1,037.67
^V'^-v^iis^ tedo Bomber (Pl«
^#MI3^08^313-018-1011
Volume Code Tax Year (Parable In) Tovrnthlp
327 71033 2010 (2011) JEFFERSON
IF PAID LATE 04/02/11
$ 1,053
IF PAID LATE 06/02711 - 07/01/11
$ 1,084.38
c
TAX CALCULATOR
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LATE PENALTY IS 1.5% PER MONTH, BV STATE LAW. |
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Property Classification 2-99
2009 TOTAL TAX
1,886.67
2010 ESTIMATE
X 55% 2010 1ST INSTALLMENT
0
^^mm^^m^m^^:.^ 1,2011
^A lawfS the First Installment
uu0 u.» ,vi.mc»M00.-tw.wr.w^.lyit^%-(payable in'2011) to April 1, 2011 , Thisris;a;sS due date, which will revert
" : backlo Marchi:i?fdr^ Tax Year 2011
1,037.67
Cook County ireasurer
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City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
HU222S
1 -1 -11 -111111 f1 - -1' I -111 - -11 - -11111111'11 i....nil-'lll-'i-1-
010*001*******5-DIGIT 60630 MCNEIL, JUDITH K. 4963 N MULLIGAN AVE CHICAGO. IL 60630-2962
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020758
Index Number: 1308330031 0000
Water Account Number: 399269399269
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property, as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
i dl/ D /T/j Mt Pf& I L the undersigned, on oath, Please Print Name
depose and state lhat I am the applicant in the application, lhal this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 (U^U^IV DATE 7%L/uvC <fU> 11
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I j11 ■ 11.1 ■111 >11 ■ i ■ r1"1 ■ ■ i111 ■ ■ I ■ ■ 1111' 111 ■ 1111111 -111 > I ■ (i ■ ■ ■ 11
Status:_ Reason:.
010*001*******5-DIGIT 60630 MERCHUT, THERESA 5511 W HIGGINS AVE APT IA CHICAGO, IL 60630-2348
Claim Number: 1010893
Index Number: 1309328061 1008
Water Account Number: 300119020497
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the properly meets" these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Ttf£/Z/?S/) /yl££CUL>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 lo 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
Chairman ww.commiUeeonfinaniie.on' 312-744-3380
February 18, 2011
iii-ilii-lll-illi-rlrii-ll-lllll-ll-llli
.i,niii.i,.ii.i|i.
010*001 *******5-DlGIT 60630 OLSZEWSKI, LEOKADIA 4978 N MENARD AVE APT 302 CHICAGO, IL 60630-2056
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019614
Index Number: 1308420039 1009
Water Account Number: 457199457199'
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
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 I, 2011. that I am the owner of record of said real estate property or thai I have a legal or equitable, interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all 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 topenalties for perjury of falsification herein.
OWNER SIGNATURE DATE 'O
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
Commillee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i.ri^,----, 11 -,i, i, 11 -, i,, ■, i,,, -, i,r-, 11, i, i.i. 11
010*001*******5-DIGLT 60630 OLCZYK, HELENA 4826 N LINDER AVE APT D2 CHICAGO, IL 60630-3453
Ihl'l'll
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1007766
Index Number: 1309328059 1008
Water Account Number: 430490430490
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your'prihciparresidence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
_the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE Jfy/f/r>g. (?A/,/f & DATE 0$' 05 "<& 0 U
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
Chairman mvw.(;ommilleeonfinance.org 312-744-3380
February 18, 2011
■ i ■;^-1 -111111-1 -111 - -1111ai111111 -11 -1 ■ - - -1-■11 - ■ ■ 11111 -1 --11111
010*001 *******5-DIGIT 60630 PETROVIC, SVETLANA 5840 W LAWRENCE AVE APT 202 CHICAGO, IL 60630-3252
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018669
Index Number: 1308430083 1002
Water Account Number: 777700181314
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January; 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
jS/^"7X^/0^ /^7"720 Vl C-the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understandiam subject topenalties for perjury of falsification herein.
OWNER SIGNATURE^^^^Q^ DATE 3~ ^> - <3-O JI
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
'111 (-1 -1111111 - - >'111 ri 11 -1111111 [ 11 -11111
010*001 *******5-DIGlT 60630 ZIELNIK, KAZIMIERA 6121 W FdGGINS AVE APT D2 CHICAGO, IL 60630-1851
l-'lil111!11!-1!1!-
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1003906
Index Number: 1308311047 1013
Water Account Number: 430611430611
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I \L A~2 / H1 E ItA ,'1 t'fci-M I IL the undersigned, on oath. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, 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 llci y)/M,tUQ 'LipJUfyl? DATE 3 ~ £ " %Q i i
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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:_
lhIM I-'1 >'l r -11 i-n-'l I11 Ih'il'h--i-III'r--hlr "'I'1.!1!1
Status:_ Reason:.
010*001 *******5-DIGIT 60630 JANN, GLORIA
5516 W WINDSOR AVE APT 2N CHICAGO. IL 60630-3568
Claim Number: 1018476
Index Number: 1316114045 1036
Water Account Number: 300565651946
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Jhe undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
Comniittee on Finance Cily Hall Room 302 60602 ww-w.cnmmitleeiinfinance.org
3 J 2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
lllil-llllllli-llilnill-lllillll-liilil-l-l-lill-ll«-lhll
Status:_ Reason:.
010*001*******5-DIGIT 60630 JANOWSKA, JANLNA 4545 N MILWAUKEE AVE APT 2D CHICAGO, IL 60630-3755
Claim Number: 1022000
Index Number: 1316216032 1020
Water Account Number: 476067476067-
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verily that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
Q OA I fY\ Ol 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
>.Ǥ||e.228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
1111 - M i1M11 -1 < i -11 - -1111111 -11111 - -111 -11111111111) 11
010*001*******5-DIGIT 60630 JEDRASEK, VICTORIA L. 5555 W SUNNYSIDE AVE APT 1W CHICAGO, IL 60630-3557
Index Number: 1316122043 1001
"Water Account Number: 123120041821
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1007722
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I V^IcjCor'i'l <J g</K3-££ (\ the undersigned, on oath. Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the Cily of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR^S^^U/l (^^Aa^Jl DATE,
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
Committee on Finance Cily Hall Room.302 60602 www.comni itteeonfinanc.'e.org
Telephone 312-744-3380
February 18, 201
For Official Use Only: Ward: ■ _
Intro. Date:.
Status:_,
Reason:_
Claim Number: 1007754
H-'Mr-'lll'-1 iilMlilnil'liil-'l'hir'--il M'-'ll-'ir III'
010*001*******5-DIGIT60630 JESCHKE, RITA A. 4535 N LONG AVE APT 2A CHICAGO. IL 60630-3531
Index Number: 1316116030 1005
Water -Account Number:;-300565651922 " -- ■ "
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
1 rj/fj/f -^//£Sr./f£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 ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand?! am subject to eenalties for perjury of falsification herein.
OWNER SIGNATURE
'j^C^l^ DATE J!~ JJ'J.'//
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
*.*a(Sg*.22B
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
I - M11111111 h 11 - - -1 - J - - f -11 -11 -111111<1 11111111 - -111-1-111111
Status:_ Reason:.
010*001*******5-DIGIT60630 KOSIEK, GLORIA T. 6320 W HIGGINS AVE APT 303 CHICAGO, IL 60630-1862
Claim Number: 1016727
Index Number: 1308125046 1008
Water Account Number: 777700109109
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the Cily Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I G-L* 0 Psl /f- T. K0SlEt\ the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1. 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhat all waler 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.
DATE
a - //
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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:_
111' 1111 - - - * 1111 -11111' * * * I' - * * 111 *1 i 11' 11 *111'1111 *1 * I * 111111111
Status:_ Reason:.
019*001*********3-DIGIT 606 KUGACH, SHIRLEE V 6048 N MELVINA AVE APT 2 CHICAGO, IL 60646-4629
Claim Number: 1023414
Index Number: 1305123040 1005
Water Account Number: 454706454706
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
f-f- the undersigned, on oath.
depose and slate lhat I am the applicant in the application, lhal this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or lhat I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
Telephone 3L2-744-3380
February -18, 2011
llirV1'llhllrl-iiillilllilil-ill"lllilliluluiilH
010*001*******5_DIGIT 60630 KWASIGROCH, JAMES M. 4545 N LONG AVE APT IC CHICAGO, IL 60630-3530
Index Number: 1316116030 1003
Water Account Number: 475892475892
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
For Official Use Only: Ward: _
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018981
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to
your ward office before July 1, 2011.
he undersigned, on oath.
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I upaerst)ind I am subject tp penalties for perjury of falsification herein.
OWNER SIGNAT
Very Truly Youj
DATE
"2. - /
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
■^^»22S
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
' ■:' M1111 -11 -1 -1 - -111 - (1 - -11 ■ I - -11 -1 -1111 -1 -111111 -111111 h 1111
010*001 *******5-DIGIT 60630 LOEGER, RICHARD J. 4848 N CENTRAL AVE APT 409 CHICAGO, IL 60630-3282
Index Number: 1308428041 1031 Water Account Number: 777700080176
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1000243
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
i R,^Ati J - L°£*e*
Please Print Name
Jhe undersigned, on oalh,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate 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 CitysgO""' Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
DATE
7/
OWNER SIGNATURE Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iii|ii||l||i|i|i|i||,i||ii|ii>MIMIII|i|^Tlullillilrli
Status:_ Reason:.
010*001*******5-DIGIT 60630 LUCKSINGER, VIRGINIA M. 4848 N CENTRAL AVE APT 302 CHICAGO, IL 60630-3230
Claim Number: 1018982
Index Number: 1308428041 1013
Water Account Number: 457206457206
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verily that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or 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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
igned, on oath.
Please Print Name
OWNER SIGNATURE.
E_3 - 2^2-//
City of Chicago
Alderman Edward M. Burke Chairman
3 L2-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
"'I1'i-i'ii''i-1 ■-'i-III !--t I-I'ili'l-11.M1" I1" ■IM'
Status:_ Reason:.
010*001*******5-DIGIT 60630 LUNDMAN, JENNIE U. 5738 W HIGGINS AVE CHICAGO. IL 60630-2043
Claim Number: 1015573
Index Number: 1308414056 1001
Water Account Number: i 25132051628
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
I {}EDJAJI ti 21 j AbC/V jyYl.4hJ the undersigned, on oath.
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate properly or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, \-S Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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.
DATE
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
1MI h 11 -1111111' I' I' h11 * I" -11 -111' 11 -1 -11111 -''11 -111111111'11
010*001 *******5-DIGIT 60630 MANCINI. CATHLEEN 4901 W WINONA ST CHICAGO, IL 60630-2445
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1022628
Index Number: 1309407082 1003
Water Account Number: 457100457100
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Cc^VvUe.V\ hAciyl(MlAtthe undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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 ^XGNrnXlRE^-ttf-^^^ DATE
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago. IL 60630
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 Edwarrl M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 2011
,111,1,1,,,!,,,,,,,!!!,!!!,,,!!,,!,!!!!,,!!,,!,!!,,!,!,,!,!!,,!!!
010*001*******5-DIGIT60630 MARAFFINO, JOSEPHINE A. 5447 W LAWRENCE AVE APT 401 CHICAGO, IL 60630-3460
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017705
Index Number: 1316102025 1011
Water-Account Number: 123120016505
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I (Jg.-J e/Pj> iH & J\. W-j Y<$ff<r/)<!) the undersigned, on oalh, ' Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, 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.
OWNER SIGNATURE
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Commiltee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
sag?**228
City of Chicago
Commiltee on Finance
Alderman Edward NI. Burke Citv Hall Room 302 60602 Telephone
rman w'W'w.comrnilleennfinance.cirg 312-744-3380
February 18, 2011
I^Ml-l1-!1-!1!1-1!1!!!-1!1!!!-1-!-!11-!!!!!!11--!!-!!!!-11!-!!1
010*001 *******5-DIGIT 60630 MARKSTEINER, AGNES T. 5840 W LAWRENCE AVE APT 406 CHICAGO. IL 60630-3364
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018664
Index Number: 1308430083 1018 Waler Account Number: 777700181314
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine 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 dale ihis application and return it to your ward office before July 1, 2011.
I RGN£S MfiRK'iTei^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 ofJanuary 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I arn_subject to penalties for perjury of falsification herein.
OWNER SIGNATURE (A///PA^/JAX^mUi^ DATE £.~ ^/-n
V
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce il on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Teleplione
February 18,2011
For Official Use Only:
Ward:_
Intro. Date:_
■i-'III-I'i-Ii'IiiI-tI'i1'1!'1"!!!1'"1!'11!!
Status:_ Reason:.
010*001*******5-DIGIT 60630 MATLAK, CAMILLE S. 5340 W WINDSOR AVE APT 3H CHICAGO, IL 60630-3737
Claim Number: 1017154
Index Number: 1316116031 1032
Water Account Number: 300139056727
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein,-that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
iV)22r.i
111111 r1111111 -111 -1 -1 m 11111! i1 -111111111 -1 - -11111111{111 -11 i
010*001 *******5-DIGIT 60630 MAYER, STEFAN 5727 W LAWRENCE AVE APT 202 CHICAGO. IL 60630-3272
For Official Use Only: Ward:._■
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018802
Index Number: 1317202042 1002
Water Account Number: 777700006477
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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~£ Al^. IM iA V £ R the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, lhal this is my principal place of residence as ofJanuary 1, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE ^'^4^ ^M-^y^ DATE IS Toil
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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 60002 Telephone
February 18, 2011
»MlilrhlhllllluIHi»l'Hu-
010*001*******5-DIGIT 60630 MERLE, MAGDALEN 4848 N CENTRAL AVE APT 207 CHICAGO, IL 60630-3281
i M -111 -1 -11111111
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1000242
Index Number: 1308428041 1007
Water Account Number: 777700080176
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 /HA&MLE* MB HUT _the undersigned, on oath, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE DATE P.? -%Q
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
Committee on Finance Cily Hall Room 302 60602 www.com m i lleeonfi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
111"1i 11" 11" 11"111" 111M11' 11 ■ ■ 1111111"111111111"1"" 111 11' 111 ■ I
Status:_ Reason:.
010*001*******5-DIGIT 60630 MISKOVITZ, TED 4850 N LINDER AVE CHICAGO, IL 60630-3468
Claim Number: 1001668
Index Number: 1309328062 1001
Water Account Number: 300119030425
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable 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 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 lhat I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Comniittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
I I t^O M IS K<3 ^ if-Z. 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:_
lllrll'li"ll"lrlTliiuMT'llT,i"l-illlllii"!i»l"
Status:_ Reason:.
010*001*******5-DIGIT 60630 NIEMIEC. JEAN
4572 N MILWAUKEE AVE APT 3C CHICAGO, IL 60630-3745
Claim Number: 1020178
Index Number: 1316117045 1021
Water Account Number: 431208431208'
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 applicadon for ihe Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I_<! > a \A j\j i -P i^sy \ -g- <z-the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate 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 lo 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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 Prinl Name
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_■
Intro. Date:_._
|-||-|-lllllllllll-|llll"-|'Tllllll|-||-TTllllll|-|-|llll
Status:_ Reason:
010*001 *******5-DIGIT 60630 NORDSTROM, JUNE E. 5440 W WINDSOR AVE APT 2F CHICAGO, IL 60630-3547
Claim Number: 1015232
Index Number: 1316115042 1012
Water Account Number: 300139056796
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Comniittee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, // Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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 Citv Hall Room 302 60602 Telephone
312-744-3380
February 18, 201 1
iV' ■■u i ■ 11 ■ i ■ i«1111 ■1 -■i1«11■■11111 ■ ■««i«■ i«i ■ ■ i ■■i«■111«i«111«■
010*001 *******5-DlGIT 60630 TALESKY, ROSE MARIE A. 5450 W GALE ST REAR 101 CHICAGO, IL 60630-2363
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019930
Index Number: 1309317034 1001
Water Account Number: 456713456713
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 201 I. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable 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, 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 A^fM- .^IW^qq} C\J&jL\^? DArE X -0-2- / / Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
■^HS*228
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
11 h 111 -11 h 11 *1' 111 -1 -'1 - -11 -1111 -' -11 -11 -111 - -11 -11 -111'' 1 -1111
Status:_ Reason:.
010*001 *******5_DIGIT 60630 TAYLOR. JANET K. 4900 N LESTER AVE APT 6 CHICAGO, IL 60630-2163
Claim Number: 1023279
Index Number: 1309317030 1006
Water Account Number: 456625456625
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
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 fin day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return il lo your ward office before July I, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
Very Truly Yours, >J Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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:_
1111111111II -11111' >1 -1111 -1' 1111' -' I''111111 -111111 -11' -111 -1''1
Status:_ Reason:.
010*001*******5-DIGIT 60630 TERNES, ANNA 5516 W WINDSOR AVE APT IM CHICAGO, IL 60630-3568
Claim Number: 1011110
Index Number: 1316114045 1025
Water Account Number: 300565651946
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I "77" t\A/'$MA/A__the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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:_
.lllll,!!!,!,.!!,!,,!,!!,!!.!!!!,.,,!!.,!!!!,!!!)!,!!!!,,!!!!!!!,
Status:_ Reason:.
010*001 *******5-DIGlT 60630 THOMAS, OPAL B. 5511 W HIGGINS AVE CHICAGO, IL 60630-2126
Claim Number: 1011116
Index Number: 1309328061 1009
Water Account Number: 300119020497
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
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 OPfliL &< TfU/VyA^ the undersigned, on oath,
depose and state that 1 am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago. IL 60630
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:_
ililii»NrHll»HllillllHlllhiHip|irlll»llMlil'll
Status:_ Reason:.
010*001*******5-DIGIT 60630 VELOS, HELEN
4848 N CENTRAL AVE APT 210 CHICAGO, IL 60630-3281
Index Number: 1308428041 1010 Water Account Number: 777700080176
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return il to your ward office before July 1, 2011.
_lhe undersigned, on oalh.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Please Print Name
sg5»*.228
City of Chicago
Committee on Finance
Aid erman Edward M. Burke City Hall Room 3(12 60602 Telephone
February 18, 2011
mil i ?
11' 1111 * 11'1111111' IH11 i111111 *' 111'1111' 11
010*001 *******5-DIGIT 60630 WADE, SHIRLEY M. 5470 W HIGGINS AVE APT 2E CHICAGO, IL 60630-2158
'I'll
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019643
Index Number: 1309322049 1002
Water Account Number: 456633456633
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commillee on Finance must verify that you occupied this property as your principal residence on the first day of January. 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1. 2011.
! SUlALBj J71. W^/>ZTthe undersigned> on oalhi
Please Print Name
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, 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, lhat all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURl
DATE jf I 1 '
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago. IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
f:1111 - - -11111 -11111 - -1 - -11 -11 --111 -1 -111111111 -11111111 -11111
0I0*001*******5-DIGIT 60630 WADELSKI. ELAINE C. 4830 N LINDER AVE APT 3D CHICAGO, IL 60630-3436
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1020013
Index Number: 1309328064 1012
Water Account Number: 430491430491
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commitlee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
eLo^G^OASp date ^\^Ai v
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
■*igg*>228
City of Chicago
Committee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Teleplione
February 18, 2011
■■■■M-ili-lll-li-,"l,ilM-l--iilillll-illllll-t-i-ll-lih-iiili
010*001*******5-DIGIT 60630 WATERS, NORMA L. 4663 N MILWAUKEE AVE #1C CHICAGO. IL 60630-3631
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1018840
Index Nu mber: 1316110049 1007
Water Account Number: 123120029822
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I |\|o/rZ4- ^- \sJAr-f~ E(Z-S\\\z undersigned, on oalh, Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or 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 forjperjury offaJsrfication herein.
OWNER SIGNATUR §U^^£JJ^^^ date J^X X* //
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
I'l'lTlhlli'^l-llll'-il'i'i'Tlll-ll-l'-li1111-1!-!!1!1!!
Status:_ Reason:.
010*001*******5-DIGIT 60630 WIERZBICKJ, WACLAW 4572 N MILWAUKEE AVE APT 5G CHICAGO. IL 60630-3748
Claim Number: 1004393
Index Number: 1316117045 1043
Water Account Number: 300139041879
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and 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 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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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 ft/(gt*»2,B>lC-M VifyO-irTW the undersigned, on oath,
Please Print Name
»<^3^>228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephune
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
!-1 It 111-11 -111M111 (1 - (11111-u-ii1111111 - -111 -111 - - 111111E11h
Status:_ Reason:.
010*001 *******5-DIGIT 60630 WILLIAMS, MARIE H. 5555 W EDMUNDS ST CHICAGO, IL 60630-4643
Claim Number: 1000135
Index Number: 1309317028 1003
Water Account Number: 125122006851
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
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.
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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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.
■*§gSi»228
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
ii-'-lilll'l'lllhiirill-lll-l-hilliil-ll'-
010*001*******5-DIGIT 60630 WFTCHER, CLEONORA 5332 W WINDSOR AVE APT 2B CHICAGO, IL 60630-3735
lill'-i'llr
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1001558
Index Number: 1316116031 1014
Water Account Number: 300139056727
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE Very Truly Yours,
(p- ^JL^^^^/Ct^^ DATE ^/^/.2Q
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
'4&&22B
Alderman Edward M. Burke Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
ll-lllii-lil-lli-lniill-llllliiihiili-iii-lill-l-lllil-1
Status:_ Reason:.
010*001 *******5-DiGIT 60630
ZYGLER, MARLENE L. 5447 W LAWRENCE AVE CHICAGO, IL 60630-3440
Claim Number: 1022506
Index Number: 1316102025 1007
Water Account Number: 476004476004
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for?$50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the properly meets these requirements, you must sign and dale ihis application and return it to your ward office before July 1, 2011.
undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
11|l,||||N||,l|l1l|l||,ll||1||||ll|l|||,l||Tll,lhlTl|
Status:_ Reason:.
010*001*******5-DIGIT 60630 SALATA, GEORGE L. 4848 N CENTRAL AVE APT 511 CHICAGO, IL 60630-3284
Claim Number: 1020655
Index Number: 1308428041 1044
Walei' Accuuiii Number: 457206457200
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1. 2011. that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Commitlee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
i - > < 111 - ■ 111 ■ i -1 -1111111 - ■ 11 -1111 - ■v i - -11111 - -1111 - m ■ i ■ i1 -
010*001*******5-DIGIT 60630 SANNASARDO. ROSALEEN M 4901 W WINONA ST APT 2A CHICAGO, IL 60630-2441
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1022779
Index Number: 1309407082 1001
Water Account Number: 457100457100
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Commiltee on Finance must verify lhat you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I \f/?)\l ff\t Q)y/[//)S/r/?0e undersigned, on oath,
[ Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, thai I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes^property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand^ anTs^ibject to/ijenalties for perjury of falsification herein.
OWNER SIGNATUREf^^gZ^^ y /i^y^M^i^^^f^.^^t^^. 'AS^/f
r ■
/
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
Commillee on Finance Cily Hall Room 302 60602 www.comni i Ueei mfi nance.c >rg
312-744-3380
Telephone
February 18, 201 F
For Official Use Only:
Ward:_
Intro. Date:_
■lIl'lXl-'-lll'll'l-lll'llllllllll'll-TT-'-llll1-11!!111
Status:_ Reason:.
010*001*******5-DIGIT 60630 SCHROEDER, ANNA C. 4775 N LINDER AVE APT 1B CHICAGO, IL 60630-3438
Claim Number: 1018554
Index Number: 1316102026 1004
Water Account Number: 300565637002
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I/)M//A #H h # KPT \l the undersigned, on oath.
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 waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours. Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it lo ihe 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:_
'11111'' 1111111'1' 11' 111''11 11 -111 < 11111111" 11 -1111111111111 -11
Status:_ Reason:.
010*001*******5-DIGIT 60630 SAREWICH, PAUL W. 5340 W WINDSOR AVE APT 3L CHICAGO. IL 60630-3737
Claim Number: 1017148
Index Number: 1316116031 1036
Water Account Number: 300139056727
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, 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 PAUL W, SfrRBWiCH the undersigned, on oalh.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, 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, lhal all water taxes, property taxes, and all other fees, penalties or assessments owed to ihe City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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^^^(a/a^e^z>o^
DATE/^g^ ^T, c2.<3/ /
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
iiHillHlnliirHllilhlll'iiluTllill-l-iliii-"lllH
Status:_ Reason:
010*001*******5-DIGIT 60630 SCHULLER, KATHERINE 5501 W LAWRENCE AVE APT 2A CHICAGO. IL 60630-3473
Claim Number: 1020454
Index Number: 1316101029 1002
Waler Account Number: 476005476005
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, properly 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 PATRICK J. LEVAR Atln: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago. IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
_the undersigned, on oath.
Please Print Name
OWNER SIGNATURE.
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 201
■'■'I'-'-llll'll'l-llll
I-'iI'I-'t'II'-Ii-II'IIx-'iI-Ii-
010*001*******5-D1GIT60630 SHORTINO, MARION R. 6141 W HIGGINS AVE APT 5A CHICAGO, IL 60630-1853
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1007306
Index Number: 1308310062 1016
Water Account Number: 300767606155
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I Ai/f^lOA/ ({.^M-OdTfMti_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 I, 2011, that I am the owner of record of said real estate properly or lhat I have a legal or equitable interest therein, lhat I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, 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 ^Cq^^v /? ■ %l^ll^r^ DATE j l\
Very Truly Yours.
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
Committee on Finance Cily Hall Room 302 60602 www.com m il leeon fi nance.org
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|-|-I|-Il-I|-Il|-Illlln-I|-Il-Ilh-Ill|-Ill|-Illllllllllll
Status:_ Reason:.
010*001*******5-DIGIT 60630 SKUPIEN, EILEEN 5010 N AUSTIN AVE APT 301 CHICAGO, IL 60630-1941
Claim Number: 1019696
Index Number: 1308313018 1009
Water Account Number: 455449455449
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. 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 fcjL££.fJ $Kvfl£-iJ_the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that 1 am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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£>>22B
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
t-11111-iI - -1 - -111 - -11 - II11111S-1 -1m I -11 -L1111 - -11111111-->-1M
Status:_ Reason:.
010*001*******5-DIGIT60630 SLEZAK, THERESA M. 4839 N CENTRAL AVE APT 2E CHICAGO, IL 60630-3264
Claim Number: 1018801
Index Number: 1309328067 1011
Water Account Number: 125122005117
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable 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 thai 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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.
».<jgl*>228
City of Chicago
Conimittee on Finance
Alderman Edward M. Burke Citv Hall Room 302 60602 Telephone
February 18, 2011
-1 - m I h - -11111 -11 11 -111111 -1111111 -1 -111 -1 - > - -11 -11 - r1 -1' i -111 -
010*00I*******5-DIGIT 60630 SMOLENSKY LUDOMIRA 4850 N LINDER AVE APT IC CHICAGO, IL 60630-3468
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1001550
Index Number: 1309328062 1003
Water Account Number: 300119030425
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhat you occupied this properly as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011
undersigned, on oath.
Please Print Name
depose and stale lhat I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATUR]
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Conimittee on Finance; vour alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
City of Chicago
Commillee on Finance
Alderman Edward M. Burke Cily Hall Room 302 60602 Telephone
February 18, 2011
i ■ [■ » 11 - -1-1111-1 - ■ < 11111 -1 ■ -1 ■-11-1-1■ ■ i -1 ■ ■ i - - ■ -1-■i-111-1 -11 -
010*001 *******5-DIGIT 60630 SOBEL. JAMES P. 4572 N MILWAUKEE AVE APT 5A CHICAGO. IL 60630-3744
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019095
Index Number: 1316117045 1037
Water Account Number: 431208431208
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify lhal you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
e undersigned, on oalh,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary I, 201 1 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I 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 underhand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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:_
-Illl-Illl|-Illlllllllllll-Illlllhllll|-Ill-|-Illllllllllhl
Status:_ Reason:.
010*00I*******5-DIGIT 60630 STASULAS, WALTER F. 5766 \V HIGGINS AVE CHICAGO, IL 60630-2067
Claim Number: 1002565
Index Number: 1308413047 1009
Water Account Number: i 25 i 32052829
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as of January 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oath.
Please Print Name
DATE ^ ~ ' ' '
Alderman Edward M. Burke Chairman
City of Chicago
Commillee on Finance City Hall Room 302 60602 w^-w.o.rimmiUeennfinance.org
Telephone 312-744-3380
February 18, 2011
l'illlr'Mlhll-illr-lihllillihlhllilirhililllnlilll
010*001*******5-DlGIT60630 STRELZYK, FLORENCE P. 4848 N CENTRAL AVE APT 204 CHICAGO, IL 60630-3281
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1017149
Index Number: 1308428041 1004
Waler Account Number: 777700080176
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
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.
undersigned, on oath,
Please Print Name
depose and state lhat I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or 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^io\JL^(JL^ Q^- j^Afiioyiff-^DATE 6X " - AO li
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
February 18, 2011
City of Chicago
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1015229
li-llil-lllilINiliili-hlh-ihlllhllllli-hli-iliiilii111
010*00l*******5-DIGIT 60630 STRZELEC, ALBINA E. 5460 W HIGGINS AVE APT 102 CHICAGO, IL 60630-2167
Index Number: 1309322043 1002 Water Account Number: 777700081636
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
.the undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, thai this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhat I understand I am subjfet^to penalties libr perjury of falsification herein.
OWNER SIGNATU
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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 00602 Telephone
February 18, 201
11'' 1111' 1111111 -11' 11 >' 111111111' I' - -11 -1 > 111 -1111' I' h -11111 * -1
010*001 *******5-DIGIT 60630 SUKJENNIK, BERN ICE L. 5235 W LELAND AVE APT 2W CHICAGO. IL 60630-3654
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1015004
Index Number: 1316113036 1002
Water Account Number: 123120017799
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
e undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of 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 understarj^I am subject to penalfies 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 20FI
-11M -1' 111 -111111111 ~ I - -1 -11 i'11 -'11 -11 -1' -1 -1111 -11111 -11111 -
010*001 *******5-DIGIT 60630 SUTER, LILLIAN 4826 N LINDER AVE APT 1A CHICAGO, IL 60630-3425
Index Number: 1309328059 1001
Water Account Number: 430490430490
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1019574
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
Jhe undersigned, on oath,
Please Print Name
depose and state lhat I am the applicant in the application, that this is my principal place of fesidence-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 SIGNATURB5^^^^i^>.^L "TJsU DATE_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
Telephone 3L2-744-3380
February 18, 2011
■ 17f1II111111 - -1 ■ 11111 -1 -11111 -' 11 - - -111 - -11 -1111111 - -1 -1111111111
010*001 *******5-DIGlT 60630 SWEENEY, NORA 4830 N LINDER AVE CHICAGO, IL 60630-3474
Index Number: 1309328064 1003
Water Account Number: 300119030265
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1007206
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
I
0 IT A
Jhe undersigned, on oath.
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the Cily of Chicago, that all water taxes, properly taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE. Very Truly Yours, Edward M. Burke
DATE 2-2?-//
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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 Cliairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
xM'-'i'-i-lnllli'-'i'llr'M-Oililliiil'-'lll-rl'i-l1
Status:_ Reason:.
010*001*******5-DIGIT 60630 SW1DER, ANNA 4848 N CENTRAL AVE CHICAGO, IL 60630-3280
Claim Number: 1020656
Index Number: 1308428041 1030
Water Account Number: 457206457206
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
I ty/V hiQ Vf > / J) fe'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 ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
|,|n.l||,l|,|.l,|Tll|||.l.,l||||||||T|l|||...l||.|||l||l
Status:_ Reason:.
010*001 *******5-DIGIT 60630 SZYMCZAK, MARY 6121 W FOGGINS AVE CHICAGO. IL 60630-1850
Claim Number: 1003910
Index Number: 1308311047 1016
Water Account Number: 300119020794
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented lo the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you 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 MPiR-V S2YM C'Z-A K the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011. that I am the owner of record of said real estate property or that I have a legal or equitable 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 Cily of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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 3 -/ "//
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
..II.!,!,,!,),!!!.!.!,,,.,.,!!,.).,!.,!.,!.!!,.!,,!!
Status:_ Reason:.
010*001*******5-DIGIT 60630 PALES H, HELEN 6161 W HIGGINS AVE APT 106 CHICAGO, IL 60630-1803
Claim Number: 1002572
Index Number: 1308310059 1015
Water Account Number: 300777619837
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property .as your principal residence oh the first day of January. 2011. If the properly meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I li E _"__the undersigned, on oath,
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interesi therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
-1 h11 h 11111111111111 -1 -11111' 11 >11 -11 >11 -11 i 11'111''111 - - -1 -11
Status:_ Reason:.
010*001*******5-DIGIT 60630 PAPAS, ELIZABETH J. 5819 W HIGGINS AVE APT 2D CHICAGO, IL 60630-2009
Claim Number: 1018555
Index Number: 1308420038 1011
Water Account Number: 125132054320
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
the undersigned, on oalh.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 201 1, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed lo ihe City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Committee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■111^■1111" 11" 1111 11"111111111111' I 111111"111111111"1111"" 11"
010*001*******5-DIGIT 60630 PARKER, GLORIA 5530 W LAWRENCE AVE APT IN CHICAGO, IL 60630-3457
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1001798
Index Number: 1309328065 1007
Water Account.Number: 430486430486
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjec|^j^enalties for perjury of falsification herein.
OWNER SIGNATUR
Very Truly Yours,
DATE
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago. IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN I COPY FOR YOUR RECORDS
«228
City of Chicago
Alderman Edward M. Burke Cliairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_"■■
Intro. Date:_
l'l
Status:_ Reason:.
010*001 *******5-DIGIT 60630 PENYICH, DOBR1LA 5840 W LAWRENCE AVE APT 303 CHICAGO, IL 60630-3291
Claim Number: 1018668
Index Number: 1308430083 1009
Water Account Number: 777700181314
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
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 firs day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all waler taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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
■'iSssS*'228
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_^_
Intro. Date:__
il'l-'hi-l-hXil-Mli-'il'llll'ii-'-l'iii-1)1!-111-!1!111
Status:_ Reason:.
010*001*******5-DiGIT60630 PLANK, ALOIS
5332 W WINDSOR AVE APT 2D CHICAGO, IL 60630-3734
Claim Number: 1018259
Index Number: 1316116031 1016
Waler Account Number: 300139056727
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
x Alois __ _the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am Ihe owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago. IL 60630
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
228
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
I'11111 ■ ■111' 11111111111'1111' I'1111' 1111' 11111 f1H11111111'11111
Status:_ Reason:.
010*001*******5-DIGIT 60630 POTERACKI, MARGARET M. 4839 N CENTRAL AVE APT IE CHICAGO, IL 60630-3264
Claim Number: 1017330
Index Number: 1309328067 1010
Water Account Number: 125122005117
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the Cily Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualilies for"a~$50.00 rebate'.under'the'Senior Citizens Rebate----"
Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary. 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary I, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, ^ Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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 ft] Pj ff (\U-T Pd<£r<fiO&4
undersigned, on oath,
Please Print Name
■^5**22S
City of Chicago
Commiltee on Finance
Alderman Edward M. Burke City Hall Room 302 60602 Telephone
February 18, 2011
■ ■n«i 111 ■ i ■ ■ ■ 11 ■ 11«■«« m 1111«1 - ■11 ■ i ■11 ■ >«111 ■ i11
010*001*******5-DIGIT 60630 POWERS, BESSIE 4907 N CENTRAL AVE APT 2B CHICAGO, IL 60630-2356
■||"ll
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:_
Claim Number: 1001500
Index Number: 1309328060 1013
Water Account Number 430482430482
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1. 2011.
your ward ottice before Jury 1. ZUl 1.
e undersigned, on oath,
Please Print Name
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code ofthe City of Chicago, lhat all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo penalties for perjury of falsification herein.
OWNER SIGNATURE! Very Truly Yours,
i/^J^S$CJU>tU^ DATEo?- 37l-
Edward M. Burke
MAIL I SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago. IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 201 1
For Official Use Only:
Ward:_
Intro. Date:_
11111111'1111111M1111111 - -11111 - - -1111 -1M111111' I -111 -1' 11 - -1 * I
Status:_ Reason:.
010*001 *******5-DIGIT 60630 PRENDERGAST, ANDREW C. 5450 W GALE ST APT 302 CHICAGO. IL 60630-2363
Claim Number: 1019250
Index Number: 1309317034 1008
Water Account Number: 456713456713
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
depose and slate that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1. 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject lo 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 PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 201 I
For Official Use Only:
Ward:_
Intro. Date:_
lr|,|,l||l,1,1,1,11,,1,11,1,.l,,,!!,,,!,,!,!!!,!,,!,!,!,!,!!,,,
Status:_ Reason:
010*00l*******5-DIGIT 60630 QUILL1N, ELIZABETH 5432 W WINDSOR AVE CHICAGO, IL 60630-3566
Claim Number: 1016150
Index Number: 1316115045 1012
Watei Account Number: 300 i 3905674 i
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to your ward office before July 1, 2011.
I ^U%fi>B^fH r\. C\i)))-Lth/ the undersigned, on oath,
depose and state that I am the applicant in the application, lhat this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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_^3- J/
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward: -
Intro. Date: _
I'-i'iiliii'-i'-'liiilMili'l'il'-Xil'll'-hlll-1-11!1!!!-1
Status:_ Reason:.
010*001*******5-DIGIT 60630 QUIRK, FRANCES 6121 W HIGGINS AVE CHICAGO, IL 60630-1850
Claim Number: 1003915
Index Number: 1308311047 1014
Water Account Number: 300119020794
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
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 fkfl*'Cti Q O t 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 ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, lhal I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subject to penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
Please Print Name
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
,,|||.l|||||i|l,|||.l|||.|.l.T||l|M|,|l|,l,.l|,|,||l,|ll
Status:_ Reason:
010*001*******5-DIGIT 60630 REYNOLDS, MARY 4572 N MILWAUKEE AVE CHICAGO, IL 60630-3775
Claim Number: 1001509
Index Number: 1316117045 1018
Waler Account Number: 300139041879
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this properly as your principal residence on the first day of January, 2011. If the property meets these requirements, you must sign and date this application and return it lo your ward office before July 1, 2011.
.the undersigned, on oath.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjecjjo penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
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.
VERA RISTICH
5840 W. LawTenr.e Ave., Apt. 402 Chicago, IL 60630
Alderman Edward M. Burke Chairman
City of Chicago
Telephone 312-744-3380
February 18, 201 1
1)0227 ,
,l,l|||l,i|,iliil|ii,liiil|,i.liT|IMl-illnlll-l-illi-
010*001 *******5-DIGIT 60630 RISTICH, VERA
5840 W LAWRENCE AVE APT 402 CHICAGO, IL 60630-3364
Index Number: 1308430083 1014
Water Account Number: 777700181314
ll-'l
For Official Use Only: Ward:_
Intro. Date:_
Status:_
Reason:_
Claim Number: 1018665
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return il lo your ward office before July 1, 2011.
.the undersigned, on oath,
Please Print Name
depose and state that I am the applicanl in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that 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 tooenalties/for perjury of falsification herein.
OWNER SIGNATURE
lib
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf.
RETAIN 1 COPY FOR YOUR RECORDS
City of Chicago
Alderman Edward M. Burke Chairman
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
l||l|||||l|l||.ll|ll|.||||llll,|,|l|,l.|||,ll|l||,l|,lll,||
Status:_ Reason:.
010*001*******5-DIGIT 60630 ROGOWSKA. HELENA 5524 W LAWRENCE AVE APT 8 CHICAGO, IL 60630-3462
Claim Number: 1021303
Index Number: 1309328066 1008
Water Account Number: 456644456644
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
depose and state that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and that I understand I am subjectto penalties for perjury of falsification herein.
Very Truly Yours, Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Conimittee on Finance; your alderman will introduce it on your behalf. RETAIN 1 COPY FOR YOUR RECORDS
.the undersigned, on oalh,
Please Print Name
DATE
Alderman Edward M. Burke Chairman
City of Chicago
312-744-3380
Telephone
February 18, 2011
For Official Use Only:
Ward:_
Intro. Date:_
1II-11! il" II"! I-ii11-->i-il-'h> I'lhll'-lh I il'l-Mi-i'-iii1
Status:_ Reason:.
010*001*******5-DIGIT 60630 ROKICKI, ROBERT A. 5010 N AUSTIN AVE APT 102 CHICAGO, IL 60630-1942
Claim Number: 1011112
Index Number: 1308313018 1002
Water Account Number: 300767601297
2011 SENIOR CITIZENS SEWER REFUND RENEWAL
Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualities for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and dale this application and return it to your ward office before July 1, 2011.
Jhe undersigned, on oath,
depose and stale lhal I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011, that I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, that all water taxes, property taxes, and all other fees, penalties or assessments owed to the City of Chicago have been paid and lhal I understand I am subject to penalties for perjury of falsification herein.
OWNER SIGNATURE (ZJl^J^ <h ■ tJ&sZd*. DATE Z - J-* ~ 11_
Very Truly Yours,
Edward M. Burke
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Conimittee 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
February 18, 2011
no;:"
l-hliiil'-il-illrlTli-lllll-lliilliillli-il-lillrli>
010*001 *******5-DIGIT 60630 RYBICKI, HARRY S. 5840 W LAWRENCE AVE APT 405 CHICAGO, IL 60630-3364
Index Number: 1308430083 1017
Water'Account Number: 777700181314
Telephone 312-744-3380
For Official Use Only: Ward:_
Intro. Date:.
Status:_
Reason:
Claim Number: 1018723
2011 SENIOR CITIZENS SEWER REFUND RENEWAL Dear Senior Citizen:
Your 2011 application for the Senior Citizen's Sewer Rebate was presented to the City Council by: PATRICK J. LEVAR of Ward 45.
To determine whether your condo/co-op/townhouse qualifies for a $50.00 rebate under the Senior Citizens Rebate Ordinance, the Committee on Finance must verify that you occupied this property as your principal residence on the first day ofJanuary, 2011. If the property meets these requirements, you must sign and date this application and return it to
your ward office before July 1, 2011.
Jhe undersigned, on oath,
Please Print Name
depose and stale that I am the applicant in the application, that this is my principal place of residence as ofJanuary 1, 2011 lhat I am the owner of record of said real estate property or that I have a legal or equitable interest therein, that I am 65 years of age or older, and otherwise qualify for a refund under Section 3-12-050 of the Municipal Code of the City of Chicago, lhal all water taxes, property taxes, ancLall other fees, penalties or assessments owed lo the City of Chicago have been paid and that I understand I am subject to penal liesffor nerjury of falsification herein.
OWNER SIGNATURE
Very Truly Yours,
Edward M. Burke
ATE
MAIL 1 SIGNED AND DATED COPY DIRECTLY TO YOUR WARD OFFICE AT:
Alderman PATRICK J. LEVAR Attn: ATTN. LAURA 5205 N. MILWAUKEE AVE Chicago, IL 60630
Please do not send it to the Committee on Finance; your alderman will introduce it on your behalf. RETAIN I COPY FOR YOUR RECORDS