned, on oath, Please Print Name depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that 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, afid all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I OWNER SIGNATURE Very Truly Yours, Edward M. Burke nalties for perjury of falsification herein. DATE V / W / ^ I I MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I -1 - -11111' i -1' 11 -11111 -1M i - (11 -1111 - -1 (111111 -1 - -1 11 -11111111 Status:_ Reason:. 005*001*******5-01011 60611 STONE, LORRAINE M. 230 E ONTARIO ST APT 1005 CHICAGO, IL60611-3206 Claim Number: 1017325 Index Number: 1710203028 1048 Wuiei" Account Number: 303050318993 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE *2 - 2 T - /J. City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room .'i()2 60602 Telephone February 18, 2011 («)ins.; 11 - - - -' i -1111 - -1111 -11 i1 -11111 -1 I -1 -1M11 -11111111 -1111111 -11 - 004*001 *******5-DIGIT 60611 STOPECK, EUGENE 990 N LAKE SHORE DR APT 6C CHICAGO. IL 60611-1368 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011531 Index Number: 1703208021 1013 Water Account Number: 585775585/75 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 ^ ^ GtLfrJ cT STO^^-^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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties fr^r perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, DATE 4^1 Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECFIVED FEB 2 5 2011 City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone February 18, 2011 III,!,!!!,!!!!,.!!!,,,,!,,!,!!,!!,!,!!!,,!!,!,!.!!!!,!!!,!.!!!! 001*001*******5-DIGIT 60601 STORAKO, JEANETTE J. 155 N HARBOR DR APT 2302 CHICAGO, IL 60601-5006 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011511 Index Number: 1710401005 1296 Water Account Number: 300209034887 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 T£M£TTF T. ST^/T^nders igned, 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 Please do nol send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago RECEIVED FEB 2 5 2011 Telephone 312-744-3380 February 18, 2011 mil'mo ll-liiliillirllilhinl-iliiliiil-ll-l-ii-lil-lllllil-ll-l-1 006*001*******5-DIGIT 60611 STOTLAND, ROBERTA R 950 N MICHIGAN AVE APT 2503 CHICAGO, IL 60611-7508 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1022881 Index Number: L703207068 1092 Water Account Number: 585785585785 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office beforeJuly 1, 20.1 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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand lyam subjecKto panallies/for perjury of falsification herein. OWNER SIGNATURE t1&\- jUovS/W DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 RECFIVED MAR 0 3 2011 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 IllllOllXllMilllOl-llTl-l-ll'-'-llllI 003*001*******5_DIGIT 60610 STRANG, EILEEN L. 55 W DELAWARE PL APT 307 CHICAGO, IL 60610-6085 ■llll'l'-l'll'lll1 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1018088 Index Number: 6154621222 1546 Water Account Number: 777700162802 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. Lthe 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 ajfolherjees, penalties or assessments owed to the City of Chicago have been paid and that I understajjd^m^bjecuc^MfrTaTues for perjury of falsification herein. OWNER SIGNATURE s> #IW*'?7 JS/Usr'/ DATE_ Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:__ Intro. Date:_ ■ 111 ■ 111 ■ 11 ■ t""1 ■1 11111111111 ■"" 111' I ■ 1111'1" I'11'11" 11"'111 ■" 11 Status:_ Reason:. 005*001 *******5-DIGIT 60611 STRAUSS, JOSEPHINE N. 180 E PEARSON ST APT 4301 CHICAGO. IL 60611-2171 Claim Number: 1004471 Index Number: 1703226065 1071 Water Account Number: 30012062201"! ' ~ 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I ^PSEy /V< .Sri\ftrP<& the undersigned, on oath, Please Print Name OWNER SIGNATURE. DATE ^L-3-^~ ft RECEIVED MAR'03 2011 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:___ 11111111 -1 - -1 -11111111111 -' i -11 -111111111111! -1111 - -1 >11 -111111 -1 Status:_ Reason: 002*00l*******5-DIGIT 60610 STREETER, SALLY B. 1460 N SANDBURG TER AFT 602 CHICAGO, IL 60610-1531 Claim Number: 1021589 Index Number: 1704207086 1031 Water Account Number: 58326/58526/ 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. £ E-f^F-t. the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 Please da not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ■n-il-x-'lll'i-o'-'rlMII'I'lii'lliT-'l.....■i'-I'i'-i Status:_ Reason:. 005*001*******5-DIGIT 60611 SUDAK, JAN 211 EOHIO ST APT 716 CHICAGO, IL 60611-3222 Claim Number: 1021870 Index Number: 1710209025 1067 Water Account Number: 587603587603 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY Attn: MARTHA 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 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:_ lli'irllhliilrl"lll,ilrll,lliilriilll,llill,llrllllllllil Status:_ Reason:. 006*001 *******5-DIGIT 60611 SUGARMAN, BERN1CE 850 N DEWITT PL APT 14H CHICAGO. IL 60611-7320 Claim Number: 1002738 Index Number: 1703227022 1128 Water Account Number: 300120605108 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I Bf^iLhllC £ SI/ $ filjl MAf]} the undersigned, on oath, 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 property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print OWNER SIGNATUR] City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Teleplione February 18, 2011 ,|.,l||l|.l|l|||,|.l|,,|l|,l||l|lll||l|||l|ll||,||l|||l| 005*001 *******5-DIGFT 60611 SUMMERS, ALAN 230 E ONTARIO ST APT 2306 CHICAGO, IL 60611-3208 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1017409 Index Number: 1710203028 1127 Water Account Number: 303050318993 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 Al-AK} S>UAAA4 f^ft- *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 of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, 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 undersj&nd I am suflject 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED MAR 0 4 2011 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18,2011 iil^l,,!)!,.,,!.!!.,,.!!.!!!!!.,!,!,!,...)!!!.!! 021*029******MFXED AADC 606 SUN, ROD CRT & V\ ViAf^ 21 LOMJTA DR MILL VALLEY, CA 94941-1441 -'iM-l-IMI For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1017298 Index Number: 1703222020 0000 Water Account Number: 300120618005 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. he undersigned, on oalh, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penajfjps for perjury of falsification herein. OWNER SIGNATURE U^C--o -DATE_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED m 0 9 ?or Alderman Edward M. Burke Chairman City of Chicago Telephone 31.2-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ February 18, 2011 - h -111' I (-11111111M - -111 -' 11 - - -11 -11 -11 - > 11111111111111 i' 11111' 004*001 *******5-DIGIT 60611 SUPERFINE, ELAINE C. 1110 N LAKE SHORE DR APT 17S CHICAGO. IL 60611-1023 Index Number: 1703201066 1016 Water Account Number: 300120619992 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. Claim Number: 1010862 To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I ^/-l/^ (f, Pl^fct^l k) 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, 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^r'-^^^- ^ ft^u-rO^L-- DATE Z/cZS/1 f_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS <^8^>228 RECFIVED MAR 0 2 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 r'l'iiiii^i'-^hT'NiiiHi'hi'M-iMi'Mi'l'i 005*001*******5-DIGlT 60611 SUSMAN, MICHAEL B. 161 E CHICAGO AVE APT 50F CHICAGO, IL 60611-2627 Index Number: 1710200068 1208 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1021171 Water Account Number: 586906586906 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. 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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand*! am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, stanAI am subject to penalties for perjury of falsification herein. [yx-~---n.TP l\r\\\\ Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 003*001*******5-DIGIT 60610 SWANSTROM, THOMAS E. 55 W DELAWARE PL APT 817 CHICAGO, IL 60610-6071 Claim Number: 1023115 Index Number: 1704441024 1149 Water Account Number: 585810585810 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. t-T\a*»>A-5» Va, S <\ STfcov^hc 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 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 BRENDAN REILLY Attn: MARTHA 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 OWNER SIGNATURE ^^N*. ,^^W-2C^_DATE / A \ RfctfW*n MAR 03 7011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ lilillllilllllil,l,ll-hilll'l,,lrlillililllill,ill,llil,llll Status:_ Reason:. 005*001*******5-DIGIT 60611 SWENSON, MARIE 200 E DELAWARE PL APT 21D CHICAGO, IL 60611-5797 Claim Number: 1002659 Index Number: 1703214014 1114 Water Account Number: 300120608503 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 /flAfltb <yV £~tf&oAJ 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. OWNER SlGNATUREP^^^jRC^j^^,^. jo-^> DATE fi - cUS- Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ',r,"i'l'ililliililill'",'l'""r,'l'r'lr"',ii",iiii'l'r Status:_ Reason: 003*001*******5-DIGIT 60610 TAFT, MARY A. 1355 N SANDBURG TER AFT 601 CHICAGO, IL 60610-7965 Claim Number: 1016386 Index Number: 1704216064 1328 Water Account Number: 300130403002 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS _the undersigned, on oalh, Please Print Name DATE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ -lliji'l111!!1!1!-iiri-lli--ll'>llllil!llll-M-l'-''I'I-'II'Mi Status:_ Reason: 005*001 *******5-DIGIT 60611 TAKAYAMA, MASAMI 880 N LAKE SHORE DR AFT 24H CHICAGO, IL 60611-5720 Claim Number: 1023116 Index Number: 1703222015 0000 Water Account Number: 585604585604 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 MASAMI TAKAYAMA 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS DATE RECEIVED MAR 0 3 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone no 11-.i February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ,|,|l|l|||||l||.|||,||||,l||l,l||||l||.|l.|l|..||.l Status:_ Reason:. 005*001*******5-DIGIT 60611 TAMAN, LEWIS 132 E DELAWARE PL APT 5606 CHICAGO, IL 60611-4950 Claim Number: 1011534 Index Number: 1703211030 1059 Water Account Number: 777700024499 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone mil I5d February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ 11" 11111" ■11'1""111" 111MI" ■ 111 ■ i" 111"1 f" I ■ ■ I"" I ■"11111111" -" 11 Status:_ Reason:. 005*001*******5-DIGIT 60611 TANNS, GAIL 1150 N LAKE SHORE DR CHICAGO, IL 60611-5215 Claim Number: 1002621 Index Number: 1703200063 1020 Water Account Number: 300 i 20620213 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 G~ f) I I "^Tpf/H'fiJ $ 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE. RECEIVED MAR 0 3 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 i ■ ■ ■ i111111 -1 ■ i ■ i ■1111 ■1! 111 ■ i ■ i111 ■11 ■ ■ ■ ■ 111111111 ■1 ■ ■ 11 ■ ■ 11111 003*001 *******5-DIGIT 60610 TATE, MURIEL J. 1360 N SANDBURG TER APT 2302 CHICAGO. IL 60610-7908 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019052 Index Number: 1704216064 1047 Water Account Number: 585261585261 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 UQd££S52!{l I am subjecLto penalties for perjury of falsification herein. OWNER SIGNATURE / JkxA^ds-^^^^ DATE ^>^/^^/^a^/ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago RECFIVED FEC £ 5 :::: Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ h'll',,h'''Nhllhil,,i'l,,l,,ll''l,i''l',',l,,'''ilir,lri Status:_ Reason:. 005*001*******5-DIGIT 60611 TAUB. ROBERT G. 132 E DELAWARE PL APT 5204 CHICAGO, IL 60611-4946 Claim Number: 1000082 Index Number: 1703211030 1030 Water Account Number: 777700024499 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and slate lhal I am the applicant in Ihe 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, thai all water taxes, properly 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name RECFIVED FEB 2 5 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone Chairman ww-w.eommilteeonfinance.org 312-744-3380 February 18, 2011 i--MMiiili--iilililiMi--Mi-il-lilMll--hl-Ml--l1iiiill-lil 003*001*******5-DIGFT 60610 TAUSCHE, CHARLES A. 1360 N SANDBURG TER APT 2701 CHICAGO, IL 60610-8109 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1020890 Index Number: 1704216064 1024 Water Account Number: 585262585262 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I C[yH 1/ \&£ ^ 7*^C%SSCrX\^e^lhe 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 thai I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone i.l|11|i|ii|i|i1|ii|i||l||,i||ini||i|i|h|ii|lhlhi|n||1 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 004*001 *******5-DIGIT 60611 TAYLOR, DOLORES D. 1000 N LAKE SHORE PLZ APT 40B CHICAGO, IL 60611-1512 Status:_ Reason:. Claim Number: 1017217 Index Number: 1703204064 1105 Water Account Number: 300209012207 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 1^t?\e»r&.< A V^y/pv_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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name »'ii^fci 228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone mil ifi? February 18, 201 I For Official Use Only: Ward: Intro. Date: l-lil-l-iiillilillilhllllllllilhlnlilil-llil-u-l-in Status:_ Reason:. 005*001 *******5-DIGIT 60611 TAYLOR, GLORIA R. 1150 N LAKE SHORE DR APT 11A CHICAGO, IL 60611-5224 Claim Number: 1021479 Index Number: 1703200063 1096 Water Account Number: 585987585987 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name the undersigned, on oath, RECFIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 1 -1'' -111 -111111' i 111 -11 * - -111 -111 - - -111 -1111' 1111' 11111111 -1 -' I Status:_ Reason:. 005*001*******5-DIGIT 60611 TAYLOR, JANE U 210 E PEARSON ST APT 2A CHICAGO, IL 60611-2397 Claim Number: 1021851 Index Number: 1703227020 1002 Water Account Number: 585618585618 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name RECFIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ iMn'hTli'hlilllilrlllliiilllliillillhhhilTplM Status:_ Reason:. 019*001 *********3-DIGIT 606 TEIFELD, ROY 500 W SUPERIOR ST UNIT 1112 CHICAGO, IL 60654-8138 Claim Number: 1021657 Index Number: 1709114021 1077 Water Account Number: 616790586401 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE Alderman Edward M. Burke Cliairman City of Chicago Committee on Finance City Hall Room 302 60602 www.cc >m m i I teeonfi nance.org Telephone 312-744-3380 February 18, 2011 -lo-llli'l-IIXil'iilli'i-ll-liiiil-'lll- 006*001 *******5-DIGIT 60611 TEL1NGATOR, JUDITH M 950 N MICHIGAN AVE APT 3702 CHICAGO, IL 60611-7520 I'l1"!! ■ii M.I For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1011533 Index Number: 1703207068 1070 Water Account Number: 300120622707 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 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 SIGNATUR Very Trul> Yours, ^^DATE fM-2<f/2sJ/y Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS *@»228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ||||l||||.||l,|,||,.||||ll|l.ll||||l|||||ll|.ll|||.|ll|lr|.l||| Status:_ Reason:. 004*001 *******5-DIGIT 60611 TENSCHER, CAROL ANN 1000 N LAKE SHORE PLZ APT 18B CHICAGO, IL 60611-1411 Claim Number: 1002667 Index Number: 1703204064 1039 Water Account Number: 585833585833 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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/lJlO L /4>W 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE Z-/2-gT>// »<*fS?*>22e Alderman Edward M. Burke Chairman February 18, 2011 City of Chicago RECEIVED FEB 2 5 2011 Telephone 312-744-3380 11111' I h 11' 11' 111 -111' I' H11 * 111 <' 1111'" I * 11'111' -'1111 * 11 * 111 006*001 *******5-DIGIT 60611 TESLER. D1ANNE R. 161 E CHICAGO AVE APT 26F CHICAGO. IL 60611-6665 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1021656 Index Number: 1710200068 1308 Water Account Number: 586906586906 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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, that I 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. 'kAJkx/ DArE -z/W'/ OWNER SIGNATURE. Very Truly Yours, Edward M. Burke L 1 SIGNED AND DATED COPYNDIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago RECEIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ llll,!!.,!!,,,!!!,!!,,,!.!.,!,!!,,!!,!,!,!,.,!!!)!!!,.!!!!.!! Status:_ Reason:. 003*001*******5-DIGIT 60610 TEW, EILEEN L. 1560 N SANDBURG TER APT 3510 CHICAGO, IL 60610-7733 Claim Number: 1016752 Index Number: 1704207087 1392 Water Account Number: 300130441621 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. City of Chicago Committee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione February 18, 2011 110] 260 111111111111 -1 -11 - - M -1 m 11 -1 -1 - - -11111 -11111 -111 -111 -111111M -1 006*001 *******5-DIGIT 60611 THIERY, ETHEL 21 E CHESTNUT ST APT 4E CHICAGO, IL 60611-6037 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020832 Index Number: 1703223023 1020 Water Account Number: 585893585893 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I hTriil- ~T~R ' £"/j^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 of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. DATE £-3J-f^<( Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS *<^gg^228 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .....Hlrlh-iliMiir'll'-IMr'r'-i'i'-'liirli'HIi1 Status:_ Reason:. 001*001*******5-DIGIT 60601 THOMPSON, MARY T. 400 E RANDOLPH ST APT 2425 CHICAGO, IL 60601-7311 Claim Number: 1016753 Index Number: 1710400012 1521 Water Account Number: 300209034825 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I V\ rVf^ "\ ■ "X V\ ^>Vt\ Y the undersigned, on oath, Please Print Name RECEIVED FEB 2 5 1011 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 -1 -11111 1 - - M1 - -11 -1111111 <1 h' IM111111 -1 - -' 1111111 Status:_ Reason: 002*001 *******5-DIGIT 60610 THOMPSON, SHIRLEY S. 70 W BURTON PL APT 1201 CHICAGO, IL 60610-1467 Claim Number: 1019730 Index Number: 1704208031 1010 Waler Account Number: 585272585272 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day 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. \J\ca.\j ^> IVao vv>p6ctfaie-t(ndersigned. on oath, depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Commitlee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone February 18, 2011 CUOMO II,.!!.,!!!!!,!!!,!.!!,,,,,!,,,,!,,!!,,!!,!!.!!!!,,!,!!. 003*001*******5_DiGIT 60610 THORNTON, JAMES D. 1355 N SANDBURG TER APT 1106 CHICAGO, IL 60610-7971 Index Number: 1704216064 1468 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1007064 Water Account Number: 300130403019 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. iJti/htTr D-t^^^j^Ke undersigned, on oath, Please Print Name depose and slate lhal 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 Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER S,C,NATURFJ^^ J^J^C DATEM <* V Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 005*001 *******5-DIGlT 60611 T1MBERLAKE, BARBARA 400 E OHIO ST APT 4702 CHICAGO, IL 60611-4640 Claim Number: 1016305 Index Number: 1710208014 1048 Water Account Number: 303050222795 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 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 RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 3J2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ll-liiiilliliiiuilinlil'lliilihll-lllirlll-lllilliTl Status:_ Reason:. 003*001*******5-DIGIT 60610 TOCUS. NORA J. 1122 N CLARK ST APT 1801 CHICAGO, IL 60610-7880 Claim Number: 1021288 Index Number: 1704412028 1220 Water Account Number: 586243586243 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE _ 3,3 Il RECFIVED MAR 0 4 2011 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ||l.|.|.||l|l|||l|lll||l|.l|||l|l|.h||||.l|l|Tl.|llll|l|| Status:_ Reason:. 001*001*******5-DIGIT 60601 TOSCAS, JACQUELYN 400 E RANDOLPH ST APT 2315 CHICAGO, IL 60601-7385 Claim Number: 1020407 Index Number: 1710400012 1481 Water Account Number: 432924432924 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS _the undersigned, on oath, Please Print Name DATE RECEIVED MAR 0 2 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ;i.ti | i 11., i ]. 11.i,,111,11. |, i,,,,. 111.111,..11,111. 002*001 *******5-DIGIT 60610 TOZER, CONSTANCE M. 1312 N SANDBURG TER CHICAGO, IL 60610-5671 Index Number: 1704209044 1002 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020544 Water Account Number: 434235434235 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. \0^m^n\./irj>_ ff] t / Q the undersigned, on oath, Please Print Name depose and state that 1 am the applicant in the application, that this is my principal place of residence as 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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE ^L^^t^ ^^-0)^_^DATE Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS UOZ 8 0 WW Q3AI333a RECEIVED MAR 0 3 ENDAN REILLY Alderman42nd Ward CITY COUNCIL CITY OF CHICAGO 42nd Ward Office 311 West Superior Street Suite 212 Chicago, Illinois 6061 O Telephone: (312) 642-4242 City Hall Office City HallRoom 300 121 North LaSalle Street Chicago, Illinois 60602 Telephone: (312) 744-3062 COMMITTEE MEMBERSHIPS Buildings Committees, Rules, and Ethics Health Traffic Control and Safety Transportation and Public Way Dear Downtown Resident: Thank you for recently submitting your Senior Sewer Rebate application to my office. I have reviewed the information you have submitted and I regret to inform you that your paperwork is incomplete. Enclosed please find the application instructions as well as the refund application that will need to be filled out. Please resubmit the completed application and all necessary supporting documentation, as indicated on the instruction sheet. Please mail the completed paperwork to: Alderman Brendan Reilly, 42nd Ward Attention: Martha Donnelly City Hall, Room ZOtf^OO 121 North LaSalle Street Chicago, IL 60602 Thank you again for contacting my office! I look forward to working with you in the future. Please feel free to contact my office if we can be of additional assistance to Case # 82037 CARL SANDBURG VILLAGE CONDOMINIUM ASSOCIATION II Proposed Operating Budget January 1, 2011 to December 31, 2011 Account' Acct. ■' # 2010 Budget .2010 ; : fotai ' Estimate 2011 Rroposey'' Budget ... : Variance: 2010 >; :&:PfbVosed^2dl'1'r; 3,276,100 3,272,447 INCOME Assessments 5001 2,907,100 2,907,100 2,965,242 58,142 Homeowners Assessment Inc 5007 369,000 365,347_360,867 (8,133) Total Assessments OTHER INCOME Commercial Rent 5004 10,182 10,018 Laundry Income 5029 56,000 59,361 Pet Fees 5032 2,325 3,350 Fines 5044 3,000 2,500 Late Fees 5045 12,000 13,929 Interest 5050 0 1,022 Locks & Keys 5065 300 1,311 Health Club 5069 38,640 42,290 Move In / Out Fees 5070 24,000 21,700 Lockout Fees 5072 2,200 2,025 Bicycle Room Fee 5076 5,000 4,975 Maintenance Income 5080 16,500 22,042 Lease Process Fees 5086 6,800 7,550 Scavenger Rebate 5089 33,697 0 Other Misc Income 5090 _4,960_2,482 Total Other Income 215,604 194,556. 217,100 1,496 GARAGE INCOME Parking Income 5060 491,220 503,770 500,000 8,780 3,326,109 10,500 56,000 3,000 3,000 12,000 800 300 42,000 22,300 2,000 5,000 16,500 7,500 33,700 2,500 58,142 318 0 675 0 0 800 0 3,360 (1,700) (200) 0 0 700 , 3 (2,460) 2.00% -2.20% 1.77% 3.12% 0.00% 29.03% 0.00% 0.00% 0.00% 0.00% 8.70% -7.08% -9.09% 0.00% 0.00% 10.29% 0.01% -49.60% 0.69% i 1.79% TOTAL INCOME 3,982,924 3,970,773 4,043,209 60,285 1.51% EXPENSES ADMINISTRATIVE EXPENSES Homeowners Assessment Exp 6200 Office Supplies 6315 Copier & Printing Expense 6324 Postage / Messenger 6325 Telephone Expense / Internet 6330 Management Fee 6335 Auditing Fee 6340 Legal Expense - Owners 6344 Legal Expense 6345 Professional Fees 6350 Condo Resident Activity 6365 Fees and Licenses 6375 Office Rent 6380 Administrative Expense 6390 369,000 3:000 10,000 4,500 10,500 83,301 7,100 0 20,000 1,800 5,700 5,000 5,337 8,500 360,867 2,779 9,878 5,399 15,883 82,680 6,900 6,259 11,400 3,594 5,794 4,210 5,282 7,270 360,867 3,000 12,200 5,500 13,900 82,700 6,900 2,500 20,000 4,300 5,900 13,700 5,300 8,500 (8,133) 0 2,200 1,000 3,400 (601) (200) 2,500 0 2,500 200 8,700 (37) 0 -2.20% 0.00% 22.00% 22.22% 32.38% -0.72% -2.82% 0.00% 0.00% 138.89% 3.51% 174.00% -0.69% 0.00% Total Administrative Expenses 533,738 528,195 545,267 11,529 2.16% 1 October 12, 2010 Approved for Distribution dim De 16-tk A99X □ Bring PAYMENT DUE 12/13/2* Adjusted tax due: Orig $ i 1,042.01 $ Check Ihls box la chanoe mailing addrcjy'lwhorc bill is seiil)>and comploto form on bach. x. oeumumt: ui crrur ntjuuiimimiutiu iax dim Bring entire bill \qhen paying by person. Please do not use on-line checking systems to pay. 10 \ nal lax due: J 2y000\22 Certificate of Error No.: , Amount Paid _ dU^GMMM ■ Propony Inilon Number (PIN) » Volume 17-04-207-086-1297 498 'Write PIN and Volume on check made payable to Cook County Treasurer. 00002000220 170M2Q70fitil2':l7cl QQTSS 00002030222 000020b022M 000020c!022b COOK COUNTY TREASURER PO BOX 4488 Carol Stream IL 60197-4488 MYRNA TRAFMAN 1460 N SANDBURG 312A CHICAGO IL 60610-8514 17042070fibl2ti7/0/OcVF/000020002E/2 pa 19ft im \ .'■Jesse White - Secretary of State 02-07-12 MUMBER ISSUED EXPIRES. T 615-5454-3638 £2£^8, MYRNA ETRAFI^aVi 1460 N SANfe)BER!Sl&RRA CHICAG0;»iL^4OiT;--.-:S.'; Birthdate 02-0743., " Female 4'11" 104Jbs_ - ;BRN Eyes Restrictions.Type* - 'Class .■, B ■' ORG D i agi< i ui i The Chicago City Council I ^ ^ COMMITTEE ON FINANCE L. HClME^i'A£^DAS^' ®^<EV^S^= ?\t0^i^iTnEEWrp'^ M^UitCEi}'! ■ ■ itj^AOh.U^j-; SEARCH j*-- Home > Claims > Sewer Charoe Details > Senior Citizens Annual Refund Application Note: *AII Fields Must Be Filled In1Claimant NameFirstMiddle Initial E.Last Name Myma jTrafman2 |
Claimant Address |
1460 N. Sandburg Terrace Apt.312 |
3 |
Claimant City, State & Zip Code |
Gity ------ |
State IL |
Zip Code--- |
60610 |
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1ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY (NOTICE: THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE-DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THIS FORM DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS; BUT WHEN A POWER IS EXERCISED, YOUR AGENT WILL HAVE TO USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS FORM. A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS THE AGENT IS NOT ACTING PROPERLY. YOU MAY NAME SUCCESSOR AGENTS UNDER THIS FORM BUT NOT CO-AGENTS. UNLESS YOU EXPRESSLY LIMIT THE DURATION OF THIS POWER IN THE MANNER PROVIDED BELOW, UNTIL. YOU REVOKE THIS POWER OR A COURT ACTING ON YOUR BEHALF TERMINATES IT, YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT YOUR LIFETIME, EVEN AFTER YOU BECOME DISABLED. THE POWERS YOU GIVE YOUR AGENT ARE EXPLAINED MORE FULLY IN SECTION 3-4 OF THE ILLINOIS "STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY LAW" OF WHICH THIS FORM IS A PART (SEE THE BACK OF THIS FORM). THAT LAW EXPRESSLY PERMITS THE USE OF ANY DIFFERENT FORM OF POWER OF ATTORNEY YOU MAY DESIRE. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU.) POWER OF ATTORNEY made this day of November, 2010 1. I, IRWIN S. STEINBERG, residing at 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois, hereby appoint my wife, ELAINE S. STEINBERG, as my attorney-in-fact (my "agent") to act for me and in my name (in anyway I could act in person) with respect to the following powers, as defined in Section 3-4 of the "Statutory Short Form Power of Attorney for Property Law" (including all amendments), but subject to any limitation on or additions to the specified powers inserted in paragraph 2 or 3 below: (YOU MUST STRIKE OUT ANY ONE OR MORE OF THE FOLLOWING CATEGORIES OF POWERS YOU DO NOT WANT YOUR AGENT TO HAVE. FAILURE TO STRIKE THE TITLE OF ANY CATEGORY WILL CAUSE THE POWERS DESCRIBED IN THAT CATEGORY TO BE GRANTED TO THE AGENT. TO STRIKE OUT A CATEGORY YOU MUST DRAW A LINE THROUGH THE TITLE OF THAT CATEGORY.) (a) Real estate transactions (b) Financial institution transactions (c) Stock and bond transactions (d) Tangible personal property transactions (e) Safe deposit box transactions (f) Insurance and annuity transactions (g) Retirement plan transactions (h) Social security, employment and military service benefits (i) Tax matters (j) Claims and litigation (k) Commodity and option transactions (I) Business operations (m) Borrowing transactions (n) Estate transactions (o) All other property powers and transactions. (LIMITATIONS ON AND ADDITIONS TO THE AGENT'S POWERS MAY BE INCLUDED IN THIS POWER OF ATTORNEY IF THEY ARE SPECIFICALLY DESCRIBED BELOW.) 2. The powers granted above shall not include the following powers or shall be modified or limited in the following particulars (here you may include any specific limitations you deem appropriate, such as a prohibition or conditions on the sale of particular stock or real estate or special rules on borrowing by the agent): None. 3. In addition to the powers granted above, I grant my agent the following powers (here you may add any other delegable powers including, without limitation, power to make gifts, exercise powers of appointment, name or change beneficiaries or joint tenants or revoke or amend any trust specifically referred to below): None (YOUR AGENT WILL HAVE AUTHORITY TO EMPLOY OTHER PERSONS AS NECESSARY TO ENABLE THE AGENT TO PROPERLY EXERCISE THE POWERS GRANTED IN THIS FORM, BUT YOUR AGENT WILL HAVE TO MAKE ALL DISCRETIONARY DECISIONS. IF YOU WANT TO GIVE YOUR AGENT THE RIGHT TO DELEGATE DISCRETIONARY DECISION-MAKING POWERS TO OTHERS, YOU SHOULD KEEP THE NEXT SENTENCE, OTHERWISE IT WOULD BE STRUCK OUT.) 4. My agent shall have the right by written instrument to delegate any or all of the foregoing powers involving discretionary decision-making to any person or persons whom my agent may select, but such delegation may be amended or revoked by any agent (including any successor) named by me who is acting under this power of attorney at the time of reference: (YOUR AGENT WILL BE ENTITLED TO REIMBURSEMENT FOR ALL REASONABLE EXPENSES INCURRED IN ACTING UNDER THIS POWER OF ATTORNEY. STRIKE OUT THE NEXT SENTENCE IF YOU DO NOT WANT YOUR AGENT TO ALSO BE ENTITLED TO REASONABLE COMPENSATION FOR SERVICES AS AGENT.) 5. My agent shall be entitled to reasonable compensation for services rendered as agent under this power of attorney. (THIS POWER OF ATTORNEY MAY BE AMENDED OR REVOKED BY YOU AT ANY TIME AND IN ANY MANNER. ABSENT AMENDMENT OR REVOCATION, THE AUTHORITY GRANTED IN THIS POWER OF ATTORNEY WILL BECOME EFFECTIVE AT THE TIME THIS POWER IS SIGNED AND WILL CONTINUE UNTIL YOUR DEATH UNLESS A LIMITATION ON THE BEGINNING DATE OR DURATION IS MADE BY INITIALING AND COMPLETING EITHER (OR BOTH) OF THE FOLLOWING:) 6. ( X ) This power of attorney shall become effective immediately upon execution of this document. 7. Intentionally Omitted. (IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAME(S) AND ADDRESS(ES) OF SUCH SUCCESSOR(S) IN THE FOLLOWING PARAGRAPH.) 8. If any agent named by me shall die, become legally disabled, resign or refuse to act, I name the following (each to act alone and successively, in the order named) as successor(s) to such agent: (IF YOU WISH TO NAME A GUARDIAN OF YOUR PERSON OR A GUARDIAN OF YOUR ESTATE, OR BOTH, IN THE EVENT A COURT DECIDES THAT ONE SHOULD BE APPOINTED, YOU MAY, BUT ARE NOT REQUIRED TO, DO SO BY INSERTING THE NAME(S) OF SUCH GUARDIAN(S) IN THE 2 FOLLOWING PARAGRAPHS. THE COURT WILL APPOINT THE PERSON NOMINATED BY YOU IF THE COURT FINDS THAT SUCH APPOINTMENT WILL SERVE YOUR BEST INTERESTS AND WELFARE. YOU MAY, BUT ARE NOT REQUIRED TO, NOMINATE AS YOUR GUARDIAN(S) THE SAME PERSON NAMED IN THIS FORM AS YOUR AGENT.) 9. If a guardian of my person is to be appointed, I nominate the following to serve as such guardian: My wife, ELAINE S. STEINBERG, 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois 60611 10. If a guardian of my estate (my property) is to be appointed, I nominate the following to serve as such guardian: My wife, ELAINE S. STEINBERG, 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois 60611 11. I am fully informed as to all the contents of this form and understand the full import of this grant of powers to my agent. (YOU MAY, BUT ARE NOT REQUIRED TO, REQUEST YOUR AGENT AND SUCCESSOR AGENTS TO PROVIDE SPECIMEN SIGNATURES BELOW. IF YOU INCLUDE SPECIMEN SIGNATURES IN THIS POWER OF ATTORNEY, YOU MUST COMPLETE THE CERTIFICATION OPPOSITE THE SIGNATURES OF THE AGENTS.) Signed. Specimen signature of agent (and successors) I certify that the signatures of my agent (and successors) are correct 3 SECTION 3-4 OF THE. ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY LAW Section 3-4. Explanation of powers granted in the statutory short fonn power of attorney for property. This Section defines each category of powers listed in the statutory short form power of attorney for property and the effect of granting powers to an agent. When the title of any of the following categories is retained (not struck out) in a statutory property power form, the effect will be to grant the agent all of the principal's rights, powers and discretions with respect to the types of property and transactions covered by the retained category, subject to any limitations on the granted powers that appear on the face of the form. The agent will have authority tp exercise each granted power for and in the name of the principal with respect to all of the principal's interests in every type of property or transaction covered by the granted power at the time of exercise, whether the principal's interests are direct or indirect, whole or fractional, legal, equitable or contractual, as a joint tenant or tenant in common or held in any other form; but the agent will not have the power under any of the statutory categories (a) through (o) to make gifts of the principal's property, to exercise powers to appoint to others or to change any beneficiary whom the principal has designated to take the principal's interests at death under any will, trust, joint tenancy, beneficiary form or contractual arrangement, the agent will be under no duty to exercise granted powers or to assume control of or responsibility for the principal's property or affairs; but when granted powers are exercised, the agent will be required to use due care to act for the benefit of the principal in accordance with the terms of the statutory property power and will be liable for negligent exercise. The agent may act in person or through others reasonably employed by the agent for that purpose and will have authority to sign and deliver all instruments, negotiable and enter into all agreements and do all other acts reasonably necessary to implement the exercise of the powers granted to the agent. (a) Real estate transactions. The agent is authorized to: buy, sell, exchange, rent and lease real estate (which term includes, without limitation, real estate subject to a land trust and all beneficial interests in and powers of direction under any land trust); collect all rent, sale proceeds and earnings from real estate; convey, assign and accept title to real estate; grant easements, create conditions and release rights of homestead with respect to real estate; create land trusts and exercise all powers under land trusts; hold, possess, maintain, repair, improve, subdivide, manage, operate and insure real estate; pay, contest, protest and compromise real estate taxes and assessments; and, in general, exercise all powers with respect to real estate which the principal could if present and under no disability. (b) Financial institution transactions. The agent is authorized to: open, close, continue and control all accounts and deposits in any type of financial institution (which term includes, without limitation, banks, trust companies, savings and building and loan associations, credit unions and brokerage firms); deposit in and withdraw from and write checks on any financial institution account or deposit; and, in general, exercise all powers with respect to financial institution transactions which the principal could is present and under no disability. (c) Stock and bond transactions. The agent is authorized to: buy and sell all types of securities (which term includes, without limitation, stocks, bonds, mutual funds and all other types of investment securities and financial instruments); collect, hold and safekeep all dividends, interest, earnings, proceeds of sale, distributions, shares, certificates and other evidences of ownership paid or distributed with respect to securities; exercise all voting rights with respect to securities in person or by proxy, enter into voting trusts and consent to limitations on the right to vote; and, in general, exercise all powers with respect to securities which the principal could if present and under no disability. (d) Tangible personal property transactions. The agent is authorized to: buy and sell, lease, exchange, collect, possess and take title to all tangible personal property; 4 move, store, ship, restore, maintain, repair, improve, manage, preserve, insure and safekeep tangible personal property; and, in general, exercise all powers with respect to tangible personal property which the principal could if present and under no disability. (e) Safe deposit box transactions. The agent is authorized to: open, continue and have access to all safe deposit boxes; sign, renew, release or terminate any safe deposit contract; drill or surrender any safe deposit box; and, in general, exercise ail powers with respect to safe deposit matters which the principal could is present and under no disability. (f) Insurance and annuity transactions. The agent is authorized to: procure, acquire, continue, renew, terminate or otherwise deal with any type of insurance or annuity contract (which terms include, without limitation, life, accident, health, disability, automobile casualty, property or liability insurance); pay premiums or assessments on or surrender and collect all distributions, proceeds or benefits payable under any insurance or annuity contract; and, in general, exercise all powers with respect to insurance and annuity contracts which the principal could if present and under no disability. (g) Retirement plan transactions. The agent is authorized to: contribute to, withdraw from and deposit funds in any type of retirement plan (whjch term includes, without limitation/any tax qualified or no qualified pension, profit sharing, stock bonus, employee savings and other retirement plan, individual retirement account, deferred compensation plan and any other type of employee benefit plan); select and change payment options for the principal under any retirement plan; make rollover contributions from any retirement plan to other retirement plans or individual retirement accounts; exercise all investment powers available under any type of self-directed retirement plan; and, in general, exercise all powers with respect to retirement plans and retirement plan account balances which the principal could if present and under no disability. (h) Social Security, unemployment and military service benefits. The agent is authorized to: prepare, sign and file any claim or application for Social Security, unemployment or military service benefits; sue for, settle or abandon any claims to any benefit or assistance under any federal, state, local or foreign statute or regulation; control, deposit to any account, collect, receipt for, and take title to and hold all benefits under any Social Security, unemployment, military service or other state, federal, local or foreign statute or regulation; and, in general, exercise all powers with respect to Social Security, unemployment, military service and governmental benefits which the principal could if present and under no disability. (i) Tax matters. The agent is authorized to: sign, verify and file all the principal's federal, state and local income, gift, estate, property and other tax returns, including joint returns and declarations of estimated tax; pay all taxes; claim, sue for and receive all tax refunds; examine and copy all the principal's tax returns and records; represent the principal before any federal, state or local revenue agency or taxing body and sign and deliver all tax powers of attorney on behalf of the principal that may be necessary for such purposes; waive rights and sign all documents on behalf of the principal as required to settle, pay and determine all tax liabilities; and, in general, exercise all powers with respect to tax matters which the principal could if present and under no disability. (j) Claims and litigation. The agent is authorized to: institute, prosecute, defend, abandon, compromise, arbitrate, settle and dispose of any claim in favor of or against the principal or any property interests of the principal; collect and receipt for any claim or settlement proceeds and waive or release all rights of the principal; employ attorneys and others and enter into contingency agreements and other contracts as necessary in connection with litigation; and, in general, exercise all powers with respect to claims and 5 litigation which the principal could if present and under no disability. (k) Commodity and option transactions. The agent is authorized to: buy, sell, exchange, assign, convey, settle and exercise commodities futures contracts and call and put options on stocks and stock indices traded on a regulated options exchange and collect and receipt for all proceeds of any such transactions; establish or continue option accounts forthe principal with any securities or futures broker; and, in general, exercise all powers with respect to commodities and options which the principal could if present and under no disability. (I) Business operations. The agent is authorized to: organize or continue and conduct any business (which term includes, without limitation, any farming, manufacturing, service, mining, retailing or other type of business operation) in any form, whether as a proprietorship, joint venture, partnership, corporation, trust of other legal entity; operate, buy, sell, expand, contract, terminate or liquidate any business; direct, control, supervise, manage or participate in the operation of any business and engage, compensate and discharge business managers, employees, agents, attorneys, accountants and consultants; and, in general, exercise all powers with respect to business interests and operations which the principal could if present and under no disability. (m) Borrowing transactions. The agent is authorized to: borrow money; mortgage or pledge any real estate or tangible or intangible personal property as security for such purposes; sign, renew, extend, pay and satisfy any notes or other forms of obligation; and, in general, exercise all powers with respect to secured and unsecured borrowing which the principal could if present and under no disability. (n) Estate transactions. The agent is authorized to: accept, receipt for, exercise, release, reject, renounce, assign, disclaim, demand, sue for, claim and recover any legacy, bequest, devise, gift or other property interest or payment due or payable to or for the principal; assert any interest in and exercise any power over any trust, estate or property subject to fiduciary control; establish a revocable trust solely for the benefit of the principal that terminates at the death of the principal and is then distributable to the legal representative of the estate of the principal; and, in general, exercise all powers with respect to estates and trusts which the principal could if present and under no disability; provided, however, that the agent may not make or change a will and may not revoke or amend a trust revocable or amendable by the principal or require the trustee of any trust for the benefit of the principal to pay income or principal to the agent unless specific authority to that end is given, and specific reference to the trust is made, in the statutory property power form. (o) All other property powers and transactions. The agent is authorized to: exercise all possible powers of the principal with respect to all possible types of property and interests in property, except to the extent the principal limits the generality of this category (o) by striking out one or more of the categories (a) through (n) or by specifying other limitations in the statutory property power form. 6 STATE OF ILLINOIS) )SS: COUNTY OF COOK) The undersigned, a notary public in and for the above county and state, certifies that IRWIN S: STEINBERG, known to me to be the same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the additional witness in person and acknowledged signing and delivering the instrument as the free and voluntary act of the principal, for the uses and purposes therein set forth, and certified to the correctness of the signature(s) of the agent(s). ' Notary Public My commission expires:. 2. DATE: November M . 2010 [SEAL] OFFICIAL SEAL RICHARD N KAPLAN NCTAftV PUBLIC-STATI CP UM08 The undersigned witness certifies that IRWIN S. STEINBERG, known to me to be the same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the notary public and acknowledgedsigwing and delivering the instrument as the free and voluntary act of the principal, forthe uses and purpgse^the^ein set forth. I believe him to be of sound mind and memory. DATE: November 2010 Printed Name Address City, State, Zip Prepared By: Richard N. Kaplan, Esq. 6160 N.Cicero #320 Chicago, IL 60646 773/481-2700 7 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 i 1"111 I ■ i11111 ■ ■ ■ I" i1 r 11111111 ■ ■ 11 ■ 11 ■ 1111111 ■' ■ 11 ■ ■11 ■ ■ r i ■1 ■ 005*001 *******5-DIGIT 60611 STENDER, WALTER W 20 E CEDAR ST APT 14C CHICAGO, IL 60611-5116 For Official Use Only: Ward:__ Intro. Date:. Status:_ Reason:_ Claim Number: 1021866 Index Number: 1703201067 1023 Water Account Number: 585689585689 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of 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 understarttLFam subject lo penalties for perjury of falsification herein. OWNER SIGNATURE DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Cliairman City of Chicago RECFIVED FEB 2 5 2011 Teleplione 312-744-3380 February 18, 201 .II,!,...!!..,.!,,,!!!!!!.,,!,!.,)!!.!!!!,!!.!.)!!!!!!.!. 004*001*******5-DIGIT60611 STENHOUSE, WALLACE 175 E DELAWARE PL APT 8707 CHICAGO, IL 60611-1739 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1002088 Index Number: 1703220020 1650 Water Account Number: 300120622073 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, I Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I ai OWNER SIGNATURE. Very Truly Yours, r perjury of falsification herein. DATE III Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ M111 -11 -1111 - -11111111 -11' - -11 -1 -1' I - * 1111111 -1111 -11111 -111111 Status:_ Reason: 004*001*******5-DIGIT 60611 STERN, JUNE 990 N LAKE SHORE DR APT 17A CHICAGO, IL 60611-1344 Claim Number: 1007153 Index Number: 1703208021 1061 Water Account Number: 300120618982 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011. I JU N CT f\ f^Ahe 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ hl'H,lllTllll,'l,l'l''ll,,l',',l',''llllll',llllll,ll'lllM' Status:_ Reason:. 001*001*******5-DIGIT 60601 STEVENS, MARY 360 E RANDOLPH ST APT 2107 CHICAGO, IL 60601-7336 Claim Number: 1019021 Index Number: 1710318031 1143 Water Account Number: 301050017515 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I MftRlj JSTTkl/Z/JQ. the undersigned, on oath, Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18,2011 For Official Use Only: Ward:_ Intro. Date:_ 111111 ■ [1""" 11' 1111"11! 111 i1 ■'1 ■1' 11' 11 ■ H" 111"111111.1"""1111111 Status:_ Reason:. 019*001 *********3-DIGIT 606 STEWART, DAVEY 300 N STATE ST APT 3208 CHICAGO, IL 60654-5449 Claim Number: 1020561 Index Number: 1709410014 1220 Water Account Number: 58715258/i 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: BRENDAN REILLY of Ward 42. 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 of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to/penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS the undersigned, on oath, Please Print Name OWNER SIGNATURE. RECEIVED HM 03 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111111 n i -11111 -1 -111 -111 - -11 - -1111 -111 -11 - -111111111 < -11 -1 -11111 Status:, Reason 006*001*******5-DIGIT60611 STIBER, JOHN A 505 N LAKE SHORE DR APT 5009 CHICAGO, IL 60611-6442 Claim Number: 1021867 Index Number: 1710214016 1202 Water Account Number: 587860587860 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 JOHN) Bo STlfct-rfc 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 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 Cily of Chicago, that all water taxe^ property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I im xabject tfTSenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS OWNER SIGNATURE. date oa-ay-i I City of Chicago Commillee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone February 18, 2011 -IIII h I' 11111 -11 -11 -11 -111111111111 - h111 - -1'! 11 I -14 - 013*001*******5-DIGIT 60645 STONE, BERNARD 6833 N KEDZIE AVE APT 1116 CHICAGO, IL 60645-2885 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003255 Index Number: 1036120003 1170 Water Account Number: 300109026337 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal iresidence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. S>Q.crard Sfcne 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 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 alLalher fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject tOypferufities for perjury of falsification herein. OWNER SIGNATUREN^g*^^^^ <4** *r*Z> DATE 3/oL^f U Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Teleplione February 18, 2011 1101)7(14 li-lx'ii-iX-iliM-'X'l-lhil-'il'iii-ill-MiiI'lT-llllii 004*001*******5-DIGIT 60611 STONE, JACK D. 100 E BELLEVUE PL APT 15A CHICAGO, IL 60611-1123 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011399 Index Number: 1703202063 1012 Water Account Number: 585685585685 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 wajd^TTice before July 1. 2011. I__h<~K j). s5"/p fJ 6- lhe undersigned, on oath, Please Print Name depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that 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, afid all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I OWNER SIGNATURE Very Truly Yours, Edward M. Burke nalties for perjury of falsification herein. DATE V / W / ^ I I MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I -1 - -11111' i -1' 11 -11111 -1M i - (11 -1111 - -1 (111111 -1 - -1 11 -11111111 Status:_ Reason:. 005*001*******5-01011 60611 STONE, LORRAINE M. 230 E ONTARIO ST APT 1005 CHICAGO, IL60611-3206 Claim Number: 1017325 Index Number: 1710203028 1048 Wuiei" Account Number: 303050318993 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE *2 - 2 T - /J. City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room .'i()2 60602 Telephone February 18, 2011 («)ins.; 11 - - - -' i -1111 - -1111 -11 i1 -11111 -1 I -1 -1M11 -11111111 -1111111 -11 - 004*001 *******5-DIGIT 60611 STOPECK, EUGENE 990 N LAKE SHORE DR APT 6C CHICAGO. IL 60611-1368 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011531 Index Number: 1703208021 1013 Water Account Number: 585775585/75 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 ^ ^ GtLfrJ cT STO^^-^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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties fr^r perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, DATE 4^1 Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECFIVED FEB 2 5 2011 City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone February 18, 2011 III,!,!!!,!!!!,.!!!,,,,!,,!,!!,!!,!,!!!,,!!,!,!.!!!!,!!!,!.!!!! 001*001*******5-DIGIT 60601 STORAKO, JEANETTE J. 155 N HARBOR DR APT 2302 CHICAGO, IL 60601-5006 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011511 Index Number: 1710401005 1296 Water Account Number: 300209034887 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 T£M£TTF T. ST^/T^nders igned, 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 Please do nol send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago RECEIVED FEB 2 5 2011 Telephone 312-744-3380 February 18, 2011 mil'mo ll-liiliillirllilhinl-iliiliiil-ll-l-ii-lil-lllllil-ll-l-1 006*001*******5-DIGIT 60611 STOTLAND, ROBERTA R 950 N MICHIGAN AVE APT 2503 CHICAGO, IL 60611-7508 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1022881 Index Number: L703207068 1092 Water Account Number: 585785585785 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office beforeJuly 1, 20.1 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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand lyam subjecKto panallies/for perjury of falsification herein. OWNER SIGNATURE t1&\- jUovS/W DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 RECFIVED MAR 0 3 2011 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 IllllOllXllMilllOl-llTl-l-ll'-'-llllI 003*001*******5_DIGIT 60610 STRANG, EILEEN L. 55 W DELAWARE PL APT 307 CHICAGO, IL 60610-6085 ■llll'l'-l'll'lll1 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1018088 Index Number: 6154621222 1546 Water Account Number: 777700162802 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. Lthe 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 ajfolherjees, penalties or assessments owed to the City of Chicago have been paid and that I understajjd^m^bjecuc^MfrTaTues for perjury of falsification herein. OWNER SIGNATURE s> #IW*'?7 JS/Usr'/ DATE_ Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:__ Intro. Date:_ ■ 111 ■ 111 ■ 11 ■ t""1 ■1 11111111111 ■"" 111' I ■ 1111'1" I'11'11" 11"'111 ■" 11 Status:_ Reason:. 005*001 *******5-DIGIT 60611 STRAUSS, JOSEPHINE N. 180 E PEARSON ST APT 4301 CHICAGO. IL 60611-2171 Claim Number: 1004471 Index Number: 1703226065 1071 Water Account Number: 30012062201"! ' ~ 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I ^PSEy /V< .Sri\ftrP<& the undersigned, on oath, Please Print Name OWNER SIGNATURE. DATE ^L-3-^~ ft RECEIVED MAR'03 2011 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:___ 11111111 -1 - -1 -11111111111 -' i -11 -111111111111! -1111 - -1 >11 -111111 -1 Status:_ Reason: 002*00l*******5-DIGIT 60610 STREETER, SALLY B. 1460 N SANDBURG TER AFT 602 CHICAGO, IL 60610-1531 Claim Number: 1021589 Index Number: 1704207086 1031 Water Account Number: 58326/58526/ 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. £ E-f^F-t. the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 Please da not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ■n-il-x-'lll'i-o'-'rlMII'I'lii'lliT-'l.....■i'-I'i'-i Status:_ Reason:. 005*001*******5-DIGIT 60611 SUDAK, JAN 211 EOHIO ST APT 716 CHICAGO, IL 60611-3222 Claim Number: 1021870 Index Number: 1710209025 1067 Water Account Number: 587603587603 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY Attn: MARTHA 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 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:_ lli'irllhliilrl"lll,ilrll,lliilriilll,llill,llrllllllllil Status:_ Reason:. 006*001 *******5-DIGIT 60611 SUGARMAN, BERN1CE 850 N DEWITT PL APT 14H CHICAGO. IL 60611-7320 Claim Number: 1002738 Index Number: 1703227022 1128 Water Account Number: 300120605108 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I Bf^iLhllC £ SI/ $ filjl MAf]} the undersigned, on oath, 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 property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print OWNER SIGNATUR] City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Teleplione February 18, 2011 ,|.,l||l|.l|l|||,|.l|,,|l|,l||l|lll||l|||l|ll||,||l|||l| 005*001 *******5-DIGFT 60611 SUMMERS, ALAN 230 E ONTARIO ST APT 2306 CHICAGO, IL 60611-3208 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1017409 Index Number: 1710203028 1127 Water Account Number: 303050318993 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 Al-AK} S>UAAA4 f^ft- *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 of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, 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 undersj&nd I am suflject 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED MAR 0 4 2011 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18,2011 iil^l,,!)!,.,,!.!!.,,.!!.!!!!!.,!,!,!,...)!!!.!! 021*029******MFXED AADC 606 SUN, ROD CRT & V\ ViAf^ 21 LOMJTA DR MILL VALLEY, CA 94941-1441 -'iM-l-IMI For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1017298 Index Number: 1703222020 0000 Water Account Number: 300120618005 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. he undersigned, on oalh, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penajfjps for perjury of falsification herein. OWNER SIGNATURE U^C--o -DATE_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED m 0 9 ?or Alderman Edward M. Burke Chairman City of Chicago Telephone 31.2-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ February 18, 2011 - h -111' I (-11111111M - -111 -' 11 - - -11 -11 -11 - > 11111111111111 i' 11111' 004*001 *******5-DIGIT 60611 SUPERFINE, ELAINE C. 1110 N LAKE SHORE DR APT 17S CHICAGO. IL 60611-1023 Index Number: 1703201066 1016 Water Account Number: 300120619992 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. Claim Number: 1010862 To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I ^/-l/^ (f, Pl^fct^l k) 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, 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^r'-^^^- ^ ft^u-rO^L-- DATE Z/cZS/1 f_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS <^8^>228 RECFIVED MAR 0 2 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 r'l'iiiii^i'-^hT'NiiiHi'hi'M-iMi'Mi'l'i 005*001*******5-DIGlT 60611 SUSMAN, MICHAEL B. 161 E CHICAGO AVE APT 50F CHICAGO, IL 60611-2627 Index Number: 1710200068 1208 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1021171 Water Account Number: 586906586906 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. 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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand*! am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, stanAI am subject to penalties for perjury of falsification herein. [yx-~---n.TP l\r\\\\ Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 003*001*******5-DIGIT 60610 SWANSTROM, THOMAS E. 55 W DELAWARE PL APT 817 CHICAGO, IL 60610-6071 Claim Number: 1023115 Index Number: 1704441024 1149 Water Account Number: 585810585810 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. t-T\a*»>A-5» Va, S <\ STfcov^hc 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 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 BRENDAN REILLY Attn: MARTHA 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 OWNER SIGNATURE ^^N*. ,^^W-2C^_DATE / A \ RfctfW*n MAR 03 7011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ lilillllilllllil,l,ll-hilll'l,,lrlillililllill,ill,llil,llll Status:_ Reason:. 005*001*******5-DIGIT 60611 SWENSON, MARIE 200 E DELAWARE PL APT 21D CHICAGO, IL 60611-5797 Claim Number: 1002659 Index Number: 1703214014 1114 Water Account Number: 300120608503 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 /flAfltb <yV £~tf&oAJ 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. OWNER SlGNATUREP^^^jRC^j^^,^. jo-^> DATE fi - cUS- Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ',r,"i'l'ililliililill'",'l'""r,'l'r'lr"',ii",iiii'l'r Status:_ Reason: 003*001*******5-DIGIT 60610 TAFT, MARY A. 1355 N SANDBURG TER AFT 601 CHICAGO, IL 60610-7965 Claim Number: 1016386 Index Number: 1704216064 1328 Water Account Number: 300130403002 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS _the undersigned, on oalh, Please Print Name DATE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ -lliji'l111!!1!1!-iiri-lli--ll'>llllil!llll-M-l'-''I'I-'II'Mi Status:_ Reason: 005*001 *******5-DIGIT 60611 TAKAYAMA, MASAMI 880 N LAKE SHORE DR AFT 24H CHICAGO, IL 60611-5720 Claim Number: 1023116 Index Number: 1703222015 0000 Water Account Number: 585604585604 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 MASAMI TAKAYAMA 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS DATE RECEIVED MAR 0 3 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone no 11-.i February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ,|,|l|l|||||l||.|||,||||,l||l,l||||l||.|l.|l|..||.l Status:_ Reason:. 005*001*******5-DIGIT 60611 TAMAN, LEWIS 132 E DELAWARE PL APT 5606 CHICAGO, IL 60611-4950 Claim Number: 1011534 Index Number: 1703211030 1059 Water Account Number: 777700024499 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone mil I5d February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ 11" 11111" ■11'1""111" 111MI" ■ 111 ■ i" 111"1 f" I ■ ■ I"" I ■"11111111" -" 11 Status:_ Reason:. 005*001*******5-DIGIT 60611 TANNS, GAIL 1150 N LAKE SHORE DR CHICAGO, IL 60611-5215 Claim Number: 1002621 Index Number: 1703200063 1020 Water Account Number: 300 i 20620213 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 G~ f) I I "^Tpf/H'fiJ $ 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE. RECEIVED MAR 0 3 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 i ■ ■ ■ i111111 -1 ■ i ■ i ■1111 ■1! 111 ■ i ■ i111 ■11 ■ ■ ■ ■ 111111111 ■1 ■ ■ 11 ■ ■ 11111 003*001 *******5-DIGIT 60610 TATE, MURIEL J. 1360 N SANDBURG TER APT 2302 CHICAGO. IL 60610-7908 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019052 Index Number: 1704216064 1047 Water Account Number: 585261585261 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 UQd££S52!{l I am subjecLto penalties for perjury of falsification herein. OWNER SIGNATURE / JkxA^ds-^^^^ DATE ^>^/^^/^a^/ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago RECFIVED FEC £ 5 :::: Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ h'll',,h'''Nhllhil,,i'l,,l,,ll''l,i''l',',l,,'''ilir,lri Status:_ Reason:. 005*001*******5-DIGIT 60611 TAUB. ROBERT G. 132 E DELAWARE PL APT 5204 CHICAGO, IL 60611-4946 Claim Number: 1000082 Index Number: 1703211030 1030 Water Account Number: 777700024499 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and slate lhal I am the applicant in Ihe 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, thai all water taxes, properly 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name RECFIVED FEB 2 5 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone Chairman ww-w.eommilteeonfinance.org 312-744-3380 February 18, 2011 i--MMiiili--iilililiMi--Mi-il-lilMll--hl-Ml--l1iiiill-lil 003*001*******5-DIGFT 60610 TAUSCHE, CHARLES A. 1360 N SANDBURG TER APT 2701 CHICAGO, IL 60610-8109 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1020890 Index Number: 1704216064 1024 Water Account Number: 585262585262 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I C[yH 1/ \&£ ^ 7*^C%SSCrX\^e^lhe 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 thai I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone i.l|11|i|ii|i|i1|ii|i||l||,i||ini||i|i|h|ii|lhlhi|n||1 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 004*001 *******5-DIGIT 60611 TAYLOR, DOLORES D. 1000 N LAKE SHORE PLZ APT 40B CHICAGO, IL 60611-1512 Status:_ Reason:. Claim Number: 1017217 Index Number: 1703204064 1105 Water Account Number: 300209012207 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 1^t?\e»r&.< A V^y/pv_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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name »'ii^fci 228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone mil ifi? February 18, 201 I For Official Use Only: Ward: Intro. Date: l-lil-l-iiillilillilhllllllllilhlnlilil-llil-u-l-in Status:_ Reason:. 005*001 *******5-DIGIT 60611 TAYLOR, GLORIA R. 1150 N LAKE SHORE DR APT 11A CHICAGO, IL 60611-5224 Claim Number: 1021479 Index Number: 1703200063 1096 Water Account Number: 585987585987 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name the undersigned, on oath, RECFIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 1 -1'' -111 -111111' i 111 -11 * - -111 -111 - - -111 -1111' 1111' 11111111 -1 -' I Status:_ Reason:. 005*001*******5-DIGIT 60611 TAYLOR, JANE U 210 E PEARSON ST APT 2A CHICAGO, IL 60611-2397 Claim Number: 1021851 Index Number: 1703227020 1002 Water Account Number: 585618585618 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name RECFIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ iMn'hTli'hlilllilrlllliiilllliillillhhhilTplM Status:_ Reason:. 019*001 *********3-DIGIT 606 TEIFELD, ROY 500 W SUPERIOR ST UNIT 1112 CHICAGO, IL 60654-8138 Claim Number: 1021657 Index Number: 1709114021 1077 Water Account Number: 616790586401 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE Alderman Edward M. Burke Cliairman City of Chicago Committee on Finance City Hall Room 302 60602 www.cc >m m i I teeonfi nance.org Telephone 312-744-3380 February 18, 2011 -lo-llli'l-IIXil'iilli'i-ll-liiiil-'lll- 006*001 *******5-DIGIT 60611 TEL1NGATOR, JUDITH M 950 N MICHIGAN AVE APT 3702 CHICAGO, IL 60611-7520 I'l1"!! ■ii M.I For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1011533 Index Number: 1703207068 1070 Water Account Number: 300120622707 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 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 SIGNATUR Very Trul> Yours, ^^DATE fM-2<f/2sJ/y Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS *@»228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ||||l||||.||l,|,||,.||||ll|l.ll||||l|||||ll|.ll|||.|ll|lr|.l||| Status:_ Reason:. 004*001 *******5-DIGIT 60611 TENSCHER, CAROL ANN 1000 N LAKE SHORE PLZ APT 18B CHICAGO, IL 60611-1411 Claim Number: 1002667 Index Number: 1703204064 1039 Water Account Number: 585833585833 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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/lJlO L /4>W 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE Z-/2-gT>// »<*fS?*>22e Alderman Edward M. Burke Chairman February 18, 2011 City of Chicago RECEIVED FEB 2 5 2011 Telephone 312-744-3380 11111' I h 11' 11' 111 -111' I' H11 * 111 <' 1111'" I * 11'111' -'1111 * 11 * 111 006*001 *******5-DIGIT 60611 TESLER. D1ANNE R. 161 E CHICAGO AVE APT 26F CHICAGO. IL 60611-6665 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1021656 Index Number: 1710200068 1308 Water Account Number: 586906586906 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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, that I 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. 'kAJkx/ DArE -z/W'/ OWNER SIGNATURE. Very Truly Yours, Edward M. Burke L 1 SIGNED AND DATED COPYNDIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago RECEIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ llll,!!.,!!,,,!!!,!!,,,!.!.,!,!!,,!!,!,!,!,.,!!!)!!!,.!!!!.!! Status:_ Reason:. 003*001*******5-DIGIT 60610 TEW, EILEEN L. 1560 N SANDBURG TER APT 3510 CHICAGO, IL 60610-7733 Claim Number: 1016752 Index Number: 1704207087 1392 Water Account Number: 300130441621 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. City of Chicago Committee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione February 18, 2011 110] 260 111111111111 -1 -11 - - M -1 m 11 -1 -1 - - -11111 -11111 -111 -111 -111111M -1 006*001 *******5-DIGIT 60611 THIERY, ETHEL 21 E CHESTNUT ST APT 4E CHICAGO, IL 60611-6037 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020832 Index Number: 1703223023 1020 Water Account Number: 585893585893 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I hTriil- ~T~R ' £"/j^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 of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. DATE £-3J-f^<( Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS *<^gg^228 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .....Hlrlh-iliMiir'll'-IMr'r'-i'i'-'liirli'HIi1 Status:_ Reason:. 001*001*******5-DIGIT 60601 THOMPSON, MARY T. 400 E RANDOLPH ST APT 2425 CHICAGO, IL 60601-7311 Claim Number: 1016753 Index Number: 1710400012 1521 Water Account Number: 300209034825 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I V\ rVf^ "\ ■ "X V\ ^>Vt\ Y the undersigned, on oath, Please Print Name RECEIVED FEB 2 5 1011 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 -1 -11111 1 - - M1 - -11 -1111111 <1 h' IM111111 -1 - -' 1111111 Status:_ Reason: 002*001 *******5-DIGIT 60610 THOMPSON, SHIRLEY S. 70 W BURTON PL APT 1201 CHICAGO, IL 60610-1467 Claim Number: 1019730 Index Number: 1704208031 1010 Waler Account Number: 585272585272 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day 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. \J\ca.\j ^> IVao vv>p6ctfaie-t(ndersigned. on oath, depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Commitlee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone February 18, 2011 CUOMO II,.!!.,!!!!!,!!!,!.!!,,,,,!,,,,!,,!!,,!!,!!.!!!!,,!,!!. 003*001*******5_DiGIT 60610 THORNTON, JAMES D. 1355 N SANDBURG TER APT 1106 CHICAGO, IL 60610-7971 Index Number: 1704216064 1468 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1007064 Water Account Number: 300130403019 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. iJti/htTr D-t^^^j^Ke undersigned, on oath, Please Print Name depose and slate lhal 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 Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER S,C,NATURFJ^^ J^J^C DATEM <* V Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 005*001 *******5-DIGlT 60611 T1MBERLAKE, BARBARA 400 E OHIO ST APT 4702 CHICAGO, IL 60611-4640 Claim Number: 1016305 Index Number: 1710208014 1048 Water Account Number: 303050222795 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 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 RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 3J2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ll-liiiilliliiiuilinlil'lliilihll-lllirlll-lllilliTl Status:_ Reason:. 003*001*******5-DIGIT 60610 TOCUS. NORA J. 1122 N CLARK ST APT 1801 CHICAGO, IL 60610-7880 Claim Number: 1021288 Index Number: 1704412028 1220 Water Account Number: 586243586243 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE _ 3,3 Il RECFIVED MAR 0 4 2011 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ||l.|.|.||l|l|||l|lll||l|.l|||l|l|.h||||.l|l|Tl.|llll|l|| Status:_ Reason:. 001*001*******5-DIGIT 60601 TOSCAS, JACQUELYN 400 E RANDOLPH ST APT 2315 CHICAGO, IL 60601-7385 Claim Number: 1020407 Index Number: 1710400012 1481 Water Account Number: 432924432924 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS _the undersigned, on oath, Please Print Name DATE RECEIVED MAR 0 2 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ;i.ti | i 11., i ]. 11.i,,111,11. |, i,,,,. 111.111,..11,111. 002*001 *******5-DIGIT 60610 TOZER, CONSTANCE M. 1312 N SANDBURG TER CHICAGO, IL 60610-5671 Index Number: 1704209044 1002 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020544 Water Account Number: 434235434235 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. \0^m^n\./irj>_ ff] t / Q the undersigned, on oath, Please Print Name depose and state that 1 am the applicant in the application, that this is my principal place of residence as 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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE ^L^^t^ ^^-0)^_^DATE Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS UOZ 8 0 WW Q3AI333a RECEIVED MAR 0 3 ENDAN REILLY Alderman42nd Ward CITY COUNCIL CITY OF CHICAGO 42nd Ward Office 311 West Superior Street Suite 212 Chicago, Illinois 6061 O Telephone: (312) 642-4242 City Hall Office City HallRoom 300 121 North LaSalle Street Chicago, Illinois 60602 Telephone: (312) 744-3062 COMMITTEE MEMBERSHIPS Buildings Committees, Rules, and Ethics Health Traffic Control and Safety Transportation and Public Way Dear Downtown Resident: Thank you for recently submitting your Senior Sewer Rebate application to my office. I have reviewed the information you have submitted and I regret to inform you that your paperwork is incomplete. Enclosed please find the application instructions as well as the refund application that will need to be filled out. Please resubmit the completed application and all necessary supporting documentation, as indicated on the instruction sheet. Please mail the completed paperwork to: Alderman Brendan Reilly, 42nd Ward Attention: Martha Donnelly City Hall, Room ZOtf^OO 121 North LaSalle Street Chicago, IL 60602 Thank you again for contacting my office! I look forward to working with you in the future. Please feel free to contact my office if we can be of additional assistance to Case # 82037 CARL SANDBURG VILLAGE CONDOMINIUM ASSOCIATION II Proposed Operating Budget January 1, 2011 to December 31, 2011 Account' Acct. ■' # 2010 Budget .2010 ; : fotai ' Estimate 2011 Rroposey'' Budget ... : Variance: 2010 >; :&:PfbVosed^2dl'1'r; 3,276,100 3,272,447 INCOME Assessments 5001 2,907,100 2,907,100 2,965,242 58,142 Homeowners Assessment Inc 5007 369,000 365,347_360,867 (8,133) Total Assessments OTHER INCOME Commercial Rent 5004 10,182 10,018 Laundry Income 5029 56,000 59,361 Pet Fees 5032 2,325 3,350 Fines 5044 3,000 2,500 Late Fees 5045 12,000 13,929 Interest 5050 0 1,022 Locks & Keys 5065 300 1,311 Health Club 5069 38,640 42,290 Move In / Out Fees 5070 24,000 21,700 Lockout Fees 5072 2,200 2,025 Bicycle Room Fee 5076 5,000 4,975 Maintenance Income 5080 16,500 22,042 Lease Process Fees 5086 6,800 7,550 Scavenger Rebate 5089 33,697 0 Other Misc Income 5090 _4,960_2,482 Total Other Income 215,604 194,556. 217,100 1,496 GARAGE INCOME Parking Income 5060 491,220 503,770 500,000 8,780 3,326,109 10,500 56,000 3,000 3,000 12,000 800 300 42,000 22,300 2,000 5,000 16,500 7,500 33,700 2,500 58,142 318 0 675 0 0 800 0 3,360 (1,700) (200) 0 0 700 , 3 (2,460) 2.00% -2.20% 1.77% 3.12% 0.00% 29.03% 0.00% 0.00% 0.00% 0.00% 8.70% -7.08% -9.09% 0.00% 0.00% 10.29% 0.01% -49.60% 0.69% i 1.79% TOTAL INCOME 3,982,924 3,970,773 4,043,209 60,285 1.51% EXPENSES ADMINISTRATIVE EXPENSES Homeowners Assessment Exp 6200 Office Supplies 6315 Copier & Printing Expense 6324 Postage / Messenger 6325 Telephone Expense / Internet 6330 Management Fee 6335 Auditing Fee 6340 Legal Expense - Owners 6344 Legal Expense 6345 Professional Fees 6350 Condo Resident Activity 6365 Fees and Licenses 6375 Office Rent 6380 Administrative Expense 6390 369,000 3:000 10,000 4,500 10,500 83,301 7,100 0 20,000 1,800 5,700 5,000 5,337 8,500 360,867 2,779 9,878 5,399 15,883 82,680 6,900 6,259 11,400 3,594 5,794 4,210 5,282 7,270 360,867 3,000 12,200 5,500 13,900 82,700 6,900 2,500 20,000 4,300 5,900 13,700 5,300 8,500 (8,133) 0 2,200 1,000 3,400 (601) (200) 2,500 0 2,500 200 8,700 (37) 0 -2.20% 0.00% 22.00% 22.22% 32.38% -0.72% -2.82% 0.00% 0.00% 138.89% 3.51% 174.00% -0.69% 0.00% Total Administrative Expenses 533,738 528,195 545,267 11,529 2.16% 1 October 12, 2010 Approved for Distribution dim De 16-tk A99X □ Bring PAYMENT DUE 12/13/2* Adjusted tax due: Orig $ i 1,042.01 $ Check Ihls box la chanoe mailing addrcjy'lwhorc bill is seiil)>and comploto form on bach. x. oeumumt: ui crrur ntjuuiimimiutiu iax dim Bring entire bill \qhen paying by person. Please do not use on-line checking systems to pay. 10 \ nal lax due: J 2y000\22 Certificate of Error No.: , Amount Paid _ dU^GMMM ■ Propony Inilon Number (PIN) » Volume 17-04-207-086-1297 498 'Write PIN and Volume on check made payable to Cook County Treasurer. 00002000220 170M2Q70fitil2':l7cl QQTSS 00002030222 000020b022M 000020c!022b COOK COUNTY TREASURER PO BOX 4488 Carol Stream IL 60197-4488 MYRNA TRAFMAN 1460 N SANDBURG 312A CHICAGO IL 60610-8514 17042070fibl2ti7/0/OcVF/000020002E/2 pa 19ft im \ .'■Jesse White - Secretary of State 02-07-12 MUMBER ISSUED EXPIRES. T 615-5454-3638 £2£^8, MYRNA ETRAFI^aVi 1460 N SANfe)BER!Sl&RRA CHICAG0;»iL^4OiT;--.-:S.'; Birthdate 02-0743., " Female 4'11" 104Jbs_ - ;BRN Eyes Restrictions.Type* - 'Class .■, B ■' ORG D i agi< i ui i The Chicago City Council I ^ ^ COMMITTEE ON FINANCE L. HClME^i'A£^DAS^' ®^<EV^S^= ?\t0^i^iTnEEWrp'^ M^UitCEi}'! ■ ■ itj^AOh.U^j-; SEARCH j*-- Home > Claims > Sewer Charoe Details > Senior Citizens Annual Refund Application Note: *AII Fields Must Be Filled In1Claimant NameFirstMiddle Initial E.Last Name Myma jTrafman2Claimant Address1460 N. Sandburg Terrace Apt.3123Claimant City, State & Zip CodeGity ------State ILZip Code--- Chicago 606104 |
Claimant Telephone |
Office |
Home 312-787-3095 |
Cellular 312-615-9874 |
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Claimant Birthdate: |
Must be 65 years of age, or older as of 10/8/2010 07/02/1943 dd/mm/yyyy format |
6 |
Property Tax Number: |
Example PIN Number (XX-XX-XXX-XXX-XXXX) |
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1ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY (NOTICE: THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE-DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THIS FORM DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS; BUT WHEN A POWER IS EXERCISED, YOUR AGENT WILL HAVE TO USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS FORM. A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS THE AGENT IS NOT ACTING PROPERLY. YOU MAY NAME SUCCESSOR AGENTS UNDER THIS FORM BUT NOT CO-AGENTS. UNLESS YOU EXPRESSLY LIMIT THE DURATION OF THIS POWER IN THE MANNER PROVIDED BELOW, UNTIL. YOU REVOKE THIS POWER OR A COURT ACTING ON YOUR BEHALF TERMINATES IT, YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT YOUR LIFETIME, EVEN AFTER YOU BECOME DISABLED. THE POWERS YOU GIVE YOUR AGENT ARE EXPLAINED MORE FULLY IN SECTION 3-4 OF THE ILLINOIS "STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY LAW" OF WHICH THIS FORM IS A PART (SEE THE BACK OF THIS FORM). THAT LAW EXPRESSLY PERMITS THE USE OF ANY DIFFERENT FORM OF POWER OF ATTORNEY YOU MAY DESIRE. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU.) POWER OF ATTORNEY made this day of November, 2010 1. I, IRWIN S. STEINBERG, residing at 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois, hereby appoint my wife, ELAINE S. STEINBERG, as my attorney-in-fact (my "agent") to act for me and in my name (in anyway I could act in person) with respect to the following powers, as defined in Section 3-4 of the "Statutory Short Form Power of Attorney for Property Law" (including all amendments), but subject to any limitation on or additions to the specified powers inserted in paragraph 2 or 3 below: (YOU MUST STRIKE OUT ANY ONE OR MORE OF THE FOLLOWING CATEGORIES OF POWERS YOU DO NOT WANT YOUR AGENT TO HAVE. FAILURE TO STRIKE THE TITLE OF ANY CATEGORY WILL CAUSE THE POWERS DESCRIBED IN THAT CATEGORY TO BE GRANTED TO THE AGENT. TO STRIKE OUT A CATEGORY YOU MUST DRAW A LINE THROUGH THE TITLE OF THAT CATEGORY.) (a) Real estate transactions (b) Financial institution transactions (c) Stock and bond transactions (d) Tangible personal property transactions (e) Safe deposit box transactions (f) Insurance and annuity transactions (g) Retirement plan transactions (h) Social security, employment and military service benefits (i) Tax matters (j) Claims and litigation (k) Commodity and option transactions (I) Business operations (m) Borrowing transactions (n) Estate transactions (o) All other property powers and transactions. (LIMITATIONS ON AND ADDITIONS TO THE AGENT'S POWERS MAY BE INCLUDED IN THIS POWER OF ATTORNEY IF THEY ARE SPECIFICALLY DESCRIBED BELOW.) 2. The powers granted above shall not include the following powers or shall be modified or limited in the following particulars (here you may include any specific limitations you deem appropriate, such as a prohibition or conditions on the sale of particular stock or real estate or special rules on borrowing by the agent): None. 3. In addition to the powers granted above, I grant my agent the following powers (here you may add any other delegable powers including, without limitation, power to make gifts, exercise powers of appointment, name or change beneficiaries or joint tenants or revoke or amend any trust specifically referred to below): None (YOUR AGENT WILL HAVE AUTHORITY TO EMPLOY OTHER PERSONS AS NECESSARY TO ENABLE THE AGENT TO PROPERLY EXERCISE THE POWERS GRANTED IN THIS FORM, BUT YOUR AGENT WILL HAVE TO MAKE ALL DISCRETIONARY DECISIONS. IF YOU WANT TO GIVE YOUR AGENT THE RIGHT TO DELEGATE DISCRETIONARY DECISION-MAKING POWERS TO OTHERS, YOU SHOULD KEEP THE NEXT SENTENCE, OTHERWISE IT WOULD BE STRUCK OUT.) 4. My agent shall have the right by written instrument to delegate any or all of the foregoing powers involving discretionary decision-making to any person or persons whom my agent may select, but such delegation may be amended or revoked by any agent (including any successor) named by me who is acting under this power of attorney at the time of reference: (YOUR AGENT WILL BE ENTITLED TO REIMBURSEMENT FOR ALL REASONABLE EXPENSES INCURRED IN ACTING UNDER THIS POWER OF ATTORNEY. STRIKE OUT THE NEXT SENTENCE IF YOU DO NOT WANT YOUR AGENT TO ALSO BE ENTITLED TO REASONABLE COMPENSATION FOR SERVICES AS AGENT.) 5. My agent shall be entitled to reasonable compensation for services rendered as agent under this power of attorney. (THIS POWER OF ATTORNEY MAY BE AMENDED OR REVOKED BY YOU AT ANY TIME AND IN ANY MANNER. ABSENT AMENDMENT OR REVOCATION, THE AUTHORITY GRANTED IN THIS POWER OF ATTORNEY WILL BECOME EFFECTIVE AT THE TIME THIS POWER IS SIGNED AND WILL CONTINUE UNTIL YOUR DEATH UNLESS A LIMITATION ON THE BEGINNING DATE OR DURATION IS MADE BY INITIALING AND COMPLETING EITHER (OR BOTH) OF THE FOLLOWING:) 6. ( X ) This power of attorney shall become effective immediately upon execution of this document. 7. Intentionally Omitted. (IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAME(S) AND ADDRESS(ES) OF SUCH SUCCESSOR(S) IN THE FOLLOWING PARAGRAPH.) 8. If any agent named by me shall die, become legally disabled, resign or refuse to act, I name the following (each to act alone and successively, in the order named) as successor(s) to such agent: (IF YOU WISH TO NAME A GUARDIAN OF YOUR PERSON OR A GUARDIAN OF YOUR ESTATE, OR BOTH, IN THE EVENT A COURT DECIDES THAT ONE SHOULD BE APPOINTED, YOU MAY, BUT ARE NOT REQUIRED TO, DO SO BY INSERTING THE NAME(S) OF SUCH GUARDIAN(S) IN THE 2 FOLLOWING PARAGRAPHS. THE COURT WILL APPOINT THE PERSON NOMINATED BY YOU IF THE COURT FINDS THAT SUCH APPOINTMENT WILL SERVE YOUR BEST INTERESTS AND WELFARE. YOU MAY, BUT ARE NOT REQUIRED TO, NOMINATE AS YOUR GUARDIAN(S) THE SAME PERSON NAMED IN THIS FORM AS YOUR AGENT.) 9. If a guardian of my person is to be appointed, I nominate the following to serve as such guardian: My wife, ELAINE S. STEINBERG, 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois 60611 10. If a guardian of my estate (my property) is to be appointed, I nominate the following to serve as such guardian: My wife, ELAINE S. STEINBERG, 1000 N. Lake Shore Plaza, Apt. 25C, Chicago, Illinois 60611 11. I am fully informed as to all the contents of this form and understand the full import of this grant of powers to my agent. (YOU MAY, BUT ARE NOT REQUIRED TO, REQUEST YOUR AGENT AND SUCCESSOR AGENTS TO PROVIDE SPECIMEN SIGNATURES BELOW. IF YOU INCLUDE SPECIMEN SIGNATURES IN THIS POWER OF ATTORNEY, YOU MUST COMPLETE THE CERTIFICATION OPPOSITE THE SIGNATURES OF THE AGENTS.) Signed. Specimen signature of agent (and successors) I certify that the signatures of my agent (and successors) are correct 3 SECTION 3-4 OF THE. ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY FOR PROPERTY LAW Section 3-4. Explanation of powers granted in the statutory short fonn power of attorney for property. This Section defines each category of powers listed in the statutory short form power of attorney for property and the effect of granting powers to an agent. When the title of any of the following categories is retained (not struck out) in a statutory property power form, the effect will be to grant the agent all of the principal's rights, powers and discretions with respect to the types of property and transactions covered by the retained category, subject to any limitations on the granted powers that appear on the face of the form. The agent will have authority tp exercise each granted power for and in the name of the principal with respect to all of the principal's interests in every type of property or transaction covered by the granted power at the time of exercise, whether the principal's interests are direct or indirect, whole or fractional, legal, equitable or contractual, as a joint tenant or tenant in common or held in any other form; but the agent will not have the power under any of the statutory categories (a) through (o) to make gifts of the principal's property, to exercise powers to appoint to others or to change any beneficiary whom the principal has designated to take the principal's interests at death under any will, trust, joint tenancy, beneficiary form or contractual arrangement, the agent will be under no duty to exercise granted powers or to assume control of or responsibility for the principal's property or affairs; but when granted powers are exercised, the agent will be required to use due care to act for the benefit of the principal in accordance with the terms of the statutory property power and will be liable for negligent exercise. The agent may act in person or through others reasonably employed by the agent for that purpose and will have authority to sign and deliver all instruments, negotiable and enter into all agreements and do all other acts reasonably necessary to implement the exercise of the powers granted to the agent. (a) Real estate transactions. The agent is authorized to: buy, sell, exchange, rent and lease real estate (which term includes, without limitation, real estate subject to a land trust and all beneficial interests in and powers of direction under any land trust); collect all rent, sale proceeds and earnings from real estate; convey, assign and accept title to real estate; grant easements, create conditions and release rights of homestead with respect to real estate; create land trusts and exercise all powers under land trusts; hold, possess, maintain, repair, improve, subdivide, manage, operate and insure real estate; pay, contest, protest and compromise real estate taxes and assessments; and, in general, exercise all powers with respect to real estate which the principal could if present and under no disability. (b) Financial institution transactions. The agent is authorized to: open, close, continue and control all accounts and deposits in any type of financial institution (which term includes, without limitation, banks, trust companies, savings and building and loan associations, credit unions and brokerage firms); deposit in and withdraw from and write checks on any financial institution account or deposit; and, in general, exercise all powers with respect to financial institution transactions which the principal could is present and under no disability. (c) Stock and bond transactions. The agent is authorized to: buy and sell all types of securities (which term includes, without limitation, stocks, bonds, mutual funds and all other types of investment securities and financial instruments); collect, hold and safekeep all dividends, interest, earnings, proceeds of sale, distributions, shares, certificates and other evidences of ownership paid or distributed with respect to securities; exercise all voting rights with respect to securities in person or by proxy, enter into voting trusts and consent to limitations on the right to vote; and, in general, exercise all powers with respect to securities which the principal could if present and under no disability. (d) Tangible personal property transactions. The agent is authorized to: buy and sell, lease, exchange, collect, possess and take title to all tangible personal property; 4 move, store, ship, restore, maintain, repair, improve, manage, preserve, insure and safekeep tangible personal property; and, in general, exercise all powers with respect to tangible personal property which the principal could if present and under no disability. (e) Safe deposit box transactions. The agent is authorized to: open, continue and have access to all safe deposit boxes; sign, renew, release or terminate any safe deposit contract; drill or surrender any safe deposit box; and, in general, exercise ail powers with respect to safe deposit matters which the principal could is present and under no disability. (f) Insurance and annuity transactions. The agent is authorized to: procure, acquire, continue, renew, terminate or otherwise deal with any type of insurance or annuity contract (which terms include, without limitation, life, accident, health, disability, automobile casualty, property or liability insurance); pay premiums or assessments on or surrender and collect all distributions, proceeds or benefits payable under any insurance or annuity contract; and, in general, exercise all powers with respect to insurance and annuity contracts which the principal could if present and under no disability. (g) Retirement plan transactions. The agent is authorized to: contribute to, withdraw from and deposit funds in any type of retirement plan (whjch term includes, without limitation/any tax qualified or no qualified pension, profit sharing, stock bonus, employee savings and other retirement plan, individual retirement account, deferred compensation plan and any other type of employee benefit plan); select and change payment options for the principal under any retirement plan; make rollover contributions from any retirement plan to other retirement plans or individual retirement accounts; exercise all investment powers available under any type of self-directed retirement plan; and, in general, exercise all powers with respect to retirement plans and retirement plan account balances which the principal could if present and under no disability. (h) Social Security, unemployment and military service benefits. The agent is authorized to: prepare, sign and file any claim or application for Social Security, unemployment or military service benefits; sue for, settle or abandon any claims to any benefit or assistance under any federal, state, local or foreign statute or regulation; control, deposit to any account, collect, receipt for, and take title to and hold all benefits under any Social Security, unemployment, military service or other state, federal, local or foreign statute or regulation; and, in general, exercise all powers with respect to Social Security, unemployment, military service and governmental benefits which the principal could if present and under no disability. (i) Tax matters. The agent is authorized to: sign, verify and file all the principal's federal, state and local income, gift, estate, property and other tax returns, including joint returns and declarations of estimated tax; pay all taxes; claim, sue for and receive all tax refunds; examine and copy all the principal's tax returns and records; represent the principal before any federal, state or local revenue agency or taxing body and sign and deliver all tax powers of attorney on behalf of the principal that may be necessary for such purposes; waive rights and sign all documents on behalf of the principal as required to settle, pay and determine all tax liabilities; and, in general, exercise all powers with respect to tax matters which the principal could if present and under no disability. (j) Claims and litigation. The agent is authorized to: institute, prosecute, defend, abandon, compromise, arbitrate, settle and dispose of any claim in favor of or against the principal or any property interests of the principal; collect and receipt for any claim or settlement proceeds and waive or release all rights of the principal; employ attorneys and others and enter into contingency agreements and other contracts as necessary in connection with litigation; and, in general, exercise all powers with respect to claims and 5 litigation which the principal could if present and under no disability. (k) Commodity and option transactions. The agent is authorized to: buy, sell, exchange, assign, convey, settle and exercise commodities futures contracts and call and put options on stocks and stock indices traded on a regulated options exchange and collect and receipt for all proceeds of any such transactions; establish or continue option accounts forthe principal with any securities or futures broker; and, in general, exercise all powers with respect to commodities and options which the principal could if present and under no disability. (I) Business operations. The agent is authorized to: organize or continue and conduct any business (which term includes, without limitation, any farming, manufacturing, service, mining, retailing or other type of business operation) in any form, whether as a proprietorship, joint venture, partnership, corporation, trust of other legal entity; operate, buy, sell, expand, contract, terminate or liquidate any business; direct, control, supervise, manage or participate in the operation of any business and engage, compensate and discharge business managers, employees, agents, attorneys, accountants and consultants; and, in general, exercise all powers with respect to business interests and operations which the principal could if present and under no disability. (m) Borrowing transactions. The agent is authorized to: borrow money; mortgage or pledge any real estate or tangible or intangible personal property as security for such purposes; sign, renew, extend, pay and satisfy any notes or other forms of obligation; and, in general, exercise all powers with respect to secured and unsecured borrowing which the principal could if present and under no disability. (n) Estate transactions. The agent is authorized to: accept, receipt for, exercise, release, reject, renounce, assign, disclaim, demand, sue for, claim and recover any legacy, bequest, devise, gift or other property interest or payment due or payable to or for the principal; assert any interest in and exercise any power over any trust, estate or property subject to fiduciary control; establish a revocable trust solely for the benefit of the principal that terminates at the death of the principal and is then distributable to the legal representative of the estate of the principal; and, in general, exercise all powers with respect to estates and trusts which the principal could if present and under no disability; provided, however, that the agent may not make or change a will and may not revoke or amend a trust revocable or amendable by the principal or require the trustee of any trust for the benefit of the principal to pay income or principal to the agent unless specific authority to that end is given, and specific reference to the trust is made, in the statutory property power form. (o) All other property powers and transactions. The agent is authorized to: exercise all possible powers of the principal with respect to all possible types of property and interests in property, except to the extent the principal limits the generality of this category (o) by striking out one or more of the categories (a) through (n) or by specifying other limitations in the statutory property power form. 6 STATE OF ILLINOIS) )SS: COUNTY OF COOK) The undersigned, a notary public in and for the above county and state, certifies that IRWIN S: STEINBERG, known to me to be the same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the additional witness in person and acknowledged signing and delivering the instrument as the free and voluntary act of the principal, for the uses and purposes therein set forth, and certified to the correctness of the signature(s) of the agent(s). ' Notary Public My commission expires:. 2. DATE: November M . 2010 [SEAL] OFFICIAL SEAL RICHARD N KAPLAN NCTAftV PUBLIC-STATI CP UM08 The undersigned witness certifies that IRWIN S. STEINBERG, known to me to be the same person whose name is subscribed as principal to the foregoing power of attorney, appeared before me and the notary public and acknowledgedsigwing and delivering the instrument as the free and voluntary act of the principal, forthe uses and purpgse^the^ein set forth. I believe him to be of sound mind and memory. DATE: November 2010 Printed Name Address City, State, Zip Prepared By: Richard N. Kaplan, Esq. 6160 N.Cicero #320 Chicago, IL 60646 773/481-2700 7 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 i 1"111 I ■ i11111 ■ ■ ■ I" i1 r 11111111 ■ ■ 11 ■ 11 ■ 1111111 ■' ■ 11 ■ ■11 ■ ■ r i ■1 ■ 005*001 *******5-DIGIT 60611 STENDER, WALTER W 20 E CEDAR ST APT 14C CHICAGO, IL 60611-5116 For Official Use Only: Ward:__ Intro. Date:. Status:_ Reason:_ Claim Number: 1021866 Index Number: 1703201067 1023 Water Account Number: 585689585689 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of 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 understarttLFam subject lo penalties for perjury of falsification herein. OWNER SIGNATURE DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Cliairman City of Chicago RECFIVED FEB 2 5 2011 Teleplione 312-744-3380 February 18, 201 .II,!,...!!..,.!,,,!!!!!!.,,!,!.,)!!.!!!!,!!.!.)!!!!!!.!. 004*001*******5-DIGIT60611 STENHOUSE, WALLACE 175 E DELAWARE PL APT 8707 CHICAGO, IL 60611-1739 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1002088 Index Number: 1703220020 1650 Water Account Number: 300120622073 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. the undersigned, on oath, I Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I ai OWNER SIGNATURE. Very Truly Yours, r perjury of falsification herein. DATE III Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ M111 -11 -1111 - -11111111 -11' - -11 -1 -1' I - * 1111111 -1111 -11111 -111111 Status:_ Reason: 004*001*******5-DIGIT 60611 STERN, JUNE 990 N LAKE SHORE DR APT 17A CHICAGO, IL 60611-1344 Claim Number: 1007153 Index Number: 1703208021 1061 Water Account Number: 300120618982 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011. I JU N CT f\ f^Ahe 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ hl'H,lllTllll,'l,l'l''ll,,l',',l',''llllll',llllll,ll'lllM' Status:_ Reason:. 001*001*******5-DIGIT 60601 STEVENS, MARY 360 E RANDOLPH ST APT 2107 CHICAGO, IL 60601-7336 Claim Number: 1019021 Index Number: 1710318031 1143 Water Account Number: 301050017515 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I MftRlj JSTTkl/Z/JQ. the undersigned, on oath, Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18,2011 For Official Use Only: Ward:_ Intro. Date:_ 111111 ■ [1""" 11' 1111"11! 111 i1 ■'1 ■1' 11' 11 ■ H" 111"111111.1"""1111111 Status:_ Reason:. 019*001 *********3-DIGIT 606 STEWART, DAVEY 300 N STATE ST APT 3208 CHICAGO, IL 60654-5449 Claim Number: 1020561 Index Number: 1709410014 1220 Water Account Number: 58715258/i 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: BRENDAN REILLY of Ward 42. 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 of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to/penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS the undersigned, on oath, Please Print Name OWNER SIGNATURE. RECEIVED HM 03 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 111111 n i -11111 -1 -111 -111 - -11 - -1111 -111 -11 - -111111111 < -11 -1 -11111 Status:, Reason 006*001*******5-DIGIT60611 STIBER, JOHN A 505 N LAKE SHORE DR APT 5009 CHICAGO, IL 60611-6442 Claim Number: 1021867 Index Number: 1710214016 1202 Water Account Number: 587860587860 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 JOHN) Bo STlfct-rfc 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 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 Cily of Chicago, that all water taxe^ property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I im xabject tfTSenalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS OWNER SIGNATURE. date oa-ay-i I City of Chicago Commillee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone February 18, 2011 -IIII h I' 11111 -11 -11 -11 -111111111111 - h111 - -1'! 11 I -14 - 013*001*******5-DIGIT 60645 STONE, BERNARD 6833 N KEDZIE AVE APT 1116 CHICAGO, IL 60645-2885 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1003255 Index Number: 1036120003 1170 Water Account Number: 300109026337 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal iresidence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. S>Q.crard Sfcne 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 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 alLalher fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject tOypferufities for perjury of falsification herein. OWNER SIGNATUREN^g*^^^^ <4** *r*Z> DATE 3/oL^f U Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Teleplione February 18, 2011 1101)7(14 li-lx'ii-iX-iliM-'X'l-lhil-'il'iii-ill-MiiI'lT-llllii 004*001*******5-DIGIT 60611 STONE, JACK D. 100 E BELLEVUE PL APT 15A CHICAGO, IL 60611-1123 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011399 Index Number: 1703202063 1012 Water Account Number: 585685585685 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 wajd^TTice before July 1. 2011. I__h<~K j). s5"/p fJ 6- lhe undersigned, on oath, Please Print Name depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that 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, afid all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I OWNER SIGNATURE Very Truly Yours, Edward M. Burke nalties for perjury of falsification herein. DATE V / W / ^ I I MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ I -1 - -11111' i -1' 11 -11111 -1M i - (11 -1111 - -1 (111111 -1 - -1 11 -11111111 Status:_ Reason:. 005*001*******5-01011 60611 STONE, LORRAINE M. 230 E ONTARIO ST APT 1005 CHICAGO, IL60611-3206 Claim Number: 1017325 Index Number: 1710203028 1048 Wuiei" Account Number: 303050318993 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE *2 - 2 T - /J. City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room .'i()2 60602 Telephone February 18, 2011 («)ins.; 11 - - - -' i -1111 - -1111 -11 i1 -11111 -1 I -1 -1M11 -11111111 -1111111 -11 - 004*001 *******5-DIGIT 60611 STOPECK, EUGENE 990 N LAKE SHORE DR APT 6C CHICAGO. IL 60611-1368 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011531 Index Number: 1703208021 1013 Water Account Number: 585775585/75 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 ^ ^ GtLfrJ cT STO^^-^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 properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties fr^r perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, DATE 4^1 Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECFIVED FEB 2 5 2011 City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone February 18, 2011 III,!,!!!,!!!!,.!!!,,,,!,,!,!!,!!,!,!!!,,!!,!,!.!!!!,!!!,!.!!!! 001*001*******5-DIGIT 60601 STORAKO, JEANETTE J. 155 N HARBOR DR APT 2302 CHICAGO, IL 60601-5006 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1011511 Index Number: 1710401005 1296 Water Account Number: 300209034887 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 T£M£TTF T. ST^/T^nders igned, 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, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 Please do nol send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago RECEIVED FEB 2 5 2011 Telephone 312-744-3380 February 18, 2011 mil'mo ll-liiliillirllilhinl-iliiliiil-ll-l-ii-lil-lllllil-ll-l-1 006*001*******5-DIGIT 60611 STOTLAND, ROBERTA R 950 N MICHIGAN AVE APT 2503 CHICAGO, IL 60611-7508 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1022881 Index Number: L703207068 1092 Water Account Number: 585785585785 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office beforeJuly 1, 20.1 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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand lyam subjecKto panallies/for perjury of falsification herein. OWNER SIGNATURE t1&\- jUovS/W DATE Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 RECFIVED MAR 0 3 2011 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18, 2011 IllllOllXllMilllOl-llTl-l-ll'-'-llllI 003*001*******5_DIGIT 60610 STRANG, EILEEN L. 55 W DELAWARE PL APT 307 CHICAGO, IL 60610-6085 ■llll'l'-l'll'lll1 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1018088 Index Number: 6154621222 1546 Water Account Number: 777700162802 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. Lthe 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 ajfolherjees, penalties or assessments owed to the City of Chicago have been paid and that I understajjd^m^bjecuc^MfrTaTues for perjury of falsification herein. OWNER SIGNATURE s> #IW*'?7 JS/Usr'/ DATE_ Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:__ Intro. Date:_ ■ 111 ■ 111 ■ 11 ■ t""1 ■1 11111111111 ■"" 111' I ■ 1111'1" I'11'11" 11"'111 ■" 11 Status:_ Reason:. 005*001 *******5-DIGIT 60611 STRAUSS, JOSEPHINE N. 180 E PEARSON ST APT 4301 CHICAGO. IL 60611-2171 Claim Number: 1004471 Index Number: 1703226065 1071 Water Account Number: 30012062201"! ' ~ 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I ^PSEy /V< .Sri\ftrP<& the undersigned, on oath, Please Print Name OWNER SIGNATURE. DATE ^L-3-^~ ft RECEIVED MAR'03 2011 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:___ 11111111 -1 - -1 -11111111111 -' i -11 -111111111111! -1111 - -1 >11 -111111 -1 Status:_ Reason: 002*00l*******5-DIGIT 60610 STREETER, SALLY B. 1460 N SANDBURG TER AFT 602 CHICAGO, IL 60610-1531 Claim Number: 1021589 Index Number: 1704207086 1031 Water Account Number: 58326/58526/ 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. £ E-f^F-t. the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 Please da not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS Please Print Name City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ■n-il-x-'lll'i-o'-'rlMII'I'lii'lliT-'l.....■i'-I'i'-i Status:_ Reason:. 005*001*******5-DIGIT 60611 SUDAK, JAN 211 EOHIO ST APT 716 CHICAGO, IL 60611-3222 Claim Number: 1021870 Index Number: 1710209025 1067 Water Account Number: 587603587603 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY Attn: MARTHA 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 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:_ lli'irllhliilrl"lll,ilrll,lliilriilll,llill,llrllllllllil Status:_ Reason:. 006*001 *******5-DIGIT 60611 SUGARMAN, BERN1CE 850 N DEWITT PL APT 14H CHICAGO. IL 60611-7320 Claim Number: 1002738 Index Number: 1703227022 1128 Water Account Number: 300120605108 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I Bf^iLhllC £ SI/ $ filjl MAf]} the undersigned, on oath, 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 property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print OWNER SIGNATUR] City of Chicago Committee on Finance Alderman Edward M. Burke Citv Hall Room 302 60602 Teleplione February 18, 2011 ,|.,l||l|.l|l|||,|.l|,,|l|,l||l|lll||l|||l|ll||,||l|||l| 005*001 *******5-DIGFT 60611 SUMMERS, ALAN 230 E ONTARIO ST APT 2306 CHICAGO, IL 60611-3208 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1017409 Index Number: 1710203028 1127 Water Account Number: 303050318993 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 Al-AK} S>UAAA4 f^ft- *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 of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, 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 undersj&nd I am suflject 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED MAR 0 4 2011 Alderman Edward M. Burke Chairman City of Chicago Telephone 312-744-3380 February 18,2011 iil^l,,!)!,.,,!.!!.,,.!!.!!!!!.,!,!,!,...)!!!.!! 021*029******MFXED AADC 606 SUN, ROD CRT & V\ ViAf^ 21 LOMJTA DR MILL VALLEY, CA 94941-1441 -'iM-l-IMI For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1017298 Index Number: 1703222020 0000 Water Account Number: 300120618005 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. he undersigned, on oalh, Please Print Name depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penajfjps for perjury of falsification herein. OWNER SIGNATURE U^C--o -DATE_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS RECEIVED m 0 9 ?or Alderman Edward M. Burke Chairman City of Chicago Telephone 31.2-744-3380 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ February 18, 2011 - h -111' I (-11111111M - -111 -' 11 - - -11 -11 -11 - > 11111111111111 i' 11111' 004*001 *******5-DIGIT 60611 SUPERFINE, ELAINE C. 1110 N LAKE SHORE DR APT 17S CHICAGO. IL 60611-1023 Index Number: 1703201066 1016 Water Account Number: 300120619992 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. Claim Number: 1010862 To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I ^/-l/^ (f, Pl^fct^l k) 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, 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^r'-^^^- ^ ft^u-rO^L-- DATE Z/cZS/1 f_ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS <^8^>228 RECFIVED MAR 0 2 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 r'l'iiiii^i'-^hT'NiiiHi'hi'M-iMi'Mi'l'i 005*001*******5-DIGlT 60611 SUSMAN, MICHAEL B. 161 E CHICAGO AVE APT 50F CHICAGO, IL 60611-2627 Index Number: 1710200068 1208 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1021171 Water Account Number: 586906586906 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. 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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand*! am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, stanAI am subject to penalties for perjury of falsification herein. [yx-~---n.TP l\r\\\\ Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 003*001*******5-DIGIT 60610 SWANSTROM, THOMAS E. 55 W DELAWARE PL APT 817 CHICAGO, IL 60610-6071 Claim Number: 1023115 Index Number: 1704441024 1149 Water Account Number: 585810585810 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. t-T\a*»>A-5» Va, S <\ STfcov^hc 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 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 BRENDAN REILLY Attn: MARTHA 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 OWNER SIGNATURE ^^N*. ,^^W-2C^_DATE / A \ RfctfW*n MAR 03 7011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ lilillllilllllil,l,ll-hilll'l,,lrlillililllill,ill,llil,llll Status:_ Reason:. 005*001*******5-DIGIT 60611 SWENSON, MARIE 200 E DELAWARE PL APT 21D CHICAGO, IL 60611-5797 Claim Number: 1002659 Index Number: 1703214014 1114 Water Account Number: 300120608503 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 /flAfltb <yV £~tf&oAJ 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. OWNER SlGNATUREP^^^jRC^j^^,^. jo-^> DATE fi - cUS- Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ',r,"i'l'ililliililill'",'l'""r,'l'r'lr"',ii",iiii'l'r Status:_ Reason: 003*001*******5-DIGIT 60610 TAFT, MARY A. 1355 N SANDBURG TER AFT 601 CHICAGO, IL 60610-7965 Claim Number: 1016386 Index Number: 1704216064 1328 Water Account Number: 300130403002 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify thai you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS _the undersigned, on oalh, Please Print Name DATE. City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ -lliji'l111!!1!1!-iiri-lli--ll'>llllil!llll-M-l'-''I'I-'II'Mi Status:_ Reason: 005*001 *******5-DIGIT 60611 TAKAYAMA, MASAMI 880 N LAKE SHORE DR AFT 24H CHICAGO, IL 60611-5720 Claim Number: 1023116 Index Number: 1703222015 0000 Water Account Number: 585604585604 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 MASAMI TAKAYAMA 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS DATE RECEIVED MAR 0 3 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone no 11-.i February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ,|,|l|l|||||l||.|||,||||,l||l,l||||l||.|l.|l|..||.l Status:_ Reason:. 005*001*******5-DIGIT 60611 TAMAN, LEWIS 132 E DELAWARE PL APT 5606 CHICAGO, IL 60611-4950 Claim Number: 1011534 Index Number: 1703211030 1059 Water Account Number: 777700024499 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name Alderman Edward M. Burke Cliairman City of Chicago 312-744-3380 Telephone mil I5d February 18, 201 1 For Official Use Only: Ward:_ Intro. Date:_ 11" 11111" ■11'1""111" 111MI" ■ 111 ■ i" 111"1 f" I ■ ■ I"" I ■"11111111" -" 11 Status:_ Reason:. 005*001*******5-DIGIT 60611 TANNS, GAIL 1150 N LAKE SHORE DR CHICAGO, IL 60611-5215 Claim Number: 1002621 Index Number: 1703200063 1020 Water Account Number: 300 i 20620213 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 G~ f) I I "^Tpf/H'fiJ $ 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE. RECEIVED MAR 0 3 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 i ■ ■ ■ i111111 -1 ■ i ■ i ■1111 ■1! 111 ■ i ■ i111 ■11 ■ ■ ■ ■ 111111111 ■1 ■ ■ 11 ■ ■ 11111 003*001 *******5-DIGIT 60610 TATE, MURIEL J. 1360 N SANDBURG TER APT 2302 CHICAGO. IL 60610-7908 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1019052 Index Number: 1704216064 1047 Water Account Number: 585261585261 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 UQd££S52!{l I am subjecLto penalties for perjury of falsification herein. OWNER SIGNATURE / JkxA^ds-^^^^ DATE ^>^/^^/^a^/ Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago RECFIVED FEC £ 5 :::: Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ h'll',,h'''Nhllhil,,i'l,,l,,ll''l,i''l',',l,,'''ilir,lri Status:_ Reason:. 005*001*******5-DIGIT 60611 TAUB. ROBERT G. 132 E DELAWARE PL APT 5204 CHICAGO, IL 60611-4946 Claim Number: 1000082 Index Number: 1703211030 1030 Water Account Number: 777700024499 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and slate lhal I am the applicant in Ihe 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, thai all water taxes, properly 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name RECFIVED FEB 2 5 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone Chairman ww-w.eommilteeonfinance.org 312-744-3380 February 18, 2011 i--MMiiili--iilililiMi--Mi-il-lilMll--hl-Ml--l1iiiill-lil 003*001*******5-DIGFT 60610 TAUSCHE, CHARLES A. 1360 N SANDBURG TER APT 2701 CHICAGO, IL 60610-8109 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1020890 Index Number: 1704216064 1024 Water Account Number: 585262585262 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I C[yH 1/ \&£ ^ 7*^C%SSCrX\^e^lhe 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 thai I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone i.l|11|i|ii|i|i1|ii|i||l||,i||ini||i|i|h|ii|lhlhi|n||1 February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 004*001 *******5-DIGIT 60611 TAYLOR, DOLORES D. 1000 N LAKE SHORE PLZ APT 40B CHICAGO, IL 60611-1512 Status:_ Reason:. Claim Number: 1017217 Index Number: 1703204064 1105 Water Account Number: 300209012207 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 1^t?\e»r&.< A V^y/pv_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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name »'ii^fci 228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone mil ifi? February 18, 201 I For Official Use Only: Ward: Intro. Date: l-lil-l-iiillilillilhllllllllilhlnlilil-llil-u-l-in Status:_ Reason:. 005*001 *******5-DIGIT 60611 TAYLOR, GLORIA R. 1150 N LAKE SHORE DR APT 11A CHICAGO, IL 60611-5224 Claim Number: 1021479 Index Number: 1703200063 1096 Water Account Number: 585987585987 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name the undersigned, on oath, RECFIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ 1 -1'' -111 -111111' i 111 -11 * - -111 -111 - - -111 -1111' 1111' 11111111 -1 -' I Status:_ Reason:. 005*001*******5-DIGIT 60611 TAYLOR, JANE U 210 E PEARSON ST APT 2A CHICAGO, IL 60611-2397 Claim Number: 1021851 Index Number: 1703227020 1002 Water Account Number: 585618585618 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS .the undersigned, on oath, Please Print Name RECFIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ iMn'hTli'hlilllilrlllliiilllliillillhhhilTplM Status:_ Reason:. 019*001 *********3-DIGIT 606 TEIFELD, ROY 500 W SUPERIOR ST UNIT 1112 CHICAGO, IL 60654-8138 Claim Number: 1021657 Index Number: 1709114021 1077 Water Account Number: 616790586401 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name DATE Alderman Edward M. Burke Cliairman City of Chicago Committee on Finance City Hall Room 302 60602 www.cc >m m i I teeonfi nance.org Telephone 312-744-3380 February 18, 2011 -lo-llli'l-IIXil'iilli'i-ll-liiiil-'lll- 006*001 *******5-DIGIT 60611 TEL1NGATOR, JUDITH M 950 N MICHIGAN AVE APT 3702 CHICAGO, IL 60611-7520 I'l1"!! ■ii M.I For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:_ Claim Number: 1011533 Index Number: 1703207068 1070 Water Account Number: 300120622707 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 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 SIGNATUR Very Trul> Yours, ^^DATE fM-2<f/2sJ/y Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS *@»228 Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ||||l||||.||l,|,||,.||||ll|l.ll||||l|||||ll|.ll|||.|ll|lr|.l||| Status:_ Reason:. 004*001 *******5-DIGIT 60611 TENSCHER, CAROL ANN 1000 N LAKE SHORE PLZ APT 18B CHICAGO, IL 60611-1411 Claim Number: 1002667 Index Number: 1703204064 1039 Water Account Number: 585833585833 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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/lJlO L /4>W 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 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE Z-/2-gT>// »<*fS?*>22e Alderman Edward M. Burke Chairman February 18, 2011 City of Chicago RECEIVED FEB 2 5 2011 Telephone 312-744-3380 11111' I h 11' 11' 111 -111' I' H11 * 111 <' 1111'" I * 11'111' -'1111 * 11 * 111 006*001 *******5-DIGIT 60611 TESLER. D1ANNE R. 161 E CHICAGO AVE APT 26F CHICAGO. IL 60611-6665 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1021656 Index Number: 1710200068 1308 Water Account Number: 586906586906 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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, that I 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. 'kAJkx/ DArE -z/W'/ OWNER SIGNATURE. Very Truly Yours, Edward M. Burke L 1 SIGNED AND DATED COPYNDIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago RECEIVED FEB 2 5 2011 Alderman Edward M. Burke Chairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ llll,!!.,!!,,,!!!,!!,,,!.!.,!,!!,,!!,!,!,!,.,!!!)!!!,.!!!!.!! Status:_ Reason:. 003*001*******5-DIGIT 60610 TEW, EILEEN L. 1560 N SANDBURG TER APT 3510 CHICAGO, IL 60610-7733 Claim Number: 1016752 Index Number: 1704207087 1392 Water Account Number: 300130441621 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-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 stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. City of Chicago Committee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione February 18, 2011 110] 260 111111111111 -1 -11 - - M -1 m 11 -1 -1 - - -11111 -11111 -111 -111 -111111M -1 006*001 *******5-DIGIT 60611 THIERY, ETHEL 21 E CHESTNUT ST APT 4E CHICAGO, IL 60611-6037 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020832 Index Number: 1703223023 1020 Water Account Number: 585893585893 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. I hTriil- ~T~R ' £"/j^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 of January 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE. DATE £-3J-f^<( Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS *<^gg^228 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ .....Hlrlh-iliMiir'll'-IMr'r'-i'i'-'liirli'HIi1 Status:_ Reason:. 001*001*******5-DIGIT 60601 THOMPSON, MARY T. 400 E RANDOLPH ST APT 2425 CHICAGO, IL 60601-7311 Claim Number: 1016753 Index Number: 1710400012 1521 Water Account Number: 300209034825 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS I V\ rVf^ "\ ■ "X V\ ^>Vt\ Y the undersigned, on oath, Please Print Name RECEIVED FEB 2 5 1011 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 -1 -11111 1 - - M1 - -11 -1111111 <1 h' IM111111 -1 - -' 1111111 Status:_ Reason: 002*001 *******5-DIGIT 60610 THOMPSON, SHIRLEY S. 70 W BURTON PL APT 1201 CHICAGO, IL 60610-1467 Claim Number: 1019730 Index Number: 1704208031 1010 Waler Account Number: 585272585272 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day 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. \J\ca.\j ^> IVao vv>p6ctfaie-t(ndersigned. on oath, depose and state lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS City of Chicago Commitlee on Finance Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone February 18, 2011 CUOMO II,.!!.,!!!!!,!!!,!.!!,,,,,!,,,,!,,!!,,!!,!!.!!!!,,!,!!. 003*001*******5_DiGIT 60610 THORNTON, JAMES D. 1355 N SANDBURG TER APT 1106 CHICAGO, IL 60610-7971 Index Number: 1704216064 1468 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1007064 Water Account Number: 300130403019 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. iJti/htTr D-t^^^j^Ke undersigned, on oath, Please Print Name depose and slate lhal 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 Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER S,C,NATURFJ^^ J^J^C DATEM <* V Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Alderman Edward M. Burke Chairman City of Chicago 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ Status:_ Reason:. 005*001 *******5-DIGlT 60611 T1MBERLAKE, BARBARA 400 E OHIO ST APT 4702 CHICAGO, IL 60611-4640 Claim Number: 1016305 Index Number: 1710208014 1048 Water Account Number: 303050222795 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 121 N. LA SALLE ST ROOM 200 Chicago, IL 60602 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 RECEIVED FEB 2 5 2011 City of Chicago Alderman Edward M. Burke Chairman 3J2-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ll-liiiilliliiiuilinlil'lliilihll-lllirlll-lllilliTl Status:_ Reason:. 003*001*******5-DIGIT 60610 TOCUS. NORA J. 1122 N CLARK ST APT 1801 CHICAGO, IL 60610-7880 Claim Number: 1021288 Index Number: 1704412028 1220 Water Account Number: 586243586243 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: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. _the undersigned, on oath, depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that 1 have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS Please Print Name OWNER SIGNATURE. DATE _ 3,3 Il RECFIVED MAR 0 4 2011 City of Chicago Alderman Edward M. Burke Cliairman 312-744-3380 Telephone February 18, 2011 For Official Use Only: Ward:_ Intro. Date:_ ||l.|.|.||l|l|||l|lll||l|.l|||l|l|.h||||.l|l|Tl.|llll|l|| Status:_ Reason:. 001*001*******5-DIGIT 60601 TOSCAS, JACQUELYN 400 E RANDOLPH ST APT 2315 CHICAGO, IL 60601-7385 Claim Number: 1020407 Index Number: 1710400012 1481 Water Account Number: 432924432924 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011. depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. Very Truly Yours, Edward M. Burke MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS _the undersigned, on oath, Please Print Name DATE RECEIVED MAR 0 2 2011 City of Chicago Committee on Finance Alderman Edward M. Burke City Hall Room 302 60602 Telephone February 18, 2011 ;i.ti | i 11., i ]. 11.i,,111,11. |, i,,,,. 111.111,..11,111. 002*001 *******5-DIGIT 60610 TOZER, CONSTANCE M. 1312 N SANDBURG TER CHICAGO, IL 60610-5671 Index Number: 1704209044 1002 For Official Use Only: Ward:_ Intro. Date:. Status:_ Reason:_ Claim Number: 1020544 Water Account Number: 434235434235 2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen: Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42. To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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. \0^m^n\./irj>_ ff] t / Q the undersigned, on oath, Please Print Name depose and state that 1 am the applicant in the application, that this is my principal place of residence as 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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein. OWNER SIGNATURE ^L^^t^ ^^-0)^_^DATE Very Truly Yours. Edward M. Burke MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT: Alderman BRENDAN REILLY Attn: MARTHA 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 1 COPY FOR YOUR RECORDS UOZ 8 0 WW Q3AI333a RECEIVED MAR 0 3 ENDAN REILLY Alderman42nd Ward CITY COUNCIL CITY OF CHICAGO 42nd Ward Office 311 West Superior Street Suite 212 Chicago, Illinois 6061 O Telephone: (312) 642-4242 City Hall Office City HallRoom 300 121 North LaSalle Street Chicago, Illinois 60602 Telephone: (312) 744-3062 COMMITTEE MEMBERSHIPS Buildings Committees, Rules, and Ethics Health Traffic Control and Safety Transportation and Public Way Dear Downtown Resident: Thank you for recently submitting your Senior Sewer Rebate application to my office. I have reviewed the information you have submitted and I regret to inform you that your paperwork is incomplete. Enclosed please find the application instructions as well as the refund application that will need to be filled out. Please resubmit the completed application and all necessary supporting documentation, as indicated on the instruction sheet. Please mail the completed paperwork to: Alderman Brendan Reilly, 42nd Ward Attention: Martha Donnelly City Hall, Room ZOtf^OO 121 North LaSalle Street Chicago, IL 60602 Thank you again for contacting my office! I look forward to working with you in the future. Please feel free to contact my office if we can be of additional assistance to Case # 82037 CARL SANDBURG VILLAGE CONDOMINIUM ASSOCIATION II Proposed Operating Budget January 1, 2011 to December 31, 2011 Account' Acct. ■' # 2010 Budget .2010 ; : fotai ' Estimate 2011 Rroposey'' Budget ... : Variance: 2010 >; :&:PfbVosed^2dl'1'r; 3,276,100 3,272,447 INCOME Assessments 5001 2,907,100 2,907,100 2,965,242 58,142 Homeowners Assessment Inc 5007 369,000 365,347_360,867 (8,133) Total Assessments OTHER INCOME Commercial Rent 5004 10,182 10,018 Laundry Income 5029 56,000 59,361 Pet Fees 5032 2,325 3,350 Fines 5044 3,000 2,500 Late Fees 5045 12,000 13,929 Interest 5050 0 1,022 Locks & Keys 5065 300 1,311 Health Club 5069 38,640 42,290 Move In / Out Fees 5070 24,000 21,700 Lockout Fees 5072 2,200 2,025 Bicycle Room Fee 5076 5,000 4,975 Maintenance Income 5080 16,500 22,042 Lease Process Fees 5086 6,800 7,550 Scavenger Rebate 5089 33,697 0 Other Misc Income 5090 _4,960_2,482 Total Other Income 215,604 194,556. 217,100 1,496 GARAGE INCOME Parking Income 5060 491,220 503,770 500,000 8,780 3,326,109 10,500 56,000 3,000 3,000 12,000 800 300 42,000 22,300 2,000 5,000 16,500 7,500 33,700 2,500 58,142 318 0 675 0 0 800 0 3,360 (1,700) (200) 0 0 700 , 3 (2,460) 2.00% -2.20% 1.77% 3.12% 0.00% 29.03% 0.00% 0.00% 0.00% 0.00% 8.70% -7.08% -9.09% 0.00% 0.00% 10.29% 0.01% -49.60% 0.69% i 1.79% TOTAL INCOME 3,982,924 3,970,773 4,043,209 60,285 1.51% EXPENSES ADMINISTRATIVE EXPENSES Homeowners Assessment Exp 6200 Office Supplies 6315 Copier & Printing Expense 6324 Postage / Messenger 6325 Telephone Expense / Internet 6330 Management Fee 6335 Auditing Fee 6340 Legal Expense - Owners 6344 Legal Expense 6345 Professional Fees 6350 Condo Resident Activity 6365 Fees and Licenses 6375 Office Rent 6380 Administrative Expense 6390 369,000 3:000 10,000 4,500 10,500 83,301 7,100 0 20,000 1,800 5,700 5,000 5,337 8,500 360,867 2,779 9,878 5,399 15,883 82,680 6,900 6,259 11,400 3,594 5,794 4,210 5,282 7,270 360,867 3,000 12,200 5,500 13,900 82,700 6,900 2,500 20,000 4,300 5,900 13,700 5,300 8,500 (8,133) 0 2,200 1,000 3,400 (601) (200) 2,500 0 2,500 200 8,700 (37) 0 -2.20% 0.00% 22.00% 22.22% 32.38% -0.72% -2.82% 0.00% 0.00% 138.89% 3.51% 174.00% -0.69% 0.00% Total Administrative Expenses 533,738 528,195 545,267 11,529 2.16% 1 October 12, 2010 Approved for Distribution dim De 16-tk A99X □ Bring PAYMENT DUE 12/13/2* Adjusted tax due: Orig $ i 1,042.01 $ Check Ihls box la chanoe mailing addrcjy'lwhorc bill is seiil)>and comploto form on bach. x. oeumumt: ui crrur ntjuuiimimiutiu iax dim Bring entire bill \qhen paying by person. Please do not use on-line checking systems to pay. 10 \ nal lax due: J 2y000\22 Certificate of Error No.: , Amount Paid _ dU^GMMM ■ Propony Inilon Number (PIN) » Volume 17-04-207-086-1297 498 'Write PIN and Volume on check made payable to Cook County Treasurer. 00002000220 170M2Q70fitil2':l7cl QQTSS 00002030222 000020b022M 000020c!022b COOK COUNTY TREASURER PO BOX 4488 Carol Stream IL 60197-4488 MYRNA TRAFMAN 1460 N SANDBURG 312A CHICAGO IL 60610-8514 17042070fibl2ti7/0/OcVF/000020002E/2 pa 19ft im \ .'■Jesse White - Secretary of State 02-07-12 MUMBER ISSUED EXPIRES. T 615-5454-3638 £2£^8, MYRNA ETRAFI^aVi 1460 N SANfe)BER!Sl&RRA CHICAG0;»iL^4OiT;--.-:S.'; Birthdate 02-0743., " Female 4'11" 104Jbs_ - ;BRN Eyes Restrictions.Type* - 'Class .■, B ■' ORG D i agi< i ui i The Chicago City Council I ^ ^ COMMITTEE ON FINANCE L. HClME^i'A£^DAS^' ®^<EV^S^= ?\t0^i^iTnEEWrp'^ M^UitCEi}'! ■ ■ itj^AOh.U^j-; SEARCH j*-- Home > Claims > Sewer Charoe Details > Senior Citizens Annual Refund Application Note: *AII Fields Must Be Filled In1Claimant NameFirstMiddle Initial E.Last Name Myma jTrafman2Claimant Address1460 N. Sandburg Terrace Apt.3123Claimant City, State & Zip CodeGity ------State ILZip Code--- Chicago 606104Claimant TelephoneOfficeHome 312-787-3095Cellular 312-615-98745Claimant Birthdate:Must be 65 years of age, or older as of 10/8/2010 07/02/1943 dd/mm/yyyy format6Property Tax Number:Example PIN Number (XX-XX-XXX-XXX-XXXX) pm Jl7 -104 - I107 - 086 - 12977 |
Water Account Number: |
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© 2010 Chicago City Council - Committee on Finance. All Rights Reserved Use of this website signifies your agreement to the Terms of Use j- and Online Privacy Policy > Site Developed by Chicago Web Management
10/8/2010
City of Chicago Claim Form
RECEIVED MAR 03 2011
Application For Senior Citizens Sewer Charge Annual Refund
11
Fill in the fields below and print form. Sign and take this to your alderman's office.
FOR OFFICIAL USE ONLY
CLAIM*_
WARD__
DATE_
STATUS__
R_
Claimant Name
Claimant Address
Claimant
City, State & Zip Code
Claimant Telephone
Claimant Birthdate:
Property Tax Number:
Water Account Number:
Building Type:
Note: *Ali Fields Must Be Filled In
Myrna E. Trafman
1460 N. Sandburg Terrace Apt.312
Chicago, IL 60610
Office
Home
312-787-3095
Cellular 312-615-9874
07/02/1943
PIN 17 - 04 - 207 - 086 - 1297
Condo
Q)rrj,Units ^_
Res Units condo
_(print your name), the undersigned on
oath deposes and states that I am the applicant on this application, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury or falsification^erein.
OWN
date: /c qhdt o
Edit Form
Print this claim form
Please print this and return application to your aldermanic office before July 1
© 2007 Chicago City Council - Committee on Finanace. All Rights Reserved
10/8/2010
Cook County Assessor's Office Joseph Berrios
1460 N Sandburg Ter 312A
PIN # 17-04-207-086-1297
Property Appeals Exemptions Certificate of E
rror
Exemption Status
J 2009 Exemption Status | Homeowner: Senior Citizen:
2008 Exemption Status Homeowner:
iSenior Citizen:
Yes Yes
Yes Yes
Exemption amount: $925 Exemption amount: $185
Exemption amount: Exemption amount:
$158 $192
2008
2009
Class: 2-99
Market Value: 171,143
Assessed Value: 27,383
Equalized Assessed Value: 81,563
Long-Time Occupant: 32,862
Senior Citizen Exemption: 4,000
i Senior Citizen Freeze: 0
i
i Total Exemptions: 36,862
| Prior Taxable EAV: 44,701
Class: 2-99
Market Value: 275,420
Assessed Value: 27,542
Equalized Assessed Value: 92,819
Homeowner Exemption: 20,000
Senior Citizen Exemption: 4,000
Senior Freeze Exemption: 0
Total Exemptions: 24,000
Current Taxable EAV: 68,819 !
How to Calculate the Exemption:
The Expanded Homeowner Exemption is designed to provide a homeowner with a greater exemption amount that will work to limit the increase in the taxable value of his or her home. The first step in calculating the exemption amount is to determine the base Equalized Assessed Value (EAV) of the property. This provides a starting point from which to calculate 7% growth over time (See # 1 below). The base EAV is increased by 7% each year to get an adjusted base EAV (See # 2 below).
Lastly, the expanded exemption amount (the homeowner exemption amount needed to keep the growth in a home's taxable value to 7% annually) is determined by subtracting the 2009 adjusted base EAV from the 2009 EAV (See # 3 below). If the difference exceeds the maximum exemption amount, then the exemption is set at that maximum amount.
1. Calculate 2007 Base EAV
2007 AV 14,966
2007 Equalizer x_2.8439
2007 EAV 42,561
HO Exemption -_5,000
2007 Base EAV 37,561
2. Calculate 2009 Adjusted Base EAV
2007 Base EAV 37,561
2008 Adjusted EAV (2007 increased by 7%) 48,701
2009 Adjusted EAV (2008 increased by 7%) 52,110
2009 Adjusted Base EAV = 52,110
3. Calculate 7% Expanded Homeowner Exemption
2009 AV 27,542
2009 Equalizer x_3.3701
2009 EAV 92,819
2009 Adjusted Base EA V _52,110
EAV Difference 40,709
Exemption History
Click here to show history if it is available.
City of Chicago
Department of Revenue-Water Division
P.O. Box 6330
Chicago, Illinois 60680-6330
METERED ACCOUNT
Little leaks cause big bills.
Check for and repair leaks.
You must pay for all metered water.
^^^^^M^M^MW^fM ||ig;AG^pjJNTi^MBER
CARL SANDBERG VILLAGE CONDO
585267-585267
Nov-30-2010
*. ' ' DUE DATE
Dec-21-2010
Service Address: 1455 60 N SANDBURG TER CHICAGO IL 60610
Summary of Charges for Oct-25-2010 thru Nov-23-2010
Total Current Water..................................................................................... $
Total Current Sewer.....................................................-i................ $
Pena Ity........................................-«rrr^y^Z'... nTTZpl................. $
Total Current Charges................IQ...........U....0,1................. $
Previous Balance.............................[)............ . . . .. .11.............: $
Adjustments..................................l J..rj£C ^--4-.^V. Ull.............. $
Payments......................................Ill...................................7T1................ $
Total Due......................................1...........................^.\............... $
Penalties accrue at a rate &)/l^6SicPBr~mePtST^'T^ebalances.
1919.00 1650.34 0.00 3569.34 5337.21
o:oo
5337.21 3569.34
The Department of Revenue's Water Division offers a variety of flexible payment plans for water bills including a special circumstances/hardship plan for those who qualify. Avoid Water shut off or have your service restored by entering a plan. Visit us on-line or call us for more information.
t, lj USAGE IN THOUSANDS -\ s ACTUAL" or , Cubic Feet v = Gallons ESTIMATED
18212010 D005fl52b705fl52b7 M OOOOBSbSau. 000035^34 M
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-■iI'IiIi'-iII'I'i'-'-iii'I'-I-iI-i'-'iI'-'I-'-i'Iii1"!!111
ii
Status:_ Reason:
002*001*******5-DIGIT 60610 TRAUB, MYRA 1030 N STATE ST APT 23D CHICAGO, IL 60610-5498
Claim Number: 1003668
Index Number: 1704424051 1179
Water Account Number: 300130346252
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 slate lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
I Al yJtfr- ~7~7z/1aR the undersigned, on oath,
Please Print Name
OWNER SIGNATURE.
, RECEIYEO FEB 2 5 2011
City ot Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18,2011
■ i m■i■111 ■ 111 ■ ■ i ■ ■11111 ■ 1111111>i>11 ■ 111 ■ ■ ■ ■ ■ i ■ i ■ ■ ■ ■■1■■■i■
003*001 *******5-DIGrT 60610 TRAXLER. BEVERLY M. 1355 N SANDBURG TER APT 1408 CHICAGO, IL 60610-7972
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017947
Index Number: 1704216064 1524
Water Account Number: 300130403002
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 youj^ward office beforeJjuV-rT^Ol 1.
_the undersigned, on oath,
ease Print Name
depose anS 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 I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIG Very Truly Yours, Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 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:_
" I"11II1111"" 11"" I"""" 11"" I" 1" 11111h1""11' 11 I"11"111111111■1I
Status:_ Reason:.
004*001*******5-DIGIT 60611 TRE1BER, WALTER G. 1100 N LAKE SHORE DR APT 23A CHICAGO, IL 60611-1090
Claim Number: 1023036
Index Number: 1703201076 1077
Water Account'Number: 585701585701
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
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 properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011. <
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or 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 penaltiel^for perjury of falsification herein.
Very Truly Yours, ' Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS U
on oath,
Please Print Name
OWNER SIGNATURE.
RECFIVED MAR 04 r
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201 1
iii-i 1111 > 111 > ■ i >i>i■11■>■i11«1111 ■ i 111111 ■ i1 >1>1111■i1 > i1 -»i
005*001*******5-DIGIT 60611 TRENKMANN, RICHARD S 405 N WABASH AVE UNIT 3801 CHICAGO. IL 60611-5608
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021875
Index Number: 1710132037 1520
Water Account Number: 587101587101
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011. J
ftJ
Kf"'1 Vi
Please Print Name
.the undersigned, on oath.
depose and state that I am the applicant in ihe 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 understandX^m subject to penalties for perjury of falsification herein.
OWNER SIGNATUEJE^y^^gg^-^ --DATE_
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECEIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll'-llli'il'il'il-T'l-i'h'l--"!!1....i"lill"lli>i|i|
Status:_ Reason:.
002*001 *******5-DIGIT 60610 TRICE, MARILYN T. 1455 N SANDBURG TER APT 702 CHICAGO, IL 60610-1532
Claim Number: 1018299
Index Number: 1704207086 1355
Water Account Number: 300130403033
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
ie undersigned, on oath,
Please Print Name
*Sg^>22e
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
' i i i i ■111■»i1111111111111 ■»1 ■ i1111111111i111111 ■1 ■»111111»> i ■ 11
006*001*******5-DIGIT 60611 TROPP, DANIEL & MAXINE 950 N MICHIGAN AVE APT 2804 CHICAGO, IL 60611-7511
For Official Use Only: Ward:
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011419
Index Number: 1703207068 1164
Water AccounrNufnber: 300120622707 - "-----------~
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
vV/VA; iRL -t.^l a r=£ -ir I MA^f<\AE: T/eoP/ 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 subjepHea)enalties for perjury of falsification herein.
OWNER SIGNATURE }iivC^^<^^^L^y> DATE ^- I ^- 5 /~2- O \ O Very Truly Yours, 5^^~^_^^s V^C^" Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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
'SfgS*'228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lli-hlilllill-ll-lii-iiNllllil-l-llllilll-ii-ill-il--llill
Status:_ Reason:.
019*001*********3-DIGIT 606 TROXELL, MARY 600 N DEARBORN ST APT 1109 CHICAGO, IL 60654-6290
Claim Number: 1021170
Index Number: 1709233025 1066
Water Account Number: 632719592368
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
121 N. LA SALLE ST
ROOM 200
Chicago, IL 60602
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
.the undersigned, on oath.
<s<$gg»>228
City of Chicago
RECFIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1' -1111' I -1111111111111111111 -1' 11111111 -1'' -1' 11 j 11' 1111111'''1
Status:, Reason
002*001 *******5-DIGIT 60610 TRULIS, ROSE 88 W SCHILLER ST APT 2709 CHICAGO, IL 60610-4919
Claim Number: 1001216
Index Number: 1704209043 1248
Water Account Number: 300130442150
2011 SENIOR CfTIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
_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, 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
,.*jgS*.228
RECEIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l,l,,l,liillilli'l"lllilliiiilllllill,,liilillllii,uillliln
Status:_ Reason:.
002*001 *******5-DIGIT 60610 TUITE, MARGO H. 1560 N SANDBURG TER APT 912 CHICAGO. IL 60610-1338
Claim Number: 1020487
Index Number: 1704207087 1447
Water Account Number: 585319585319
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/lownhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I I^ifAY-QC) jj - "fL '/-/".__the undersigned, on oalh,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
- -1 -1 -1111111 h 111 - -111 -11 -1111111 -11 -11 -1111111111 -1 -1111 r - -11 -1
Status:. Reason
004*001*******5-DIGIT 60611 TURNER, NED R. 1110 N LAKE SHORE DR APT 38N CHICAGO, IL 60611-1022
Claim Number: 1022220
Index Number: 1703201066 1074
Water Account Number: 585704585704
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the 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 understands! 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
I
ftfe/ /f "Turner
.the undersigned, on oath,
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Rnum 302 60602 Teleplione
February 18, 2011
ll1 -111M11 >' I' -' 1111111111'1' 11' I' 111 -1 -'L111 -11111 -111111!1 -111
006*001 *******5-DIGIT 60611 TURNGREN, KARIN J. 2 E OAK. ST APT 3510 CHICAGO, IL 60611-6209
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1017847
Index Number: 1703203009 1302
Water Account Number: 300120633790
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 oalh,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE Very Truly Yours,
'<aM*\ Q ( 1 wyuan ^ date ) 1
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECFIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
' ■11 -1 -11 -11 -1 -1 -111 -111 -11 -11E111111 -1111 - -111 -11 -111111 -11 -1
004*001*******5-DIGIT 60611 TUROFF, MICHAEL R. 990 N LAKE SHORE DR APT 9E CHICAGO. IL 60611-1370
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021650
Index Number: 1703208021 1030
Water Account Number: 585774585774
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 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!'
OWNER SIGN At
understand I_am subject to penalties for perjury of falsification herein.
DATE i i>(
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
o4[SS>.228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iIIiIIIIiN-'i'iIIti'-'i-'-'i'IIIIiI-i'-'-i-iIiI-I111!!-!1!-!
Status:_ Reason:.
002*001*******5-DIGIT 60610 TUTHILL, PATRICIA 1460 N SANDBURG TER APT 607A CHICAGO, IL 60610-1531
Claim Number: 1017410
Index Number: 1704207086 1165
Water Account Number: 300130403040
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
IT^-T/^^/fi ~TtJjl~U I Ll_ 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 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 BRENDAN REILLY
Attn: MARTHA
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
Please Print Name
RECFIVED FEB 2 5 2011 City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
11 r -1111 - - -11 i -1 -111 - -111 - - -111 -11 -11111111 - -11111 -111111 >11111 -1
004*001*******5-DIGIT60611 UEDA, OSAMU 227 E WALTON PL APT 2W CHICAGO, IL 60611-1688
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1011254
Index Number: 1703214013 1001
Water Account Number: 300120643307
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
ft/1 JI lAfvA
I r lA^ I l/tO \JI \_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 saidjeal estate propejrty or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3:T2^050 of the MunicipaTCbde of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 v/^o/^ - \ DATE_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
AJderman BRENDAN REILLY
Attn: MARTHA
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 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:_
iilllll-llihlllillNllllll'iii"'iill'il'il.....i'11!!!1"!-!1
Status:_ Reason:.
005*001 *******5-DIGIT 60611 UHLMANN, JEANETTE R 535 N MICHIGAN AVE APT 1705 CHICAGO, IL 60611-3884
Claim Number: 1023378
Index Number: 1710122025 1224
Water Account Number: 587872587872
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to " your ward office before July 1, 2011.
YY)(A H f) 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, w Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
(OOdfiii
■'"" 11' 11" l"" l'' l ' 111' l" 11" " "' 11 ■' I '"'' 11' 111111' '
004*001*******5-DlGIT 60611 UMANSK1, LANA 30 E ELM ST APT 1 IF CHICAGO, IL 60611-1010
ll-M--III
For Official Use Only: Ward: _
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021168
Index Number: 1703200066 1062
Water Account Number: 585982585982
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 ^ IVVW U. Vyv QUA Q K .the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE.
Very Truly Yours,
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
"^S* 228
City of Chicago
Alderman Edward M. Burke Chairman
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
il'-lilTXII'x-hii-'-hilllii-lli-iTi-1-11!!1-1!-1
Status:_ Reason:.
005*001*******5-DIGIT 60611 UPIN, JANE S
415 E NORTH WATER ST APT 3004 CHICAGO, IL 60611-5830
Claim Number: 1022952
Index Number: 1710221083 1666
Waler Account Number: 589916589637
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
. Pane, S. Upi KS_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
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
RECEIVED MAB 03 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 <> 111111M111111111 -111 111111 -11 -11 -1 111 - -1111 -111 -1M -111111
Status:_ Reason:.
001*001*******5-DIGIT60601 UPSHAW, PAULA B. 155 N HARBOR DR APT 1303 CHICAGO, IL 60601-7397
Claim Number: 1020639
Index Number: 1710401005 1157
Water Account Number: 432927432927
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 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:_
J11 f111 -' 111 -1' - -11 ] 11111 -11111 - - M11} -' 1111' 111 -111111111111111
Status:_ Reason:.
004*001*******5-DIGIT 60611 USKUP, ERGIN
990 N LAKE SHORE DR APT 28C CHICAGO, IL 60611-1380
Claim Number: 1023037
Index Number: 1703208021 1118
Water Account Number: 585775585775
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whemer your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il 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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 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:_
i L11111 - -111 -1 - -11111111 -11 > 11 - -11111 - -1111 -111 -11111111M111! I
Status:_ Reason:
004*001*******5-DIGIT 60611 USKUP, ERGIN
990 N LAKE SHORE DR APT 28C CHICAGO, IL 60611-1380
Claim Number: 1023037
Index Number: 1703208021 1118
Water Account Number: 585775585775
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I £jR.G{fd USKU-f*__tne undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
3 2811
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111 ■1H11 ■ 11 l 11 ■!1 ■111111" ■111 ■ ■ S11111 ■ 1111 ■ i1 - M11111" >1 ■ j 1 ■"
Status:_ Reason:.
005*001*******5-DIGIT60611 VALLE, RAFAEL F. 880 N LAKE SHORE DR APT 20C CHICAGO, IL 60611-5715
Claim Number: 1023118
Index Number: 1703222015 0000
Water Account Number: 585604585604
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 takes, 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
RECEIVED MAR 03 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i -111 m 1111 - M -11 - -11H M - -11 -111 - -111 f -111 m 11111 -1 -11111111
Status:_ Reason:.
002*001*******5-DIGIT 60610 VALLOS, CHRISTINE 70 W BURTON PL APT 901 CHICAGO, IL 60610-1464
Claim Number: 1001218
Index Number: 1704208031 1007
Water Account Number: 300130403460
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 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:_
I'I'll-MMIi-'liX-'i-il'il'lilllln'i-nr111!-!1-!1-!1
Status:_ Reason:
004*001 *******5-DIGIT 60611 VAN STRAATON, NATALIE 860 N LAKE SHORE DR APT 8K CHICAGO, IL 60611-1765
Claim Number: 1023034
Index Number: 1703222015 0000
Water Account Number: 585604585604
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 wan? office before July 1, 2011.
I sp/) 7f4 V/^yy^j f/L.f%Ar(S/vCnz 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 I, 2011. that I am the owner of record of said real estate properly or that I have a legal or equitable inlerest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
OWNER SIGNATU
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lllrlll"iMilliilTilll-lnll--ll-llTl-l-"ll"lliilii"-i
Status:_ Reason:
004*001 *******5-DIGIT 60611 VISHNY, MICHELE 227 E DELAWARE PL #9C CHICAGO. IL 60611-1713
Claim Number: 1017411
Index Number: 1703221004 0000
Water Account Number: 300120610803
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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 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 I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
City of Chicago RECFIVED FEB 2 5 2011
Commillee on Finance
Alderman Edward M. Burke City Hall Room 302 00602 Telephone
Chairman ww-w.commilleeonfinance.org 312-744-3380
February 18, 2011
l-I'M-hMI-iiiMII'jlill-M-Mi'iii-'-'P-ll'l-in-
004*001*******5-DIGIT 60611 VOCINO, GIOVANNA 221 E WALTON PL APT 8B CHICAGO, IL 60611-1571
I'll"
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022335
Index Number: 1703214016 1010
Water Account Number: 585759585759
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 L 2011.
.the undersigned, on oalh,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 1 understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE^;UI\)a3sAv^^ A/vi'DATE jib■ 2U{ - \ \
Very Truly Yours, \
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
.312-744-3380
Telephone
mil i-i"
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'rr"i'i'l"il,i'"i""ri",l,irl'i,iri"l,",i",iil,ll'"
Status:_ Reason:.
005*001 *******5-DIGLT 60611 WAGENER, DONALD C 160 E ILLINOIS ST APT 1006 CHICAGO, IL 60611-5390
Claim Number: 1023408
Index Number: 1710126011 1078
Water Account Number: 856648623130
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
1b£)~)&V' the undersigned, on oalh. Please Print >Mne
depose and slate lhat I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECFIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11111 1111111111M i -111 - -111 -1M i 11 -11 -L -111111111 -1 m -1111M11 l
Status:_ Reason:.
001 *001 * * * ** * *5-DIGIT 60601 WALKER. SARAH R. 400 E RANDOLPH ST APT 817 CHICAGO. IL 60601-7312
Claim Number: 1021393
Index Number: 1710400012 1033
Water Account Number: 432924432924
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
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 properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I_fl. the undersigned, on oalh.
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, 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 BRENDAN REILLY
Attn: MARTHA
121 N. LASALLE 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
Please Print Name
OWNER SIGNATURE.
RECEIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 >1 -' 1111 -111111111111 -1" I' I -11 > -1111111'' M11' I -1'F -'1 (111111
Status:_ Reason:.
002*001*******5-DIGIT 60610 WALNY, ELAINE T. 1455 N SANDBURG TER APT 301-B CHICAGO, IL 60610-1566
Claim Number: 1021243
Index Number: 1704207086 1324
Water Account Number: 585267585267
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, thai all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Atln: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
*|Sg*>228
Alderman Edward M. Burke Chairman
City of Chicago
Telephone .312-744-3380
February 18, 201 I
(Villus 7
lllliil-lili--iirrlilill-illrllr»illllTllll-lllrhlT
001*001*******5-DIGIT 60601 WALSH, BARBARA W. 155 N HARBOR DR APT 4507 CHICAGO, IL 60601-7325
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020638
Index Number: 1710401005 1609
Water Account Number: 43292743292/
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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 youuward office before July 1, 2011.
I /fjffiAA/M (P ■ U)P(L6\Jr_the undersigned, on oath,
Please Print Name
depose and state that 1 am the applicant in the application, that this is my principal place of residence as of January I, 2011, lhat I am the owner of record of said real estate properly or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of
Chicago, that all water been paid and that I under;
OWNER SIGNATURE
taxes, and all other fees, penalties or assessments owed to the City of Chicago have 'subject to»pefialtie^?oc<perjury of falsification herein.
DATE ^> " (' '" l(
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
11 i i ■ ■ 111 ■ 11 ■ i ■ 111 ■ ■ ■ ■ ■ ■ i ■ - ■ ■ 11 ■ ■ ■ ■ ■ i < 11 ■ ■ ■ ■ 1111 ■ i ■ ■ i ■ ■ 11 ■ i ■ ■ i i ■ ■
001*001*******5-DIGIT 60601 WARD, RICHARD F. 155 N HARBOR DR APT 5101 CHICAGO, IL 60601-7380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020697
Index Number: 1710401005 1687
Water Account Number: 432927432927
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 ^r<=^Wgj? F. ^Afl-b 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, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand, I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY Attn: MARTHA Ut MA«-nM / 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 1 COPY FOR YOUR RECORDS
*S«g».228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
II,.!,!!,!!!!,,,!,!!,,,!,,),!!,!.!,!,,,!!,!!!,,,)!,!,.,!!!.!,!!!!
Status:_ Reason:.
001*001*******5-DIGIT 60601 WARNER, WILBERT F 360 E RANDOLPH ST APT 2503 CHICAGO, IL 60601-7337
Claim Number: 1021853
Index Number: 1710318031 1171
Water Account Number: 432935432935
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that 1 am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 BRENDAN REILLY
Attn: MARTHA
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 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:_
Status:. Reason:
WEBB, WILLIAM J.
950 N MICHIGAN AVE APT 2202
CHICAGO, IL 60611-4505
Claim Number: 1023120
Index Number: 1703207068 1055
Waler AccounfNumber: 585784585784
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011. that I am the owner of record of said real estate properly or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
DATE
228
RECEIVED MAR 0 3 2011
City of Chicago
Alderman Edward M. Burke Chairman
3 J 2-744-3380
Telephotie
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111'' 1111M1111' -1 -1111' I -1'' 111111111 -1 [111'111 1111111111 -11111
Status:_ Reason:.
004*001*******5-DIGIT 60611 WEBER, HANNO 910 N LAKE SHORE DR APT 2218 CHICAGO, IL 60611-1559
Claim Number: 1021877
Index Number: 1703215013 1386
Water Account Number: 585606585606
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July I, 2011.
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 lhal I have a legal or equitable interesi therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, / Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
RECEIVED *W 0 3 :
1
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
i11 m I ■ I - ■ i M ■....i f-111111ii■-11■1111111■■11■■ 111111111 ■ 11"111
Status:_ Reason:.
001 *001 * * * * * * *5-D IGLT 60601 WECKER, NORMAN R. 155 N HARBOR DR APT 4814 CHICAGO, IL 60601-7378
Claim Number: 1017220
Index Number: 1710401005 1657
Water Account Number: 300209034887
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estate property or lhal 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 \j> penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
■"sSg^228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Hi.,,1111,11,,,1,11,,,,,,1.,1,,,,1111,,1,1111.,111111,1,1,11111,
Status:_ Reason:
004*001*******5-DIGIT 60611 WEIL, THOMAS R 1000 N LAKE SHORE PLZ APT 54B CHICAGO, IL 60611-1754
Claim Number: 1010922
Index Number: 1703204064 1138
Water Account Number: 585833585833
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the 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 understandj_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 BRENDAN REILLY
Attn: MARTHA
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 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:_
111" I ■ ■ ■ 111 ■1111 ■ 1111 11111" 11"1" 1111 -1"" I""11111111" I" I"111
II
Status:_ Reason:.
005*001*******5-DIGIT60611 WEINBERG, HORST 1000 N LAKE SHORE DR APT 2003 CHICAGO, IL 60611-5347
Claim Number: 1021129
Index Number: 1703204063 1148
Water Account Number: 657978585835
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
.the undersigned, on oath.
Please Print Name
DATE
City of Chicago
Alderman Edward M. Burke Chairman
.312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'uilinHI"hiilliil"lllllllllIIM'l-iiliillHl-il"ll
Status:_ Reason:.
004*001*******5-DIGIT 60611 WEINPER, WALL1S L. 52 E BELLEVUE PL CHICAGO, IL 60611-1111
Claim Number: 1017088
Index Number: 1703202040 0000
Water Account Number: 542017370006
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 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:_
ilhlilrliil"""ul"illlhlliilll'il'll'lilllirulTli
Status:_ Reason:.
005*001*******5-DIGLT 60611 WELLS, DOROTHY 1150 N LAKE SHORE DR CHICAGO. IL 60611-5215
Claim Number: 1001222
Index Number: 1703200063 1001
Water Account Number: 300120620213
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Pleafc Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,|,||ll|l|l|,|||,l|,|,ll|||l|l|l|l|,|,|,llll||,|l|l||||,|
Status:_ Reason:.
005*001*******5-DIGIT60611 WERNER, NORMAN A 405 N WABASH AVE UNIT 2913 CHICAGO. IL 60611-5603
Claim Number: 1021879
Index Number: 1710132037 1419
Water Account Number: 587101587101
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, lhal this is my principal place of residence as of January 1, 2011, that 1 am the owner of record of said real estate properly or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
DATE_Jg-
RECFIVED FEB Z 5 20)]
City of Chicago
Alderman Edward M. Burke Chairman
Comniittee on Finance City Hall Room 302 60602 wTvw.commilteeo nfinance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|iiiii,.||...||i.|.ii|||T.||.Mii|.i|i|i.i.i|.i.ii|.i|.i
Status:_ Reason:.
001*001*******5-01017 60601 WEST, HENRIETTA 155 N HARBOR DR APT 2606 CHICAGO, IL 60601-5009
Claim Number: 1020635
Index Number: 1710401005 1342
Water'Account Number: 432927432927
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i hls,r\ri^ffg C. Vye^fthe 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
RECEIVED MAR 0 3 2011
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
.ll,,,,,!!!!!,!!!!!,,!!!,,,,,!!!,,,!!!!,!!,11,1,1,111,111,1,1,11,
004*001 *******5-DIGIT 60611 WEST BY, BARBARA S 860 N LAKE SHORE DR APT 11J CHICAGO. IL 60611-1782
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021855
Index Number: 1703222015 0000
Water Account Number: 585605585604
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
_the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in ihe application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURe/^J^^^
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECEIVED FEB 2 5 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
II,,.!,!,,,!!,,!!!!,,!,!!!!!!!!,!,!,,!!,!,!!!!,,!,!!,!,!!!,,!,!,!
Status:_ Reason:.
001*00I*******5-DIGIT 60601 WHALEN, JOAN 360 E RANDOLPH ST APT 406 CHICAGO, IL 60601-7331
Claim Number: 1018596
Index Number: 1710318031 1014
Waler Account Number: 301050017515
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 BRENDAN REILLY
Attn: MARTHA
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 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
IHHKI4
'' I -11111111111111111 -1111' I' 1111111111 i'11' I'111111111M111 -1111
005*001*******5-DIGIT 60611 WHITE, EVELYN R. 260 E CHESTNUT ST APT 2302 CHICAGO, IL 60611-2460
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1011803
Index Number: 1703222023 1249
Water Account Number: 300120605634
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
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 of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I amsubject to penalties forperjury 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECEIVED FEB 2 6 2011
City of Chicago
Committee on Finance
rman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
lV" i n1 ■11 ■ I ■ 11 111 ■ ii 11 ■ ■ 11 ■ i■11■■111■11■11■1■111111■111■111111
002*001*******5-DIGIT 60610 WHITFIELD, ALLAN 70 W BURTON PL APT 305 CHICAGO, IL 60610-1428
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:__
Claim Number: 1005514
Index Number: 1704208031 1113
Water Account Number: 300130403460
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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 ftlL-frfis l\n LO (-1 / 'TflfL.p the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly laxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to nenalties for perjury of falsification herein.
OWNER SIGNATURr^/^L DATE ^7 1 3 -~ / /
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
AJderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
' 1111111' -1 -1111' -111 -1' -11111111 -1 {11 > 1111 -1111111111 h 11 -1111 -1
Status:. Reason:
001*001*******5-DIGIT 60601 WHITLEY, ALFRED C. 155 N HARBOR DR APT 2507 CHICAGO, IL 60601-5008
Claim Number: 1011320
Index Number: 1710401005 1329
Waler Account Number: 300209034887
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly 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 I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 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:_
III,!,,!.,,!,!!.!!)!,!!!!,!.,.,,!),!!!!,,,,,!!!,!,!!,!)!!,,!,,!,!
Status:_ Reason:.
001*001*******5-DIGIT60601 WIGGINS, MARY JEANETTE 340 E RANDOLPH ST APT 506 CHICAGO, IL 60601-7439
Claim Number: 1023121
Index Number:. 1710318058 1029
Water Account Number: 854914622588
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
I fYltXrv'^I^^-^n iAfl a. _the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January I, 2011, that I am ihe owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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
Please Print Narrie
OWNER SIGNATURE'
[Myuf\jLQ^,fl,kkraoca) DATE ^/2?(^)fl
11/
RECEIVED FEB 2 5 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
l.ll,,!.)!!!.!!!!,!!!!!,).!!.!!!,!).!,...),!.)!,!,.,!.!
I'l'l
Status:_ Reason:.
004*001*******5-DIGIT 60611 WILEY, RUTH
175 E DELAWARE PL APT 6121 CHICAGO, IL 60611-1728
Claim Number: 1002171
Index Number: 1703220020 1354
Water Account Number: 300120622073
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and slate that I am ihe applicant in the application, that this is my principal place of residence as of January 1, 2011, thai 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECEIVED MAff' 0 a 2.
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i ■ 111 ■ M1 ^ i111111111 ■11 ■11111 ■ ■ i11 ■ 1111 ■ i111 ■ ■ I ■ 111111 ■ h11 ■ 1111
Status:_ Reason:.
003*001*******5-DIGIT60610 WILHELM, SUSAN 1560 N SANDBURG TER APT 2003 CHICAGO, IL 60610-7718
Claim Number: 1023067
Index Number: 1704207087 1097
Water Account Number: 585318585318
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 thai I am the applicant in the application, that this is my principal place of residence as of January 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.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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
Please Print Name
DATE.
RECEIVED MAR 0 3
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:._
Intro. Date:_
lll-'ll-'l-'l'l'-l""!!!-!'^!'!^!!^!!!-!-'!!!!!-'!-1!1!11
Status:_ Reason:.
019*001*********3-DIGIT 606 WILLIAMS. BETTY R. 300 N STATE ST APT 4129 CHICAGO, IL 60654-5407
Claim Number: 1018579
Index Number: 1709410014 1738
Water Account Number: 301060133087
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whemer your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
_the undersigned, on oath,
1 / Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject-to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
* <S5* 228
RECEIVED
0 3 2011
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
Mlni-Hi-lll"liilllll"Hliiilllllllihiil-ilhl-l"hlil
004*001 *******5-D1GIT 60611 WILLIAMS, ERIC C. 990 N LAKE SHORE DR APT 23A CHICAGO, IL 60611-1345
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1021652
Index Number: 1703208021 1091
Water Account Number: 585774585774
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
VuL".V£^A\S 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 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,jjrorjexji}U«xes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I
OWNER SIGNATURE.
t tapenalties for perjury of falsification herein.
DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Cliairman
City of Chicago
RECEIVED FEB 2 5 2011
Telephone 312-744-3380
February 18, 2011
I'llHl11!'1'!11
'II
lllllll'l'-lll
IiIiii-iiIiI-ii-iI-iiINiI
005*001*******5-DIGIT60611 WILSON, CHARLES J. 161 E CHICAGO AVE # 44 CHICAGO. IL 60611-2601
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017251
Index Number: 1710200068 1160
Water Account Number: 586906586906
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 CtA^j^jS ^)\LjS^ the undersigned, on oath. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
121 N. LA SALLE ST
ROOM 200
Chicago, IL 60602
Please do nol send it to tlie Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Alderman Exlward M. Burke Chairman
Committee on Finance City Hall Room 302 60602 mm.commiUeeonfinance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
illllll-iilllii"NHIIHluiilM-ilii-lMil-"illllnll"l
Status:. Reason:
001*001*******5-DIGIT 60601 WILSON, RAYMOND K. 155 N HARBOR DR APT 3403 CHICAGO, IL 60601-7366
Claim Number: 1010975
Index Number: 1710401005 1451
Water Account "Number: 300209034887
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July I, 2011.
I \\»^l*0»>£ \< .UJASOd 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 properly or lhat 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 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
3J2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
'ii ilIM I'ii'hi I li'h" "ii II1'I->li> Iii III hi-"'M'-"n M'l
Status:_ Reason:.
002*001*******5-DIGIT 60610 WISHN1CK, MAXINE S. 1516 N STATE PKWY CHICAGO, IL 60610-1677
Claim Number: 1015295
Index Number: 1704210028 1007
Water Account Number:"300i30448660
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 ftJQs j/J^/y/JlC/fc 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATUR]
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|l|ll|l|ll|h||lllL|lh|TlM|lll|l|l||l||l|l|ll|||l||||l||
Status:_ Reason:
004*001 *******5_DIGIT 60611 WITKIN, GERTRUDE 232 E WALTON PL #10W CHICAGO, IL 60611-1671
Claim Number: 1017252
Index Number: 1703208015 0000
Water Account Number: 300120643505
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 G&rtrtupE k/;rxi^ _the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all ojher fees, penalties or assessments owed to the City of Chicago have
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
RECEIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-11111 -111 -11 (i - - - -1 -1 1111 -1 f -11! 11 -1111.....-hll-Hlli'i'1
Status:_ Reason:
003*001*******5-DIGIT 60610 WLEKLINSKI, BARBARA 1366 N DEARBORN ST APT 9C CHICAGO, IL 60610-6005
Claim Number: 1018273
Index Number: 1704217133 1025
Water Account Number: 300130416206 -
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
depose and stale that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that 1 am the owner of record of said real estate properly or thai I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
the undersigned, on oath,
Please Print Name
DATE I 11
RECEIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Teleplione
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
.lllll,!.).,.,!.!,,!.!.,)!!,!,!!,,!,,!,,,!!!!,!,!,,!,,!!,)!,!,,,!
Status:_ Reason:.
006*001*******5-DIGIT 60611 WOLF JR. LUDWIG 505 N LAKE SHORE DR APT 4303 CHICAGO, IL60611-6435
Claim Number: 1023159
Index Number: 1710214016 1292
Water Account Number: 587860587860
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 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 afh subject to^penaltiet for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Cliairman
City of Chicago
3L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
i -111 - -1111M i111 -111M1111 -1 - -111111H11111F11 -11 [11 - - -1 -11 - -1
Status:_ Reason:.
001*001*******5-DIGIT 60601 WOLFSON, DEAN S. 155 N HARBOR DR APT 3904 CHICAGO, IL 60601-7370
Claim Number: 1019421
Index Number: 1710401005 1522
Water Account Number: 432926432926
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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.
r^^yPfoNJ ^.KjOOL^^OfJihe 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.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of Chicago
RECEIVED FEB 2 5 2011
Telephone 312-744-3380
February 18, 2011
|II|I||I|I-|I|UI|I-III-|I|II||I|I||III|II-I|||I|II|"|I-II-|I|
001*001*******5-DIGIT 60601 WOLFSON. WARREN D. 155 N HARBOR DR APT 5208 CHICAGO, IL 60601-7381
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020634
Index Number: 1710401005 1708
Water Account Number: 432927432927
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
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 to your ward office before July
lur ward office before July 1, 2011. .
ae 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 lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penaltiey/or 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 BRENDAN REILLY
Attn: MARTHA
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 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:_
lllllllilllillillrl-lTlllll-ll-i!llllilllhlllil-lllili-1-1
Status:_ Reason:.
002*001*******5-DIGIT 60610 WOOD, BARBARA S 1030 N STATE ST UNIT 302 CHICAGO, IL 60610-5476
Claim Number: 1021886
Index Number: 1704424051 1134
Water Account Number: 586146586146
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
_the undersigned, on oath.
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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
OWNER SIGNATURE.
DATE.
RECEIVED FEB 2 4 2011
City of Chicago
Committee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
""ll-'l.....11 -11 -1111 h 111'11M - -11 -111 - 11 -1111 -11111 f i -' 111
005*001*******5-DIGIT 60611 WOULFE, DORR1S K 100 E BELLEVUE PL APT 29C CHICAGO, IL 60611-5194
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023379
Index Number: 1703202063 1081
Water Account Number: 585685585685
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
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 of January. 2011. 0" the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
. Q<5>rr-l3 /^Uflu/Zg the undersigned, on oath, Please Print Name
depose and stale that I am the applicant in the application, thai this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
City of Chicago
2011
Alderman Edward M. Burke Chairman
Telephone
312-744-3380
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:__
11' 1111 -111111 * 111111' h'' (I - -11'' 11' -1'11'!1111111' <' IM11 (-11'
Status:_ Reason:.
019*001*********3-DIGIT 606 WRIGHT, MARY K. 300 N STATE ST APT 3634 CHICAGO, IL 60654-3033
Claim Number: 1010953
Index Number: 1709410014 1703
Waler Account Number: 301060133087
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state lhat I am the applicant in the application, 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 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Jhe undersigned, on oath,
Alderman Edward M. Burke Chairman
City of Chicago
February 18, 201 1
--i i T1■1111111 -1 ■ - --■111 ■ i - ■ i - ■i--11 ■ ■ i -1 -1 ■ 11-11 -111 -11-■-1111 -
005*001*******5-DIGIT 60611 YACKLEY, SEL E. 1000 N LAKE SHORE DR APT 1608 CHICAGO, IL 60611-5309
Index Number: 1703204063 1117 Water Account Numbei:" 6579785 85835
RECFIVED FEB 2 5 2011
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020560
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
5eL t lo-ckl
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 of January 1. 2011 lhal I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties .for perjury of falsification herein.
MM '
OWNER SIGNATURE
DATE
Very Truly Yours, / Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
»=>S2S*'228
City of Chicago
Commillee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
(Olki.M
■ I'' 11' I ■' 11 ■' i'' ■ 11 -' I'' I' I' I' 111 ■ ■ I' ■' t -1'JI h''' 11''" I"''''"
003*001*******5-DIGIT60610 YAO, GEORGE & JUDITH 1255 N SANDBURG TER UNIT 1102 CHICAGO, IL 60610-8268
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1020509
Index Number: 1704222062 1037
Water Account Number: 585316585316
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
_lhe undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification .herein.
OWNER SIGNAF Very Triffy-'feurs, Edward M. Burke
DATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 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:_
" J" 11" I'" 11"" 111 ■ 11"111111111" h I"" I""11" I" 11"1"111"'111 ■1""1
Status:_ Reason:.
003*001 *******5-DIGIT 60610 YAO, GEORGE & JUDITH 1255 N SANDBURG TER UNIT 1102 CHICAGO, IL 60610-8268
Claim Number: 1020509
Index Number: 1704222062 1037
Water Account Number: 585316585316
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: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
.the undersigned, on oath,
Please Print Name
RECEIVED MAR 0 3 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
(101
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1 ■"11 ■ I"1 i""'" I"11 i" 111 h" 111"'11' ■" 11""I"II1111!"" 11 ■"111111
Status:_ Reason:.
005*001*******5-DIGIT 60611 YELDA, JEANNETTE 132 E DELAWARE PL APT 4907 CHICAGO, IL 60611-4943
Claim Number: 1018842
Index Number: 1703211030 1014
Water Account Number: 111111111111
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as 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, 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 I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
ift^OTE ^ELMihe undersigned,
Please Print Name
on oath,
Alderman Edward M. Burke Chairman
City of Chicago
RECEIVED FEB 2 5 2011
Telephone 312-744-3380
February 18, 201
-11MI -11 -111 -1' 11-11111 -11 111 -1' -111 - < I
001 *001 *******5-DIGIT 60601 YOUDOVIN, SUSAN S 155 N HARBOR DR APT 2603 CHICAGO, IL 60601-5009
,,11,111,111,
Index Number: 1710401005 1339
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1023303
Water Account Number: 432927432927
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
SIM; 1/ %HA^LM/Va! ^iQUSiOVl fJ
I____the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 City of Chicago have been paid and that I uijder-stand I am su_bject to penalties for perjury of falsification herein.
OWNER SIGNATURE^^X_ <S^ jJpx^U^- DATE. ^\ <23 / 2^ / / Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
■^Sgjt.228
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
0( It 12.S S
.I,!,,!!.!!!!)!.!!,!..!.!!!!,,!!!!!,,,,,!)!,!,!!,!!!!!,,!,!!,!,
002*001*******5-DIGIT60610 YOUNG, ELIZABETH M. 1360 N SANDBURG TER APT 1707C CHICAGO, IL 60610-2038
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019840
Index Number: 1704216064 1176
Water Account Number: 585262383262
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
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 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 il to your ward office before July 1, 2011.
I ffl y&Oflf^ the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE "^Hs^TDATE ^g^W" Ife iO //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
121 N. LA SALLE ST
ROOM 200
Chicago, IL 60602
Please dqnot send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
«228
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
'K'lrll'H'ilh.....nlllliliillnlhiililullnTll
006*001 *******5-DIGIT 60611 YOUNG, JUANFTA M 777 N MICHIGAN AVE APT 1808 CHICAGO, IL 60611-6626
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1021890
Index Number: 1710200065 1129
Water Account Number: 586909586909
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 "tJtttLflr- 1/° (Afo _the undersigned, on oath,
Please^Brfnt Name fj
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject to penalties for perjury of falsification herein.
37////
OWNER SIGNATURE Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
RECFIVED FEB 2 5 2011
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ili-iliMii-'-x'-'il-l'-i'llil'i'l-ii-'i-N'i-'ili1!1-!1
Status:_ Reason:.
001*001*******5-DIGIT 60601 ZABEL, JANET R 155 N HARBOR DR APT 3104 CHICAGO, IL 60601-5013
Claim Number: 1023301
Index Number: 1710401005 1410
Water Account Number: 432926432926
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject topenalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
DATE.
228
City of Chicago
RECEIVED FEB 2 5 2011
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lllXlllXll-l-'ll-'l-llOhll'llll1!1!1-11-!!!!1!-1'1!!-1!'
Status:_ Reason:.
005*001*******5-DIGIT60611 ZACHARI, GLORIA O. 247 E CHESTNUT ST APT 1501 CHICAGO, IL 60611-2436
Claim Number: 1011893
Index Number: 1703228024 1012
Water Account Number: 300120605603
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
ft Cl-flflr\ | the undersigned, on oath,
depose and stale thai I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand 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 BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Cliairman
City of Chicago
RECEIVED FEB 2 5 2011
(Telephone 312-744-3380
February 18, 2011
HHIiiii»'IitIi».....Hl»llliTlllllUllliTl'lliTM-
001*001*******5-DIGIT 60601 ZAKJ, ABD EL-MONEIM E. 155 N HARBOR DR APT 610 CHICAGO, IL 60601-7390
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020641
Index Number: 1710401005 1066
Water Account Number: 43292/432927
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
\ VA £r. ~Za. Rfthe undersigned, on oath, Please Print Name
)
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011 that I am the owner of record of said real estate properly or lhal I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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 ^^y^^^Z^^^- DATE ^Ur^ry "Z^^oU
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
12 I 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 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 201 1
001*001*******5-DIGIT 60601 ZAMMATTA, BOBBIE J. 340 E RANDOLPH ST APT 4106 CHICAGO, IL 60601-7918
Index Number: 1710318058 1249
Water Account Number: 854914622588
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023039
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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.
\8obbzJ Zrfm/y)/? tfa .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 iegal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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
□erstand 1 am subject to penalties for perjury ot taJsilication nere
/C(FJ>ATE_
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
228
Alderman Edward M. Burke Chairman
City of Chicago
RECEIVED FEB 2 5 2011
Telephone 312-744-3380
February 18, 2011
(101197 2
hlIEli-'-llll'llilll---i-i->llllllMllili-ii-ill''iill-i'ii-MI1
005*001*******5-DIGIT 60611 ZARKOWSKY, HAROLD 55 E ERIE ST APT 3303 CHICAGO, IL60611-2257
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1023069
Index Number: 1710105014 1082
Water Account Number: /53225587062
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 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:_
m -1 - -11---1 - 11111 -1 -1 - M i -1 111 - -11111< 11111111111111 -111111-M
Status:_ Reason:.
005*001*******5-DIGIT 60611 ZEBADUA, ANA M 405 N WABASH AVE UNIT 815 CHICAGO, IL 60611-3517
Claim Number: 1021891
Index Number: 1710132037 1119
Water Account Number: 587101587101
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under 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 A MA /^JmHiA Z^&BA O ua__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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that 1 understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
,!3g3*>228
RECEIVED MAR 0 3 2011
Alderman Edward M. Burke Cliairman
City of Chicago
Telephone 3L2-744-3380
February 18, 2011
*11 h I ■ i" IM ■ I ■ ■111 ■ 111 -1" 11111 l i ■1 11 ■11 h 111 ■1111 ■1 ■ M ■ t ■111
004*001 *******5-DIGIT 60611 ZITNIK, ETHEL
860 N LAKE SHORE DR APT 16K CHICAGO, IL 60611-1751
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020205
Index Number: 1703222015 0000
Water Account Number: 585604585604
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-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 il to your ward office before July 1, 2011.
I r < V\ c_w fyC. / *n fi/ I [N. the undersigned, on oath, Please Print Name
depose and slate that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have
been paid and that I understandSflm subject to penalties for perjury of falsification herein
OWNER SIGNATURE " ^'JwIAA1' DATE ^/
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
*«<SS3*'228
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
Status:_ Reason:.
ZUCKERMAN, MORRIS M. 30 E ELM ST APT 1 ID CHICAGO, IL 60611-1010
Claim Number: 1015928
Index Number: 1703200066 1060
Water Accounl Number: 300120613567
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
fl**1fl/J the undersigned, on oath,
depose and state that I am the applicant in the application, lhal this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS
Please Print Name
Alderman Edward M. Burke Chairman
City of| Chicago
Committee on Finance
Citv Hall Room 302 60602
Telephone 312-744-3380
February 18, 2011
noon i ~
11111111M11111 -1 i 11 -111 -111111111 -1111' 111111111 -11' 1111 -' -[ 111
001 *001*******5-DIGIT 60601 ZWARYCZ, GERALDINE A. 400 E RANDOLPH ST APT 3615 CHICAGO, FL 60601-7343
Index Number: 1710400012 1871
Water Account Number: 300209034825 " ~ "
For OtTicial Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1016096
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Retiate was presented to the City Council by: BRENDAN REILLY of Ward 42.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I C? BR.aL'bi aIe J9, 2lu> ft &.y(2,~Z- the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman BRENDAN REILLY
Attn: MARTHA
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 1 COPY FOR YOUR RECORDS